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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 S 11 27 C701 C=I , O L ,v L r, y..- c'r . .... �, .sr v . .. . .. .ty..a-.:., � . �..r.n :arr•- n�ev'-.,f'�r 069=080-02,7 'PERMIT#98=1015 CESLAK, . Raymond J �. . 106.Greenbrier Dr , Orovi�lle x' Gas Line/MH , r � o ; �v o yo, jolt '1 i 101 iot! ni r 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�