HomeMy WebLinkAbout069-090-0174
Shirley M. Weeks
5 Trail Ct.,lot 52, KR#2A,1/Oroville °
Permit #1931-79P,E(uti ,MH)
ELEC . = S -%lei
C)(09
GAS 'S
SUPPORT STRUCTURE REQ. - 7
COMPACTION TEST REQ. WP --2/
Contr: Carneros MH, Napa
ermit #3013�-7--9MHI
1 Issued o/—oZ —
contr: Ho s Mobile Home Serv., Oro.
Permit #3725- ;9B;(new g �.ge, awnings
LPerrnit
ecks/MH) Aa
/
)elf
09-/7
Hol es MH Ser, Bangor
�- 6-80B,E(lstrenewal/3725-79
_ ...._...
069-q9.0 017_ PERMIT#95-1026
•BELLOFF,- Melada--', v" •�
`5 Trail-Ct.;°Oroville
Cont" A , Suburban'Propane
L
Gas
'ne/MH'
(cai' c�il�o� C"l
1
069-090-017`- ,--PERMIT#95-1026'
BELLOFF, .Melada
5 Trail:Ct., Oroville .3
Cont.;..Suburban Propane r !s
Gas Line/MH
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y
J COUNTY OF BUTTE- DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISION
7 County Center Drive - Oroville, California 95965 - Telephone (916) 538-7541 PERMIT NO.
g
APPLICATION AND PERMIT n
ASSESSOR PARCEL NUMBER
ZOR1�
BUILDING PERMIT
OWNER
TELEPHONE
SO. FT. OCC. BUILDING VALUATION
OWNERS MAILING ADDRESS
CONTRACTOR'S NAME
SUBURBAN PROPANE
TELEPHONE
CONTRACTORS MAILING ADDRESS
46 NORFIELD, CHIC0 95928
Fireplace
CONSTRUCTION LENDER
UNKNOWN
Total Valuation $
Filing Fee $ 20.00
LENDER'S MAIUNG ADDRESS
Permit Fee $
ARCHITECT OR ENGINEER
LICENSE NO.
Plan Checking Fee $
Energy Plan Checking Fee $
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Penalty $
BUILDING ADDRESS
S TRAIL CT OROVILLE
PERMITFEE $
PLUMBINGPERMIT FilingFee 20:00
i
Each Trap 7":00 -
LOT NO.
SUBDIVISION'S NAME
PARCEL MAP
Solar or heat pump water heater . 123.00
Water piping 15.00 .,
USEOFSTRUCTURE
SF ❑ Duplex ❑ Mobilehome Lel Other Y
SPECIFY i
Each gas water heater or vent 15.00
Gas pipi,ng'system 1 - 5 outlets 15.00
Building •s'ewer 15.00
TYPE OF WORK
- (�.
New ❑ Addition ❑ Remodel ❑ Utilities 14 Installation ❑ Other ❑ }
Describe Work: LPERMITFEE
— _
ij
Mobile Home I S (G )W 1 @20.00 O.00
PRE INSPECTION 3.00
s,.- 63.00
Contractor
ELECTRICAL PERMIT Filinq Fee 20:00
Main Service a00V OR LESS
( 200A OR LESS ) 23.00
Main Service ( 200A To I000A ) 46.00
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter
9 (commencing with Section 7000) of Division 3 of the Business and Professions Code,
and my license is in full force and effect.
License Class U,- (,--'�� Lic. No. ,,j , ;i n r,
1 OWNER -BUILDER DECLARATION
I hereby affirm under penalty of perjury that I am exempt from the Contractors License
Law for the following reason:
❑ I, as owner of the property, or my employees with wages as their sole compensation,
will do the work, and the structure is not intended or offered for sale.
❑ I, as owner of the property, am exclusively contracting with licensed contractors
to construct the project.
❑ 1 am exempt under Sec. Business and Professions Code for this
reason
NEW CONST. DWELLING OCCUR So.
OR ( a ACC. BLDS. 3.50 FT.
CNS.
NEW CONST. MULTI.OUTLET
NON•RESID. ( BRANCH CIRCUITS ) 97.50
POWER APPARATUS
(a SINGLE OUTLET CIR. )
Ex. Occup. ( OUTLET OR FIXTURES ) 20 Q 1.00
BAL .50
FIXED APPWS. OR
Ex. Occup. ( OUTLETS (RESID.) EA) 5.00
Temporary Service 23.00
Mobile Home Facilities 20.00
Misc. Wiring 23.00
PERMITFEE $
Contractor
WORKERS' COMPENSATION DECLARATION
1 hereby affirm under penalty of perjury one of the following declarations:
❑ 1 have and will maintain a certificate of consent to self -insure for workers'
compensation, as provided for by section 3700 of the Labor Code, for the
performance of the work for which this permit is issued.
I 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 G I & �.'r:
MECHANICAL PERMIT Filing Fee 20.00
9
Heating
Cooling
Hood 6.50
Ventilation
PERMITFEE $
Contractor
Policy Number f (n) "I (�'�Ls'-l`7`i—
(The above sections need not be completed if the permit is for work of a valuation
of one hundred dollars ($100) or less.)
❑ 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 with those provisions.
X Date `- I ' . 1
Signature of Applicant - ❑ Owner Contractor ❑ Agent
An OSHA permit is required for excavations over 5'0" deep and demolition or construction
of structures over 3 stories in height.
Mobile Home Installation Fee Is
Energy Inspection Fee Is
OCC
CONST. TYPE
TOTAL FEE $ 6MO-,
HAZ.
I D. FEES
IMP
FLOOD
CDF PARCEL PD HD
1:Iy
✓
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.
,/ n,
B fln�r �Z `, f, tJDate
y 1°Y `' �v %—�
PERMITEXPIRESON 91.7,e! 6
I (Date)
Receipt No. ) -7 T / y
WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT
COUNTY OF BUTTE- DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION
7 County Center Drive - Orv. ville, 'California 95965 - Telephone (916) 538-7541 PERMIT NO.
APPLICATION AND PERMIT `-
ASSESSOR PARCEL NUMBER
069-090-017
ZONING
RT1
BUILDING PERMIT
OWNER
TELEPHONE
SO. FT. OCC. BUILDING VALUATION
OWNER'S MAILING ADDRESS
CONTRACTOR'S NAME
SUBURBAN PROPANE
TELEPHONE
CONTRACTORS MAILING ADDRESS
CHICO 9592,8
Fireplace
CONSTRUCTION LENDER
UNKNOWN
Total Valuation $
Filing Fee
$ 20.00
LENDER'S MAJUNG ADDRESS
Permit Fee
$
ARCHITECT OR ENGINEER
LICENSE NO.
Plan Checking Fee
$
Energy Plan Checking Fee
$
ARCHITECT OR ENGINEERS MAILING ADDRESS
Penalty
$
BUILDING ADDRESS
5 TRAIL CT OROVILLE
PERMITFEE
$
PLUMBINGPERMIT
Filing Fee 20.00
Each Trap
7.00
LOT NO.
SUBDIVISION'S NAME
PARCEL MAP
Solar or heat pump water heater
23.00
Water piping
15.00
USEOFSTRUCTURE
SF ❑ Duplex ❑ Mobilehome W Other
SPECIFY
Each gas water heater or vent
15.00
Gas piping system 1 - 5 outlets
15.00
Building sewer
15.00
TYPE OF WORK
New ❑ Addition ❑ Remodel ❑ Utilities )q Installation ❑ Other ❑
Describe Work: —
( � �
Mobile Home S G W
@20.000.00
PRE INSPECTION
3.00
PERMITFEE
$ 63,00
Contractor
ELECTRICAL PERMIT
Filina Fee 20:00
Main Service e00V OR LESS
( 200A OR LESS )
23.00
Main Service ( 200A TO 1000A )
46.00
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter
9 (commencing with Section 7000) of Division 3 of the Business and Professions Code,
and effect.
and my license is in full forceZ
License Class (�j,C-3L Lic. No. SZ—$ jjr
OWNER -BUILDER DECLARATION
1 hereby affirm under penalty of perjury that I am exempt from the Contractors License
Law for the following reason:
❑ I, as owner of the property, or my employees with wages as their sole compensation,
will do the work, and the structure is not intended or offered for sale.
❑ I, as owner of the property, am exclusively contracting with licensed contractors
to construct the project.
❑ 1 am exempt under Sec. Business and Professions Code for this
reason
NEW CONST. / DWELLING OCCUR
OR ( &ACC. )
SO.
3.S¢ FT.
NEW CCNS.
ONST. MULTI.OUTLETLE T
NON-RESID. BRANCH CIRCUITS )
@7.50
POWER APPARATUS
(a SINGLE OUTLET CIR. )
Ex. Occup. ( OUTLET OR FIXTURES)
20 Q 1.00
BAL
FIXED APPLNS. OR
EX. Occup. (OUTLETS (RESID.) EA)
5.00
Temporary Service
23.00
Mobile Home Facilities
20.00
Misc. Wiring
23.00
PERMITFEE
$
Contractor
WORKERS' COMPENSATION DECLARATION
I 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.
I 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 GI &khk
MECHANICAL PERMIT
Filing Fee 20.00
9
Heating
Cooling
Hood
6.50
Ventilation
PERMITFEE
$
Contractor
Policy Number ('&0&I —(p-7-7r1—s
(The above sections need not be completed if the permit is for work of a valuation
of one hundred dollars ($100) or less.)
❑ 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 with those provisions.
n
X Date _s—I�'95
Signature of Applicant - ❑ ner Kdontractor ❑ Agent
An OSHA permit is required for excavations over 60" deep and demolition or construction
of structures over 3 stories in height.
Mobile Home Installation Fee Is
Energy Inspection Fee Is
OCC
CONST. TYPE
TOTAL FEE $ 63.00
HAZ.
I D. FEES
I IMP I FLOOD
I CDF
PARCEL PD I HD
ISS
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 A?"X'�Date S✓ 2Z �'
PERMITEXPIRESON ? 22 6
(Datl)
Receipt No. ' �Cl I D
WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT
For %� Urgent❑
Date gy j Time ��• ��
While You Were Out
M
Of
Phone
AREA CODE NUMBER
Telephoned
Came To See You ❑
Returned Your Call ❑
Please Call
Will Call Again ❑
Wants To.See You ❑
Message
jo c,;?Q
Signed
I• ADAMS BUSINESS FORMS
9711
9S' �oz,6
.� �� c�'
COUNTY OF BUTTE
BUILDING DIVISION
DEPARTMENT OF DEVELOPMENT SERVICES
1469 Humboldt Road, Chico, CA - (916) 891-2751
7 County Center Drive, Oroville, CA - (916) 538-7541
747 Elliott Road, Paradise, CA - (916) 872-6307
CORRECTION NOTICE .
ER
-- ":CA
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 contact,jhis office immediately.
r A
lJ111111111111
Date Inspector
REV 101
COUNTY OF BUTTE
BUILDING DIVISION
DEPARTMENTOF DEVELOPMENT SERVICES
1469 Humboldt Road, Chico, CA - (916) 891-2751
7 County Center Drive, Oroville, CA - (916) 538-7541
747 Elliott Road, Paradise, CA - (916) 872-6307
CORRECTION NOTICE
-162-
NO. 1vZ
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,
32please co ct this office immediately.
�/` a �p-a 1 r
O 12c, C U 1
1
Dates LS/ Inspector
REV 1016
_ _ .. .� .._ -. .^�-.r ,:�.r.. � -.i. �:�.-L�•...:..^. wit �"t,-r".r..-rx�,��,y.:3},•y+�.-^-f�-'M'`.-�,..vv10:*i .r�i. .. .. itu..0 �•. ...,
COUNTYOF BUTTE - DEPARTMENTOF.�DEVELOPMENTSERVICES -BUILDING DIVISION
7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA95965 -TELEPHONE (916) 538-7541
OWNER
Proposed Building Use
PERMIT APPLICATION DATASHEET
A. P No.
Building Inspector
C_
069 -09p -o>>
_ Date
At time of ermit application, I was advised the4ollowing data must be submitted prior to permit processing and/or issuance:
DATE RECEIVED BY
1. All items have been submitted. ....................................... .
2. Plot plans, 3/4 sets, signed by preparer of plans . ..........................
3. Complete plans, 3/4 sets, signed -by preparer of plans . ..................... .
4. Engineered plans and calcs, 3/4 sets, with wet signature on plans . .............
5. Hazardous Material Form. ....•.........................................
6. Energy Design Compliance and supporting documentation . ..................
7. Statement of Intent for Non -Heated and A/C Buildings . ......................
8. Engineered truss details and layout in duplicate (required prior to plan check). ....
9. Mobilehome data and manufacturer's installation instructions, 2 sets. ...........
10. Fees of $ ..........................................
11. Impact fees as shown on attached schedule. ............................. .
12. California Department of Forestry plan approval/fees. ..................... .
13. Flood elevation letter (100 year flood) by California Engineer . ................. .
14. Sanitation and plot plan approval Health Department . ............
15. City of Chico plumbing permit . .........................................
16. Plot plan and business license approval from City of Biggs/Gridley. .............
17. Planning approval for (A) Use: (B) Parking:
18. Contact Land Development about (A) Improvements (B) Drainage. ...........
19. Driveway permit (construction approval required prior to occupancy). . . .Freansp-edion. regal
Pre -inspection forC13 c (Z, -required. . to Building Inspector (Date)
21. Contractor's license inf6rmation. (No., Name Style, Classification) . ..............
22. Certificate of Workmans Compensation Insurance . ..........................
23. Owner -Builder Verification (Given to owner , Mail to owner ) ............
24. Recorded copy of Agricultural Acknowledgement Statement . ..................
25. Letter of signature authorization . ........................................
26. Copy of recorded deed of parcel creation and 60 right of way to a public road. .... .
27. Letter of intent on building use. ..... ...................................... .
28. Mobilehome utility clearance . ..........................................
29. Documentation of legal access . .................
.,.,...:..................
30. Documentation of 50% subdivision developed or (A) Road improvements completed
and (B) Parcel meets zoning area and frontage requirements . ...............
31. Existing violations/expired permits . ......................................
32. Plan check list . ........................................ .
...........
33.
34.
When you issue the permit, process as follows: Mail to owner. Mail to contractor.
Telephone and hold for pickup at office. Deliver with inspector. -
Other
Parcel Creation
Acreage Applicant Date
Copy of Haz-Mat form sent Health Dept. Fire Dept. Air Pollution Date
Copy of plans sent Health Dept. Fire Dept. Other Date By
The following data must be submitted prior to permit issuance: (Circle new item not checked above).
1. Index permit for above items No.
2. Additional items required:
Contractor, designer, owner, was advised of above required data by _ phone _ mail Counter by _ Date
Contractor, designer, owner, was advised of above required data by _ phone _ mail Counter by _ Date
Plans checked by Date Plans approved by Date
Sets of plans on hold in File cabinet AP folder
Copy - Department of Public Works
OWNER: 11
y�
LOCATION: `I�,f- SJ
CONTRACTOR:
PRE -INSPECTION FOR:
PERMrr HISTORY: [ ]NONE [
TYPE OF OCCUPANCY:
FOLLOWS: my t IM% I
DATE: 9 J
A.P.#:
ZONING:
5
DATE TO INSPECTOR:
�,
BUMDING 1NSPECTOW S REPORT
ig Description:
[ ] Commercial/Usage:
[ ] Residential/# of Units:
[ ] Currently Occupied.
[ ] Abandoned/Vacant.
c:
[ ] Yes [ ] No
Electric is currently : [ ] On [ ] Off
Condition of electrical?
Mobile Home: Yes[ ] No[ ] .
;as:
Natural[ ] Propane[ ] None[ ] Currently On[ ] Off[ ]
Obvious problems:
Sanitation:
Plymhing working Yes[ ] No[ ]
Well: Yes[ ] No[ ]
Obvious Sewage Problems:
ion Recommended:
ector:
Potable water: Yes[ ] No[ ]
[ ]Hold for:
Date:S %
COUNTY OF BUTTE
DEPARTMENT OF PUBLIC WORKS 7 COUNTY CENTER DRIVE
OROVILLE, CALIF. - 534-4541
CERTIFICATE OF OCCUPANCY
This mobilehome has been installed in accordance with the requirements
of the California Administrative Code, Title 25, Chapter 5, under permit
number-�� �— 7`/ for the following location:
407- 1i-2J�.EC *' .D /-4
Owner—
Owner's
wner Owner's Address
Mobilehome Mfg. 1/.Model-'- 11 •'t" Year=,'
Insignia No.( ! 1:; —' / t ' Serial No.
/
It is hereby certified for occupancy at the above described location and
may be occupied.
Director .of Public Works
Date —? `i i i'tiBy r
j
THIS CERTIFICATE IS VOID WHEN MOBILEHOME IS RELOCATED
White - Owner, Yellow - Installer, Pink - D.P.W.
ocpl
PERMIT NO.
1931-79P,E
�y �3
`
PERMIT I' ///�
EXPIRES
OWNER
Shirley M. Weeks
CONTR.
owner
34-66-17
LOCATION (A.P. )
5 Trail Ct., lot 52, KR#QA, Oroville
I
r
e
7
i
s
t
,
•
(
c
f
Temp. Power Pole
-
Called PG&E
Temp. Elec. Serv.
Called PG&E
Temp. Gas Serv.
Called PG&E
JOB
FINALED
(Date)
.
�
(Signature)
M -n Bldg.
otin s
Ste wall
Slab
Piers
Garage
Footings
Stemwa I I
Slab
Carport
Footings
Slab
Patio
Footings
Masonry Walls
Stucco
COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS
ILDING INSPECTION RECORD
BUILDING BUILDING (Cont'd)
PLUMBING
lrewall
Soil pin
P a ets
1 st F\-oor
Re room Finish
2nd FI r
Wind s
3rd FIoo
Siding
To out
Jr Roof SheXthing
Water Piping
Roofing
Sewer
Fdn. Vents
Fixtures
Garage Vents
Insulation
Water Htr.
Heaters
Prov. for ph sica
handicapped
Conformance of, e x.
structure
Appliances
Gas Piping &Test
Temp. Gas
Final
Sanitation
FIRE ACE
Final
Footing
E CTRICAI
Throat
Rou h
Final
Fixtures
FIRE SPRINKLEA
Motors
Bg5wn Co Ing Te p. Pole
nish D cts der round
1 erior Lath entilation emtanent
oor Closer anal anal
MOBILEHOME UTILITIES Elec. Service lec. Pedestal
Water Piping <�L� 2.Q Sewer -2 gt„, Gas Piping
NOBILEHS?ME INSTALLATION - - - - - - - - - - - - - - Support Elec. Continuity 5 -
Nater Piping Drainage — Gas Piping
'DATE `s !S' 7 REMARKS OR CORRECTIONS
Q 7-D 0,0_0 30 044- AC& . C' s �0 .5c4P, a o,,, p �r r3'
(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 required separation from lot lines and buildings and generally
conform to plot plan? Yes
2. Does the mobilehome have required clearances above ground? (Sec.5085) Yes C_No
3. Are footings and supports properly sized, spaced, and braced as per proved plans? (Note
possible variation at spring shackles.) (Sec. 5.82 & 5083) Yes_ No_
4. Is the mobilehome level? (Sec. 5088) Yes_ No
5. If more an a single unit, are crossover connections properly installed? (Sec. 5088)
Yes No
.6. Water
A. Is flexxee 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 I—_No
ackflow - If coach is not State of California approved, does station have backflow device
and pressure -relief valve? Yes_ No
7. Wastes and Drains
A. Is connection made with Schedule 40 DWV and have flex connectors at each end? Yes N
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 -gal ons of water through each
fixture including washing machine standpipe? Yes No
*1�es_
f coach is not State of Californiaapproved, does station have required trap and vent?
No
Gas Piping and Gas Vents
A. Connector - Is mobilehome connected to
mobilehome connector not more than 6 ft
large as the mobilehome gas line inlet
connector. Yes_ No
procedure? Y _ No_
,pnector valve .
B. Test OK as per follow$
1. Open all appliance
I
�e gas supply with an approved 3/4" minimur
long? Note: All piping is to be at least as
ithout reductions other than the mobilehome
2. Shut off appliance burner. ilo valves.
3. Air test with manometer to 10"-14" wa column, or test with slope gauge (minimum
6oz,-maximum 8 oz.) calibrated in enth p and increments. Test for 10 min, without
drop.
4. Connect gas meter to mobilehome wijh connector,
soapy water.
C. Are all appliance vents properly installed? Yes
No
n on gas, test connections with
9. Electrical
A. Is service large enough to providg adequate amperage-to.mobileaome (must equal rating',_.,
mobilehome with a minimum of 15,19"amp),and other facilities on lot, i.e., water pumps,
garage, cabana, etc.? Yes No
B. Is there proper clearances around panels? Yes'r No_
C. Is power supply cord or feeder assembly properly fused? Yes—No
D. Is continuity test satisfactory as per the following procedure? Yeses/ No
1. De -energize electrical wiring system of the mobilehome at the pedestal.
2. Make sure that the power supply cord or feeder assembly conductors, including neutral
conductor, have been disconnected.
3. Switch all breakers and switches in the mobilehome to the "on" position.
4. Connect one lead of a test instrument to the mobilehome grounding conductor and
apply the other lead to each mobilehome supply conductor, including neutral.
5. All non-current, carrying metal'parts of the mobilehome (aluminum siding, gas line,
water line), including fixtures and appliances, shall be tested for continuity from
such equipment and the grounding conductor.
6. Upon completion of the above procedure, the power supply cord or feeder assembly
conductors shall be connected to the site service equipment. A further continuity
test shall then be made between the grounding electrode and the chassis of the
mobilehome. Upon satisfactory completion of the electrical tests, the lot or site
service equipment may be approved for energizing. ,
10. Is job card signed by Health Department for water and sanitation?
11. If everything okay, sign off card and tag services.
MOBILEHOME DATA
Manufacturer and/or Namestyle
Length to Width `•'
Vehicle Serial No. ���t
State Identification No. 064-1, 1aXZJ. ,1_ "/Cf -811-11'Z
Additional Information or Comments:
COUNTY -OF BUTTE — DEPARTMENT OF PUBLIC WORKS
7 County Center Drive - Oroville, California 95965
Telephone: 534-4541
APPLICATION AND PERMIT
authorize representatives of the County of Butte to enter upon the
above-mentioned property for inspection purposes.
X Date cr,ZL
L77
Signotb a of I a mitee or
Receipt No. 0-3
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 f which fees have been paid.
D REC OF P B IC WORKS
B Date
Building permit expires Date �l�a C1 LJ
BUILDING
Owner Shirley M. Weeks
SQ. FT. OCC. BUILDING VALUATION
Mailing Address
Telephone No.
Contractor CARNEROS MOBILE TRANSPORT
Mailing Address 1290 El Capitan
Fireplace
Total Valuation
Napa, CA 94558
one No.
70f-"252-2411 Tel
Permit Fee
Building Address 5 Trail Court
Plan Checking Fee &/or Penalty
Permit Fee
Oroville, CA 95965
PLUMBING No. @ FEE
PERMIT FILING FEE $3.00
Each Trap 1.50
Lot 52 Unit 2A - Kelly Ridge Estates
Repair drainage or vent piping 1.50
A. P. No. 34 - 66 - 17
Zon�ng & Planning
Water piping 1.50
Each gas water heater or vent 1.50
416-s I
. .tion
I Fire Dept.
Fire Zone
Use Permit
Gas piping system 1 - 5 outlets 1.50
EQA
Parking
plans
ParcelEach
Declaration
Parcel Map
60' R/W
Improvements
additional outlet .30
Building sewer 5.00
tans Recd
Parcel Alwoval
Plans oval
Lawn sprinkler system 2.00
NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER
Permit Fee $
fs
INSTALLATIONELECTRICAL
No. @ 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 600 25.00
100 AMP OR LESS
Main service/ EA. ADD'L 100 AMP 1.00
NEW CONST. OR ADONS. \ ACCDWELBLDGSLING CCUP. &\ 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
style of:
CARNEROS MOBILE TRANSPORT
T
NEW CONSTR BRANCH CIRCUITS
NON.RESID ( BRANCH CIRCUITS/ 2.50ea
NEW CONSTR. (POWER APPARATUS &
NON.RESID. SINGLE OUTLET CIR,
Ex. Occuo{OUTLETS OR FIXTIIQES B L@;
FIXED APPLNS. OR
Ex. Occup. OUTLETS (RESID.) 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
Code which requires every employer to be insured against liability
for Workmen's Compensation.
E21 have placed on file with the County of Butte a certificate of
Workmen's Compensation Insurance.
certify that in the performance of the work for which this
❑ piermit 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 J$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
IX1KaMWAMQffb1KFJW Mhl Hm I:nstallat on
$ 30.00
TOTAL PERMIT FEE
$ 30 00
authorize representatives of the County of Butte to enter upon the
above-mentioned property for inspection purposes.
X Date cr,ZL
L77
Signotb a of I a mitee or
Receipt No. 0-3
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 f which fees have been paid.
D REC OF P B IC WORKS
B Date
Building permit expires Date �l�a C1 LJ
BUTTE COUNTY DEPARTMENT OF PUBLIC WORKS
7 County Center Drive, Oroville, CA.
PHONE: 534-4541
MOBILEHOME INSTALLATION SHEET
o
1.
Oc,•ner's name: Shirley- M: 'Weeks
2.
Installer's name: CARNEROS j4OBILE 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 /XX/
(.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/XX/
No
(If no, clarify
---)
5.
What is the mobilehome electrical rating? -----------------------
2 00
%-MPs
6.
What is the mobilehome. site service rating? - - - - - - -
- - ------------
200
,, p
"T' s
7.
What is the mobilehome site circuit breaker rating?
-------------
2007
ABPs
8.
Is there any other electric load to be served by the mobilehome
Yes / /
No
/
site service? ---------------------------------------------------
�&X
(If yes, identify the load and size:
(Load)
-0-
(Arps)
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.)
MOB 1 LFHO?-fE *`SUPPNRT DATA
If other than single wide,
Mobilehome Mfr. MOUNTAIN VALLEY HOMES,INC. furnish Setup Model No.3BDR,LPK+ TAG. 'Year 1979
Width 24 (ft.) Box Length 64 (ft.) Tagalong or Expando Size 10 ft, x 24 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,
1 0
36 x3D
(ft.)(in.) (in.) (in.) 6 -- Max. Pier Spacing
F,2Q /11
0-1
- -- Max. Overhang
(ft.) (in.) (in.) (in.) (ft.)(in.)
BUTTL COUNTY
Gy n I �� x� / - BUILDING DEPARTMENT
i+
"APPROVED �
a -
*If center piers are other than drawn above,
draw in locations, spacing, and dimensions.
.
Single
1. Wood either
pressure treated c
foundation grade.
x3a
(ft.)(in.)
(in.) (in.)
2. Other (specify)
Center support
Center support
Supports (check one;
locations*
footing sizes
- (in.)
�
l: Concrete block.
2. Other (specify)
(in.) (in.)
<----Tagalong or Expando,
show support details,
(in.) (in.)
Typical Support
(in.)
(in.) Footing Size
36 x3D
(ft.)(in.) (in.) (in.) 6 -- Max. Pier Spacing
F,2Q /11
0-1
- -- Max. Overhang
(ft.) (in.) (in.) (in.) (ft.)(in.)
BUTTL COUNTY
Gy n I �� x� / - BUILDING DEPARTMENT
i+
"APPROVED �
a -
*If center piers are other than drawn above,
draw in locations, spacing, and dimensions.
1 COUNTY OF BUTTE —� DEPARTMENT OF PUBLIC WORKS
' 7 County Center Drive - Oroville, California 95965 /� n
Telephone: 534-4541
APPLICATION AND PERMIT
,IIS %a""Illr "' o""' "' GIIIOI "►'�" rlltl This permit is hereby issued under the applicable provisions of
above-mentioned property for inspection purposes. the Butte County Code and/or resolutions to do work indicated
above hich fees h ve been paid.
X Da C OF PUBLIC WORKS
S' ure of Permitee or Agent
B Date
Receipt No.
White-D.P.W. - Yellow -Assessor - Pink- nspector — Goldenrod -Applicant Building permit expires Date Apd
BUILDING X.00e
or
Owner Shirley M. Weeks
SQ. FT. OCC. BUILDING VALUATION
Mailing Address 356 Hillcrest Drive
Oroville, CA 95965
ktphn�-!1186
Contractor OWNER
Mailing Address
Fireplace
Total Valuation
Telephone No.
Permit Fee
Building Address 5 Trail Court
Plan Checking Fee&/or Penalty
Permit Fee
Oroville, CA 95965
PLUMBING No. @ FEE
PERMIT FILING FEE $3.00
Each Trap 1.50
Lot 52, Unit 2A - Kelly Ridge Estates
Repair drainage or vent piping 1,50
A. P. No. 34 - 66 - 17
I1 /zo"'" & ° "i"g
Water piping 1.50 ().Oa
Each gas water heater or vent 1.50
F
Sanon
Fire Dept.
FireZone
Use Permit
Gas piping system 1 - 5 outlets 1.50
EQA
Parking
Plans
Parcel
Declaration
ParcelYap
60' R/W
Improvements
Each additional outlet .30
Building sewer 5.00
Bldg. PI ns Recd
Por A roval
Plans Approval
.pp
Lawn sprinkler system 2.00
NEW ❑ ADDITION ❑ UTILITIES, OTHER ❑
Permit Fee $ .Od•$
ELECTRICAL No. @ FEE
PERMIT FILING FEE $3.00 00
Main service j00 AMP OR 00V OR SLESS 5.00 00
Single Family ❑ Duplex ❑ Mobil Home Others ❑
Main service EA. ADD'L 100 AMP 2.50
Main service OVER 600V 25.00
100 AMP OR LESS
Main service EA. ADD'L 100 AMP 1.00
NEW CONST. OR ADDNS. ( DWELING ACCLBLDGS.CCUP. B) 22sgft
CONTRACTORS LICENSE LAW
I am licensed under the provisions of Chapter 9, Div. 3, of the
State of California Business & Professions Code under the name
style of:
TLET
NEW RESID, / BRANCH CIRCUITS)
NON-RESID l BRANCH CIRCUITS) 2.50ea
NEW CONSTR (POWER APPARATUS &
NON-RESID. SINGLE OUTLET CIR,
Ex. OCCUD(OUTLETS OR FIXTIIRES a �@
FIXED APPLNS, OR
Ex. Occup.(OUTLETS (RESID,) EA) 2.00
Temporary service 10.00
Mobile Home Facilities 15.00 .OA
License No. Classification
Misc. Wiring 6.25
I am exempt from the Contractors License Laws of the State of California.
Permit Fee $ . o
$
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.
❑I have placed on file with the County of Butte a certificate of
Workmen's Compensation Insurance.
iKfv1 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 J 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
$ cc
TOTALPERMIT FEE
$ `7B Isc
,IIS %a""Illr "' o""' "' GIIIOI "►'�" rlltl This permit is hereby issued under the applicable provisions of
above-mentioned property for inspection purposes. the Butte County Code and/or resolutions to do work indicated
above hich fees h ve been paid.
X Da C OF PUBLIC WORKS
S' ure of Permitee or Agent
B Date
Receipt No.
White-D.P.W. - Yellow -Assessor - Pink- nspector — Goldenrod -Applicant Building permit expires Date Apd
NOTE:'—Ali Materials & WoAmans' ip Sha!I Be in LOT 52
Accordance wish Recognized Good Fractk;cs rind UNIT 2A
of a quallify prescribc:J for tl:e Specif:cid use in "isle
Uniform Building, Plumbing & Mechanical Codes and —. 14��'�'/C,S'
+he National Electrical Code. f T/V._.A/_O/. -IC
.�9�� � •� "NET
This set of plans and specifications MUST c..
kept on the job at all tines and 4 is unlawT
make any changes- or altere,4' S 0.7 same w'
wrii%ten permi,sion from the Department e .
lic Works, Counfy of Euti•e.
M 1 N -
'The • Setback shall be 5 ft. from the
side property line and 50 ft, from TA
centeri'sne of the road, permitting a maxi-
mum of a 2 ft. eave overhang but entirely
,out .of all easements.
10_5,iE71k-1_-7111 7,
be
conneac i .de the rear
util►w t ►n r' . �} % le borne CO UTz T
located o{ the m t e mobile
UT_�i/r� third sec�101� Side °{ 1
— - on the left kroc,
00 SQ.
\ ,
FOR
M�
� � v • '>'
�
lZ: 50.00
ired for the \
\ A ermit will be r
�. \. P obilehorr�e•
nstallation of theAl
\
/
N \ 17N ��/ _ 7
� SCT -,BAF Cis'
0�0.
\ 3. BUTTE COUNTI
BUILDING DEPARTMENT
\ APPROVED
_F-1-74 �.
�y
�,,,,�
C [3 [ K ASSOCIATES J ENGINEERING CONSULTANTS
2060 PARK AVENUE
OROVILLE. CALIFORNIA 95965
� *z _ �.., *� PHONE (916) 533-6457
CA,— CON A P V NEV ADA N. E, QPF(.ON ". k.
James Glander
Department of Public Works
7 County Center Drive
Oroville, California 95965
Re: 79551
Dear Jim:
May 14, 1979
We are pleased to submit the enclosed Report of Controlled
Compacted Fill for:
Weeks KRE Unit 2A Lot 52
If you have any questions, please do not hesitate to call.
Very truly yours,
COOK ASSOCIATES
Lew Hiatt
Civil Engineer
LH/cab
Enclosures
cc: Doyle Carter
CF LLOYD 1r COOK to U. .30E E. COOK M. E. DAN J. COOK C. E
COOK ASSOCIATES ENGINEERING CONSULTANTS
2060 PARK AVENUE
OROVILLE. CALIFORNIA 95965
PHONE (916) 533.6457
May 14, 1979
REPORT OF CONTROLLED COMPACTED FILL
PROJECT: Kelly Ridge Estates
Lot 52, Unit 2A
Weeks
Re: 79551
GENERAL
Compacted fill was placed to provide suppdrt for a mobile home..
The maximum depth of compacted fill is about three feet.
DESCRIPTION OF FILL
Prior to placement of fill, the area to receive structural fill
was cleared of weeds and debris. The material used for the
fill was obtained from the site and 'import. • These soils
consisted of sandy clays.
Fill was placed in loose layers about six inches in thickness
and compacted by track rolling.
During construction of the mobile home pad, fill was placed
outside the structural fill. This fill was not tested during
grading and is considered to be.a non-structural fill. A
typical cross-section (Plate 1) depicting this condition is
attached.
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. Representative samples of the soil were taken
to the,laboratory for compaction tests. The compaction tests
were performed in accordance with the Standard Method ASTM 1557.
The relative density of the fill was determined from the
compaction tests.
Where tests indicate insufficient compaction, effort, the.
material was removed, replaced in layers and compacted..
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
structural fill was placed in an orderly and efficient manner
and that the field density tests are representative of the
structural fill placed. It is our opinion\that all portions
of the structural fill are compacted to at least 90% of the
maximum density, in accordance with the requirements of the
County of Butte.
COOK ASSOCIATES'
By
Lew Hiatt
Civil. Engineer
RPL/cab
SUMS ,IARY OF TESTS
PROJECT:
Kelly Ridge Estates
Lot 52, Unit 2A
Weeks
Re: 79551
FIELD DENSITY TESTS:
Field
Test
Density
Percent
Maximum
Degree of
No.
Date
Elev. pcf
Moisture
Density
Compaction Remarks
1
4-30-79
1'Fill 113
14
128
88 .Failed
2
5-7
1'Fill 122
15
.128
95 Retest. 1
3
.5-9
3'Fill 119
13
130
_92
4
5-9
2'Fill 117
13
130
90
COMPACTION TEST:
Maximum dry density, pcf:
Maximum size tested:
Optimum moisture, percent:
VISUAL CLASSIFICATION:
Soil type:
128 130
3/4" 3/4"
11 11
Sandy Clay Sandy Clay
LOCATION OF DENSITY TESTS
LOT 52
► r UNIT /2A
jai/ TiU�/ � /✓I'.�-
� 4 ',Ale T
jSE_7'-13 1 Cl
P .. U.. Ef-1 SE/'✓.' � N 7' -. :56TBi4 CK �� , ?.
o
15-c-11 7-Z //�'--
1
' �° •
S� T -.e 5-,, q C/-�
\-M.. v
\ 10 3 LEGEND
/? Limit of Tested
\ 3 \ t
Fill.
2o Location of
Dznsity Test.
0 Depth of Fill irift
MG er Z -E 20 7-,:P,
T2`� 2-/- 74
URAL
`Yy
COOKssoc14TES'
CNOINCCAtNO C:ONGULTANP]
20f30 PARK AVENUL
OPOVILLH , GALUROUNiA unsoc
PLATE T
�
d
O G>
7
r
G�
ca
0 l
00
r
r�
mow
P 0.
PERMIT EXPIRES
OWNER Shirley Weeks
Holmes Mobile Home Serv. Oroville
CONTR.
LOCATION (A.P. 34-66-17
5 Trail Ct , lot 52, KRIM , Oroville
i
R
Temp. Power Pole
Called PG&E
Temp. Elec. Serv.
Called PG&E
Temp. Gas Serv.
Called PG&E
JOB / f
FINALED
(Date �
,4m
(Signature) 1-4
COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS
BUILDING INSPECTION RECORD
BUILDING BUILDING (Cont'd) PLUMBING
Setback 2
Firewall 14
Soil Piping
Forms
Parapets
1st Floor
Main Bldg.
Restroom Finish
2nd Floor
Footings
Windows y
3rd Floor
Stemwall
Siding
To out
Slab
Roof Sheathing
Water Piping
Piers
Roofing T—T 7P 4e
Sewer
Garage
Fdn. Vents
Fixtures
Footings
Stemwall
Garage Vents
Insulation /
Water Htr.
Heaters
Slab
Carport
Footings r,
Prov. for physically
handicap .
Conformance of ex.
structure
Appliances
Gas Piping 8 T t
Temp. Gas
Slab
Final —
Sanitation
Patio V
FIREPLACE
Final
Footings A
Footing
ELECTRICAL
Masonry Walls
Throat x,
Rough '-L
Reinf. Steel
Final V
Fixtures
Bond Beam
FIRF SPRINICFRS
lunfnm
Mesh MECHA ICAL Gird. Fault Prot.
Scratch Heating Service
Brown V Cooling A Temp. Pole
Finish A Ducts Underground
Interior Lath Ventilation 1zPermanent
Door Closer Final Final 210—) = Q
MOBILEHOMEU ILITIES------------------ Elec. Service Elec. Pedestal
Water ng Sewer Gas Piping
MOSILEHOME INSTALLATION - - - - - - - - - - - - - Support Elec. Continuity
Water Piping /Drainage Gas Piping
DATE :2 `Zi REMARKS OR CORRECTIONS
�cCgdJ��Y�Ji
TZ) 1z�
0
(NOTE: An entry must be made on this form each time you visit the job site.)
Y �r
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO
7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541 �U
• APPLICATION AND PERMIT
ASSESSOR PARC NUMB R
tk_ _rl
ZONING
BUILDING P
OWNER �� Y '
JS I
TELEPHONE
SQ. FT. OCC. BUILDING VALUATION
OWNER'S MAILING1 ADORE
STraiIC D r v
CO TRACTOR'S NAME
�yY\�
TELEPHONE%
C TRACTOR'S MAILING AIDDRESS
1 N!7Fireplace
CONSTRUCTION LENDER V
N
UNKNOWN
Total Valuation $
Filing Fee
$ 10.00
LENDER'S MAILING ADDRESS
Permit Fee
$
ARCHITECT OR ENGINEER
e-
LICENSE NO.
Plan Checking Fe
$
Penalty
$
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Permit fee
$
BUILDING ADDRESS
r31i C
PLUMBING PERMIT
Filing Fee 10.00
Each Trap
2.00
Repair drainage or vent piping
5.00
V-0 ,
Water piping
LOT NO.SUBDI
VISION NAME
PARCEL MAP
Each qas water heater or vent
5.00
Gas piping system 1 - 5 outlets
USE OF STRUCTURE
SF ❑ Duplex❑ Mob ilehome[B""Other
SPECIFY
Building sewer
Lawn sprinkler system
5.00
TYPE OF WORK_Permit
New Addition Fl Remodel❑ Utilities Installation[] Other
Describe work: �� ��,�) • � ex, -Qn r
- 3'7 2 6- - -7
Fee
$
Contractor
ELECTRICAL PERMIT
Filing Fee 10.00
Main service 00V OR LESS
1
100 AMP OR LESS
5.00
Main service EA. ADD'L 100 AMP
2.50
NEW CONST. (DWELLI C B)
'OR ADDNS. 1 ACCBL S.
.
22 sq ft GO
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 f/ll f/Qarc/e and effect.
License No.�/v 2/ ` YI!//
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 .O TLET 2,50 ea
NON.RESID BRANCH CIRCUITS)
NEW CONSTR (POWER APPARATUS 6\
NON.RESID. (SINGLE OUTLET CIR. /
s0 @ ac
Ex. OCCUp OUTLETS OR FIXTURES BAL01
Ex. OCCup.IOUTLETIXED S P(RESID )REA. 2.00
Temporary service 10.00
Mobile Home Facilities 15.00
Misc. Wiring 7.50
Permit Fee $
Contractor
MECHANICAL PERMIT
Filing Fee 10.00
WORKMEN'S COMPENSATION INSURANCE
I 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.
Heating
Cooling
Hood
3.00
Ventilation
Permit Fee
S
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 Iia ilities judgments, costs, and expenses which may in any way accrue
again aid ounty in con a ence of the granting of this permit. cc
X .� Date��� `Q -�tr/
Signatu of Applicant — Owner ❑ Contractor ❑ Agent ❑
An OSHA permit is required for excavations over 5'0" deep and demolition or construct -CTO
ion of structures over'3 stories in height.
Mobile Home Installation Fee $
TOTAL PERMIT FEE $ !�� , GO
Occup. GROUP
TYPE OF CONST.
PARCEL
PD
MD
IssuE
This permit is hereby issued under
sions of the Butte County Code and/or
work indicated above for which
OF PUBLIC
By.
PERMIT EXPIRES Ate —
the applicable provi-
resolutions to do
fees have been paid.
WORKS
q
Date �oG�
Receipt No. '�7
WHITE-D.P.W., YELLOW -ASSESSOR, PINK•INSPECTOR, GOLDENROD -APPLICANT
COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS
*'7 County Center Drive - Oroville, California 95965
Telephone. 534-4541
APPLICATION AND PERMIT
`.,
authorize representatives of the County of Butte to enter upon the
above-mentioned property for inspection purposes. n
X, RrQ 211V ate
Signature of Permitee or Agent
Receipt No. —d(/
White-D.P.W. - Yellow -Assessor - Pink -Inspector - Goldenrod -Applicant
This permit is hereby issued under the applicable provisions of
the Butte County Code and/or resolutions to do work indicated
above for which fees have been paid.
DIRECTOR OR PUBLIC WORKS
BY Date' 2--Z -79
eilding permit expires Date
BUILDING
Owner r;dISO.
FT. OCC. BUILDING VALUATION
Mailing Address
Telephone No.
Contractor
Mailing Address
Fireplace
Total Valuation
Permit Fee
Building Address
Plan Checking Fee&/or Penalty
Permit Fee y^
..
PLUMBING No. @ FEE
PERMIT FILING FEE $3.00
Each Trap 1.50
Repair drainage or vent piping 1.50
/
A. P. No. —
%
�„in 8, Planning
Water piping 1.50
Each gas water heater or vent 1.50
F e
t'
Fire Dept.
Fire Zone
Use Permit
Gas piping system 1 - 5 outlets 1.50
EQA
Parking
Plans
Parcel
Declaration
Parcel Map
60' R/W
Improvements
Each additional outlet .30
Building sewer 5.00
dg.'Pfans ec' Parcel Approval
Plans Approval
Lawn sprinkler system 2.00
NEW Z, 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
f _,,g )
O 2
Main service OVER 600V 25.00
100 AMP OR LESS
Main Service// EA. ADD'L 100 AMP 1.00
FNEW OR ADDNST" % ACCLBLDGS.LING CCUP. 9� 20 sq ft
CONTRACTORS LICENSE LAW
I am licensed under the provisions of Chapter 9, Div. 3, of the
State of Cal Business & Pr essions Code un r the name
Style f:
%_A�rfz Lezf &6
NEN CO"S , / BRANC OU IR T `
NON.CON t BRANCH CIRCUITS/ 2.50ea
NEW CONSTR. POWER APPARATUSa,
NON.RESID. (SINGLE OUTLET CIR.
Ex. Occuo(OUTLETS OR FIXTURES @
BAL�1
( FIXED APPLNS. OR
Ex. OccupOUTLETS
• OUTLETS (RESID.) EA) 2.00
Temporary service 10.00
j .-
License No. 3:83/ �7 /
Classification �L
Mobile Home Facilities 15.00
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
orkmen'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
MECHANICAL No. @ FEE
PERMIT FILING FEE $3.00
Heating
Cooling
Ventilation
L2.00
Hood
Permit Fee $
Land Development Fee
$
$
TOTAL PERMIT FEE
$ "
authorize representatives of the County of Butte to enter upon the
above-mentioned property for inspection purposes. n
X, RrQ 211V ate
Signature of Permitee or Agent
Receipt No. —d(/
White-D.P.W. - Yellow -Assessor - Pink -Inspector - Goldenrod -Applicant
This permit is hereby issued under the applicable provisions of
the Butte County Code and/or resolutions to do work indicated
above for which fees have been paid.
DIRECTOR OR PUBLIC WORKS
BY Date' 2--Z -79
eilding permit expires Date
3u -G(AD —11
I .. . 1.
COUNTY OF BUTTE
Department of Public Works
7 County Center Drive
Oroville ----- 534-4541
ELECTRICAL INFORMATION FOR DE -RATING MOBILEHOMES
Owner
Location S T-rz,411. C-T•� �2�y��.LE CILF�`( 2lpl-ZE>
Mobilehome Installation Permit No. 50 (27 — 1
3UILDING DEPARTMNI
APPROVED
FILL IN INFORMATION FOR ITEMS 1 THRU 10 .
Watts
1.
Width 0 x Box Length 2 -Lk x 3
=
2.
2 Kitchen Appliance Circuits .. ...... ....
= 3,000
3.
1 Laundry Circuit ............................
= 1,500
4.
Ovens ..... .3 �. `...tw LzZo� ..... .....
=
5.
Cook Stove Top ....:... � ...... .. .... ..
_ (z
6.
LIL5 00 w
Hot Water Heater.. ...
= 4isDy
4z5wC�)G1s) &.kAr4Ld) cgs. i ..
I (0z7
7.
Dishwasher &Disposal...............
_
?�.'.
' S2U
8.
Clothes Dryer ,.� ...... ..........
_
9.
Other (specify, i.e., motors, exhaust fans,
etc.)
Sub -total - Watts .....
First 10,000 watts @ 100% ..............................
= 10,000
z� 5"G3
13/0z5 -
Remaining watts @ 40% .......................
_ \
10.
Air Conditioner watts @100%..
_
�P �1.Sa a k NI -4 =
}��T �POw3X'
Lamest Demand =
Central Heat System -7watts @ 65%..
_
TOTAL DEMAND WATTS REQUIRED .............
"Demand Watts Required" + 230 .............
............
_ AMPS
De -rate Mobilehome to ..................................
AMPS
SUM COUNTY
3UILDING DEPARTMNI
APPROVED