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HomeMy WebLinkAbout028-220-021�J CD Q kl COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive Oroville, California 95965 • Telephone (530) 538-7541 P (Rev. 12/96) APPLICATION AND PERMIT ASSESSOR PARCELNUMBER ZONING BUILDING PERMIT OWNER 'A' 1, ANNASTASTA TELEFa NONE SQ. FT. OCC. BUILDING VALUATION . OWNERS MAILING ADD ESS CONTRACTOR'S NAME TELEPHONE CONTRACTORS MAILING ADDRESS CONSTRUCTION LENDER Fireplace LENDER'S MAIUNG ADDRESS Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ BUILDING ADDRESS 6633 LAPORTE RD. B Energy Plan Checking Fee $ $ PERMIT FEE $ LOT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Fling Fee 20.00 USE STRUCTURE SF ❑ Duplex ❑ Mobilehome Other SPECIFY Each Trap 7.00 Solar or heat um water heater 23.00 Water piping 15.00 Each gas water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities Vlntlltin ❑ Other ❑ Describe Work: RECTRIC. SERVICE C.1-0 Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home I S I G I W @20.00 PERMIT FEE $ ELECTRICAL PERMIT Fling Fee 20.00 aOOV OR LESS Main Service 200AORLESS 23.00 21.00 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 full force and effect.POWER License Class Lic. No. OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: 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. ❑ 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 zooA TO tOooA 46.00 NEW CONST. DWEWNO O(X:UP. OR ADDNS. ( a ACC. BLOs. SO 3.5¢FT: T. R OESINEW U MULTI.OU CIRCUITS T @7.50 APPARATUS 8 SINGLE OUTLET C1 R. EX. Occup. OUTLET OR FIXTURES BAL @ I.50 Ex. Occup. GFucEDrs ES gIDOEA 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wirina 23.00 21-00 PRE INSPECTION PERMIT FEE $ 89. 00 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. ❑ 1 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' compensation insurance carrier and policy number are: Carrier 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.) 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 workers'HAZ. 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. n q X Date ! . —1 �� Z Signature of Applicant - O er ❑ Contractor ❑ Agent An OSHA permit is required for excavations over 5'0" deep and demolition or constructionof structures over 3 stories in height. MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ Mobile Home Installation Fee Is Energy Inspection Fee Is TYPE TOTALFEE$ loccCONST. D. FEES IMP FLOOD I CDF PARCEL PD HD SSUE This permit is hereby issued under of the Butte County Code and/or 4indic0afor which fees have PERM the applicable provisions Resolutions to do work been paid. Date ' tJ ate Receipt No. Ch1 i1 X66 nn /�6 WHITE-D.D.S.-B.D. CRNA -ASSES S GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive - Oroville, California 95965 - Telephone (530) 538-7541 PE* APPLICATION AND PERMIT Aa8lSSOR PARCd NIAeel BUILDING PERM R SO• FT• I OCC. BUILDING VALUATION owNEnal—� l � �l COMMCTO u/ Pte{ CONTRACTOR'S 16MJNO ADDRlSS CONSTRUCTION LENDER LENDER'S MAILING ADDRESS AACNRECT OR ENGINEER AACWTECT OR ENGINEER'S L"NO ADDRESS BUILDING ADDRESS / /' LOT NO. I SUBDIVISION'S NAME USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome ❑ Other . aPEeFr TYPE OF WORK m— n 4r4riiti,^ n R..e sj ❑ UEGfian ❑ InsEslation ❑ Other ❑ Fireplace Total Valuation Is Filing Fee $ 20.00 Permit Fee b Plan Checking Fee b Energy Plan Checking Fee b b PERMIT FEE 1 b PLUMBING PERMIT Kling Fee 20.00 Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15.00 Each gas water heater or vent 15.00 Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home I S I G I W (920.00 PERMIT FEE : ELECTRICAL PERMIT LESS EAln Fee 20.00 Main Service 2NAO60WORLESS 23.00 Mein Service ( 300A To IOWA ) 46.00 Ex. Occup. OuTw OR 1`wURES Ex. Occup. untro IEA. 5.00 Temporwy Service 23.00 Mobile Home Facilities 20.0 1,,tv k wirino ` 23 . -P_ERMIT FEE b ift oto b1ECHANICAL PERMIT Filing Fee I20.00 Coolin 6.50 ventilation PERMIT FEE If Moble Home Installation Fee 1b Energy Inspection Fee Is Dcc CONST. True TOTAL FEE _ I-ZID-MI UPI R=O ICOI POMM Po ND ISSUE This permit Is hereby Issued under the appicable provisions of the Butte County Code and/or Reeolutlons to do work indicated above for which fees have been paid. By Date PERMIT EXPIRES ON 4 • °. � PRE -INSPECTION REPORT y OWNER- .h CONTRACTOR: G PRE-INSPETION FOR: Cw//G Building Description: Comma+cial/Usagg: Residential/# of Units: Currently Occupied 11 IN W._ , • t NONE ( ) AS FOLLOWS: BUILDING INSPECTOR'S REPORT AbandonedN t t Electric: Yes q No Electric currer:tly On Zoe Condition of Electric Gas: Natural Propane -/ None Currently On Off Obvious Problems: Sanitation: Plumbing Well Wor Obvious SewageProblems. Comments:_ ACTION RECOMMENDED: Potable Water %6 HOLD FORy V l Pk� CUC�r T Inspector. Date v Sketch buildings on reverse and indicate location on p'ropert COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILUING DIVISION 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541 PERMIT NO. Rev.12/96, : APPLICATION AND PERMIT A.SRBsoRAARR�NUMaeI �,-, OWNER e� v��y �) I BUILDINQ PERMIT SO. FT. OCC. BUILDING VALUATION owmms TCUP"ONE comrRACTOA•! MAKING Aar In coperRucTnN LENDER , Fireplace ' RENDERS MAIUNO ADDRESS Total Valuation = AACNRECT OR EMNEER ucese NO. Filing Fee S 0.00 Permit Fee ARCWECT OR 0401NEER7 MAJUNG ADDRESS Plan Checkin Fee E SULDNO ADDRESS Energy Plan Checking Fee t S PERMIT FEE _ RCT No. SU80"M'SHAME PARCEL MAP PLUMBING PERMIT Filing Fee 20.00 Each Tr 7.00 USEOFSTRUCTURE SF O Duplex O Moblehome O Other Soler or heat pump water heater 23.00 Water piping 15.00 Each gas water heater or vent 15.00 New O Addition ❑ Remodel ❑ Describe Work: I TYPE OF WORK ubbes O Insulation O Other O � Gas piping system 1 - 5 outlets 15.00 Building sower 15.00 Mobile Home S G W 020.00 PERMIT FEE t PERMIT Flip Fee 20.00 Service aoGAo�R 23.00 ,21,10 S�� 5&PAY; �� / �-16 M1 / _/� - t C� T=P_CC/(C7 .ri � r ��J /� l d rvice sow To 1000A 46.00 T. Ow8124 oculy.. i ACC. ewe. FERICAlICAL . MkTFCRANCH IMM 07.50 VOYM91 APPAMTtAa9NOLJ<O d0.20a . OunFrORFUTURES 1zU eAL .90u . tmErsrsRo a 5.00 Service 23.00 Mobile Home Facilities 20.00 Mise. Wiring 23.00 PERMIT FEE _ "v MECHANICAL PERMIT Fling Fee 20.00 Heetln Hoodling 6.50 ventilation PERMIT FE15 f Mobile Home Installation Fee = Energy Inspection Fee = «D co"' "t TOTAL FEE $ NAz a n� nr n000 ea ro t�myer� 1x,�.,} 1n�e This permit Is hereby Issued undN the aPPIca" Prw.A".* of the Butte County Code WNW Rss"O" b do work indicated above for which fess have been paid. By Date PERMIT EXPIRES ON , I � v 1//dV 8-22-21 ouis J . V squez NE/S in s.of LaPorte Rd. & U am Rd, app.5 E.of Darby Rd. 1 Pe it ��5284-79P,E(u .,MH) ,: S PORT STRUCTUIE REQ. Ajln 1 #. C PACTION TEST REQ, y p t ,aqx./j/pp/17 28-22-21 ermit 1#59-79MIU Issued — - 28-22-21 Permit #7304-79B(new awnin MH) �7Jgg >, ff j i 1 _ a its 4_1 - -. 21 Pc=t k"-5 A " « PERMIT N0. 7304-79B �. PERMIT EXPIRES .5o W.'qE ffOWNER Louis J . Vasquez f l • owner , CONTR. LOCATION (A.P. 28-22-21 ) NE/S of inters.of LaPorte Rd.& Upham Rd., app.500'E.of Darby Rd., Bangor { , tk r i Temp. Power Pole j Called PG&E s; Temp. Elec. Serv. Called PG&E Temp.. Gas Serv. i Called PG&E JOB I , FINALED (Date) - (Signature) '� Test Final . Mesh COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS BUILDING INSPECTION RECORD Grd. Fault Prot. BUILDING BUILDING (Cont'd) PLUMBING Setback Firewall Soil Piping Forms Parapets 1st Floor Main Bldg. Restroom Finish 2nd Floor Footings Windows 3rd Floor Stemwall Siding To out Slab Roof Sheathing Water Piping Piers Roofing Sewer Garage Fdn. Vents Fixtures Footings Stemwall Garage Vents Insulation Water Htr. Heaters Slab Carport Footings Prov, for physically handicapped Conformance of ex. structure Appliances Gas Piping &Test Temp. Gas Slab Final Sanitation Patio FIREPLACE Final Footings Footing ELECTRICAL Masonry Walls Throat Rou h Reinf. Steel Final Fixtures Test Final . Mesh MECHANICAL Grd. Fault Prot. Scratch Heating Service Brown Cooling Temp. Pole Finish Ducts Underground Interior Lath Ventilation Permanent Door Closer Final Final MOBILEHOME UTILITIES ------------------ Elec. Service Elec. Pedestal Water Piping Sewer Gas Piping MOBILEHOME INSTALLATION - - - - - - - ------ Support Elec. Continuity Water Piping Drainage Gas Piping DATE REMARKS OR CORRECTIONS J (NOTE: An entry must be made on this form each time you visit the job site.) 13 COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS _ 7 County Center Drive �.�.- Or(iville, California 95965 Telephone: 534-4541 APPLICATION AND PERMIT?A BUILDING Owner SQ. FT. OCC. BUILDING VALUATION Ll A5 0 U Mailing Address Telephone No. — i % ` Contractor-- CyZ„ Mai I i ng Address Building Address r Telephone No. A. P. No.-- Zoning &Planning Fk"S W:.6'T;P�Fire Dept. FireZone Use Permit EQA Parking Parcel Parcel Ma 60' R/W Im r Plans Declaration P p ovemen-18 Bldg. PI ns RecdParcel A roval Plans Approval NEW'R ADDITION ❑ UTILITIES ❑ OTHER ❑ Single Family ❑ Duplex ❑ Mobil Home Others ❑ A 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 Fireplace Total Valuation Permit Fee P I an Checking Fee &/or Penalty Permit Fee PLUMBING PERMIT FILING FEE Each Trap Repair drainage or vent piping Water piping Each gas water heater or vent Gas piping system 1 - 5 outlets Each additional outlet Building sewer Lawn sprinkler system Permit Fee ELECTRICAL PERMIT FILING FEE Main service 8001 OR LESS 100 AMP OR LESS Main service EA. ADD'L 100 AMP Main service OVER 6001 100 AMP OR LESS Main service EA. ADD'L 100 AMP NEW CONST. ( DWELLING OCCUP. S OR ADDNS, ACC. BLDGS. NEW CONSTP_ (MULTI-OUTL T NO. -RES'.. BRANCH CIRCUITS NEW CONSTR. (POWER APPARATUS e NON-RESID. SINGLE OUTLET CIR. Ex. Occuo(OUTLETS OR FIXTIIRE; Ex. Occup (FIXED APPLNS. OR • OUTLETS (RESID.) EA Temporary service Mobile Home Facilities Misc. Wirino IN I am exempt from the Contractors License Laws of the State of California. Permit Fee WORKMEN'S COMPENSATION INSURANCE MECHANICAL PERMIT FILING FEE 1 am aware of the provisions of Section3700 of the California Labor Heating 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. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize r p esentatives of the County of Butte to enter upon the above-meD4phpgI­j�(oR,1rrty for inspection purposes. D ate/_,-,> --y-,� igngiura of Permitee Receipt Not�7 ? x'17 Is > White-D.P.W. - Yellow -Assessor - Pink -Inspector - Goldenrod -Applicant 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 50ea 2.00 10.00 15.00 6.25 @ FEE $3.00 Ventilation Hood 1 1 2.00 Permit Fee $ $ Land Development Fee $ TOTAL PERMIT FEE $ Ad 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 OF PUBLIC WORKS By Date���o �Idhng/ permit expires Date ,' S%�/ e 5 -?410 rn7 9 PERMIT NO. &M4--77P,E s i PERMIT EXPIRES //,V OWNER Louis .T- Vasquez owner CONTR. LOCATION (A.P. 28-22-21 ) t 9 NE/S of inters.of LaPa�t Rd. & Upham Rd., tea,,,/app.500'E.of Darby Rd. + _{� � �/Va� e Dr 1 v -e -w �Q To X S'00, � 0i u dam R d, orI�/ jsl s .f Temp. Power Pole Ca11e3PG&E Temp/lec. Serv._= Called PG&E PG&E W— G _ q n Temp. Gas Serv. _ Called PG&E _ /JOB FINALED (Da (Signatu COUNTY OF BUTTE — DEPARTMENT OF PUBLIC'WORKS BUILDING INSPECTION RECORD BUILDING X BUILDING (Cont'd) kPLUMBING S back Fir all Ski Piping Fo s Para is t Floor n Bldg. Restro Finish 2n Floor otin s IM Window 3rd loor t wall Sidin To outlab Roof Sheat%ng Water Piptg Piers Roofing Sewer Garage X Fdn. Vents Fixtures Footingsk Stemwa l l X Garage Vents Insulation Water Htr, Heaters Slab Carport Footings V Prov. for ph sical handicapped Conformance of ex. V structure Appliances Gas Piping & Test Temp. Gas Slab A Final A Sanitation Patio F EP CE Final Footings Footing ECTR AL Masonry Walls Throat Rough Relnf. Stee Final. Fixtures Bond Bea JIRE SPRINKLE Motors Framinq Test Water Htr. Stucco Final Subpanell Mesh MECHANICAL Gird. Fifit Prot- ScraAh Heati B n CooAg -Servigg T p. Pole nish DJs nder round Irip4rior Lath 4ntilation Permanent oor Closer anal 1, anal MOBILEHOME UTILITIES ................ Water Piping Q Elec. ServiceF Sewer Elec. Pedestal Gas'Piping ,e 7NB16EWOVE I TALLATI N - - - - - - - - - - Support b� Elec. Continuity — r Water Piping _ DATE '" ' 4 rainage REMARKS OR CORRECTIONS Gas Piping l (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 wit equired 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_,g!:� No 3. Are footings and supports properly sized; spaced, and braced as pe approved plans? (Note possible variation at spring shackles.) (Sec. 5082 & 5083) YesNo_ 4. Is the mobilehome level? (Sec. 5088) Yes�o_ 5. If more an a single unit, are crossover connections properly installed? (Sec. 5088) Yes No • 6. Water A. Is flexib a connector 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 No C. Backflow - If coach is not Stat,e,� 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?es °No B. Does it have minimum 4" per foot slope and is it properly supported? Yes_ZNo ;; C. Are any leaks detected in drainage system after running 3- allons of water through each fixture including washing machine standpipe? Yes No D. 'fCoAh is not State,of California approved, does station have required trap and vent? Ye` o r d Gas Vents8tor , ec - 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 asrthe o mobile me gas line inlet without reductions other than the mobilehome connector. YesNo_ B. Test OK as per following procedure? Yes _ 1. Open all appliance connector valy 2. Shutoff appliance burner and pilot valves. 3. Air test with manometer,to 10"-14" water column, or test with slope gauge (minimum°. 6oz.-maximum 8 oz.) calibrated in tenth pound increments. Test for 10 min, without drop. ` 4. Connect gas meter to mobilehome with connector, turn on ias, test connections with soapy water, C. Are all appliance vents properly installed.. Yes o 9. Electrical ' A. Is service large enough to provid adequate amperage -to mobilehome (must equal rating of mobilehome with a minimum of1 amp) and other facilities on lot, i.e., water pums„.�, garage, cabana, etc.? Yes No_ ,� B. Is there proper clearances around panels? Yes / No_ C. Is power supply cord or feeder assembly properly fused? Yes No_� D. Is continuity test satisfactory as per the following procedure? Yes I/No 1. De -energize electrical wiring system of the mobilehome at the pedestal. 2. Make sure that the power supply cord or feeder assembly conductors, including neutral conductor, have been disconnected. 3. Switch all breakers and switches in the mobilehome to the "on" position. 4. Connect one lead of a test instrument to the mobilehome grounding conductor and apply the other lead to each mobilehome supply conductor, including neutral. 5. All non-current, carrying metal parts of the mobilehome (aluminum siding, gas line, water line), including fixtures and appliances, shall be tested for continuity from such equipment and the grounding conductor. 6. Upon completion of the above procedure, the power supply cord or feeder assembly conductors shall be connected to the site service equipment. A further continuity test shall then be made between the grounding electrode and the chassis of the mobilehome. Upon satisfactory completion of the electrical tests, the lot or site service equipment may be approved for energizing. c r 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 ell Length_40 Width Vehicle Serial No.�'�yL— State Identification No. e Additional Information or Comments: I �a ,(# rn_� 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 C,a =�$ &d ' istrative Code, Title 25, apter 5, under permit number �j for the following location: 5 0 Owner / s 1/ ps n,'o , `L V Owner's Addressl'ni PAT 2— Y% C i 0 r Mobilehome.Mfg. CA i'✓ln tmiu F Q__ Model / /� �Y�e/a, 71 Insignia No. c5b9-7 PL Serial -No. ab IJ�A'/C It is hereby certified for occupancy at the above described location and may be occupied. o Direcior ofj Pub(l'cWd. Date\� THIS CERTIFICATE IS VOID WHEN MOBILEHOME IS REIT/OCATED White - Owner, Yellow - Installer, Pink - D.P.W. 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 Call -i- or�n_ia Am' istrative Code Title 25 C 'apter 5, under permit umber. 7 `a L '% for the following location: O -N A - Owner Owner's Address Mobilehome Mfg. �A1 fM 41n X61 A Model / U Ye 17 ! Insignia No. � W �i -V- Serial No. 6,4 4' ( k( It is hereby certified for occupancy at the above described location and may be occupied. Q Director -of Public, Works / Date -' THIS CERTIFICATE IS VOID WHEN MOBILEHOME IS RELOCATED White -Owner, Yellow - Installer, Pink - D.P.W. JI. ., � N • COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 7 County Center Drive — Oroville, California 95965 Telephone: 534-4541 APPLICATION AND PERMIT BUILDING Owner n� V4S OEa SQ. FT. OCC. BUILDING VALUATIO KA.;Ii— AAA—_ / n I0"', <''z^11 D %%!1 1)rG- ��it/l ne Gfl Contractor Mai I i ng Address one No. Building Address E $7/'4)& 1 JE�&L770d Dr LA4 PberE F -D, e PP1MkJ )2D. 19PP. 6,06.) '/ L. of DRP_8Y 9.D . T3AA,)i%i O A. P. No. �p' ZZ-Z� Zoning & Planning F W. %Ili4etFen I Fire Dept. Fire Zone Use Permit EQA Parking I Parcel Parcel Ma 60' R/W Im rovement Pia Declaration P P 8 1 d Parcel A roval Plan pprov.1 NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER 0� 44/�/ �t?— I L p&ep• Single Family ❑ Duplex ❑ Mobil Home Q_— 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: Fireplace Total Valuation Permit Fee Plan Checking Fee &/or Penalty Permit Fee PLUMBING PERMIT FILING FEE Each Trap Repair drainage or vent piping Water piping Each gas water heater or vent Gas piping system 1 - 5 outlets Each additional outlet Building sewer Lawn sprinkler system Permit Fee ELECTRICAL PERMIT FILING FEE Main service 600V OR LESS 100 AMP OR LESS Main service EA. ADD•L 100 AMP Main service OVER 600V 100 AMP OR LESS Main service EA. ADD'L 100 AMP NEW CONST. / DWELLING OCCUP. S Ex. OCCUDIOUTLETS OR FIXTIIR EX. Occup.(FIXED APPLNS. OR OUTLETS (RESID.) E Temporary service Mobile Home Facilities Misc. Wiring License No. Classification ® I 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 Heating Code which requires every employer to be insured against liability for Workmen's Compensation. ❑1 have placed on file with the County of Butte a certificate of Cooling Workmen's Compensation Insurance. I t'if th t' th f f +1`1 k4 h' S $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 FEE FEE LA cer y a in a per ormance o e wor or w ich 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 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 presentatives of the County of Butte to enter upon the above -m it or��rqO�rty for inspection purposes. White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant a L $ TOTAL PERMIT FEE$ 3O BD This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated a which fees ave been paid. R - OF PP -PLIC WORKS • Date �r Building permit expires Date MOBILEHOMESUPPORT DATA /-, If othbr than single wide, Mobilehome Mfr. f.P'� furnish Setup Model No. Year Width -2--0 (ft.) Box Length g (ft.) Tagalong or Expando Size ft. x ft. (SHOW -SUPPORT DETAILS BELOW) On all mobilehomes manufactured after October 7, 1973,• furnish manufacturer's installation manual and structural setup sheets (if not on -file with•the County of Butte). All center supports measured from front of mobilehome unless otherwise ecified. U PPoeT5 GlAt-1, � %9�l A4 !N �S Single x (in.) (in.) Center sup rt Center support locations footing sizes (in.) (ft.)(in.) (in.) (in.) Footings (check one) �1. Wood either pressure treated or foundation grade. 2. Other (specify) Supports (check one) �-1: Concrete block. Ej 2: Other (specify) Tagalong or Expando,• show support details. I I " x -- Typical Support (in.) (in.) Footing Size O�VIAA (ft.)(in.) (in.) (in.) rz-3 -- Max. Pier Spacing -- Max. Overhang - (ft.) (i (in.) (in.) t(ft.Xin.) BUTTE Cows BUILDING DEPARTMEN1 A P RR O V E:D *if center piers are other than drawn above, draw in. -locations, spacing, and dimensions. r , BUTTE COUNTY DEPARTMENT OF PUBLIC WORKS 7 County Center Drive, Oroville, CA. PHONE: 534-4541 MOBILEHOME INSTALLATION SHEET 1. Owner's name: u 1 •J 2 n Il /= Z_ 2. Installer's name: 3. Is the site currently under permit? Yes cNo (If yes, furnish permit number S-0 �'��— ! ) OR Is the site an existing site? Yes7M-No (If yes, furnish two (2) plot plans.) 4. Will the mobilehome be located at least 5 ft. away from septic tank and leach fields and clear of all setbacks and easements? Yes / No ( If no, clarify ) 5. What is the mobilehome electrical rating? ----------------------- ~d Amps 6. What is the mobilehome site service rating. ------------ Amps 7. What is the mobilehome site circuit breaker rating? ------------- Amps 8. Is there any other electric load to be served by the mobilehome siteservice?--------------------------------------------------- (If --------------------------- ------------------- (If yes, identify the load and size: V�� (Load) 9. What is the mobilehome site gas pipe size? - --------------- Yes / ' / No (Amps) 10. What is the type of gas service? ----------------------------- Natural 11. What is the gas pipe length from meter or tank to the mobilehome? (in.) LPG / (ft.) 12. What is the mobilehome gas demand? ------------------------------ /4 / O '* O (BTU) (This information not required if pipe length less than 6 ft. on natural gas or less than 50 ft. on LPG.) AP# �li i jot, GOER PERMIT MH .311 T—L e' CIYAA129.StiCE DCTJC.Al J� ILVPECTOR s�_�.__.T�.�1..pp�.;yy+�+zys•�.�ac�=.rw�:�a��:.�..a.m..A.4.....��.,-��..�rr. service Other � Pape :its :�:��e7ffi�' 5�. ut`s"SAca f^�s—T'.+,........,�___..a.,. feat Rena. Size Load e Size��sz � Cc,� .YES N0 �a5 NO `� Ii �i E5 C,GUNTY-OF BUTTE DEPARTMENT OF PUBLIC WORKS 7 County Center Drive — Oroville, California 95965 , Telephone: 534-4541 APPLICATIONAND PERMIT / BUILDING Owner 4 - l� V SQ. FT. OCC. BUILDIN ATION Mailing Address 4,,4 `_ ✓� m 19.7 Telephone No. Contractor 0 0)/Vff/L Mailing Address Fireplace Total Valuation Telephone No. Permit Fee Building Address �% �S S)!OL �,Nr�,2$�Cfilv�J Plan Checking Fee&/or Penalty 3 Permit Fee OP LA- POP -TIS ED t 6 8-M RD OP PLUMBING No.1 @ FEE 5 ofE o r DAfZ& ' PERMIT FILING FEE $3.00 �+�0 Each Trap 1,50 Repair drainage or vent piping 1.50 A. P. o. Zoning Panning Water piping 1.50 �O Each gas water heater or vent 1.50 F&/es I C. S tion Fire Dept. Fire Zone Use Permit Gas piping system 1 - 5 outlets 1.50 W. EQA P king sans Parcel Declaration parcel Ma P 0' R/W Im r p ovemen s Each additional outlet .30 700 Building sewer 5.00 W. Bld Plans Rec'dParcel A provol\r PI ns Approval Lawn sprinkler system 2.00. NEW ❑ ADDITION ❑ UTILITIES OTHER ❑ Permit Fee $�( ELECTRICAL No.1 @ I FEE PERMIT FILING FEE $3.00 'S -OO Main service 600V OR LESS 100 AMP OR LESS 5.00 y Single Family ❑ Duplex ❑ Mobil Home Others ❑ Main service EA. ADD•L 100 AMP 2.50-� Main service OVER eooV 25,00 100 AMP OR LESS Main service/ EA. ADD'L 100 AMP 1.00 NEW OR ADONST C ACCDWELBLDGSLING CCUP. 4') 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 le of: style NEW RESID,CONSTBRAN I-OUTL T 1 NON-RESID � BRANCH CIRCUITS/ 12.50ea NEW CONSTR. (POWER APPARATUS B NON-RESID. SINGLE OUTLET CIR, Ex. Occun(OUTLETS OR FIXTtIRES B L@;100 Ex. OCCU FIXED APPLNS, OR P•(OUTLETS (RESID.) EA) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 QI'J License No. Classification Misc. Wiring 6.25 e W l,Ub ® I am exempt from the Contractors License Laws of the State of California. Permit Fee $ 6W,15b$ 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. 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 authoriz r pr sent 'ves of the County of Butte to enter upon the above- enti rty for inspection purposes. Q�q -� Datey- �, �/ to- o %Permit or A Receip � o. 7 White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant MECHANICAL No. @ FEE PERMIT FILING FEE $3.00 Heating Cooling Ventilation E2.00 Hood Permit Fee $ Land Development Fee $ $ -;Ic* TOTAL PERMIT FEE $ This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR OF,a LIC WORKS 8__7(� By Date v ., 1 permit expires Date t— ��� ©00 � NOTE -,—All Materials & Workmanship Shall Be w1w Accordance with Recognized Good- Practices and of a quality prescribed for the Specified use in the Uniform Building, Plumbing & Mechanical Codes and the National Electrical Code. A permit will be required for the `! installation of the mobilehome. J 5,get! C. kt JL#jv.f Is set of plans and specifications MUST bo kept on the lob es orl alterations�it is on same unlawful thou make any chtng wrMen permission from the Department of Public Wks, County of Butte. °(Jrfale. TAaK and locae�•" geptic system �onbe as per Bu#e County Health Dept. Re- SQ.FT.MIN�Mi jM quire�'f1ents. �� NX+ FOR MOBILES 3 All utility connections shall (pie SePTIC F,04D ,Q 'located within 4 ft. outside the rear o . , third section of the moble ham 00` on the left (road) side of the mahth ay k t,) Area, V) home. be 5 it. vrom iffier O � s�ete psOpe3ty 6me and 50 ft. from �v1= d, permitting a maxi- centers of the roa but entirely; �► rnum of a 2 ft. eave overhang ��` 7 G r rQ!ut of oneasemerrtso �- / Bum COOL �. BUILDING DEPARIMEW /, r APPROVED