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Home My WebLink About005-404-001John Wood A I (x12117 L 1334 Bouche Chico permit #k 017-76P,E(u11., MH) (raa�t- ELEC. / > y GAS SUPPORT SITRUCTURE REQ. COMPACTION TEST REQ. I- contr: Shasta Trailer Sales, Chioo Permit #6176-76MHI Issued /,2-tF- 71v A. a i 005-4Q_4-001 01-1492 WOOD, E nA 1332 BOUCHER S . IICO`. CONT: MCCLELLAND AIRn NEW HVAC UNIT ' 005-404--001 02-3434 WOOD, EVELYN 1332 BOUCHER ST., CHICO CONT: CHICO ELECTRIC POWER POLE INSTALLED - DUE TO— DAMAGE ,.WOOD, John 1158-67B* 576a �-- t X158768B* 5505E . 1332 Boucheve . ,Chico (addition) (*RENEWAL of 5764 d stucco ' y �t existing bldg.) 3^ALUM.,SIDING-CONTR- Associate Bldrs., 4083 Alta Mesa, Redding) ✓Z�s'3-� 0 00 005-404-001 02-3434 Y4� WOOD, EVELYN . 1332 BOUCHER ST., CHICO CONT: CHICO ELECTRIC POWER POLE INSTALLED — DUE TO DAMAGE _ OFFICE COPY Address �� G AS Meter By ELECTRIC 6' 2 aZ Meter By Date COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION ! 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541 /^�� 3134 (Rev. 12/96) APPLICATION AND PERMIT �. ASSESSOR PARCEL NUMBER 05 , y'H _ 0.)l ZONING BUILDING PERMIT OWNER T�LEPH S yl ONE_ 5 SSG SO. FT. OCC. BUILDING VALUATION OWNERS MAIUNG ADDRESS L d Sr L HSL �FT Z g' CONTRACTOR'S r.E W IL. O ��t iRrc TELEPHONE yi CONTRACTORS MAILING ADDRESS y r ) 7 LJ CONSTRUCTION LENDER Fireplace LENDER'S MAIUNG ADDRESS Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee $ ARCHITECT OR ENGINEERS MAIUNG ADDRESS Plan Checking Fee $ BUILDING ADDRESS X Energy Plan Checking Fee $ $ rr� PERMIT FEE $ LOT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Filing Fee 20.00 Each Trap 7.0023.00 USEOFSTRUCTURE SF ❑Duplex ❑ Mobilehome ❑ Other SPECIFY Solar or heat um water heater Water piping 15.00 Each gas water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other.2'0 /. Describe Work: -.r ,4 ��cti .4.��C �iGt,- aj G Gas piping system 1 - 5 outlets 15.00 Buildingsewer 15.00 Mobile Home I S I G I W 920.00 PERMIT FEE00 S ELECTRICAL PERMIT Filing Fee 20.00 Main Service '.OA OR LESS 23.00 v 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. c(� ` License Class /Q � Lic. No. �-y J ]_3 1-y J OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: ❑ 1, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason Main Service 200A TO 1000A 46.00 NEW CONST. DWELLING OCCUP. OR ADDNS. ( a ACC. BLD S. SO 3.50FT. N ONS MULTI -OUTLET NDN REs1D. 97.50 POWER APPARATUS a sINGLE OUTLET CIR. Ex. Occup. OUTLET OR FIXTURES 920 @ 1a00 Ex. Occup. ounFrs PU.16.) E 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 - s PERMIT FEE S �O 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 f'�!�✓nGr<<� ' - ,o.,r•{ - MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ Policy Number ,)I 7 / kQ. U . )`JCa (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) ❑ 1 certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall forthwith comply. with-thoselprovisions. Date 12 -LO _ Signature of Applicant - ❑ Owner ❑ Contractor �❑tAgent An OSHA permit is required for excavations over 60" deep and demolition or construction of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ Occ CONST. TYPE TOTAL FEE $ HAZ. D. FEES IMP FLOOD CDF p!CEL p!CEL PD HD ISS E 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. By Date PERMIT EXPIRES ON ete ReceiptNo.Y 0 / WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT A COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541I p•� (Rev. 12/96) APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER 057- yOy -()Of ZONING BUILDINGPERMIT OWNERU e-, 1_ , �o s�6 SO. FT. OCC. BUILDING VALUATION .OWNER'S MAILING ADDRESS 6 q o c4 P� Sr C K`io �+,t'6�2� V CONTRACTOR'S IJ�L-�� > / 9 L/ !4 GL H I -ewN I93.� COM TORS'l/MA/' IUNG ADDRESS 6 W dsr .a�o,.� �C C�//CPQ C� i�573 CONSTRUCTION LENDER Fireplace LENDER'S MAILING ADDRESS Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ BUILDING ADDRESS JJ � V G� �� Energy Plan Checking Fee $ $ C PERMIT FEE $ LOT NO. SUBDNISION'S NAME PARCEL MAP PLUMBING PERMIT Fling Fee 20.00 Each Trap 7.00 USEOFSTRUCTURE SF�uplex ❑ Mobilehome ❑ Other SPECIFY_ Solar or heat pump water heater 23.00 Water piping 15.00 Each gas water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation E3 Other Describe Work: � .J Sr/d-/l ,d vl 4 e -ft- o c>l e- - i.Ja 44-4 Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home I S I G I W I@20.00 PERMIT FEE $ ELECTRICAL PERMIT Fling Fee 20.00 000V OR LESS Main Service 200A OR LESS 23.00 7i 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 ILicense Class �/O & Lic. No. LJSY-%3 �5 OWNER -BUILDER DECLARATION 1 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. ❑ 1, 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 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' ompensation insurancecarrierand policy number are: Carrier Fate-M[i-W� J -r nc� - Policy Number I'Y Zl�f�i7 Zi (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) ❑ 1 certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that I should become subject to the workers' co . Asa provisions of section 3700 of the Labor Code, I shall forthwith c p1 with ovisions. X Date Z Si at a of Applicant - ❑ Owner ❑ Contractor4Agent IF 6sptHA permit is required for excavations over 5'0" deep and demolition or construction ructures over 3 stories in height. Main Service 200A TO t000A 46.00 NEW CONST. DW EWNG OCCUP. SO OR ADDNS. ( 8 ACC. S.3.50 FT. RESI�DT. MULTI -OUTLET @7,50 APPARATUS B SINGLE OUTLET CIR. 20 Q 100 EX. OCCU . OUTLET OR FIXTURES SAL @ .50 Ex. Occup. o XunEEDrSA RESID.OEA 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 2 PERMIT FEE $ ro MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST. TYPE TOTAL FEE $ HAZ. I D. FEES IMP FLOOD CDF PARCEL I PO HD ISS E This permit is hereby issued under the of the Butte County Code and/or indicated above for which fees have By PERMIT EXPIRES ON applicable provisions Resolutions to do work been paid. Date(/ Z L Dale Receipt No. 10 WHITE-D.D.S.-B. D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT t 0 005-404-001 5 44 �1-1492 0 - 0 - 00 '= WOOD, 01-1492 EVELYN U 1332 BOUCHER ST. CHfCo CONT: MCCLELLA�ND AIR W U I T NEW AC Nd,'s . iv, � ��, sig "®''� f,, � s. COUNTY OF BUTTE -.DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive Oroville, California 95965 • Telephone (530) 538-754 IPRMIT NO. (Rev.12/96) APPLICATION AND PERMIT1'p ASSESSOR PARCEL NUMBER ,... L pI ZONING BUILDING PERMIT OWNER TELEPHONE55 SO. FT. OCC. BUILDING VALUATION OWNERS MAILING ADOR9SS ICn CONTRACTO 'S NAME i TELEPHONE t - CONTRACTORS MAIUNG ADDRESS sc—T CONS�fRU&WN LENDER Fireplace LENDER'S MAILING ADDRESS Total Valuation $ ARCHITECT OR ENGINEER �t LICENSE NO. Filing Fee $ 20.00 Permit Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS 11 Plan Checking Fee $ BUILDINGADDRESS V Energy Plan Checking Fee $ $ PERMIT FEE $ LOT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Filing Fee 20.00 USEOFSTRUCTURE SF<Duplex ❑ Mobilehome ❑ Other SPECIFY Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15.00 Each gas water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities d Installation ❑ Other �(� Describe Work:) 1�, WIIA-C �.,,)Al Ir Gas piping system 1 - 5 outlets 15.00 Buildingsewer 15.00 Mobile Home I S I G I W @20.00 PERMIT FEE S ELECTRICAL PERMIT Filing Fee 20.00 Main Service(200A OR LESS 23.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is 'n full fQ1Ce and 5Vt. I . 3� License Class No. iii��..��+ 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 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. I have and will maintain workers' compensation Insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation . surance carrier and policy number are: Carrier 'el -A N 1—> Policy Number (The above sectiorls need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) ❑ 1 certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall forthwith comply ith those provisions. f X'� //. / Yate (O - Ct 'f� Signature of Appli . Owner ❑ ContractorAgent An OSHA permit is required for excavations over 5'0" cland demolition or construction of structures over 3 stories in height. Main Service 200A TO 1000A 46.00 NEW CONST. OWEUJNG OCCSO OR ADDNS. ( a ACC. stnUP. S.3.5QFT; NEW CONST. MULTI.OUTLET NON•RESID. @7.50 POWER APPARATUS SINGLE OtlTLET CIR. Ex. Occup. OUTLET OR FIXTURES BAS @':.500 0 Ex. Occup.oFu°CT s AaID.°EA. 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE $ MECHANICAL PERMIT Filing Fee 20.00 Heating /5.��? 15.00 Cooling / . d> 15.0 Hood 6.50 Ventilation PERMIT FEi= S 5r—). 00 Mobile Home Installation Fee $ Energy Inspection Fee $ °7S �T. TV TOTAL FEE $ 50. w HA2 D MP FLOOD CDP PARCEL PD HD ISSUE tom E 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. r f / By �L l ( �� l ,.11 Date 6"9 /J/ PERMIT EXPIRES ON �(M ti) Receipt No. _L r'i. �%. WHITE-D.D.S.-B.D. CANARY -AS ESSOR PINK -INSPECTOR GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES -,BUILDING DIVISION 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-754 R IT NO. (Rev.12496) " APPLICATION AND PERMIT �'� yP� ASSESSOR PARCEL NUMBER D D I ZONING BUILDING PERMIT OWNERTE HONE SO. FT. OCC. BUILDING VALUATION . OWNERS MAIUNG ADD SS j 1 6 - JCW c-0 CONTRACTO NAME L.- �I I - CO Nf TORS MAILING ADDRESS -7- o 1W L10 CONS UTI N LE DER LENDER'S MAILING ADDRESS Fireplace Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ BUILDINGADDRESS 2 Energy Plan Checking Fee $ PERMIT FEE S LOT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Filing Fee 20.00 USEOFSTRUCTURE SF Duplex ❑ Mobilehome ❑ Other SPECIFY Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping Water 15.00 as water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ ,,Remodel ❑ Utilities ❑ Installation ❑ Other Describe Work: N rOUB UN I( Gas piping system 1 - 5 outlets 15.00 Buildingsewer 15.00 Mobile Home I S G W 920.00 PERMIT FEE f ELECTRICAL PERMIT Filing Fee 20.00 Main Service zo.A OR LESS 23.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is 'n full ce ind��{gCt. t a C« 11dV ' I License Class _ C. No. _I 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 200A TO I000A 46.00 NEW CONST. DWELLING OCCUR OR ADDNS. ( 6 ACC. BUDS. so 3.50FT. T. NON-RESID. ULT,' CRR UTITS @7.50 POWER APPARATUS 8 SINGLE OUTLET CIR. Ex. Occup. OUTLET OR FIXTURESFIX 20 aAL Ex. Occup..OUTLETS RESID.) EA. 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE _ WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. 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 . surance carrier and policy number are: Carrier a I) Policy Number - (The above sectiorls need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) ❑ 1 certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to workers' co ensation laws of California, and agree that if I should become subject to the w ars' compens n provisions of section 3700 of the Labor Code, I shall fo with comply ith ose p ovisions. X Qate (0- I I Sidn—a-tNe- of Appli ner ❑ Contractor Agent An OSHA permit is required for excavations over 5'0" d ep and demolition or construction of structures over 3 stories in height. MECHANICAL PERMIT Filing Fee 20.00 Heating , /6.Op 6.00 Cooling/ .(u SOD Hood 6.50 Ventilation PERMIT FEt $ �• Mobile Home Installation Fee $ Energy Inspection Fee $ "'_TVALYPE TYPE TOTAL FEE $ SO.00 NAZ D MP FLOOD CDF PARCEL Po HD SUE This permit is hereby issued under the applicable provisions of the Butte County Code and/or Resolutions to do work indic above for which fees have been paid. B / Date 611mol PERMIT EXPIRES ON ReceiptNo. .32-- Y 3 / 70'0 WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT 1 PERMIT NO. 6917-76P,E PERMIT EXPIRES `. OWNERS John WDd ; ICONTR. owner LOCATION (A.P. 46-134-1 a .......... , '1334 Boucher, Chico r. i e i % r f' j 4( t 4 iYv Temp. Power Pole •- ` ti Called PG&E e2 C Temp. Elec. Serv. Q rh IJ 17 b • f { Called PG&E 2 I`v e�-G i Temp. Gas Serv. Called PG&E 2. 7Q JOB FINALED ��` 1;2 Ar *" (Date) \�G � •1 (Signatur 1 ' .9. El.e.ctr. ical A. Is service large enoilglk to provide .:idequat_e amperage to hi-Ob°iltiliome (must equal rating of mobi.lehoTae with a -.-J rwm .f 100 amp) anal other facilities on lot, i.e., water pumps Zara -e, caD.I.Tii3, crc.7 Yes -JX No B. Is there proper. clearances around panels? Yes No C. Is power supply cord or feeder assembly properly fused? Yes A'o_ D. Is continuity test satisfactory as per the following procedure? Yes�No+ 1. De -energize electrical wiring, syste:a of the mobilehome at the pedestal. 2. Make sure that tine 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 load of a test instrument to the mobilehome grounding conductor and apply tine OtLJA' a.i:au to cacti TIIUUL.LCILVIIIt: supply ConuuCto'i, incliiulrtg Yteui.rdl. 5. All non-current, carrying metal parts of the mobilehome (aluminum siding, gas line, ,,Ater -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' te:L 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 egoi.pment may be approved for energizing. Ts fob card signed by Health Department for water and sanitation? 1.1.. If everything (A ay, sign off card and ta;- services. 4 'MOBI'LLi O.t' :_DATA Manufacturer and/or Namest:yle ^��N� L� -7 7 Length S-' Z Width f Z_ Vel-ticle Serial No. Sate Identification No. JS I&I' .tional I'for-nation or Comments: f-IOBT!"EHOME, D1 S`I'ALLATION INSPECTION CHECK LIST 1. Is the mobileh.omt located wi-i !- required separation from lot lines and buildings and generall.y conform to plot Ilan? �,�'c :�.K No� 2. Does the mobilehome have required clearances above ground? (Sec.5085) Yes No 3. Are foot.in-1,s and supports properly sized, spaced, and bracedr approved plans? (Note possible variation at spring shackles.) (Sec. 5082 & 5083) Yes_ No_ *).4 4. _ Is the mobilehome level.? (Sec. 5088) Yes No� 51 If more than a -' gle unit, are crossover connections properly installed? (Sec. 5088) Yes No 5, Water A. Is =1 xible 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_ C. 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? YesyNo B. Does it have minimum ;" per foot slope and is it properly supported? Yesy No C. Are any leaks detected in drainage system after running 3 -gallons of water through each fixture including washing machine standpipe? Yes No D. If 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 mo ehome gas line inlet without reductions other than the mobilehome connector. Yes No B. Test OK as per following procedure? Yes No 1. Open all appliance connector valves. 2. Shut off 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 gas, test connections with soapy water. C. Are all -appliance vents properly installed? Yes No N .x 7 jAAA,� '0 aA)LQ r , PA 10 CJ/ 6 - COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS BUILDING INSPEMON.RECORD BUILDING I p BUILDING (Cont'd) PLUMBING Setback FIrewa l• Soil Pipi Forms Parapet 1st Floo Main Bldg. Restroom Finish 2nd Floor Foq4Lngs Windows 3rd Floor Ste wall Siding To out Slab Roof Sheath) g Water Piping,CG Pier Roofing Sewer ;Z Garage Fdn. Vents Fixtures Footin s Stemwal Garage Vents Insulation Water Htr. Heaters Slab Carport Footings Prov. for physicall handica ed Conformance of ex. structure Appliances 14 Gas Piping & Test Temp. Gas Slab Final Sanitation Patio FIR PLACE Final G V Footings Footin ECTRIC Masonry Walls Throat Rou h % Reinf. Steel Final s Bond Beam FIRE SPRI KLERS FramingTest tr. Stucco Final els Mesh MECHANI ALult JGrd. ProScratch Heatin Brown Cooling . Pole Finish Ducts ,r round Interior Lath Ventilation anen Door Closer Final Final 1-2/n J ti 0 t, DATE REMARKS OR CORRECTIONS /7 1-7 0 0 XL^T 0, t -4- (3 -4.o Q Gam., . 6 5A,1 0 -VL d (NOTE: An entry must be made on this form each time you visit the job site.) y COU,N,TY OF BUTTE DEPARTMENT OF PUBLIC WORKS 7 COUNTY CENTER DRIVE OROVILLS, 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 6176-76 for the following location: 1334 Boucher Chico Owner JOHN WOOD Owner's Address 1332 Boucher, Chico Mobilehome Mfg. Bendi.X Model Year 197 Insignia No. S 3599 Serial No. 154385 It is hereby certified for occupancy at the above described location and may be occupied. Director of Public W rM Date 12/21/76 By THIS CERTIFICATE IS VOID WU6/N MOBILEHOME IS RELOCATED COUNTY OF BUTTE — AAEPAfRTMENT OF PUBLIC WORKS 7 County Center Drive — OroviIle, California 95965 Telephone: 534-4541 APPLICATION AND;PERMIT authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. X �.s�."� ��-�.-d Date /1✓ Signature of PermNY 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 OffrPlbBLIC WORKS B Date l7-, uilding permit"expires Date _ /iso' 7 BUILDING Owner zo SQ. FT. OCC. BUILDING VALUATION Mailing Address Telephone No. ' 44— 6 Fireplace Contractor , /r Total Valuation Mailing Address �G f ¢ Permit Fee PI an Checking Fee &/or Penalty Telephone No. L1 Permit Fee Building Address _ PLUMBING No.1 @ FEE PERMIT FILING FEE $3.00 P+ /b Each Trap 1.50 Repair drainage or vent piping 1.50 Water piping 1.50 Each gas water heater or vent 1.50 A. P. No. 0 .. — Zoning & Planning Gas piping system 1 - 5 outlets 1.50 Each additional outlet .30 FeesW.C.. Sanitation FireDept. Fire Zone Use Permit Building sewer 5.00 EQA Parking Plan Parcel Declaration Parcel a p 60' R/W Imp rov ments p Lawn sprinkler system 2.00 Bldg. Plan Rec'd I Parce pproval Plan pproval Permit Fee $ $ NEW ADDITION❑ UTILITIES ❑ OTHER RELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 / •A1srA1_L_ 4rl0 Oil- /yj Main service incl. 1 meter Additional meters, each 1.00 Sub -panel (12 or less) (more than 12) Single Family ❑ Duplex ❑ Mobil Home Others ❑ Range, Cook -top or Oven 1.00 Water Heater or Space Heater 1.00 Light fixturesb 2 10 Receps., switches & fix outlets 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:%l�j / .�1 /•Y1%� .>` / Hood, Ex. Fan or F.A. Furn. Motor 1,00 Evap. cooler, gar. disp. or D.W. 1.00 Air conditioner or heat pump Water pump Mobil Home Facilities 5.00 ,%`/+ Temp. Power Pole 5.00 License No. Classification Misc. wiring ❑ I am exempt from the Contractors License Laws of the State of California. Permit Fee $ $ MECHANICAL No. @ 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. 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 A111 �Lyq�'/O A O Oct TOTAL PERMIT FEE v.®U $ ® ®I authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. X �.s�."� ��-�.-d Date /1✓ Signature of PermNY 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 OffrPlbBLIC WORKS B Date l7-, uilding permit"expires Date _ /iso' 7 Y ~ ` COUNTY OF BUTT —`DEPARTMENT OF PUBLIC WORKS 7 County Center Drive — Oroville, California 95965 ��/ ./� Telephone: 534-4541 APPLICATION AND PERMIT A4 91. X Date r/ Signature of Permitee or AVgent Q' ceipt No.�� o White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant DIRECTOR 0 P BLIC WORKS ByDateZZ fldi B ng permit expires Date /�—� t BUILDING Owner v wQc:w SQ. FT. OCC. BUILDING VALUATION Mailing Address a G G Telephone No. Fireplace Contractor Total Valuation Mailing Address Olij/✓V45�< Permit Fee Plan Checking Fee&/or Penalty Telephone No. .'Permit Fee $ Building Address ? �� 7 �v� PLUMBING No. @ FEE PERMIT FILING FEE $3.003,00 Each Trap 1.50 Repair drainage or vent piping 1.50 Water piping 1.50 , Each gas water heater or vent 1.50 A. P. No. —� �3Y _ 41 %+'IcP�fion Onl oni annln Gas piping system 1 - 5 outlets 1.50 , YT 6 Each additional outlet .30 Fos I W . So n FireDept. FireZ Use Permit Building sewer 5.00 ®, EQA Parking Plans Parcel Declaration Parcel Ma P 60' R/W Im rovemen s P Lawn sprinkler system 2.00 Permit Fee $ 3 3, Bldg. Plans Recd Parcel Apval Plans 415roval NEW ❑ ADDITION ❑ UTILITIES OTHER ❑ ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 Main service 600V OR LESS 5.00 0O 100 AMP OR LESS Main service EA. ADD'L 100 AMP 2.50 2—.!570 Single Family ❑ Duplex ❑ Mobil Home Others ❑ Main service_ 1100 AMPOOR LESS 25.00 Main service EA. ADD'L 100 AMP 1.00 00 FL MINIMUM S . 4 F0R MOBILES NEW CONST. DWELLING OCCUP, & OR ADDNS. ( ACC• BLDGS. ) 2¢sgft NEW CONSTR. MULTI -OUTLET NON.RESID. BRANCH CIRCUITS) 2.50ea NEW CONSTR. POWER APPARATUS &) NON.RESI D. (SINGLE OUTLET CIR, CONTRACTORS LICENSE LAW I am licensed under the provisions of Chapter 9, Div. 3, of the State of California Business & Professions Code under the,name style of: Ex. Occup(OUTLETS OR FIXTURES)@� BAL�1 Ex. Occu P• FIXED APPLNS. OR OUTLETS (RESID,) EA) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00/570 License No. Classification Misc. Wiring 6.25 D*lm—exempt from the Contractors License Laws of the State of California. Permit Fee $ $ WORKMEN'S COMPENSATION INSURANCE 1 am aware of the provisions of Section3700 of the California Labor Code which requires every employer to be insured against liability for Workmen's Compensation. ❑ I have placed on file with the County of Butte a certificate of Workmen's Compensation Insurance. certify that in the performance of the work for which this permit is issued I shall not employ any person in any manner so as to become subject to the Workmen's Compensation Laws of California. MECHANICAL No.1 @ I FEEPERMIT FILING FEE J$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 authorize representatives of the County of Butte to enter upon the aboveentioned property for inspection purposes. TA TOTAL PERMIT FEE $ t This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated ahnve fnr which faac haves hPPrL _girl X Date r/ Signature of Permitee or AVgent Q' ceipt No.�� o White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant DIRECTOR 0 P BLIC WORKS ByDateZZ fldi B ng permit expires Date /�—� t