HomeMy WebLinkAbout069-080-027S•
4, t7- og-27
Ray J. C h e s I a k
106 Greenbrier Dr., lot 4, KRIM , Oro.,
'Permit #5947-78P,E(util.,MH)
ELEC.
GAS
SUPPOIft ST UCTURE REQ.—Z-Co
COMPACTION TEST REQ..U-�-&
U.
i ylGl /
C2ntr: Carneros Mobile Trans
P rmit #6709-78MHI
Issued
69-a8-27
contr: Holmes Mobile Home Serv., Oro.
Permit #600-79B,E(new awning, deck 6�
garage/MH)
:069 ,080 :027 nr!, PERMIT#.98 1015 .
"CHESLAK, Raymond Jr'�i
106.GreenbrierjDr`;; Orov lle- f°
Gas. Line/MH +: ....,',k
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069=080-02,7 'PERMIT#98=1015
CESLAK, . Raymond J �. .
106.Greenbrier Dr , Orovi�lle x'
Gas Line/MH
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COUNTY OF BUTTE- DEPARTMENT OF DEVELOPMENT SERVICES - BUILDINGDIVISI
7 County Center Drive - Oroviller California 95965 - Telephone (916) 538-7541 PERMIT No.
(Rev. 12/96) APPLICATION AND PERMIT /,
ASSESSOR PARCEL —027
07�V4fVl�.lVl
ZONING
BUILDIN PERMIT
OWNER
RAYMOND J. CUSLAK
TELEPHONE
SO, FT, OCC. t BUILDING VALUATION
OWNER'S MA UNG ADDRESS
106 GRMBRIER DR., OROVILLE CA 95966
A�CTTO�O�,7R'S�S NAME
CONTR��I\Fil\
OYf
TELEPHONE '
CONTRACTORS MAILING ADDRESS
CONSTRR.UCTION LENDER
NO
Fireplace
LENDER'S MAIUNG ADDRESS
Total Valuation $
ARCHITECT OR ENGINEER
NONE
LICENSE NO.
Filing Fee $
20.00
Permit Fee $
ARCHITECT OR ENGINEERS MAILING ADDRESS
Plan Checking Fee $
BUIL DING AD DRESS
X06 GREENBRIER DR., OROVILLE
Energy Plan Checking Fee $
$
PERMIT FEE $
LOT NO.
SUBDIVISIONS NAME
PARCEL MAP
PLUMBING PERMIT
Fling Fee 20.00
USEOFSTRUCTURE
yy��
SF ❑ Duplex ❑ MobilehomeXg Other ,
SPECIFY u'
Each Trap
7.00
Solar or heat pumpwater heater
23.00
Water piping
15.00
Each gas water heater or vent
15.00
TYPE OF WORK
New ❑ Addition ❑ Remodel ❑ Utilities DO Installation ❑ Other ❑
Describe Work: GAS LINE TO MR ( FOR APPLIANCE)
Gas piping system 1 - 5 outlets
15.00 L5.00
Building sewer
15.00
Mobile Home ISI GI W
@20.00
-
PERMIT FEE $
35.00
ELECTRICAL PERMIT
Fling Fee 20.00
LESS
Main Service 2o.A OR LESS
23.00
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.p0'IER
License Class Llc. NO.
OWNER -BUILDER DECLARATION
I herebyaffirm under penalty of perjury that I am exempt from the Contractors License
P tY P I N P
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 isnot 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
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
Main Service TO
46.00
WEE200A
ccu000A
NEW CONST. DWELLING OCCUP.
OR a ACC. BLDS.
SO
3.54"
CNS.
NEW
NON-RESIDT AUCHCITCUI
97.50
APPARATUS
a SINGLE OUTLET CIR.
Ex. Occup. OUTLET OR FOnURES
20 @ 1.00
BA L p .50
Ex. Occup. FIXED APPLNS.OR
P• ouTLETs RLNS EA 5.00
Temporary Service 23.00
Mobile Home Facilities 20.00
Misc. Wiring 23.00
PERMIT FEE $
MECHANICAL PERMIT Fling Fee 20.00
Heating
Cooling
Hood
6.50
Ventilation
PERMIT FEE $
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.)
f 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
sions:
forthwith comply with T��
X '. yy2,/ . to _ice
Sig use of Applicant - X17' Owner ❑ Contractor ❑ Agent—r
An O�HA permit is required for excavations over 60" deep and demolition or construction
of structures over 3 stories in height.
Mobile Home Installation Fee $
Energy Inspection Fee $
Occ
CONST. TYPE
TOTAL FEE $ 35.00
HAZ.
I D. FEES IMP
I FLOOD
[77 -[7
pD
HD
ISSUE
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.
By Pr_4A4 r r Date ?/'�o
PERMIT EXPIRES ON
% Date
Receipt No.J36ft,—_/
WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT
_n;C
COUNTY OF BUTTE
i. BUILDING DIVISION
DEPARTMENT OF DEVELOPMENT SERVICES
r 411 Main Street, Chico, CA - (916) 891-2751
7 County Center Drive, Oroville, CA - (916) 538-7541
ER
CORRECTION NOTICE
to, -/C— I � v - / 6 �s
PERMIT NO.
A routine inspection indicates that the following violations of Butte County Ordinances exist at
the above address and should be corrected. Please notify this office when correction of work
is completed. If you have any questions pertaining to this matter, or need additional explanation,
please c nt this office immediately. /
n
-cli q
Date InspectorL%�'" r
REV 1 2
COUNTY OF BUTTE -DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISI
7 County Center Drive - Oroville, California 95965 - Telephone (916) 538-7541 PERMIT NO.
(Rev. 12/96) APPLICATION AND PERMIT
ASSESSOR PARCEL NUMBER
069-080-027
ZONING
RT1
BUILDI PERMIT
OWNER
RAYMOND J. CHESLAK
TELEPHONE
SO. FT. OCC. BUILDING VALUATION
OWNERS MAILING ADDRESS
106 GREENBRIER DR., OROVILLE CA 95966
CONTRACTOR'S NAME
OWNER
TELEPHONE '
CONTRACTORS MAILING ADDRESS
CONSTRUCTION LENDER
NONE
Fireplace
LENDER'S MAILING ADDRESS
'
Total Valuation $
ARCHITECT OR ENGINEER
NONE
LICENSE NO.
Filing Fee $
20.00
Permit Fee $
ARCHITECT OR ENGINEERS MAILING ADDRESS
Plan Checking Fee $
BUILDINGADDRESS
106 GREENBRIER DR. OROVILLE
Energy Plan Checking Fee $
$
PERMIT FEE $
LOT NO.
SUBDIVISION'S NAME
PARCEL MAP
PLUMBING PERMIT
Filing Fee 20.00
USEOFSTRUCTURE
SF ❑ Duplex ❑ MobilehomeX[N Other
SPECIFY
Each Trap
7.00
Solar or heat pump water heater
23.00
Water piping
15.00
Each as water heater or vent
15.00
TYPE OF WORK
New ❑ Addition ❑ Remodel ❑ Utilities W Installation ❑ Other ❑
Describe Work: GAS LINE TO MH (FOR APPLIANCE)
Gas piping system 1 - 5 outlets
15.00 L5.00
Building sewer
15.00
Mobile Home ISI GI W1
920.00
PERMIT FEE 3
ELECTRICAL PERMIT
Fling Fee 20.00
Main Service zoos oa LEss
23.00
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 LIC. NO.
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.
j$ 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
Main Service 200A To 1000A
46.00
NEW CONST. DW NG OCCUP.
OR ADDNS. s ELLIADC. B.D .
SO
3.50 FT.
CONSC
rN,o RESIDT MULTI-OCIUTLETITS
@7,50
PO ER APPARATUS
d SINGLE OUTLET CIR.
Ex. Occup. OUTLET OR FIXTURES
BAL @'.55
0
XD APP
Ex. Occup. OUTELETS .=.)EA.
5.00
Temporary Service
23.00
Mobile Home Facilities
20.00
Misc. Wirin
23.00
PERMIT FEE 3
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
Fling Fee 20.00
Heating
Cooling
Hood
6.50
Ventilation
PERMIT FEE $
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.)
f9 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 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
forthwith comply wit th se provlsl
X/LCs�a�Z,1 �� "`
t�/ —
igna of Applicant - Owner ❑Contractor ❑Agent
An O A permit is required for excavations over 60" deep and demolition or construction
of structures over 3 stories in height.
Mobile Home Installation Fee $
Energy Inspection Fee $
occ
CONST. TYPE
TOTAL FEE $ 35.00
HAZ.
I D. FEES IMP
I FLOOD
CDF
PARCEL pO
HD
SSUE
This permit is hereby issued under the applicable
of the Butte County Code and/or Resolutions
indicated above for which fees have been
By Date
PERMIT EXPIRE ON
provisions
to do work
paid.
is
Receipt No.2-361%
WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT
PERMIT N0. 600-79B,E
PERMIT EXPIRES
OWNER Ray Cheslak
CONTR. R fKV Holmes MH Serv., oroville
LOCATION (A.P. 34-65-27
106 Greenbrier Dr., lot 4, KRIM , Oroville
Temp.ower Pole
C led PG&E
/Tlem.. Elec. Serv.
alled PG&E
. Gas Serv.
alled PG&E
FINALED ,57_2
M (Dat
i
(Signature)
COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS
BUILDING INSPECT10h RECORD
BUILDING
BUILDING (Cont'd)
PLUMBING
Setback - -7 flims
Firewall
Soil Piping
Forms
Parapets
1st Floor
Main Bldg. A
Restroom Finish
2nd Floor
Footings
Windows
3rd Floor
StemwaII
Siding
To out
Slab Y
Roof Sheathing
Water Piping'
Piers
Roofing
Sewer
Garage
Fdn. Vents
Fixtures
Footings
Stemwa I I
Garage Vents
Insulation
Water Htr.
Heaters
Slab
Carport
Footings
Prov. for physically
handicaped
Conformance of ex.
structure
A liances
Gas Pi in &Test
Temp. Gas
Slab {
Final
Sanitation
Patio
FIREPLACE
Final
Footin s A
Footing
ELECTRIC L
Masonry Walls
Throat
Rou h
Reinf. Steel
Final
Fixtures
Bond Beam
FIRE SPRINKJeERS
Motors
Framing
Test
Water Htr.
Stucco
Final 4
Subpanels
Mesh
M CH ICAL
Gird. Fault Prot.
Scratch
Heating
Service
Brown
Cooling
Temp. Pole
Finish
Ducts
Underground
Interior Lath
Ventilation
Permanent
Door Closer A
Final
Final *�
'MOBILEHOMEUTILI ES --------------••-- Elec- Service
Elec. Pedestal
Water Piping V
Sewer
Gas Piping
7OB16EHOME INSTALLATION - - - - - - - - - - - - - - Support
Elec. Continuity
Water Piping
Drainage
Gas Piping
C�
DATE 4'2- �✓ s /
d �fvGl�Dt`
REMARKS OR CORRECTIONS
vh u o Sl�C® �iL. C113 G�
F!4� --
(NOTE: An entry must be made on this form each time you visit the job site.)
1
COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS
�,- 7 County Center Drive h,, Oroville, California 95965
Telephone: 534-4541
APPLICATION AND PERMIT (�
BUILDING
Ownery ��
SQ. FT. OCC. BUILDING VALUATION
T; -t% i L
Mailing Address
14
Telephone No.
Contractor L iz--s Le I b Y GC,
Mailing Address 3 RIC -14 -Te iio p, g
Fireplace
Total Valuation Qj
OROTalep
fj f L11 -G., %
one No.
-6,
Permit Fee
Building AddressG1
Plan Checking Fee&/or Penalty
,� ^—�
$
Permit Fee ✓
PLUMBING No. @ FEE
oPERMIT
FILING FEE $3.00
Each TraD 1.50
Repair drainage or vent piping 1.50
A. P. NQ, �s (B✓ �a
oning &Planning
Water piping 1.50
Each gas water heater or vent 1.50
F s
W.t.
I Sil' Fire Dept.
FireZone
Use Permit
Gas piping system 1 - 5 outlets 1.50
EQA
Parking
Plans
ParcelEach
I Declaration
I Parcel M
60' R/W
Impro2mlAts
additional outlet .30
Building sewer 5.00
u ?dd °S
Parcel A rovol
Plans Approval
Lawn sprinkler system 2.00
NEW ADDITION ❑ UTILITIES ❑ OTHER ❑
Permit Fee $
ELECTRICA No. @ FEE
PERMIT FILING FEE $3.00 J1,c�0
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
e .`'
A muJ( /
/ s
e13LDGS.'c
W C,- Am
OVER
Main service OVER P O 25.00
AMP OR LESS
Main service EA. ADD'L 100 AMP 1.00
LING P 2) 20sq ft '8,0
17 -EW CONS. I OR ADDNST %ACC`
CONTRACTORS LICENSE LAW
I am licensed under the provisions of Chapter 9, Div. 3, of the
State of alifornia Business & Professions Code under the name
style of-
NEW CONSTR BRANCH CIRCU
NON-RESID BRANCH CIRCVITS) 2.50ea
NEW CONSTR. POWER APPARATUS B
NON-RESID. SINGLE OUTLET CIR.
Ex. Occur) (OUTLETS OR FIXTURES a �@1
FIXED APPLNS. OR
Ex. Occup. OUTLETS (RESID.) EA) 2.00
Temporary service 10.00
ICe
Mobile Home Facilities 15.00
License No.32) 311 Classification
Misc. Wiring 6.25
❑ I am exempt from the Contractors License Laws of the State of California.
Permit Fee $ 17.<,-6
$ /7
$
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.
�1 I have placed on file with the County of Butte a certificate of
x Workmen's Compensation Insurance.
I certify that in the performance of the work for which this
FJ 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
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 l Date`
Ignature of Permitee or Agent
Receipt No. /9 16 2,8C 9
White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant
Land Development Fee
$
TOTAL PERMIT FEE
/�
$ IRC,)
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 BLIC WORKS
BY Date v 'l
_
Building permit expires Date G���
White - Owner, YelloW - Installer, Pink - D.P.W.
-r
749
PERMIT NO. 5947-78P,E
PERMIT EXPIRES Z/zw// /
OWNER Ray J. Cheslak
owner
CONTR.
34.-65-27
LOCATION (A.P. )
106 Greenbrier Dr., lot 4, KRI A, roville
Temp. Power Pole
Called PG&E G
Temp.. Elec. Serv.
Called PG&E
Temp: Gas Serv.
Called PG&E
JOB G
FINALED �Q 7
(Datv0'9')#Z14Je'e2*
(Signature)
i
6
�
a
Temp. Power Pole
Called PG&E G
Temp.. Elec. Serv.
Called PG&E
Temp: Gas Serv.
Called PG&E
JOB G
FINALED �Q 7
(Datv0'9')#Z14Je'e2*
(Signature)
1
Temp. Power Pole
Called PG&E G
Temp.. Elec. Serv.
Called PG&E
Temp: Gas Serv.
Called PG&E
JOB G
FINALED �Q 7
(Datv0'9')#Z14Je'e2*
(Signature)
COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS
BUILDING INSPECTION RECORD
BUILDING BUILDING (Cont'd) PLUMBING
tbackewall
MECHANICAL
So Plpin
S
Par pets
1 Floor
M n Bldg,
Rest om Finish
2n loor
gtin s
Window
3rd koor
Ste wall
Siding
To out
Slab
Roof Sheat'Wng
Water Pi r
Piers
Roofing
Sewer
Garage
Fdn. Vents
Fixtures
Footings
Stemwall
Garage Vents
Insulation
Water Htr.
Heaters
Slab
Carport
Carport
Footings
Prov. for ph sicall
ed
Conformance of ex.
structure
Appliance -
Gas Piping & Test
Temp. Gas
Slab
Final
Sanitation
Patio
REPL CE
Final
Footin s
Footing'`
isonry Walls
Throat
Rough
Reinf. Steel
Final 41
Fixtures
Bond Bead
SPRINKLERS
Mntnrs
nIsh
MECHANICAL
Grd. F It Prot.
Heatl
Lyth
Servl
Coo ng
T p. Pole
D is
hlf
nder round
ntllation
Permanent
anal
- -�
anal
Elec. Service
BI E ME INSTALLATION - - ------------
Elec. Pedestal
Sewer
Gas Piping
Support
DA TE
Elec. Continuity
Drainage
Gas Piping
nIsh
Lyth
or Closer
hlf
MOBILEHOME UTILITIES ------------------
Water Piping
- -�
BI E ME INSTALLATION - - ------------
Water Piping
DA TE
^�-
G ! !�
mo,4
,A 5q- r
REMARKS OR CORRECTIONS
L
0 �,,`g 9
(NOTE: An entry must be made on this form each time you visit the job site.)
j 1,
✓� MOBILEHOME INSTALLATION INSPECTION CHECK LIST
1. Is the mobilehome located with uired separation from lot lines and buildings and generally
conform to plot plan? Yes • i
2. Does the mobilehome have required clearances above ground?'(Sec.5085) Yes 4*" o
3. Are footings and supports properly sized, space and braced as papproved plans? (Note
possible variation at spring shackles.) P
082 & 5083) Yes_ No
4. Is the mobilehome level? (Sec. 5088) Yes_ No_
5. If morhan a single unit, are crossover connections properly installed? (Sec. 5088)
Ye SL,
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 waterP iping withstand working pressure or 50 lbs. air test? Yes 41 No
NA-Ya—c�fl`ow-
- 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 enes- No
B. Does it have minimum k" per foot slope and is it properly supported? Yes_ No
C. Are any leaks detected in drainage system after running 3- llons of water through each
u fixture including washing machine standpipe?, .Yes No"
ach is not State of California approved; does station have required trap and vent?
Y' es No
8. Gas Piping a Gas Vents
A. Connector Is mobilehome connected to the gas supply with an approved 3/4" minimum
mobilehome \nnector not more than 6 ft. long? No All piping is to be at least as
large as thilehome gas line inlet without r uctions other than the mobilehome
connector. No
B. Test OK as per fol
1. Open all appli
2. Shut off appliance
g procedur2ilot
s No
connector v.
burner and valves.
3. Air test with manometer o O"-14" water column, or test with slope gauge (minimum
6oz.-maximum 8 oz.) calf ted in tenth pound increments. Test for 10 min. without
drop.
4. Connect gas meter t mobilehome ith connector, turn on gas, test connections with
soapy water.
C. Are all appliance ents properly installe Yes_ No
i
4
9. Electrical - A. Is service large enough to provide adequate amperage -to mobilehome (must equal rating of ,
mobilehome with a minimum of Damp) and other facilities on lot,•i.e., water pumps,
garage, cabana, etc.? Yes No_
B. Is there proper clearances around panels? Yes " No
C. Is power supply cord or feeder assembly properly fused? Yes �o
D. Is 'continuity test satisfactory as per the following procedure? YesNo
1� De -energize electrical wiring system of the mobilehome at the pedestal.
Z,.," -Make sure that the power supply cord or feeder assembly conductors, including neutral
conductor, have been disconnected.
Switch all breakers and switches in the mobilehome to the "on" position.
- Connect one lead of a test instrument to the mobilehome grounding conductor and
apply the other lead to each mobilehome supply conductor, including neutral.
.5-1 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.
K. 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 d ectrical tests, the lot or site
service equipment may be approved for energizing.
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 %%7OOV77 11, 11-J/2-1LLE
Length Width `�
Vehicle Serial No. �i / fJ
State Identification No. , I ��7a'�� e44 J,7d �D
Additional Information or Comments:
COUNTY OF BUTTE —' DEPARTMENT OF PUBLIC WORKS
7 County Center Drive — Oroville, California 95965
Telephone: 534-4541 j
APPLICATION AND PERMIT �1
Owner Ray J. Cheslak
Mailing Address 506 Waterbury Drive
Pleasant Hill, CA. 94523
Contractor (Owner)
Mailing Address
Building Address 106 Greenbrier
Oroville, Calif
T.nt /1 _ TTni t ?A — VP11v Ri el
Telephone No.
)15-935-453
Telephone No.
95965
1r1 lea ion onfy
A. P. No. 3 K Lonintg P a n"}fig
F As W. Fire Dept. FireZone Use Permit
EQA Parking I Parcel Parcel a 60' R/W Im rov ents
�Pla�ns Declaration p p
Bldg. Pis Recd Parcel A royal Plans Approval
NEW ❑ ADDITION ❑ UTILITIES OTHER ❑
Single Family ❑ Duplex ❑ Mobil Home Others ❑
FOR m1031LF_5
CONTRACTORS LICENSE LAW
1 am licensed under the provisions of Chapter 9, Div. 3, of the
State of California Business & Professions Code under the name
style of:
License No. Classification
91 am exempt from the Contractors License Laws of the State of California.
WORKMEN'S COMPENSATION INSURANCE
I 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.
Voave placed on file with the County of Butte a certificate of
rkmen's Compensation Insurance.
certify that in the performance of the work for which this
pmit 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 pu oses.
=— Date — _71,1X /Z�
ignature of rmitee or Agent
Receipt No. /�d300
White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant
_ BUILDING
SQ. FT. I OCC. I BUILDING V#L TION
Fireplace
$
Total Valuation
ELECTRICAL No.
Permit Fee
FEE
Plan Checking Fee &/or Penalty
$3.001
Permit Fee
Main service 600V OR LESS
100 AMP OR LESS
PLUMBING
No.1 @ FEE
PERMIT FILING FEE
$3.00
Each Trap
1.50
Repair drainage or vent piping
1.50
Water piping
1.50
Each gas water heater or vent
1.50
Gas piping system 1 - 5 outlets
1.50
Each additional outlet
.30
Building sewer
5.00
Lawn sprinkler system
2.00
Permit Fee
$
l-5
ELECTRICAL No.
@
FEE
PERMIT FILING FEE
$3.001
Temporary service
Main service 600V OR LESS
100 AMP OR LESS
5,00
.a
Main service EA. ADD'L 100 AMP
2.50
r
Main service OVER 600V
100 AMP OR LESS
25.00
Main service EA. ADD'L 100 AMP
1.00
NEW CONST. / DWELLING OCCUP. 9il
r„* f+
NON-RESID. % BRANCH CIRCUITS/
G.OUtlC
NEW CONSTR. (POWER APPARATUS a
NON-RESID. SINGLE OUTLET CIR.
Ex. OCCuQ{OUTLETS OR FIXTIiRES
500250
BALO10
FIXED APPLNS. OR
EX. OCCU P.(OUTLETS (RESID.) EA)
2.00
Temporary service
10.00
Mobile Home Facilities
15.00
Misc. Wiring
6.25
Permit Fee $
MECHANICAL 1No.J @
PERMIT FILING FEE 413.00
Heating
Coo I i
Ventilation
Hood 1 1 2.00
Permit Fee $ $
Land Development Fee $ Gid
TOTAL PERMIT FEE $ 7-3
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.
DIRECTO OF UB IC WORKS
By / Date /a —1 -L--72F
Building permit expires Date
This ' set of plans and specifications MUST be LOT
kept -on the job at all times and it is unlawful, to
make y changes or alterations on same without.
ithut UNIT .2 A
written Permission from the Department of Pub;
lic Warks, County of Butte. H O U NT�\t N ~ . v L Y.
24., � �8'
--�_-Gr� �� n�r3 rz i E•2 02'i rim'
NOTE:—All Materials & Wo-rkmans ip Sha
Accordance with Recognized .Goo ifi Tactic s and
the Mfg
of a quality prescribed for the See ---The-". Setback shall be 5 ft. from the
Uniform Building, Plumbing & Me ical Codes and side prope ' e and 50 ft. from the
the National Electrical Code centerline of the Toa fitting a maxi-
mum of a Vt. eave overhang u ' ely
out of all easements.
0 �� or•
u►'
d
I
a
All utility connecti nsthe
located within 4 ft. outside
third section of the mobil'e' of
on the left (road) side of tike of
home.
zoo Fria P=_o_srP.LID
700•At)P. Bn-tel,ER , .1
P
O
i
.ore"
-V
f Ora
ora I
- N oi.` 2/'47", " 71, 01, ..
BUTTE COU14TY
BUILDING DEPARTMENT
APPROVED
t,AO_= Ai7D=,� - 9-13•_78 00. D.
/zvcc Z- 3_ 7.4L
r
-V
f Ora
ora I
- N oi.` 2/'47", " 71, 01, ..
BUTTE COU14TY
BUILDING DEPARTMENT
APPROVED
t,AO_= Ai7D=,� - 9-13•_78 00. D.
/zvcc Z- 3_ 7.4L
Owner Rav J. Cheslak
COUNTY Bi1TTE — DEPARTMENT OF PUBLIC WORKS
7 County Center Drive — Oroville, California 95965
Telephone: 534-4541 j
APPLICATION AND PERMIT m /
_ BUILDING
SO. FT. I OCC. I BUILDING VALUATION
Mailing Address
Telephone No.
Contractor Carneros Mobile Transport
Mailing Address 1290 E1 Capitan
Fireplace
Total Valuation
Napa, CA 94558
h
b�l�p11� N�411
Permit Fee
Building Address 106 Greenbrier Drive
Plan Checking Fee &/or Penalty
Permit Fee
Oroville, CA 95965
PLUMBING
No. @
Lot 4 Unit 2A
PERMIT FILING FEE
$3.00
Each Trap
1.50
Kelly Ridge Estates
Repair drainage or vent piping
1.50
A. P. No. 34 _ 65 _2
T�
Zoning & Planning
Water piping
1.50
Each gas water heater or vent
1.50
F9e<
W_I__;01 Saf►i�Wion
Fire Dept.
Fire Zone
Use Permit
Gas piping system 1 -5 outlets
1.50
EOA
Parking
Plans
I Parcel
Declaration
Parcel Map
60' R/W
Improvements
Each additional outlet
.30
Building sewer
5.00
Bldg. Plont,*Irc'd
Parcel proval I
Pla pproval
Lawn sprinkler system
2.00
NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER
Permit Fee
$
Installation — — — 8
ELECTRICAL
No. @
PERMIT FILING FEE
$3.00
600V OR LESS
Main service 100 AMP OR LESS
5.00
Single Family ❑ Duplex ❑ Mobil Home NJ Others ❑
Main service EA. ADD'L 100 AMP
2:50
Main service OVER 600V
100 AMP OR LESS
25.00
Main service EA. ADD'L 100 AMP
1.00
NEW CDWELING
OR ADDNS.r ( ACCLBLDGS.CCUP. h�
20sq ft
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 le of:
±(
Carneros Mobile Transport
MULTI T
NEW CON5T1 (BRANCH CIRCUITS
NON-RESID, `BRANCH CIRCUITS
2.50ea
NEW CONSTR POWER APPARATUS a
NON.RESID. SINGLE OUTLET CIR.
Ex. OCCUD(OUTLETS OR FIXTIIRES
B L
Ex. OCCU FIXED APPLNS. OR
p• OUTLETS (RESID.1 EA)
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
$
WORKMEN'S COMPENSATION INSURANCE
1 am aware of the provisions of Section3700 of the California Labor
MECHANICAL
No. @
PERMIT FILING FEE
$3.00
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
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.
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 -men tio d property for inspection u oses.
X Dat'
g ture o e ite or A
Receipt No.
White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant
Coo I i
FEE
FEE
FEE
Ventilation
Hood 1 2.00
Permit Fee $ $
Mble Home Installati 30.00
TOTAL PERMIT FEE $ 30100
This permit is hereby issued under the applicable provisions of
the Butte County Code and/or resolutions to do work indicated
above f hich fees h ve been paid.
D R170F P LIC WORKS l
By Date l / S,
Building permit expires Date /
MOB IL�HOME SUPPORT DATA .
If other than.single wide,
Mobilehome Mfrp''•OUNTAIN VALLEY HOMES, *INC. furnish Setup Model No. 2BDR,AK. Year 1979
Width 24 (ft.) Box Length 64 (ft.) Tagalong or Expando Size -O- ft, x 70- ft.
(SHOW SUPPORT DETAILS BELOW)
On all mobilehomes manufactured after October 7.,:1973, furnish manufacturer's installation
manual and structural setup sheets (if not. on file with.the County of Butte).
All center supports.measured from front.of,.
mobilehome unless otherwise specified,'
Footings (check one
Single
10/1. Wood either
A,
pressure treated
foundation grade.
(ft.)(in:)
(in.) (in.)
2. Other (specify)
Center support
locations*
Center support
footing sizes
Supports (check one
(-in. )
E21/1.; Concrete block.
3 b
�� x 3�
❑ 2. Other ( specify)
.
(ft.)(in.)
(in.) (in.)
<-Tagalong or Expando,
show support details
(ft.)(in.)
/= x3Z)1
-- Typical Support
(in.) (in.) Footing Size'
.Sd2 /D
3� x 30
(ft.)(in.)
(in.) (in.)
Max. Pier Spacing
Max. Overhang
(ft.)
(in.)
(in.) (in.)
BUTTE COUNTY
BUILDING DEPARTMEN
APPROVED
*If center piers are
other than drawn above,
draw in locations.
soacinQ_ and dimensions.
BUTTE COUNTY DEPARTMENT OF PUBLIC WORKS ..
7 -County Center Drive, Oroville, CA.
PHONE: 534-4541
MOBILEHOME INSTALLATION SHEET
e
1. Owner's name: Ray J. Cheslak
2. Installer's name: Carneros:'..Mobile Transport
3. Is the site currently under permit?
Yes
/ X /
No
(If
yes-, furnish permit number
) OR
Is the site an existing site?
Yes
/ /
No /X /
(If
yes, furnish two (2) plot plans.)
4. Will the
mobilehome be located at least
5 ft. away
from septic tank and leach fields and
clear of
all setbacks and easements?
Yes
/ X /
No / /
(If
no, clarify
)
5. What is the mobilehome electrical rating? ----------------------- 200 Amps
6. What is the mobilehome site service rating? --------------------- 200 Amps
7. What is the mobilehome site circuit breaker rating? ------------- 200 Amps
8. Is there any other electric load to be served by the mobilehome
site service? ---------------=----------------------------------- Yes ' -F—/ /
No /X /
(If yes, identify the load and size: (Load) -0-- (Amps)
9. What is the mobilehome site gas pipe size? ----------------------- -0.- (in.)
10. What is the type of gas service? ----------------------------- Natural / / LPG /X /
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.)
—
coo
ASSOCIAT
James Glander
Department of Public Works
7 County Center Drive
Oroville, California 95965
ENGINEERING CONSULTANTS
2060 PARK AVENUE
OROVILLE, CALIFORNIA 95965
PHONE (916) 589.6457
CALIFORNIA P. E. NtVADA P, C, OREwGON P. E.
November 16, 1978
Re: Letter Dated November 14, 1978
Compaction Test at Kelly Ridge Estates
Job No. 78551
Dear Jim:
In our Compaction Test Report dated November 14, 1978
for Mr. Cheslak, we noted the test location as Unit 2B,.
Lot 4. This should be in Unit 2A, Lot 4.
Please find corrected copies of report attached. I apologize
for any inconvenience this may have caused.
LH/cab
Enclosures
Very truly yours,
COOK ASSOCIATES
of
4A4--) vz;�—
Lew Hiatt
Civil Engineer
DR, LLOYD M. COOK ED, D. JOE E. COOK M. E. DAN J. COOK C. E.
4 '�� gag,
November 14, 1978
James Glander
Department of Public Works
7 County Center Drive
Oroviile, California 95965
Re: 78551
Dear Jim:
We are pleased .to submit the enclosed Report on Controlled
Compacted Fill for:
Cheslak KRE Unit "2A Lot 4
If you have any questions, please do not hesitate to call.
Very .truly yours,
COOK ASSOCIATES
Lew Hiatt
Civil Engineer
LH/cab
Enclosures
C 0 0 ASSOCIATES '' ENGINEERING CONSULTANTS
2060 PARK AVENUE
OROVILLE. CALIFORNIA 95965
PHONE (916) 533-6457
.;.r-,_,-'- .. �:.!.:r:;rv;:. > -. ..-.��aba � _• ^seesor; a'e..
November 14,. 1978.
REPORT OF CONTROLLED COMPACTED FILL
PROJECT: Kelly Ridge Estates
Lot 4, Unit 2A
Ches lak
Re: 78551
GENERAL
Compacted fill was placed to provide a level mobile home site.
The maximum depth of compacted fill is about two feet.
DESCRIPTION OF FILL
Prior to placement of compacted fill, the area to receive fill
was cleared of weeds and debris. The material used for the.
fill was obtained from the site and consisted of silty sand.
Fill was placed in loose layers about eight inches in thickness
and compacted by track rolling. Water was placed on the
completed portion of the fill before the placement of.
additional fill.
The approximate extent of the grading is. shown on the attached
drawing "Location of Density Tests".
TESTING
Field density tests were taken at frequent intervals near the
fill surface. A representative sample of the soil was taken
to the laboratory for compaction tests. The relative density
of the fill was determined from the compaction test.
DR. 1..L0Y6 An. C0 7 U. JOE_ E COOK M. E. - DAN J. COOK C. E.
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".
CONCLUSIONS
Based on intermittent observation, it is concluded that the
fill was placed in an orderly and efficient manner and that
the field density tests are representative of the fill placed.
It is our opinion that all portions of the fill are compacted
to at least 90% of the maximum density, in accordance with
the requirements of the County of Butte.
COOK ASSOCIATES
B y.�J jjj�
Lew Hiatt
Civil Engineer
RPL/cab
r SUI0IARY OF TESTS
PROJECT:
Kelly Ridge Estates
Lot 4 Unit 2A
Cheslak
Re:' 78551
FIELD DENSITY TESTS:
Field
Test
Density
Percent
Maximum
Degree of
No. Date
Elev. pcf
Moisture
Density
Compaction Re= -arks
1 11-7-78
2'Fill' 120.
11
132
91
2 11-7-78
1'Fill 121
12
132
92
COMPACTION TEST:
Maximum dry density, pcf: 132
Maximum size tested: 3/4
Optimum moisture, percent: 11
VISUAL CLASSIFICATION:
Soil type: Silty Sand
Ir vT 4
UNIT 2 .A
LOCA -TION OF 0EN51TY TESTS C� A K
2 /4 :c
IV
0 Ill, o ,E
f
I " r I ' .Q12 f• Jr� � A S,
O
G'� a Ali
LIMIT OF TESTE1
j DEPTI-A oV= FILL
C.
{ N o/� 2'47"'E 7/. 9i' •
L S�