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HomeMy WebLinkAbout021-050-033C r 710- 21 - 05 ^21-05-33 , < TED & JEAN WHITE Q' kR� „ �% ? W/S ri gravel rd,fp;'2500' SP_ / Liber Rd,' app 14 mi ,Wof Block ridley + Permit #4158-79P,E (util MH)'+ 1 ELEC -7 GAS — -7S' ! t _ SUPPORT STRUCTURE RE /00 COMPACTION TEST REQ r.. . _ 21 05 33' ' lie g �1ontr. 71.11 �,at.hark ver Homes, Y. C'. Permit#4420-79MHI F' .: Issued —vt, 21-05'33 ” x'41-4170-MHI McCAIN; .Larissa r F 1411 W. "Liberty -:Road,f �v . ' •' r (MHI/existing site) •*. �i eount* qJ3utte OROVILLE, CALIFORNIA GENERAL CLAIM CLAIMANT: LaRissa McCain ADDRESS: 2552 Hwy 99 CITY & STATE: Biggs, CA 95917 IMPORTANT: March 26, 1992 SEE INSTRUCTIONS DATE OF CLAIM: ON REVERSE SIDE SUBMIT CLAIM TO DEPARTMENT RECEIVING GOODS OR SERVICES DATE DESCRIPTION OF CLAIM (DESCRIBE FULLY TO AVOID DELAY) AMOUNT I I, the undersigned, ieclare under penalty of perjury that the services or articles claimed have been performed or delivered, and that this claim is true and correct as stated. iJ - /! Dated this ..'�a.'.../ day of • 19....... at....Y. �.t.C..:.�. ....,, Calif"/.G.r`.%: .a..... Signature of Claimant I, the undersigned, hereby certify that, to the best of my knowledge, the services or articles specified above have been performed or de- livered and that there is a Budget Appropriation E] or Specific Board Approval: (Checkone) fort sgwmr Dated this 26th da of March l9 92 at Oroville CeUf. ' ....................................y ............................. .............................. ......... .. ......... .. .... .. ........ ..... .. .. ....... apartment Heed or Authorized D epu Dept ..... 440-002 .................. c de .........4210500 PAYABLE FROM COI1St, Permits FUND DO NOT WRITE BELOW THIS LINE - AUDITOR'S USE ONLY DEPT. & SUB. I PROJ. J SUB. OBJ. I CLAIM NO. I INV. NO. I INV. DATE I ENCUMB. I GROSS AMT. Owner has decided not to do work. Permit #4170-91MHI, AP#21-05-33, Receipt #103377, dated 12/3/91. i _ � - i I !Total Permit Fees Paid ------------------------------ $105.00 Retain Plan Checking Fee ------------------- $20.00 j iRetain Building Permit Filing Fee---------- 15.00 Total Permit Fees Retained-------------------------- 35:00 TOTAL REFUND E------------------------------------$ 70.00 -- I f I i l TOTAL $70100 I, the undersigned, ieclare under penalty of perjury that the services or articles claimed have been performed or delivered, and that this claim is true and correct as stated. iJ - /! Dated this ..'�a.'.../ day of • 19....... at....Y. �.t.C..:.�. ....,, Calif"/.G.r`.%: .a..... Signature of Claimant I, the undersigned, hereby certify that, to the best of my knowledge, the services or articles specified above have been performed or de- livered and that there is a Budget Appropriation E] or Specific Board Approval: (Checkone) fort sgwmr Dated this 26th da of March l9 92 at Oroville CeUf. ' ....................................y ............................. .............................. ......... .. ......... .. .... .. ........ ..... .. .. ....... apartment Heed or Authorized D epu Dept ..... 440-002 .................. c de .........4210500 PAYABLE FROM COI1St, Permits FUND DO NOT WRITE BELOW THIS LINE - AUDITOR'S USE ONLY DEPT. & SUB. I PROJ. J SUB. OBJ. I CLAIM NO. I INV. NO. I INV. DATE I ENCUMB. I GROSS AMT. COUNTY OF GUM BUILDINA nFPT MAR 16 1992 oaf asst NW y 99 0 THE CONSULTANT'S RESPONSIBILITIES NONRESIDENTIAL BUILDT`iGS 1. Classify building on front page, note type of ',,co and whether fire sprinklers (i.e., B2, VN, Fire-Spr). 2. Notes that appear on every set of plans. a. Light and ventilation per Sec: UBC. b. Aisles and exitwzys per Sec. -3315, L' C. c. Interior finishes on bathrooms per Sec. 510, UBC. d. z" maximum threshold at prim y entrance and those 34" minimum doorways providing handicapped access t roughout the building. 3. Notes that appear on fire sprinkl r plans. a. Install heads to cover all/areas per NFPA 13. 4. Special fire separation requirements by Butte County Ordinance. a. R-1 occupancies into 6,000 sq. ft. areas. b. A-1, A-2, A -2.1,/A-3, A-4, B-1, B-2 (except warehouses and factories), E-3, H-4, and/1H-5 occupancies into 12,000 sq. ft. areas. Exceptions: Two two-hour fire -resistive separation is not required if the building is equipped with an automatic fire sprinkling system throughou' or if the building As of type III one-hour construction. (Ord. No. 2269, 5, 3-9-82). In R-1 occupancies, heat detectors shall be installed in the attic if a heating and/or /cooling unit is installed in the attic. (Ord. NO. 2269, 6, 3-9-82). Sec. 26-3.5! Fire Sprinklers. Section ,,3802(b) of the Uniform Building Code is amended by the addition of the,following paragraph: If t'he building exceeds 36 feet in height, measure from the .lowest floor le, el with outside access to the ceiling of the highest floor used for human occupancy. Exception: Grain elevators and similar structures. (Ord. No. 2269, 7, 3-9-82). 5. Attention shall be drawn to the following types of walls with appropriate colors. 2/4 COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO. 7 County Center Drive - Orov'lle, California 95965 - Telephone: 916/538-7541 APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER 021-050-033 ZONING A 40 BUILDING PERMIT OWNER LARISSA McCAIN TELEPHONE 868-1713 ,SQA FT. OCC.1 BUILDING VALUATION OWNER'S MAILING ADDRESS 2552 HWY 99 BIGGS 95917 CONTRACTOR'S NAME OWNER TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER NONE UNKNOWN Total Valuation is LENDER'S MAILING ADDRESS Filing Fee $ 15.00 Permit Fee $ ARCHITECT OR ENGINEER NONE LICENSE NO. Plan Checking Fee $ 20.00 Ener Plan Checking F Energy g ee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS 1411 W. LIBERTY ROAD GRIDLEY Permit fee $ 35.00 PLUMBING PERMIT Filing Fee 15.00 Each Trap 5.00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 7.00 Each qas water heater or vent 7.00 USE OF STRUCTURE SF ❑ Duplex❑ Mobilehome® Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 15.00 Mobile Home S I G I W I @ 15.00 TYPE OF WORK New 71 Addition❑ Remodel❑ Utilities❑ Installation[' Other ❑ Describe work: EXTSTTNC, STTF _ Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 15.00 Main service 600V OR LESS 200A OR LESS 18.50 Main service 200ATO1000AI 37.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): ❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. License No. Classification TLyI}ly 1, as the owner, Or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONST. ( DWELLING OCCUPM OR ACDNS. 1 ACC. BLDGS. 3.64 sq.ft. NEW CONSTR. MULTI -OUTLET NON.RESID BRANCH CIRC ITS @ 5.00 POWER APPARATUS &) (SINGLE OUTLET CIR. Ex. Occup(OUTLETS OR FIXTURES 20 76 FIXED E S. OR Ex. Occup. OUTLETS TS (RESI D.) EA.) I 3.00 Temporary service 15.00 Mobile Home Facilities 15.00 Misc. Wiring g '15.00 Permit Fee $ — WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Contractor MECHANICAL PERMIT Filing Fee 15.00 Heating Cooling Hood 6.50 Ventilation permit Fee $ L Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against sai County in consequence of the granting of this permit. K e - �ccci Date /L' 9 / Signature of Applicant — Owne Contractor ❑ Agent F1Bions An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee S 70,00 Energy Inspection Fee $ occ CONST TYPE TOTAL FEE $ .00 105, HAZ OFEES IMP FL090 �/ CDF PARCE PD HD IssuE This permit is hereby issued under the of the Butte County Code and/or work indicated above for which fees DIRECTOR OF PUBLIC By PERMIT EXPIRES Date applicable provi- resolutions to do have been paid. WORKS Date Receipt No. 103377 WNITE-D.P.W.. YELLOW -ASSESSOR. PINK -INSPECTOR. GOLDENROD -APPLICANT J COUNTY OF BUTTE - Department of. Public Works 7 County Center Drive, Oroville, CA 95965 OWNER -BUILDER VERIFICATION Phone: 916 -538 -7541', - Attention Property Owner: An 'owner -builder" building permit has been applied for in your name and bearing your signature. Please complete and return this information at your earliest opportunity to avoid unnecessary delay in processing and issuing your building permit. No building permit will be issued until this verification is received. 1. I personally plan to provide the major labor and materials for construction of the proposed property improvement es no) �i"�. .2. Iav have not) h A� signed an application.for a building permit for t e proposed work. 3. I have contracted with the following person (firm) to provide the proposed construction: r Name 1 i Address City Phone Contractors License No. 4. �I plan to provide portions of this work, but I have hired the following person to coordinate, supervise, and provide the major work: Name Address City Phone Contractors License No. 5. I will provide some of the work but I have contracted (hired) the following persons to provide the work indicated: Name Address Phone Type of Work Signed: Property Owner Social Security Wumber - Date NOTE: This Owner -Builder Verification is sent to you as required by Sections 19831 and 19832 of the California Health and Safety Code. This verification must be completed and returned to our office before we are per- mitted to issue the permit. y'�'r,�:c'L'�"T+�ti�i���i�t��'�'��i�''-'�'"s,�;;� �'•l'��y�,*,`'r"''�pr„'�'""�'p'p,��*'i�"�i�:'�'t�''�,`:�'ar' /. COUNTY OF BUTTE - DEPARTMENT -OF PUBLIC WORKS - BUILDING DIVISION d 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE: 916/538-7541 PERMIT APPLICATION DATA SHEET OWNER_ /Q ---- Permit No. Y1 I SSQ /'°`C 00,I l/1 A. P. No. Proposed Building Use/Qy;Gd;yISC'— Building Inspector Date ra 3 9 At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance: DATE RECEIVED APPROVED 1. All items have been sub ed �� �2. Plot plans in lica /tn ila6,Is.1ign& 015rrparer of plans........ 3. Complete plans in duplicate/triplicate, signed by preparer. of plans . . 4. Complete engineered plans and calcs, with wet signature on plans .. 5. Hazardous Material Form .......................................... 6. Energy Design Compliance and supporting documentation ......... 7. Statement of Intent for Non -Heated and AC Buildings ............... 8. Engineered truss details and layout in duplicate (required prior to plan check) 9. Mobilehome installation data including manufacturer's installation instructions....................................................... 10. Fees of $ ......................... 11. Chico Urban Area fees paid ..................................... 12. Park fees pod(,,,... .......................................... 13.Com- Sc iool District fees paid .............. 1 Sanitation approval from r�Bv ; (`e- Health Department 15. City of Chico plumbing permit ..................................... 16. Plot plan and business license approval from City of (see City for other requirements) 17. Planning approval for (A) Use: (B) Parking: ...... 1'8. Improvements may be required. Contact Land Development Section DPW 19. Driveway permit (construction approval required prior to occupancy) 20. Pre -Inspection for required Pre-Inspec. request to Building Inspector (Date) 21. Contractor's license information (No., Name Style, Classification) ... 22. Certificate of Workmans Compensation Insurance .................. 23. Owner -Builder Verification (Given to owner ❑, Mail to owner ❑) ..... 24. Recorded copy of Agricultural Acknowledgment Stat t_. ........ 25. Letter of signs re aut rization ... ....... ... ... ,f�l,ll 6. t L - e ke �>r;sT 27. o V1 i r1cw V Perly ow m6- , When you issue the peTmit, rocess as follows: Mai' lo owner. Mail to contractor. _ Telephone and hold for pickup at I�0 office. Deliver w/inspector. Other Applica 2 .Date Copy of Haz-Mat form sent Health Dept. Fire Dept. Air Pollution Date Copy of plans sent Health Dept. Fire Dept. Other Date By The following data must be submitted prior to permit issuance: (Circle new item not checked above). 1. Index permit for above items No._02 A( e y 27 2. Additional items required: /,,/? 7 /d Gu -2 !;-,�,,/ 6", --7 C1,F2;,r - 5 - Contractor, Contractor, designer, o r, was advised of above required data by phone_mail_counter byc*—..dateJ��s�! Contractor, designer, owner, was advised of above required data by —phone _maII—counter by date Plans checked by Sets of plans on hold in _ Copy—DPW Date Plans approved by File cabinet AP folder ,oz-/Wje� Date J i BUTTE COUNTY DEPARTMENT OF PUBLIC WORKS 7 Countv Center Drive. Oroville. CA PHONE: 538-7541 MOBILEhOME INSTALLATION SHEET `s �ariSS Q Jul ` C Y 1. owner .Name: .5. L ( is the mobilehome electrical rating? ---------------- �.© Amps 2. Installer's Name: n1N YJ�' 6. What is the mobilehome site service rating? ------------- 3. Is the site currently under permit? Yes No What is the mobilehome site (If yes, furnish permit number ) OR 8. Is there any other electric load to be served by the Yes No F�Is the site an existing site? .FK ,1.. , I (If yes, furnisl�'two plot plans.) mobilehome site 4. Will -the mobilehome be.located at least 5 ft. away from septic tank and leach ri N fields and clear of all setbacks and easements? Yes (Load). -No - (If no, clarify .5. What is the mobilehome electrical rating? ---------------- �.© 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 site service? -------------------------------- Yes No (If yes, identify the load and size: - (Load). (Amps) 9. What is the mobilehome site gas pipe size? -------------- -,:... ( (in.) ---------- ? ----- ---- Natural LPG 10. What is the t e of as service yP g 11. What is the gas pipe length from meter or tank to the mobilehome? -------- ----- * 12.. What is the mobilehome gas demand? ----------------=----- (BTU) *(This information not required,if pipe length less than 6 ft. on natural gas or less than 50 ft. on LPG.) MOBILEHOME SUPPORT DATA If other than .single wide, Mobilehome Mfr. furnish Setup Model No. Year Width (ft.) Box Length D�(ft.) Tagalong or Expando Size ft. x ft. 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). FOOTINGS (check one) ®1. Wood -pressure treated or foundation grade. 2. Other (specify) SUPPORTS (check one U1. Concrete block.a 2. Other (specify) Pier Footing Sizes and Locations SINGLE -WIDE Line 1 Piers: Line 1 Openings: � ----- ,x Size -Min. ------- Size -Min. Spacing -Max. --------- Each Side of Openings From Ends -Max. ------- '_ " With Width Over --------- Lin -------- �+ Line::Piers.: S"ize Min. ------------ rec �x V Spacing -Max --------- From Ends;M"xD------- Line 3 Roof Loads: Size -Min. ------------ Location (From Front) Line 3 Piers: (Under Bearing Wall Only) Size -Min.------------------ k 11 Spacing -Max. _______________ , „ From Ends -Max --------------,_ „ Line 4 Piers: Size -Min .------------ 'k Spacing -Max.--------- , From Ends -Max .------- Line 5 Roof Loads: Size -Min. ------------ Location (From Front) Line 5 Piers: (Under Bearing Walls Onay Size -Min .------------------ Spacing -Max.--------------- „ From Ends -Max.------------- - mm®m r . TO Buildinc Department517 g.• 1 K FROM: Environmental Health SUBJECT: Sanitation Clearance Owner Locati n AP# Plan Approved for: Sewage Disposal 4 ---,-Water Supply Fold final for: Water Supply Final clearance O.R. for: Water Supply Clearance for CQ bedroom mobile home. Other N 0,Uj ->7t4 le CZ1S qh' I& 10CctiC0•, oc,5 C5, a��e� rc�orn n�Gyil� NOTE *** Sanitaria Date 1,9 (' —4158" 79P , E "..PERMIT NO. PERMIT EXPIRES .'OWNER TED & JEAN WHITE %'CONTR. owner 21-05-33 '-;LOCATION A.P. ) �MS pri.gravel rd, app 2500'.S of West Liberty Rd. app 12 mi W of"..Block Rd, Gridley f Temp. Power Pole Called PG&E tri Elec. Serv. 1 Called PG&E. 717 .t Gas Serv. 3 r— `fFINALED I ed j;G E 1. ' (Dat (Signature) COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS BUILDING INSPECTION RECORD BUILDING BUILDING (Cont'd) PLUMBING Setback Forms Main Bldg. Footings Stemwal I Slab Piers Garage Footings Stemwa I I Slab Carport Footings Slab Patio Firewall Parapets Restroom Finish Windows Siding Roof Sheathing Roofing Fdn. Vents Garage Vents Insulation Prov. for ph sically handicapped Conformance of ex. FIREPLACE rootln s Footin Masonry Walls Throat -Reinf. Steel Final Bond Beam FIRE SPRINK Framing Test Stucco Final Mesh MECHANP Scratch Heating Brown Cooling Finish Ducts Interior Lath Ventilation Door Closer Final MOBILEHOME UTILITIES ------------------ Elec. Service Water Piping _ Sewer _ C- =1 I E OME INSTALLATION - - - - - - - - - - - Support Water Piping "7- e --7 Y Drainage IrATE REMARKS • • • Soil Piping 1st Floor 2nd Floor 3rd Floor Topout Water Piping Sewer Fixtures Water Htr. Heaters Appliances Gas Piping & Temp. Gas Final ELECTRICAL Fixtures Motors Water Htr. Subpanels Grd. Fault Prot. Service Temp. Pole Underground Permanent Final Elec. Pedestal Gas Piping 171 Elec. Continuity Gas Piping ']— PAO o wc�p � - 3 9— (NOTE: An entry must be made on this form each time you visit the job.site.) '9. Electrical .A. Is service large enough to provide adequate amperage -to mobilehome (must equra`ing of mobilehome with a minimum of 0 amp).and other facilities on lot, i.e., water pumps, 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 VNo D. Is continuity test.satisfactory as per the following procedure? Yes_ No 1. De -energize electrical wiring system of the mobilehome at the pedestal. 2. Make sure that the power supply cord or feeder assembly conductors, including neutral conductor, have been disconnected. 3. -Switch all breakers and switches in the mobilehome to the "on" position. 4. Connect one lead of a test instrument to the mobilehome grounding conductor and apply the other lead to each mobilehome supply conductor, including neutral. 5. All non-current, carrying metal parts'of the mobilehome (aluminum siding, gas 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. 10. Is job card signed by Health Department for water and sanitation? IL If everything okay, sign off card and tag services. MOBILEHOME DATA Manufacturer and/or Namestyle ( Ci I. Length Width y Vehicle Serial No. State Identification No. Additional Information or Comments: MOBILEHOME INSTALLATION INSPECTION CHECKLIST 1. Is the mobilehome located with -equired separation from lot lines and buildings and generally conform to plot plan? Yes o_ 2. Does the mobilehome have required clearances above ground? (Sec.5085) Yes` No 3. Are footings and supports properly sized, spaced, and braced as pe proved plans? (Note possible variation at spring shackles.) (Sec. 50 2'& 5083) Yes_ No 4. Is the mobilehome level? (Sec. 5088) Yes_ No_ 5. If more than a single unit, are crossover connections properly installed? (Sec. 5088) Yes_ 6. Water / A. Is flexib16 connector of adequate size and properly installed (1/2" ID min.)? (Sec. 5566) Yes t/No_ B. Test - Does water piping withstand working pressure or 50 lbs. air test? Yeses No ' C. Backflow - If coach is not Staklifornia approved, does station have backflow device ' and pressure -relief valve? Yes 7. Wastes and Drains A. Is connection made with Schedule 40 DWV and have flex connectors at each end? Yes W No B. Does it have minimum 4" per foot slope and is it properly supported? Yes!/ No C. Are any leaks detected in drainage system after runningallons of water through each fixture including washing machine standpipe? Yes No D. If coach is no tat 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 t more than 6 ft. long? Note: All piping is to be at least as large as the mob le ome 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, t n on gas, test connections with soapy water. C. Are all appliance vents properly installed? Yes No COUNnV-OF BUTTE DEPARTMENT OF PUBLIC WORKS 7 COUNTY CENTER DRIVE OROVILLE, CALIF. - 534-4541 CERTIFICATE OVOCCUPANCY This mobilehome has been installed in accordance with the re u ents of the California Administrative Code, Title 25, Chal' ter 5, untrVpermit number . I - — , 9. -for the following location: (J'A i (-,-, r Owner I op e4 '4- 1 V? ;?m" 1 0 ) U I f V gc� ir Owner's Address Mobilehome Mfg. Modef7 ,61 Si I Year7q-' Insignia No. Serial N o. - - It is hereby certified for occupancy at the above described location and may be occupied. Director of Rub-lic Worksl Date By THIS CERTIFICATE IS VOID WHEN MOBILEHOME IS RELOCATED White - Owner, Yellow - Installer, Pink - D.P.W. c7v C>-7 IS, COUNTY OF BUTTE, — DEF,ARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 Telephone: 534-4541 s APPLICATION AND PERMIT authorize repre ntatives o the County of Butte to enter upon the above -menti dgpropert r inspect purposes. X Date Sig ature of Permitee or Agent Receipt No. 5 -7 13 White-D.P.W. - Yellow -Assessor - Pink-Insp�ctor - Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above which fees have been paid. ,DI,IECTJ0P/DF PUBLIC WORKS Building permit expires Date BUILDING q 7.17 Owner Tit W ��)t- SQ. FT. OCC. BUILDING VALUATION Mailing Address Pa j�b X �0 1 �{ c1 Clef, _ C ^ _%54k I ephon. No. Contractor Mailing Address '972- Off' TO (i 1,D Fireplace Total Valuation '*,(0 ilJ p I l R /r(CT '"I [1 SI el ho=e o. � � Permit Fee Building Address SI � _ ���� �� Plan CheckingFeeB/or Penalty Permit Fee 14P�'K0 �, dpi S pF U- T L,( Pel.. PLUMBING No. @ FEE � FP6)( I MI QC9 ��-P" 1 W I� k PERMIT FILING FEE $3.00 Each Trap 1.50 Repair drainage or vent piping 1.50 A. P. No. /� rj - 0 Zoning & Planning Water piping 1.50 Each gas water heater or vent 1.50 Few ./ S�IfEi�tion Fire Dept. Fire Zone Use Permit Gas piping system 1 -5 outlets 1.50 EQA Par 'ng P ns Parcel Declaration Parcel Ma p 60' R/W improvements p Each additional outlet .30 Building sewer 5.00 Bldg. Plans Recd Porce royal Pla pproval Lawn sprinkler system 2.00 NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER Permit Fee $ $ /)l OT 2 P 4 1 5,q —7 cj ELECTRICAL No. @ 'FEE PERMIT FILING FEE $3.00 Main service 8011 OR LESS 100 AMP OR LESS 5•Q� Single Family ❑ Duplex ❑ Mobil Home Others ❑ Main service EA. ADD'L 110 AMP 2.50 Main service OVER 600V 25.00 100 AMP OR LESS Main service EA. ADD'L 100 AMP 1.00 NEW OR ADDNST % ACCLBLDGS.LING CCUP. S) 20sgft CONTRACTORS LICENSE LAW I am licensed under the provis' ns of Chapter 9, Div. 3, of the State of California B iness rofessions Co under the name st le - NEW CONSTR. BRANCH CIR T NEW CO ID � BRANCH CIRCUITS) 2.50ea NEW CONSTR. POWER APPARATUS 8 NON-RESID. SINGLE OUTLET CIR. Ex. Occup{OUTLETS OR FIXTURES) 5 L� FIXED APPLNS• OR EX. Occup. OUTLETS (RESID.) EA) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 _ License No Classification Misc. Wiring 6.25 ❑ 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. r -1I 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 $ $ 1 certify that I have read this application and state that the above .. information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby L Fee AZA I $ 3o -a TOTAL PERMIT FEE Is authorize repre ntatives o the County of Butte to enter upon the above -menti dgpropert r inspect purposes. X Date Sig ature of Permitee or Agent Receipt No. 5 -7 13 White-D.P.W. - Yellow -Assessor - Pink-Insp�ctor - Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above which fees have been paid. ,DI,IECTJ0P/DF PUBLIC WORKS Building permit expires Date J I �11�' MOB iLEHOME—SUPPORT DATA If other than single widdee�,,� Mobilehome Mfr. .e/ e furnish Setup Model Noe:; -� C" Year FV Width(ft.) Box Length (ft'. -)l Tagal6ng`6r'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 specified. Footings .(check one) Single r71-.1. Wood either pressure treated or foundation grade. ME x�6 (ft.)(in:) (in.) (in.) 2. Other (specify) Center support Center support locations* footing sizes Supports (check one) (in.) Concrete block. 1 8 2. +Other, ( specify) (ft.)(in.) (in.) in. S .1zfid. Tagalong or Expando, SPte' show support details. (ft -)(in.) (in.) (in.) -- Typical Support �0 (in.) in.) Footing Size (ft. (in:) (in.) (in.) Max. Pier Spacing Max. Overhang (in.) in. in.1jd(ft..)(in.) M, COUNTI %U.ILDING DEPP��fi�1 N7: VSO\JD *If center piers are other than drawn above, draw in locations, spacing, and dimensions.. 1. Owner's name: 2. Installer's na BUTTE COUNTY DEPARTMENT OF PUBLIC WORKS 7 County Center Drive, Oroville, CA. PHONE: 534-4541 MOBILEHOME INSTALLATION SHEET 3. Is the site currently under permit? Yes No (If yes, furnish permit number 1Z 7� ) OR Is the site an existing site? Yes / / 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? ----------------------- Amps 6. What is the mobilehome site service rating? --=------------------ Amps 7. What is the mobilehome site circuit breaker rating? ------------- /0 6 [fps 8. Is there any other electric load to be served by the mobilehome site service? --------------------------------------------------- Yes / / No (If yes,, identify the load and size: (Load) (Amps) 9. What is the mobilehome site gas pipe size? ---------------------- --(in.) 10. What is the type of.gas service? ----------------------------- Natural T,77 LPG 11. What is the gas pipe length from meter or tank to the mobilehome? 'S (ft.) 12. What is the mobilehome gas demand? ------------------------------ (BTU) (This information not required if pipe length less than 6 ft. on natural gas or less than 50 ft, on LPG.) 4 1 COUNTY OFt,BUTTE — DE�)ARTIVIENT OF PUBLIC WOR 7 County Center Drive ,-� Oroville, 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 Date Z-Aod1gnatur;of Permitee orrAgent Receipt No. 2 s- V (3 -Se 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 F PUBLIC WORKS By Date -7-1 ?T B11ding permit expires Date 7-1 3 -- s>b BUILDING Owner r & L SO. FT. OCC. BUILDING VALUATION Mailing Address . �, © .1pv0; t v ^T U �/��i i/ S Telephone No. �jo`� % Contractor Mailing Address Fireplace Total Valuation Telephone No. Permit Fee Building Address INe, on vdPL Plan Checking Fee &/or Penalty Permit Fee PLUMBING No.1 @ FEE L• p PERMIT FILING FEE $3.00 Each TraD 1.50 i Repair drainage or vent piping 1.50 A. P. No. �• D — ,3j� �aning &Panning Water piping 1.50 0 Each gas water heater or vent 1.50 mt,s Sa I lon FireDept. Fire Zone Use Aernlot Gas piping system 1 -5 outlets 1.50'10 M EOA` Parking Plans arcel Declaration Parcel Ma 60' R/W Improvements Each additional outlet 30 Building sewer 5.00 Bldg. F4tns Rec'd Parcel Approval Plans Approval Lawn sprinkler system 2.00 NEW ❑ ADDITION ❑ UTILITIES OTHER ❑ Permit Fee $ ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 Main service 600V OR LES q^ 100 AMP ORSLESS 5.00 W Single Family ❑ Duplex ❑ Mobil Home Others ❑ Main service EA. ADD'L 100 AMP 2.50 Main service OVER 600V 25,00 100 AMP OR LESS Main service EA. ADD'L 100 AMP 1.00 NEW CONS. DWELING O OR ADDNST ( ACCL BLDGS.CCUP. !) 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 style of: NEW CONSTR. IMULTI.OUTL T NON.RESID 1 BRANCH CIRCUITS) 2.50ea NEW CONSTR. POWER APPARATUS B NON.RESID. SINGLE OUTLET CIR. Ex. Occup{OUTLETS OR FIXTIIRES) g L ,@1@ ) Ex. Occup. (OUT LETSP(RESID)REA) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 6.25 License No. Classification o�x tomy},gb 1 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. 1 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 $ Land Development 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 $ �. authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. X Date Z-Aod1gnatur;of Permitee orrAgent Receipt No. 2 s- V (3 -Se 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 F PUBLIC WORKS By Date -7-1 ?T B11ding permit expires Date 7-1 3 -- s>b