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069-220-043
i DeCloise Kinnere"j� / G X0 / 200 Apache Cir., lot 223, KR#k3, Orov' Permit #k1813-78B,E(ut•1.,MH) v ELEC., GAS Al k/d SUPPORT STRUCTURE REQ, w� COMACTION TEST REQ . + see � /Wr Contr: C rneros Mobile Home, Napa Permit 0375-78MHI _ ssued.._ ... -(a � Af •contr: Holmes Mobile Home Serv., Oro. Permit #4148-78 (new awnings & decks & shed/MH) � ontr: Holmes MH S- er provill e3� ermit#k53-80BUst� ene al/4148- 8- wnings &decks) � 69,-22-434,'..0 .Contr: •J,.W. Lancaster Const?/ Permit#2974-83B(remove & repace* etEr io rated deck/MH).' 66§--220'-043"-,; . 02`-_'1223- -_' I CLARK, JULIE' `. -^� rY 200'APACHE CIRCLE, OROVILLE, M CONT: ,PAOU CONVERSE JR. REPLACE EX DECK I J `� COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 17 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541PERMIT NO. (Rev. 12/96) APPLICATION AND PERMIT � ASSESSOR PARCEL NUMBER 059-22.0-043 ZONING BUILDING PERMIT OWNER CL�JRK JULIE TELEPHONE SO. FT. OCC. BUILDING VALUATION ont 4500.00 OWNER'S MAILING ADDRESS 200 ApAC.� CIRCLE, OROVI CONTRACTOR'S NAME PAUL CONVERSE JR. 1589-1718 TELEPHONE CONTRACTORS MAILING ADDRESS 11 TOWIMEM DR. CONSTRUCTION LENDER Fireplace LENDER'S MAILING ADDRESS Total Valuation $ 4500.00 ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee $ 72.00 ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ 46-80 BUILDING ADDRESS 200 APACHE ?a Energy Plan Checking Fee $ $ PERMIT FEE $ LOT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Filing Fee 20.00 USEOFSTRUCTURE SF IX Duplex ❑ Mobilehome ❑ Other SPECIFY Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15.00 Each as water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe Work: REPLACE EX DECK WITd NEW & REMOVE OTTER DECK & COVER Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home s G WF-' @20.00 PERMIT FEE $ ELECTRICAL PERMIT Filing Fee 20.00 Main Service 200A OR LESS 23.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in A41 force and effect.O��/ License Class LIC. NO. OWNER -BUILDER DECLARATION 1 hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: ❑ 1, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason Main Service To 46.00so WEE200A CCU000A NEW CONST. DWELLING OCCUP. OR BLDST Sr. � 3.50 SO. Fr. EW c0 MUACC. NON•RESID. 97.50 PONGLE OUTLET CIR.WER APPARATUS a SI20 Ex. Occup. OUTLET OR FIXTUREs p 1.00 B4L p .50 Ex. Occup. DUIXTEEDTS P.6.0Ep 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE $ WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. IR I have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' co ensation insu ance caVier and policy number are: Carrier ig-7 e ttll1 ' Policy Number (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) ❑ 1 certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall f ith comply wit ose provisio X Date-/ O� Sigiyfiture of Applicant - ❑ Owner ❑ Contractor ❑ Agent An OSHA permit is required for excavations over 60" deep and demolition or construction of structures over 3 stories in height. MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST. TYPE TOTAL FEE $ 138.80 HAZ. D. FEES — IMP MP O CDF r PAR L PD -- `. HD ISS IA This permit is hereby issued under the applicable provisions of the Butte County Code and/or Resolutions to do work indicated above for whi ees have been paid. By ate f9 0 PERMIT EXPIRES ON Q I ffiw.) Receipt No. 353614 1 3g. °i7 WHITE-D.D.S.-B.D. CANA Y -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT " .COI% TY OF BUTTE -DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISION County Center Drive, Oroville, CA 95965 Phone (530)538-7541 Fax (530)538-2140; _44 PERMIT APPLICATION DATA SHEET OWNER: (� (i � /� l/ UL �L� ASSESSOR PARCEL NUMBER 0601- '�'? D Proposed Building Use:pC� 1 C CE Aeaff Counter Technician: Date: ( �- Items required in order to apply for a permit. All boxes MUST be checked OR marked NA in order to apply. / 1.. Plot plans, 3 or 4 sets, signed by the preparer of the plans. omplete plans, 3 or 4 sets, signed by the preparer of the plans. 3. Engineered plans, 3 or 4 sets, with wet signature on plans AND 2 sets of stamped and signed calculations. ❑ 4. Engineered truss details and layouts in duplicate. No faxes! ❑ 5. Energy compliance design and supporting documentation in duplicate. ❑ 6. Manufactured homes: (A) Data sheets and installation instructions, (B) Marriage line information, (C) Floor Plan, (D) Tie down or foundation plans, all in duplicate. ❑ T. Metal buildings: (A) Metal Building Plans, (B) Foundation plans and calculations in triplicate, (C) Elevation views in triplicate. (D) Floor plans in triplicate. All of these must be stamped and wet -signed by the engineer. Items required for initial plan review. If checked items have not been received, plan review cannot proceed. The permit will be indexed and returned to the plan review line-up when required items are received. Date Received By ❑ 8. Flood Elevation Certificate, wet -stamped and signed, in duplicate ................................ ❑ 9. Plot plan and business license approval from the City of Biggs .................................... " ❑ 10. Letter of intent for non-residential buildings......................................................... ❑ 11. Detached Accessory Building Form filled out by the owner ..................................... ❑ 12. Hazardous Material Form................................................................................ ❑ 13. Other Remaining items needed to issue the permit. (May require additional plan review upon receipt of the following items.) ❑ 14. Fees as shown on the attached Schedule of Fees Due Sheet ....................................... ❑ 15. Statement of Intent for Non -heated and A/C Buildings ............................................. ❑ 16. Sanitation and plot plan approval from the Environmental Health Department in ~'r ❑ 17. City of Chico Plumbing permit......................................................................... ❑ 18. California Department of Forestry plan approval ❑ paid. Sent by: ...................... j ❑ 19. Planning approval for (A) Use: (B)Parking: (C) Parcel Check: ❑ 20. Contact Land Development about ❑ Improvements, ❑ Drainage ............................... ❑ 21. Encroachment Permit for driveway from the Public Works Dept. (construction approval prior to occupancy). ❑ 22. Pre -Inspection for required ................ ❑ 23. Contractor's license information. (Number, Name Style, Classification) ...................... ❑ 24. Worker's Compensation Carrier and Policy Number ..............:.............................. ❑ 25. Owner -Builder Verification (❑ Given to owner, ❑ Mailed to owner) ..................... ❑ 26. Letter of Signature authorization.................................................................... ❑ 27. Recorded copy of Agricultural Acknowledgment Statement .................................... ❑ 28. Manufactured home utility clearance............................................................... ❑ 29. Existing violations and/or expired permits......................................................... ❑ 30. El Grant Deed, ❑ M.H. Title/Statement of Facts, ❑ Letter from Legal Owner, ❑ Check to H.C.D. $ ❑ 31. Other: When issued Telephone and hold for pickup. I have been infor ed o he above items nd requirements for obtaining a building permit.'-- . .x... L Applicant: Date: 1. Index permit application for the above items numbered: Check Letter 2. Additional items required Contrac , designer, owner, wised ofliW�y5�a� by phone, ❑ mail, ❑ counter, by Date: S D L Contractor, designer, owner, was advised of the abov ata by ❑ phone, ❑ mail, ❑ counter, by Date: Plans reviewed by: P �,Cy Date: Jr' p �—' Plans approved by: Date: Structural reviewed by: Date: Structural'approved by: Date: Note transfer by: Date: Yellow: Building Division COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541 PERMIT r. -tev 12/96) APPLICATION AND PERMIT ''SE—�"P"NUMBER <'O_ 0 3 l BUILDING PERMIT owNERT[LL1N0Ne SO. FT. OCC. BUILDING VALUATION I _ v zi 'e p,vf CW'JEh 4 VA.UNG 01, ADDRESS / P-) /�� ._ .... O(' dac /l_ ! I t CO�q 7mc _t 11 vi,Iffr.t� LEI -DER S MNUNG ADDRESS ARC.ITECT OR ENGINEER AaCHITECT OR ENGINEERS MAILING ADDRESS 96ILD04G ADDRESS LOT NO. I SUa0NISONS NAME rz C 0? I TELEPHONE USEOFSTRUCTURE SF Cq/Duplex ❑ Mobilehome ❑ Other SPECIFY TYPE OF WORK New ❑ Addition ❑ Remo}deell 0 Utilities r❑YInstallation ❑ Other ❑ Describe Work: r'�/ �'/L(�/ % /� ��'Z/�/%f/ OU ,lz/, C G►�r aYCj' OT/fL�r `� L oL C�✓l2 Z34 I "PERAUT FEE PAZO SRI • • SHERIFF OTHER AAitOVN T RECIMWO •err Mwee 553(t�l • TO N 111T fNT'O COMMlR . Receipt No. WHITE•O.O.S.•8.0. CANARY -ASSESSOR PINK -INSPECTOR OOLOENROO-APPLICANT PERMIT FEE I b MECHANICAL PERMIT Fling Fee I 20 00 Heating Cooling Hood I 6.50 Ventilation ./ PERMIT FEE I S Mobile Home Installation Fee b Energy Inspection Fee b °C DDNs.. 7YTOTAL FEES NA2. 0. FEES IMP nA00 COF PAACEL PO I �. — — f0 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 pai . of - 50. By Once PERMIT EXPIRES ON PERMIT FEE 1 i ELECTRICAL PERMIT ( I Filing Fee' 20.00 Service ESS 600v ORLMain ( p.OR LESS ) I 23.00; Fireplace I 200A TO 1000A I j 46.00 - -- Total Valuation is 3P. I �Da Fling Fee l b 20 G-. Permit Fee I b 7Pj * I'0° i — SAL V_.50 Plan Checking Fee b I 5.00 Temporary Ser ii; I Energy Plan Checking Fee b acilities ! ! 20.00' MisC. W4fing b I 23.00 PERMIT FEE b PLUMBING PERMIT I Fling Fee 20.00 Each Trap 7.00; Solar or heat pump water heater 1 23.00,1 Water piping I 15. Each gas water heater or vent I 1 5.00 Gas piping system 1 - 5 outle 15. OL0 Building sewer I 1 15.00: Mobile Ho . I G I W I I I @20.00'. PERMIT FEE I b MECHANICAL PERMIT Fling Fee I 20 00 Heating Cooling Hood I 6.50 Ventilation ./ PERMIT FEE I S Mobile Home Installation Fee b Energy Inspection Fee b °C DDNs.. 7YTOTAL FEES NA2. 0. FEES IMP nA00 COF PAACEL PO I �. — — f0 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 pai . of - 50. By Once PERMIT EXPIRES ON PERMIT FEE 1 i ELECTRICAL PERMIT ( I Filing Fee' 20.00 Service ESS 600v ORLMain ( p.OR LESS ) I 23.00; Mein Service 200A TO 1000A I j 46.00 - NEW CONST. OR ADONS. OWELLING OCCU ( A ACC. aws. ) I 3P. I N0N3 . NONagES10. MVLTFOUTL.ET I I 7.50! POWER APPARATUS t BINDLE OUTLET GR _ _— EX. Occup. OUTLET OR FDnyRp * I'0° i — SAL V_.50 Ex. Occup. FIXE OUTLETS IO.OEA I I 5.00 Temporary Ser ii; I 23.00 Mobile Hom acilities ! ! 20.00' MisC. W4fing ! I 23.00 PERMIT FEE I b MECHANICAL PERMIT Fling Fee I 20 00 Heating Cooling Hood I 6.50 Ventilation ./ PERMIT FEE I S Mobile Home Installation Fee b Energy Inspection Fee b °C DDNs.. 7YTOTAL FEES NA2. 0. FEES IMP nA00 COF PAACEL PO I �. — — f0 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 pai . of - 50. By Once PERMIT EXPIRES ON ro c PERi31T NO. 4148-78B rt, PERMIT EXPIRES OWNER Dick Kure ,'CONTR.Holmes Mobile Home Service, Oroville 4 1 'LOCATION (A.P. 34-74-43 200 Apache Ck., lot 223, KR#3, Oroville a I T t j ji k' i F Temp. Power Pole Called PG/d� Temp. Elecd erv. Cal l eyddLP G& E Temp. Gas Serv. Iled PG&E JOB _ FINALED r �/ (Date) t r (Signature) t t COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS BUILDING INSPECTT10W RtCORD BUILDING BUILDING (Cont'd) PLUMBING Setback Firewall Soil Piping Forms Parapets 1st Floor Main Bldg. Restroom Finish 2nd F!oor Footings Windows 3rd Floor Stemwall iN Siding To out Slab Roof Sheath14 Water Piping Piers Roofing Sewer Garage Fdn. Vents Fixtures Footings V Stemwall Garage Vents CS,Water Insulation Htr. Heaters Slab Carport Footings/ Prov. for phsically , handicapped Conformance of ex. structure Appliances Gas Piping & T t Temp. Gas Slab Final Sanitation Patio FIREPLACE Final Footings — — Footing ELECTRICAL Masonry Walls Throat Rou h Reinf. Steel Final Fixtures Bond Beam FIRE SPRINKLE Motors Framing Test Water Htr, Stucco Final Subpanels Mesh MECHAW6AL Grd. Fault Prot. Scratch Heating Service Brown Cooling Temp. Pole Finish Ducts Under rou Interior Lath Ventilation Penna V t Door Closer Final Final ' MOBILEHOME UT ITI ES --------------------- - Elec. Service Elec _ Pedestal Water Piping Sewer Gas Piping OBIILL,EHr E INSTALLATION - - - - - - - - - - - - - - Support Elec. Continuity Water Piping Drainage Gas Piping DATE REMARKS OR CORRECTIONS fp tz%< (2,:PM P 4-ivT;tb w r7-/.1 ocd T" �D•eS-� (NOTE: An entry must be made on this form each time you visit the job site.) COUNTY OF BUTTE = "'DE-ARTMENT OF PUBLIC WORKS ` 7 County Center Drive — Orcrgille, California 95965 W • Telephony: 53,,t4J41 . / APPLICATION AND PERMIT —r'—e•'-"a••a' •a•- ' an vvun ay — -.1-- maul UFUII uic above-mentioned property for. inspection purposes. XG(J Date S' nature of Permitee or Agent Receipt No. 70 (:i S 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 Date? 7� = % B Iding permit expires Date %- Zf- 7 ' BUILDING Owner IDICK 16 IQ K) SQ. FT. OCC. BUILDING VALUATION �0 01c Mailing Address arr. C) Telephone No. �av� • DO Contractor ��© f~ ❑Z�l Mailing Address 31 ( �� �� Fireplace Total Valuation OTelepon f L-Ll�r e 5 ^ $.�O / Permit Fee Building Address O t_ G_ Cl A t-� Plan Checking Fee &/or Penalty Permit Fee ®� LL C/ o . 1Z U LLCS_� PLUMBING No.1 @ FEE PERMIT FILING FEE $3.00 Each Trap 1.50 Repair drainage or vent piping 1.50 A.P No. , �7- //� 3 / 7` Zoning 8 Planning Water piping 1.50 Each gas water heater or vent 1.50 �/ Flys We oiiJo Fire Dept. Fire Zone Use Permit Gas piping system 1 -5 outlets 1.50 EQA Parking Parcel Plans Declaration]Parcel Map 60' R/W Improv ents Each additional outlet .30 Building sewer 5.00 _ B dg. ane Recd Parcel Approval Plans Approval Lawn sprinkler system 2.00 NEW 10 ADDITION ❑ UTILITIES ❑ OTHER ❑ Permit Fee $ $ ELECTRICAL No.1 @ FEE PERMIT FILING FEE $3.00 Single Family Duplex Mobil Home Others ❑ P ❑ ❑ Main service 600V OR LESS t00 AMP 5.00 -L 00 A Main service EA. ADD'L too AMP 2.50 ( / / / � / �� � AquAicss ... ® -ash" Y t/K ( —C J /0/, 2 / / / ` O//-/�0 - R 600V 0 OEAMP OR LESS 25.00 Main service ______1100 Main service EA. ADD'L 100 AMP 1.00 NEW CONST. DWELLING OCCUP. s OR ADDNS. [DWELLING BLDGS. 2�sgft 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: E _ _ A/0 L 44 S �( OAIZ � �1�/_,(� /;f(J/�� NEW RESID, BRANCH CIR T NEW CO ID (BRANCH CIRCUITS 2.50ea NEW CONSTR. POWER APPARATUS & NON.RESID. SINGLE OUTLET CIR. Ex. Occuo(OUTLETS OR FIXTIiaES 5 t2 Ex. OCCU FIXED APPLNS.D.) EA) 2.00 OR P• (OUTLETS (RESI Temporary service 10.00 V/ CC Mobile Home Facilities 15.00 License No. ��i �~%� Classification _b` Misc. Wiring .25 6 ❑ 1 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 J� Workmen's Compensation Insurance. lecertify 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 $ 2 —r'—e•'-"a••a' •a•- ' an vvun ay — -.1-- maul UFUII uic above-mentioned property for. inspection purposes. XG(J Date S' nature of Permitee or Agent Receipt No. 70 (:i S 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 Date? 7� = % B Iding permit expires Date %- Zf- 7 ' COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 7 County Center Drive i- Oro�ville, California 95965 Telephone: 534-4541 APPLICATION AND PERMIT GU111U11LC IClJ1CJC11lA1IVCA UI ILHU t,UUllly UI DUttC lU CIIICI UPUII Ule above-mentioned property for inspection purposes. X Date gnature of Perm tee or Agen' •��,/� ft Receipt No. �; ( ; �7T / White-D.P.W. - YeIIa /Pink-Inspector-`to�enrod-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 h fees have been paid. IRE TKROFPUBLIC WORKS (��t BY Date a v Building permit expire Date -71 --),CT O BUILDING Owner I �K K� �N� SQ. FT. OCC. BUILDING VALUATIO Mai I i ng Address Telephone No. Contractor 'YieS Ilio S L-r-ol( q Mailing Address 3 . ) (41 tZicorE iq/er Fireplace Total Valuati n p,l 090 + �I_ p`hone No. ! Permit Fee o Building Address 20Q 14-IACA46 e1,Q - PI anCheck in Fee&/or Penalty Permit Fee - 00 PLUMBING No. @ FEE PERMIT FILING FEE $3.00 Each Trap 1.50 `/ ' / L(�it'z�3 tZRt - 3 �oV Repair drainage or vent piping 1.50 ��'-'%�- A. P. o. 7 Zoning & Planning Water piping 1.50 Each gas water heater or vent 1.50 F s %Saaita4+err' Fire Dept. Fire Zone Use Permit Gas piping system 1 - 5 outlets 1.50 EQA Parking Plans Parcel Declaration Parcel Map 60' R/W I Improvements Each additional outlet .30 Building sewer 5.00 ans Rec'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 100 AMP OR0V OR L LESS5.00 Single Family ❑ Duplex ❑ Mobil Home Others ❑ Main service EA. ADD'L too AMP 2.50 /W01W GS f �L Main service OVER eoov 25,00 100 AMP OR LESS Main service EA. ADD'L 100 AMP 1.00 NEW OR ADDNST % ACC`BLDGSCcup- 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 St I 0 Y &6911/%)2,�5- /�%d,(rLLs ��"2d/c NEW CONSTR BRANCHCIR-OUTLET NON-RESID (MULTI BRANCH CIRCUITS) 2.50ea NEW CONSTR (POWER APPARATUS B NON-RESID, (SINGLE OUTLET CIR. Ex. Occup (OUTLETS OR FIXTIiRES) g L tCO EX. OCCU FIXED APPLNS. OR p• OUTLETS (RESID.) EA) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 License No..3a1.37/ Classification e - 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. rI 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. @ FEEPERMIT 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 $ GU111U11LC IClJ1CJC11lA1IVCA UI ILHU t,UUllly UI DUttC lU CIIICI UPUII Ule above-mentioned property for inspection purposes. X Date gnature of Perm tee or Agen' •��,/� ft Receipt No. �; ( ; �7T / White-D.P.W. - YeIIa /Pink-Inspector-`to�enrod-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 h fees have been paid. IRE TKROFPUBLIC WORKS (��t BY Date a v Building permit expire Date -71 --),CT O PERMIT NO. 2974-83B a PERMIT •EXPIRES OWNER DeCLOISE iME' CONTR. J -W --Lancaster Const ASSESSOR PARCEL _ _ 69-22-43 LOCATION 200 Apache Circle, Oroville _ r; P r • S> jt r • r it 4 i Temp. Power Pole V, Called PG&E Temp. Elec. Service a Called PG&E Temp. Gas Service Cal led PG& E hh JOB FINALED (Date) lV Signature J OK O = Not OK Not ApMicable MOBILEHOMES * - Not Ready MISCELLANEOUS Date MOBILEHOME UTILITIES (Plans) OK except H's Date DECKS VERS, CARPORTS, ETC. (Plans) OK except N's 1. Zoning Requirements—Setbacks—Easements 2. Soils; Special MH Support—Sketch oni eequirements—Setbacks—Easements ootin ize—Depth—Spicing—Connectors 3. Sewer; Location—Test—Fall-C/0—Concrete /,%w ecks; Girders and/or Joists—Decking—Bracing—Stair 4. Water; Location—Test—Easement Needed (Sketch) 4, VDnd Awn,; Posts—Beams—Rftrs.—Conner.—Shthg.—Rfg.—Brg&flg__ 5. Electricity; Location—Clearances—Grnd.—/ / Amp—Concrete �.; Columns—Connections—Splice—Decal—Enclosures 6. Gas; Location—Test—Wrap: / /"L"ft./ /"Nat. or/ /"L"ft./ ./"LPG 6. gAqper+e- Windows—Doors 7. Utility Clearance 7. E c__ Card -BI Date Card -BI Date Dat d�1 Card -BI Date Card -BI Date Card -BI Date Card- � Card -BI Date Date MOBILEHOME INSTALLATION (Plans) OK except k's 1. Zoning Requirements—Setbacks—Easements Date _ POOLS (Plans) OK except k's 1, Setbacks—Easements 2. Footings; Size-Spacing—Marriage Line 3. Gas; MH Test—Demand—Valve—Connector 2. Soils; Compaction—Structure Stability 3. Pool Structure; Steel—Connections—Thickness—Dead Men—Lining —_ 4. Electricity; MH Test—Crossovers—Breakers—Clearances 4, Elec.; Receptacles and Lighting; Distances—GF.I. 5. Drain; MH Test—Fall—Flex Connector 5. Elec.; Pool Lighting;,15 volts—GFI 6. Water; MH Test—Regulator—Connector 6. Elec.; Enclosures; Conduit Entries—Terminals—Listed 7. Water and Sewer Connected—C/0 to Grade -HD Approval 7. Elec.; Bonding; Metal w/5'—Circulating Equipment—Heater 8. Gas and Electricity Tagged 8. Elec.: Grounding; Equip. w/5'—Circulating Equip.—Pool Lghtg. Boxes—Enclosures—Panel boards—Ins. to Main in Conduit 9. Exits; Insp'.—Sketch 10. Cert. of Occupancy 9. Health Department Approval 10. Plumb; Cir. Test—Water Supply Test . Card B -I Date Card -BI Date Card -BI Date Card -BI Date Card B -I Date Card -BI Date Card -BI Date Card -BI Date J = OK 0 = Not OK ` .. - = Not Applicable RESIDENTIAL (Si = Not Ready ngle and Duplex) Date UNDERFLOOR (Plans) OK exce t#'s Date FRAMING (Continued) 1. Zoning requirements -Setbacks -Easements 48. Property Line Firewall & Openings ' 2. Ftg., Main; Soils-Steel-Elec. Grnd.- / /" Ftg. Depth 49. Ext. Doors -One 3' -Check Garage-3rd.story, 2 exits 3. Ftg., Garage; Soils -Steel- / /" Ftg. Depth 50. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 4. Fig., Porches & Decks; Soils -Steel- / /" Ftg. Depth 51. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers 5. Stemwalls, Main; Steel-Blockouts-Wrapped-Slab 52. Siding -Nailing -Veneer 6. Stemwalls, Garage; Steel-Blockouts-Wrapped-Slab 53. Stucco Mesh -Drip Screed-Fdn. Vents-Underflr. Access -11---7. - Piers -Fireplace Ftg.-Steel 8. D.W.V.: Fall -Fittings -Test -2 way C/O -Sewer Test 54. Glazing Area -Glass Protection -Skylights -Plastic 55. Shear Walls; Nailing -Bolts 9. Gas Pipe; Size -Anchors 10. Water Pipe; Test -Anchors -Regulator -Service Test 11. Electric; Underground 12. Plenums & Ducts; Clearance -Material -Support -Ins. 13. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples Card -BI Card -BI Card -BI Date Card -BI Date Date Card -BI Date Date Card -BI Date Card -BI Date Card -BI Date Date FINAL (Plans) OK except N's 56. Ext. Steps -Door & Sidelight Protection -Landings Card -BI Date _ Date Card -BI Date PLUMBING (Permit) OK except it's 14. Water Ht.; Vent -Access -Combustion Air 57. 58. 59. Smoke Detector Furnace; Vents -Clearance -Comb. Air -Connector - In Garage; Above Floor -Ducts -Meth. Protection Bedroom Exiting 15. Water Pipe; Test & Anchors -Nail Protection 16. D.W.V.; Test-Fttngs & Anchors -Nail Protection _ 17. Shower Pan; Test, First Floor -Tub Access 60. G.F.I. & Bath Fixtures & Tub Access _ 18. Test Tub & Shower, 2nd Floor -Tub Access 61. 62. Elec. Trim & Subpanel; Breaker Sizes -Labels Stairs & Rails 19. Gas Pipe; Size & Anchors 63. Fireplace or Stove; Clearances -Hearth Card -BI Date Card -BI Date 64. Elec. Outlets at Wood Panel; Int. & Ext. 65. Kit. Fixt. & Appliance; Grnd.-Air Gap -Cooking Clearance Card -BI Date Card -BI Date 66. Elec. Outlets & Receptacles at Kit. Counter Date ELECTRICAL Permit OK except N's 67. Garage Fire Door; Swing -Landing -Closer 68. A.C. Duct in Garage -Damper 20. Fixture & Transformer Clearance -Ins. Protection 69. Wtr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V.- In Garage; Above Floor-Mech. Protection 21. Elec. Receptacles Spacing -Lights & Switches at Doors 22. Size Boxes & No. of Conductors -Stapled 70. Plb., Elec. & Mech. Equip. Listed for Location 71. Receptacles in Garage; (G.F.I.)-Romex Protec. 23. Romex Installed Close to Edge of Studs & C.J. - - 24. Equip. Ground made up w/Mech. Fasteners -Bond Gas & Water 72. 73. L Insulation-Foam-ooked in Attic ❑Yes Insulation -Foam -Looked Guard Rails & Deck Construction -Post Caps 25. 2 Appliance Circuits in Kitchen & Conductor Size -- 26. S_ubfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga. Cu or Al 74. 75. Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance Looked under Floor ❑ Yes Following instld.: Drive ❑ Yes No; Walks E] Yes Planters ❑Yes ❑No ❑ ❑ No; - - 27. 28. Range Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or AI, r , r Insulated Neutral -_ Yes �No Service -Riser Conductors & Ground -Main Disconnect 76. Stucco; Brown -Finish -_- 29. Equip. Clearances; Panels-Motors-Mech. Equip. 77. A.C. Unit; Disconnect-Clrnces-Brkr. & Cond. Size -115V Outlet - 30. Clothes Closet Light -Shower Light 78. Vents Above Roof; Plbg.-Appliance-Firepl.-Clearance to Opngs. - --- Card B -I Card B -I ------------ ----------- - __Date_ _ Card -BI - Date Date Card -BI Date 79. Water Well; Disconnect, Electrical, Plumbing 80. Exterior Elec. Trim; G.F.I. Receptacle -Underground 81. Ventilation throughout House 82. Glass Protection Date MECHANICAL (Permit) OK except q's 83. _ Corrections from Previous Inspections 84. Gas Test -Meters Tagged; Gas -Electric _ 32. 33. A.C-.-Ducts: Insulation & Support -- Vent Fan_ Exhaust above Insulation _Condensate Drain Overilow; Size & Grade 85. Water & Sewer Connected -C/O to Grade -HD Approval 86, Energy Compliance Certificate -Other Certificates i 34. _& Furnace-Ve_nt;_Access-Comb._Air-Return Air Vent -115V outlet 35. Attic Access & Platform if Furnace in Attic Card -BI Card -BI --------- - -__-- -- _ .-----------_-_-_ -- Date - Card -BI Date Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Date FRAMING(Plans) OK except p's Comments at Final: _ 36. _37. 38. 39. 40. Sills; Proper Material & Anchors_ Walls; Studs -Nailing, Spacing & Bracing -Plates -Sound_ Bearing Walls over Girders & Floor Nailing--- Draft Stop in Walls (rat proof) _ _Fire Stops: Furred Ceilings -Stairs -Chases -Tub 41. 42. 43. 44. 45 46. 47. Header & Beam -Size & Bearing Hangers -Post Caps -Anchors -Connectors Cing. Joist-Rftr. Ties-Purlin-Roof Brac.-Truss-Shthnq.-Rfnq. Fireplace Ties or Type A Flue -Fireplace Throat Attic Access: Size & Romex Protect i on-Dra If Stop -Ins. Baffles Bdrm_Windows or Exiting Doors -Sill Hg L_& Dimensions Garage Fire Protection Framing (NOTE: Anentrymust be made each time youvisit jobsite) County of Butte DEPARTMENT OF4PUBLIC WORKS 695 Oleander Ave., Chico — 343-4211, Ext. 70 7 County Center Dr., Oroville — 534-4541 Skyway and Elliott Rd., Paradise — 877-3435 CORRECTION NOTICE ................................................. Building or Property Address A routine inspection indicates that the following violations of County Ordinance exist at the above address and should be corrected. Please notify this office when correction of work is completed. If you have any question pertaining to this matter, or need additional explanation, please contact this office P F..m..a. .t ............................. . .... ......... .............. .�..`l`-.... ........................... .......................................................... I ..../Li.............................................. Date.... ........................... Do Not Remove This 9 (400-4) COUNTY OF BUTTE - DEPAPTMENT OF PUBLIC WORKS 7 County Center Drive - Orovifle, California 95965 - Telephone 916/534-4541 APPLICAtION AND PERMIT PERMIT NO. ASSESSOR PARCEL NUM ERaONING 3 BUILDING PERMIT OWNER p- muls E TELEPHONE SQ. FT. DCC. BUILDING VAL ION - OWNER'S MAILING AD RESS rt CONT.RAC TOR'S NAME k t ea e Y, � TELEPHONE CONTRACTOR'S MAILING AD RESS — Fireplace CONSTRUCTION LEN ER �.} UNKNOWN Total Valuation $ Filing Fee $ 10,00 LENDER'S MAILING ADDRESS/ Permit Fee $ ARCHITECT OR ENGINEER v LICENSE NO. Plan Checking Fee $ °1 Penalty $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Permit fee $ J6 -0,0Z) BUILDING ADDRESS PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Solar Water Heater 20.00 Water piping 5.00 LOT NO. SUBDIVISION NAMEPARCEL MAP Each qas water heater or vent 5.00 Gas piping system 1 - 5 outlets 5.00 USE OF STRUCTURE SF ❑ Duplex❑ Mobilehome Other SPECIFY Building sewer 5.00 Mobile Home S G W 10.00 e TYPE OF WORK New ❑ Addition. Remodel ❑ Utilities ❑ Installation- Other �`' Describe work: e. fie'- Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service j00V OR L 00 AMP ORSLESS 10.00 Main service EA. ADD -L 100 AMP 2:50 NEW CONST. DWELLING OCCUP.& OR ADDNS. ( ACC. BLDGS. t 2h0sq ft CONTRACTORS LICENSE LAW I declare un enalty of perjury (check one): I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professio s Code and my license is in full force and effect. / /j License No. Classification G--�,q/ ❑ 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) ❑ 1 am exempt under Sec. , Business and Professions Code for this reason NEW CONSTR.MULTI-CUTLET 2.50 ea NON-RESID BRANCH CIRC ITS &�\ NEW CONSTR. POWER APPARATUS NON.RESID. SINGLE OUTLET CIR. / ( zo®sos Ex. OCCUp(OUTLETS OR FIXTURES BAL®3O FIXED APPLNS. OR EX. Occup. OUTLETS (RESID,) EA.1 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 Permit Fee $ Contractor MECHANICAL PERMIT FiIingFee 10.00 WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Cerate of Workmen's Compensation Insurance or a Certificate DAotnsent to Self -Insure. shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Heating Cooling Hood 3.00 Ventilation permit Fee $ 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, cos s, and ex erases which may in any way accrue/' against said County in conseq nce o the granting of this permit. %� gape 'j —� Si re of A li a — Owner ©/ g p Contractor Agent ❑ Ar7OS A permi is required for excavations over 5'0" deep and demolition or construct- io{h of tructures over' 3 stories in height. Mobile Home Installation Fee $ TOTAL PERMIT FEE ✓ $ OCCUP. GROUP TYPE OF CONST. A PARCEL PD ND _J ISSUE This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which DIRECT c2Fi OF UBLIC �� BYIE PERMIT EXPIRES Date the applicable provi- resolutions to do fees have been aid. p WORKS Date 7— '— st7 Receipt No. �1�7 7 a WHITE-O.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR. GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS - BUILDING DIVISION J 7 COUNTY CENTER DRIVE - OROVILLC_CXL RNIA 95965 - TELEPHONE: 916/534-4541 PERMIT APPLICATION DATA SHEET OWNER Proposed Building Use. Permit Fee Based Upon Building Inspector Complete Contract Price Ot,Pgr (Explain) Permit No. A. P. No. V DPW Valuation Date, %�l1 At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance: DATE RECEIVED APPROVED c�1. All items have been submitted. . ... . . . . . . . . 2. Plot plans in duplicate./triplicate. . . . . . . . . . . i I Complete plans in duplicate. /triplicate. . . . . . . . . 4. Complete engineered plans and calcs. . . . . . . . . . 5. Plans with Energy Design Compliance Statement. . . . . . 6. State Energy Forms No. , 7 Statement of Intent for Non -Heated and AC Buildings. 8. Fees of $ , , , , , , , 9. Letter of signature authorization. . . . . . . . . . 10. Sanitation approval from Health Dept. 11. Planning approval for (A) Use: (B) Parking: 12. Certificate of Workmen's Compensation Insurance. . . . 13. Contractor's License Information (no., name style, classif,) 14. Owner -Builder Verification (Given to owner❑, Mail to owner ❑•) 15. Improvements may be required. . . . . . . . . . . . 16. Mobilehome Installation Data. . . . . . . .. 17. Pre -Inspection for •Pre-Inspec. request to Required. Building Inspector 18. Other When you issue the permit, process as follows: Mail to owner. _ Telephone, 3--2 — and hold for pickup at _office. Other Applicant Date) Mail to contractor. _Deliver w/inspector. Date ii L Copy of plans sent Health Dept., Fire Dept.,Other' Date During the plan checking process, the following data must be submitted prior to permit issuance. (For required items not checked above at time of application, circle item.) 1. Index permit for above Items No. 2. Additional items required: (Contractor, Designer, Owner) was advised of above required data by Telephone Plans checked by Plans aDDroved b, Other Copy -DPW By Date Date ` _Mail Other Date coo James Glander Department of Public Works 7 County Center Drive Oroville, California 95965 ENGINEERING CONSULTANTS 2060 PARK AVENUE OROVILLE, CALIFORNIA 95965 PHONE (916) 589-6457 CALIFORNIA P. E. NEVADA P, F., OREGON P. !:. June 19, 1978 Re: 78551 Dear Jim: Compaction test results are enclosed for mobile home site preparation at Kelly Ridge Estates for: Kinne KRE Unit 3 Lot 223 Representative tests indicate that the 90% relative compaction requirement has been satisfied. A location map is attached. Very truly yours, COOK ASSOCIATES Ir Lew Hiatt Civil Engineer LH/cab Enclosures DR, LLOYD M. COOK ED, D. JOE E. COOK M. E. DAN J. COOK C. E. 8L61 Z Nod t �1 rp AANjo o0 0 Client Kinne COO SS®CIATES Project KRF. Unit 3 Lot 223 ENGINEERING CONSULTANTS .. Wdear. In' -peace Job No. 78551 2060 PARK AVENUE OROVILLE CALIFORNIA 95965 Moisture Density Test . Operator Kimbrell , (91 6) .533 -6457 TEST NUMBER 1 2 3 4 5 6 .7 8 9 10 TEST DATE 6-5-78 6-8 6-8 6-14 6-14 6-14 lstLift 2ndLift 3rdLift 4thLift 5thLift 5thLift .TEST Top Abow 2.8' Fil L4.5Fill 6'Fill 7.5Fi11 LOCATION Cobbles E .Side N. Side 1'Fill Final Final MODE a DEPTH 8" DT 8" DT 8" DT 8". DT 84 DT 8" DT MOISTURE COUNT 1014 1204 981 1084 1080 1062 MOISTURE COUNT RATIO •724 .858 .699 .773 .735 .758 MOISTURE 15.8/ 14.0/ 4.7/ PCF 1 22,2 17,25 12.5 18.3 19.0 DENSITY COUNT 230 251 218 202 220 223 DENSITY COUNT RATIO .881 .961 .835 .774 .843 .855 WET DENSITY PCF 135.5 131.5 138.0 141.0 137.5 137.0 DRY DENSITY 119.7/ 117.5/ 122.3 PCF 1 5 109.5 120.75 121.5 119.2 118.0 % MOISTURE 13.2/ 12.4/ 10.6 12.0/ 15.3 20.3 16.0 11.5 16.1 OPTIMUM DRY DENSITY PCF 132.0 132.0 132.0 132.0 132.0 132.0 % OPTIMUM MOISTURE 11.0 11.0 11.0 11.0 11.0 11.0 % RELATIVE 9189 /89 /83 91 92 90 92 /89 COMPACTION DAILY STANDARD DATE MOISTURE 6-5 1400 6-8 1402 6-14-11401 COUNT COMMENT: DENSITY 261 261 1813-78P,E Ptk&IT NO. //,�,�� PERMIT EXPIRES -OWNER DeCloise Kinne owner LOCATION (A.P. 34-74-43 200 Apache Cir, lot 223, KR#3, Oroville • emp. Power Pole Called PG&E To". Elec. Serv. Called PG&E fg— z1f 27K Temp. Gas Serv. Called PG&E JOB FINALED (Date) (SIgnature) COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS BUILDING INSPECTION RE�DRD. o BUILDING BUILDING (Cont'd) PLUMBING S back F wall I So Plnlnn I Bldg. F tin s Ste wall Slab Piers ira e Footings Stemwa I I Slab rrport Footinas Restr m Finish Window Siding Roof Shea in Roofing Fdn. Vents Garage Vents Insulation Prov. for physicalF, handicaooed Conformance of ex. E I stV Ioor 2nd Noor 3rd FI r To out Water PI in !�, Sewer Fixtures Water Htr. Heaters Appliances Gas Piping & Test Temp. Gas Sanitation Final e Footings Footino RtErTRIrAh Masoriry Walls Throat hough .Reinf. Steel Final Flwhimm Motors I stucco X Final If SubpaneLg Mesh MECHANICAL Grd. F It Prot. ScrafA X Heati Servigi Brolfri Coo ng TAO. Pole F Ish D is nder round In rior Lath ntllation Permanent or Closer V anal 1,1 final MOBILEHOME UTILITIES ------------------Elec. Service (�. �.Or,/cf— Elec. Pedestal Water Piping Sewer C ` Gas Piping E OME INSTALLATION Support r vZ Elec. Continuity ---Z Water Piping7 S Drainage �o- ��� 7 �/ Gas Piping ;jA DATE REMARKS OR CORRECTIONS �a 6?p�, COE,- �- ACO s cC toe- ad etc (NOTE: An entry must be made on this form each time you visit the job site.) ' MOBILEHOME INSTALLATION INSPECTION CHECK LIST 1. Is the mobilehome located with required separation from lot lines and buildings and generally conform to plot plan? Yes k,"'No. 2. Does the mobilehome have.required clearances above ground? (Sec.5085) Yes '__�Nxo 3. Are footings and supports properly sized, spaced, and braced as per approved plans? (Note possible variation at spring shackles.) (Sec. 5082 & 5083) Yes_ No 4. Is the mobilehome level? (Sec. 5088) Yes ,1Nc.o_ 5. If more than a single unit, are crossover connections properly installed? '(Sec. 5088) Yes_AZNo 6. :Water A. Is fl ible 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_k:�__10_ �(� 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? Yesf/ No B. Does it have minimum k" per foot slope and is it properly supported? YesL.,No C. Are any leaks detected in drainage system after running 3 -gallons of water through each fixture including washing machine standpipe? Yes No C AIf coach is not State of California approved, does station have required trap and vent? 11ff''��''' Yes No� 8. Gas Piping and Gas Vents A.knnetor - Is mobilehome connected to the gas supply with an approved 3/4" minimum home connector not more than 6 ft. long? Note: All piping is to be at least as as the mobilehome gas line iiilet without reductions other than the mobilehome connector. Yes No --� B. Test OK as per fol. procedure? Yes o 1. Open all appliahce do ector valves. 2. Shut off appliance burner a d p' of valves. 3. Air test with.manometer to 4" water column, or test with slope gauge (minimum 6oz.-maximum ;8 oz.) calf ated i tenth pound increments. Test for 10 min, without drop. 4. Connect gas/mete to mobilehome wi\onnector, turn on gas, test connections with soapy wate . C. Are all appliance vents properly instas_ No 1 9. Electrical A. Is service large enough to provide adequate amperage -to mobilehome (must equal rating of mobilehome with a minimum of 1� amp) and other facilities on lot, i.e., water pumps, garage, cabana, etc.? Yes No B. Is there proper clearances around panels? Yes e No C. Is power supply cord,or feeder assembly properly fused? Yes r 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 lirre, water line), including fixtures and appliances, shall be tested for continuity from such equipment and the grounding conductor. 6. Upon completion of the above procedure, the power supply cord or feeder assembly ' conductors shall be connected to the site service equipment. A further continuity test shall then be made between the grounding electrode and the chassis of the mobilehome. Upon satisfactory completion of the electrical tests, the lot or site service equipment may be approved for energizing. 10. Is job card signed by Health Department for water and sanitation? 11. If everything okay, sign off card and tag services. MOBILEHOME DATA Manufacturer and/or Namestyle YDe., Length Width Vehicle Serial No. S 2 7020 /-1 - s� � State Identification No. C.i Q L- /,0 9Az- /0 2 A3 -r— Additional Information or Comments: 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 51 under permit number for the following location: Owner Owner's Address - Mobilehome Mfg. Model ° Year Insignia No. r Serial No.",' o. N' It is hereby certified for occupancy at the above described location and may be occupied. Director of Public Works Date THIS CERTIFICATE IS VOID WHEN MOBILEHOME IS RELOCATED White- Owner, Yellow- Installer, Pink - D.P.W. _ -COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive — O 4'54 e, California 95965 • Telephone: 534--4541 APPLICATION AND PERMIT authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. Date Sig lureermite o t Receipt No. 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 LIC.WORKS By Date—?-,3—%� B ding permit expires Date 6- ?,<�, - -7 BUILDING OwnerDeCloise E. Kinne SQ. FT. OCC. BUILDING VALUATION Mailing Address Telephone No. Contractor Carneros Mobile Transport Mailing Address 1290 E1 Capitan Fireplace Total Valuation Napa, CA. RBKK 94558 Telephone No. _941 1 Permit Fee Building AddressPlan 200 Alpache Circle Checking Fee Vor Penalty Permit Fee Oroville California 95965 PLUMBING No.1 @ FEE PERMIT FILING FEE $3.00 Each Trap 1.50 Lot 223 Unit 3 — Kelly Ridge Estates Repair drainage or vent piping 1.50 A. P. No.34 3 _ 4 - 43 Zoning 8 Planning piping 1.50 Each gas water heater or vent 1.50 FUes Fire Dept. Fire Zone Use Permit Gas piping system 1 - 5 outlets 1.50 EQA Parking Plans I Parcel Declaration Parcel Map R/W Improvem is Each additional outlet .30 Building sewer 5.00 � i Bldg. Ps Rec'd I Parcel App val Plans/Approval Lawn sprinkler system 2.00 NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER [g Permit Fee $ $ H INSTALLATION ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 Main service 600V OR LESS 100 AMP OR LESS 5.00 SinSingle Famil ❑ Duplex ❑ Mobil Home ® Others 9 Y ❑ Main service EA. ADD100 AMP 2.50 Main service OVER 25.00 100 AMPP OR LESS O Main service EA. ADD•L 100 AMP 1.00 NEW CONST.( OR -..NS. ACCLBLDGS.LING CCUP• B) 2�sgft CONTRACTORS LICENSE LAW I am licensed under the provisions of Chapter 9, Div. 3, of the State of California Business & Professions Code under the name style of: Carneros Mobile Transport NEW CONSTRES'., -OUTLET NON.RESID BRANCH CIRCUITS) 2.50ea NEW CONSTR. POWER APPARATUS d NON•RESID. SINGLE OUTLET CIR, Ex. Occur) (OUTLETS OR FIXT11RES 5 L , Ex. Occu / FIXED APPLNS. OR p•\OUTLETS (RESID.) EA) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 License No. 259158 Classification C-61 Misc. Wiring 6.25 ❑ 1 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. lecertify 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 N04 @ 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 L 1. home Installatio $ 30.01 TOTAL PERMIT FEE $ 3 .01 authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. Date Sig lureermite o t Receipt No. 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 LIC.WORKS By Date—?-,3—%� B ding permit expires Date 6- ?,<�, - -7 BUTTE COUNTY DEPARTMENT OF PUBLIC WORKS. 7 County Center Drive, Orov_ille, CA.. PHONE: 534-4541 MOBILEHOME INSTALLATION SHEET P Lot .,223 1. Owner's name: DeCloise E Unit 3 2. Installer's name:- Carneros Mobile Transport 3. Is the site currently under permit? Yes /X / No,/ (If yes, furnish permit number ) OR Is the site an existing site? Yes / / No /X / (If yes, furnish two (2) plot plans.) 4. Will the mobilehome be located.at least 5 ft. away from septic tank and leach fields and clear of all setbacks and easements?.- Yes /X /. No (If no, clarify ) ----------------------- 200 Amps 5. What is the mobilehome electrical rating? — 6. What is the mobilehome site service rating? ---- - --------------- - 200 Amps 7. What is the mobilehome site circuit breaker rating? ----- 200 Amps 8. Is there any other electric load to be served by the mobilehome ------------------------ Yes / / No /X/ --------------------------- site service? . (If yes, identify the load and size: (Load) -0- (Amps) 9. What is the mobilehome site gas pipe size? - ------- --------------------- -0- --------------------- Natural / / LPG 10. What is the type of gas service? 11. What is the gas pipe length from meter or tank to the mobilehome? -0- (ft.) 12. What is the mobilehame gas demand? ----------------------- ------- -0- (BTU) (This information not required if pipe length less than 6 ft-. on natural gas' or less than 50 ft. on LPG.) BUTTS COUNTY BUILDING DEP ARTMEI�i APPROVFD %a- 1e0131LEH01'K fIU-I Tr :-U DATA ... f, otlaer than single wide, Mobilehome Mfr. Mountain Valley )fomes furnish Setup Model No. 2BR LPK Year -1978 Iq ET Width 24 (ft.) Box Length 60 (ft.) Tagalong or Expando Size 10 ft. x 24 ft. (SHOW SUPPORT DETAILS BELOW) , On all mobilehomes manufactured after October 7, 1973, furnish manufacturer's installation manual acid structural setup sheets (if not on file with the County of Butte). All center supports measured from front of mobilehome unless otherwise specified. Footings (check one Single 1. Wood either pressure treated 'foundation grade. (ft.)(in:) (in.) (in.) ❑ 2. Other (specify) Center support Center support Supports (check one locations* footing sizes (in.) 1: Concrete block: 2. Other ( specify) (in.) (in.) X I F- l� q 24 30 (ft.)(in.) (in.) (in.) F/T 7q, (ft.)(in.) (in.) (in.) /� 'Aw - 3 30 (ft.) (in.) (in.) (in.) 141 a ,' a x 30 4" *If center piers are other than drawn above, draw in locations, spacing, and dimensions. �-Tagalong or Expando, show support details 24 x 30• -- Typical Support (in.) (in.) Footing Size 5-6 -- Max. Pier Spacing (ft.)(in.) 1-0 1 -- Max. Overhang (ft.)(in.) L i COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS - ' s 7 County Center Drive — Orovi Ile, California 95965 • Telephone: 534 '4541 APPLICATION AND PERMIT V o t e County of Butte to enter upon the above-mentioned property for inspection purp es. X, $ig ature of Permitee or Agent Receipt No. __ � / 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/NJBLIC WORKS BY U-- C Date �/ —11�— 7� Bi ina permit expires Date q_1 1' 7f BUILDING Owner DeCloise Kinne SQ. FT. OCC.1 BUILDING VALUATION Mailing Address 1778 Olive Tree Drive San Jose, CA. 95131 TeY3ng 99'6408 Fireplace Contractor (owner) Total Valuation Mailing Address Permit Fee Plan Checking Fee &/orPenalty Telephone No. Permit Fee Building AddressPLUMBING 200 ache Circle No. @ FEE Oroville, California 95965 PERMIT FILING FEE $3.00 Each Trap 1.50 Repair drainage or vent piping 1.50 Lot 223, Unit 3 — Kelly Ridg *�t 0#iW"tlon 901! Water piping 1,50 Each gas water heater or vent 1.50 A. P. No. 34 — 74 — 43 Zoning & Planning Gas piping system 1 - 5 outlets 1.50 Each additional outlet .30 F on FireDept. F[iireZo Use Permit ul sewer 5.00 EQA Plans Declaration Oa3el M p 60' R/W Improvements Lawn sprinkler system 2.00 Bldg. Plans Recd Z� � Parc Approval Plans Approval Permit Fee $ A�i.� t�'°� v $ %3 NEW ❑ ADDITION ❑ UTILITIES P-" OTHER ❑ ELECTRICAL No.1 @ FEE PERMIT FILING FEE $3.00 Main service 100 AMP ORV OR LESS5.00 Main service EA. ADD'L 100 AMP 2.50 �Q �y Single Family ❑ Duplex ❑ Mobil Home Others ❑ Main service 1100EAMP OR LESS 25.00 Main service EA. ADD'L 100 AMP 1.00 MINIMUM • p FOR • MOBIL B NEW CONST. DWELLING OCCUP. & OR ADDNS. ( ACC. BLDGS. ) 20sgft NEW CONSTR. MULTI.OUTLET NON.RESID, BRANCH CIRCUITS) 2.50ea NEW [POWER NON.RESID R' %SINGLE OUTLET TCIR.US & 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) BALD FIXED APPLNS. Ex. Occup. (OUTLETS ((RESID.)REA) 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 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 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 authorize re resentat'Ives f h TOTAL PERMIT FEE $ .73 V o t e County of Butte to enter upon the above-mentioned property for inspection purp es. X, $ig ature of Permitee or Agent Receipt No. __ � / 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/NJBLIC WORKS BY U-- C Date �/ —11�— 7� Bi ina permit expires Date q_1 1' 7f A RANt35RMAMOeCIjl,,e VseETSHALL Be CLEAR OF ALL ltiCtljo'Na- BACk of: ND- LiNeS AND FROM T, SIDE A REAR PjRc,,pCt* SHALL 60 R STRI"rlRfioAi) CENT fW;2 F,. rAVe . ES AN -D EQU'PMENT aXr VERHAJV�, _,UpT 8ftu" UILDING rri ID OUNTY D p DI ^- AftEv App 0 "ED 41pqc 4.. v q &Zcl J� - S�Ocled L S cove re� peck 4-o pwlove- coveri ,rcl is c cl Wq I k.5 of LcIck oteck a ♦t ,� ax6 F.U. q yx4 PT•.. f 61 _ .. BULD1NG DEPARTMENT ..APPRObED