HomeMy WebLinkAbout069-250-043_ .tet _ .�: � _-'��„�- - - �- ..�. . � .., _ ' . ,�------•-.•,, _.. (/.,�� /I��
lam/
"i.Raymond Noonan
6134 Kanaka Ave`, lot 189, KR#4B, Oro.
Permit #4443-79P,E(util.,MH)
± a
L
STRUCTURE RION TEST REQ,'
o
Contr: Carnerro Mobile Transport=1
Permit #52 � 79MHI
Issued
`3
R -ymond & Wanda Noonan )
6134�f< na ftB '��
a ka Dr., lot 189,�KR��4B, 0
Permit #68 7-79B,E(new carport
tool shed/MH')
<. Pe9it2 #186 8pg
a. (new,`ov. eck/MH) .
069-250°043 Rt, .x :
05-1695-11
`'CULOTY, MELISSA
6134 KANA1U-OROVILLE L
Cont: OWNER :.
NEW INSTALL OF,2,125 GALS '
• a
NOTES
r
2, �.
RESIDENTIAL
PERMIT NO.
i
+ 069-250-043 X5-1695
i CULOTY, MELISSA
! 6134 KANAKA, OROVI.LLE , -
Cont: OWNER
NEW INSTALL OF 2 125 GAL
SPECIAL CONDITIONS
CHECKED
BY
'I SRA
FLOOD CERTIFICATE REQ.
FIRE SPRINKLERS REQ.
SPECIAL INSPECTION ITEMS "
VERIFY
USE PERMIT CONDITIONS
SUB -STANDARD HOUSING LETTER
y q c- Z-3
JOB FINALE (Date)
Signature
,t
SPECIAL CONDITIONS
CHECKED
BY
'I SRA
FLOOD CERTIFICATE REQ.
FIRE SPRINKLERS REQ.
SPECIAL INSPECTION ITEMS "
VERIFY
USE PERMIT CONDITIONS
SUB -STANDARD HOUSING LETTER
y q c- Z-3
JOB FINALE (Date)
Signature
`COUNTY OF BUTTE
BUILDING DIVISIAN
DEPARTMENT OF DEVELOPMENT SERVICES
.Y 7 County Center Drive • Oroville, CA • (530) 538-7541
CORRECTION NOTICE
(Oct S
OWNER PERMIT NO.
A routine inspection indicates that the following violations of Butte County Ordinances exist at
the above address and should be corrected. Please call for re -inspection when correction of
work is completed. If you have any questions pertaining to this matter, or need additional
explanation, please contact the Building Inspector as indicated below.
li 660umc_ 18" n1lok . [)'(n7W rO(Z- .p
c,(-�S C.��IE
Date _y� Inspector. E-_ L2,012Aq ccS 111ay�o/�i S
REV 4/05 Phone #
FOR RE -INSPECTION CALL: 538-7636 OR 891-2834
BUTTE COUNTY
DEPARTMENT OF DEVELOPMENT SERVICES
BUILDING PERMIT
24 HOUR INSPECTION #: (530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO)
OFFICE #: (530) 538-7541 FAX#: (530)538-2140
WEBSITE: www.buttecounty.neAdds
PERMIT NO.
BPO51695
LICENSED CONTRACTORS 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
Issued Date: 06/28/2005 APN: 069-250-043-000
the Business and Professions Code, and my license is in full force and
effect.
License Class: License Number:
Site Address: 6134 KANAKA ORO
Date: Contractor.
Map Index:
Description: NEW INSTALLATION OF 2 125GAL TANKS
OWNER -BUILDER DECLARATION
I hereby affirm under penalty of perjury that I am exempt from the
Contractors' State License Law for the following reason (Sec. 7031.5
Business and Professions Code: Any city or county which requires a
Owner: MELISSA CULLOTY
permit to construct, alter, improve, demolish, or repair any structure, prior
to its issuance;::also requires the applicant for such permit to file a
6134 KANAKA AVE
signed Matelmertt tha`t•he or she is licensed'pursuant,to the.provisions of
OROVILLE
the Cbntractor's Stale'L'icense Law (Chapter 9 commencing with Section
.CA`:
95966
7000) of Division 3.of--the Business and Professions Code) or that he or
she i5,exempt. therefrom and the basis.for the alleged exemption; Any
. (530).589-9750: � •:.:.
violation.-of=�Seclion 7031.5 by any applicant for a permit.subjects the .
applicant. to-a.c vil.penally of not more than five hundred dollars ($50.0).):
❑ I, as owner•of the property, or my employees with wages as their
sole compensation, will do 'the work, and the structure is not
intended, or offered for sale,(Sep;:,7044„f3usiness,ancf;Professions,.
'The
,, Applicant: MELISSA-CULLOTY • - •••< • •: •• •• •- • - : -=•:• --.•• :• :-....:,..•:
Code: Contractors' -State License Law does not apply to an
6134 KANAKA AVE
oWner;of.property yyho builds or, improves thereon, and who. does
such work himself or.herself or through his or her own. employees,
OROVILLE CA
provided, .that. such. improvements. are not, intended or offered for
” "sale:
95966
If however,'ihe' building or improvements are sold within one
year of completion, the owner -builder will have the burden of
(530) 589-9750
proving that he or she did not build or improve for the purpose.of
` sale.)- ... ...
I, ;as:..owner of. tbe:,.ploperty, am .exclusively.-..co.ntracting with
licensed contractors to construct the project (Sec. 7044, Business
and Professions Code. The Contractors' State License Law does
Contractor:
not apply to an owner of ,property. who builds or improves thereon,
and who -contracts. for such projects with a contractor(s) licensed
pursuant to the Contractors' State License Law.).
"
...... _.._. .
❑ : I am Exempt under Article 3 of the Business a.nd Professions Code
bate:_='Owner: 1
License, #:, "
'.:,,.:WQRKERS.•.COMPENSATION.DECLARATION ...
I hereby.affirm under penalty of perjury one'of the following declarations:
❑ 1 have- and. will. maintain a certificate of consent to self -insure for
workers:'compensation, as provided for by Section 3700 of the
Labor Code, for the performance of the work for which this permit
Architect:
is -issued. ..
_:...._..::,.,.:,...,::::.,.:.................:......... ::.:...:.
have and will maintain. workers' compensation insurance, as
.Engineer: .. .
,r'equired.by Sectio..3700Ahe Labor Code, for the performance of
.the workfor which this permit is issued., My workers' compensation
insurance carrier and -policy. number. are: '
carrier::
Total Square Ft: 0 S. F.
olicy #:
Valuation: $0.00
Census Code:
:.=..
I certify that in the performance of the work for which this permit is
issued,-.:Ishall•not.employ'any person in.'any manner.so as to
become subject.do the' -workers' compensation laws of California,
and .agree that if I should become subject to the workers'
compensation provisions of Section 3700 of the Labor Code, I shall
forthwith•cwmply with those provisions.
Date:
WARNING:'•' : Failure `lo secure workers' compensatio coverage is
unlawful, and 'shall'subject an employer to criminal penalties and one
hundred ".thousand" dollars ($100,000), in addition to the cost of
compensation; damages as provided for in Section 3706 of the Labor
code, interest, and, attorney's fees. .. ,. •
` :ems-�#- � � 1 /� wG=
-• CONSTRUCTION LENDING AGENCY
This permit is/hereby issued under e a pficable provisions of the Butte County CodR ?nrvor
I hereby affirm that there is.a construction lending agency for the
performance of the work for which this permit is issued (Sec 3097 Civ.)
R olution do work indicated ov or w i h fees have been paid. /
�(
Name:
B Date: (J
PERM EXPIRES ON: v
Address:
Date
,
L3 I hereby certify that.the use q this facility.shall comply -with Sections 25505, 25533, and 25534 of the California Health and Safety Code, which regulate the storage,
. handling and use: of. hazardous materials.
O Nbtification'in accordance with Section 19827.5 of California Health 8 Safety Code is not applicable to the scheduled construction of this project.
O Attached are copies of the required E.P.A. notification forms.
1 hereby,certify.that I have read this application, that the above information is correct, and that I am the owner or the duly authorized agent of the owner. I agree to comply with
"all county' and state laws relating to building. construction.. I acknowledge itis unlawful to alter the substance of any official form or document of Butte County. I hereby
authoriie representatives of Butte County to enter upon the above mentioned property for inspec ion purposes. '
I
Print Name: ` .r 1 g f� �/� (7 �I Signature:
C 9
Date:...
Owner. ❑Contractor ❑ Agent for Owner 0 Agent for Contractor
J=OK
D . Not OK
- = Not Applicable
. =Not Ready
eady
MOBILE HOMES
Date
MOBILE HOME UTILITIES (Plans) OK except #'s
1. Zoning Requirements -Setbacks -Easements
2. Sols; Special MH Support Sketch
3. Sewer, Location -Test -Fall -C/O -Concrete
4. Water; Location -Test -Easement Needed (Sketch)
5. Electricity; Location-Clearances-Gmd-/ /Amp -Concrete
6. Gas; Location -Test -Wrap -4 /" L'it.
/ P Nat. or /10 r L "4�3/yP LPG
7. Well Clearance & Disconnect
8. Utility Clearance
Date -(t-O
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
Date
MOBILE HOME INSTALLATION (Plans) OK except #'s
1. Zoning Requirements -Setbacks -Easements
2. Footings; Size -Spacing -Marriage Line
3. Gas; MH Test -Demand -Valve -Connector
4. Electricity; MH Test -Crossovers -Breakers -Clearances
5. Drain; MH Test -Fall -Flex Connector
6. Water, MH Test-Regulator-ConnectoP
7. Water and Sewer Connected -C/O to Grade -HD Approval
8. Gas and Electricity Tagged
9. Tie Downs -Type -Installation Cert.
10. Exits; Insp.-Sketch
11. Cert. of Occupancy
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
Date
PERMANENT END SYSTEM (ONLY)
1. Zoning Requirements -Setbacks -Easements
2. Footings; Size -Spacing -Marriage Line
3. Blocking
4. Gas; MH Test -Demand -Valve
5. Electricity; MH Test
6. Water, MH Test
7. Water and Sewer Connected
8. Gas and Electricity Tagged
9. Exits
10. License Decals
11. Verify #'s with Office
Date Card B-1 Date Card B-1
Date Card B-1 Date Cana B-1
MISCELLANEOUS
Date DECKS, COVERS, CARPORTS, GARAGES (Plans) OK except #'s
1. Zoning Requirements -Setbacks -Easements
2. Footings; Soils -Size -Depth -Spacing -Connectors -Steel
3. Decks, Girders and/or Joists -Decking -Bracing -Stairs -Rails
4. Wood Awn.; Posts-Beams-Rftrs-Connectors
Shthg- Frg- Bracing
5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures
6. Carports; Windows -Doors
7. Electric
8. Frmg.; Sills-Anchors-Studs-Rftrs-Trusses
9. Siding; Nailing -Veneer -Stucco -Mesh
10. Roof; Shthg-Roofing
11. Ext.; Steps -Doors -Landings
12. Braced Wall Panels
Date Card B-1 Date Card B-1
Date Card B-1 Date Card B-1
Date POOLS (Plans) OK except #'s
1. Setbacks -Easements
2. Soils; Compaction -Structure Stability
3. Pool Structure; Steel -Connections -Thickness
Dead Men -Lining
4. Elec.; Receptacles and Lighting, Distance-GFI
5. Elec.; Pool Lighting; 15 Volts-GFI
6. Elec.; Enclosures; Conduit Entries -Terminals -Listed
7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater
8. Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg.
Boxes-Enclosures-Panelboards-Ins. to Main Conduit
9. Health Department Approval
10. Plumb.; Cir. Test -Water Supply Test
11. Light Niche
12. Enclosure; Fencing -Alarms
Date Card B-1 Date Card B-1
Date Card B-1 Date Card B-1
J=OK
0 = Not OK
= Not Applicable
= Not Ready
RESIDENTIAL (Single & Duplex)
Date UNDERFLOOR (Plans) OK except #'s
1. Zoning -Setbacks -Easements -Flood -Slope
2. Ftg., Main; Soils-Elec. Gmd.-/ /" Ftg. Depth
3. Ftg., Garage; Soils-Steel-Elec. Gmd.-/ /" Ftg. Depth
4. Ftg., Porches & Decks; Soils -Steel-/ /" Ftg. Depth
5. Stemwalls, Main; Steel-Blockouts-Wrapped
6. Stemwalls, Garage; Steel-Blockouts-Wrapped
6a. Hold Downs and Special Anchors
7. Slab, Steel -Wrapped
8. Piers -Fireplace Ftg.-Steel
9. D.W.V.; Fall -Fitting -Test -2 Way C/O -Sewer Test
10. UF, Gas Pipe; Size Anchors -Yard Gas Piping; Size Test
11. Water Pipe; Test -Anchors -Regulator -Service Test
12. Electric Underground
13. Plenums & Ducts; Clearance -Material -Support -Ins.
14. Girders -Sills -Anchor Bolts-Joists-Vents-Crippies
15. Access & Ventilation
16. Insulation
Date Card B-1 Date Card 8-1
Date Card B-1 Date Card 871
Date PLUMBING (Permit) OK except #'s
17. Water Htr.; Vent -Access -Combustion Air Baffle
18. Water Pipe; Test & Anchor -Nail Protection
19. D.W.V.; Test Fittings & Anchor -Nail Protection
20. Shower Pan; Test, First Floor -Tub Access
21. Test Tub & Shower, Second Floor -Tub Access
22. Gas Pipe; Sixe & Anchors
23. Fire Sprinkler, Test
Date Card B-1 Date Card B-1
Date Card B-1 Date Card B-1
Date ELECTRICAL (Permit) OK except #'s
24. Fixture & Transformer Clearance -Ins. Protection
25. Elec. Receptacles Spacing -Lights & Switches at Doors
26. Size Boxes & No. of Conductors Stapled
27. Romex Installed Close to Edge of Studs & C.J.
28. Equip. Ground made up w/Mech Fasteners -Bond Gas & Water
29. 2 Appliance Circuits in Kitchen & Conductor Size GFI
30. Subfeed Wire Size/ /ga. Cu or AI -AC. Wire Size/ /ga Cu or AI
31. Range Circle/ /ga Cu or AI -Oven Circ. / /ga Cu or AI
Insulated Neutral 0 Yes O No
32. Service -Riser Conductors & Ground Main Disconnect
33. Equip. Clearances Panels-Motors-Mech. Equip.
34. Clothes Closet Light -Shower Light -Spa Light
35. Smoke Detector
Date FRAMING (Continued)
47. Hangers -Post Caps -Anchors -Connectors
48. Ging. Joist-Rftr. Ties-Purlin-Roll Brac_ Truss-Shting.-Rtng.
49. Fireplace Ties or Type AFlue-Fireplace Throat Clearance
50. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles
51. Bdrm. Windows or Exiting Doors -Sill Ht. & Dimensions
52. Garage Fire Protection Framing -RC Channel
53. Property Line Firewall & Openings
54. Ext. Doors -One 3' -Check Garage 3rd Story, 2 Exits
55. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection
56. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers
57. Siding -Nailing Veneer
58. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access
59. Glazing Area -Glass Protection -Skylights -Plastic
60. Shear Walls; Nailing -Bolts
61. Brace Interior/Exterior Wall Panels
62. Insulation -Walls -Ceilings
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
Date
MECHANICAL (Permit) OK except #'s
Date
36. A.G. Ducts Insulation & Support
37. Vent Fan, Exhaust above insulation
38. Condensate Drain & Overflow, Size & Grade
39. Furnace -Vent Access -Comb. Ait-Return Air Vent 115 Outlet
40. Attic Access & Platform if Furnace in Attic
Date
Cana B-1 Date Card B-1
Date
Card B-1 Date Card B-1
Date
FRAMING (Permit) OK except #'s
41. Sills Proper Materials & Anchors
42. Walls Studs -Nailing Spacing & Braces -Plates -Sound
43. Bearing Walls over Girders & Floor Nailing
44. Draft Stop in Walls (rat proof)
45. Fire Stops, Furred Ceilings -Stairs -Chasers -Tubs
46. Headers & Beams -Size & Bearing
Date FRAMING (Continued)
47. Hangers -Post Caps -Anchors -Connectors
48. Ging. Joist-Rftr. Ties-Purlin-Roll Brac_ Truss-Shting.-Rtng.
49. Fireplace Ties or Type AFlue-Fireplace Throat Clearance
50. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles
51. Bdrm. Windows or Exiting Doors -Sill Ht. & Dimensions
52. Garage Fire Protection Framing -RC Channel
53. Property Line Firewall & Openings
54. Ext. Doors -One 3' -Check Garage 3rd Story, 2 Exits
55. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection
56. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers
57. Siding -Nailing Veneer
58. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access
59. Glazing Area -Glass Protection -Skylights -Plastic
60. Shear Walls; Nailing -Bolts
61. Brace Interior/Exterior Wall Panels
62. Insulation -Walls -Ceilings
63. Infiltration -Walls -Windows
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
Date
FINAL (Plans) OK except #'s
64. Ext. Steps -Door & Sidelight Protection -Landings
65. Smoke Detector
66. Furnace Vents -clearance -Comb, Air -Connector -
In Garage; Above Floor-Ducts-Mech. Protection
67. Bedroom Exiting
68. G.F.I. & Bath Fixtures & Tub Access -Spa
69. Elec. Trim & Subpanel, Breaker Sizes & Labels
70. Stairs & Rails
71. Fireplace or Stove, Clearance -Hearth
72. Elec. Outlets at Wood Panel, Int & Ext.
73. Kit. Fixt. & Appliance; Ground -Air -Gap -Cooking Clearance
74. Elec. Outlets & Receptacles at Kit. Counter
75. Garage Fire Door, Swing -Landing -Closure
76. A.C. Duct in Garage -Damper
77. Wtr. Htr.; Vents -Clearance -Comb. Air Connector-P.R.V.
in Garage; Above Floor -Meth. Protection
78. Plb.; Elec. & Mech. Equip. Listed for Location
79. Elec. Receptacles in Garage (F.EI.)-Romex Protection
80. Insulation -Foam -Looked in Attic
81. Guard Rails & Deck Construction -Post Caps
82. Fdn. VBents & Crawl Hole Door Drainage & Wood -Earth
Clearance Looked under Floor ❑ Yes
83. Following Instld Mrive O Yes O No/Walks O Yes O No/Planters O Yes O No
84. Stucco Brown -Finish
85. A.C. Unit Disconnect, Electrical -Plumbing
86. Vents Above Roof, Plbg-Appliance-Fireplace-Clearance to Openings
87. Water Well, Disconnect, Electrical, Plumbing
88. Exterior Elec. Trim, G.F.I. Receptacle -Underground
89. Ventilation Throughout House
90. Glass Protection
91. Corrections from Previous Inspections
92. Gas Test -Meters Tagged, Gas -Electric
93. Water & Sewer Connected -C/O to Grade -HD Approval
94. Energy Compliance Certificate -Other Certificates
95. Address Posted
96. Fire Sprinkler
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
Comments at Final:
BUTTE COUNTY
DEPARTMENT OF DEVELOPMENT SERVICES
BUILDING PERMIT
24 HOUR INSPECTION #: (530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO)
OFFICE #: (530) 538-7541 FAX#: (530)538-2140
WEBSITE: www.buttecounty.netWds
PERMIT NO.
BPO51695
LICENSED CONTRACTORS 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
Issued Date: 06/28/2005 APN: 069-250-043-000
the Business and Professions Code, and my license is in full force and
effect.
License Class: License Number:
Site Address: 6134 KANAKA ORO
Date: Contractor.
Ma p Index:
Description: NEW INSTALLATION OF 2 125GAL TANKS
OWNER43UILDER DECLARATION
I hereby affirm under penalty of perjury that I am exempt from the
Contractors' State License Law for the following reason (Sec. 7031.5
Business and Professions Code: Any city or county which requires a
Owner: MELISSA CULLOTY
permit to construct, alter, improve, demolish, or repair any structure, prior
to its issuance, also requires the applicant for such permit to file a
6134 KANAKA AVE •�
signed staigmerxt t(iat'he or she is licensed' pursuant to the,provisions of
• , 3 ' 1,-° - .OROVILLEfCA'
the Contractor's State`License Law (Chapter 9 commencing with Section
r
7000) of Division 3 of,the Business and Professions Code) or that he or
! : • _ r . ' 95966
• 5
she is"exempt therefrom and the basis.for40e-alleged exemption; Any
„ (530) 589-9750:.x...
violation, 0 Secti6nJ631.5 by any applicant for a perrnit..subjects the
applicant ;to:a.cvil-penalty of not more than five hundred dollars ($90,0).):
�•/r
❑ I, as -owner of the property, or my employees with wages as their
w.w••/-.,•vJ.wYa..�•, Liu,. Jv,.,vJle
sole compensation, will do the work, and the structure is not
intended. ,offered for. sele�(Se�. 7044 ,Business,ag� Professions,
;The
.,.,--...--Applicant:,MELISSA.CULL•OTY-- • �• • •••• •.- • • - -a•..--. ..__..
Code: Contractors' 'State License Law does not apply to an
6134 KANAKA AVE
_yner,of, property who builds or., improves thereon, and who does
suchwork himself or,herself or through his or her own employees,
OROVILLE CA
provided, that such improvements. are pot intended .or offered for
95966
ale: If however, the building or improveiments`are sold within one
` year of completion, the owner -builder will have the burden of
(530) 589-9750
proving that he or she did not build or improve for the purpose of
sale.). • . - .
I„as,.•owner of. the—ploperty, am exclusively., contracting with
licensed contractors to construct the project (Sec. 7044, Business
and Professions Code. • The Contractors' State License Law does
Contractor:
-not apply to an owner pf property who builds or improves thereon,
and who -contracts, for. such projects with a contractor(s) licensed
pursuant to the Contractors' State License Law.).
❑ I `am Exempt under Article 3 of the Business an Professions Code
baie:� �Owner:
License-#:
t 5 :V2WORKERS; COMPENSATION. DECLARATION
I hereby;affirm under penalty -of perjury one'of the following declarations:
O f 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
Architect:
is -issued..
-,.. » - .......�
�n , l have and will° maintain workers compensation insurance, as
.. Engineer:.. ...-..._. _ ._. �.. ..., .._-.,
cequired.by -Section: 3700. the Labor Code, for the performance of
the work for which this permit is issued.. My workers' compensation
., insurance carrier and policy number. are:
Cartier:
Total Square Ft: 0 S. F.
olicy a:
Valuation: $0.00
Census Code:
- - -
I certify that in, the performance of the work for which this permit is
issued;• •shall. not .employ'any person in 'any manner so as to
become subject to the workers' compensation laws of California.
,and .agree that if I should become subject to the workers'
compensation provisions. of Section 3700 of the Labor Code, I shall
forthwith comply with those. provisions.
Date:
Applicant,,
WARNING:% Failure `io secure workers' compensatio coverage is
unlawful, and 'shall'subject an employer to criminal penalties and one
- -
hundred' thousand” dollars ($100,000), in addition to the cost of
compensation, damages as provided for in Section 3706 of the Labor
code, interest, and.attomey's fees.
ems - A/ �� .�.�
+ • CONSTRUCTION LENDING AGENCY
This permit i ereby issued under e a plicable provisions of the Bufte County Codw anrVor
I hereby affirm that there is a construction lending agency for the
performance of the work for which this permit is issued (Sec 3097 Civ.)
RoI tion do work indicbted ov or w i h fees have been paid.
Name:
B Date:
Address:
PERM EXPIRES ON:y
Date
O 1 hereby certify that.the use.of,this facility shall comply with Sections 25505, 25533, and 25534 of the California Health and Safety Code, which regulate the storage,
handling and use of hazardous materials.
O Notification in'accordance with Section 19827.5 of California Health & Safety Code is not applicable to the scheduled construction of this project.
O Attached are copies of the required E.P.A. notification forms.
I hereby.certify that I have read this application• that the above information is correct• and that I am the owner or the duly authorized agent of the owner. t agree to cortiply with
all= and state laws relating to building construction• I acknowledge itis unlawful to after the substance of any official form or document of Butte County. I hereby
au"..thorize representatives of Butte County to enter upon the above mentioned property for inspec ion purposes. '
. . _ _ --
Print Name: , _ �4 o l 1 Signature:
Q
Date; _ .�
Owner ❑' Contractor t ❑ Agent for Owner ❑ Agent for Contractor
(o
0(--
0
0
\0
BUTTE COUNTY
0 DEPARTMENT OF DEVELOPMENT SERVICES
BUILDING PERMIT APPLICATION
0 AND SUBMITTAL REQUIREMENTS
00 24 HOUR INSPECTION#: OROVILLE: (530) 538-7636 • CHICO: (530) 891-2834
C OFFICE #: (530) 538-7541
A FEE WILL BE REO UIRED AT TIME OF APPLICATION
Website: www.buttecounty.net/dds
**PLEASE PRINT CLEARLY**
OWNER
Last plemeI
Fi Na
Address
G. L`
city c Sr
z'
e ax
ail
APPLICANT NAME
CONTRACTOR
Name
City
Address
Zip
City
Fax
State
Zip
Phone
Map Book
Fax
E-mail
Planner
Lic. #
Class
APPLICANT NAME
ARCHITECT/ENGINEER
Name
City
Address
Zip
City
Fax
State
Zip
Phone
Map Book
Fax
E-mail
Planner
State License Number
APPLICANT NAME
Name
Address
City
State
Zip
Phone
Fax
E-mail
APPLICANT SIGNATURE
X
For office dse only:
Zoning
Proy Address
Iiq_
Flood Zone
.
SRA
Yes
I No
Occ.
Type Const.
Subdivision Name
Map Book
Page
Lot #
Planner
Date Approved:
OVER FOR SUBMITTAL REQUIREMENTS
K:\FORMS\BUILDING FORMS\BldgApplSubRgmts.doc
PERMIT
NO. /_
BIN #
LOCATION
Al
Proy Address
Iiq_
C� ,L
Cro treet
WORKER'S COMPENSATION
Policy Number
Carrier
If hiring anyone other than license contractors, a certificate of worker's
compensation must be shown at the time of permit issuance.
LENDING AGENCY
Name
Address
Description or Scope of Work:
Sq. Footage
❑ Structure Built without Permits
❑ Proposed Change of Occupancy
(Note previous use):
EXPIRATION OF APPLICATION
Applications for which a permit has not been issued will expire one
year after the date of application. In order to renew action on an
application after expiration, a new application, plans and fee will be
required.
REQUEST FOR REFUNDS
Refunds can only be made upon written request by the person who
paid the fee. The request must be made prior to the expiration of the
permit and no construction work has been done. Filing fees, plan
check fees for work plan checked and other department costs are not
refundable.
Page 1 of 2
REV 2-24-05
Received byT�Q Amount:
,r `4:� (0
Bldg
Receipt #: ' / 15/�22
SRA
Sheriff
SUP
Date
Other
Total
Page 1 of 2
REV 2-24-05
SUBMITTAL & PERMIT REQUIREMENTS
The following drawings and specifications must be submitted to the Building Division in order to apply for a
permit. INCOMPLETE SUBMITTALS WILL NOT BE ACCEPTED. ALL PLANS MUST BE LEGIBLE AND IN INK.
❑ 1. Site plans, 3 or 4 sets, signed by the preparer of the plans. No graph paper!
❑ 2. Complete plans, 3 or 4 sets, signed by the preparer of the plans (No graph paper!) OR
Engineered plans, 3 or 4 sets, with wet signature on plans AND 2 sets of stamped and signed calculations.
❑ 3. Engineered truss details and layouts in duplicate (if required). No faxes!
❑ 4. Energy compliance design and supporting documentation in duplicate.
❑ 5. Statement of Intent for Non-hbated and AIC for Non -Residential Buildings.
❑ 6. Manufactured homes: (A) installation inst, (B) Marriage line info, (C) Floor Plan, (D) Tie down or fnd plans, all in
duplicate.
❑ 7. Metal bldgs: (A) Metal .Bldg Plans, (B) Fnd plans and calcs in triplicate, (C) Elevations in triplicate. (D) Floor
plans in triplicate. All of these must be stamped and wet -signed by the engineer.
❑ 8. Flood Elevation Certificate, wet -stamped and signed, in duplicate (if required).
❑ 9. Site 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 (if required).
❑ 12. Hazardous Material Form (for Commercial Buildings only).
Remaining items needed to issue the permit. Additional items may be required after Plan Check and Planning
review (May
require additional plan review upon receipt of the following items.)
❑ 1.
Agricultural Buffer clearance and site plan approval from the Ag Commissioner's office (if required)..
❑ 2.
Impact Fees.
❑ 3.
California Department of Forestry plan approval (if required).
❑ 4.
NPDES Form.
❑ 5.
Encroachment Permit for driveway from the Public Works Dept. (construction approval prior to occupancy).
❑ 6.
Contractor's license information. (Number, Name Style, Classification).
❑ 7.
Worker's Compensation Carrier and Policy Number.
❑ 8.
Owner -Builder Verification (if required).
❑ 9.
Letter of Signature authorization (if required).
❑ 10.
Recorded copy of Agricultural Acknowledgment Statement.
❑ 11.
❑ Grant Deed, ❑ M.H. Title/Statement of Facts.
❑ 12.
Sanitation and site plan approval from the Environmental Health Department.
If you have questions or would like additional information regarding this process, please contact a
Permit Assistant at (530)538-7541.
EXPIRATION OF APPLICATION
Applications for which a permit has not been issued will expire one year after date of application. In order to renew action
on an application after expiration, a new application, plans and fees will be required.
REQUEST FOR FEE REFUNDS
Refunds can only be made upon written request by the person who paid the fee. The request must be made within two
years from the date of fee payment on permits not issued, and two years from the date of permit issuance for permits
issued; however, on issued permits refunds can only be made if no construction work has been done. Filing fees, plan
check fees for work plan checked and other department costs are not refundable.
OVER FOR BUILDING PERMIT APPLICATION
KAFORMS\BUILDING F0RMS\B1dgApp1SubRgmts.doc Page 2 of 2 REV 2-24-05
PERMIT NO. 6887-79B,E
PERMIT EXPIRES
;YowNER Raymond & Wanda N:onan
�
CONTR. pygnar
34-84-43
-1 OCATION (A.P.
6134 Kanaka Dr., lot 189,KRYMB, Oroville
Temp. P0 'er Pole
Caded PG&E
Temp.)/Elec. Serv.
Elec.
Called PG&E
Temp. Gas Serv.
Called PG&E
OB
F.INALED
(Da
(Signature)
PLUMBING
Footings
COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS
BUILDING INSPECTION RECORD
Grd. Fault Prot.
BUILDING BUILDING (Cont'd)
Slab
Setback
Firewall
Soil Piping
Forms
Parapets
1st Floor
Main Bldg.
Restroom Finish
2nd Floor
Footings
Windows
3rd Floor
Stemwall
Siding f
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
Prov. for ph sically
handicap ed
Conformance of ext
Appliances
Gas Piping &
PLUMBING
Footings
structure
Grd. Fault Prot.
Tem . Gas
Slab
Finalc9
Brown
Sanitation
Patio oe
Finish
FIREPLACE
Final
Footings
Footing
Permanent
ELECTRICAL
MasonryWalls
Throat
MOBILEHOMEUT ITIES------------------
Rough
Relnf. Steel
Final
Sewer
Fixtures=—�`�--
Bond Beam
Support
FIRE SPRINKLERS
Motors
Framinn
Tem•
ui_.__ u._
Mesh
MECHANI AL
Grd. Fault Prot.
Scratch
Heating
Service
Brown
Cooling
Temp. Pole
Finish
Ducts
Underground
Interior Lath
Ventilation
Permanent
Door Closer
Final
Final .
MOBILEHOMEUT ITIES------------------
Elec- Service
Elec. Pedestal
Water Piping
Sewer
Gas Piping
OB16EHOME 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.)
COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS
7 County Center Drive 2 Oroville, California 95965 n
' Telephone: 534-4541
APPLICATION AND PERMIT
laI
BUILDING
p n
Owner R>aYMoND GtJ�NDA NOONl�IJ
SO. FT. OCC. BUILDING VALUATION
7 r00
Mailing Address 13 khMPtVA DQ.
1 2 C d %�og,0 O
i�
62 ZQ U I � 9 5
5 =3 550
Contractor Q CA) Ep--
Mailing Address
Fireplace
Total Valuation . Q®
Telephone No.
Permit Fee 14, pv
Building Address x-34 K_ AV -4 -p2Ian
Checking Fe /or Penalty rn O
Permit Fee , oU
2'
PLUMBING No. @ FEE
PERMIT FILING FEE $3.00
Each Trap 1.50
Repair drainage or vent piping 1.50
A. P. No. 34- $�_ 4.3
�-I
Zoning 8 Planning
Water piping 1.50
Each gas water heater or vent 1.50
F s I
Fire Dept.
Fire Zone
Use Permit
Gas piping system 1 - 5 outlets 1.50
EQA
Parking
Plans
Parcel
Declaration
Parcel Map
60' R/W
Improvemen .s
Each additional outlet .30
Building sewer 5.00
Bld Ions Recd
Parcel A al
Plan pproval
Lawn sprinkler system 2.00
NEW ADDITION ❑ UTILITIES ❑ OTHER ❑
Permit Fee $
$
ELECTRICAL No. @ FEE
PERMIT FILING FEE $3.00 3.00
Main service 600V OR LESS
100 AMP OR LESS 5.0 0
Single Family ❑ Duplex ❑ Mobil Home Others ❑
Main service EA. ADD'L loo AMP 2.50
`.rt'
Zxz.4 CA12pos2 .ML s.46D
Main service OVER 6.0V
O25.00
100 AMP OR LESS
Main service EA. ADD'L 100 AMP 1.00
NEW CONST. DWELLING OC Si
OR ADDNS. ACC. BLDGS. 20sq ftI,
CONTRACTORS LICENSE LAW
I am licensed under the provisions of Chapter 9, Div. 3, of the
State of California Business & Professions Code under the name
style of:
NEW CONSTR.S,D. MULTI -OUT LET
I BRANCH CIRCUITS) 2.50ea
NEW
NEW CONSTR (POWER APPARATUS 8
CO T
NON-RESID. (SINGLE OUTLET CIR.
Ex. OCCUD(OUTLETS OR FIXT11RES) 5 L25
FIXED APPLNS. OR
Ex. Occup. OUTLETS (RESID.) EA) 2.00
Temporary service 10.00
Mobile Home Facilities 15.00
License No. Classification
Misc. Wiring 6.25
am exempt from the Contractors License Laws of the State of California.
Permit Fee $ zh q D
$
WORKMEN'S COMPENSATION INSURANCE
I am aware of the provisions of Section3700 of the California Labor
A h' h I t b' d ' t 1' b' I'
MECHANICAL No. @ FEE
PERMIT FILING FEE J$3.00
Heating
Co e w Ic requires every emp oyer o e Insure agalns Ity
for Workmen's Compensation.
❑I have placed on file with the County of Butte a certificate of
Workmen's Compensation Insurance.
mi 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-mentioned property forinspection purposes.
X ��) T_ d//da1A46 )nate --,u Ae /2
Signature of Permitee or Age
Receipt No. O00
White-D.P.W. - Yellow -Assessor - Pink -Inspector - Goldenrod -Applicant
Cooling
pa
Venti Iation
Hood 1 1 2.00
Permit Fee $ $
Land Development Fee $
TOTAL PERMIT FEE $ 'fig `lp
This permit is hereby issued under the applicable provisions of
the Bu County Code and/or resolutions to do work indicated
abov or hich fees have been paid.
D ,�OFPUIC WORKS
B Date / Q
Building permit expires Date `� v�y
COUNTY OF.BUTTE
Department of Public Works
7 County Center Drive
Oroville --- =-534-4541
ELECTRICAL INFORMATION FOR DE -RATING MOBILEHOMES `
Owner G' G �t-i ✓i �/ .
i
Location
i
Mobilehome Installation Permit No. /
Q? 7
FILL IN .INFORMATION FOR ITE24S..1 THRU 10 .. .
1. .Width�_ x Box Length 62- x 3=
//Watts
2. 2 Kitchen Appliance.Circuit s .................
= 3,000
3. 1 Laundry Circuit ......... ...............
=
4. Ovens -...f.. �..................:..
p12500
5. Cook Stove Top ................................
_� f6 60
6., Hot Water Heater .... ........................
7. Dishwasher &.Disposal ... .................
8. Clothes Dryer ..................... ..........
_ Z�
9. Other (specify,.i.e., motors, exhaust fans,.
etc.)
f -AI t4, Luh5Hc✓L, . T Sr A,4 -o
S
Sub-total Watts .....
�s 71
First 10,000 watts @ 100% ...............................
= 10,000
Remaining watts @ 40% .......................
10. Air .Conditioner watts. @100%..
Central Heat System 70 watts @ 65%..
La ges Demand = L� 2 Q
= G
TOTAL DEMM WATTS REQUIRED ....:. ... Vo
"Demand Watts Required" - 230 .............
............ _ J 3 f AMPS
BI- te Mobilehome. to ....................................
� �� } AMPS
PERMIT NO. 1867-80B
PERMIT EXPIRES���/
;OWNER Raymond Noonan
CONTR.- _ owner
LOCATION (A.P. 34-84-43. )
6134 Kanaka Ave., lot 189, KRIM, Oroville
k
. n
v
Temp. Pow"er Pole
Called PG&E
Temp. EAec. Serv.
C Vied PG&E
Temp' Gas Serv.
&alled PG&E
JNB P—Q
FINALED V
(Dat �o
(Signature)
Steel
/,5 '9.0 C.----)
FIRE SPR
Stucco
COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS
BUILDING INSPECTION RECORD
BUILDING
BUILDING (Cont'd)
PLUMBING
Setback 5 %
Firewall
Soil Piping
Forms
Cooling
Parapets
1st Floor
Main Bldg.
Under roun
Restroom Finish
2nd Floor
Footings
Door Closer
Windows
3rd Floor
Stemwall
Elec. Service 7,
Siding
To out
Slab
Gas Piping
Roof SheathingWater
Piping
Piers
Water Piping
Roofing
Sewer
Garage
V
Fdn. Vents
Fixtures
Footings
Stemwa I I
A
Garage Vents
Insulation
Water Htr.
Heaters
Slab
Carport
Footin j
Prov. for phsically
handicapped
Conformance of ex.U'
structure
Appliances
Gas Piping & Xest
. Gas
Slab
Final
tation
LFInal
Patio
FIREPLACE
Footings
` /.J ` O
Footing
j ELE TRICAL
Steel
/,5 '9.0 C.----)
FIRE SPR
Stucco
Final
Subpanels i
Mesh
M CHANT AL
Grd. Fault Prot:
Scratch
Heating
Service
Brown
Cooling
Temp. Pole
Finish
Ducts
Under roun
Interior Lath
Ventilation
Permanen
Door Closer
Final
Final
MOBILEHOME UTILITIES ------------------
Elec. Service 7,
Elec. Pedestal
Water Piping
Sewer de,
Gas Piping
OBILEHOME INSTALLATION - - - - - - - - - - - - - -
Support
Elec. Continuity
Water Piping
Drainage
Gas Piping
DATE
REMARKS OR CORRECTIONS
0
(NOTE: An entry must be made on this form each time you visit the job site.)
COUNTY C4F,,BUJTTE — DEPARTMENT OF PUBLIC WORKS
7 County Center Drive — Oroville, California 95965
t Telephone: 534-4541
L APPLICATION AND PERMIT a
6/9 nature of Permitee or Agent � �-
�,/ BY �� Date
Receipt No. e 70 T
White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant 11ding permit expires Date
BUILDING
Owner C5 60/p
SQ. FT. OCC. BUILDING VALUATION
6O Cerk .
Mai I i ng Address -3q
r
LLes �, ��GJ6
Telephone No.
c�
Contractor 0,
Mailing Address
Fireplace
Total Valuation
Telephone No.
Permit Fee5 ,cep
Building AddressCe� 3C V�
Plan Checking Fee &/orPenalty b-00
Permit Fee a
PLUMBING No @ I FEE
PERMIT FILING FEE $3.00
Each Trap 1.50
zizGqf Ul (, LZ
Repair drainage or vent piping 1.50
A. P. No. ��-% --
oning & Planning
Water piping 1.50
Each gas water heater or vent 1.50
f�
t
YV'C. 1
_Ceftitatifln
1 FireDept.
FireZone
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
Bldg. PI s Rec'd
Parcel A val
ro`�
Plans Approval
Lawn sprinkler system 2.00
NEW tZ ADDITION ❑ UTILITIES ❑ OTHER ❑
Permit Fee $
$
O v LAG
ELECTRICAL No. @ FEE
PERMIT FILING FEE $3.00
Main service 600V OR LESS
100 AMP OR LESS 5•��
Single Family ❑ Duplex ❑ Mobil Home Others ❑
Main service EA. ADD'L 100 AMP 2.50
Main service OVER 600V 25.00
100 AMP OR LESS
Main service// EA. ADD•L 100 AMP 1,00
NEW CON OR ADDNST \ ACCDWELBL GS LING 0 COUP. 6\ 20Sgft
//
CONTRACTORS LICENSE LAW
I am licensed under the provisions of Chapter 9, Div. 3, of the
State of California Business & Professions Code under the name
st le of:
Y
NEW RESID. BRANCH CIR T
NON-RESID. l BRANCH CIRCUITS) 2.50ea
NEW CONSTR. (POWER APPARATUS B
NON.RESID. SINGLE OUTLET CIR.
Ex. OCCup(OUTLETS OR FIXTI1PES) a ��
Ex. OCCU FIXED APPLNS, OR
p• � OUTLETS (RESID,) EA) 2.00
Temporary service 10.00
Mobile Home Facilities 15.00
License No. Classification
Misc. Wiring 6.25
D'Tl 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.
PrI certify that in the performance of the work for which this
permit is issued 1 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 representatives of the County of Butte to enter upon the
above-mentioned property for inspection purposes.
X Date — —
Land Development Fee
$
TOTAL PERMIT FEE
$ j
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.
DIREC�T�ORy9F PUBLIC WORKS
6/9 nature of Permitee or Agent � �-
�,/ BY �� Date
Receipt No. e 70 T
White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant 11ding permit expires Date
• �
-w` •' + ��•.�� o . �1, �. a �d +J i 1 R...,. �. �"• CT -mow' r, x+,i- {e•• !. ? 'Y' :f 'r`" r..�.
fions .. .: qi`4 'y w 7 L h '?ii r» .. +i •#r y �%i�
2 s 'T" nlaRS and specific( 'do-^ �?-
; l= O l 5 °Y
4 �� all time and it is un i ~I.►t + `H ♦ 1 ' T� t^s c 1 F t `��IOr R :i �A ? !� s. y : w
ke at
19 l}gr�JtiORS OR f0►fl!! vlN J 'r''r3 `t �r� ��" ; T a. <<s t��
a , 'anu t S or CT Q�ri wT %.. •, P 7 `rte ' r }V %r KY• •r Af R � x17 r,l .' h—#
h ,moi from the Departm i"'•-�[^r}��ib�� ��T •,y ;�:� f iyti r4+.;y tx. �.
•..�'r �? �r, l`,:+ �.� � r'�2;: �J •'C..Y'S-S.,y'y��R�,, �•..elrt.�, .rr,7t +T,}• /y;: ..�`r. �f_ „IC.r�s; .r+ -e •..a r -Ty y �;f •� -.
-o
�..it
'4
C. '. �' � -� •.�+Y�� y
• r..+ .-f s i �` s ''�� # I�� ..X»,.. .s fix, •� Y'�} r t' ///� l.•. 1 - ,
e �t�• + \ Y�� ;-. 'tee
�_` •wC.''S •�' •• .�.'� -r t^�'',� f [ x`,.70 l t - ,_ ?j•', ' '! '
.. i Q ` w #'. -•s ^Ys 1 high r -^P p { Y,•%it 'Rrr • i'` �• r _ i - p. s
.' ft r `- op ajfi�to 3b mr:hi h with
io
�I`',4 �'+'.o �3 t,, •,�+�.0e,�7jO .i i.a+r T yrti i �•' . »; . ' _
'APART' +r /�, •«/J
' Provide adequate bracing. �r
NOTE:—All 'Materials & . Workmanship Shall- Be in.
Accordance with Recognized 'Gond Practices and
' ''ex l-4r/Nd of a quality -prescriber) :for. the Specified use in the
', �pGitE cow Ptar Uniform Building, Plumbing & Machanical Codes and
the National Electrical Code.
' - DECK -f ARBOR
- `+ �0/' 55 ,,,Q�' 6/34 MHAeA AY• KFLLj+-R1PGf
A s tkback of Oft. from the °' n„ ,,p v 0�2o✓�ctE cA• 9S9b�
property lines an a x ?. /' RV _
._
of :from -the oad - Ear/37.iN8 _ B-
C, k rfe r . /t! D+CiYE e En i 99.6
centedishall b clea of ,.� _
strucfus or:egrJi me Y_' ;. �~ �hll( DEPART
ME
erhang7LIP
M� 1 ;
` • _ � M1, Y � � - . {��"��yy :iL� ,•yam..»L +tom`• - .,•,e - t• . .. 3S s G+L7=• ��`c , • r r `� v
'' �w.- .,,�_ » !'rw� �.•�.' i�Y!'�d.Jad�lie..��Y'.TSiC�y`t4`�'t...1.r... ..,��q�•+�,`'G.4fC�,.S -fi w.:'�+'~?��.. ..� �'
COUNTY OF BUjjE
DEPARTMENT OF PUBLIC WORKS 7 COUNTY CENTER DRIVE
OROVILLE, CALIF. ., 534-4541
CERTIFICATE OF OCCUPANCY
This mobilehome has been installed in accordance with the requirements
of the California Administrative Code, Title 25, Chapter 5, under permit
number for the following location: %: %
Owner
Owner's Address
Mobilehome Mfg. Model �' YearL_,�
Insignia No.---, Serial No.
It is hereby certified for 'occupancy at the above described location and
may be occupied.
Director of Public Works
Date By
THIS CERTIFICATE IS VOID WHEN MOBILEHOME IS RELOCATED
White - Owner, Yellow - Installer, Pink - D.P.W.
i
PERMIT NO. 4443=79P,E
. 999999 ✓
PERMIT EXPIRES x ?
TOWNER RaWnd Noonan
�CONTR. owner
34-84-43
LOCATION (A.P. )
a
6134 Kanaka Ave., lot 189, KRIM , Oroville
s
1`
t
'Temp. Power Pole
Called PG&E
x
Temp. Elea Serv.
Called PG&E
t Temp. Gas Serv.
Called PG&E
JOB y
FINALED�- %
(Dat e
(Signature)
-i
i
l_
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS
BUILDING INSPECTION RECORD
DATE f— 7/ REMARKS OR CORRECTIONS
(NOTE: An entry must be made on this form each time you visit the job site.)
9. Electrical
A. Is service large enough to provide adequate amperage.to mobilehome (must equal ratin of
mobilehome with a minimum of. iirip) and other -facilities on lot, i.e.,.water pumps,
garage, cabana, etc.? Yes � No_
B. Is there proper clearances around panels? Yes
C. Is power supply cord•or feeder. assembly properly fused? Yes.0
D. ntinuity test satisfactory as per the following procedure? Yes_ No
ZDe-energize electrical wiring system of the mobilehome at the pedestal.
Irl -Make sure that the power supply cord or feeder assembly conductors, including neutral
conductor, have been disconnected.
Z. Switch all breakers and switches in the mobilehome to the "on" position.
Connect one lead of a test instrument to the mobilehome grounding conductor and
apply the other lead to each mobilehome supply conductor, including neutral.
All non-current, carrying metal parts',.of the mobilehome (aluminum siding, gas line,
water line), including fixtures alid appliances, shall be tested for continuity from
such equipment and the grounding conductor.
�pon 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
W-115--job
service equipment may be approved for energizing.
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 oe "VX/l &ItIZ,
Length (D 2' Width
Vehicle Serial No. .2
State Identification No.
f
Additional Information or Comments:
MOBILEHOME INSTALLATION .INSPECTION CHECK LIST
1. Is the mobilehome located wit�quired 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_ No
3. Are footings and supports properly sized, spaced, and braced ash'approved plans? (Note
possible variation at spring shackles.) (Sec. 5.82 & 5083) Yes_ No
4. Is the mobilehome level? (Sec. 5088) Yes_ No
5. If mor an a single unit, are crossover connections properly installed? (Sec. 5088)
Yes No
6. Water
A. Is fleNfeconnector of adequate size and properly installed (1/2" ID min.)? (Sec. 5566)
Yes
B. Test - Does water piping withstand working pressure or 50 lbs, air test? Yes 4 --'No
flow - If coach is not State of California approved, does station have backflow device
and pressure -relief valve? Yes_ No_
7. Wastes and Drains /L--
A.
ZiA, Is connection made with Schedule 40 DWV and have flex connectors at each end? Yes No
1�
B. Does it have minimum k" per foot slope and is it properly supported? Yes_ No
C. Are any leaks detected in drainage system.after running3-gs�llons of water through each
fixture including washing machine standpipe? Yes No
coach is not State of California approved, does station have required trap and vent?
Yes No
8. Gas Piping and Gas Vents
A. Connector - Is mobilehome connected to the gas supply with an approved 3/4" minimum
mobilehome connector not more than 6 ft. long? Note: All piping is to be at least as
large as the mobilehome gas line inlet without reductions other than the mobilehome
connector. Yes No
B. Test 0 s per following rocedure? Yes_ No
1. Open a-14, appliance onnector valves.
2. Shut off app c burner and pilot valves.
3. Air test with nome r to 10"-14" water column, or test with slope gauge (minimum
6oz.-maximum oz.) ca rated in tenth pound increments. Test for 10 min, without
drop.
4. Connect ga meter to mobilehome -th connector, turn on gas, test connections with
soapy wat r.
C. Are all appiance vents properly installed? No
COUNTY OF BUTTE — ,;7EPARTMENT OF PUBLIC WORKS
7,;Iounty Center Drive — OroviIIe, California 95965
Telephone: 534-4541
APPLICATION AND PERMIT h 1
Owner Raymond J. Noonan
Mailing Address
Contractor CARNEROS MOBILE TRANSPORT
Mailing Address 1290 E1 Ca
Building Address
CA 94558
6134 Kanaka Avenue
Oroville, CA 95965
Telephone No.
,phone No.
-252-2411
Lot 189, Unit 4B KELLY RIDGE ESTATES
A. P. o. 34— 84 — 43 fiZoning & Planning
F es 4wh+atierti• I Fire Dept. Fire Zone Use Permit
Parking Parcel
EQA Ins I Declaration I Parcel Map60' R%W I Improvement
Bldg" Plans Rec'd I Parcel A�val I Plan roval
NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER C
h INSTALLATION �0e_, MrjP" qL 4a ZG
_ BUILDING
SQ. FT. I OCC. I BUILDING VAI ION
Fireplace I I_
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
o 0 OR v
Single Family ❑ Duplex ❑ Mobil Home Others ❑
Main service 100 AMP ORSL ESS
Main service EA. ADD'L 100 AMP
Main service OVER 600V
100 AMP OR LESS
Main service EA. ADD'L 100 AMP
NEW CONST. / DWELLING OCCUP. 21
S. 11
OR ADDNS. \ ACC. BLMULT
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
1.DG
NEN REST D, / BRANCH CIR T �
NON-RESID l BRANCH CIRCUITS(
NEW CONSTR. (POWER APPARATUS 6
NON-RESID. (SINGLE OUTLET CIR.
Ex. OCCUD(OUTLETS OR FIXTIIRES
FIXED APPLS. OR
Ex.
Ex. OCCUp.�NOUTLETS (RESID.) EA)
service
Mobile Home Facilities
"
License No. 259158 Classification C-61
Misc. Wiring
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.
MECHANICAL
PERMIT FILING FEE
Heating
Cooling
@ FEE
$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
2.00
10.00
15.00
6.25
$3.00
LjI certify that In the performance of the work for which this Ventilation
permit is issued I shall not employ any person in any manner
so as to become subject to the Workmen's Compensation Laws of Hood J 1 2.00
California. 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
authorize representatives of the County of Butte to enter upon the
above-mentioned property for inspection purposes. l
X Date
n ur ermitee r t
Receipt No. Z
White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant
)FM MBL HME INSTALLATION $ 30.00
TOTAL PERMIT FEE $ 30. 0
This permit is hereby issued under.the applicable provisions of
the B ounty Code and/or resolutions to do work indicated
TOW
for hich fees have been paid.
OF PU IC WORKS
v
�iD'ate
Building permit expires Date O "�'7-0 e
MOBILEHOME SUPPORT DATA
If other than single wide,
Mobilehome Mfr.MOUNTAIN VALLEY HOMES, INC furnish Setup•Model No. 2 BDR, LPK Year 1979
+ Tag w/Walk in wardrobe
Width 24 (ft.) Box Length 62 (ft.) Tagalong or Expando Size 10 ft. x 24 ft.
(SHOW SUPPORT DETAILS BELOW)
On all mobilehomes manufactured after October 7, 1973, furnish manufacturer's installation
manual and structural setup sheets (if not on file with the County of Butte).
All center supports measured from front•of
mobilehome unless otherwise specified.
O i
(ft.)(in.)
Center support
locations*
F/,- / `
(ft.)(in.)
(ft.)(in.)
3 s-
(ft.)(in.)
1.4'/x.Soj
(in.) (in.)
Center support
footing sizes
(in.)
6 x3o
(in.) (in.)
yz _Y 30
(in.) (in.)
oa Footings (check one)
Single 1. Wood either
A''pressure treated of
.foundation grade.
02. Other (specify)
*If center piers are other than drawn above,
draw in --locations, spacing, and dimensions.
Supports (check one)
1: Concrete block.
2;;. Other (specify)
N
Tagalong or Expando,'
show support details.
Typical Support
in.) (in.) Footing Size
-- Max. Pier Spacing
(ft.)(in.)
//P O a -- Max. Overhang
(ft.) (in.)
'f AME 000NT9'
WILDING DEPARTMEN?'
APPROVED
IV
a-
d
h
4LO
o
•
�
10�
Supports (check one)
1: Concrete block.
2;;. Other (specify)
N
Tagalong or Expando,'
show support details.
Typical Support
in.) (in.) Footing Size
-- Max. Pier Spacing
(ft.)(in.)
//P O a -- Max. Overhang
(ft.) (in.)
'f AME 000NT9'
WILDING DEPARTMEN?'
APPROVED
IV
a-
BUTTE COUNTY,DEPARTMENT OF PUBLIC WORKS C
7 County Center Drive, Oroville, CA.
PHONE: 534-4541
MOBILEHONE INSTALLATION SHEET
1. Owners name: Raymond J. Noonan
2. Installer's name: CARNEROS MOBILE TRANSPORT
3. Is the site currently under permit? Yes /XX / No
(If yes, furnish permit number ) OR
Is the site an existing site? Yes / / No AX /
(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 /kX/ No
( If no, clarify
5. What is the mobilehome electrical rating? -4 ---------------------
6. What is the.mobilehomd. site service'.rating?----------------------
7. What is the mobilehome site circuit breaker rating? ---------=---
8. Is there any other electric load to be served by the mobilehome
-200- Amps
-200- Amps
-200- Amps
site
service? ---------------------------------------------------
Yes / / No
kx /
(If yes, identify the load and size:
(Load) -0-
(Amps)
9.
What
is the mobilehome site gas pipe size? ----------------------
-0-
(in.)
10.
What
is the type of gas service? -----------------------------
Natural / / LPG
kx /
11.
What
is the gas pipe length from meter or'�tank to
the mobilehome? -0-
(ft.)
12.
What
�------------------------------
is the mobilehome gas demand.
-0-
(BTU)
(This information not required if pipe length
less than 6 ft. on natural gas
or less than 50 ft. on LPG.)
COUNTY OF BUTTE '--*DEPARTMENT OF PUBLIC WORKS
7 County Center Drive — OroviIle, California 95965
Telephone: 534-4541
APPLICATION AND PERMIT
_ BUILDING t 1Z
SQ. FT. 7 OCC. I BUILDING VALUATION
Fireplace
Total Valuation
Permit Fee
Plan Checking Fee &/or Penalty
Permit Fee
PLUMBING
PERMIT FILING FEE
Each TraD
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 sarinkler 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 600V
100 AMP OR LESS
Main service EA. ADD•L 100 AMP
NEW CONST. / DWELLING OCCUP. s
Ex. OCCUDtOUTLETS OR FIXTI1QE
Ex. Occup ( FIXED APPLNS. OR
OUTLETS (RESID.) EP
Temporary service
Mobile Home Facilities
Misc. Wiring
1 am exempt from the Contractors License Laws of the State of California. Permit Fee
WORKMEN'S COMPENSATION INSURANCE MECHANICAL
PERMIT FILING FEE
I am aware of the provisions of Section3700 of the California Labor Heatinq
Code which requires every employer to be insured against liability
for Workmen's Compensation.
❑I have placed on file with the County of Butte a certificate of
Workmen's Compensation Insurance.
I certify that in the performance of the work for which this
permit is issued I shall not employ any person in any manner
so as to become subject to the Workmen's Compensation Laws of
California.
I certify that I have read this application and state that the above
information is correct. 1 agree to comply to all County Ordinances
and State Laws relating to building construction, and hereby
authorize representatives of the County of Butte to enter upon the
above-mentioned property f r inspection purposes.
X ate ` Z ` 7
Signtpre of Permitee or Agent
Receipt No. Z Z Sg3
White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant
Cooling
$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
?¢sa ft
FEE
. (>O
FEE
• Ot7
.�O
2.00
10.00
15.00 ��j�, 00
6.25
$ • +S -L
@ FEE
$3.00
Ventilation
Hood 1 1 2.00
Permit Fee $ $
Land Development Fee $�j
TOTAL PERMIT FEE $ s
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 PUBLIC WORKS
By Date— Z f 7
Bui ing permit expires Date 7- zJ —,?O
Owner Raymond Noonan
Mailing Address 258 Yosemite Road
San Rafael CA RXJ4903
Telephone No.
415-472-7189
Contractor OWNER
Mailing Address
Telephone No.
Building Address 6134 Kanaka u
Oroville, CA 95965
Lot 189, Uni t 4B - KELLY RIDGE ESTATES
A. P. No. 34 - 84 - 43
F
ing & anning
F s
4.61S+
a ion
Fire Dept.
Fire Zone
Use ennit
EQA
Parking
Plans
Parcel
Declaration
parcel P
60' R/W
Im r
p ovem is
Bldg. Pla Recd
_Po,rcidaroval
Plans Approval
NEW ❑ ADDITION ❑ UTILITIESIR
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. Classification
_ BUILDING t 1Z
SQ. FT. 7 OCC. I BUILDING VALUATION
Fireplace
Total Valuation
Permit Fee
Plan Checking Fee &/or Penalty
Permit Fee
PLUMBING
PERMIT FILING FEE
Each TraD
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 sarinkler 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 600V
100 AMP OR LESS
Main service EA. ADD•L 100 AMP
NEW CONST. / DWELLING OCCUP. s
Ex. OCCUDtOUTLETS OR FIXTI1QE
Ex. Occup ( FIXED APPLNS. OR
OUTLETS (RESID.) EP
Temporary service
Mobile Home Facilities
Misc. Wiring
1 am exempt from the Contractors License Laws of the State of California. Permit Fee
WORKMEN'S COMPENSATION INSURANCE MECHANICAL
PERMIT FILING FEE
I am aware of the provisions of Section3700 of the California Labor Heatinq
Code which requires every employer to be insured against liability
for Workmen's Compensation.
❑I have placed on file with the County of Butte a certificate of
Workmen's Compensation Insurance.
I certify that in the performance of the work for which this
permit is issued I shall not employ any person in any manner
so as to become subject to the Workmen's Compensation Laws of
California.
I certify that I have read this application and state that the above
information is correct. 1 agree to comply to all County Ordinances
and State Laws relating to building construction, and hereby
authorize representatives of the County of Butte to enter upon the
above-mentioned property f r inspection purposes.
X ate ` Z ` 7
Signtpre of Permitee or Agent
Receipt No. Z Z Sg3
White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant
Cooling
$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
?¢sa ft
FEE
. (>O
FEE
• Ot7
.�O
2.00
10.00
15.00 ��j�, 00
6.25
$ • +S -L
@ FEE
$3.00
Ventilation
Hood 1 1 2.00
Permit Fee $ $
Land Development Fee $�j
TOTAL PERMIT FEE $ s
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 PUBLIC WORKS
By Date— Z f 7
Bui ing permit expires Date 7- zJ —,?O
• "This set of plans' and specifications MUST be LOT 189
kept on the job at all times and F^ e w tuhout e No�cc UNIT 4 B
m.a!:r any changes or alterations o f Pd q//
written permission from the Department of Public O 0 /VA
Works, County of Butte. fhe °'fi o��y k?)er'io/
A s /1;' 7-",1, ,c /
"® R
14 ok,•So'oo'
4
l 4/^ ae in 4'd
zoo i+M��Ogd
ufili}y
ifhir fed withip 4 ^ecfions shill
I ` 1 cf',o• outs, 1 be
de t
% 1 f' e ft op f s/he rnobileh h "ear
I 1 } °7 de of the o►ne
mobile
Oo ; .t" p 'o
°0 ermi
0 t i1 a equired for the
Installatiora th mobilehoma.
S.T- BACK
f
5=T-Lt'!"Ct<
t,
.G u
6
6 0, 00'•x`
�Jo•S tm �
The 810. Setbac%shall be 5 ft. from the
SA �� A L- G � � ��-s � f side property lin , and 50 ft. from the
14.4AlZ4 Af/ TA centerline of the ad, permitting a mrely
mum of a 2 ft. ea a overhang but entirely
out of all easem ts.
' +4 * S+ 7�
BUTTE COUNTY
BUILDING DEPARTMENT
-SCA\L I"=20'
-- APPROVED