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HomeMy WebLinkAbout069-200-037R �4-Za_ Roy Johnston /,3'//78 427 Lodgeview Dr., lot 105, KR#3, Oro. Permit #6309/77P,E(util.,MH) ELEC. y P 61 GAS i � ; SUPPORt ST UCTURE REQ. 7,c } COMPACTION TEST REQ. Contr: John W, Beutler, Yuba City Permit #331-78;AHI Issued AZ< contr:Holmes Mobile Home. Serv.,Bangor Permit OU-78B�(new covered decks -& i carport/MH)'`"-""`t 41W 78' cor#r: Holmes Mobile Home Serv., Oro.`" Permit #3844-78B(neui carport 6,t rage shed/MH) A contolmes Se. Ven VA8 =78B(new awn ns/ HP Contr: Holmes MH Ser, Oroville { Permit#55-80B(lst enewal/3 44-7 carport & storage/ 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 therequirements of the California .Administrative Code, Title 25, Chapter 5, under permit number 33/ - l 6 -'for the following location: t D Ib6Ev/ A: t j 7Yz- L f) -r /D S /1ZW'3 (O/L t'') Owner !1D V' _ QbW S ro /Y 4 ' Owner s Address Mobilehome Mfg.j6A1# M%(J Model3a :Xea�21 Insignia NoP4 ` ��� Serial No. It is herebyLert certified of occupancy at the above described location and may be occupied. Director off Publics Works Date / Ay/7 �- $y / ,t'P , c -.'d//THIS CERTIFICATE IS VOID WHEN MOBILEHOME IS RELOCATED PERMIT NO. 6309777P,E IL i• -* PERMIT EXPIRES 9A OWNER Roy Johnston CONTR. owner 1 LOCATION (A.P. 34-72-37 ) 427 Lodgeview Dr., lot 105, KRIB , vroville 0 Temp. Power Pole Called PG&E Temp. Elec. Serv. Called PG&E 1 6,i.J .Temp%'Gas Serv. Called PG&E OB FINALED " (Date s� (Signature) COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS BUILDING INSPECTION RECORD BUILDING A BUILDING (Cont'd) PLUMBING beTgack F ewall S611 Piping For PApets 1 t Floor Mal Bldg. Reshpom Finish 2n Floor Fo tins WindAts 3rd oor Stem all Siding To out Slab Roof She hing Water PIp,\9 Piers Roofing Sewer Garage Fdn. Vents Fixtures Footin s Garage Vents Water Htr. Stemwa I I Insulation Heaters Slab Carport Footings v Prov. for physica n ed Conformance of ex. structure V Appliances liances Gas Piping & Test Temp. Gas Slab A Final oni,Sanitation /%/e 64-4 Patio RE ACE Final Footings Footing E ECTRIC L Masonry Walls Throat Rough Reinf. Steel Final Fixtures Stucco I Final 1SubPaneI4 4Bn MECHANICAL Grd. F It Prot. Heatl Servl I Coo ny Tim Pole Ish poor Closer NK.Final Final MOBILEHOME UTILITIES ------------------ Elec- Service 00 14At P$ Elec. Pedestal Water Piping 7�7i/ .%i Sewer -/ _1//5,-/,7 Gas Piping NOS E OME WSTALIATION -------------- Support t 34Z7pKC---,---Elec. Continuity Water Piping 7 Drainage Gas Piping DATE � �7 REMARKS OR CORRECTIONS S �tl7' %a Oh o SOD A /%/e 64-4 $'uPfD27`— 1V,0 e pyo 1 -yo � (NOTE: An entry must be made on this form each time you vislt the job site.) � S 0 �2 i J , ' �' 1. • �.�'�. .. 9. Electrical A. Is service large enough to provide - adequate amperage -to mobilehome (must equal rating of mobilehome with a minimum of t8d'amp) and other facilities on lot, i.e., water pumps, garage, cabana, etc.? Yeses No B. Is there proper clearances around panels? Yes�140— C. Is power supply cord,or feeder assembly properly fused? Yes _ No D. Ismcontinuity test satisfactory as per the following procedure? Yes No_ k. De -energize electrical wiring system of the mobilehome at the pedestal .2,.1"_Make sure that the power supply cord. -or feeder assembly conductors, including neutral conductor, have been disconnected. witch all breakers and switches in the mobilehome to the "on" position. �onnect one lead of a test instrument to the mobilehome grounding conductor and apply the other lead to each mobilehome supply conductor, including neutral. All non-current, carrying metal parts of the mobilehome (aluminum siding, gas line, water line), including fixtures and appliances, shall be tested for continuity from such equipment and the grounding conductor. 6 'Upon completion of the above procedure, the power supply cord or feeder assembly 110 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. job card signed by Health Department for water and sanitation? 11. If everything okay, sign off card and tag services. k MOBILEHOME DATA DI Manufacturer and/or Namestyle %�a FMA/V®�' �� Length COb Width oG.7 Vehicle Serial No. A/ State Identification No. 644, ����� '7 L° Q L tOEC � Additional Information or Comments: MOBILEHOME INSTALLATION INSPECTION CHECK LIST 1. Is the mobilehome located wi required separation from lot lines and buildings and generally conform to plot plan? Yes_ No 2. Does the mobilehome have,required clearances above ground? (Sec.5085) Yes N _ 3. Are footings and supports properly sized,.spaced, and braced as pe approved plans? (Note possible variation at spring shackles.) (Sec.•5082 & 5083) Yes_ No 4. Is the mobilehome level? (Sec. 5088) Yes_ No 5. If mor than a single unit, are crossover connections properly installed? (Sec. 5088) Yes_ No 6. Water A. Is flex' a 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 ✓No_ HCAS—a6kflow - If coach is not State of California approved, does station have backflow device and pressure -relief valve? Yes_ No_ 7. Wastes and Drains' 4_� A. Is connection made with Schedule 40 DWV and have flex connectors at each end? Yes No B. Does it have minimum" per foot slope and is it properly supported? Yes— No C. Are any leaks detected in drainage system after running 3Aallons of water through each fixture including washing machine standpipe? Yes_ No / �f coach is not State of California approved, does station have required trap and vent? Yes No 8. Gas Piping and 4�s vents A. Connector -mobileho a connected to the gas supply with an approved 3/4" minimum mobilehome co ector of more than 6 ft. long? Note: All piping is to be at least as large as the m it ome gas line itilet without reductions other than the mobilehome connector. Yes No B. Test OK as pe fo lowing procedure? Yes ' No 1. Open al appli nce connector valves. 2. Shut off applian a burner and pilot valves. 3. A'r test with mano ter to 10"-14" water column, or test with slope gauge (minimum oz. -maximum 8 oz.) alibrated in tenth pound increments. Test for 10 min. without drop. Connect gas meter.to mob'lehome with connector, turn on gas, test connections with soapy water. C. Are all appliance vents properlj\ installed? Yes_ No. COUNTY OF BUTTE — , DEPARTMENT OF PUBLIC WORKS 7 Ciunty Center Drive — Uroville, Calitornia 95965 Telephone: 534-4541 APPLICATION AND PERMIT Owner J Mailing Address / ^ Telephone No. /1+Lr Contractor Mai I i ng Address �,� g —� d r Telephone No. c Cs 9/ > Building Address 4Q7 LIFYr!7 )VAJk%"Aa 1) 1- A. P. No. '5 7. ' Zoning & Planning F s W. C. FireDept. Fire Zone Use Permit EQA Parking Parcel Parcel Ma 60' R/W Improvements Plans Declaration p p Bldg. P ec'd Parcel proval s Approval NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER Single Family ❑ Duplex ❑ Mobil Home ❑ Others ❑ 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: -� License No. 2 X77"1768. Classification ❑ I am exempt from the Contractors License Laws of the State of California. WORKMEN'S COMPENSATION INSURANCE I am aware of the provisions of Section3700 of the California Labor Code which requires every employer to be insured against liability for Workmen's Compensation. ❑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 permit is issued I shall not employ any person in any manner so as to become subject to the Workmen's Compensation Laws of California. I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above-mentio 'property fo inspection purposes. X Date Signa ure of Pe ''i)tee or `Agent ( Receipt No. A,6 �1 White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant _ BUILDING SO. FT. I OCC. I BUILDING VALUATION Fireplace Total Valuation Permit Fee _ Plan Checking Fee &/or Penalty Permit Fee PLUMBING PERMIT FILING FEE Each Trap Repair drainage or vent piping Water piping Each gas water heater or vent Gas piping system 1 - 5 outlets Each additional outlet Building sewer Lawn sprinkler system Permit Fee ELECTRICAL PERMIT FILING FEE Main service 600v OR LESS 100 AMP OR LESS Main service EA. ADD'L 100 AMP Main service OVER s 100 AMP OR LESS Main service EA. ADD'L 100 AMP NEW CONST. ( OR ADDNS. DWELLING OCCUP. & ACC. BLDGS. NEW CONSTR. NON -RESI D. (MULTI -OUTLET BRANCH CIRCUITS NEW CONSTR. NON RES D. (POWER APPARATUS & SINGLE OUTLET CIR. $3.00 1.50 1.50 1.50 1.50 1.50 .30 5.00 2.00 $3.00 5.00 2.50 25.00 1.00 ?2sq ft ?.50ea Ex. Occup(OUTLETS OR FIXTURES)LL@¢ BAL@1 FIXED AEx. OCcup.(OUTLETSPIRESID )REA) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 6.25 FEE FEE Permit Fee $ MECHANICAL No. @ FEE PERMIT FILING FEE $3.00 Heat+ng Cool i Ventilation Hood 2.00 Permit Fee $ TOTAL PERMIT FEE $ This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions.to do work indicated above which fees have been paid. RE C OF PU LIC WORKS B Date T 76 permit expires Date MOBILEHOME,SUPPORT DATA Mobilehome Mfr. /t%fo h�lf�/-1 l� Setup Model No. �'a Year Width (ft.) Length /P. Q.. (ft.) . Ekpando Size /0 ft.x a ft. (Draw 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). - Sin le -.D �� �� ` Footings (check. one) / Wood.. either . �j1 pressure treated or Center Center Support CAP `T. � fdn. grade. Support Footing Sizes NTEE�S Locations (in.) 2.. Concrete pad. a3�U r ti ja,�3c j �i PAS / / 3. Other,: specify n. (ftp din) (in.) (in.) Ilk -9-1 ( in.) f . I (in.)(in,) 3 I C s *If center piers are other than drawn above, draw in locations, spacing, and dimensions. IM Supports (check one) / Concrete block 2. Concrete piers 3. Steel piers 4. Other, specify ��ooting Support x� � Footing Size .j in. r...... _..__ _._ Mg. Pier (' t.) in,) P g !�- Max a Overhang -- _ in.) BUTTE COUNiY BUILDING DEPARTMEN i APPROVED BUTTE COUNTY DEPARTMENT OF PUBLIC WORKS 7 County Center Drive, Oroville, CA. PHONE: 534-4541 MOBILEHOME INSTALLATION SHEET 1. Owner's name: 2. Installer's name: /\/€'� iU , �c cry i 2_Te_'_-0 3. Is the site currently under permit? Yes. /Z.-4 No ( If yes, furnish permit number a — ) OR Is the site an existing site?, Yes / / No (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 b-4 No ( If no, clarify ) 5. What is the mobilehome electrical rating? ----------------------- A O O Amps 6. What is the mobilehome site service rating? --------------------- �kQ CD Amps 7. What is the mobilehome site circuit breaker rating? -------------!9 d Amps 8. Is there any other electric load to be served by the mobilehome site service? --------------------------------------------------- Yes / / (If yes, identify the load and size: (Load) No T_ -_ _(Amps) 9. What is the mobilehome site gas pipe size? ---------------------- •'n.) 10. What is the type of gas service? ----------------------------- Natural / / G 11. What is the gas pipe length from meter -or tank to the mobilehome? (ft.) 12. What is the mobilehome gas demand? ------------------------------ (BTU) (This inforinat'iori riot ;required if pipe length less than 6 ft. of natural �;as or less than 50 ft. on LPG.) 'j COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 7 County Center Drive — Uroville, California 95965 / O�-77 Telephone: 534-4541 APPLICATION AND PERMIT V �. _0 U ina ounty vi ouue to enter upon me above-mentioned property for inspection purposes. X yR�-4 Date Signal d, of Perm't a or Agent Receipt No./T�41 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 OF P BLIC WORKS %�% BY Date < / Building permit expires Date ��"9— 7Q BUILDING :W twe- Owner Roy Johnston SQ. FT. OCC. BUILDING ALUATION Mailing Address 674 Lakefair Dr. Sunnyvale, CA 94086 14&714'21223 Fireplace Contractor owner Total Valuation Mailing Address Permit Fee Plan Checking Fee&/or Penalty Telephone No. Permit Fee ,$ P Building Address 9 427 Lodgeview Drive PLUMBING No. @ FEE PERMIT Oroville CA 95965 FILING FEE $3.00 3,00 Each Trap 1.50 Repair drainage or vent piping 1.50 oning Verificafion Q!t, Lot 105 Unit 3 Kell Ridge Estates f Water piping 1�0 b ep Each gas water heater or vent 1.50 A. P. No. 34-72-37 T �ZOn Gas piping system 1 - 5 outlets 1.5u Each additional outlet F s'on Fire Dept. Fire Zone Use Permit .30 Building sewer »p �Qt 10a EQA Parkin PlansBldg. Declaration rcel a 60' R/W Improvements Lawn sprinkler system 2.00 Olans Recd 'Porte Approvol Pla Approval Permit Fee $ NEW ❑ ADDITION ❑ UTILITIES OTHER ❑ ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 ©p V OR Main service 10000 AMP ORSLESS 5.00 • GO Main service EA. ADD'L 100 AMP 2.50 _24sb Single Family ❑ Duplex ❑ Mobil Home Others ❑ Main service OVER 600V 100 AMP OR LESS 25.00. Main service EA. ADD'L 100 AMP 1.00 5yy 5 , FT. MINIMUM NEW CONST. DWELLING OCCUP. & OR ADDNS. ACC. BLDGS. ) 2¢sgft R FOR MOBILES NON.RESID.NEW ( BRANCH CIRCUITS) 2.50ea NEW C ON ST R. ( POWER APPARATUS &) NON.RESID• SINGLE OUTLET CIR. 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)50 @25C 109 Ex. Occu FIXED APPLNS• OR p• ( OUTLETS (RESID.) EA) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 jsoa License No.Classification Misc. Wiring 6.25 �m exempt from the Contractors License Laws of the State of California. Permit Fee $ s S-0 �� a 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. 11 I have placed on file with the County of Butte a certificate of Workmen's Compensation Insurance. S_��certify that in the performance of the work for which this permit is issued I shall not employ any person in any manner so as to become subject to the Workmen's Compensation Laws of California. MECHANICAL No. @ FEE PERMIT FILING FEE $3.00 Heating Cooling Ventilation Hood 2.00 Permit Fee $ $ 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 authnri7n rcn roc o,.♦ .:...... ,,, .I n...._.-. _s n...._ ._ __._ .. L TOTAL PERMIT FEE '' $ °.S �Q V �. _0 U ina ounty vi ouue to enter upon me above-mentioned property for inspection purposes. X yR�-4 Date Signal d, of Perm't a or Agent Receipt No./T�41 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 OF P BLIC WORKS %�% BY Date < / Building permit expires Date ��"9— 7Q •� e"do� 1,-ot qw OROVILLE CALIFORNIA U GENERAL CLAIM CLAIMANT: Holmes Mobilehome Service ADDRESS: 3151 Richter Ave. CITY & STATE: Oroville, CA. 95965 IMPORTANT: DATE OF CLAIM: July 7, 1918 SEE INSTRUCTIONS ON REVERSE SIDE SUBMIT CLAIM TO DEPARTMENT RECEIVING GOODS OR SERVICES DATE DESCRIPTION OF CLAIM (DESCRIBE FULLY TO AVOID DELAY) AMOUNT Owner (Roy Johnston) decided not to build. ermi pp n. - - Receipt #178304 -AP 34-72-37)— Building --permit fee ----- $36.00 --Retain 113 -of---- -- . Amount of refund due -------------$24.00 $24. 0 . i TOTAL $24. 0 I, the undersigned, declare under penalty of perjury that the services or articles claimed have been performed or delivered, and that this claim is true and correct as stated. ' Datedthis .................................. day of ............................. 19....... at................................. Calif..................................................................................... Signature of Claimant 4 I, the undersigned, hereby certify that, to the best of my knowledge, the services or articles specified above have been performed or de- livered and that there is a Budget Appropriation or Specific Board Approval O (Checkone) for the same. Dated this ........... 7th ................ day of .... Jul.I'............. 197A., at OrOVille....... . Calif..................................................................................... Department Head or Authorized Deputy Dept. Exp. CodeCode PAYABLE FROM ....................................................................................................................................................................................... FUND DO NOT WRITE BELOW THIS LINE - AUDITOR'S USE ONLY VENDOR CODE DEPT. & SUB. PROD• SUB. 0BJ. CLAIM NO. I INVOICE NO. INVOICE DATE DISC. GROSS AMOUNT ENCUMB. SUB -DIST. INSTRUCTIONS to CLAIMANTS. _.. �. All claims against the county must be 'itemized, giving daces and character of service rendered or work performed, quantities, de- scription and unit prices of articles furnished or delivered. Claims must be certified by the claimant and submitted to the De- partment head for approval. Upon approval the Department head will forward claim to County Auditor for payment procedure.. Do not file with the County Auditor first. Claims should be presented to officials for approval immediately upon completion of services requested or material ordered. Claims are paid every Tuesday; however, same must be approved by officials and in Auditor's office before preceeding Wednesday noon. Compliance with above will expedite payment of claim, failure to do so may delay payment considerably. U r COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS 7 County Canter Drive — Oroville, California 95965 Telephone: 534-4541 � APPLICATION AND PERMIT Irl+I CJGII a. vGJ VI II IV lrVU11 y vi OUILV LU VIIICI UVUII 1110 above-mentioned property for inspection purposes. X 6Q Date 1% qy Si nature of Permiitee or Agent Receipt No. 27 b 5"17 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 OF PUBLIC WORKS By Building permit expires Date Date BUILDING Owner VZV SO. FT. OCC. BUILDING VALUATION ISO Mailing Address Telephone No. Contractor . 01. KLE-S V Mailing AddressC Fireplace Total Valuation too Telephone No. 5,3 g561 Permit Fee (p p Building Address `A� �E 4—"" Plan Checking Fee&/or Penalty Permit Fee IG PLUMBING No.1 @ FEE - ,#3 PERMIT FILING FEE $3.00 Each Trap 1.50 Repair drainage or vent piping 1.50 r� _� A. P. No. J Zoning 8 Planning Water piping 1,50 Each gas water heater or vent 1.50 Flores Mte- N&V Fire Dept. Fire Zone Use Permit Gas piping system 1 - 5 outlets 1.50 EOA Parking Plans Parcel Declaration Parcel Map 60' R/W I Improvements Each additional outlet .30 Building sewer 5.00 � � Bldg. Pis Re Parcel A royal Plans Approvol Lawn sprinkler system 2.00 NEW ADDITION ❑ UTILITIES ❑ OTHER ❑ Permit Fee $ $ ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 Main service 600V OR LESS AMP OR LESS 5.00 Single Family Duplex Mobil Hom Others ❑ P ❑ ❑ EA Main service E4, ADD•L 100 AMP 2,50 R o I 100 AMP O 25.00 Main service OVER 8 OR LESS Main service// EA. ADD•L 100 AMP 1.00 NEW CONS,DWELING OR ADDNST l ACC•BLDGS.Ccu" 20 sq 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: P InlAk s gcne NEW.CON /BRANCH CIRCUITS) NON.CON T ( BRANCH CIRCUITS) 2.50ea NEW CONSTR. (POWER APPARATUS e NON.RESI D. SINGLE OUTLET CIR. Ex. OCCUD(OUTLETS OR FIXTIIRES g L 1 FIXED ALNS Ex. Occup. (OUTLETS P(RESID,)REA) 2.00 Temporary service 10.00 (:�:, e,-Kyt Mobile Home Facilities 15.00 — License No. SZO 37_1 . Classification Misc. Wiring 6.25 ❑ I am exempt from the Contractors License Laws of the State of California. Permit Fee $ $ WORKMEN'S COMPENSATION INSURANCE 1 am aware of the provisions of Section3700 of the California Labor Code which requires every employer to be insured against liability for rkmen's Compensation. I have placed on file with the County of Butte a certificate of Workmen's Compensation Insurance. I certify that in the performance of the work for which this permit is issued I shall not employ any person in any manner so as to become subject to the Workmen's Compensation Laws of California. MECHANICAL No @ FEE PERMIT FILING FEE $3.00 Heating Cooling Ventilation Hood 2.00 Permit Fee $ $ 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 $ tit Irl+I CJGII a. vGJ VI II IV lrVU11 y vi OUILV LU VIIICI UVUII 1110 above-mentioned property for inspection purposes. X 6Q Date 1% qy Si nature of Permiitee or Agent Receipt No. 27 b 5"17 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 OF PUBLIC WORKS By Building permit expires Date Date OWNER IVU Y \ ]OP -ASS ) Zoning Use Proposed Permit fee based upon: PERMIT APPLICATION WORK SHEET Permit No. A.P. No. 77 =77_ Approved Not approved 1. Complete contract.price. 2. Partial contract price (explain). 3. DPW Valuation (show): During plan checking process, the following data or information must be submitted prior to permit issuance: / 1. Index permit for items G above and in addition the followi g: 2. Applicant advised by Telephone Mail Other Plans checked by Date Plans approved by Date When permit is issued, process as fo ows: 1. Mail to owner. 2. Mail to contractor. 3. Deliver with inspection. 4. Telephone _<:3 Y-CX)1 and hold for pickup @ office. 5. Other Before permit issuance, all of the following items must be signed or marked NA: 1. Zoning use 2. Legal parcel 3. Envir.Health - Date Plans Sent A. Sanitation__ B. Restaurant C. Other 4. Public Works - Date Notice Sent A. Street Imp. B. Drainage C. Permits & Fees D. Other 5. Planning A. Use Permit_ B. Variance C. Other "6. Other Agencies - Date Plans Sent A. Fire Dept. B. Other At time of permit application, the applicant was advised the following data or information must be submitted prior to permit processing and/or issuance: - / Date received All items have been submitted. -------------------------- 2. Plot plans in duplicate/triplicate. --------------------- 3. Complete plans in duplicate/triplicate. ----------------- 4. Complete engineered plans and calcs. -------------------- 5. Fees of $ -------------------- 6. Letter of signature authorization. ---------------------- 7. Sanitation approval. ------------------------------------ 8. Planning approval for -_ 9. Workmen's Compensation Insurance Certificate. ----------- 10. Contractors license information. ------------------------ 11. Parcel declaration, recorded copy. ---------------------- 12. Access declaration. ------------------------------------- 13. Aunt Minnie information. ------------------ 14. Deed of access, recorded copy. -------------------------- 15. Deed of parcel creation, recorded copy. ----------------- 16. Parcel map, recording data. ----------------------------- 17. Pre -inspection request for -- Improvements - ns requ. ed & D approval. --- - Other ------ - v By* D e- g. Ins 01ctor During plan checking process, the following data or information must be submitted prior to permit issuance: / 1. Index permit for items G above and in addition the followi g: 2. Applicant advised by Telephone Mail Other Plans checked by Date Plans approved by Date When permit is issued, process as fo ows: 1. Mail to owner. 2. Mail to contractor. 3. Deliver with inspection. 4. Telephone _<:3 Y-CX)1 and hold for pickup @ office. 5. Other Before permit issuance, all of the following items must be signed or marked NA: 1. Zoning use 2. Legal parcel 3. Envir.Health - Date Plans Sent A. Sanitation__ B. Restaurant C. Other 4. Public Works - Date Notice Sent A. Street Imp. B. Drainage C. Permits & Fees D. Other 5. Planning A. Use Permit_ B. Variance C. Other "6. Other Agencies - Date Plans Sent A. Fire Dept. B. Other I PER" -!,T, NO. $ll-7sB PERMIT EXPIRES tOWNER Roy Johnston CONTR. Hnlm a Mnhiie HnmP S rvic , Rangnr LOCATION (A.P. 34-72-37 427.Lodgeview Dr., lot 105, KR#3; Oroville P I 4 Y Temp. Power Pole Called. PG&E Temp. Elec. Serv. Called PG&E Temp. Gas Serv. Called PG&E �/Fol B s NALED (Date) (Sig e Setback Forms Main Bldg. Footings Stemwal I Slab' Piers Garage Footings Stemwa I I Slab Carport Footing) Slab Patio Footings Masonry Walls Refnf. Steel COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS BUILDING INSPECTION RECORD BUILDING BUILDING (Cont'd) - PLUMBING — 5- 7eV&----- Firewall Soil Piping Parapets 1st Floor Restroom Finish 2nd Floor Windows V 3rd Floor Siding To out Roof Sheathing Water Piping Roofing Sewer Fdn. Vents Fixtures Garage Vents Insulation Water Htr. Heaters Prov. for phsically handica e. Conformance of ex. structure Appliances , Gas'Piping & Test ' Temp. Gas Final Sanitation FIREPL C i Final Footin Bond Beam / \ I FIRE SPRINKLERS I Motors Stucco Final ISub anels Mesh MECHANICAL Gird. Fault Prot. Scratch Heating Service Brown Cooling Temp. Pole Finish Ducts Underground Interior Lath r Ventilation Permanent Door Closer , Final Final MOBILEHOME UTILITIES Elec. Service Elec. Pedestal Water Piping Sewer Gas Piping MQBILEH� OME INSTALLATION - - - - - - - - - - - - - - Support Elec. Continuity Water Piping Drainage Gas Piping DATE REMARKS OR CORRECTIONS (NOTE: An entry must be made on this form each time you visit the job site.) ELECTRICAL COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS 7 Cd(jnki� Center Drive — Uroville, California 95965 —. Telephone: 534-41941 / UY APPLICATION AND PERMIT «Clll - •nv-- .IF. wv..•u vco V 11. VVUrlly vl outty tv CIItCI upull Lim above-mentioned property for in a tion purposes. Date2 qq4ture of Permitee or Agent Receipt No. _. 0 37 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 OF P ELIC WORKS BY Date _ _ Building permit expires Date _ o BUILDING Owner k % U—C) SQ. FT. OCC. BUILDING VALUATION Mailing Address It Z O Telephone No. Fireplace Contractor ! L . 01!y0.E_ Total Valuation OD Mailing Address ' - �C t` Permit Fee Plan Checking Fee &/or Penalty IT e hone Permit Fee $ 3 Building Address PLUMIBING No. @ FEE PERMIT FILING FEE $3.00 Each Trap 1.50 f/ Repair drainage or vent piping 1.50 Water piping 1.50 ZO % ,/, Each gas water heater or vent 1.50 A. P. NO. 7;z_ 7 Zoning & Planning Gas piping system 1 - 5 outlets 1.50 Each additional outlet .30 F s yy�� ilt4dn FireDept. Fire Zone Use Permit Building sewer 5.00 EQA Parking Plans Parcel Declaration parcel Ma P 60' R/W Im rove ents P Lawn sprinkler system 2.00 Bldg. s Parcel Approval Plans Approval Permit Fee $ $ NEW ADDITION ❑ UTILITIES ❑ OTHER ❑ ELECTRICAL No.1 @ FEE PERMIT FILING FEE $3.00 600V OR Main service 100 AMP ORSLESS 5.00 Main service EA. ADD•L too AMP 2.50 Single Family ❑ Duplex ❑ Mobil Home JK Others ❑ Main service OVER 600V 100 AMP OR LESS 25.00 Main service EA. ADD•L too AMP 1.00 OR ADDNS. ( ACCLBLDGOCCUP. &\ 20sq ft NON-RESID RCONST- ( BRANCH CIRCUITS) '2.50ea NEW CON ST R. (POWER APPARATUS &) NON-RESID. SINGLE OUTLET CIR. CONTRACTORS LICENSE LAW I am licensed under the provisions of Chapter 9, Div. 3, of the State of California Business & Profession Code under the name St Je f: Y Ex. Occup(OUTLETS OR FIXTURES) BAL21 FIXED APP LNS. OR Ex. Occup.(OUTLETS (RESID.) EA) 2= Temporary service 10.00 Mobile Home Facilities 15.00 �- License No.�.�% 3 2Z Classification (� Misc. Wiring 6.25 ❑ 1 am exempt from the Contractors License Laws of the State of Cal ifomia. Permit Fee $ $ WORKMEN'S COMPENSATION INSURANCE 1 am aware of the provisions of Section3700 of the California Labor Code which requires every employer to be insured against liability for Workmen's Compensation. �I have placed on file with the County of Butte a certificate of Workmen's Compensation Insurance. certify that in the performance of the work for which this I to ermit is issued I shall not em p 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 TOTAL PERMIT FEE $ 30 - •nv-- .IF. wv..•u vco V 11. VVUrlly vl outty tv CIItCI upull Lim above-mentioned property for in a tion purposes. Date2 qq4ture of Permitee or Agent Receipt No. _. 0 37 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 OF P ELIC WORKS BY Date _ _ Building permit expires Date _ o 60 I�ERMIT NO. 3844-78B '74Z PERMIT EXPIRES ('wNER ' Roy Johnston i ctONTR. Holmes M Lila ROMA Se-rv-.0r��ille ��OCATION (A.P. f 427 Lodgeview Dr., lot 105, KR#3, Oroville T. I A . F t ' Temp. Power Pole-- Called ole_Called PG&E — Temp. Elec. Serv. Called PG&E/— Temp. G&E _Temp. Gas Sew. Called PG&E JOB FIN COUNTY OF BUTTE,— DEPARTMENT;OF PUBLIC WORKS " BUILDING INSPECTION RECORD BUILDING BUILDING (Cgnt'd) PLUMBING Setback - Firewall Soll 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 Stemwa l l Garage Vents Insulation Water Htr. Heaters - Slab Carport Footings Prov. for physically handica ed Conformance of ex. structure Appliances Gas Piping &Test Temp. Gas Slab Final Sanitation Patio FIREPLACE Final Footings `% / -7 Footing ELECTRICAL Masonry Walls Throat Rou h Reinf. Steel %—� - 7 %y Final Fixtures Bond Beam FIRE SPRINKLERS Motors Framing Test Water Htr. Stucco Final Subpanels Mesh MECHANICAL Gird. 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 B16EHOME INSTALLATION - - - - - - - - - - - - - - Support Elec. Continuity Water Piping Drainage Gas Piping DATE 7 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 - Oroville, California 95965 Telephone: 534-4541 APPLICATION AND PERMIT ' BUILDING Owner `'f5 SQ. FT. OCC. BUILDING VALUATI Mailing Address Telephone No. Contractor S 13EQV (C E: Mailing Address ) 141 I&CHTEIZ "Ii5 Fireplace Total Valuation T lephone No. 3LI 50/ Permit Fee 1aC5 Building Address �� L00(-zv1 Dn Planng Fee&/or Penalty Permit t Fee 1 c C1C� OE PLUMBING No.1 @ FEE PERMIT FILING FEE $3.00 Each Trap 1.50 � ,3, ORO Repair drainage or vent piping 1.50 A. P. No W- -7 2.- 3 Zoning & Planning Water piping 1.50 Each gas water heater or vent 1.50 Fekef WcelSwAetiow Fire Dept. FireZone Use Permit Gas piping system 1 - 5 outlets 1.50 EQA Parking Plans I Parcel Declaration Parcel Map 60' R/W Improvements Each additional outlet .30 Building sewer 5.00 aid^°^wc'd I Parcel A royal Plans Approval Lawn sprinkler system 2.00 NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER Permit Fee $ $ .ST e IV '21 (4 kill, __?8 ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 600v OR LESS 5•00 Main service 100 AMP OR LESS Single Family ❑ Duplex ❑ Mobil Home Others ❑ Main service EA. ADD•L 100 AMP 2.50 /J3I�'A ^ o#T C OVER 600V Main service 100 AMP OR LESS 25.00 Main service EA. ADD•L 100 AMP 1.00 NEW LING O OR ADDNST % ACCLBLOGS.CCUP. Y) 22 sq ft CONTRACTORS LICENSE LAW 1 am licensed under the provisions of Chapter 9, Div. 3, of the State of California Business & Professions Code under the name styl ?Vzt� Adf1,e— %!%fr ��'f�/(P4 NEW CONSTR IMULTIL BRANCH CIRCUITS) NON.CRESID,ONST `BRANCH CIRCUITS) 2.50ea NEW CONSTR. (POWER APPARATUS d NON-RESID. SINGLE OUTLET CIR. Ex. Occuo(OUTLETS OR FIXTURES)) g L 1 FIXED APPLNS. OR Ex. Occup.(OUTLETS (RESID.) EA) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 License No,31-/.-:? 7/ Classification C b Misc. Wiring 6.25 ❑ I am exempt from the Contractors License Laws of the State of California. Permit Fee $ $ WORKMEN'S COMPENSATION INSURANCE 1 am aware of the provisions of Section3700 of the California Labor Code which requires every employer to be insured against liability for Workmen's Compensation. I have placed on file with the County of Butte a certificate of Workmen's Compensation Insurance. I certify that in the performance of the work for which this permit is issued I shall not employ any person in any manner so as to become subject to the Workmen's Compensation Laws of California. MECHANICAL No. @ FEE PERMIT FILING FEE $3.00 Heating Cooling Ventilation E2O Hood Permit Fee $ $ 1 certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby Land Development Fee $ TOTAL PERMIT FEE $ / authorize representatives of the County of Butte to enter upon the above -me ione roperty for inspection purposes. X Date O Si nature of Permitee or Agent Receipt No. S-3'C,Ig White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte Co my Code and/or resolutions to do work indicated above for i fees have been paid. CTOR OF PUBLIC WORKS BY DateA111?0 Building permit expire ate —7/6 / 6 COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS 7 County Center Drive — Oroville, California 95965 ����_�� i" Telephone: 534-4541 ' APPLICATION AND PERMIT ' BUILDING Owner SQ. FT. OCC. BUILDING VALUATION g - of Mailing Address CI.WPPZ Telephone No. Contractor es LL Awe ScRmce Mailing Address 3141L Fireplace Total Valuation (fes O LLQ T lephone No. Permit Fee OMS Building Address w /p,D � 6v1W Plan Checking Fee&/or Penalty Permit Fee $ 012S.Oib T 105 J PLUMBING No.1 @ I FEE ORD ILL E C G PERMIT FILING FEE $3.00 Each Trap 1.50 Repair drainage or vent "piping 1.50 32 A. P. No. v Zoning & Planning Water piping 1.50 Each gas water heater or vent 1.50 F s V4ej 46 uiol 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 P Bldg. PFari's Rec'd Parcel A royal Plans Approval Lawn sprinkler system 2.00 NEWZ ADDITION ❑ UTILITIES ❑ OTHER ❑ Permit Fee $ $ ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 Main service ;000 AMP ORV OR SLESS 5.00 Single Family ❑ Duplex Home J ❑ Main service EA. ADD'L too AMP 2.50 C❑-{�Q��Mobbi/I � aOthers 0-AUum � Jm!? 6E V48f� OVER 80L .25 00 Main service t00 AM? OR LESS Main service EA. ADD'L too AMP 1.00 NEW CONS. DWELING O• OR ADDNST ( ACCLBLDGS.CCUP. !t) 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: Y A � L /J64_" es /VEL/L E" /UDIUE- 'SI` Vl (E— NEW CONSTR. RANCHUTLET NON-RESID, BRANCH CIRCUITS) 2.50ea NEW CONST R. (POWER APPARATUS a NON-RESID. SINGLE OUTLET CIR. Ex. Occup (OUTLETS OR FIXTURES g @L t� Ex. Occu // FIXED APPLNS. OR p•(OUTLETS (RESID.) EA) 2.00 Temporary service 10.00 'Mobile Home Facilities 15.00 License No -3.2-U13%% Classification C _ Misc. Wiring 6.25 ❑ I am exempt from the Contractors License Laws of the State of California. Permit Fee $ $ WORKMEN'S COMPENSATION INSURANCE 1 am aware of the provisions of Section3700 of the California Labor Code which requires every employer to be insured against liability for Workmen's Compensation. I have placed on file with the County of Butte a certificate of Workmen's Compensation Insurance. ❑I certify that in the performance of the work for which this permit is issued I shall not employ any person in any manner so as to become subject to the Workmen's Compensation Laws of California. MECHANICAL No. @ FEE PERMIT FILING FEE $3.00 Heating Cooling Ventilation Hood 2.00 Permit Fee $ $ 1 certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby Land Development Fee $ TOTAL PERMIT FEE $ authorize representatives of the (;ounty of Butte to enter upon the above-mentioned property for inspection purposes. X •� Date1116173 Signature of Permiteeee�or Agent Receipt No./ 7 O� 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 b aid. DIRECTO OF PAJBLIC WORKS BY Date ,�_/, ilding permit expires Date 7 (v-7