HomeMy WebLinkAbout069-100-005�� �!�/�Q sem'-""'- � � / -/O -� 5� v �Y I h . •.
Clarencep.Robieson
569 Silverleaf Dr., lot 198,\,KR#I, Oro. 0�, 9
Permit/k 341-78P,E(util.,MH) \ '
ELEC i0. -1 /79 OOi a m /�
y. t
supAR& STRUCTURE REQ. -k-t-
Ar
CrPACTION TEST REQ .
(.7; 4 -P4 - --
Contr: Orovill-e Trailer Sales
Permit #3244-78MHI
I sued 4 3 e
Permit #3956-78B,E(new private
r ga age )� � 1� 7`C% --
Permit F�6556-79B(new ope/deck &
covered deck/MH) ' 3-�2I�
069-10-0-005
907 BG
LEROY, MYRON
569 SILVERLEAF, OROVILLE
REROOF/GARAGE it,/If
B07-2358 069-100-005
RESIDENTIAL SFD-Mobile Home RET
RETROFIT MH PERM FND�CJ�
569 SILVER LEAF DR
LEROY, MYRON �� 21p •Q-%
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r�
Donald R. Travers CS13#064670
F
Butte Coup
F
Law Offices of Donald R. Travers
JUDGMENT OF FINAL DISTRIBUTION
S or Court
ON WAIVER OF ACCOUNTING AND
529 Pearson Road
Paradise, California 95969-5113
L
3 2007
�-
Telephone: (530) 877-3677
E
E
Facsimile: (530) 877-0541
p
StricWand, Cie k
D
11 Attorney for Margaret Maldonado, Executor
SUPERIOR COURT OF CALIFORNIA, COUNTY OF BUTTE
CHICO COURTHOUSE
In the estate of:
CASE NO. PR -37759
ESTATE OF ADELA F. LEROY,
JUDGMENT OF FINAL DISTRIBUTION
aka ADELA FRANCO RODRIGUEZ,
ON WAIVER OF ACCOUNTING AND
aka ADELA FRANCO, aka ADELA
ALLOWING COMPENSATION FOR
GARCIA, aka ADELA MALDONADO,
ORDINARY SERVICES TO ATTORNEY
deceased.
Hearing Date: 09-13-2007
Time: 1:30 p.m. -
DePartment: TBA
Judge: • Barbara Roberts
Margaret Maldonado, as executor of the will of Adela F. LeRoy, aka Adela Franco
Rodriguez, aka Adela Franco, aka Adela Garcia, aka Adela Maldonado, deceased, having filed her
Waiver of Accounting and Petition for Final Distribution and Allowance of Statutory Attorney's
Compensation, and the petition coming on this day regularly for hearing, the court finds:
Notice of hearing of the petition has been regularly given as prescribed by law.
All allegations of the report and petition filed in this matter are true.
Adela F. LeRoy died testate on June 12, 2003, in Butte County, California, and was at the
time of her death domiciled in that county.
On March 30, 2006, Margaret Maldonado was appointed executor of the decedent's will
and qualified as such on that date. Since then she has been and now is the executor of the estate.
On March 30, 2006, Margaret Maldonado was granted authority to administer the estate
without court supervision under the Independent Administration of Estates Act. This authority has
1
LEROY: Judgment of Final Distribution on Waiver of Accounting and Allowing ...
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not been revoked.
Letters Testamentary were issued on March 30, 2006. More than four months have elapsed
since the issuance of letters. Notice of Administration has been given to creditors as required by
law. The time for filing and serving creditor's claims has expired and the estate now is in a
condition to be closed.
The estate consists entirely of the separate property of the decedent.
No claims have been filed with the court or served on the executor.
All debts of decedent and of the estate and all expenses of administration have been paid,
except the fees of Donald R. Travers, of the Law Offices of Donald R. Travers, her attorney.
No federal estate tax return has been filed for the estate because the estate was not sufficient
to require such a return, and no federal or California estate taxes are due.
No California or federal income taxes are due or payable by the estate.
A certificate of the California Franchise Tax Board required by Revenue and Taxation Code
§19513 does not have to be filed because there are no nonresident beneficiaries of the estate.
There are no personal property taxes due and payable by the estate.
All of the residuary beneficiaries of the estate have waived the necessity of an account.
The executor has waived all rights to compensation as executor.
The attorney for the executor has rendered valuable. services to the estate, and statutory
compensation should be allowed as ordered below.
The estimated expenses of closing the estate are $50.00 and the executor will pay the
expenses from her personal funds.
Distribution should be ordered as specified below.
IT IS ORDERED and adjudged that:
1. The administration of the estate is brought to a close without the requirement of an
account.
2. The executor has in her possession belonging to the estate a balance at the appraised
value of $100,590.00, none of which is cash.
2
LEROY: Judgment of Final Distribution on Waiver of Accounting and Allowing ...
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To Katy LeRoy:
1. Great Grandmother Mable Gravit's Ring
2. Wedding ring
Any other property of the estate not now known or discovered that may belong to the estate
or in which the decedent or the estate may have any interest shall be distributed as follows:
The first $4,017.70 of property to Margaret Maldonado to reimburse payment of the
attomey's statutory fee paid in this matter, with any property received over and above that amount
to be divided as follows: _
Margaret Maldonado 1/3
Carmen Maldonado ,1/3
Mary Ellen Maldonado 1/3
Dated:
JUDGE OF THE SUPERIOR COURT
F:\kspd=\LcRoy.AdelaF_PruWte\Court Docurrn'nts\FinalDistnbution.order
THE FOREWp1NG IN YM MM IS A CpMW CM 0!F
lf1E ORIG ON FILE AND ON f:L�olto IB 1Hls
'A�ST 1� -- a►�2007
Sheol St�ricldand, of the t3upeMor Court
In and br the C" of Butte, State al CalNortlia
BY uty
4
LEROY: Judgment of Final Distribution on Waiver of Accounting and Allowing—
.
1 3. All acts and transactions of the executor relating to the matters set forth in the report
2 and petition are confirmed and approved.
3 4. The executor has waived her right to compensation for services rendered in
4 'administering this estate.
5 5. The executor is authorized and directed to pay Donald R. Travers, of the Law
6 Offices of Donald R. Travers, his attorriey, $4,017.70, as statutory compensation for services
7 rendered in the administration of the estate and the payment shall be made in the form of
8 promissory note and deed of trust secured by real property commonly known as 569 Silver Leaf
9 Drive, Oroville, Butte County California 95966.
10 6. By the terms of the will, the'estate in the possession of the executor remaining for
11 distribution shall be distributed to the following beneficiaries of the estate:
12 Name Age Relationship Address
13 Margaret Maldonado Over 18 Daughter - 569 Silver Leaf Drive
14 Oroville, California 95966
15 `my LeRoy Over 18 Step -Granddaughter 4 Trail Court
Oroville, California 95966
16. Katy LeRoy Over 18 Step -Granddaughter 4 Trail Court
17 Or6ville, California 95966
The property to be distributed to each beneficiary as follows:
18
To Margaret Maldonado:
19 1, Real Property located at 569 Silver Leaf Drive,
20 Oroville, Butte County California 95966
Assessor's Parcel Number 069-100-005
21 More particularly described as follows:
22 Lot 198, as shown on that certain map entitled, "KELLY RIDGE ESTATES
23 UNIT NO. r, which map was filed in the Office of the Recorder of the County
of Butte, State of California, on October 30, 1970, in Book 38 of maps, at Pages
24 5, 6, 7, 8, 9 and 10.
25 2. 1993 Oldsmobile
VIN IG3AG55N3P6397065
26 CA Licence Plate Number 5HNH822
' To Amy LeRoy:
22 7
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I. Single Strand Pearl Necklace
3
LEROT Judgment 0f Final Distribution on Waiver of Accounring and Alloxving ...
BUTTE COUNTY
DEPARTMENT OF DEVELOPMENT SERVICES
BUILDING PERMIT
24 HOUR INSPECTION #:(530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO)
OFFICE #:(530) 538-7541 FAX#: (530) 538-2140
WEBSITE: www.buttecounty.net\dds
PROJECT INFORMATION
Site Address: 569 SILVER LEAF DR
Owner:
Permit No: B07-2358
APN: 069-100-005
LEROY,
MYRON
Issued Date: 11/19/2007 By GLB
Permit type: RESIDENTIAL
569 SILVERLEAF
DR
Subtype: SFD-Mobile Home RET
OROVILLE,
CA 95966
Expiration Date: 11/18/2008
Description: RETROFIT MH PERM FND
Occupancy: Zoning: RTI
Contractor
Applicant:
Square Footage:
GERALD GLEN DOREMUS
GERALD GLEN DOREMUS
Building Garage Remdl/Addn
PO BOX 4121
PO BOX 4121
CHICO, CA 95927
CHICO, CA 95927
(530) 895-1774
(530) 895-1774
Other Porch/Patio Total
FEE INFORMATION
DBF MH Plan Check $233.56
DBMSC Mobile Home Permit Fee. $350.34
Total Charged: $583.90 Fees Paid: $583.90
Balance Due: $0.00 Receipt No: B5351
LICENSED CONTRACTOR'S DECLARATION
OWNER / BUILDER DECLARATION
Contractor (Name) State Contractors License No. / Class / Expires
I HEREBY AFFIRM UNDER PENALTY OF PERJURY that I am exempt from the Contractor's License
GERALD GLEN DOREMUS 445103 / C47 / 8/31/2007
Law for the following reason (Sec. 7031.5), Business and Professions Code: Any city or county that
requires a permit to construct, alter, improve, demolish, or repair any structure prior to its issuance,
also requires the applicant for such permit to file a signed statement that he or she is licensed
I HEREBY A RM DER PENALTY OF PERJURY that I am licensed under provisions of Chapter 9
mmenci g with Secti n 7000) of Division 3 of the Business and Professions Code, and my license
pursuant to the provisions of the Contractor's License Law (Chapter 9 (commencing with Section 7000)
is i II fo and effect.
of Division 3 of the Business and Professions Code] or that he or she is exempt therefrom and the
basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects
11/19/2007
the applicant to a civil penalty of not more than five hundred dollars ($500];
Please check one of the following:
Contra tor's SI nature Date
❑ I, AS OWNER OF THE PROPERTY, OR MY EMPLOYEES WITH WAGES AS THEIR SOLE
COMPENSATION, WILL DO THE WORK, AND THE STRUCTURE IS NOT INTENDED OR
OFFERED FOR SALE (Sec. 7044, Business and Professions Code: The Contractor's License
Law does not apply to an owner of the property, who builds or improves thereon, and who does
W RKERS' COMPENSATION DECLARATION
I HEREBY AFFIRM UNDER PENALTY OF PERJURY one of the following declarations:
HAVE AND WILL MAINTAIN
the work himself or herself or through his or her own employees, provided that such improvements
A CERTIFICATE OF CONSENT TO SELF -INSURE FOR
E]I
are not intended or offered for sale. If, however, the building or improvement is sold within one
WORKERS' COMPENSATION, as provided for by Section 3700 of the Labor Code, for the
year of completion, the owner -builder will have the burden of proof that he or she did not build or
performance of the work for which this permit is issued.
improve for the purpose of sale.).
I HAVE AND WILL MAINTAIN WORKER'S COMPENSATION INSURANCE, as required by
❑❑
I, AS OWNER OF THE PROPERTY, AM EXCLUSIVELY CONTRACTING WITH LICENSED
CONTRACTORS TO CONSTRUCT THE PROJECT (Sec. 7044, Business and Provessions Code:
Section 3700 of the Labor Code, for the performance of the work for which this permit is issued.
My Workers' Compensation insurance carrier and policy number are;
The Contractor's License Law dows not apply to an owner of the property who builds or improves
thereon, and who contracts for the projects with a contractor(s) licensed pursuant to the
Contractor's License Law.).
Carrier: Policy Number: Exp. Date:
(This se nee not a c mp eted if the permit�,sor one hun red dollars($100)orless❑
I AM EXEMPT under Section B. & P.C. for this reason:
CERTIFYTHATIN THE PERFORMANCEOFTWORKFOR WHICH THIS PERMIT IS
ISSUED,I shallnoemployanypersoninanymar so as to become subject to the Workers'
Compensation laws of California, and agree that if I should become subject to the workers'X
11/19/2007
ce avon provisions of Section 3700 of the Labor Code, I shall forthwith comply with those
Owners Signature Date
visio
VX /19/2007
I hereby certify that I have read this application and state that the above information is correct. I agree
to comply with all City and County ordinances, rules, regulations, and State laws relating to building
ate
SignrRED
WARFAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL,
construction, and with any and all conditions of permit. 1 agree to defend, indemnify, and hold harmless
Butte County, its officers, agents and employees from any and all claims and liability for personal
ANDL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE
HUNTHOUSAND DOLLARS($100,000), IN ADDITION TO THE COST OF COMPENSATION,
injury, including death, and property damage caused arising out of, or in any way connected with
DAMAS PROVIDED FOR INSECTION 3706 OF THE LABOR CODE, INTEREST AND
the issuance of this permit. I hereby acknowledge that issuance of this pertnil does not authorize the
t is
use or occupancy of any sidewalk, street, or side k. I hereby authorize representatives of Butte
ATTORNEY'S FEES.
County to enter the above mentioned props for inspect' purposes. I hereb rtify that I am the
property owner or am authorized to act on lh errs behalf.
,J CIS 1A9/2007
CONSTRUCTION LENDING AGENCY
1 HEREBY AFFIRM UNDER PENALTY OF PERJURY that there is a construction lending agency for
Name of P ittee [SIG Print
the performance of the work for which this permit is issued. (3097 civ. code)
Owner A Contractor OR: Agent for Owner Agent for Contractor
FILE COPY
Lenders Address City State Zip
BUTTE COUNTY
DEPARTMENT OF DEVELOPMENT SERVICES
BUILDING PERMIT APPLICATION
OFFICE #: (530) 538-7541 FAX #: (530) 538-2140
A FEE WILL BE REQUIRED AT TIME OF APPLICA TION
Website: www.buttecounty.net/dds
"PLEASE PRINT CLEARLY"
OWNER INFORMATION
Last Name
First Name•
eT
Mailing Address
City D� 1,
State
Zip 6
Phone
Fax
E-mail
APPLICANT INFORMATION
a
CONTRACTOR
Name
`•
Zip
Address
Fax
6 r^ (I I
City
C
Stat
Zi
Phone
12-711
'
Fax C "_// S /7-7L(
E-mail
Lic. #
�S
Class C
APPLICANT INFORMATION
ARCHITECT/ENGINEER
Name
City
Address
Zip
City
Fax
State
Zip
Phone
Fax
E-mail
Open ,bv
State License Number
APPLICANT INFORMATION
Name
Address
City
State
Zip
Phone
Fax
E-mail
t
PERMIT
NO.
BIN #
PROJECT LOCATION
AP# - (56 G
Property Address I J
City 1' -C
WORKER'S COMPENSATION
Policy Number
Carrier
If hiring anyone other than license contractors, a certificate of worker's
compensation must be shown at the time of permit issuance.
LENDING AGENCY
Name
Address
DESCRIPTION OR OF
/SCOPE
Iii V' •V �W
�WOR/K:
rJ/ -
1 —
SRA
Yes No
Occ.
Type Const.
Sq FT- Living Garage
Open ,bv
❑ Structure Built without PermitA
13Proposed Change of Occupa
(Note previous use):
'
For office e
Zoning
FloodZone
SRA
Yes No
Occ.
Type Const.
Xi2 Foundation System
Installation Instructions for California
for Ground & Concrete Systems
HUD Wind Zone 1,
15 PSF Wind Load Seismic 4�
By Tie Down Engineering_ 13UTTE COUNTY
BUILDING DIVISION
APPROVED
Xi2 Ground System
Engineer Approval
State Approval
MANUFACTURED HOMEWBILE ROME
FOUNDATION SYSTEM
AEALTH AND SAFETY CODE, SECnON 18551
APPROVED
SUBJECT TO CORRECTIONS NOTED
- APPROVAL DOES NOT AUTHORIZE OR APPROVE ANY
- OMISSIONS OR DEVIATION FROM REQUIREMENTS OF
APPLICABLE STATE LAWS AND REGULATIONS
Stets of California
Dapattmod d ini Ranand Community Dowdopmeat
a� n 1>uo01 OF COIJES AND STANDARDS
`SPANa. lar-
TkiaPlan Appiwat BxOlrea
Xi2 Concrete System
........................ .
Page of 8
Lo
n Drive • Atlanta GA, 30336 fTIE
4 1"
Xi2 Foundation System
Installation Instructions for California
for Ground & Concrete Systems
HU® Wind Zone 1, 95 PSF Wind Load Seismic 4
By Tie ®own Engineering
REQUIREMENTS
• These plans and specifications meet the requirements of Title 25 Section 1336.3 Sub Section A and 97 UBC Seismic
Requirements, CBC 2001 addition.
• Maximum vertical projection at sidewall is 9'. Higher walls may be used when the design loads are
adjusted accordingly and approved by HUD.
• Main rail spacing must be 75.5" - 99.5" * Except single sections 95" minimum
• Additional vertical anchor ties that are unique to a home's design may be required by the home manufacturer. These
locations may include shear walls, marriage line ridge beam support posts, and rim plates. The longitudinal component
of the Xi2 system replaces end frame ties. Check manufacturers set-up requirements.
• Maximum pier height is 48" pier. *Except for single sections 36".
• Steel piers must be fastened to the I-beam with clamps provided with steel pier.
• Systems must be placed as evenly as possible, no more than 10' from end of home.
• Designed for 7:12 roof slope. *Except single sections; (20` - 4.37 in. 12" pitch).
Additional Requirements for Concrete Systems
• Poured concrete must be 2,500 PSI minimum at 28, days.
• Square concrete pads.minimum is 18" wide by 12" deep. Round concrete pads minimum is 18" wide by
14 deep. Strip footings minimum is 18" wide by 14'. long by 6" deep.
* Xi2 components exceed HUD code 3280.306g "Anchoring equipment exposed to weathering shall have a resistance to
weather deterioration at least equivalent to that provided by a coating of zinc on steel of not less than 0.30 ounces per
square foot of surface coating...."
Page 2 of 8
m
0
0
0
0
1.
2.
3.
4.
5.
6.
7.
8.
9.
10.
Installation of Xi2 Ground Systems
Identify the number of systems to be used on the home using the chart provided.
Identify the location where the systems will be installed.
Clear all organic matter and debris from the pad site.
Place U -bolts through holes in pan provided.
Place pad centered under beam with the lateral strut bracket towards the inside of the home.
Press or drive pan into ground until level and flush with prepared surface.
Build pier according to State, Local or Home Manufacturers guidelines. (Figure 1)
Attach the end of the smaller tube to the inside of pan using U -bolt & nuts provided
Attach the flag end of the larger tube to the opposite I-beam using the "J" bolt over the top of the I-beam
with the nut & washer provided. (Figure 2)
Install a minimum of four (#12 x 1 " tek screws) self -tapping screws into the holes provided in the lateral strut so
that the two tubes are connected together. (Figure 1)
Figure 1
Nose
Fnd °f
- 1-314" Tube J -Bolt Nut Washer
®�
Lateral Struts Strut
(flag end)
o
1-112" Tube
4-#12x1"
Tek Screws
1-13eam Figure 2
1
U -Bolt & mounting
Bracket
0
11. Install frame bracket clamps to I-beam on in
side of block/pier. Do not tighten nuts at this time.
12. Attach longitudinal strut to U -bolt in pan using
nuts provided.
13. Insert strut in the frame bracket clamp, attach with nut
and bolt. Do not tighten at this time.
14. Pull the frame bracket clamp with the fastened
strut outward to remove any slack.
15. Tighten all nuts and bolts on the struts and beam clamps.
Page 3 of 8
'anta GA, 30336 TIE
(404) 349-0401 DOWN
ENGINEERING •
Xi2 Ground Parts Detail
Xi2 Ground Lateral System
Part Number 59306
Includes: 5' Strut, pad & hardware kit
(#59329-1 includes all nuts and bolts).
Longitudinal Hardware Kit
Part Number 59331
Includes: 2 I-beam brackets &
2 U -bolts with all nuts and bolts.
Lateral and Longitudinal Combination
Part Number 59333
Includes: 5' Strut, Pad, Longitudinal Strut (#59329),
Lateral and Longitudinal Hardware
Kit with all nuts and bolts.
Struts for Longitudinal Systems
Part
Strut
Pier Height
No.
Length
Up To:
59330-44
44"
4 Blocks or 32"
59330-65
65"
6 Blocks or 48"
Ground Longitudinal
Hardware Kit
Xi2 Ground
Longitudinal Strut
& Hardware Kit
Ground Longitudinal
Strut
Xi2 Stabilization Pier Placement for Ground or Concrete
Single Section Home
0 -80' (76' Box) 4 Xi2 Systems
Xi2 Pier Placement
Double Section Home
0 -62' 3 Xi2 Systems*
63' - 80' 4 Xi2 Systems
*2 Xi2 systems can be placed at either end of the home.
Triple Section Home
0 -62' 4 Xi2 Systems
63' - 80' 5 Xi2 Systems
Page 4 of 8
FA
tTIE
DOWN •
ENGINEERING •
Installation of Xi2 Concrete Systems
i . ioentity the numoer of systems to De used on the home using the chart provided.
2. Identify the location where the systems will be installed.
3. Build pier according to State, Local or Home Manufacturers guidelines.
4. Drill two 3/8"x 3" deep holes in the concrete using holes in galvanized bracket as a guide.
Attach bracket to concrete pad using 3/8"x3-1/2" wedge anchors provided. Place nut &
washer on anchor, leave enough room for 1 to 2 threads showing on top of bolt. Using a
hammer, tap the wedge bolts into hole through bracket, leaving nut & washer flush with
bracket. Using a 9/16" socket wrench, tighten wedge/anchor bolt, securing bracket
to the concrete.
5. Attach the end of the smaller tube to the bracket mounted on the pad, using the
grade 5,1/2" x 2-1/2" bolt/nut provided.
6. Attach the flag end of the larger tube to the opposite I-beam using the "J" bolt over
the top of the I-beam with the nut & washer provided. (Figure 1 next page)
7. Install a minimum of four (#12 x 1 " tek screws) self -tapping screws into the holes
. provided in the lateral strut so that the two tubes are connected together
8. Install frame bracket clamps on I-beam on the inside of block/pier.
9. Insert strut in frame bracket clamp and attach with nut & bolt. Attach opposite end to concrete bracket.
10. Pull the frame bracket clamp with fastened strut outward to remove any slack.
11. Tighten all nuts and bolts on system.
4, 30336
49-0401 DOWN
ENGINEERING
•
Xi2 Lateral Concrete Systems
Part #59307
Includes: 5' Strut, Bracket, & Hardware Kit #59315-1
with all nuts and bolt.
Longitudinal Struts for
"Concrete Systems"
Part No. Length Pier Height
#59013 44" up to 4 Blocks
#59015 65" up to 6 Blocks
Longitudinal Hardware Kit
Part #59263
(Includes 2 sets per kit: I-beam bracket, nuts, bolts
and washers)
Lateral and Longitudinal Combination
Part #59332
Includes: 5' Strut, Longitudinal Strut (#59364),
Lateral and Longitudinal Hardware
Kit with all nuts and bolts.
Nut &Washer
Figure 1 Beam Clamp
Bracket
J -Bolt
Lone
Beam
Longitudinal
Strut
Xi2 Concrete
y;'
m
Concrete Longitudinal
Hardware Kit
f Nome
i -n, o
Xi2 Installation Placement
Page 6 of
r�E
DOWN
ENGINEERING •
PM
Offset Placement
Diagrams represent examples of double and triple section offsets. Total size is determined by the length of
unit plus offset.
Xi2 Stabilization Pier Placement for Ground or Concrete
Single Section ,Home
0 -80' (76' Box) 4 Xi2 Systems
Xi2 Pier Placement
Double Section Home
0 -62' 3 Xi2 Systems*
63' - 80' 4 Xi2 Systems
*2 Xi2 systems can be placed at either end of the home.
Triple Section Home
0 -62' 4 Xi2 Systems
63' - 80' 5 Xi2 Systems
Page 7 of 8
T/E
DOWN
ENGINEERING
HCD /2!-FAe-
s-114107
Hardware Breakdown
#59329-1 Hardware for 59306 Lateral System
1 84533Z
U -Bolt 1/2-13 x 2.63 x 2.19 thread
Beam Clamp Base
1-3/4 zinc
4 10556
Tek Screw #12 x 1 "
1 10631Z
J Bolt 1/2 x 5-1/2 grade 5 zinc
2 10640
Push Nut 1/2
1 12107
Flat Washer 1 x2" SS
1 10646Y
Hex Nut 1/2-13 grade 5 zinc
2 10519
Hex Nut 1/2" w/ Serr flange
#59331 Longitudinal Hardware for 59306
2
59272-1
Beam Clamp Base
4
59272-2
Beam Clamp Top Flange
8
10926
Carriage Bolt 1/2-12 x 1-1/4
Carriage Bolt 1/2-12 x 3
full thread
Full Thread
10
10646Y
Hex Nut 1/2-13 grade 5 zinc
2
10801
Carriage Bolt 1/2-12 x 2-1/2
U -Bolt 1/2-13 x 2.63 x 2.19 Thread
6 10646Y
Grade 5
2.
84533Z
U -Bolt 1/2-13 x 2.63 x 2.19 thread
Hex Nut 1/2" w/Serr Flange
1-3/4 zinc
4
10640
Push Nut 1/2
4
10519
Hex Nut 1/2" w/ Serr flange
# 59329 Hardware for 59333 Lateral and
Longitudinal combination
1 59329-1
Hardware Kit
1 59272-1
Beam Clamp Base
2 59272-2
Beam Clamp Top Flange
4 10926
Carriage Bolt 1/2-12 x 1-1/4
Carriage Bolt 1/2-12 x 3
full thread
5 10646Y
Hex Nut 1/2-13 Grade 5 zinc
1 10801
Carriage Bolt 1/2-12 x 2-1/2
4
Grade 5 zinc
1 84533Z
U -Bolt 1/2-13 x 2.63 x 2.19 Thread
6 10646Y
1-3/4 zinc
2 10640
Push Nut 1/2
2 10519
Hex Nut 1/2" w/Serr Flange
#59315-1 Hardware for Lateral System
1 10631Z
J Bolt 1/2 x 5-1/2 Grade 5 zinc
1 12107
Flat Washer 1/2" SS
4 10556
Tek Screw #12 x 1 "
2 10646Y
Hex Nut 1/2x-13 Grade 5 zinc
1 10826
Carriage Bolt 1/2-12 x 3
Beam Clamp Top Flange .
Grade 5 zinc
#59027 Hardware Kit for 59307 Lateral System
2 59264 3 Way. Concrete Bracket
4 10530. Wedge Anchor 3/8 x 3.50
1 59315-1 Hardware Kit
#59263 Longitudinal Hardware for 59307
2
59272-1
Beam Clamp Base
4
59272-2
Beam Clamp Top Flange
8
10926
Carriage Bolt 1/2-13 x 1-1/4
2 59272-2
Beam Clamp Top Flange .
Full Thread zinc
12
10646Y
Hex Nut 1/2-13 Grade 5 zinc
4
10801
Carriage Bolt 1/2-13 x 2-1/2
Grade 5 zinc
6 10646Y
Grade 5 zinc
#59364 Hardware for 59332 Lateral and
Longitudinal combination
1 59264
3 Way Concrete Bracket
2 10530
Wedge Anchor 3/8 x 3.50
1 59315-1
Lateral Hardware Kit
1 59272-1
Beam Clamp Base
2 59272-2
Beam Clamp Top Flange .
4 10926
Carriage Bolt 1/2-13 x 1-1/4
Full Thread zinc
2 10801
Carriage Bolt 1/2-13 x 2-1/2
Grade 5 zinc
6 10646Y
Hex Nut 1/2-13 Grade 5 zinc
tlanta GA, 30336 ; lit
C (404) 349-0401 DOW*� •
:ENGINEERING
^'**Qpyiir��A�F?G�: sn.�.� .-.: ..,�.�'Y- -,--. ...., r. vr"s r.; o,;.. r, �.,:��.,,�.R�,.�.TM��,�7 ,�`'}.��,'Y+'�-tys=aJp'4' iS+sn .:.?_..'f4'.",•; �:'A,...r?S!$�n,+i'[}*!,r;,�`i�
. r
069-10-0-005
93=207
LEROY, MyRON pROVILLE
569 SILVERLEAF,
REROOF/GARAGE
i
617-
j
r't 1
t
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO.
CJ
7 County Center Drive - Oroville, Cglifornia 95965 - Telephone: 916 '538-7541 .
APPLICATION AND PERMIT
ASSESSOR PARCEL NUMBER
()69-100–(_M
ZONING
R11-1
BUILDING PERMIT
OWNER
^! ron b--Royy�
TELEPHONE
SO. FT. OCC. BUILDING VALUATION
n
10 J Corn 600 Of)
OWNER'S MAILING ADDRESS
560 Silverleaf Dr., Orovillf- 95966
CONTRACTOR'S NAME
Owner
TELEPHONE
CONTRACTOR'S MAILING ADDRESS
Fireplace
CONSTRUCTION LENDER
UNKNOWN
r ry
Total Valuation $ �•(xi'�.tX)
Filing Fee $ 15.00
LENDER'S MAILING ADDRESS
Permit Fee $ 16.50
ARCHITECT OR ENGINEER
LICENSE No.
Plan Checking Fee $
Energy Plan Checking Fee $
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Penalty $
BUILDING ADDRESS
Permit fee $ 3I,5(`
PLUMBING PERMIT FiIingFee 15.00
5r,9 Silverleaf Dr v itle
Each Trap 1 5.00
Solar or heat pump water heater 20.00
LOT NO.
SUBDIVISION NAME PARCEL MAP
Water piping 7.00
Each qas water heater or vent 7.00
USE OF STRUCTURE
SF ❑ Duplex❑ Mobilehome❑ Other Det, Garacze
SP cl Fv
Gas piping system 1 - 5 outlets 5.00
Building sewer 15.00
Mobile Home I S I G JW 1 1 015-00
TYPE OF WORK
Newt_ Addition,_; RemodelE Utilities❑ InstallationC Other
Describe work: Reroof "arage with Comp. _
Permit Fee $
Contractor
ELECTRICAL PERMIT Filing Fee 15.00
Main service 600v OR LESS 18.50
200A OR LESS
Main service 200A TO 1000A, 1 37.50
CONTRACTORS LICENSE LAW
I declare under penalty of perjury (check One):
❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Business
and Professions Code and my license is in full force a d effect.
License No. Classification
.�FIXED
1 1, as the owner, or my employees with wages as their Sole compen-
sation, will do the work,and the structure is not intended or offered
for sale. (Sec. 7044)
❑ I, as the owner, am exclusively contracting with licensed contract-
ors. (Sec. 7044)
❑ I am exempt under Sec. , Business and Professions Code
for this reason
NEW CONST.( DWELLING oCCUP.&) 3.54sq.ft.
OR AODNS. ACC. BLOGS. //
NEW CONSTR.MULTI-OUTLET @ 5.00
NON-RE51D BRANCH CIRC ITS
POWER APPARATUS &)
(SINGLE OUTLET C1R.
20S751
Ex. Occup(OUTLETS OR FIXTURES HAL 42
APPLNS. OR 1
Ex. OCCUp. OUTLETS (RESIO.) EA./ I 3.00
Temporary service 15.00
Mobile Home Facilities 15.00
Misc. Wiring 15.00
Permit Fee $
Contractor
—
WORKMEN'S COMPENSATION INSURANCE
I declare under penalty of perjury (check one):
❑ The permit is for $100.00 (valuation) or less.
r I have placed on file with the County of Butte Building Department
LJ a Certificate of Workmen's Compensation Insurance or a Certificate
of Consent to Self -Insure.
(�+ I shall not employ any person in any manner so as to become subject
to the W. C. laws of California.
Notice to Applicant: If after making this statement, should you become subject
to the W. C. provisions of the Labor Code, you must forthwith comply with such
provisions or this permit shall be deemed revoked.
MECHANICAL PERMIT FiIingFee 15.00
Heating
Cooling
LHood 6.50
I Ventilation
Permit Fee $
Contractor
I certify that I have read this application and state that the above information
is correct. I agree to comply to all County Ordinances and State Laws relating
to building construction, and hereby authorize representatives of the Countyot
Butte to enter upon the above-mentioned property for inspection purposes.
I also agree to save, indemnify and keep harmless the County of Butte against
all liabilities, judgments, costs, and expenses which may in any way accrue
against said County in consequence of the granting of this permit.
X k �--� ^--. Date(, 34 � '3
Signature of App cant — Owner IV Contrac or FJAgent
An OSHA permit is required for excavations over 5'0" deep and demolition or construct-
ion of structures over 3 stories in height.
Mobile Home Installation Fee $
Ener Inspection Fee $
Energy P
occ CONST TYPE
ITA
TOL FEE $31-5
HAz
1 DFEES I
IMP
I FLOOD
CDF
I PARCEL
PD
HD
ISs
This permit is hereby issued under the applicable provi-
sions of the Butte County Code and/or resolutions to do
work indicated above for which -fees have been paid.
(
�' DIREG`TUF�OF PUB�IC;WORKS
By ..-,. t'• / tr �� Date i
PERMIT I=XPIRES ' ,Date �%-
1433474
Receipt No.
p
WHITE-D.P.W.. YELLOW-ASSE330R, PINK -INSPECTOR. GOLD ENROD-APPL I CANT
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS
7 County Center Drive - Oroville, CaliforQa 95965 - Telephone: 916.538-7541
APPLICAVON AND PERMIT
PERMIT NO.
,
ASSESSOR PARCEL NUMBER
069-100-005
ZONING
RT -1
BUILDING PERMIT
OWNER
M ron LeRo
TELEPHONE
SO. FT. OCC. BUILDING VALUATION
IO S COMP 600.00
OWNER'S MAILING ADDRESS
569 Silverleaf Dr., Oroville 95966
CONTRACTOR'S NAME
Owner
TELEPHONE
CONTRACTOR'S MAILING ADDRESS
Fireplace
CONSTRUCTION LENDER
UNKNOWN
Total valuation $ 600.00
LENDER'S MAILING ADDRESS
Filing Fee
$ 15.00
Permit Fee
$ 16.50
ARCHITECT OR ENGINEER
LICENSE NO.
Plan Checking Fee
$
Energy Plan Checking Fee
$
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Penalty
$
BUILDING ADDRESS
Permit fee
$ 31.50
PLUMBING PERMIT
Filing Fee 15.00
969 Silyprlpaf Dr, Orovi-11P
Each Trap
5.00
Solar or heat pump water heater
20.00
LOT NO.SUBDIVISION
NAME
PARCEL MAP
Water piping
7.00
Each qas water heater or vent
7.00
USE OF STRUCTURE
SF❑ Duplex❑ Mobilehome❑ Other _fiat- [,araoa
SP CIFY
Gas piping system 1 - 5 outlets
5.00
Building sewer
15.00
Mobile Home S I G I W
.015.00
TYPE OF WORK
New ❑ Addition I] Remodel ❑ Utilities ❑ Installation❑ Other ®
Describe work: Reroof Garage with Comp. _
Permit Fee
$
Contractor
ELECTRICAL PERMIT
Filing Fee 15.00
Main service 600V OR LESS
200A OR LESS
18.50
Main service 200A TO IOOOA,
37.50
CONTRACTORS LICENSE LAW
I declare under penalty of perjury (check one):
r_1I am licensed under provisions of Chapt. 9, Div. 3 of the Business
and Professions Code and my license is in full force and effect.
License 'Jo. Classification
�}IFIXED
\11/11- 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 CONST. / DWELLING OCCUPM
OR ACDNS. \ ACC. /
3.64sq.ft.
NEW R I.OLIT
NO N•R ESID BRANCH CRCTITS
@ 5.00
(POWER APPARATUS 6�
SINGLE OUTLET CIR.
Ex. Occup( OUTLETS OR FIXTURES
20 76
APPLNS. OR
Ex. Occup. OUTLETS (RESID.) EA.)
I 3.00
Temporary service
15.00
Mobile Home Facilities
15.00
Misc. Wiring
g
t
15.00
I
Permit Fee
$
—
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.
rV 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.
Contractor
MECHANICAL PERMIT
Filing Fee 15.00
Heating
Cooling
g
Hood
6.50
Ventilation
Et
—1
I -_
Permit Fee
.-
$
Contractor
I certify that I have read this application and state that the above information
is correct. I agree to comply to all County Ordinances and State Laws relating
to building construction, and hereby authorize representatives of the Countyot
Butte to enter upon the above-mentioned property for inspection purposes.
I also agree to save, indemnify and keep harmless the County of Butte against
all liabilities, judgments, costs, and expenses which may in any way accrue
against said County in consequence of the granting of this permit.
Date 6 '3 6�'73
si nature aF A
Signature pp cant — Owner V Contrac or ❑ Agent
An OSHA permit is required for excavations over 5'0" deep and demolition or construct-
ion of structures over 3 stories in height.
Mobile Home Installation Fee $
Energy Inspection Fee $
OCC
CONST TYPE
TOTAL FEE
I
HAz
1 0 FEESJ
IMP
I FLOOD
I CDF
I PARCEL I PD
I HD
I _ISS
This permit is hereby issued under the
sions of utte Count Code and/
work i is ed ab which a
DIRE F PU
By _
PER XPIRES Date
applicable provi-
r resolutions to do
have been paid.
ORKS
Date
*S
Receipt No. 143474
WHITE-O.P.W.. YELLOW -ASSESSOR, PINK -INSPECTOR. GOLDENROD -APPLICANT
COUNTY OF BUTTE - Department 'of Public Works
7.County Center Drive, Oroville, CA 95965 Phone: 916-538-7541
OWNER -BUILDER VERIFICATION
Attention Property Owner:
An 'owner -builder" building permit has been applied for in your name and bearing
your signature.
Please complete and return this information at your earliest opportunity to avoid
unnecessary delay in processing and issuing your building permit. No building permit
will be issued until this verification is received.
1. I personally plan to.provide the major labor and materials for construction of
the proposed property improvement (yes or no)''
2. Iave ave not) signed an application for a building permit
fo a proposed work.
3. I have contracted with the following person (firm) to provide the proposed
construction:
Name
Address City
Phone Contractors License No.
4: I plan to provide portions of this work,.but I have hired -the following person
to coordinate, supervise, and provide the major work:
Name
Address City
Phone Contractors Lidense No.
5. I will provide some of the work but I have contracted -(hired) the following
persons to piovide the work indicated:
Name Address Phone Type of Work
Signed:
Property Owner
Social lurgy umber
Date
NOTE: This Owner -Builder Verification is sent to you as required by Sections 19831 and
19832 of the California Health and Safety Code.
This verification must be completed and returned to our office before we are per-
mitted to issue the permit.
a
PERMIT NO. 6556-79B
PERMIT EXPIRES
OWNER Clarence A. Robieson
CONTR. QW13er
34-60-5
t LOCATION (A.P. )
569 Silverleaf Dr.,Oroville (lot 198,KR#l)
1
t
F
r
l+
�Y
f
ti
Temp. Power Pole
Called PG&E
Temp. Elea Serv.
_
Calliled PG&E
Tem( Gas Serv.
alled PG&E
VO
2
{
FINALED
3
(Date)
t
(Signature)
t
r`
Setback
Forms
Main Bldg.
Footings
Stemwa I I
Slab
Piers
Garage'
Footings
Stemwa I I
Slab
Carport
Footings
Slab
Patio '
Footings
Masonry Walls
Reinf. Steel
COUNTY OF BUTTE — DEPARTMENT OF, PUBLIC WORKS
BUILDING INSPECTION, RECORD
BUILDING BUILDING (Cont'd)
Firewall
Soil Piping
Parapets
1st Floor
Restroom Finish V
2nd Floor
Windows
3rd Floor
Siding
To out
Roof Sheathing
Water Piping
Roofing (-7
Sewer
Fdn. Vents
Fixtures
Garage Vents
Insulation
Water Htr.
Heaters
Prov. for ph sically
A li
PLUMBING
handica ed ances
Conformance of ex. Gas PI in &Test
structure Temp. Gas
Final — iZ Sanitation
FIREPLACE Final
!2•1 /031Footing ELECTRICAL
none tseam
I —
FIRE SPRINKLERS
Motors
Framing
'Test
Water Htr.
Stucco
Final
Subpanels
Mesh
MECHANICAL
Grd. Fault Prot.
Scratch
Heating
Service
Brown
Cooling
Temp. Pole
Finish
Ducts
Underground
Interior Lath
Ventilation
Permanent
Door Closer
Final
Final
MOBILEHOME UTILITIES ---- Elec- Service
Elec. Pedestal
Water Piping
Sewer
Gas Piping
816EMOMEIIN� STA6LATION - - - - - - - - - - - - - - Support
Elec. Continuity
Water Piping
Gas Piping
DATE _
` sDrainage
`! l�--7 6-
REMARKS OR CORRECTIONS
(NOTE: An entry must be made on this form each time you visit the job site.)
COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS
7 County Center Drive — droville, California 95965
Telephone: 534-4541
APPLICATION AND PERMIT
-w1- �GF/�coGlllaaU VCJ Ul UIG VUUllly UI OUIIQ LU vlllel UPUII tilt;
above-mentioned property for inspection purposes.
X a Date
Signature of Permitee or Agent
Receipt No. 3 if V 1-659"
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.
DIRECT -OP, OF PUBLIC WORKS
By Date
B ding permit expires Date
BUILDING
Owner
t
Mai I i ng Address s6 %Z
SQ. FT. OCC. B U I L D I W V A L U A T I
-Clks
^
Telephone No.
C�
Contractor
LVWFireplace
Mai ling'Address
Total Valuation
Telephone No.
Permit Fee
Building Address '`
Plan Checking Fee&/or Penalty
Permit Fee
PLUMBING No.1 @ FEE
PERMIT FILING FEE $3.00
Each Trap 1.50
Repair drainage or vent piping 1.50
A. P. No. _
i
i g &'Planning
Water piping 1.50
Each gas water heater or vent 1.50
F
Sar1Tff 6Tt-
FireDept.
FireZone
Use Permit
Gas piping system 1 - 5 outlets 1.50
EQA
Parking
Plans
Parcel
Declaration
Parcel Map
60R/W
'
Improvements
Each additional outlet .30
Building sewer 5.00
Bldg. Plan R 'd
Parcel Approval Plans Approval
Lawn sprinkler system 2.00
NEW ADDITION ❑ UTILITIES ❑ OTHER ❑
Permit Fee $
$
ELECTRICAL No. @ FEE
PERMIT FILING FEE $3.00
Main service 600V OR LESS
10o AMP OR LESS 5.00
SinSingle Family Duplex Mobil Home Others
s v ❑ p ❑ ❑
Main service EA- ADD100 AMP 2.50
,()
�Y
OVER OV
OV AMP O OR LESS
Main service 25.00
Main service EA. ADD'L 100 AMP 1.00
NEW CONST. ( OR ADDNS. ACCLBLDGSLING CCUP. Y) 22sgft
CONTRACTORS LICENSE LAW
I am licensed under the provisions of Chapter 9, Div. 3, of the
State of California Business & Professions Code under the name
style of:
NEW RESID,CONSTBRANCHCIMULTI-OUTLET
NON -REBID � BRANCH CIRCUITS) 12.50ea
NEW CONSTR. (POWER APPARATUS a
NON•RESID. SINGLE OUTLET CIR.
Ex. OCCUp(OUTLETS OR FIXTURES) 5BOA@L 2@510
FIXED APPLNS. OR
Ex. Occup. OUTLETS (RESID.) EA) 2.00
Temporary service 10.00
Mobile Home Facilities 15.00
License No. Classification
Misc. Wiring 6.25
am exempt from the Contractors License Laws of the State of California.
Permit Fee $
$
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.
certify that in the performance of the work for which this
ze
prmit is issued I shall not employ any person in any manner
so as to become subject to the Workmen's Compensation Laws of
California.
MECHANICAL No. @ FEE
PERMIT FILING FEE $3.00
Heating
Cooling
Ventilation
Hood 2.00
Permit Fee $
$
I certify that I have read this application and state that the above
information is correct. I agree to comply to all County Ordinances
and State Laws relating to building construction, and hereby
Land Development Fee
$
TOTAL PERMIT FEE
$
-w1- �GF/�coGlllaaU VCJ Ul UIG VUUllly UI OUIIQ LU vlllel UPUII tilt;
above-mentioned property for inspection purposes.
X a Date
Signature of Permitee or Agent
Receipt No. 3 if V 1-659"
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.
DIRECT -OP, OF PUBLIC WORKS
By Date
B ding permit expires Date
NOTE:—All Materials &
Workmanship Shall 86 VkPractices ' N
Accordance with Recognized Good
ified use in the
° n
Of a quality prescribed for t�e p
C N Plumbin� &R Aachanical Codes ant Z
Uniform Building, `�
the Not
Electrical Code.
A LAN .t
" � 1
oy.. N..�6 ` The Bldg. Setback shall be 5 ft. from the
Ul s. _ 20 V ! erty line and 50 ft. g a axe
y y ` j centerline of the road, permitting
`I ,Cq> o, o ft. eave overhang but entirely UL
Q � p - morn. of a 2
out of all easements. y
Aj-
,N: y
P, r� o RCC1 y 'oma , - / . q o Z I1
F �0
0.0
MUST be / � r•�
C is set �Of plans and specifications M 0
Th i unlawful to
w ,
kept on the iob a a alterat ons on same without BUTTE q(kUATYmake any Chang ��
written permission from the Department of Public , ; —
6U! DING `",AI�' I
Works, County of Butte. / �'p .
A P P R Ov
0
g
1
ao l i 3lop.
APO i
C10106/2 c 6 c 1 C� �<'®n%s
LI
- - -7 Af4x--9FOn
x !aki_ Top roil to be b n. `hi h with i y
termediate rails to be not over 9 in. TOP rail to be in. high with in-
` � �P �' ' - ,:, 16 c, J`t.�C temediate rails to be not over 9 in.
d. �J•�I �S � 4 �� � �, �Jr�l� � `J /� ��: /L /Y1 ��:!'J,a �� mart.
• �, �x Ll(��`� r4�CaA fLS � E L,/,�t) c2 `���� q �oo� 1��4 BUTTE COUNTY
BU1t:DtPdO DPA.IZTMENT
• • _ �^.a► v � � .� � d 'ter
- - APPROVED
COMPLAINANT: •
ADDRESS:
PHONE NUMBER:
OTHER COMMENTS•
_ .` � ti""i"�,a...�l'r'tii'ffidC'�`I✓Y�.k./'„i.."{s'.,,T'.1�....+..�i.ti�ti+•.w"y:
COUNTY OF BUTTE
BUILDING DIVISION
DEPARTMENT OF IEVELOPMENT SERVICES {
1469 Humbolat Road, Chico, CA - (91"6).8917275.1
7 County Center Drive, Oroville, CA - (9,1,6),538'-7541
747 Elliott Road, Paradise, CA - (916) 872-6307
CORRECTION NOTICE
OWNER 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 this office immediately. f
�7
Date (�-22—t3lnspector
REV 10192`'
N
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
numberfor the following location:
ST `7 ')- - G.;--/,` z
Owner 1'10A
Owner's Address
P C) /
L '47A- L 4-1111z
Mobilehome Mfg., , , Model Year
Insignia No!401-10 -) 02 — "0 7 L2 Serial
t' It is hereby certified for occupancy at the above lqe s`c�bed) location and
may be occupied.
Directoi of Public Works
Date By
THIS CERTIFICATE IS VOID WHEN MOBILEHOME IS RELOCATED
White - Owner, Yellow - Installer, Pink - D.P.W.
• _ _ '1111 i%
..PERMIT NO. 2341-78P,E
1 PERMIT EXPIRES
OWNER Clarence A. Robieson
6NTR. owner
LOCATION (A.P. 34-60-5
569 Silverlmf Dr,, lot 198, KR#l, Oroville
F
J
4
i
9
t
tS
4
5-
- 1
1
i
Temp. Aower Pole
/Called PG&E
I Temp. Elec. Serv.
! Called PG&E
Temp. Gas Serv.
i Called PG&E
1
JOB
FINALED f7 h a
tirown
r
COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS
BUILDING INSPECTION RECORD
Co ng
BUILDING BUILDING (Cont'd)
PLUMBING
Atback
lurewall
Sol Pipin
Fo s
Pliapets
1s loor
Ma Bldg.
Re oom Finish
2nd loor
F tins
Wind s
3rd FI r
Ste wall
Siding
To out
Slab),Roof
SheNthing
Water PI in
Piers
Roofing
Sewer
Garage
Fdn. Vents
Fixtures
Footings
Stemwal I
Garage Vents
Insulation
Water Htr.
Heaters
Slab
Carport
Footings
Prov. for ph sic ly
handica ed
Conformance of ex.
structure
Appliances
as Iping & Test
Temp. as
Slab
Final
Sanitation
Patio
ftIRENLACE
Final
Footings
Footing
EIJECTRICAN,
Masonry Walls
Throat
Rough
Relnf. Steel
Final
Fixtures
Bond Bea
FIRE SPRINKL
Motors
Framinq
Test
Water Htr.
Stucco
Final
Sub anel it
Mesh
MECHANICAL
Grd. Fa t Prot.
tirown
Co ng
T p. Pole
ish
D is
der round
r Lath
te
ntilation
ennanent
Closer
Inal
inal
MOBILEHOME UTILITIES
------
Elec. Service
Elec. Pedestal mm
Water Piping
Sewers
Gas Piping
]MOBILEHOME INSTALLATION --------------
Support r
Elec. Continuity F-77
Water PipingG�
(. i
Drainage .-ZG�2;
Gas Piping ��
DATE— &— 7'? rT
7-0
020
REMARKS OR CORRECTIONS
Aeo 6,4.3 A10 Sc.¢.PAWj�
C0PPVe /e -J
(NOTE: An entry must be made on this form each time you visit the job site.)
MOBILEHOME INSTALLATION INSPECTION CHECK LIST
I separation from lot lines and buildings and generally
1. Is the mobilehome located wisv
conform to plot plan? Yes_ No
2. Does the mobilehome have required clearances above ground? (Sec.5085) Yeses No
3. Are footings and supports properly sized, spaced, and braced as per approved plans? (Note
possible variation at spring shackles.) (Sec.i5082 & 5083) Yes�ll�o_
4. Is the mobilehome level? (Sec. 5088) Yes _;No_
r,
5. If morp�than a single unit, are crossover connections properly installed? (Sec. 5088)
Yes % No
6. Water
A. Is flexible connector of adequate size and properly installed (1/2" ID min.)? (Sec. 5566)
Yes -o', No
B. Test - Does water piping withstand working pressure or 50 lbs. air test? Yes ,- No
C. Backflow - If coach is not State of California approved, does station have backflow device
and pressure -relief valve? Yes_ No
7. Wastes and Drains
A. Is connection made with Schedule 40 DWV and have flex connectors at each end? Yesz----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 -gallons of water through each
fixture including washing machine standpipe? Yes No
D. If coach is not State of California approved, does station have required trap and vent?
Yes No
8. Gas Piping and Gas Vents
A. Connector - Is mobilehome connected Az,� gas supply with an approved 3/4" minimum
mobilehome connector not more than 6 ft.-long?—Note: All piping is.to be at least as
large as the mobilehome gas line irilet'without reductions other than the mobilehome
connector. Yes_ No
B. Test OK as per following procedure? Yes_ No
1. Open all appliance connector valves.
2. Shut off appliance burner and pilot valves.
3. Air test with manometer to 10"-14" water column, or test with slope gauge (minimum
6oz.-maximum 8 oz.) calibrated in tenth pound increments. Test for 10 min. without
drop.
4. Connect gas meter to mobilehome with connector, turn on gas, test connections with
soapy water.
C. Are all appliance vents properly installed? Yes No
A J'
MOBILEHOME INSTALLATION INSPECTION CHECK LIST
I separation from lot lines and buildings and generally
1. Is the mobilehome located wisv
conform to plot plan? Yes_ No
2. Does the mobilehome have required clearances above ground? (Sec.5085) Yeses No
3. Are footings and supports properly sized, spaced, and braced as per approved plans? (Note
possible variation at spring shackles.) (Sec.i5082 & 5083) Yes�ll�o_
4. Is the mobilehome level? (Sec. 5088) Yes _;No_
r,
5. If morp�than a single unit, are crossover connections properly installed? (Sec. 5088)
Yes % No
6. Water
A. Is flexible connector of adequate size and properly installed (1/2" ID min.)? (Sec. 5566)
Yes -o', No
B. Test - Does water piping withstand working pressure or 50 lbs. air test? Yes ,- No
C. Backflow - If coach is not State of California approved, does station have backflow device
and pressure -relief valve? Yes_ No
7. Wastes and Drains
A. Is connection made with Schedule 40 DWV and have flex connectors at each end? Yesz----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 -gallons of water through each
fixture including washing machine standpipe? Yes No
D. If coach is not State of California approved, does station have required trap and vent?
Yes No
8. Gas Piping and Gas Vents
A. Connector - Is mobilehome connected Az,� gas supply with an approved 3/4" minimum
mobilehome connector not more than 6 ft.-long?—Note: All piping is.to be at least as
large as the mobilehome gas line irilet'without reductions other than the mobilehome
connector. Yes_ No
B. Test OK as per following procedure? Yes_ No
1. Open all appliance connector valves.
2. Shut off appliance burner and pilot valves.
3. Air test with manometer to 10"-14" water column, or test with slope gauge (minimum
6oz.-maximum 8 oz.) calibrated in tenth pound increments. Test for 10 min. without
drop.
4. Connect gas meter to mobilehome with connector, turn on gas, test connections with
soapy water.
C. Are all appliance vents properly installed? Yes No
r
9. Electrical
A. Is service large enough to provide adequate amperage -to mobilehome (must equal rating of
mobilehome with a minimum of 100 amp) and other facilities on lot, i.e., water pumps,
garage, cabana, etc.? Yes ®--_`ko
B. Is there proper clearances around panels: Yes �No_
C. Is power supply cord,or feeder assembly properly fused? Yes # No_
D. Is continuity test satisfactory as per the following procedure? Yes .' 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 theelectrical 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 5'3— Width V -q -
Vehicle Serial No
State Identification No. ('4 L, /02 S'22 C4 L /0 %S 303
Additional Information or Comments:
COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS
7 County Center Drive — Oroville, California 95965
f
, Telephone: 534-4541
APPLICATION AND PERMIT
17170 I �U�Iildina
,i Date
Receipt No. White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant permit expires Date
BUILDING
Owner Clarence A. Robi eson
SQ. FT. OCC. BUILDING VALUATION
Mailing Address 1. 1 R62 Weatherby Road
Los Alamitos, CA. 9072
illyh04e3t.957
Fireplace
Contractor (Owner)
Total Valuation
Mailing Address
Permit Fee
Plan Checking Fee &/or Penalty
Telephone No.
Permit Fee
Building Address 569 Si 1 verl eaf Drive
PLUMBING No.1 @ FEE
PERMIT FILING FEE $3.00
Orovi 1 1 e, CA. 95965
Each Trap 1.50
p
Lot `1 9 8 , Unit 1- Ke -Illy Ridge
Repair drainage or vent piping 1.50
Water piping 1.50
Each gas water heater or vent 1.50
//
A. P. No. 34 — 6O — O5 /Z Z ning & Plannin
Gas piping system 1 - 5 outlets 1.50
ach additional outlet j .30
F
Sa ion
I Fire Dept.
FireUse - Permit
Building sewer 5.00 / ,pd
EQA
Parking
Plans
Parcel
Declaration
>eT
60' R/W
ImprovementsLawn
sprinkler system 2.00
Bldg. P4Ks Recd
Parcel pproval
Plan pproval
Permit Fee $ .00
$ 23 C
NEW ❑ ADDITION ❑ UTILITIES OTHER ❑
ELECTRICAL No. @ FEE
PERMIT FILING FEE $3.00 ,Cid
Main service 8001 OR LESS
100 AMP OR LESS 5.00
Main service EA. ADD -L 100 AMP 2.50 471D
Single Family ❑ Duplex ❑ Mobil Home Others ❑
OVER V 0?
Main service 00 AMPOOR LESS 25.00
Main service EA. ADD'L 100 AMP 1.00
NIMUM
j00SQ FJ MINON-RES
NEW CONST. I DWELLING OCCUP. &
OR ADDNS. ACC. BLDGS. 22Sq ft
D NEW R. ( BRANCH CIRCUITS) 2.50ea
FOR MOBILES
NEW CONSTR. (POWER
NON-RESID. OUTLETTUS &
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:
Ex. Occup(OUTLETS OR FIXTURES)@�
BAL�1
Ex. Occu p'(FIXED APPLNS. OR
OUTLETS (RESID.) EA) 2.00
Temporary service 10.00
Mobile Home Facilities 15.00
License No. Classification
Misc. Wiring 6.25
I am exempt from the Contractors License Laws of the State of California.
Permit Fee $
5
WORKMEN'S COMPENSATION INSURANCE
1 am aware of the provisions of Section 3700 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
orkmen's Compensation Insurance.
certify that in the performance of the work for which this
Vplermit 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
Pgimit 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
authorize repre entatives of the County of Butte to enter upon the
above -men ' property for in ection purposes.
X Date
Siqnoture of Permitee or Aaent
00
TOTAL PERMIT FEE
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.
DIRECTOR/6F�UBLIC WORKS
�t��t/t 1-11, ( 1/ r
17170 I �U�Iildina
,i Date
Receipt No. White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant permit expires Date
NOTE—All Materials & Workmanship Shall Be in -
Accordance with Recognized Good Practices and LOT-198
of a quality prescribed for the Specified use in the
Uniform Building, Plumbing & Machanical .Codes and
U ».-._�
the National Electrical Code.
A T T_
T. f/. CONN. \`= 24'"XS�.'
. TEL: ; -" CONN 7 \
shall by -C-0
nnect%O a rear 0
J-1.
11 utilit`% .c 4 it. °utS1ob%le tne
The 4iig Setback all be 5 ft. from the 1 meted nth of the {the �1O
side property line nd 50 ft. from the dl S%
P P Y -° Ction e o
p thin - � t �roa
centerline of the ro d,9 a maxi- onitti
ermn t
P p �:; � \
mum of a 2 ft. eav overhang but entirely ' . / I ho e•
out of all easements, 0 •Q , �'" o P
aQ.. 2.00 A.nnP. :.P=D=5TAL" \ /
Q %°sfcr/l it WI// be
o f/,A �9vi�eQ► 0
f
OP tie o-
1`.,. x sz • ` r i, �0
\; �r
Ab
o0
_SE7-,43ACA<
I his set of plans and specifications MUSi-
kept on the job at alltimes and it is unlawfu to d 1,O-017��8�BUTTE COUNTY
make any changes or alterations on same without �" •320:00:.. _..
written permisson from the Department of P1#h1;-6T 46 BUILDING DEPARTMENT
Works, 'County of Butte.
AVD71E-__
CUT%L iTY _LOCA;-10NS APP OV E
ANOT T_O SCALE, _
T1E✓, m j3 wgs�o; ; q.;' "WAX7r 78,
n,\OciiL= p,Ooma4-/- 78 0 D.D,
_��G _7'-.F,- 7Y V)
<. -
COJJNTYjOF-BUTTE — DEPARTMENT OF PUBLIC WORKS
7 County Center Drive — Oroville, California 95965
Telephone: 534-4541 %U
APPLICATION AND PERMIT /+
authorize representatives of the County of Butte to enter upon the
above-mentioned propert or inspection purposes.
Z " aq a
Date `' 2V
Signature o`77 Of P it�
rmitee or Agent
Receipt No. 1_177
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 0& PUBLIC WORKS
BY / x Date l y-3
Building permit expires Date
BUILDING
Owner 174
SO. FT. OCC. BUILDING VALUATION
Mailing Address
Telephone No.
Contractor
17140[Fireplace
Mailing Addres
Total Valuation
Telephone No.
Permit Fee
Building Addressu AJ 1 .�
P I an Checking Fee &/or Penalty
Permit Fee
/
�G
PLUMBING No. @ FEE
PERMIT FILING FEE $3.00
Each Trap 1.50
Repair drainage or vent piping 1.50
Gll/i7
A. P. No. .1 X07- /
Zoning & Planning
Water piping 1.50
Each gas water heater or vent 1.50
F"
Fire Dept.
Fire Zone
Use Permit
Gas piping system 1 - 5 outlets 1.50
EQA
Parking
Plans I
Parcel
Declaration
I Parcel Map
6 ; R/W
Improv eme
Each additional outlet .30
Building sewer 5.00
Bldg. Pans Rec'd
Parcel A of 1
Plans Ap royal
Lawn sprinkler system 2.00
NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER
Permit Fee $
$
'r —
ELECTRICAL No. @ FEE
PERMIT FILING FEE $3.00
Single Family Du lex Mobil Home Others
❑ P ❑ ❑
600V OR L
Main service ESS
loo AMP LESS 5.00
-L
Main service EA. ADDloo AMP 2:50
Main service OVER a 25.00
100 AMP O OR LESS
Main service EA. ADD'L 100 AMP 1.00
NEW OR ADDNST � ACCLBLDGS,LINGCCUP. �) 2P Sq It
/
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 �)J/ / ��
,/g
TLET
NEW CONSTR. BRANCH CIRCU
NON•RESI D• BRANCH CIRCUITS) 2.50ea
NEW CONSTR. (POWER APPARATUS 6
N ON-RESID. SINGLE OUTLET CIR.
50
EX. OCCUO(OUTLETS OR FIXTIIRES BAL
EX. OCCu FIXED APPLES. OR
Ex.P• � FIXED AS (RESID,) EA) 2.00
Temporary service 10.00
Mobile Home Facilities 15.00
License No.o?G/S!) S Classification C
Mise. 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 Wo n's Compensation.
I have placed on file with the County of Butte a certificate of
Workmen's Compensation Insurance.
I certify that in the performance of the work for which this
permit is issued I shall not employ any person in any manner
so as to become subject to the Workmen's Compensation Laws of
California.
MECHANICAL No. @ FEE
PERMIT FILING FEE J$3.00
Heating
Cooling
Ventilation
Hood 2.00
Permit Fee $
$
1 certify that I have read this application and state that the aboveI
information is correct. I agree to comply to all County Ordinances
and State Laws relating to building construction, and hereby
ar---'L—n="Iapj3ae *gee
$ 0 .01
TOTAL PERMIT FEE
$ gg0
J 0 '
authorize representatives of the County of Butte to enter upon the
above-mentioned propert or inspection purposes.
Z " aq a
Date `' 2V
Signature o`77 Of P it�
rmitee or Agent
Receipt No. 1_177
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 0& PUBLIC WORKS
BY / x Date l y-3
Building permit expires Date
+� 1
- •c': r
1:1�� ASSOCIATES ENGINEERING CONSULTANTS
2060 PARK AVENUE
OROVILLE, CALIFORNIA 95965
PHONE (916) 533.6457
t
June 21, 1978
James-Glander
Department of Public Works
7 County Center Drive
Oroville, California 959.65.
Re: 7.8551
Dear Jim:
Compaction test results are enclosed for mobile home site
preparation ,at Kelly Ridge Estates for:
Bude l.er,.—._—KRF Unit 4 of 56
Robieson KRE Unit 1 Lot 198 Z L( -,,-
Representative tests indicate that the 90% relative compaction
requirement has been satisfied.
-A location map is attached,
LH/cab
~Enclosures
Very truly yours,
COOK ASSOCIATES
Sy tet -we iatt
Civil Engineer
if
Client Robieson
COO SEOCIATES Projects Unit 1 Lot 198
ENGINEERING CONSULTANTS (Nuclear in -Place Job No. 78551
2060 PARK AVENUE Moisture Density,Test
OROVILLE ,CALIFORNIA 95965 Operator Kimbrell
( 91 6) 533 —6457
TEST NUMBER
1
2
3
4
5
6
7
8
9
10
TEST DATE
6-5-78
6-5
is tLif t
2ndLif
TEST
I,2'Fill
3'Fill
LOCATION
Final
MODE a DEPTH
6" DT
8" DT
MOISTURE
COUNT
1114
994
MOISTURE
.COUNT RATIO
.795
.710
MOISTURE
14.5/
PCF
20 25
17.5
DENSITY COUNT.
440
238
DENSITY COUNT
RATIO
1.685
.911
WET DENSITY
PCF
132.0
134.0
DRY DENSITY
118.5/
PCF
111., 75
116.5
% MOISTURE
12.4/
OPTIMUM DRY
130
130
DENSITY PCF
% OPTIMUM
11
11
MOISTURE
% RELATIVE
90
COMPACTION
/86
90
DAILY STANDARD COUNT
COMMENT:
DATE MOISTURE DENSITY
6-5 1400 261
rah
LOT 198
..UN IT.- t
L -V ITT
T. l/• CONN.
.TEL;.CONN.-- \
420.00'- �\
`l
4k O
200 AMP. P-A=SIAL
d� ;y
0
4 � O
0
r
0 J, p
f,
_v L.. / Lei-! v • �� ..
1
T2 = 320.00'
'
uT/L- 17-Y LoCA77/0"S AT2ESA0WV
,9P/�2OX. -NOT TO SCALE, _
�El/, ,m, /S'syas/o; ,q9 w✓s3s 4i,`.aoo�o i=E�?-pig? .—�tv�'-.�=�5- �B,
MOotL= Ao0mc) 1i - /- 7S 0 Ix t>,
i
1. Owner's name:
BUTTE COUNTY DEPARTMENT OF PUBLIC WORKS
7 County Center Drive, Oroville, CA.
PHONE: 53.,4-.4541
MOBTLEHOME INSTALLATION SHEET
2 Installer's name: OROVILLE TRAILER SALES
3. Is the -site currently under permit? Yes
(If yes, furnish permit number ) OR
Is the site an existing site?. Yes / / No /
I
P
I
(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 /. No
(If no, clarify )
,5. What is the mobilehome electrical rating? -----------------'------ Amps
6. What is the mobilehome site service rating? --------------------- Amps
7. What is the mobilehome site circuit breaker rating? ------------- Amps
8. Is there any other electric load to be served by the mobilehome
site service? -----=-------=------------------------------------- Yes / / No i�
(If yes, identify the load and size: (Load) (Amps)
9. What is the mobilehome site gas pipe size? -----------=-------- (in.)
10. What is the type of gas service? ---------------------- Natuna `-"�' '- b -m r=--
11. What is the gas pipe length from meter or tank to the mobilehome?
12. :What is the mobilehome gas demand? ------------------------------
-(BTU)
(This information not required if pipe length less than 6 ft. on natural gas
or less than 50 ft. on LPG.)
BUTTE COUNTY
,BUILDING DEPARTMENT
APPROVED
MOBILEHOME SUPPORT DATA
) If other than single wide, . _ `j
Mobilehome Mfr. i11 furnish Setup Model No. �� Year d
Width92!� (ft.) Box Length(ft.) Tagalong or Expando Size _tE.-x 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° o l ty of Butte).
All center supports measured from front of
mobilehome unless otherwise specified.
/oWtinys
(check one)
Single ood either
AG�' pressure treated or
A,;; foundation grade.
(ft.)(in:) (in.) (in.) ❑ 2. Other (specify)
Center support Center support
Suorts.(check one)
locations* footing sizes
9111_(in.)
1: Concrete block.
qx 30 ❑ 2. Other (specify)
(in.) (in.)
¢—Tagalong or Expando,
show support details.
(in.) (in.)
Typical Support
(in.) (in.) Footing Size
(ft.)(in.) Tin.) (in.) O -- Max. Pier Spacing
Max. Overhang
(ft.)� (in.) (in.) (in.) (ft.)(in.)
*If center piers are other than drawn above,
draw in -locations, spacing, and dimensions.
r ,
s '
PERMIT NO. 3956-78B,E
PERMIT EXPIRES
OWNER Clarence'•Robieson
`.,CONTR. owne r
34-60-5
LOCATION (A.P. )
569 Silverleaf Dr., lot 198, KR#l, Oroville
F
Temp. Power Pole
Called PG&E
t Temp. Elec. Serv.
Called PG&E
F Temp. Gas Serv.
Called PG&E
JOB
FINALED,
(Date)
(Si ature)
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS
BUILDING INSPECTION RECORD
BUILDING
BUILDING'(Cont'd)
Gird. Fault Prot
Setback - `"%
Firewall
Soil Piping
Forms
Parapets
1st Floor
Main Bldg.
Restroom Finish
2nd Floor
Footings
Windows
3rd Floor
Stemwall
Siding
To out
Slab
Roof Sheathing
Water Piping
Piers
Roofing
Sewer
Garage
Fdn. Vents
Fixtures
Footings - - -
Stemwall
Garage Vents
Insulation
Water Htr.
Heaters
Slab _ -
Carport
p
Footings
Prov. for physically
handica edy
Conformance of ex.
structure
Appliances
Gas Piping &
Temp. Gas
Slab
Final
Sanitation
Patio V
FIREPLACE
Final
Footings
Footin
Masonry Walls
Throat
kFixtures
Reinf. Steel
Final
s
PLUMBING
ELECTRICAL
Mesh
LtCHANICAL
Gird. Fault Prot
Scratch
Heating
Service
Brown
Cooling
Temp. Po
Finish
Ducts %
Underground
Interior Lath
Ventilation /
Permanent
Door Closer
Final
Final
MOBILEHOMEUTILIT S ------------------
Elec. Serv'
Elec. Pedestal
Water Piping
Sewer
Gas Piping
BILEHOME INSTALLATION - - - - - - - - - - - - - -
Support
Elec. Continuity
Water Piping
Drainage
Gas Piping
DATE REMARKS OR CORRECTIONS
t
Prot/+d4,- 3o M, A.+r 1A) r+-ow•T- ®ice v.ee. �iFra�
7zo
(NOTE: An entry must be made on this form each time you visit the job site.)
COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WOR S
7 County Center Drive - Oroville, California 95965 ��/'-% � V
Telephone: 534-4541
APPLICATION AND PERMIT
authorize representatives of the County of Butte to enter upon the
above-meritijoed property for inspection purposes.
Date l
Ir Signature of Permit spoor Agent
Receipt No. /7 8 Jd 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 for which fees have been paid.
DIRECTO"F PUBLIC WORKS
BY E/XC� �- Date 7 /Or 7
Building perTjt---xpires Date Z.-�
BUILDNG
Owner C/ r-'VCZ �' �10(1/
SQ. FT. OCC. BUILDING VALUATION
00
Mailing Address S £
Telephone No.
n/o�✓L
Contractor
Mailing Address
Fireplace
Total Valuation 3
Telephone No.
Permit Fee
Building Address n��
Plan Checking Fee&/or Penalty
Permit Fee 0o
PLUMBING @ FEE
-No.1
PERMIT FILING FEE $3.00
Each Trap 1.50
Repair drainage or vent piping 1,50
A. P.
Zoning & Planning
Water piping 1.50
Each gas water heater or vent 1.50
F s
ft-r-tatton
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
45 Idg. Pions Recd
Parcel A ov�
Plans Approval
Lawn sprinkler system 2.00
NEW ADDITION ❑ UTILITIES ❑ OTHER ❑
Permit Fee $
$
ELECTRICAL No. @ FEE
PERMIT FILING FEE $3.00 p
Main service 600V OR LESS
100 AMP OR LESS 5•QD
Single Family ❑ Duplex ❑ Mobil Home ❑ Others
Main service EA. ADD'L 100 AMP 2.50
Main service OVER 600V
00 AMP OR LESS 25.00
Main service EA. ADD'L 100JJgAMP 1.00
NEW CONS.
OR ADDNST ( ACCEL BLDGO 6DI 20sgft 7,0
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:
Y
NEW CONSTR MULTI -OUTLET
NON -REBID BRANCH CIRCUITS) 12.50ea
NEW CONSTR. (POWER APPARATUS.a.,
NON.RESID. SINGLE OUTLET CIR.
Ex. OCCUO(OUTLETS OR FIXTURES 0@254�
BAL @ 10s
Ex. OCCU FIXED APPLNS, OR
p•(OUTLETS (RESID,) EA) 2.00
Temporary service 10.00
Mobile Home Facilities 15.00
License No. Classification
Misc. Wiring 6.25
I am exempt from the Contractors License Laws of the State of Cal ifomia.
Permit Fee $
$
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.
❑1 have placed on file with the County of Butte a certificate of
Workmen's Compensation Insurance.
permit is issued I shall not employ any person in any manner
SeaI certify that in the performance of the work for which this
s to become subject to the Workmen's Compensation Laws of
California.
MECHANICAL No. FEE
@
PERMIT FILING FEE $3.00
Heating
Cooling
Ventilation
Hood 2.00
Permit Fee $
$
I certify that I have read this application and state that the above
information is correct. I agree to comply to all County Ordinances
and State Laws relating to building construction, and hereby
Land Development Fee
$
I TOTAL PERMIT FEE
$ 41
authorize representatives of the County of Butte to enter upon the
above-meritijoed property for inspection purposes.
Date l
Ir Signature of Permit spoor Agent
Receipt No. /7 8 Jd 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 for which fees have been paid.
DIRECTO"F PUBLIC WORKS
BY E/XC� �- Date 7 /Or 7
Building perTjt---xpires Date Z.-�
All Materials & Workmanship Shall Be in
MTC:— ith Recognized Good Practices and
pccordanCe wit for the Specified use in the
Z11,3 gL11114V n & Machanical Codes and
1%6fiorm Building. Plumbing
41,E Mlationol Electrical Code.
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lans and specifications MUST bo -��•`9i h
this set of p
cept on the job at all times and it is unlawful to
rake any changes from the Department of Public
ralterations
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written permisso
Works, County of Butte.
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OROVIIIE, CA. 95965
CONCRETE
1--1ed. !„Iood Shakes over
12"x 12't(TYP) Raised Slab,
Footings w/ A” Min. Slab
jtl� Felt over "plywood
3 F-/!:
EXTERIOR
7/1F, Rough Sawn Hardboard
(to match Existing Mobile
Home) over #15, felt over
/4 t) d
plywood
D00113
MOTH lcTr--
Lights: 1" 3,
kltx 6' 9" Exterior
S.C. Door
Switches 2
outlets 8
1- 161 X 71 Double
Garage Door
WINDOI,,fS
1-2t x 61 n,lum Fixed
Window
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