HomeMy WebLinkAbout069-170-0374
Ralph R, Merwin.
` .67 Montrose Dr., lot 37, KRINA, Oroville
Permit X1180-77P,E(uti„MH)
ELECT "la .
AS _
,SUPPCfRT STRUCTURE REQ. IZ/a
OMPA CT IN TEST, REQ.
contr:HolmesHome Serv.,Bangor
Permit #1391-77B(new carport & covere
deck/MH) II'MOL 177
contr:Carneros Mobile. Transpor Na�?a
Permit #139f9=77MHI �/�:9,- Q
Issued $;was
- s
g- /7- 37
contr Norths4at�Alm, Chico `
Permit #3047-77B(neWpatio cover/NH)
s
!,
..
ENDORSE HERE:
00 NOT SIGN /WRITE / STAMP BELOW THIS LINE
�•ai NANC AL i3l Tcrlori LSArt ONLY
The following security features (and others
t not listed) exceed industry standards:
Security Features Document appearance If altered:
Security Screen . Absence or modification of "Original
Document" screen on back of check
Microprint Signature Line . Absence of tiny words or dotted line
appear in signature line
Chemical Sensitivity . Colored stains or spots appear with
chemical alteration
Padlock Icon . Absence of padlock Icon
*Padlock design is a certification mark of Cheek Payment systems Association
. .x.tiE...-..., su_ie +4 •i e-....-az: ..: �3..ic_.S..P.C,.- -iT' ,''- Y�,.:JJT-Kt..> S. `td ti, 1 • ... _`t3 t- z- Y' c .a F w -
BUILDING PERMIT NUMBER: B09-0594
Address or location of unit: 67 MONTROSE DR, OROVILLE CA 95965
Legal Description of Real Property: 069=170-037
SEE ATTACHED.
(x) Mo bilehome/Manufactured Home,
O Commercial Coach
Has been affixed to the real property above by installation on a foundation system .
pursuant to Health and: Safety: Code Section .18551:
Owner's name: HOGAN.CHARLES J & MA,,
Owner's address: 6263 TORREY LN, GOLDEN CO.80403.
INSIGNIA OR HUD NUMBER:. CAL035752/3
SERIAL NUMBER.OR V.I.N.: 7752A/B.
MANUFACTURER'S NAME: SKYLINE YEAR: 1977
OFFICIAL APPROVING INSTALLATION:..
DATE: 5/6/2009
PHONE:'
.(530) 538=7541
H.C.D.513
STATE OF CALIFORNIA • BUSINESS, TRANSPORTATION AND HOUSING AGENCY _ ARNOLD SCHWARZENEGGER, Governor
DEPARTMENT OF HOUSING AND COMMUNITY DEVELOPMENT
)SING
Division of Codes and Standards
•�
moo_
n Y
3 I 01 W
3 A
�Y
Title Search
neJ�°
Date Printed : 04/20/2009
Decal #: AAZ8149 Use Code:
SFD
Manufacturer: SKYLINE Original Price Code:
AEN
Tradename: SKYLINE Rating Year:
1977
Model: Tax Type:
ILI'
Manufactured Date: 00/00/1977 Last ILT Amount:
$19.00
Registration Exp: 04/30/2010 Date ILT Fee Paid.:
03/16/2009
First Sold On: 04/04/1977 ILT Exemption:
NONE
Serial Number HUD Label / Insignia Length
Width
7752A CAL035752 56'
12'-
7752B C•AL035753 56'
IT
Record Conditions: PPF Exempt
Registered Owner:
CHARLES J HOGAN
MARY L HOGAN (Joint Tenants with Right of Survivorship)
67 MONTROSE DR
OROVILLE, CA 95966
Last Title Date: 12/14/1990
Last Reg Card: 03/18/2009
Sale/Transfer Info: Price $40,500.00'1'ransferred on 10/10/1990
Situs Address:
67 MONTROSE DR
OROVILLE, CA 95966
Situs County: BUTTE
Inactive Decal/DMV:
DMV NJ9501, DMV NJ9502, DMV SP3523
*** END OF TITLE SEARCH ***
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
the California Administrative Code, Title 25, Chapter 5, under permit
number for the following location: ������
Owner
J
Owner's Address
Mobilehome Mfg A" -%< < = Model Year
Insignia No.(r",;,"'. LL �Serial No.
It is hereby certified for -occupancy at the above described location and
may be occupied.
Director of Public Works
Y
Date c � �.,, B
THIS CERTIFICATE IS VOID WHEN MOBILEHOME IS RELOCATED
Temp. Power Pole
Called PG&E -
Temp. Elec. Serv.
Called PG&E_�
Temp. Gas Serv.
Called PG&E
JOB a �j
FINALED
c=.r
(Signature)
COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS
BUILDING INSPECTION RECORD
J
BUILDING BUILDING (Cont'd) PLUMBING'
Se ck
F ewall
S I Piping
For
Par ets
1 t Floor
Ma Bldg.
RestNom Finish
2n Floor
Fo tins
Windo
3rd Noor
SteEhall
Siding
To out
Slab
Roof SheAting
Water PIPI)tg
Piers
Roofing
Sewer
Garage
Fdn. Vents
Fixtures
Footin s
StemwaI I
Garage Vents
Insulation
Water Htr.
Heaters
Slab
Carport
Footings V
Prov. for physical
handicapped
Conformance of ex. V
structure
Appliances
Gas Iping & Test
Temp. Gas
Slab A
Final
Sanitation
Patio
REP ACE
Final
Footin s
Footing
QfECTRIC-41-
Masonry Walls
Throat
Rou h
Relnf. Steel
Final
Fixtures
Bond Beam
FIRE SPRINKLEEN
Motors
Framing
Test
Water Htr.
Stucco
Final
Subpanel/
Mesh
MECHANICAL X
Grd. F It Prot.
Scrat4h
Heati
Servl
B n
Cooing
T mp. Pole
F ish
D is
nder round
In rior Lath
entllation
Permanent
oor Closer
Inal
Final
MOBILEHOME UTILITIES -------------•---- Elec_ Service
a{� 3 'oar �� Elec. Pedestal a00,"'
Water Piping --
Sewer
Gas Piping /V b Ahfgz—
E ME INSTALLATI N
------------,-- Support
Elec. Continuity
Water Piping
Drainage
. . -
Gas Piping
DATE 2 .2,5 �%
.sE&IT .0 04D
REMARKS OR CORRECTIONS
-)0014 N0 61 A s Nb SCEP
cC'A" P yes
(NOTE: An entry must be made on this form each time you visit the job site.)
a. Electrical.
A. Is service la-Cge enoilglt to provide adequate amperage to mobilehome (must equal rating of
mobi_lehone (ai_tk a' .:J'ni,!:um100 amp) and other facilities on lot, i.e,, water pumps,
garage, cabana, ctc.? Yes No_
_ panels? Yes No
B. is they . proper clearances around p e /
C. Is power supply cord. or feeder assembly properly fused? Yes v ho
D. Is continuity test satisfactory as per the following procedure? Yes No_
,a! De -energize electrical wiring system of the mobilehome at the pedestal.
Make sure that t'.he power supply cord or feeder assembly conductors, including neutral
conductor, have been disconnected.
),el -Switch all breakers and switches inIthe mobilehome to the "on" position.
Connect one lead of a test instrument to the mobilehome grounding conductor and
apply the otlxuY Lead to each niub Lel uftie. supply conductor, 111% 'udlTtg iieutrdi.
l nor. -current, carrying metal parts of the mobilehome (aluminum siding, gas line,
water line), including fixtures and appliances, shall be tested for continuity from
such equipment: and the grounding conductor. -
6. Upon completion of the above procedure, the power supply cord or feeder assembly
conductors shall. be connected to the site service equipment. A further continuity
tee;t shall then be n.ade between the grounding electrode and the chassis of the
r.1oi)i.lehome. Upon satisfactory completion of the electrical tests, the lot or site
service equipment utaay be approved for energizing.
r �
Ts job card signed by health Departmeat for cgater and sanitation?
1.l.. If evexything okay, sign off card and ta,, services.
'MOBTLE110ME DATA
Manufacturer and/or Namestyle
Length i� 'Width o!
Vehicle Serial No.
State Identification No.
.&' 4t'�ional' Information or Comments:
ro
2iUf3T!,1 livLtG IN$7'ALL!\`1']Oi� INSPECTION CHECK LIST
1. Is the mobilehome located ai.,li required separation from lot lines and buildings and generally
conform to plot plan? YcSNo_
2, Looe:; the. mobil.ehom� have required clearances above ground? (Sec.5085Y Yes"KNo
3. Are footln,s and supports properly sized) spaced, and braced as er approved plans? (Note
possible variation at spring shackles.) (Sec. 5082 & 5083) YesNo_
4. Is the mobilehome level.? (Sec. 5088) Yes " No
5. If mo e than a single unit, are crossover connections properly installed? (Sec. 5088)
Yes No
5: Water
A. Is f xi_ble connector of adequate size and properly installed (1/2" ID min.)? (Sec. 5566)
yes No
B. Test - Does water piping withstand working pressure or 50 lbs. air test? Yes No
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? Yes 'Y' No_
B. Does i.t have minimum k;" per foot slope and is it properly supported? Yes X, 1\7
C. Are any leaks detected in drainage system after runnin 3 -gallons of water through each
fixture including washing machine standpipe? Yes No
Loach
is not State of California approved, does station have required trap and vent?
No
8. Gas Piping and Gas Vent's
A. Connector - Is mobilehome connected o the gas supply with an approved 3/4" minimum
mobilehome co ector not more than ft, long? Note: All piping is to be at least as
large as the mob'lehome gas line i� et without reductions other than the mobilehome
connector. Yes o
B. Test OK as per following
1. Open all appliance c
2. Shut off appliance bu
3. Air test with manomet
6oz.-maximum 8 oz.) c
drop.
ced re? Yes
ct r valves.
No
pilot valves.
f to 10"- " water column, or test with slope gauge (minimum
librated in enth pound increments. Test for 10 min. without
4. Connect: gas metermobilehome with con cto �, turn. on gas, test connections with
o
soapy water. `a
C. Are all appliance vefts properly installed? Yes_ No
CdUNTY'OF BUTTE — DEPARTMENT OF PUBLIC WORKS
F 7 County.Center Drive — Oroville, California 95965
Telephone: 534-4541
APPLICATION AND PERMIT
aut IVIIL6 repro AenLat ves UI the bounty of Butte to enter upon the
above-mentioned property for inspection purposes.
X Date In
S1 are of itee 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 OFi'PZIBLIC WORKS
BY � Date D — Zd= 77
wilding permit expires Date
14 BUILDING
Owner Ralph R. Merwin
SQ. FT. OCC. BUILDING VALUATION
Mailing Address Lot 37, Unit 4A
Telephone No.
Fireplace
Contractor Carneros Mobile Transport
Total Valuation
Mailing AddressPermit
1290 El Capitan
Fee
Plan Checking Fee &/or Penalty
Napa, California 94558
Telephone No.707-
Permit Fee
Building Address
PLUMBING No.1 @ FEE
PERMIT FILING FEE $3.00
$ 67 11ontrose Drive
Each Trap 1.50
Oroville California 95°65
Repair drainage or vent piping 1.50
Water piping 1.50
Each gas water heater or vent 1.50
A. P. No.34-7611 _
Zoning 8 Planning
Gas piping system 1 - 5 outlets 1.50
Each additional outlet .30
Fe
W. .
_
Fire Dept.
Fire Zone
Use Permit
Building sewer 5.00
EQA
Parking
Plans
Parcel
Declarati n
Parcel Ma P
60' R/W
Im rovements
P
Lawn sprinkler system 2.00
Bldg. Plans Recd Parcel Ap� val
Plansroyal
Permit Fee
NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER
ELECTRICAL No. @ FEE
PERMIT FILING FEE $3.00
INSTALLATION Q'L
Main service 600v OR LESS
100 AMP OR LESS 5.00
/ _
Main service EA. ADD'L 100 AMP 2.50
Single Family ❑ Duplex ❑ Mobil Home' Others ❑
Main service 1100EAMP OR LESS 25.00
Main service EA. ADD'L 100 AMP 1.00
NEW CONST. DWELING
OR ADDNS. ( ACCLBLDGOCCUP. &) 20sgft
NEW CONSTR. MULTI -OUTLET
NON.RESID. BRANCH CIRCUITS)2.50ea
NEW C ONST R. ( POWER APPARATUS &
NON-RESID. SINGLE OUTLET CIR.
CONTRACTORS LICENSE LAW
I am licensed under the provisions of Chapter 9, Div. 3, of the
State of California Business & Professions Code under the name
style of:
Carneros Mobile Transport
Ex. Occup(OUTLETS OR FIXTURES) BAL@�1
Ex. OCCU FIXED APP LNS. 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
❑ 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 I have placed on file with the County of Butte a certificate of
Workmen's Compensation Insurance.
I Io an certify that in the performance of the work for which this
ermit is issued I shall not em
P employ y person in any manner
so as to become subject to the Workmen's Compensation Laws of
California.
I certify that I have read this application and state that the above
information is correct. I agree to comply to all County Ordinances
and State Laws relating to building construction, and hereby
MECHANICAL No. @ FEE
PERMIT FILING FEE $3.00
Heating
Cooling
Ventilation
Hood 2.00
Permit Fee
Mobile Home Installation
30.00
TOTAL PERMIT FEE
aut IVIIL6 repro AenLat ves UI the bounty of Butte to enter upon the
above-mentioned property for inspection purposes.
X Date In
S1 are of itee 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 OFi'PZIBLIC WORKS
BY � Date D — Zd= 77
wilding permit expires Date
MOBILEHOME SUPPORT DATA
Mobilehome Mfr. Skyline Mobile Home Setup Model No. #925 Year 77
NET
Width 24 (ft.) Length 56` (ft.") '. Expa-ndo -Size ft.x ft.
(Draw support details below) .
On all mobilehomR�:.manufactured after October 7, 1973, furnish manufacturer's installation
manual and structural setup.sheets _(if. not on file with the County of Butte).
S Lng le � Foot ings--(check.oni
LIM Wood *either
pressure treated o:
Center Center Supp rt :: fdn. - grade.
::
Support Footing Sizes
Locations (in.)� .......� 2. .Concrete pad.
i
3. Other, 'specify
j:?Ft. In.—
Supports (,!;;heck on
1. Concrete block
2. Concrete piers
f7�in1
3. Steel piers
...... . ....... .... ... .................
1 / / 4. Other, specify
....
Typical Support
12 x '30 Footing Size
f- - 24 x 30 in. in.)
(in.) (in.)
Max. -Pier".
Spacing ..... -5 - 6.Spacing .. .. ,
/T-� 24 .x 30 in. -
ft.
24x 30A1.1
(in.) (in.) -'' Max.
1 - 0 Overhang,
in.
t:
•
*If center piers are other than drawn above, ,
C®
draw in locations, spacing, and dimensions. sum
.
WILDING DEpAR�AA �'
PPR®Y-EV f
BUTTE COUNTY,DEPARTMENT OF PUBLIC WORKS
7 County Center Drive, Oroville, CA._
PHONE: 534-4541
MOBILEHOME INSTALLATION SHEET
1. Owner's name: Ralph R. Merwin Lot 37,.Unit 4A
2. Installer's name: Carneros Mobile Service
3. Is the site currently under permit?
Yes
service? ---------------------------------------------------
/
No
/X
(If
yes, furnish permit number
(Amps)
9.
What
) OR
-0
(�-)
10.
Is the site an existing. site?.
Yes
/
/
No
What
(If
yes, furnish two (2) plot plans.)
(ft.)
12.
:What
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
5. What is the mobilehome electrical rating? -----------------------
6. What is the mobilehome 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 /X /
(If yes, identify the load and size:
(Load) -0-
(Amps)
9.
What
is the mobilehome site gas pipe size? ----------------------
-0
(�-)
10.
What
is the type of gas service? -----------------------------
Natural / /
LPG
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.)
c ❑ ❑
F
James Glander
Department of Public Works
7 County Center Drive
Oroville, California 95965
Dear Jim:
s
LTA
2060 PARK AVENUE
OROVILLE. CALIFORNIA 95965
PHONE (916) 533-6457
CALIFORNIA P. E. NEVADA P. E, OREGON P. E.
March 8, 1977
Re: 77551
Compaction test -results are
enclosed for mobile home site
'preparation'at
Kelly Ridge
Estates for:
c�erwin
KRE
Unit 4A
Lot
373,5c—?�r'� I
Weston
KRE
Unit 4A
Lot
13
Mudge
KRE
Unit 2A
Lot
56
Mairani
KRE
Unit 1
Lot
109
Zimmerman
KRE
Unit 3
Lot
33
McCarthy
KRE
Unit 3
Lot
120
Oro Ridge
Mtn. Home
Unit 5
Lot
35
Representative
tests indicate that the
90% relative compaction
requirement has
been satisfied.
A location map
is attached
for each.
AGB/cap
Attachments
Very truly -yours,
COOK ASSOCIATES
Alan G. Brown
Civil Engineer
DR. LLOYD M. COOK ED, D. JOE E. COOK M. E. DAN J. COOK C. E.
t
r
LL 6l
s>ndo 1 onand'dor'Id3a,
Ln8 do kiNnoo
Client Merwin
COOK i::�SSOCIIATES Project KRE Unit 4A Lot 37
ENGINEERING CONSULTANTS Mdear In -Place Job No. 77551
2060 PARK AVENUE Kimbrell
Moisture Density Test
OROVILLE , CALIFORNIA 95965 Operator
91 6) 533 — 6457
TEST NUMBER
1
2
3
4
5
6
7
8
9
10
TEST DATE
3-8-77
1stLif t
TEST
2'fill
LOCATION
SE Cor
FINAL
MODE a DEPTH
8" -DT
MOISTURE
COUNT
1131
MOISTURE
COUNT RATIO
.795
MOISTURE
T1. 0/
PCF
20.25
DENSITY COUNT
265
DENSITY COUNT
RATIO
.985
WET DENSITY
PCF
130.50
DRY DENSITY
PCF
110.25
% MOISTURE
9,2/ 18
OPTIMUM DRY
132
DENSITY PCF
% OPTIMUM
12
MOISTURE
% RELATIVE
COMPACTION
91
/84
DAILY STANDARD COUNT
COMMENT:
DATE MOISTURE DENSITY
3-8 1422 269
9
LOT 37
UNIT 4A
I
SE 7--,,5A A -Ir
.� =- 0 14 0.1-153 " 0 0
7, 0 O'A/O 4 00---5S
Y
k'OUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS
7 County Center Drivel — UroviIle, California 95965 �J
Telephone: 534-4541
APPLICATION AND PERMIT QQQ
aUUrvrlLe representatives of the County of butte to enter upon the
above-mentioned propert for inspection purposes.
X Date.)- h11-7 7
Signal ee of Perris ee or Agent
Receipt No. / ZQ��J
White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant
This permit is hereby issued under the applicable provisions of
the Butte County Code and/or resolutions to do work indicated
above for which fees have been paid.
DIRECTO=OFU LIC WORKS
By Date -3 — 1 7-77
BAding permit expires Date :7—/ %— 7
BUILDING
Owner J
SQ. FT. OCC. BUILDING VALUATION
Mai I i n Address
o
le hone No.
'
Fireplace
Contractor
Total Valuation
Mailing Address
Permit Fee
Plan Checking Fee&/or Penalty
Telephone No.
Permit Fee
Building Address
PLUMBING No.1 @ FEE
PERMIT FILING FEE $3.00
Each Trap 1.50
Repair drainage or vent piping 1,50
- ff
A. P.
Water piping 1.50
Each gas water heater or vent 1.50
Gas piping system 1 - 5 outlets 1.50
Each additional outlet .30
F/sl VO.C. on Fire Dept. Fire Zone Use Permit
EQA Parking arcel
prcePlans Declaration 60R/W Improvements
Building sewer 5.00
Lawn sprinkler system .00
Bldg. ons Recd
Parcel Approval
P n pproval
Permit Fee $ `
�� QCi
NEWADDITION
❑ ❑ UTILITIES OTHER ❑
ELECTRICAL No. @ FEE
PERMIT FILING FEE $3.00 oD
Main service 100 AMP ORSLESS 5.00
Main service EA, ADD•L 100 AMP 2.50
a
Single Family ❑ Duplex ❑ Mobil Home Others ❑
Main service OVER eoov
100 AMP OR LESS 25.00
Main service EA. ADD•L 100 AMP 1.00
500 SQ CTS MIA�1►fU
�Y f tV11y(IY1VM
NEW CONST. DWELLING OCCUP. &
OR ADDNS- ACC. BLDGS. ) 20sgft
NEW NON-RESID. (BRANCH CIRCUITS) 2.50ea
FOR MOBILES
N E W -•C ON IR (POWER
NON -RES D. OUTLET C R.&
CONTRACTORS LICENSE LAW
I am licensed under the provisions of Chapter 9, Div. 3, of the
State of California Business & Professions Code under the name
style of:
Ex. Occup(OUTLETS OR FIXTURES)@�
BAL@1
Ex. Occu 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
Eg-flam exempt from the Contractors License Laws of the State of California.
Permit Fee $
$ $U
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 -
F3rWrkmen's Compensation Insurance.
'f"9!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
Per it 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
`
." 0o
TOTAL FEE PERMIT
$
aUUrvrlLe representatives of the County of butte to enter upon the
above-mentioned propert for inspection purposes.
X Date.)- h11-7 7
Signal ee of Perris ee or Agent
Receipt No. / ZQ��J
White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant
This permit is hereby issued under the applicable provisions of
the Butte County Code and/or resolutions to do work indicated
above for which fees have been paid.
DIRECTO=OFU LIC WORKS
By Date -3 — 1 7-77
BAding permit expires Date :7—/ %— 7
0WN9R � f/f "W G�
Zoning Use Proposed
Permit fee based upon: 1.
PERMIT APPLICATION WORK SHEET
Complete contract price.
Partial contract price (explain).
DPW Valuation (show):
Permit No.
A.P. No. -YL -%6-77
Approved
Not approved
At time of permit application, the applicant was advised the following data or information must be
submitted prior to permit processing and/or issuance:
Date Received
1. All items have been submitted. ------------------------------
2. Plot plans in duplicate/triplicate. -------------------------
3. Complete plans in duplicate/triplicate. ---=-----------------
4. Complete engineered plans and calls. ------------------------
5. Fees of $ ------------------------
6. Letter of signature aut izaion. --------------------------
o/(� / 7. Sanitation approval. ------------------------------
8. Planning approval for --
9. Workmen's Compensation Insurance Certificate. ---------------
10. Contractors license information. ----------------------------
11. Parcel declaration, recorded copy. --------------------------
12. Access declaration. -----------------------------------------
13. Aunt Minnie information. ------------------------------------
14. Deed of access, recorded copy. ------------------------------
15. Deed of parcel creation, recorded copy. ---------------------
16. Parcel map, recording data. ---------------------------------
17. Pre -inspection request for
18. Improvements - plans required & DPW approval. ---------------
19. 0 .er
By 2 Date -Z7
Bldg. Insp to
During plan checking process, the following data Before permit issuance, all of the.following
or information must be submitted prior to permit items must be signed or marked NA:
issuance: 1. Zoning use
1. Index permit for items 2. Legal parcel
above and in addition the following: 3. Envir. Health Plans Sent
A. Sanitation
B. Restaurant
C. Other
4. Public Works Plans Sent
A. Street Imp.
2. Applicant advised by Telephone B. Drainage
Mail C. Permits & Fees
Other D. Other
3. Plans checked by Date -- 6- 5. Planning
4. Plans approved by Date A. Use Permit
B. Variance
When permit is issued, process as follows: C. Other
1. Mail to owner. 6. Other Agencies Plans Sent
2. Mail to contractor. A. Fire Dept.
3. Deliver with inspection. B. Other
4. Telephone and hold
for pi p.
y 5 . Othe ,, k e JLC
NOTE;—,All • Materials & Workmanship Shall � Be in'
Accordance with Recognized Good Practices and
of a quality prescribed for the Specifier use in the
Uniform Building, Plumbing & Mechanical Codes and
the National Electrical Code.
LOT 37
UNIT 4A
Sif YL iNL _
This set of plans and VaP if e-aiins MUST be
kept on the i.�'., nt all times cmr.d it is unlawful +o
mate any ch ^:•es or alterr;tions on same without 3 0 w -4
written permission from the Department of Public o - `D `D
c ? o D Works, County of Butfe. , a _•-o -
Cl
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BUTTE COUNTY
BUILDING DEPA.RTWNT _._
w: PERMIT NO. 1391-77B
PERMIT EXPIRES �� V
`OWNER _ Ralph Merwin
CONTR. Holmes Mobile Home Serv., Bang
LOCATION' (A.P. 34-76-37
67 Montrose Dr., lot 37, KRYKA, Oroviile
- I
"
r
s
r
Temp. Power Pole
Called PG&E
Temp. Elec. Serv.
Called PG&E
Temp. Gas Serv.
Called PG&E
OFINALED
(Dat
(Signature)
i
(NOTE: An entry must be made on this form each time you visit the job site.)
COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS
BUILDING INSPECTION RECORD
BUILDING
BUILDING (Cont'd)
PLUMBING
Setback
Firewall
Soil Piping
Forms
Parapets
1st Floor
Main Bldg.
EC V
Restroom Finish
2nd Floor
Footings
Windows V
3rd Floor
Stemwall
Siding
To out
Slab
Roof Sheathing
Water PI in
Piers
- -
6&-m Roofing
Sewer
Garage
Fdn. Vents
Fixtures
Footin s
Stemwall
Garage Vents r
Insulation }
Water Htr.
Heaters
Slab
Carport
Footings
Prov. for physically
handica ed
Conformance of ex. ;
structure
Appliances
Gas Piping Test
Temp. Gas
Slab
V
Final
Sanitatlo
Patio
FIREPLACE
Final
Footings
Footing
ELE TRICAL
Masonry Walls
Throat
Rou
Reinf. Steel
Final
Fix re
Bond Beam
FIRE RINKL RS
Motors
Framing
Test
Water Htr.
Stucco
Final
Subpanels
Mesh
M HANI
Grd. Fault Prot.
Scratch
Heating
Service
Brown
Cooling
Temp. Pole
Finish
Ducts
Underground
Interior Lath
Ventilation
Permanent
Door Closer
Final
Final
MOBILEHOME UTILITI Elec. Servi
Elec. Pedestal
Water Piping
Sewer
Gas Piping
MOBILEHOME 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 — Uroville, California 95965 J�r
•Tele''^ -one: 534-4541
APPLICff 10116AND PERMIT
authoriz repre ntatives of a ounty of Butte to enter upon the
above- tion propert f r ' ection purposes.
X Date3— —27
S16nature of Peermi ee owr 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 beenn 'd.
DIRECTOR CYF PIUBLIC WORKS
ByDate. 3" 'L j 7_7
B ding permit expires Date �'7�
��
BUILDING
Owner R LP# i
SQ. FT. OCC. BUILDING VALUATION
a G5 0,2 0,P6
Mailing Address
o
•
Telephone No.
Fireplace
Contractor
Total Valuation O 66,0
Mailing Address Ok 15RA k O/C
Permit Fee
Plan Checking Fee &/or Penalty
elephon'�e J.
217- �
Permit Fee $
Building Address67o9AP.Qsc
PLUMBING No. @ FEE
PERMIT FILING FEE $3.00
l JIC 0 V t LL�
Each Trap 1.50
Repair drainage or vent piping 1.50
Water piping 1.50
/ '-7
Ex. '"_ Ll A L,0 � /
Each gas water heater or vent 1.50
A. P. No j — —Q ^037 a- ®Z
oning & Planning
Gas piping system 1 - 5 outlets 1.50
Each additional outlet .30
Fes I
WYC"4y%byriFire
Dept.
Fire Zone
Use Permit
Building sewer 5.00
EQA
Parking
PI .s
Parcel
Declaration
Parcel Ma p
60' R/W
provements
Lawn sprinkler system 2.00
Bldg. lans Rec'd
rc
P el Approval
Pla Approval
Permit Fee $
NEW ADDITION ❑ UTILITIES ❑ OTHER ❑
ELECTRICAL No. @ FEE
PERMIT FILING FEE $3.00
Main service 80001 OR 0 AMP ORLESS5.00
Main service EA. ADD'L 100 AMP 2.50
Single Family ❑ Duplex ❑ Mobil Home Others ❑
Main service OVER 600V 25.00
100 AMP OR LESS
Main service EA. ADD'L 100 AMP 1.00
•_��
C
NEW CONST. DWELLING O.
OR ADDNS. ( CCUP&)
ACC. BLDGS. 20sgft
NEW CONSTR. MULTI -OUTLET
NON.RESID. BRANCH CIRCUITS) 2.50ea
NEWCONSTR. POWER APPARATUS &
NON -RES ID. (SINGLE OUTLET CIR.
CONTRACTORS LICENSE LAW
I am licensed under the provisions of Chapter 9, Div. 3, of the
State of California Business & Professions Code under the name
style of:
y
Q��R✓f�(� /FSC L�!/��
Ex. Occup(OUTLETs OR FIXTURES) BAL@1Q04
Ex. Occup. FIXED APPLNS. OR
p• OUTLETS (RESID.) EA) 2.00
Temporary service 10.00
Mobile Home Facilities 15.00
�.�/
License No. Classification
Misc. Wiring 6.25
❑ I am exempt from the Contractors License Laws of the State of California.
Permit Fee $
$
WORKMEN'S COMPENSATION INSURANCE
1 am aware of the provisions of Section3700 of the California Labor
Code which requires every employer to be insured against liability
for Workmen's Compensation.
�I have placed on file with the County of Butte a certificate of
Workmen's Compensation Insurance.
I certify that in the performance of the work for which this
permit is issued I shall not employ any person in any manner
so as to become subject to the Workmen's Compensation Laws of
California.
MECHANICAL No. @ FEE
PERMIT FILING FEE $3.00
Heating
Cooling
Ventilation
Hood 2.00
Permit Fee $
$
I certify that I have read this application and state that the above
information is correct. I agree to comply to all County Ordinances
and State Laws relating to building construction, and hereby
TOTAL PERMIT FEE
authoriz repre ntatives of a ounty of Butte to enter upon the
above- tion propert f r ' ection purposes.
X Date3— —27
S16nature of Peermi ee owr 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 beenn 'd.
DIRECTOR CYF PIUBLIC WORKS
ByDate. 3" 'L j 7_7
B ding permit expires Date �'7�
��
?EiiMIT No. 3047-77B
PERMIT EXPIRES
�9
'.OWNER R.R. Mervin
CONTR. Northstate Aluminum, Chico
( LOCATION (A.P. 34-76-37
67 Montrose. j}Dr., lot 37, KRIM, OUville
I
1 _
1
A ,
{
I ,
r.
1
Temp. Power Pole
Called PG&E
Temp.. Elec. Serv.
Called PG&E
Temp. Gas Serv.
Called PG&E R
JOB
FINALED
(Date)
;e
(Sign0fturek
(
a
' .' .
''
� �
~` ~� . r- �.' '�
Setback
Forms
Main Bldg.
Footings
StemwaI I
Slab
Piers
Garage
Footings
Stemwa I I
Slab
COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS
BUILDING -INSPECTION RkCORD
BUILDING BUILDI I 1P (Cont'd) PLUMBING
Firewall
Soil Filping
Parapets
1st loor
Restroom Finish (
2nd Vloor
Windows
3rd 6loor
Siding
To out
Roof Sheathing
Water Pi in
Roofing
Sewer
Fdn. Vents
Fixtures
Garage Vents
Insulation
Water Htr
Heaters
Prov. for ahvslcally
A Iiance
of ex. Gas PI in & Test
Te . Gas
San
Patio
FIR LACE
Final
Footings
Footing
ELECTRICAL
Masonry Walls
i Throat
Rou h
Reinf. Steel
Final
Fixtures
Bond Beam
IRE SPRINKLERS
Motors
Framing
Test
Water Htr.
Stucco
Final
Subpanels
Mesh
ECHANICAL
Grd. Fault Prot.
Scratch
Heating
Service
Brown
Cooling
Temp. Pole
Finish
Ducts
Underground
Interior Lath
Ventilation
Pennanent
Door Closer
Final
Final
MOBILEHOMEUTILITIE
------------------ Elec- Service
Elec. Pedestal
Water Piping
Sewer
Gas Piping
MOBILEtJOME INSTALLA
N - - - - - - - - - - - - - - Support
V.,
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 GIF BUTTE' — DEPARTMENT OF PUBLIC WORKS
7 County Center Drive — oroville, California 95965n 7-17
• Telephone: 534v454; /
APPLICATION AND PERMIT4 J
auulUnce IUPrU5eIJ1dI1Ve5 OT the county of butte to enter upon the
ab me roperty for inspection purposes.
w a
X �
/tNo.
ture of Permitee or Agent
Recei % �lt,716;1
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.FUBLIC WORKS
By �Y�---� _ nate &—t4-77
B i Iding permit expires Date G ' may' 7i'
BUILDING
OwnerRe
SQ. FT. OCC. BUILDING VALUATION
Mailing Address
Telephone No.
.+
Fireplace
_
Contractor n
Total Valuation
Mailing Addres - 2
Permit Fee
Plan Checking Fee &/or Penalty
c
&n o.
Permit Fee $
Building Address
PLUMBING No. @ FEE
PERMIT FILING FEE $3.00
Each Trap 1.50
Ord U
Repair drainage or vent piping 1.50
Water piping
1L,'4 -*
Each gas water heater or vent 1.50
e
A. P. N . Q� —74 "G"t/-40
Zoning & Planning
Gas piping system 1 - tlets 1.50
$
Each addition tlet .30
Fees
W. C.
i
ire Dept.
FI re Zone
Use Permit
Buil sewer 5.00
EQA
Parking
Plans
PaNel
Declaration
Parcel Ma P
60' R/W
Im rov ents
P
Lawn sprinkler system 2.00
Permit Fee $
Bldg. Plans Recd Parcel proval
Pans Approval
NEW ADDITION ❑ UTILITIES ❑ OTHER ❑
ELECTRICAL No.1 @ FEE
PERMIT FILING FEE J$3.00
OR L
Main service i°o°o AMP ORSLESS 5.00
Main service EA. ADD'L 100 AMP 2.50
�Wf
Single Family ❑ Duplex ❑ Mobil Hoihe Others ❑
Q
Main service 100 OEAMP OR LESS*20sqft
Maln service'E.A.'AOD•L too AMP': 00 },
' - :NEW
CONST. DWELLING OCCUP-
OR ADDNS. ( ACC. BI_DGS.
NEW CONSTRMULTI-O ET
NON.R ESI D. (BRAN CIRCUITS) 12.50ea
NEW CONSTR. IPAPPARATUS &
NON-RESID. GLE OUTLET CIR.
CONTRACTORS LICENSE LAW
I am licensed under the provisions of Chapter 9, Div. 3, of the
State ofRplifornia Bu si s & Professions C>Pe under the name
Y
style ��i%1� r—
Ex. Occup.(OUTLETS OR FIXTURES) @251009
FIXED APPLES. OR
Ex. Occup. (FIXEDOUTLETS (RESID.) EA) 2•00
Temporary service 10.00
Mobile Home Facilities 15.00
License Classification [Misc.
Wiring 6.25
❑ I am exempt from the Contractors License Laws of the State of California.
Permit Fee $
$
WORKMEN'S COMPENSATION INSURANCE
1 am aware of the provisions of Section3700 of the California Labor
Code which requires every employer to be insured against liability
for Workmen's Compensation.
❑ I have placed on file with the County of Butte a certificate of
Workmen's Compensation Insurance.
❑I certify that in the performance of the work for which this
permit is issued I shall not employ any person in any manner
so as to become subject to the Workmen's Compensation Laws of
California.
MECHANICAL No. FEE
PERMIT FILING FEE $3.00
Heating
Cooling
Ventilation
Hood 2.00
Permit Fee $
$
I certify that I have read this application and state that the above
information is correct. I agree to comply to all County Ordinances
and State Laws relating to building construction, and hereby
TOTAL PERMIT FEE
$ kloi
auulUnce IUPrU5eIJ1dI1Ve5 OT the county of butte to enter upon the
ab me roperty for inspection purposes.
w a
X �
/tNo.
ture of Permitee or Agent
Recei % �lt,716;1
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.FUBLIC WORKS
By �Y�---� _ nate &—t4-77
B i Iding permit expires Date G ' may' 7i'
COUNTY OF BUTTE
DEPT. OF PUBLIC WORKS
rP V p V 7 .
JUN 2 0 1977 DID
AM PM
71819110111112111,2131.415 16