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025-160-077
John Neibert/gldl, 6-ws�} day S/S pri.rd.,app.2000 bf Hwy 0, app. 6/10 mi-S.of Powei House Hill Rd., Oro. Pamit #k5555-76P,E(util._IH) UNIT# 1 N4 ELEC .,j,�,7i GAS &I&IZA IVCAJP-.. SUPPO T STRUCTURE AQ. /USD COMPACTION TEST REQ. &C LAJ Ph Permit 6P,E(uti MH) UNIT# Z e ELEC . �' p GAS ':%SUPP T STRUCTURE REQ. ,VO COMPACTION TEST REQ. /110 iva� 6`���yd� X25-16- contr: Kentwood- o`bile Home Sales, diico Permit #6068-76MHI - ) / Jr= n Issued contr /Tom's MH gMotor, Oroville Permit #6276-7.6MHI(for permit #5555-76) Issued /�•-/�= %� 25-16-77 - Contr:Mobile Home Center, Inc. Permit##6125-840P (gas piping/exist site) az 25-16-77 _V Contr: Mobile Home Center, Inc. Permit#6126-80MHI (exis ing rite)/ISSued_14a- _ .ft /. � 25-I6-77 j le Permit#2909-82B(deck & awnings/MH) KA nw 4�datl r.. ��_�� � � = ` - �-- � ' � i �, .tom ���_ �Ct�l .�.� PERMIT NO. 2909-82B PERMIT EXPIRES q OWNER JOHN NEIBERT.. CONTR. owner ASSESSOR PARCEL -25-16-77 LOCATION aff FIS Hwy 70, 6110 mi PoWet jjniinp Hill Rd. OrnVi I I P Temp. Power Pole Called PG&E Temp. Elec. Service Called PG&E Temp. Gas Service Called PG&E JOB FINALED (Date) Signature Y - OK 0 Not OK Not Applicable = Not Ready MOBILEHOMES MISCELLANEOUS Date MOBILEHOME UTILITIES (Plans) OK except N's 1. Zoning Requirements -Setbacks -Easements Date DECKS, COVERS, CARPORTS, ETC. (Plans) OK except N's 1'.• Zoning Requirements -Setbacks -Easements 2. Soils; Special MH Support -Sketch 2. Footings; Size -Depth -Spacing -Connectors 3. Sewer; Location -Test -Fall -C/0 -Concrete 3. Decks; Girders and/or Joists -Decking -Bracing -Stairs -Rails 4. Water; Location -Test -Easement Needed (Sketch) 4. Wood Awn:; Posts-Beams-Rftrs.-Connec.-Shthg.-Rfg.-Bracing 5. Electricity; Location-Clearances-Grnd.-/ / Amp -Concrete 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Gas; Location -Test -Wrap:/ /"L"ft./ /"Nat.or/ /"L"ft./ /''LPG 7. Utility Clearance 6. Carports; Windows -Doors 7. Elec. Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Date Card -BI Date MOBILEHOME INSTALLATION (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Footings; Size -Spacing -Marriage Line Card -BI Date Date Card -BI Date _ POOLS (Plans) OK except It's 1, Setbacks -Easements 2. Soils; Compaction -Structure Stability 3. Gas; MH Test -Demand -Valve -Connector 4. Electricity; MH Test -Crossovers -Breakers -Clearances 3. Pool Structure; Steel -Connections -Thickness -Dead Men -Lining 4. Elec.; Receptacles and Lighting; Distances-GFI 5. Drain; MH Test -Fall -Flex Connector 5. Elec.; Pool Lighting; 15 volts-GFI 6. Water; MH Test -Regulator -Connector 7. Water and Sewer Connected -C/O to Grade -HD Approval 6. Elec.; Enclosures; Conduit•Entries-Terminals-Listed 7. Elec.; Bonding; Metal w/5' -Circulating Equipment -Heater 8. Gas and Electricity Tagged 8. Elec.; Grounding; Equip. w/5' -Circulating Equip. -Pool Lghtg. Boxes -Enclosures -Panel boards -Ins. to Main in Conduit 9. Exits; Insp.-Sketch 10. Cert. of Occupancy 9. Health Department Approval 10. Plumb; Cir. Test -Water Supply Test Card -BI Date Card -BI Date Card B-1 Date Card -BI Date Card B -I Date Card -BI Date Card -BI Date Card -131 Date V = OK 0 = Not OK = Not Applicable = Not Ready RESIDENTIAU(Single and Duplex) � Jw Date UNDERFLOOR Plans OK exce t#'s Date FRAMING (Continued) 1:''Zoning requirements -Setbacks -Easements 48. Property Line Firewall & Openings 2,sFtg., Main; Soils-Steel-Elec. Grnd.- /*",/_::.Ftg. Depth 49. Ext. Doors -One 3' -Check Garage -3rd story, 2 exits 3. Ftg., Garage; Soils -Steel- / /" Ftg. Depth 50. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 4. 'Ftg., Porches & Decks; Soils -Steel- / /" Ftg. Depth 51. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers 5. Stemwalls, Main; Steel-Blockouts-Wrapped-Slab 6. Stemwalls, Garage; Steel-Blockouts-Wrapped-Slab 52. 53. Siding -Nailing -Veneer Stucco Mesh -Drip Screed-Fdn. Vents-Underflr. Access 7. Piers -Fireplace Ftg.-Steel 54. Glazing Area -Glass Protection -Skylights -Plastic 8. D.W.V.: Fall -Fittings -Test -2 way C/O -Sewer Test 9. Gas Pipe; Size -Anchors 55. Shear Walls; Nailing -Bolts 10. Water Pipe; Test -Anchors -Regulator -Service Test 11. E ectric; Underground 12. Plenums & Ducts; Clearance -Material -Support -Ins. 13. Girders-Sills-AnchorBolts-Joists-Vents-Cripples Card -BI Card -BI Date Card=Bl'-- Date-, Date Card -BI Date „e, Card -BI Date Card -BI Date Card -BI Date , `/ Card -BI Date Date FINAL (Plans) OK except N's 56. Ext. Steps -Door & Sidelight Protection -Landings Card -BI Date Date Card -BI Date PLUMBING (Permit) OK except q's 14. Water Ht.; Vent -Access -Combustion Air 57. 58. Smoke Detector Furnace; Vents -Clearance -Comb. Air -Connector - In Garage; Above Floor-Ducts-Mech. Protection 15. Water Pipe; Test & Anchors -Nail Protection 16. D.W.V.; Test-Fttngs & Anchors -Nail Protection 59. Bedroom Exiting 17. Shower Pan; Test, First Floor -Tub Access 60. G.F.I: & Bath Fixtures & Tub Access 18. Test Tub & Shower, 2nd Floor -Tub Access 61. Elec. Trim & Subpanel; Breaker Sizes -Labels 19. Gas Pipe; Size & Anchors 62. Stairs & Rails 63. Fireplace or Stove; Clearances -Hearth Card -BI Date Card -BI Date 64. 65. Elec. Outlets at Wood Panel; Int. & Ext. Kit. Fixt. & Appliance; Grnd.-Air Gap -Cooking Clearance Card -BI Date Card -BI Date 66. Elec. Outlets & Receptacles at Kit. Counter Date ELECTRICAL Permit OK except q's 67. Garage Fire Door; Swing -Landing -Closer 68.. A.C. Duct in Garage -Damper 20. Fixture.& Transformer Clearance -Ins. Protection 69. Wtr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V.- In Garage; Above Floor-Mech. Protection 21. Elec. Receptacles Spacing -Lights & Switches at Doors 70. Plb., Elec. & Mech. Equip. Listed for Location 22. Size Boxes & No. of Conductors -Stapled 71. Elec. Receptacles in Garage; (G.F.I.)-Romex Protec. 23. Romex Installed Close to Edge of Studs & C.J. 24. Equip. Ground made up w/Mech. Fasteners -Bond Gas & Water 72. 73. Insulation -Foam -Looked in Attic F] Yes Guard Rails & Deck Construction -Post Caps 25. 2 Appliance Circuits in Kitchen & Conductor Size 74. Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance Looked under Floor ❑ Yes _ 26. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga. Cu or Al 27. Range Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or At, Insulated Neutral ❑Yes ❑No 75, Following instld.: Drive ❑ Yes ❑ No; Walks ❑ Yes ❑ No; Planters ❑Yes 0 N 28. Service -Riser Conductors & Ground -Main Disconnect 76. Stucco; Brown -Finish 29. 30. Equip. Clearances; Panels-Motors-Mech. Equip. Clothes Closet Light -Shower Light 77, A.C. Unit; Disconnect-Clrnces-Brkr. & Cond. Size -115V Outlet 78. Vents Above Roof; Plbg.-Appliance-Firepl.-Clearance to Opngs. 79. 80. Water Well; Disconnect, Electrical, Plumbing Exterior Elec. Trim; G.F.I. Receptacle -Underground Card B -I Date Card -BI Date 81. Ventilation throughout House Card B -I Date Card -BI Date 82. Glass Protection Date MECHANICAL (Permit) OK except N's 83. _ Corrections from Previous Inspections 84. Gas Test -Meters Tagged; Gas -Electric 31. A.C. Ducts; Insulation & Support 85. Water & Sewer Connected -C/O to -HD Approval _ 32. 33. Vent Fan; Exhaust above Insulation Condensate Drain & Overflow; Size & Grade 86. -Grade Energy Compliance Certificate -Other Certificates 34. Furnace -Vent; Access -Comb. Air -Return Air Vent -115V outlet 35. Attic Access & Platform if Furnace in Attic - Card -BI Date Card -BI Date Card -BI _ _Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Date FRAMING(Plans) OK except H's Comments at Final: 36. Sills; Proper Material & Anchors 37. Walls; Studs -Nailing, Spacing & Bracing -Plates -Sound _ 38. Bearing Walls over Girders & Floor Nailing_ _ 39. Draft Stop in Walls (rat proof) _ _40. Fire Stops; Furred Ceilings -Stairs -Chases -Tub 41. Header & Beam -Size & Bearing 42. Hangers -Post Caps -Anchors -Connectors _ 43. 44. CIn_g. Joist-Ritr. Ties-Purlin-Roof Brac.-Truss-Shthng.-Rfng. _ Fireplace Ties or Type A Flue -Fireplace Throat _ __45. Attic Access: Size & Romex Protection -Draft Stop -Ins. Baffles 46. Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions 47. Garage Fire Protection Framing (NOTE: An entry must be made each time you visit job site) COUNTY OF BUTTE - DEPAhTmENIT OF` PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541 APPLICATION AND PERMIT PERMIT NO. 0 ASSESSOR PARCEL NUMBER �j -- ZON NG , BUILDING PERMIT'Q—/ OWNER/ � v_, N e -I 6 P_ Oc T LEPHONE SQ. FT. OCC. BUILDING VALUATION OW R'S MAILI G AJESS - CONTRA -C TOR'5 NAM TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ I Penalty $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Permit fee $j; BUILDIIJG ADDRESS �J%J PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Repair drainage or vent piping 5.00 Water piping LOT NO. SUBDIVISION NAME PARCEL MAP Each qas water heater or vent 5.00 Gas piping system 1 - 5 outlets USE OF STRUCTURE SF ❑ Duplex❑ Mobilehome©Other SPECIFY Building sewer Lawn sprinkler system 5.00 TYPE OF WORK New ❑ Addition �Remode ❑ U ilities Install ion El Other ❑ Describe work: V S Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 100 AMP OR101 OR LESS5.00 Main service EA. ADD'L 100 AMP 2.50 NEW CONST. ( DWELLING OCCUP.SI) OR ADONS. ACC. BLOGS. _ 22 sq ft 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. fect. d1license No. Classification : 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 CONSTR I.OU LET NON-RESID BRANCH CIRC ITS 2.50 ea NEW CONSTFL (POWER APPARATUS SJ NON.RESID. SINGLE OUTLET CIR. 50 @ 28¢ Ex. OCCUp OUTLETS OR FIXTURES BAL@1 09 EX. OCCU (.FIXED APPLNS. OR p. UTLETS (RESID,) EA.1 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 7.50 Permit Fee $ Contractor MECHANICAL PERMIT Filing Fee 10.00 WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): F-1 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 Consent to Self -Insure. I IVIell'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. Heating Cooling Hood 3.00 Ventilation permit Fee $ 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 County of 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 again s id County in consequenc of the granting of this permit. X Date Signat of Applicant — Owner Contractor ❑ Agent ❑ 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 $ TOTAL PERMIT FEE $ ,ISSUE OCCUP. GROUP I TYPE OF CONST. PARCEL PD H This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which DIRE R OF PUBLIC B RMI T EXPIRES Date _ the applicable provi- resolutions to do fees have been paid. WORKS Date h l� /• -2' Receipt No. 2=01- :0 3Z WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT IP E 91141 NO. 5556-76P,,Er. � -1 _ � PERMIT EXPIRES /i/ lTT OWNER John Neibert CONTR, owner r - ^LOCATION (A.P. 25-16-71 port, S/, pri.rd.,app.2000'E.of Hwy 70, app. 6/10 mi. S.of Power House HEM, Oroville (UNIT # 2) let" iwn 1 Temp. Power Pole Called PG&E .Temp. Elea Serv. 1' Called PG&E Temp. Gas Serv. Cal led JOB - FINALED (Date) (Signature) t Setback Forms Main Bldg. Footings StemwaI l Slab Piers Garage Footings Stemwa l l Slab Carport Footings Slab Patio Footings -Masonry Walls Reinf. Steel Bond Beam COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS BUILDING INSPECTION RECORD BUILDING BUILDING (Cont'd) Firewall Soil Piping Parapets 1st Floor Restroom Finish 2nd Floor Windows 3rd Floor Siding To out Roof Sheathing Water Piping Roofing Sewer Fdn. Vents Fixtures Garage Vents Water Htr. Insulation Heaters Prov. for physically handicapped Conformance of ex. Appliances Gas Piping & T structure Temp. Gas A Sanitation _Final FIREPLACE Final Footing Throat Rou h Final Fixtures FIRE PR SPRINKLERS Motors Test Water Htr. PLUMBING E Mesh MECHANICAL Grd. Fault Prot. Scratch HeatingService Brown Cooling Temp. Pole Finish Ducts Underground Interior Lath Ventilation Permanent Door Closer Final Final DATE REMARKS OR CORRECTIONS (NOTE: An entry must be made on this form each time you visit the job site.) r XI ii0}3T!,l?IiOLil3 LVSTALLATIDN INSPECTION CHECK LIST 1. Is the. mobilehome. 'loc,!t(_,1d i.' li required separation from lot lines and buildings and generally conform to plot plan? Yes No 2. Does theym:)bile-home have required clearances above ground? (Sec.5085) Yes No 1 — 3. Are footin,s and supports properly sized, spaced, and braced as er approved plans? (Note possible variation at spring shackles.) (Sec. 5082 & 5083) Yesy_ No 4. Is the mobilehome level.? (Sec. 5088) YesA_ No+ 5. If nkoFe. than a single unit, are crossover connections properly installed? (Sec. 5088) Yes No - Water A. Is tlexi_ble connector of adequate size and properly installed (1/2" ID min.)? (Sec. 5566) Yes Nc B. Test - Does water piping withstand working pressure or 50 lbs, air test? Yes No— C. Bac tate of California approved, does station have backflow device and pressure -relief valve? Yes o 7. Wastes.and Drains A. Is connection made with. Schedule 40 DWV and have flex connectors at each end? Yes No B. Does it have minimum 1;" per foot slope and is it properly supported? Yes No C. Are any leaks detected in drainage system after runnin -gallons of water through each fixture including washing machine standpipe? Yes— No D. ach i.s not State of Ca ovecbr-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�i�ehome gas line inlet without'reductions other than the mobilehome. connector. YesX 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 " r EIc�ctr.ical •` A. . Is service I.aLge er,oiigll. to provide radequ<ir_e ramperage to" (must ,equal rating of mobilehome (,aitli a. ::;inia:um 100 amp) and other faciliti-Eis on lot, i.e., waiter pumps, aarao,e , cabana., e`t L; i Yes No s B. Is ther-, proper clearances around panels'.' YesNo_ 7k C. Is power supply cord or feeder assembly properly.fused? Yes_ No_ D. Is continuity test satisfactory as per the following procedure? YesNo. — 1. De -energize electrical wiring. syster•of the mobilehome at the ped tal': 2. Make sure that the power supply cord or feeder assembly conductors, including neutral cond.,ctor, havr been disconnected. 3. Switch all brealcers and switches in the mobilehome to the "on" position. ' 4.',Connect one load of a test instrument to the mobilehome grounding conductor and - apply the otlue' .I.cad to each mob-iLeiwuLe Silppty Cunucici:u'i, iiicliiuirtg tieULrdi. _'. . ' 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' f such equipment and the grounding conductor. AA 6. .Upon completio-n of: the above procedure, the power supply cord or feeder assembly' conductors shah!. be connected to the site service equipment. A further continuity. te::;t shall then be n.ade between .L.he-grounding electrode and the chassis of the r.1.obilehome. Upon' sat�i•sfactory completion of the electrical tests, the ;lot or site j�., be approved'for energizing. service equi.pinent r� I> job card signed by health Department for water and sanitation? 1.1.. Ii eve_xything. ol:ay, sign off card and tar, services. MOBILE"10M.li_DATA Manufacturer and/or Namestyle Length Vehicle Serial No.j�/`�� ` State Identificat.i.on No.' .... _ - ^.ddLtional Infoi-nation or Cormnents: . OwnerJp ///L-- Mailing (/NMailing Address 031=79 Contractor Mai I i ng Address Building Address S/mac C 2e>Bo/G o-. COUNTY OF BUTTE — DEF1&R7MENT OF PUBLIC WORKS 7 County Center Drive — Urovilie, California 95965 Telephone; 53.4-4541 APPLICATION AND PERMIT V� %V. p Telephone No. > / P77—Z,; Telephone No. 0t. '400"o-/Zox. 70 o r ye�g,.,o< A. P. No•23r" v^ 71 ®Al-% O F ZS I Fe W -c. PIA Fire Dept. Fire Zone Use Permit EQA Parking Parcel fir * 60' R/W Improvemen Plans Declaration Bldg. Plans Rec'd `r��UTIL711ES Plans Ap r al NEW ❑ ADDITION til OTHER ❑ 4 ' Single Family ❑ Duplex ❑ Mobil Home % Others.❑ MINIMUM FOR -6 -76 Z-- _ BUILDING - SO. FT. I OCC. T BUILDING VALUATION 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. ( OR ADDNS. DWELLING OCCUP. & ACC. BLDGS. NEWCONSTR. NON .RESID, IMULTI.OUTLET l BRANCH CIRCUITS NEW CONSTR. /POWER APPARATUS & @ FEE $3.00 3 , O Q 1.50 1,50 1.59- /p p 1.50 1,bf,+ .30 5,98 449, O 2.00 @ FEE $3.00 3. O O 5.00 9-00 2.50 1.001, syft � 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) BAL2@51 Ex. OCCUp•(FIXED APPLNS. OR OUTLETS (RESID.) EA) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 .00 Li5prfse No. Classification Misc. Wiring 6.25 I am exempt from the Contractors License Laws of the State of Califomia. Permit Fee $ 2-3 - 410 $ n 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. MECHANICAL No, @ FEEPERMIT FILING FEE $3.00 Heating placed on file with the County of Butte a certificate of rkmen's Compensation Insurance. Cooling Vave certify that in the performance of the work for which this prmit is issued I shall not employ any person in any manner so as to become subject to the Workmen's Compensation Laws of California. $ 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 authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. TOTAL PERMIT FEE nn $ V 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. X e ./4 -- Signature of ``P itee or Agent V � Receipt No. R White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant DIRECT R OF PU Li(% WORKS By �✓ Buildina nermit Pvnirac (late 1 - COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS 7 County Center Drive — Uroville, California 95965 Telephone; 534-4541 APPLICATION AND PERMIT w. • �- �cl+�cocn aaaivca ul Ulc %�VUIILY UI DULLU LU CIILUI UIJUII 1111d above-mentioned property for inspection purposes. X 42L�e",j Date Sign ture of Permitee or Agent Receipt No. _,,d White-D.P.W. — Y 00— Pink(Inspector — Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR OF PUBLIC WORKS By� Date permit expires Date _z4ea T % BUILDING Owner job 1 l6 eZ7-- SQ. FT. OCC. BUILDING VALUATION Mai I i ng Address Telephone No. Fireplace Contractor 0 ! �� Total Valuation Mailing AddressQQ 7 Permit Fee Plan Checking Fee &/or Penalty <j / LCe) ca Telephone No. / c Z7 Permit Fee $ Building Address SQ p U/C / PLUMBING No. @ FEE PERMIT FILING FEE $3.00 (z) 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. 6 - '7/Gas Zoning 8 Planning piping system 1 - 5 outlets 1.50 Each additional outlet .30 F W,p. Sali4a,~iarr Fire Dept. Fire Zone Use Permit Building sewer 5.00 EQA I Parking Pla Parcel Declaration Parcel Ma P 60' R/W Improvements P Lawn sprinkler system 2.00 Bldg. 151,ans Recdprova Parcel l Plans 44f royal Permit Fee $ $ NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER 0� ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 Main service 1000V OR 0 AMP ORLESS5.00 Main service EA. ADD'L 100 AMP 2.50 Single Family ❑ Duplex ❑ Mobil Home —Others ❑ Main service OVER 600V 100 AMP OR LESS 25.00 Main service EA. ADD•L 100 AMP 1.00 NEW CONST. DWELING OR ADONS. ( ACCLBLDGSCCUP. &) 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 & Prof�ssi s Code nder the name /( ^ style of: / Ex. Occup (OUTLETS OR FIXTURES) BA�@1 Ex. Occup. FIXED APP LNS. OR P• (OUTLETS (RESIDJ EA) 2•00 Temporary service 10.00 Mobile Home Facilities 15.00 License No.777 Z.J _ 1 Classification"'C� 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. ave 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 1 2.00 Permit Fee $ $ 5'Cj 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 $ — w. • �- �cl+�cocn aaaivca ul Ulc %�VUIILY UI DULLU LU CIILUI UIJUII 1111d above-mentioned property for inspection purposes. X 42L�e",j Date Sign ture of Permitee or Agent Receipt No. _,,d White-D.P.W. — Y 00— Pink(Inspector — Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR OF PUBLIC WORKS By� Date permit expires Date _z4ea T % 'If center piers are other than drawn above,, draw in locations, spacing, and dimensions. Support S ize ar. MOBILEHOME SUPPORT DATA Mobi,ehome Mfr. C -V.�(/� e Model odel No.1.�XG Z 3 -----�-- ear 7 Width 12 (ft.) LengthI (ft.) Expando Size r� ft.x ft. ' (Draw support details below) . On all amobilehomes manufactured after October 7, 1973, furnish manufacturer's installation manual and structural setup sheets (if not on file with the County of Butte). Sin le Foo_ t ings -(check. one) /�'l. Wood 'either , Center Cent Support pressure treated or Support ting Sizes fdn. grade. Locations (in.) 2. -Concrete pad. �.3 "' / / 3. Other,`specify n.Z7ln, V� upports (check one) Concrete block / / 2. Concrete -piers ji� 3. Steel piers 4. Other, specify on ....•. 'If center piers are other than drawn above,, draw in locations, spacing, and dimensions. Support S ize ar. BUTTE COUNTY DEPARTMENT OF PUBLIC WORKS 7 County Center Drive; Oroville, CA. PHONE: 534-4541 MOBILEHOME INSTALLATION SHEET 1. Owner's name: 2 '' -Installer's name: k2M4_Q__,k .3. Is the site currently under permit? Yes / %� No (If yes, furnish permit number �� JS6 _ ��- - -} 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? ----------------------- �c—,Amps 6. What is the mobilehome site service rating? ---------------------- Amps 7. What is the mobilehome site circuit breaker rating? ------------- C) CG 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) % G J (Amps) ---- 9.. What is the mobilehome site gas pipe size? ------------------ ' (in.) . 10. What is the type of gas service? ------------------------------- Naturalf / LPG 11. What is the gas pipe length' -from meter or tank to the mobilehome? , (ft.) 12 What is the mobilehome gas demand? ------------------------------- \. (BTU) i. (This,information not required if pipe length less than 6 ft. on natural gas or less than 50 ft, on LPG.) NOT IE:—All Mlo!-erials & Wor'rxnanship Skcill Be in Accordance vvi-i-k F'ru.�Jices' and of a CILICIIi.f.",f;.'r the :pr 4 - 'ciflJ u. eso UniformFuiiding, Plumbing & Mechanical Go Jas mmd Me National Electrical Code, ;7, \W1 On S) N ,(:,Is set at pians amO---- s MUST be (ept on the job at all tiin«s and it is unlawful to onr,kQny . .changes or a!Icrai.I-,ns on pme without wrillen pormisson from Department of Public Works, County of Buttra. 5 LI S cpt:c system and location-e-figu—Ift to be as pe County Health Dept. Re quiremerits. r�� < 7 i-unne--tlons shall be 4 ft outsiric the rear 5 ft. from Ae �.dt�atcd \.v i 1-1h1 i in n 4 e sc�6ock shrill 60 .'. third section of te m0b;le hC.de F; rl77v line a6d 5)fi'- from ne on the left (road) sUe of the mobilc 11"a road. 0 MIOXI 1. x er I -- C, of 'i entirely home. Mum of r: 2 it. covec,-)-,-erhcmg but (310 CJ all easements. M BUTTL--- COUNTY 8UILDJ't---,'(-3y DEPARTMENT APPi-,OVFDI L . 2 . <� e of owmar Add" aoz 4 -1,n �6�.0 7w &'LV�e eJlall.�il':2kJ GW�'lA:i.+R AFFIDAVIT e Pleaze read tits following carefully before signing:, q . (Agricultural) Requlatlons , Section- 2.1-d allows: "da Housing faeiliti®s (including mobile homes.) to accommodate only agricultural crnploycias and their fevtiliee employed by the owner or oparator of Vie pre-mizes; and provided furthar that such housing gacility shall be considered accessory to the main building and shall confo= to the provision pertaining to required yard and open space for dwolliangs . m Ordinance No. 1439 states: ' AGR1CULT .I EMPLOYEE: An individual who verifies, by personal affidaavit and by affidavit of hio nmploysr, that ha is, or will be, Qitplayad gat. 'Ie ast 32 hours p!ar ° e@k for at laast 16 weeks par year, or za6 his pri�Wry zoo&=6 of annual income is, or is anticipated to ba, derived from', a..ny of the follo°wing described occupations: (1) The preparation, care, and treatment of farm land, j)ipe33ne,;' or. ditche€ , including leveling for agricultural purposes, .plowing,, discing, and fartili;ging t1he soil; 12), The sowing and plzating of any agricultural or horticultural comodity ; (3) The ears bf -zany agricultural or horticultural commodity. As =ad in thy s subdivision, "carel includes 'but is not limf.ted to, cultivation, irrigation, weed control, thinstf.ng, heating, pruning, or tieing, fumigating, aprayingo and dusting; M The harvesting of any agricultural or horticultural commodity,, includin-g but not limited to, picking, cutting, threshing, =wing, knocking ®ff, field chopping, bui aching, baling, balling, field packing,.and placing in field containers or in the vehicle in which the comaodity.will ba hauled on the farm or to the place of first procesminq; (5) The arse-.bly and ztorage of any agricultural or horticula- tutal cor,�,mod t;�, it°ic9 siding but not limited -to, loading, roadsiding, banking, stacking, binning, and piling; (6) The raising, feedIng and management of livestock, fug boar- ing animals, fish, frogs and other aquatic aznimils, and bees, including but not linited to, hotding, housing, hatching, milking, shearing, handling eggs, and extracting honey. (9) The operation, conzarvat..on, improvament or wAintananca of :such j/aarm and :his tools. and equipme:,ato, of A jury, that 1 maid,3. at and .cheat the permit_ appliad for under. this application, `ar housing facilities ®n property. identified in cacti®n 2 e does conf®m to Stiction 2.1-d as id®ntifLed in Sacti®n, 4 of this applica i6n and . Aqricultural Employes as defined in Ordinnncs 6 . Parmig description and nuar J�- 1-12e Dato issued �y PERMIT.NO. 6126-BOMHI ex site PERMIT EXPIRES OWNER JOHN NEIBERT CONTR. Mobile Home Center Inc. Oro ASSESSOR PARCEL 25-16-77 LOCATION SIS pri rd, 2000'E Hwy 70, 6/1 of go`wer Ilse Hill Rd, nrovi lle Temp. Power Pole_ r ; • Called PG&E _ Temp. Elec. Service Called PG&E/ Temp. Gas Ser.v"ice Called;PG&E ED (Date) Signature J = OK 0 = Not OK = Not Applicable MOBILEHOMES * = Not Ready MISCELLANEOUS Date MOBILEHOME UTILITIES (Plans) OK except q's 1. Zoning Requirements -Setbacks Easements Date DECKS, COVERS, CARPORTS, ETC. (Plans) OK except p's 1. Zoning Requirements -Setbacks -Easements 2. Soils; Special MH Support -Sketch 2. Footings; Size -Depth -Spacing -Connectors 3. Sewer; Location -Test -Fall -C/0 -Concrete 3. Decks; Girders and/or Joists -Decking -Bracing -Stairs -Rails 4. Water; Location -Test -Easement Needed (Sketch) 4. Wood Awn.; Posts-Beams-Rftrs.-Connec.-Shthg.-Rfg.-Bracing 5. Electricity; Location-Clearances-Grnd.-/ / Amp -Concrete 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Gas; Location -Test -Wrap:/ /"L"ft./ /"Nat. or/ /"L"ft./ /"LPG 6. Carports; Windows -Doors 7. Utility Clearance 7. Elec. Card -BI Date Card - BI Date Card -BI Date Card -BI Date Card -BI Date Date Card -BI Date POBILEHOME INSTALLATION (Plans) OK except q's Card -BI Date Date Card -BI Date POOLS (Plans) OK except N's 1. Zoning Requirements -Setbacks -Easements 1. Setbacks -Easements 2. Footings; Size -Spacing -Marriage Line 2. Soils; Compaction -Structure Stability �3. Gas; MH Test -Demand -Valve -Connector 3. Pool Structure; Steel -Connections -Thickness -Dead Men -Lining jay. Electricity; MH Test -Crossovers -Breakers -Clearances 4. Elec.; Receptacles and Lighting; Distances-GFI Drain; MH Test -Fall -Flex Connector 5. Elec.; Pool Lighting; 15 volts-GFI V" 6. Water; MH Test--RegcfaUrConnector 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 7. Water and Sewer Connected -C/O to Grade -HD Approval 7. Elec.; Bonding; Metal w/5' -Circulating Equipment-Heater 8. Gas and 8. Elec.; Grounding; Equip. w/5' -Circulating Equip. -Pool Lghtg. Boxes -Enclosures -Panel boards -Ins. to Main in Conduit 9. Exits; Insp.-Sketch 10. Cert. of Occupancy 9. Health Department Approval 10. Plumb; Cir. Test -Water Supply Test Card B-I_Date Card -BI Date Card -BI Date Card -BI Date Card B -I Date and -BI Date Card -BI Date Card -BI Date J = OK O = fjjQt OK - = NoTppl y ble Not Ready RESIDENTIAL (Single and Duplex) r Date UNDERFLOOR Plans OK except #'s Date FRAMING (Continued) 1. Zoning requiremepts-Setbacks-Easements 48. Property Line Firewall & Openings 2. Ftg., Main; Soils-Steel-Elec. Grnd.- / /" Ftg. Depth 49. Ext. Doors -One 3' -Check Garage -3rd story, 2 exits 3. Ftg., Garage; Soils -Steel- / /" Ftg. Depth 50. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 4. Ftg., Porches & Decks; Soils -Steel- / /'' Ftg. Depth 51. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers ' ,5. Stemwalls, Main; Steel-Blockouts-Wrapped-Slab 52. Siding -Nailing -Veneer 6. Stemwalls, Garage; Steel-BIockouts-Wrapped-Slab 53. Stucco Mesh -Drip Screed-Fdn. Vents-Underflr. Access 7. 8. Piers -Fireplace Ftg.-Steel D.W.V.: Fall -Fittings -Test -2 way C/0 -Sewer Test 54. 55. Glazing Area -Glass Protection -Skylights -Plastic Shear Walls; Nailing -Bolts 9. Gas Pipe; Size -Anchors 10. Water Pipe; Test -Anchors -Regulator -Service Test 11. Electric; Underground 12. Plenums & Ducts; Clearance -Material -Support -Ins. 13. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples Card -BI Date Card -BI Date Card -BI ` Date Card -BI Date Card -BI Card -BI Date Date Card -BI Date Date Card -BI Date FINAL (Plans) OK except #'s 56. Ext. Steps -Door & Sidelight Protection -Landings Card -BI Date Date Card -BI Date PLUMBING (Permit) OK except #'s 14. Water Ht.; Vent -Access -Combustion Air 15. Water Pipe; Test & Anchors -Nail Protection 57. 58. Smoke Detector Furnace; Vents -Clearance -Comb. Air -Connector - In Garage; Above Floor-Ducts-Mech. Protection 16. D.W.V.; Test-Fttngs & Anchors -Nail Protection 59. Bedroom Exiting 17. Shower Pan; Test, First Floor -Tub Access 60. G.F.I. & Bath Fixtures & Tub Access 18. 19. Test Tub & Shower, 2nd Floor -Tub Access Gas Pipe; Size & Anchors 61. Elec. Trim & Subpanel; Breaker Sizes -Labels 62. Stairs & Rails 63. Fireplace or Stove; Clearances -Hearth Card -BI Date Card -BI Date , 64. Elec. Outlets at Wood Panel; Int. & Ext. 65. Kit. Fixt. & Appliance; Grnd.-Air Gap -Cooking Clearance Card -BI Date Card -BI Date 66. Elec. Outlets & Receptacles at Kit. Counter Date ELECTRICAL Permit OK except #'s 67. Garage Fire Door; Swing -'Landing -Closer . 68. A.C. Duct in Garage -Damper 20. Fixture & Transformer Clearance -Ins. Protection 69. Wtr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V.- In Garage; Above Floor-Mech. Protection 21. Elec. Receptacles Spacing -Lights &Switches at Doors 70. Plb., Elec. &Mech. Equip. Listed for Location 22. Size Boxes & No. of Conductors -Stapled 71. Elec. Receptacles in Garage; (G.F.I.)-Romex Protec. 23. Romex Installed Close to Edge of Studs & C.J. 24. Equip. Ground made up w/Mech. Fasteners -Bond Gas & Water 72• 73. Insulation -Foam -Looked in Attic ❑ Yes Guard Rails & Deck Construction -Post Caps 25. 2 Appliance Circuits in Kitchen &Conductor Size 74. Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance Looked under Floor ❑ Yes 26. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga. Cu or At 27. Range Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or Al, Insulated Neutral ❑Yes El No 75. Following instld.: Drive ❑ Yes ❑ No; Walks ❑ Yes ❑ No; Planters F-1 Yes El No 28. Service -Riser Conductors & Ground -Main Disconnect 76. Stucco; Brown -Finish 29. Equip. Clearances; Panels-Motors-Mech. Equip. 77, A.C. Unit; Disconnect-Clrnces-Brkr. & Cond. Size -115V Outlet 30. Clothes Closet Light -Shower Light 78. Vents Above Roof; Plbg.-Appliance-Firepl.-Clearance to Opngs. 79. 80. Water Well; Disconnect, Electrical, Plumbing Exterior Elec. Trim; G.F.I. Receptacle -Underground Card B -I Date Card -BI Date 81. 82. Ventilation throughout House Glass Protection Card B -I Date Card -BI Date Date MECHANICAL (Permit) OK except #'s 83. Corrections from Previous Inspections 84. Gas Test -Meters Tagged; Gas -Electric 31. A.C. Ducts; Insulation & Support 85. Water & Sewer Connected -C/O to Grade -HD Approval 32. Vent Fan; Exhaust above Insulation 86. Energy Compliance Certificate -Other Certificates 33. Condensate Drain & Overflow; Size & Grade 34. Furnace -Vent; Access -Comb. Air -Return Air Vent -115V outlet 35. Attic Access & Platform if Furnace in Attic Card -BI Date Card -BI Date Card -BI Card -BI _ Date Card -BI Date Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Date FRAMING(Plans) OK except #'s 36. Sills; Proper Material & Anchors Comments at Final: 37. _ Walls; Studs -Nailing, Spacing & Bracing -Plates -Sound _ 38. Bearing Walls over Girders -& Floor Nailing _ 39. Draft Stop in Walls (rat proof) _ 40. Fire Stops; Furred Ceilings -Stairs -Chases -Tub _ 41. Header & Beam -Size & Bearing 42. 43. 44. _4_5. Hangers -Post Caps -Anchors -Connectors Cing. Joist-Rftr. Ties-Purlin-Roof Brac.-Truss-Shthnp.-Rfnq. _ Fireplace Ties or Type A Flue -Fireplace Throat Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 46. Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions 47. Garage Fire Protection Framing (NOTE: Anentrymust be made each time youvisit jobsite) COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 695 Oleander Avenue, Chico — Phone 343-4211, Ext. 70 7 County Center Drive, Oroville — Phone,534-4541 Skyway and Elliott Road, Paradise —• Phone 877-3435 CORRECTION NOTICE BUILDING OR PROPERTY ADDRESS A routine inspection indicates that the following violations of County Ordinance exist at the above address and should be corrected. Please notify this office when correction of work is completed. If you have any question pertaining to this mattes, or need additional explanation, please contact this office immediately. t r Inspector Date COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 7 COUNTY CENTER D41VE OROVILLE, CALIF. - 534-4541 CERTIFICATE OF OCCUPANCY This mobilehome has been installed in accordance with therequirements of the California Administrative Code, Title 25, Chapter 5, under permit number-, ° for the following location: Owner Owner's Address Mobilehome Mfg. Model Year Insignia No. Serial No., ' It is hereby certified for occupancy at the above described location and may be occupied. Director of Public Works Date By THIS CERTIFICATE IS VOID WHEN MOBILEHOME IS RELOCATED White - Owner, Yellow - Installer, Pink - D.P.W. COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541 APPLICATION AND PERMIT PERMIT NO �) n ASSESSOR PARCEL NUMBER 66 77 ZONI G�� BUILDING P T O�W*�NEER `/ TELE HONE SQ. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS CONTRACTOR'S AME %yI TELEPHONE ,S33-Z16p' CONTRA C TOR'S MAILINGD�IRESS /J T/'7 - I AG 4 CONSTRUCTION LENDER ' UNKNOWN Fireplace Total Valuation $ LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ 0,� Penalty $ ARCHITECT OR ENGINEER'S MAILING ADDRESS �----- Permit fee $ BUILDI G A RES UI/ •� PLUMBING PERMIT Filing Fee 3.00 6 O Each Trap 2.00 Repair drainage or vent piping 2.00 Water piping LOT NO. SUBDIVISION NAME- PARCEL MAP Each qas water heater Or vent 2.00 Gas piping system 1 - 5 outlets yRUCTURE USEPollner SF E:1 Duplex ❑ Mobilehome SPECIFY Building sewer Lawn sprinkler system 2.00 TYPE OF WORK New ❑ Addition [:,],Remodel ❑ Utilities F-1Ins al1ation Other 11Contractor Describe work:1' 1 S i — Permit Fee $ ELECTRICAL PERMIT Filing Fee 3.00 Main service e00v OR LESS 100 AMP OR LESS 5.00 Main service EA. ADD'L 100 AMP 2.50 NEW CONST. DWELLING OCCUR.&\ OR ADDNS. ( ACC. BLDGS. I 20sgft CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): �am licensed under provisions of Chapt. 9, Div. 3 of the Business f and Professions Code and my license is in full force and effect. n License No. �C�/9 6� Classification C'-'� ❑ I, 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 NEWNON-RESID R. BRANCH CMULTI.OUILET RCUITS 2.50 ea NEW CONSTR POWER APPARATUS &\ NON.RESID, (SINGLE OUTLET CIR. / Ex. Occup( OUTLETS OR FIXTURES 50@@ BAL@IOR FIXED APP LNS, OR Ex. Occup.(OUTLETS (RESID,) EA,) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 6.25 Permit Fee $ Contractor MECHANICAL PERMIT Filing Fee 3.00 WORKMEN'S COMPENSATION INSURANCE ` 1 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. Heating Cooling Hood 2.00 Ventilation permit Fee $ 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 Countyof 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-7Costs, and expenses which may in any way accrue ago nst said Co my n cop§equence of the granting of this pe It. ��� Date %.�/�—�'!a �{ Signature of Applicant Owner❑ Contractor Lam' Agent ❑ Y 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 $ a ,Q Land Development Fee $ TOTAL PERMIT FEE $ �a OCCuP. GROUP I TYPE OF CONST. I PARCEL PD I No I ISSUE This. permit -is hereby issued under sions of the Butte County Code and/or work indicated above for which DIRECTOR F UBLIC By P T EXPIRES Date _ the applicable provi- resolutions to do fees have been paid. WORKS Date Q y�j ��O �U f Receipt No. WHITE-D.P.W.. YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541 APPLICATION, AND PERMIT PERMIT N U/ 0 ASSESSOR PARCEL NUMBERSON NG ✓ BUILDING PERMIT OWNER •. 6 go r TELEPHONE SQ. FT. OCC.1 BUIL NG ALUATION OWNER'S MAILING ADDRESS CONTRACTOR'S ME i11�fl�1 ,E»1>; c� TELEPHONE S3 — CONTRACTOR'S MAILING AD RESS 17#o i✓ v CONSTRUCTION LENDER- UNKNOWN Fireplace Total Valuation $ LENDER'S MAILING ADDRESS "s Permit Fee $ ARCHITECT OR ENGINE LICENSE NO. Plan Checking Fee $ Penalty $ ARCHITECT O� I*EER'S MAILING ADDRESS .R, Permit fee $ BUIL ING DR E PLUMBING PERMIT Filing Fee /6)00 IQIUQ 19<2 OIL Each Trap 2.00 Repair drainage or vent piping 2.00 D I-V Water piping LOT NO.SUBDIVISION NAME PARCEL MAP Each qas water heater or vent 2.00 Gas piping system 1 - 5 outlets �� Q USE OF STRUCTURE SF ❑ Duplex❑ MobilehomeR�-'Other SPECIFY Building sewer Lawn sprinkler system .2.00 ' TYPE OF WORK!�nstallationO New r_1 Addition Remodel [:1 Utilities Other ❑ Describe work: S h Permit Fee $ t Contractor ELECTRICAL PERMIT Filing Fee 3.00 Main service 100V OR LESS 00 1AMP OR LESS 5.00 Main service EA. ADD'L 100 AMP 2.50 ONEW CONST.DWELING R ADDNS. ( ACCLBLDGS.CCUP.&) 20 sq ft CONTRACTORS LICENSE LAW I declare under penalty of perjury (check One): EI am licensed under provisions of Chapt. 9, Div. 3 of the Business y license is in full force and effect. and Professions Code and m_Classification !_-'—�/ License No. 4 G /'T d �_ ❑ I, 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 CONSTR ULT' -OUTLET 2.50 ea NO N.R ES,.,BRANCH CIRC ITS NEW CONSTFL / POWER APPARATUS &) NON-RESID. (SINGLE OUTLET CIR. / Ex. OccuP\OUTLETS OR FIXTURES 50@25¢ BAL@10C Ex. Occup.(PR OUTLETS (RESID.)EAJ 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 6.25 Permit Fee $ Contractor WORKMEN'S COMPENSATION INSURANCE 1 declare under penalty of perjury (check one): ❑ The,permit is for $100.00 (valuation) or less. ® l 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. MECHANICAL PERMIT Filing Fee 3.00 Heating Cooling Hood 2.00 Ventilation permit Fee $ Contractor 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 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�Isa1d Cotu ty - 4( queice of the granting of this permit. X� - ,e«�>��� Date �Z `��'�y P Signature of Applicant -/ Owner ❑ ControctoX Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories iin/height. Mobile Home Installation Fee $ Land Development Fee $ TOTAL PERMIT FEE OCcuP. GROUP I TYPE OF CONST. PARCEL PD I ND I ISSUE This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which R CTOR OF PUBLIC By PERMIT EXPIRES to the applicable provi- resolutions to do fees have been paid. WORKS Date �SQ p — '�4 Z) T— Receipt No. /�� J'� WNIT E -D. P. W., YELLOW-ASSESSO PINK -INSPECTOR; GOLDENROD -APPLICANT NOTE -,All Mai Accordance with of a quality pres Uniform Building; the National Elec a & Workmanship Shall Be in Dgnized Good Practices and for the Specified use in the ►ing & Machanical Codes and Code. This set of plans and specifications UST be kept on the job at all times and it is awful to mrd'^ anv changes or alterations on sam wMwut written permission from the Department of POW' Works, County of Butte. fres y BUTTE C rAR TY .. BUILDING DETMEW P P R0YED �w C''-� A setback of ft. from the property lines and a setback of 50ft. from the road centerline shi II be clear of structures orquipment except for a 2 ft. ea a overhang. This set of plans and specifications UST be kept on the job at all times and it is awful to mrd'^ anv changes or alterations on sam wMwut written permission from the Department of POW' Works, County of Butte. fres y BUTTE C rAR TY .. BUILDING DETMEW P P R0YED �w r , . ..BUTTE COUNTY DEPARTMENT- OF UBLIC WORKS 7 County Center Drive, Oroville, CA. u PHONE: 534'-4541 MOBILEHOME'INSTALLATION SHEET 1. Owner's name: .2 In`istaller's name: )J rnr-, 3. Is the site currently under permit? Yet / / No (If yes, furnish permit number ) OR Is the site an existing site? Yes / y/ No (If yes, furnish two (2) plot plans.) 4. Will the mobilehome be located at least 5 ft. away from septic tank i 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? --------------------- -!I 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 TA -71, (If yes, identify the load and size: (Load) imps) 9. --------------- What is the mobilehome site gas pipe size?--Lto 10. What is the type of gas service? ----------------------- nr-alp/ / LPG / 11. What is the gas pipe length—from meter -or tank the mobilehome? (ft. demand? BTU) 12. g ------------------------------ What is -he mobilehome as (This information not required if -pipe length less than 6 ft. on,natural gas 1 or less than 50 ft, on LPG.) . PE-,,�r/T- �f AN/. r} � �I MOBILEHOME SUPPORT DATA If' other than single wide, Mobile'home Mfr. furnish Setup Model No. D/ear �D Width el,`f (ft.) Box Length �:6� (ft.) Tagalong or Expando Size ft..x' (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. ' eP-4) 7-rz . A- 7-_5 • ��.. �E cam . Footings. (check one)'. SSng Ile 1. Wood either.. W,4 pressure treated or foundationgrade. (ft.)(in:) (in.) (in.) ❑ 2. Other- ('specify) Center support Center support locations* footing sizes Supports. , (check one) (in.) 1: Concrete block. mom l (,, ° J 1�.x3v ❑ 2. Other(specify) (in.) (in.) 71 (ft:)(in.) if /A, x3( 7 2. 30 (in.) (in.) *if'center piers are other than drawn above, draw in -locations,, spacing,:.and dimensions. Tagalong'or EX.pando.' show support -details. Typical Support, (in.) (in.) Footing Size Max. Pier Spacing (ft.)(in.) Max. Overhang (ft.) (in.) 8U7TE COUNTY BUILDING DEPARTMENT APPROVEDv. i PERMIT IVO:. 5555-76P,E- _.. PERMIT EXPIRES / D OWNER John Neibert CONTR. owner LOCATION (A.P. 25-16-17pott. S/S pri.rd.,app.2000'E.of Hwy 70, app.6/10 mi.S.of Power House Hill Rd., Oroville (UNITW I) 't 7 C 1 14 j Temp. Power Pole Called PG&E�� Temp. Elec. Serv.-!1 1;717;:; Called PG&E R2!1 4 Temp. Gas Serv. l Called *FLQ JOB FINALED (Date) (Signature) COUNTY OF BUTTE — DEPARTMENT OF- PUBLIC WORKS BUILDING INSPECTION RECORD BUILDING BUILDING (Cont'd) Fixtures 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 Sewerd Garage Fdn. Vents Fixtures Footings. Stemwa l I Garage Vents Insulation Water Htr. Heaters Slab Carport Footings Prov. for physically handica ed Conformance of ex. structure Appliances Gas Piping & T Temp. Gas Slab Final Sanitation Patio FIREPLACE Final Footings Footina Reinf. Steel Final Fixtures Bond Beam FIRE SPRINKLERS Motors Framing Test Water Htr. Stucco Final Subpanels Mesh MECHANICAL Grd. Fault Prot. Scratch Heatinq Service Brown Cooling Temp. Pole ., Finish Ducts I Underground Interior Lath Ventilation Permanent . Door Closer Final Final // DATE REMARKS OR CORRECTIONS > i .� e e (NOTE: An entry must be made on this form each time you visit the job site.) PLUMBING ELECTRICAL 'A . COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS 7 County Center Drive —' Oroville, California 95965 ✓ Telephone: 534-4541 -76 APPLICATION AND 'PERMIT , —-••_••_ ...f"......••`...,.vv ana. Vvunay — LJUI — -V1 UpUII Lila above-mentioned property for inspection purposes. X Datez e) ,Signature of/ ermitee o�jArgent 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 OF PUBLIC WORKS PWr-:�� .. Building permit expires Date %d �� BUILDING Ownerh � Al;E'i Y ..moo SQ. FT. OCC. BUILDING VALUATION Mailing Address �, Telephone No. _ Fireplace Contractor Total Valuation // Mailing Address Permit Fee Plan Checking Fee &/or Penalty Telephone No. Permit Fee $ Building Address �" ✓�!/.t7"Te / /1%'Pra PLUMBING No. @ FEE PERMIT FILING FEE $3.00 •� a ®(� c�sGt®O� W 7 a p -0 KEach Trap 1.50 �C O POU)e✓ 14 L o t�5 C k )LC. R� Repair drainage or vent piping 1.50 Water piping lb, p v-0, U, L Lkning Verifica+ion Only Each gas water heater or vent 1.50 A. P. N�j — l (o .. ArT 7 G oning & Planning Gas piping system 1 - 5 outlets &;5t)j ,pe} Each additional outlet .30 F ksl*5JE ani Fire Dept. FireZone Use Permit Building sewer 'im lo,p EQA Parking Plan Parcel Declaration a'/lel a 60' R/W P Im provements Lawn sprinkler system 2.00 Bldg. ons Recd ���� rceilAppro Plans A oval Permit Fee $ $ p( NEW ❑ ADDITION ❑ UTILITIES ® OTHER ❑ ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 ,ciO i 10V OR Main service 100 AMP ORSLESS 5.00 5;p6 Main service EA. ADD'L 100 AMP 2.50 Single Family ❑ Duplex ❑ Mobil Home Others ❑ Main service OVER 600V 1100 AMP OR LESS 25.00 Main service EA. ADD'L too AMP 1.00 500 SQ. Ft. MINIMUM NEW CONST. ( DWELLING LINOCCUP. &) 22syft WELSLOGS. OR ADDNS. NEW CONSTP- MULTI.OUTLET NON.RESID. BRANCH CIRCUITS) 12.50ea FO R MOBILES NEW CONST. POWER APPARATUS &) NON- R 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) BAL� Ex. OCCU FIXED APPLNS. OR P•(OUTLETS (RESID.) EA) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Lic se No.Classification Misc. Wiring 6.25 I am exempt from the Contractors License Laws of the State of California. Permit Fee $ 07 ,J $ a r S 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 Vorkmen's Compensation Insurance. .Icertify that in the performance of the work for which this perm 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 @ 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 r► $ C —-••_••_ ...f"......••`...,.vv ana. Vvunay — LJUI — -V1 UpUII Lila above-mentioned property for inspection purposes. X Datez e) ,Signature of/ ermitee o�jArgent 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 OF PUBLIC WORKS PWr-:�� .. Building permit expires Date %d �� Thisof plans s MUJ 1 ble. kept on a job at all times and it is unlawful to make anchanges or alterations on some without written p rmission from the Department of Pablic Works, ounty of Butte. t ( L 1 � Th `` . Setback shall be 5 ft. from the , side ' oeerty line, and 50 ft. from the - cent r.iin,_ cf f'he� road, r)ermit'i Ing a maxi- - 4 mum f a 7 ,ff. eave overhang but enairely out f oil easements.0 _ NOTE`—All Materials & Workmanship Shall Be 11on Accordance with Recogn:Ized 600d Practices and of a•qual -y prescribed for the.Specified use in the Uniform,Bui?siva, Plur•rlbirg & Mechanical Codes and ' the National Electrical Code. "Is ��� �� �34 kept on the 1o. at a" times rnd it is unlc�wfzil #o make any cha es or alfera?ions on same without written permis on from the Department of Public Works, Count of Butte. -7 07 - 6 '*�;' Septic system and location - to be as per Butte County Heallih Dept. Re- quirements. �ob��e�o�g fie, , Th Setback shall be 5 ft. from the sid property line and 50 ft. from the ce terline of tie road, permitting a maxi - mu of a 2 ft. eave overhang but entirely ou of all easements. P ts--i .-7 Accordance with Recognized Good Practices and of a qualy prescribed for the Specified use in the Uniform Building, Plumbing & Mechanical Codes and the National Electrical Code. All utility connections shall be located within 4 ft. outside the rear third section of the mobile home on the left (road) side of the mobile home. BUTTE COUNTY BUILDING DEPARTMENT APPROVED-` V`� COUNTY OF BUTTE — .'DEP,AATMENT OF PUBLIC WORKS 7 County Center Drive — `Uroville, California 95965 Telephone: 534-4541 APPLICATION AND PERMIT QUII IUI ILC IC(JI CSCI1Ld LIVCS UI ine uuunty oT [suite to enter upon Ine above-mentioned property for inspection purposes. Xl=Date � / to Signature offPermitee or Agent Receipt No.,s-J-6 �� 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 O'F\PUBLIC WORKS BY Date IIding permitexpires Date BUILDING Owner E SQ. FT. OCC. BUILDING VALUATION Mailing Address 02 Telephone No. Fireplace Contractor Total Valuation Mailing Address Permit Fee Plan Checking Fee &/orPenalty w C— Telhone S e 3 _ Permit Fee Building Address o PLUMBING No.1 @ FEE PERMIT FILING FEE $3.00 r ,� G(j `j Each Trap 1.50 AZ 5' o c tJ E v s Repair drainage or vent piping 1.50 Water piping 1.50 'elp lope L Each gas water heater or vent 1.50 A. P. No. ZoningGas & Planning piping system 1 - 5 outlets 1.50 Each additional outlet .30 F s 994keti'm Fire Dept. Fire Zone Use Permit Building sewer 5.00 EQA [Parking Plans Parcel Declaration parcel Ma P� 60' R/W Improve is P Lawn sprinkler system 2.00 Bldg. PI s Recd Parcel App vrb�al I 00o' PIo Approval Permit Fee $ NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER a ELECTRICAL No.1 @ FEE PERMIT FILING FEE $3.00 — .,W/j Main service 1000V OR LE 0 AMP ORLESS5.00 - _Main service EA, ADD'L loo AMP 2.50 Single Family ❑ Duplex ❑ Mobil Home Others ❑ Main service OVER eoov 100 AMP OR LESS 25•00 Main service EA. ADD'L 100 AMP 1.00 NEW OR ADDNST ( DWEACCLBLDGS.LING CCUP. &) 20sgft NEW CONSTR. MULTI -OUTLET NON.RESID, BRANCH CIRCUITS) 2.50ea NEW CONSTR. POWER APPARATUS 11 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: >-_.0431 CN-Vf) TO ✓ Ex. Occup(OUTLETS OR FIXTURES)50 @25c 109 FIXED APPLNS. OR Ex. Occu P• OUTLETS (RESID,) EA) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 s e� License No��'�- 2 %7 Classification GG' % 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. 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 $ $ 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 TOTAL PERMIT FEE � $j0C QUII IUI ILC IC(JI CSCI1Ld LIVCS UI ine uuunty oT [suite to enter upon Ine above-mentioned property for inspection purposes. Xl=Date � / to Signature offPermitee or Agent Receipt No.,s-J-6 �� 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 O'F\PUBLIC WORKS BY Date IIding permitexpires Date MOBILEHOME SUPPORT DATA Mobilehdme Mfr. �^ Setup Model No. Year /7 Width (ft.) Length A (ft.) Expando Size _�ft.x (Draw stfWport 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). Center Support Locations ( f t (ft) (in) *If center piers are other than drawn above, draw in locations, spacing, and dimensions. Footings (check one) T'f1. Wood either pressure treated or fdn. grade. i 2. Concrete pad. 3. Other, specify —�po'rts (check one) 1. Concrete block 2. Concrete piers 3. Steel piers ,,,� 4. Other, specify, - Typical Support Z—_� xlFooting Size in .) ( it y�( •] J U MSpacingr ift.) (:) Max. Overhang (iri•.) l BUTTE COUNTY OUilnrNG DEPgRrMENt APPROVED. 0 BUTTE COUNTY DEPARTMENT OF PUBUIC•WORKS 7 County Center Drive, Orovill CA. PHONE: 534-4541 MOBILEHOME INSTALLATION SHEET 1. Owner's name- 1'L nXIT 2. Installer's name: 3. Is the site currentlg under permit? Yes No ( If yes, furnish permit number �J; > f 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 ) , i. 5. Whatlis the mobilehome electrical rating? ----------------------- � O C) Amps 6.' What'is the mobilehome site service rating? 2 ® Amps, 7. What is the mobilehome site circuit breaker rating? ------------- 2-sD Amps 8. Is there any other electric load to be'served by'the mobilehome site service? -------------------------------- ------------------ Yes /L No (If yes, identify the load and size: (Load) (Amps) 9. What is the mobilehome site gas pipe size? ---------------------- 10. What is the type of gas -ser vice? ----------------------------- Natural / / LPG 11. What is the gas pipe length from meter or tank to the mobilehome? .(ft.) - 12. What is the mobilehome gas demand? ------------------------------ (BTU) (This information not required if pipe length less than 6 ft. on natural gas ora 4_-�an 50 - tom' on11LPG )