HomeMy WebLinkAbout025-190-080�n 25-19-1080
FDDorthy McMillan
WY 99, app I mi. N of d Ranch
y , �2 &./,x I t"
Z P U
IN Rd., idley 717
Permit 15 6P,ESCutil.,
-t PH)
ELEC. 1 0 00 /-�- J"L'
GAS, , '4' -5�,&Are,
A S al /a -7 & -
COMPACTION TEST REQ*
N.9
Permit #18,03-7611HI'
Issued
—=o—
nd)�25-19-960
avm�UptonE/S Hwy 99,-app.2200'bl-of Ord Ranch
Rd., Biggs
Permit #4836-80BP,E,m(new single
family) I
N
A
psi
CIA
<;
4836-80BP,E,M
F O.
PERMIT EXPIRES -
i`
Raymond P. Upton
OWNER
CONTR. owmimx owner
t:
25-19-77
ASSESSOR PARCE
k�
NI
EtHwy 99, app.2200'N.of Ord Ranch
LOCATION
Called PG&E
Rd., Briggs
1„
{
Temp. Elec. Serviced
Called PG&E
<;
A
Temp. Power Pole
r
'
Called PG&E
"f
{
Temp. Elec. Serviced
Called PG&E
Temp. Gas Service
Called PG&E
Date)
cc
JOB FINAL EO
l•
Signature
J = OK
O = Not OK
Not Applicable MOBILEHOMES
= Not Ready
MISCELLANEOUS
Date
MOBILEHOME UTILITIES (Plans) OK except q's
1. Zoning Requirements -Setbacks -Easements
2. Soils; Special MH Support -Sketch
Date
DECKS, COVERS, CARPORTS, ETC. (Plans) OK except N's
1• Zoning Requirements -Setbacks -Easements
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
MOBILEHOME INSTALLATION (Plans) OK except #'s
1. Zoning Requirements -Setbacks -Easements
Card -BI
Date
Date Card -BI Date
POOLS (Plans) OK except N's
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
4. Electricity; MH Test -Crossovers -Breakers -Clearances
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/0 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 -Enc losures- Pane lboards- I ns. to Main in Conduit
9. Health Department Approval
9. Exits; Insp.-Sketch
10. Cert. of Occupancy
10. Plumb; Cir. Test -Water Supply Test
Card B-1
Date Card -BI Date
Card -BI
Date Card -BI Date
Card B-1
Date Card -BI Date
Card -BI
Date Card -BI Date
J = OK
0 = Not OK
- = Not Applicable RESIDENTIAL (Single and
= Not Ready
Duplex)
Date
UNDE LOOK Plans OK except #'s
Date FRAMING (Continued)
oning requirements-Setbacks-Easements
'497-Aroperty
Line Firewall & Openings
tg., Main; Soils-Steel-Elec. Grnd.- / '' Ftg. Depth
40,�E'Rti.^Doors-One 3'-Check Garage-3rd story, 2 exits
3. Ftg., Garage; Soils-Steel- / /" Ftg. Depth
Stairs; Width-Headroom-Rise-Run-Landing-Fire Protection
4. Ftg., Porches & Decks; Soils-Steel- / /" Ftg. Depth _
ywood on Roof Overhang-Attic Vents-Rafter Outriggers
&.-etemwalls, Main; Steel-Blockouts-Wrapped-Slab
v92--6idin
-Nailing-Veneer
Stemwalls, Garage; Steel-BIockouts-Wrapped-Slab
ucco Mesh-Drip Screed-Fdn. Vents-Underflr. Access
/y
7. Piers- I
zing Area-Glass Protection-Skylights-Plastic
8. D.W.V.: Fall-Fittings-Test-2 way C/O-Sewer Test
R0,�:.2ar 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.
dy5'
13. Girders-Sills-Anchor Bolts-Joists-Vents-Cripples
Card-B
- Card-BI Date
Card-BI
Date 11 Card-BI Date
Card-BI
Date Card-BI Date
Card-BI
:ij Date,/, -,).O Card-BI Date
Date F
A s) OK except q's
Card-B e /a _r,R6 Card-BI Date
Date
PLU ING (Permit) OK except q's
xt. Steps-Door & Sidelight Protection-Landings
Smoke ctor
_
W r Ht.; Vent-Access-Combustion Air
58.
Fur ce; Vents-Clea -Co ir- ector-
t bove Floor-Ducts-Mech. Protection
t Wa Pipe; Test & Anchors-Nail Protection
P .W.V.; Test-Fttngs & Anchors-Nail Protection
ee oom Exiting
-T7-Shower Pan; Test, First Floor-Tub Access
F. & Bath Fixtures & Tub Access
Elec. Trim & Subpanel; Breaker Sizes-Labels
-4&_ TTub &Shower, 2nd Floor-Tub Access
Gas Pipe; Size & Anchors
62.
,�Staii:c.&AeThS'
-
63.
Elec. utlets at Wood Panel; Int. & Ext.
Card-B
too Card-BI Date
tcz,
Fi Appliance; Grnd.-Air Gap-Cooking Clearance
Card-BI
Date Card-BI Date
. Outlets & Receptacles at Kit. Counter
Gar Fire Door; Swing-Landing-Closer
Date
ELECTRICAL Permit OK except N's
68.
-ft-Fixture &Transformer Clearance-Ins. Protection
`Wtr.
c
Htr.; Vents-Clearance-Comb. Air-Connecto P -
In Garage; Above Floor-Mech. Protection
gi!E ec. Receptacles Spacing-Lights & Switches at Doors
Ib. : & Mech. Equip. Listed for Location
ize Boxes & No. of Conductors-Stapled
lec. Re ptacles in Garage; (G.F.I.)-RomProtec.
2 ex Installed Close to Edge of Studs & C.J.
q 'p. Ground made up w/Mech. Fasteners-Bond Gas &Water
ulation-Foam-Looked in Attic es
Appliance Circuits in Kitchen &Conductor Size
73.
rand Raitc x Iia v r���•- ;'-- ���---
✓
bfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga. Cu or At
dn. Vents & Crawl Hole r-Drainage & Wood-Earth Clearance
Looked under Floor
"2 -Mrige Circ. / / ga. Cu or AI-Oven Circ. / / ga. Cu or A1,
Insulated Neutral ❑Yes El No
75.
Following instld.: Drive ❑ Yes _ No; Walks ❑ Yes No;
nters ❑ o
We'Tervice-Riser Conductors & Ground-Main Disconnect
jP%Stucco;
B n-Finish
2 quip. Clearances; Panels-Motors-Mech. Equip.
77
t
99r-Clothes Closet Light-Shower Light
.
Vents Above Roof; Plbg.-Appliance-Firepl.-Clearance to Opngs.
79.
Elec. Trim; G.F.I. Receptacle-Underground
Card B-I
ate .- Card-BI Date
.
Ventilation thr ughout House
Card B-I
Date.��s Card-BI Date
82
Date
MECHANICAL (Pertr,it) OK except q's
orre ItWfrom Previous Inspections
84.
G st- ters Tagged; Gas-Electric
31. A.C. Ducts; Insulation & Support
W &Sewer Connected-C/O to Grade-HD Approval
32. Vent Fan; Exhaust above Insulation
33. Condensate Drain & Overflow; Size & 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-B
ate 'r7 Card-BI Date
Card-BI
_ Date Card-BI Date
Card -13
e - Card-BI Date
Card-BI
Date Card-BI Date
Card-BI
Date Card-BI Date
Date
FRAMING(Plans) OK except N's
Comments at Final:
Is; Proper Material & Anchors
-
a Studs-Nailing, Spacing & Bracing-Plates-Sound
_
3&I-Bearing Walls over Girders & Floor Nailing
-if.-'Draft Stop in Walls (rat proof)
,4e—.Fire Stops; Furred Ceilings-Stairs-Chases-Tub
4150'"ieader & Beam-Size & Bearing
_-
an rs Post Capsnchors-Connectors
Ing. Joist-Rftr._Ties-Purlin-Roof Brac.-Tr -Sh ng.-Ring.
Fireplace Ties or Type A Flue-Fireplace Throat
_
is Access; Size & Romex Protection-Draft Stop-Ins. Baffles
_
46. B_ . Windows or Exiting Doors-Sill Hgt. & Dimensions _
Garage Fire Protection Framing
(NOTE: An entry must be made each time you visit jobsite)
COUNTY OF BUTTE
DEPARTMENT OF PUBLIC WORKS
196 Memorial Way, Chico — Pione: 891-2751
7 County Center Drive, Oroville — Phone: 534-4541
Skyway and Elliott Road, Paradise— Phone: 872-2961, Ext. 57
CORRECTION NOTICE
lJ �n'(oc �'D r I',✓76"
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
matter, or need additional explanation, please contact this office immediately.
40' i -,N-/6, ) r-ao 9. ►)is R �--,2007 /fir a.
l
Inspector - r ��10 Cate
/I
RESIDENTIAL
ENERGY CONSERVATION STANDARDS
CONSTRUCTION COMPLIANCE CERTIFICATE
THIS IS TO CERTIFY THAT ENERGY CONSERVATION REQUIREMENTS HAVE BEEN
INSTALLED IN CONFORMANCE WITH CURRENT ENERGY CONSERVATION REGULATIONS
ATf(p����
(location —T. r
BUILDING' PERMIT NO. A;P. NO.
THE FOLLOWING HAVE BEEN INSTALLED AS PER APPROVED PLANS:
(Check each item or write N/A if not applicable)
INSULATION:
Slab Edge ,VI
Fdn. Walls q .
Floors
Walls ri
Ceiling/Roof !/
Ducts_
Circulating Pipes fi
APPROVED HEATER c/
APPROVED WTR.HTR. v
GLAZING:
Single Glazed L__
Special (Insulated) • 110,7
CERT. & LABELED WDS.
& SLIDING DRS.
WEATHERSTRIPPED -DRS.
BACK DAMPERED FANSy
INTERKITTENT IGNITION DEVICESy
CERT. APPLIANCES
I DECLARE THAT ALL REQUIRED ITEMS AS NOTED ABOVE HAVE BEEN INSTALLED
IN ACCORDANCE WITH THE ENERGY CONSERVATION REQUIREMENTS AND AGREE TO
THE COMPLETENESS OF THIS CERTIFICATE AS SU MITTED. ,
Insulation Applicator Name b) (_, igZi %'177 c /4),S,
Signature of (please print)
Insulation Applicator
State Contractors
License No.
ntor&,,,, Name
7pre,,se print)
eY Date.
tate Contractors
License No.
THIS CERTIFICATE MUST BE ON FILE WITH THE BU ILD ING DEPARTMENT PRIOR TO
REQUESTING FINAL INSPECTION AND SHALL BE POSTED IN A CONSPICUOUS LOCATION
WITHIN TIE DWELLING.
1
CONTRACTORS -INSULATION I
I
! COMPLIANCE CERTIFICATE
This is to certify That insulation has been installed in conformance with the current energy regulations, California
Administrative Cpde, Title 25, State of California, in the building located at: ,
I
Address .z. i%w 9 �iy t z
STREET CITY STATE ZIP
i l
Homeowner Name �lJ�I Ol�l Date %/ I /8 1
EXTERIOR WALLS
Manufacturer UNITEMP Thickness/Type R Value
Sq. Ft. Covered 0/4 R Value i
CEILINGS -40
'
Blown: Manufacturer UNITEMP Thickness No Bags 4�2 Wt/Bag
Sq. Ft. Covered—] R Value J�
INSULATION CONTRACTOR ���a"f Pa/ - v^ LICENSE NUMBER 742-h
BY TITLE DATE 7 1
8/1/80
I t F• _1
i•'!
W. it,: ,t
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS ERMIT NO
7 County Center Drive - Oroville, California 95965 - Telephone 916/534- 41
APPLICATION AND PERMIT
ASSESSOR PARCEL NUMBER ZON NG
.) --7 i _v
V BUILDING PER
OW TELEPHONE
-
SQ. FT. OCC. BUILDING VALUATION
�0
O R'S ?,4&41G ADDRESS
9
6261
CONTRACTOR'S NAM r
DwKe
ELEPHONE
CONTRACTOR'S MAILING ADDRESS
CONSTRUCTION LENDER
UNKNOWN
Fireplace
Total Valuation $ 3
LENDER'S MAILING ADDRESS
Permit Fee
$
ARCHITECT OR ENGINEER
��e'
LICENSE No.
Plan Checking Fee
$
Penalty
$
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Permit fee
Ts,�
BUILDING A DRES
lb
PLUMBING PERMIT
Filing Fee '&00
pnx NO tAl
Each Trap
2.00al?
Repair drainage or vent piping
2.00
Water piping
LOT NO.
SUBDIVISION NAME P L MAP
Each qas water heater or vent
2.00
Gas piping system 1 - 5 outlets
USE OF STRUCTURE
SF Duplex❑ Mobilehome❑ Other
SPECIFY
Building sewer
Lawn sprinkler system
2.00
,( TYPE OF WORK
New �c Addition [:1Remode1❑ Uti lities [:1Installation ❑ Other E]
Describe work: —
Permit Fee
$
Contractor
ELECTRICAL PERMIT
Filing Fee DDO
Main service 100 AMP OR00V OR SLESS
5.00 ^O
Main service EA. ADD'L too AMP
t
2.50NEW
CONST. DWELING
OR ADDNS. ( ACCLBLDGS.0 P &UL
2�Sgft ,
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
[� 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)
ElI, 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 CON5TR ULTI-OUTLET 2,50 ea
N ON.R ESID BRANCH CIRCUITS
NEW CONSTR. POWER APPARATUS6)
NON-RESID. (SINGLE OUTLET CIR.
E4OCCUp(OUTLETS OR FIXTURES BAL 250
t@
FIXED APPLNS, OR
Ex. Occup.(0UTLETS (RESID.) EA.) 2.00
Temporary service 10.00
Mobile Home Facilities 15.00
Misc. Wiring 6.25
Permit Fee $
Contractor
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.
MECHANICAL PERMIT
Filing Fee 0
Heating Q 1A
Cooling
6-0
Hood
.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 said Cou yin conse uence of the granting of this permit.
X � �,_//i_ go
Date 7
Signature o pplicant — Owner Contractor ❑ Agent ❑
An OSHA permit is required for excavations over 5'0" deep and demolition or construct-
ion of structures 3 stories in height.
Mobile Home Installation Fee $
Land Development Fee $
p'
TOTAL PERMIT FEE $A3a ,ate
OCCUP. GROUP
TYPE of CONST.
Thl
PARCEL
PD HD
SSOE_
v/
This permit is hereby issued under
sions of the Butte County Code and/or
work indicated above for which
DIREC=OFBLIC
/
By
PER EXPIRES Date.
the applicable provi-
resolutions to do
fees have been paid.
WORKS
Date 1--�^'
l'-7- �O,
//ov��e��r
Receipt No. 4k3 —n
WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT
OWNER
A. GENERAL
1. Zoning re rements
Valuation.
Signature by R.C.E.
RESIDENTIAL PLAN CHECKING GUIDE
(S.F., D•PfEX,'.& MISC. ONLY)
Bldg.
A.P.
v
(sideyards and parking)..
or Architect (if required).
.0
01
Permit #
16 Pao- �. -S
711
B. PLOT PLAN
1.. Complete parcel size and dimensions.
2. Setblek*, sideyards, easements, etc.
3. Other buildings or structures.
4. Grading, fills, drainage.
C. FLOOR PLAN' `
Complete to scale plan with dimensions.
CRequired windows for light'and ventilation (Sec. 1405).
Required windows for second exit (Sec. 1404).
4,00I'llowable glazing for energy requirements (20% max. per.State law).
�uman impact glass (Sec. 5406).
equired room sizes, ceiling heights (Sec. 1407).
G.F,C,I.°s in baths and exterior outlets (Sec. 210-8).
Light fixtures, switches, receptacles, and exterior receptacles for maintenance of
-K�echanical equipment.
Locations of water heater, heating & cooling equipment, other electrical or gas
equipment, and plumbing fixtures.
X-0. Garage firewall, door size, and closer (Sec. 503(d)(4)).
..,CYC 1 -.3°0" exterior exit door (Sec. 3303d).
lreplace location.
Smoke detectors (Seca 1413).
D. STRUCTURAL DETAILS
Foundation plan complete enough to construct building.
Floor construction details complete enough to construct building.
y�y Elevations and wall construction details.complete enough to construct building.
;..::.••Roof construction details complete enough to construct building.
sireplace construction details and calcs}'if over one-story in height.
ufficient data and details to satisfy energy insulation requirements (State law).
E. MIS-CELIANEOUS_ITEMS_TO_LOOK OUT FOR r
CCX ply-ivood on exposed locations and overhangs.
Stairuny details (See. 3305).
Cuardrail details (Sec. 1716) .
Brick or stone veneer (Chapter 30).
Exterior plaster - weep screeds (Sec. 4706 & 4708).
rope_ roof pitch -for roof covering (Chapter 32).
Ha
fter ties or bearing ridge beam.rage door or porch header sizes.
equate b��acing.
ving area over garage - complete 1 -hour separation required including supporting
Walls and posts, etc.
Two (2) exits on three-story dwellings (Sec. 3302).
�` 9��+iii✓
tiut.il. ,MH
PERMIT NO.----' 1115-76P,E
rr - • "' PERMIT EXPIRES��,5
�owNER Dorothy McMillan
r.
f
CONTR. owner
1 25-19-77
LOCATION (A.P. )
�Dn Hwy 99, app. i mi.*N. of Ord Ranch Rd., Gridley
5
i i l Temp. Power Pole
Called PG&E
t' Temp. Elec. Serv.
Called PG&E
Temp. Gas Serv.
N
/(Called PG&E
1 VVB A
I �FINALED
(Date)'
(Signature)
9. Electrical
A.• Is service large, enough to provide adegj at•N amperage -to mobilehome (must equal rating of
mobilehome with a minimum00 l.00 amp) and other facilities on lot, i.e., water pumps,
garage, cabana, etc.*? Yes No
B. Is there proper clearances around panels? YesX No
C. Is power supply cord or feeder assembly properly fused? Yes_1K No
D. Is continuity test satisfactory as per the' following procedure? Yes_ '
1. De -energize electrical wiring system of' the mobilehome at the pedest 1
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 rn.obilehome 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'?
11. If everything okay, sign off card and tag services.
MOBILEHOME DATA y
Manufacturer and/or Namest le -�
Length A Width
Vehicle Serial. No. %V a OA�
State Identification No. /
Additional.Informati_on or Comments:
MOBILEHOME INSTALLATION INSPECTION CHECK LIST
1. Is the mobilehome located with required separation from lot lines and buildings and generally
conform to plot plan? Yesy, No
2. Does the mobilehome have required clearances above ground? (Sec.5085) Yes,(' No
3. Are footings.and supports properly sized, spaced, and braced as per a pr 7'erd` plans? (Note
possible variation at spring shackles.) (Sec. 5082 & 5083) Yes o
4. Is the mobilehome level? (Sec. 5088) Yes No�
5 ossover connections properly installed? (Sec. 5088)
Yes No
6. Water
A. Isable connector of adequate size and properly installed (1/2" ID min.)? (Sec. 5566)
Yes No
B. Test - Does water piping withstand working pressure or 50 lbs. air test? Yes No
C. Ba�''F11^T' T9 "eaelc+�tp of California --approved, does station have backflow device
and pressure -relief valve? Yes No
7. Wastes and Drains
A. Is connection made with Schedule 40 DWV and have flex connectors at each end? Yes_ 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] ing 37gallons of.watteerr through each
fixture including washing machine standpipe? Yds y(`/No
D. If coach ; .G not State o-f�414-foxnia approved, doesstationhave required trap and vent?
Yes No
8. Gas Piping -and Gas Vents
A. Connect - Is mobilehome connected to -the gas sup2e�:�All
with an approved 3/4" minimum
mobileho connector not more than 6 ft. long? No piping is to be at least as
large as he mobilehome gas line inlet without r ductions other than the mobilehome
connector. Yes No
B. Test OK as pe" following procedure? Yes No
1. Open all ap lance connector valves.
2.. Shut off applian burner and pil valves.
3. Air test with manomet to 10" 14" water column, or test with slope gauge (minimum
6oz.-maximum 8 oz.) call at d in tenth pound increments. Test for 10 min. without
drop.
4. Connect gas meter/properly
ilehome 'th connector, turn on gas, test connections with
soapy water.
C. Are all appliance ven installed. Yes No
Ev COUNTY OF BUTTE
DEPARTMENT OF PUBLIC WORKS 7 COUNTY CENTER DRIVE
OROVILLE, CALIF. - 534-4541
CERTIFICATE -OF OCCUPANCY
This mobilehoine has been installed in accordance with the requirements
of the California Administrative Code, Title .25, Chapter 5,, under permit
number ZZ4rJ'yCi for, the followinglocation: 740"--k
Owner
Y
Owner's Address .
Mobilehome Mfg.. ModelYear / 97,j
Insignia No. %f>' ' S Serial No. 62 �7
It is hereby certified for occupancy at the above described location and
may be occupied.
Director of Public Works>.,
Date-(/Jl/'� By
THIS CERTIFICATE IS VOID WHEN MOBILEHOME IS RELOCATED
COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS
BUILDING INSPECTION RECORD
1
BUILDING
BUILDING (Cont'd)
PLUMBING
Setback
Firewall
Soil Piping
Forms
Parapets
1st Floor
Main Bldg.
Restroom Finish
2nd Floor
Footings
Windows
3rd Floor
Stemwall
Siding
To out
Slab
Roof Sheathing
Water Pipingj
Piers.
Roofing
Sewer z7 7
Garage
Fdn. Vents
Fixtures
Footings
Garage Vents
Water Htr.
StemwaII
Slab
Prov. for physically
handicapped
Heaters
Appliances
Carport
Footings
Conformance of ex.
structure
Gas Piping & Test
Temp. Gas
Slab
Final
Sanitation
Patio
FIREPLACE
Final
Footings
Footing
ELECTRICAL
Masonry Walls
Throat
Roucih
Reinf. Steel
Final
Fixtures
Bond Beam
FIRE SPRINKLERS
Motors
Framing
Test
Water Htr.
Stucco
Final
Subpanels
Mesh
MECHANICAL
Grd. Fault Pro;t.
ScratchLLJ
Heating
Service
Brown
Cooling
Temp. Pole
Finish
Ducts
Underground
Interior Lath
Ventilation
Permanent i
Door Closer
Final
Final —2 X
DATE REMARKS OR CORRECTIONS
� 111f110
11,7
G i
(NOTE: An entry must be made on this form each time you visit the job site.)
v.
COUNTY OF BUTTE ; DEPARTMENT OF PUBLIC WORKS
7 County Center Drive OroviIle, Cal itornia 95965_
Telephone: 534-4541
APPLICATION AND PERMIT
X 9 A6/ y b+s� f Date
Si gnate�'F'Pe
urrmi tee�o/Agen t
Receipt No. A41 012 Z
White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant
ine butte county uoae and/or resolutions to do work indicated
above for which fees have been p id.
DIRECTOR OF I BLIC WORKS
By Date�'Z j 7;ro
uilding permit expires Date
BUILDING
Owner G �� r
SQ. FT. OCC. BUILDING VALUATION
Mailing Address P -7--Z I—I-- r
�
'"
Telephone No.
_,2
Fireplace
Contractor
Total Valuation
Mailing Address
Permit Fee
Plan Checking Fee &/or Penalty
Telephone No.
Permit Fee
Building Address
PLUMBING No. @ FEE
PERMIT FILING FEE $3.00 3-C3o
q
12 0
Each Trap 1.50
�-
AJC`
Repair drainage or vent piping 1.50
"
2 p
Water piping rtel
Each gas water heater or vent 1.50
A. P. No. S -- ? ..
z� n g
Gas piping system 1 - 5 outlets 1.50
Each additional outlet .30
F
Sa n
FireDep�t.
Fire Zone
Use Pen -nit
Building sewer V 5.00 )C),60
EQA
PPlans airkinDePa a ion
rar�Cel Map
60' R/W
Improvem is
Lawn sprinkler system 2.00
Loi ✓
Plans Rec'd
4� P`ar/ce11 roval
Plans pproval
Permit Fee ��. 061$
NEW ❑ ADDITION ❑ UTILITIES � OTHER ❑
ELECTRICAL No. @ FEE
PERMIT FILING FEE 1 $3.00 3 a® ID
100 AMP OR LESS ✓ 5.00
Main service 6001 OR LESS �+
,
Main service EA. ADD•L 100 AMP ✓ 2.50OVR
Single Family ❑ Duplex ❑ Mobil Home Others ❑
600V
Main service 100E
EAMP OR LESS 25.00
Main service EA. ADD'L 100 AMP 1.00
SOR
���"�
NEW
ADDNSCONST ( ACCLBL GS.CCUPLING . &) 20sq ft
NEW CONSTR MULTI.OUTLET
NON.RESI D. ( BRANCH CIRCUITS) 2.50ea
NEW CONSTPOWER APPARATUS &
R RESID. (SINGLE OUTLET CIR.
NON.
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) BALM
Ex. Occup.( OUTLETSP(RESID.)r`EA) 2.00
Temporary service 10.00
Mobile Home Facilities 15.00 0
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
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.
L;�< 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 N0.1 @ I FEE
PERMIT FILING FEE J$3.00 11
Heating
Cooling
VentilationJ
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 nrnnprty fnr incnar-tinn --mneme
TOTAL PERMIT FEE
%
$ �E
This permit is hereby issued under the applicable provisions
of
X 9 A6/ y b+s� f Date
Si gnate�'F'Pe
urrmi tee�o/Agen t
Receipt No. A41 012 Z
White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant
ine butte county uoae and/or resolutions to do work indicated
above for which fees have been p id.
DIRECTOR OF I BLIC WORKS
By Date�'Z j 7;ro
uilding permit expires Date
1. Owner's name:
BUTTE COUNTX DEPARTrH;NT OF PUBLIC WORKS
7 Courity Center Drive, Oroville, CA.
PHONE: 534-4541
MOBILEHOME INSTALLATION SHEET
2. Installer's name:
3.1 Is the site currently under permit? Yes
(If. yes, furnish permit number % �� ) OR
Is the site an existing site? Ye 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 sen ice rating? --------------------- :2a D Amps
7. What is the mobilehome site circuit breaker. rating?--------..----®rj 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.)
10. What is the type of gas service? ------------------------------ Natural
11. What is the gas pipe length Trow,." r,:e :er_ or tank to the mobilehome? _ .)
12 :What is the mobilehome gas demand'? ----------=-------------
TU )
(This information not required if pipe length less than 6 ft. on natural gas
''or %less than.50 ft.. on LPG.)
MOBILEHOME SUPPORT DATA
Mobilehome Mfr. %�,�JT Setup Model No. Year
Width o`. (ft.) Length .2!01.D (ft.) Expand Size
(Draw support details below) .
On all mobilehomes manufactured after October 7, 1973, furnish manufacturer's installation
manual and structural setup sheets ..(if-Aot.on file with the County of Butte).
^If center piers are other than drawn above,
draw in locations, spacing, and dimensions.
Footings-- (check . one'
pressure treated or
fdn.`grade.:-
� .: crud
5. Other,'specify
Supports (check one;
%A
All
1.1
Concrete block
2.
Concrete piers
3.
Steel piers
T-1
4.
Other,
specify
Typical Support
Footing SizeAUAt
�o /Yo
Max. Pier.
_ Spacing
u Max..
_Z lb J,Overhang
. BUVS COUNTY
BUILD,
,19 DF-P'A'RT�`���'�,
APP ,0 /
NOTE:—All Mcfermis & Workmanship idHqp. ",
Accordance with Recoini,ed Good Practices and
of a quality prescribed -for the Specified use in the
Uniform Building, Phambinq & Machanico! Codes and
the National EIP,-+r;,-nI r' -,I-
This sot of plans +brat MUST be
kept on the job at all tunes and it is unlawful to
male any changes or alterations an sa w' `
written ermisson—from the�Rartm ! PC.
Works, Countv of �++P
Bial%. � UI%IT' P_S
The ft. Sefback shall be 5 ft. from
the side property line and 50 ft. from
Z., the centerline of the road, permitting
a maximum of a 2 ft. eave overh"g.
�0 -
c)
Se�r�'r~c
Septic system and, location -
i t to be as per
Butte County Health Dept. Re
quirements.
rvV P_
S. :R
N
-'I,-
3-
0-9:
0
'I,a3-o-9-
0
I.% JM
s
3
3 ,
o
3
p is
I,
AI utI iI OP OF
ty connections shall be
Located within 4 ft. outside the rear
third section of the mobile home
onItho left (road) side of the moble
J0' NDN ,rXC)4,5'Vc
ROD a nd pW� 1Ic ut';1;}y if4seAej7
BLTTE COUNTY
BUILD -NC DEPARTMENT
APPROVED
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e
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yrnori e!i,ilcr-ii emit io bijrl ±
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ad Tiri)lsl, rnoeta:iti3tse}; bna rnslq to taz cirri
of Owsinu zi ti bns ,•t;•rrlit l!s tE doj sdt no ic,,
tw- ti%,• Wise no anoitirvittlri sa ani)-w,,Ib
nsititw
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n,ot} J1 9� �q-.. s �=s Smr
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TWIMTSAq-K OHIGiIU8
aAvOggqA
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ad Tiri)lsl, rnoeta:iti3tse}; bna rnslq to taz cirri
of Owsinu zi ti bns ,•t;•rrlit l!s tE doj sdt no ic,,
tw- ti%,• Wise no anoitirvittlri sa ani)-w,,Ib
nsititw
'Of"A }o vtruoJ A-lov,
n,ot} J1 9� �q-.. s �=s Smr
prlt;irn;OG }c in a I; O Orli ,
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£*a,.�,v n .,l .".' r �-T' r? C'.r T ... . y r .�^.. .�.,::. '/A •...+`. _ LY: ^: r, •.. ,r..t6 .1. i.
J/•, . - COUNTY OF BUTTE = DEpARTM . r OF PUBLIC WORKS
7 County Center DriveCalifornia 95965
'+ Telephone: 534-46341
APPLICATION AND PERMIT
aULIIUIILe IePIe5eflld6VCS of ine bounty Or Butte to enter upon ine
above-mentioned property for inspection purposes.
_ � L
X
,Date _/Y zz!XA
Signature of Pe"te
r 'e
or Agent
Receipt No. I1 / 35
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 Or"PUBLIC WORKS
BYte �—'Z�t-- —_;o,ildih9 =expir=esate_.�Cj permi_5?_0 __
BUILDfN6
Owner C LJ_A Ll
SQ. FT. OCC. BUILDING VALUATION
Mailing Address RT ISOX q -A
T le hone otio /�
L�
Fireplace
Contractor `y-/ jige—g
Total Valuation
Mailing Address
Permit Fee
Plan Checking Fee &/or Penalty
Telephone No.
Permit Fee
Building Address ®� �\ `— PP'
PLUMBING No. @ FEE
PERMIT FILING FEE $3.00
PW 04
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. N r�_G�- �.� —77
Z
Zoning & Planning
Gas piping system 1 - 5 outlets 1.51
Each additional outlet .30
es
'"
vac.;.
SaCK.Lon
I Fire Dept. FiiyreZone
Use Permit
Building sewer 5.00
EQA
Parking
Plans
Parcel
Declaration
p 'Z I f�
rce p
60' R/W
ImprovementsLawn
sprinkler system 2.00
_
[Lor
Bldg ans Recd
Pa�el Approval
/�
PlanitApproval
Permit Fee
NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER
ELECTRICAL No. @ FEE
PERMIT FILING FEE $3.00
LLP (,�
100 AMP OR LESS 5.00
Main service 1100v OR OR L
L g}
Ts
Main service EA. ADO'L 100 AMP 2.50
Single Family ❑ Duplex ❑ Mobil Home Others ❑
Main service OVER 600V 25.00
100 AMP OR LESS
Main service EA. ADD'L 100 AMP 1.00
NEW
OR ADDNST ( ACCLBLDGS,CCUP. &) 21tsgft
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
style of:
Ex. Occup(OUTLETS OR FIXTURES)50 @250
SAL @1
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 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.
I 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.1 @ FEEPERMIT
FILING FEE J$3.00
Heating
Cooling
Ventilation
Hood 2.00
Permit Fee
I certify that I have read this application and state that the abovePA
information is correct. I agree to comply to all County Ordinances
and State Laws relating to building construction, and hereby
•J`1S /��.LrQ, 1 L
-:300
TOTAL PERMIT FEE
$ -30 a
aULIIUIILe IePIe5eflld6VCS of ine bounty Or Butte to enter upon ine
above-mentioned property for inspection purposes.
_ � L
X
,Date _/Y zz!XA
Signature of Pe"te
r 'e
or Agent
Receipt No. I1 / 35
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 Or"PUBLIC WORKS
BYte �—'Z�t-- —_;o,ildih9 =expir=esate_.�Cj permi_5?_0 __