HomeMy WebLinkAbout025-160-0760
A
25-16-76
25 -11.6-
-Janet Yankee
S/S' pri.'rd. 70, app.
3/4 mi.S.of Power House Hill Rd., lot#31,
Oroville
Permit #529-77P,E(uti1.,MH)
ELEC.
GAS
S
UPRRT-,' C
S SUPRRT- STR13 TURE- REQ.
COMPACTION TEST -REQ.
25-16-16
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Permit ;-PO9 78 1 e-Oaks--.it-Lake Oro -
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Issued
7f 25-16
-76PerMA4-78P(relocate
Y2
gas pip'
ing on existing Site) MH
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COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS
7 County Center Driver— UvviIle, California 95965Telephone: 534-4541/
APPLICATION AND PERMIT
auuiU1IcV IC)./1CJCIIIQUVCS UI Lilt!LIUunty UI ourre 1U enter upon me
above-mentioned property for inspection purposes.
X
I' „ Date
Signature of Permitee or Agent
Receipt No.
This permit is hereby issued under the applicable provisions of
the Butte County Code and/or resolutions to do work indicated
/7 above for which fees have been paid.
� DIRECTOR OF PUBLIC WORKS
By
White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant I Building permit expires Date
Date
BUILDING
Owner i
SQ. FT. OCC. BUILDING VALUATION
Mailing Address f;r"•r A773�T
Telephone No.
Fireplace
Contractor . _-
Total Valuation
Mailing Address
Permit Fee
Plan Checking Fee &/orPenalty
Telephone No.
Permit Fee $
Building Address _`.;' /�✓ /IJ�D �,S/�G
PLUMBING No.1 @ FEE
PERMIT FILING FEE $3.00 :1 d !'
Each Trap 1.50
" ! G
Repair drainage or vent piping 1.50
Water piping 1.50
Each gas water heater or vent 1.50
A. P. No. _ ,-�� - ,
Zoning &Planning
Gas piping system 1 - 5 outlets 1.50
Each additional outlet .30
Fees
W:C.
Sanitation
Fire Dept.
Fire Zone
Use Permit
Building sewer 5.00
EQA
Parking
Plans
Parcel
Declaration
Parcel Ma P
60' R/W
Imp rovements
P
Lawn sprinkler system 2.00
Bldg. Plans Recd
Parcel Approval
Plans Approval
Permit Fee $
--7.
NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER ®
ELECTRICAL No. @ FEE
PERMIT FILING FEE $3.00
�'" �,{� ,-_. At. •_.-„r,,4 rj �..,,� �
Main service 1000 AMP OR0V OR LESS5.00
r • .(„ ' •.,I '7'". / f �-•rs•c-.�..�-r
Main service EA. ADD'L 100 AMP 2.50
Single Duplex ❑ obil Home 0 Others ❑
00V100 AMP OR LESS 25.00
Main service OVER 600V L.ESS
100
Main service EA. ADD•L 100 AMP 1.00
2 1z
OR ADDNST ( NEW CONS.DACCLB OGS.CCUP. &) 120 sq ft
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
st le of:
y
Ex. OCCUp(OUTLETS OR FIXTURES) 50 BA@2i
Ex. OCCU FIXED APPLNS. OR
P•(OUTLETS (RESID.) EA) 2.00
Temporary service 10.00
Mobile Home Facilities 15.00
License No. Classification
Misc. Wiring 6.25
❑ I am exempt from the Contractors License Laws of the State of Cal ifomia.
Permit Fee $
$
WORKMEN'S COMPENSATION INSURANCE
I am aware of the provisions of Section3700 of the California Labor
Code which requires every employer to be insured against liability
for Workmen's Compensation.
❑I have placed on file with the County of Butte a certificate of
Workmen's Compensation Insurance.
❑ I certify that in the performance of the work for which this
permit is issued I shall not employ any person in any manner
so as to become subject to the Workmen's Compensation Laws of
California.
MECHANICAL No. @ FEE
PERMIT FILING FEE $3.00
Heating
Cooling
Ventilation
Hood 2.00
Permit Fee $
$
I certify that I have read,this application and state that the above
information is correct. I agree to comply to all County Ordinances
and State Laws relating to building .construction, and hereby
TOTAL PERMIT FEE
$ /:-
auuiU1IcV IC)./1CJCIIIQUVCS UI Lilt!LIUunty UI ourre 1U enter upon me
above-mentioned property for inspection purposes.
X
I' „ Date
Signature of Permitee or Agent
Receipt No.
This permit is hereby issued under the applicable provisions of
the Butte County Code and/or resolutions to do work indicated
/7 above for which fees have been paid.
� DIRECTOR OF PUBLIC WORKS
By
White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant I Building permit expires Date
Date
COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS
7 County Center Drive — Uro�ille, California 95965
Tel ephon'e: 534-4541 /
APPLICATION AND PERMIT
'
BUILDING
Owner
SO. FT. OCC. BUILDING VALUATION
Mailing ddress �,�•—
Telephone No
Fireplace
Contractor
Total Valuation
Mai I Ing Address
Permit Fee
P I an Checking Fee &/or Penalty
Telephone No.
Permit Fee $
Building Address ,S' S'�. ��
PLUMBING No. @ FEE
PERMIT FILING FEE $3.00 3 O4
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.
Z &
Zoning Planning
Gas piping system 1 - 5 outlets 1.50 ef. QO
Each additional outlet .30
F s
W ,
Slerntatton
I Fire Dept:
Fire Zone
Use Permit
Building sewer 5.00
EOA
Parking
Plans
I Parcel
Declaration
parcel Ma P
60' R/W
Im provements
Lawn sprinkler system 2.00
Bldg. Plans Rec'd
Parcel Approval
Plans Approval
Permit Fee $
NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER
ELECTRICAL No. @ FEE
PERMIT FILING FEE $3.00
Main service 6001 OR LESS
100 AMP OR LESS 5.00
Q� S�Z --%i
Main service EA. ADD'L 100 AMP 2.50
Single Family ❑ Duplex ❑ Mobil Home Others ❑
Main service OVER fioov 25.00
100 AMP OR LESS
Main service EA. ADD•L 100 AMP 1.00
NEW LING O
OR ADDNST ( ACCLBL GS.CCUP, &) 2¢sq ft
NEW CONSTR. MULTI -OUTLET
NON•RESID, BRANCH CIRCUITS) 2.50ea
NEW CONSTR. (POWER APPARATUS&J1
NON.RESID. SINGLE OUTLET CIR.
CONTRACTORS LICENSE LAW
I am licensed under the provisions of Chapter 9, Div. 3, of the
State of California Business & Professions Code under the name
style of:
Ex. Occup(OUTLETS OR FIXTURES) 50 BAL@
Ex. DccU FIXED APPLNS. OR
P• OUTLETS (RESID.) EA) 2.00
Temporary service 10.00
Mobile Home Facilities 15.00
License No. Classification
Misc. Wiring 6.25
I am exempt from the Contractors License Laws of the State of California.
Permit Fee $
$
WORKMEN'S COMPENSATION INSURANCE
1 am aware of the provisions of Section3700 of the California Labor
Code which requires every employer to be insured against liability
for Workmen's Compensation.
❑ I have placed on file with the County of Butte a certificate of
Workmen's Compensation Insurance.
5I certify that in the performance of the work for which this
permit is issued I shall not employ any person in any manner
as to become subject to the Workmen's Compensation Laws of
California.
MECHANICAL No. @ FEE
PERMIT FILING FEE $3.00
Heating
Cooling
Ventilation
Hood 2.00
Permit Fee $
$
I certify that I have read this application and state that the above
information is correct. I agree to comply,to all County Ordinances
and State Laws relating to building construction, and hereby
authorize representativeso the County of Butte to enter upon the
above-mentioned property f r inspection purposes.
X Date ! /
TOTAL PERMIT FEE
$ 3 O
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.
RECTOR OF UBLIC WORKS
�rgnarure or rermlree or Agent
BY Date 47
Receipt No. i
White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant Bvi-hi "S� permit expires Date
" IPZRMIT NO. '�. + 529=77P,Er
A. PERMIT EXPIRES
OWNER Janet Yankee
CONTR. f owner
25-16-76
LOCATION (A.P. )
S/S'pri.rd.,app.1400'E.of Hwy 70,app.3/4 mi.S.
a of Power House Hill Rd. lot #3, Oroville
1
i
• «,GFX , �
i
i
Temp. Power Pole
Called PG&E
i+• Temp. Elec. Serv. ✓� 9 %�
j Ca led PG&E
11t, Ter,Z Serv.
Called PG&E
J13
INALED
(Date)' -
4 �
(Sig ture)
J}r
t .
T-
!. .
s
4
COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WQRKS ° „ -
BUILDING INSPECTION RECORD
BUILDING
BUILDING (Cont'd)
PLUMBING
Se ckewall
Ski Piping
For
Pa ets
1 t Floor
Mai Bldg.
Rest om Finish
2n Floor
Fo tins
Windo
3rd Noor
Ste alI
Siding
To out
Slab
Roof Shea%ing
Water Pi I lqg
Piers
Roofing
Sewer
Garage
Fdn. Vents
Fixtures
Footings
StemwaI I
Garage Vents
Insulation
Water Htr.
Heaters
Slab
Carport
Po
Footings V
Prov. for ph slcal
handica ed
Conformance of ex.
structure V
Appliances
Gas Pi In & Test
Tem . Gas
Slab A
`Final
Sanitatiori
Patio
REP ACE
Final
Footin s
Footinq
E ECTRI L
Masonry Walls
Throat
Rough
Reinf. Steel
Final
Fixtures
eam
Bond Beam//
FIRE SPRINKI ENA
I Motors
Mesh MECHANICAL Grd. F141t Prot.
Scra h, Heatl Servl
Brq4n I Coo ng T ma. Pole
F Ish X Dtkts I inderground
In rior Lath entilation Permanent
oor Closer Final Inal
MOBILEHOME UTILITIES - - - - - - - - - - - Elec. Service =777"- Elec. Pedestal
Water Piping Sewer Gas Piping
OBILEHOME INSTALLATIPN Support Elec. Continuity
Water Piping Drainage Gas Piping
DATE—E?0�/O'� REMARKS OR CORRECTIONS
M/w
-41�-
/V0
(NOTE: An entry must be made on this form each time you visit the job site.)
b COUNTY OF BUTTE
DEPARTMENT OF PUBLIC WORKS 7 COUNTY CENTER DRIVE
12 OROVILLE, CALIF. - 534-4541
CERTIFICATE OF OCCUPANCY
This mobilehome has been installed in accordance with the requirements
of the California Administrative Code, Title 25, Chapter 5, under permit
number, ''62d9 -7,,P for the following location: —S;'�
ell
Owner �.a ►ai- ��'�tC�2� ,/ ��
Owner's Address
Mobilehome Mfg. Model 'Pol Year
Insignia No. r .l///ISzP 7y9�-_!6— Serial No.
It is hereby certified for occupancy at the above described location and
may be occupied.
d. Director of -,Public Works
Date —�// /% By
THIS CERTIFICATE IS VOID WHEN MOBILEHOME IS RELOCATED
-V - .jr
MOBILEHOME INSTALLATION INSPECTION CHECK LIST
.'
1. Is the mobilehome located with required separation from lot lines and buildings and generally
conform to plot plan? Yes -X No
2. Does the mobilehome have.required clearances above ground? (Sec.5085) YesAf No
3. Are footings and supports properly sized, spaced, and braced as per approved plans? (Note
possible variation at spring shackles.) (Sec. 5082 & 5083) Yesl< No
4. Is the mobilehome level? (Sec. 5088) Yes f No
5. If more than a single unit, are crossover connections properly installed? (Sec. 5088)
Yes No
6. Water
A. Is flexible connector of adequate size and properly installed (1/2" ID min.)? (Sec. 5566)
Yes x No
B. Testi - Does water piping withstand working pressure or 50 lbs. air test? Yesyj No
C. B ^' f'__.. ______ -s no -*at-e nT ifornia 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? Yes4 No
B. Does it have minimum k" per foot slope and is it properly supported? Yes4-
No
C. Are any leaks detected in drainage system after running 3 -gallons of water through each
fixture including washing machine standpipe? Yes— No-,X—
D.' If of California approved, does station have required trap and vent?
Yes No
8., Gas Piping and Gas Vents
A. Connector - Is mobilehome connected to the gas supply with an approved 3/4" minimum
mobilehome connector not more than 6 ft. long? Note:' All piping is to be at least as
large as the mobilehome gas line iiilet without reductions other than the mobilehome
connector. YesX No
B. Test OK as per following procedure? YesX7 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
�y r
9.Electrical
A. Is -service large enough to provide adequate amperage -to mobilehome (must equal rating of
mobilehome with a minimum -of 100 amp) and other facilities on lot; i.e., water pumps,
garage, cabana, etc.? Ye S4_1 No t
B. Is there proper clearances around panels? Yes_X No
C. Is power supply cord•or feeder assembly!properly fused? Yes4_ No
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 cordLor 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 mobileh6me supply conductor, including neutral.
5. All non-current, carrying metal part of�the mobilehome (aluminum siding, gas line,
water line), including fixtures andlppliances,'shall be tested for.continuity from
such equipment and the grounding conductor.
6. Upon completion of the above procedtre, 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
y, mobilehome. Upon satisfactory completion of theelectrical tests; the lot or site
service equipment may be approved for energizing.
10. Is'job card signed by Health Department for s"water and sanitation?
V.
11.; If everything okay, sign off card and tag se ices.
MOBILEHOME DATA
Manufacturer and/or Namestyle
Length Width oa�_
Vehicle Serial No. SO
State Identification No.
Additional Information or Comments:
z
Ar
I
• COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WO S
+' 7 County Center Drive — Oroville, California 95965
Telephone: 534-4541 9—
APPLICATION AND PERMIT
BUILDING
Owner SQ. FT. OCC. BUILDING VALUATION
Mailing A ress
VIMone No. _
v I "ww ° -
Fireplace
Contractor
Total Valuation
Mai I i ng Address
Permit Fee
Plan Checking Fee &/or Penalty
Telephone No.
Permit Fee $
Building AddressS '
PLUMBING No.
@
FEE
PERMIT FILING FEE
$3.00
,
/� f
Each Trap
1.50
%Att�P�. E"
Repair drainage or vent piping
1.50
Water piping
1.50
Q. Q()
_
ca 0if Dnlv
Each gas water heater or vent
1.50
/f
A. P. J -, 16 - � A— In rig & Planning
Gas piping system 1 - 5 outlets
1.50
®ofd
Each additional outlet .30
® Ah iron
FireDept.1
Fire Zone Use Permit
Building sewer
5.00
Q%D
EQA
ParkingParcel
Plans
Declar on
P
60' R/W
Im rovements
p
Lawn sprinkler system
2.00
Bldg. Plans Recd 3 Parcel Approval
I Plans Approval
Permit Fee
$
3 A
NEW ❑ ADDITION ❑ UTILITIES OTHER ❑
ELECTRICAL No.
@
FEE
PERMIT FILING FEE
$3.00
3,06)
Main service 100 AMP OROR LE SLESS
5.00.
�S`,OQ
Main service EA. ADD•L too AMP
2.50
Single Family ❑ Duplex ❑ Mobil Home Others ❑
Main service OVER 600V100 AMP OR LESS
25.00
Main service EA. ADD'L too AMP 1.00
_ . MINIMUM
FOR MOBILES
NEW CONS. DWELING
OR ADDNST ( ACCLBLDGS. OCCUP. &)
20sgft
NEW CONSTR MULTI.OUTLET
NON.(RESID. BRANCH CIRCUITS) 2.50ea
NEW CONSTR. POWER APPARATUS &
NON.RESID. (SINGLE OUTLET CIR.
CONTRACTORS LICENSE LAW
I am licensed 'under the provisions of Chapter 9, Div. 3, of the
State of California Business & Professions Code under the name
le of:
style
&,"427
Ex. Occup(OUTLETS OR FIXTURES) BAL@,
Ex. Occu FIXED APPLNS, OR
p•(OUTLETS (RESID.) EA) 2.00
Temporary service 10.00
Mobile Home Facilities
15.00
License No. Classification
Misc. Wiring
6.25
7
I am exempt from the Contractors License Laws of the State of California.
Permit Fee
$
WORKMEN'S COMPENSATION INSURANCE
1 am aware of the provisions of Section3700 of the California Labor
Code which requires every employer to be insured against liability
for Workmen's Compensation.
❑ I have placed on file with the County of Butte a certificate of
Workmen's Compensation Insurance.
certify that in the performance of the work for which this
permit is issued I shall not employ any person in any manner
so as to become subject to the Workmen's Compensation Laws of
California.
MECHANICAL No.
@
FEE
PERMIT FILING FEE $3.00
Heating
LT—
4;
Cooling'5`itt''1t
Ventil tion •� ;!
Hoo'd',; i + . 't r1 11 1 2.00
Perok9t Feet t tj $
I certify that I have read this application and state that the above
information is correct. I agree to comply to all County Ordinances
and State Laws relating to building construction, and hereby
authorize representatives of the County of Butte to enter upon the
above-mentioned property for inspection purposes.
XDateI—SI _77
ignature of Permit or Agent
Receipt No. l6
White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant
TOTAL�P'ERMITIFEE $7�_610
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.
DIRECTORoOF UBLICWORKS
By Date
permit expires Date
r � •
A
1 v
f�dis�Z�r141n10116islz
a
UVOA ZW#��yz a
auns do uNnoo �0 -
January.31, 1977
County of,Butte.
Department of Public works
7 County Center Dirve
Oroville, Ca. 95965
Gentlemen:
Enclosed herewith is my Application and Permit to.ge:t.her
with.my check in the sum of $82.00..
Please forward my permits or any oth.er.documentation to
me by return mail.
Very: truly yours,
JANET YANKEE
1209 Ayala Dr., #6
Sunnyvale, Ca. 94086
0
9,�.�������tte��n�Ot�6�g�
wa
i l6i '
s)Ia U �nana ao ldTO
Suns ao uNnoo
This set of' plans -00ds Mu!ff be -
kept
on the 1.6 at all times and it is tmlawful fo
make any changes or alterfsfions on same without
'Vvitten permission from the Department of Public
WCAS, County of Butte.
®.
NOTE:—A►II Materials & WoAmanship SIVA Be' 14 1
,A.ccbrd*nce with Recognized Good Pkictices and
of a quality prescri6eel -For the Specified u1`0 in the
Uniform Builc�ir=g, Plur,jbir�g & Mechanical Colles and
the National Electrical Code.
P
_ZA
Septic system and location•
may# I 1 to be as per
Butte County Health Dept. Re-
quirements.
All
utility connecti
ons /
located within 4 f f. shall be
outside the rear
third section of
on the left road the mobile home
home, ) side of the mobile
The,, Setback shall be 5 ft. from I+o.>
\side property line and
centerPne of the road, parml-,'ling ra ,laxi-
mum of a 2 ft. eave overhang but entirely
out of all easements.
M
RUM, COIJI NTI
BUIIrMNIG DEPARTMENT
ENT
APPR0.1VED
10
Owner ili.,Il
Mailing Address
COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS
7 County Center Drive — Orovilie, California 95965 �0����
Telephone: 534-4541
APPLICATION AND PERMIT
BUILDING
SQ. FT. I OCC. I BUILDING VALUATION
I certify that I have read this application and state that the above
information is correct. I agree to comply to all County Ordinances
and State Laws relating to building construction, and hereby
authorize representatives of the County of Butte to enter upon the
above-mentioned property for inspection purposes.
Date
Signature of Permitee or Agent '
Receipt No. 19 � ,
White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant
TOTAL PERMIT FEE is z) on
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 UBLIC WORKS
By Date 4--Zd-- %Z
134 (ding permit expires Date �- y! i 9
Telephone No.
Fireplace
Contractor e 0i�llr q-� ,[ j� l�%/�o L,/lle
Total Valuation
Mailing Address Z6 L dY /c;eJ 0,4� ���
Permit Fee
Plan Checking Fee &/or Penalty
Telephone No.
��� •
Permit Fee
Building Address �� �,, `Ce $ _��-0-0
PLUMBING No.
FEE
PERMIT FILING FEE
$3.. 00
1
0 C) 42 f � O (l t d F /'p AAXCse.
Each Trap
1.50
I-ldU e Rd
Repair drainage or vent piping
1.50
Water piping .
1.50
by,s 1 4017 , a
'I
Each gas water heater or vent
1.50
A. P. No.
Zoning & Planning
Gas piping system,1 - 5 outlets
1.50
Each additional outlet
.30
F'
W
Fire Dept.
Fire Zone
Use Permit
Building sewer
5.00
EQA
I Parking
Plans
Parcel
De laration
Parcel Ma 60' R/W
p
Improvements
p
Lawn sprinkler system
2.00
Parcel roval
Pla pproval
Permit Fee
$
NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER Q'
ELECTRICAL No.
@ FEE
PERMIT FILING FEE
$3.00
46.4,e le' , 0�
Main service 10000 AMP ORSLESS
5.00
i a
Main service EA. ADO'L too AMP
2.50
OVER 800V
Main service 100 AMP OR LESS
25.00
101-
Single Family ❑ Duplex ❑ Mobil Home Others ❑
Main service EA. ADD•L 100 AMP
1.00
NEW OR ADDNST ( DACCLBLDGS.LING CCUP. &)
20sgft
NEW CONSTR- MULTI.OUTLET
NON•RESID. ( BRANCH CIRCUITS)
2.50ea
NEW CONSTR. (POWER APPARATUS &
NON•RESID. SINGLE OUTLET CIR.
CONTRACTORS LICENSE LAW
I am licensed under the provisions of Chapter 9, Div. 3, of the
State of California Business & Professions Code under the name
st le
y
rf:
0/11es -q t l /a A�e e19-0V1/X— -
Ex. OCCUp(OUTLETS OR FIXTURES)
BAL@@1
LNS• OR
Op.(OUTLETS
x. ccu FIXED APP(RESID.) EA)
Ez
2.00
Temporary service
10.00
Mobile Home Facilities
15.00
•� RMisc.
License No331519y. Classification
Wiring
6.25
❑ I am exempt from the Contractors License Laws of the State of California.
Permit Fee
. $
WORKMEN'S COMPENSATION INSURANCE
1 am aware of the provisions of Section3700 of the California Labor
Code which requires every employer to be insured against liability
for Workmen's Compensation.
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.
MECHANICAL No.
@ FEE
PERMIT FILING FEE
$3.00
Heating
Cooling
Ventilation
I Hood 1
1 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
above-mentioned property for inspection purposes.
Date
Signature of Permitee or Agent '
Receipt No. 19 � ,
White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant
TOTAL PERMIT FEE is z) on
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 UBLIC WORKS
By Date 4--Zd-- %Z
134 (ding permit expires Date �- y! i 9
l
MOBILEHOME SUPPORT DATA
f If other than single wide,
Mobilehome Mfr. S /<'V furnish Setup Model No. Year a
Width_(ft.) Box Length _ �o (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 specified.
-� �� �� C� tam Footings (check one)
l�G�l:wl
Single ER- 1 - Wood either
/* pressure treated o
foundation grade.
(ft`)(in.) I- (in.) (in.)
Center, pport Center support
locatons' footing sizes
(in.)
x3
(in.) (in.)
63
(in.) (in.)
b�
t.)(in.)\,,� (in.) (in.)
t.)l (in.) (in.)l (in.)
1V
19,
*If center piers are other than drawn above,
draw in -locations, spacing, and dimensions.
E] 2..Other (specify)
Supports (check one)
Rl"1:'Concrete block.
2. Other (specify)
Tagalong or Expando,
show support details.
f) x3® -- Typical Support
(in.) (in.)' Footing Size
Max. Pier Spacing
/_0J -- Max. Overhang
(ft:)(in.)
_
..BUTTE COUNTY4DEPARTMENT OF PUBLIC WORKS
_
7 County Center Drive, Oroville, CA.
PHONE: 534-4541
MOBILEHOME INSTALLATION SHEET
Qwner' s, name: �J � IV,'
2.
�Iristaller's name: �%'�.� O/���b
"
'3i
-Is the site currently under ,permit? Yes/ / No
`
(If yes, furnish permit number ) OR
FIs the site an existing site? Yes / 1� 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 /1/r No
(If no, clarify
)
5.
What is the mobilehome electrical rating? -----------------------
/ G O
Amps
6.
What is the mobilehome site service rating? ------------------=--
/16 (9
Amps .
7.
.What is the mobilehome site circuit breaker rating? -------------
/ O U
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: V^J e, (Load)
(Amps)
9
What is the mobilehome-site gas PiPe.. size?-------------------
r-(in.)
.10.
What is the type of•gas service? ----------------------------- Natural
/ / LPG
/1/J�
11.
What.is the gas pipe length from meter or tank to the mobilehome?
(ft.)
•
12.
What is the mobilel me.gas demand? -,-=---------------------------
�'
(BTU)
(This information not required if pipe length less' than 6 ft. on natural gas
or less than 50 ft. on LPG.)