HomeMy WebLinkAbout026-040-010f
fl AP 26-04
DELBERT SALISBURY
6720 Upper Palermo Rd., 'p-d}em-e..
Permt# 4252-75P,E(relocate ex. MH
ut it .
-ELEC.
` GAS — 0�
SUPPO STR CTURE REQ._)lO
6X CEMPACT ION TEST RDa . 62_0
26-04-10 0
contr:Oroville Trailer Sales,'Oro.
..�6rmit 45469-75MHI
Issued '
26-04-10
CONTR : Acro=LiiryfF-� Orovi lle
(Permit #708-76B(reinstall awning/
[MH)
26-04-10 `
KENNETH McDONALD
6720 Upper Pa ermo Rd., Palermo
Contr: Lincoln Village MH, Oro
Permit #3961-77MHI
Issued rJ 4
26-04-10
contr:Holmes Mobile Home Serv., Bangor
Permit #5376- 7B(new.cover"ed decks-&
awnings
26-04-10
Permit #339=-78B(ngw private garage --
detached) ,P i I -��
026-040-010 PERMIT#96-0856
McDONALD, Kenneth E.
6720 Upper Palermo Rd.r-Oroville
Cont:Pierson Const
Replace & Add to Awni g`/MH 71,0/196
IN
RESIDENTIAL
026-040-010 PERMIT#96-0856
McDONALD, Kenneth E.
6720 Upper Palermo Rd., Oroville
Cont:Pierson Const.
Replace & Add to Awning/MH S_9 -9J
1
s'
�y
1
JOB FINALED (Dat I
Signature
V=OK
O = Not OK
Not ' = Not Read Applicable MOBILE HOMES
Date
MOBILE HOME UTILITIES (Plans) OK except #'s
1. Zoning Requirements - Setbacks - Easements
2. Soils; Special MH Support Sketch
3. Sewer, Location -Test -Fall -C/O -Concrete
4. Water, Location -Test -Easement Needed (Sketch)
5. Electricity; Location-Clearances-Gmd-/ /Amp -Concrete
6. Gas; Location -Test -Wrap; / /'L'It.
/ /Nat. or/ / L"ft./ /LPG
7. Well Clearance & Disconnect
8. Utility Clearance
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
Date
MOBILE HOME INSTALLATION (Plans) OK except #'s
1. Zoning Requirements- Setbacks Easements
2. Footings; Size -Spacing -Marriage Line
3. Gas; MH Test -Demand -Valve -Connector
4. Electricity; MH Test -Crossovers -Breakers -Clearances
5. Drain; MH Test -Fall -Flex Connector
6. Water; MH Test -Regulator -Connector
7. Water and Sewer Connected -C/O to Grade -HD Approval
8. Gas and Electricity Tagged
9. Tie Downs -Type -Installation Cert.
10. Exits; Insp.-Sketch
11. Cert of Occupancy
Date
Card 8-1 Date Card B-1
Date
Card B-1 Date Card B-1
FflSCELLANEOUS
Date DECK OV S, CARPORTS, GARAGES Plans OK except #'s
Requirements -Setbacks -Easements
tings; Soils-Size-DepthSpacing-Connectors-Steel
3. Defjw Girders and/or Joists -Decking -Bracing -Stairs -Rails
-Y. Wood Awn.; Posts-Beams-Rftrs.-Connectors
Shthg: Rfg: Bracing
5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures
6. Carports; Windows -Doors
7. Electric
8. Frmg.; Sils-AnchorsStuds-Rftrs-Trusses
9. Siding; Nailing -Veneer -Stucco -Mesh
10. Roof; Shthg-Roofing
11. Ext.; Steps -Doors -Landings
Date Card B-1 Date Card B-1
Date Card B-1 Date Card B-1
Date POOLS (Plans) OK except #'s
1. Setbacks -Easements
2. Soils; Compaction -Structure Stability
3. Pool Structure; Steel -Connections -Thickness
Dead Men -Lining
4. Elec.; Receptacles and Lighting, Distance-GFI
5. Elec.; Pool Lighting; 15 Volts-GFI
6. Elec.; Enclosures; Conduit Entries -Terminals -Listed
7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater
8. Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtgq.
Boxes-Enclosures-Panelboards-Ins. to Main in Conduit
9. Health Department Approval
10. Plumb.; Cir. Test -Water Supply Test
Date Card B-1 Date Card B-1
Date Card B-1 Date Card B-1
J=OK
O = Not OK
= Not Applicable
Not Ready RESIDENTIAL (;
' =
Date UNDERFLOOR (Plans) OK except k's -
1. Zoning -Setbacks -Easements -Flood -Slope
2. Ftg., Main; 'Soils-Elec. Grnd.-/ /" Ftg. Depth
3. Ftg., Garage; Soils-Steel-Elec. Grnd.-/ /" Ftg. Depth
4. Ftg., Porches & Decks; Soils -Steel-/ /Ftg. Depth
5. Stemwalls, Main; Steel -Bloc kouts-Wrapped
6. Stemwalls, Garage; Steel- Bloc kouts-Wrapped
6a. Hold Downs and Special Anchors
7. Slab; Steel -Wrapped
6. Piers -Fireplace Ftg.-Steel
9. D.W.V.; Fall -Fitting -Test -2 Way C/O -Sewer Test
10. UF. Gas Pipe; Size -Anchors - yard gas piping: size -test
11. Water Pipe; Test -Anchor -Regulator -Service Test
12. Electric; Underground
13. Pienums & Ducts; Clearance -Material -Support -Ins.
14. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples
15. Access & Ventilation
16. Insulation
Date Card B-1 Date Card B-1
Date Card B-1 Date Card B-1
Date PLUMBING (Permit),OK except tr's
16. Water Htr.: Vent -Access -Combustion Air -Baffle
17. Water Pipe: Test & Anchor -Nail Protection
---- ----------------------------------------------
18..D.W.V.: Test -Fittings & Anchor -Nail Protection
--------------------------------------------------- ---
19. Shower Pan; Test. First Floor -Tub Access
20. Test Tub -&-Shower.- Second Floor -Tub Access
- 21. Gas Pipe: Size & Anchors
-------------------------------------------------------------------------------
Date Card B-1 DateCard B_1
----------------- ------------------ -------- ---------------------------
Date Card B-1 Date Card B-1
Date ELECTRICAL (Permit) OK except a's
22. Fixture & Transformer Clearance -Ins. Protection
----------------------------------------------------------------
_ _ 23. Elec. Receptacles Spacing -Lights & Switches at Doors
-------------------------------------------------------------
24. Size Boxes & No. of Conductors -Stapled
----------------------------------- ----- - -
25. Romex Installed Close to Edge of Studs & C.J.
--------------------------------------------------------- ---
26. Equip. Ground made up w/Mech. Fastners-Bond Gas & Water
---------- --
---------------------------------- ....... ........ ....... -
27. 2 Appliance Circuts in Kitchen & Conductor Size/GFI
------------------------------------------ -..... --- --
28. Subfeed Wire Size ga. Cu or AI-A.C. Wire Size ga.
-Cu or Al
--------------- -----------------`-----------------...----- ................... ..
29. Range Circ. r ' ga. Cu or AI -Oven Circ. t r ga. Cu or Al.
Insulated Neutral ❑ Yes ❑ No
---------------------------------------------- ..
30. Service -Riser Conductors & Ground -Main Disconnect
- - ................... .... I... ....... ..
31. Equip Clearances Panels-Motors-Mech. Equip.
-
---- - --- - - ---------------- ------- ------- -------
32. Clothes Closet Light -Shower Light -Spa Light
------------------------------------ - -------------- ........... ...
35. Smoke Detector
--------------- - ---- ---...... -- ----..... ----- . ... .. ....... .
Date Card B-1 Date Card B-1
-----------..-..._..._._.. _-------- ----------------- ... ... ... ... ... ..
Date Card B-1 Date Card B-1
Date MECHANICAL (Permit) OK except p's
34. A.C. Ducts Insulation & Support
---------------------- ---------...................-- ---
35. Vent Fan: Exhaust above insulation
------ ------ ------ -... .. __ .-- ..... ..
36. Condensate Dram & Overflow: Size & Grade
------- ....... ........ ... .. ....
37. Furnance-Vent: Access -Comb. Air -Return Air Vent -115 outlet
---------- ------ ------- _. ...
38 Attic Access & Platform if Furnance in Attic
------ ------ --- ---
Date Card B-1 Date Card B-1
Date Card B-1 Date Card B-1
Date FRAMING (Plans) OK except 0
39 Sils. Proper Material & Anchors
... ... .. ... ... . . ... ... ... .
40 Walls Studs -Nailing. Spacing & Bracing -Plates -Sound
41 Bearing Walls over Girders& Floor Nailing
_-._.... - .......... . . ... . .
42 Draft Stop in Walls (rat proof)
43. Fire Stops. Furred Ceilings -Stags -Chases -Tub
--------------- ....... 9 . . . . . . ..
44. Headers & Beam -Sze & Bearing
>ingle & Duplex)
.o
Date FRAMING (Continued)
45. Hangers -Post Caps -Anchors -Connectors _
46. Cing. Joist-Rftr. ties-Purlin-roof Brac-Truss-Shthng.-Rfng.
47. Fireplace Ties or Type A Flue -Fireplace Throat clearance
------------ 48. -Attic Access: Size & Romex Protection -Draft Stop -Ins. Baffles
--- --
49. Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions
------------------------ -
50. Garage Fire Protection Framing
----------------------------------
51. Property Line Firewall & Openings
---- ---------
52. Ext. Doors -One -T -Check Garage -3rd Story, 2 Exits
--------- ---------------------
53. _Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection
54. plywood on Roof Overhang -Attic Vents -Rafter Outriggers
---------------------------------
55. Siding -Nailing Veneer
--------------------------- ------
--------------- 56. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access
57. Glazing Area -Glass Protection -Skylights -Plastic
58. Shear Walls; Nailing -Bolts
_ 59. Insulation -Walls -Ceilings_
60. Infiltration -Walls -Windows
..------------------------------------------------- - --
DateCard B-1 Date _ Card B-1
Date Card B-1 Date Card B-1
Date FINAL (Plans) OK except P's
61-.- Ext. Steps -Door & Sidelight Protection -Landings
------------------------_---- - --
62 -.-Smoke Detector
------------------------------------------ -
63. Furnace: Vents -Clearance -Comb. Air -Connector -
In Garage: Above Floor-Ducts-Mech. Protection
---------------------------------
64 Bedroom Exiting
-----------------------
65.
------ ---65. G.F.I_& Bath Fixtures & Tub Access -Spa
- -
66. Elec. Trim & Subpanel Breaker Sizes & Labels
----------------------------
67. Stags & Rails
68. Fireplace or Stove: Clearances -Hearth
.. _-- .._..-------------------------------
69 Elec. Outlets at Wood Panel: Int. & Ext.
- . - ------------------ - ---------- - __ ___ - - -- - --
70. Kit.Fixt. & Appliance: Grnd.-Air Gap -Cooking Clearance
- - - ------------------------------------ --
71 Elec. Outlets & Receptacles at Kit. Counter
. ...........------------------------- ----- ---
72. Garage Fire Door: Swing -Landing -Closer
.._.-- -----_......------------------------------ -- -
73. A.C. Duct in Garage -Damper
................................
-.......
----- -----
74. Wtr. Htr.: Vents -Clearance -Comb. Air-Connector-P.R.V.
In Garage. Above Floor-Mech. Protection
...... - ------------------------------ ----
75. Plb.. Elec. & Mech. Equip. Listed for Location
. - .. - - - - --- --------------------------- -
76. Elec. Receptacles in Garage: (G.F.I.)-Romex Protection
--- ----------------------------------------
------------
7, Insulation -Foam -Looked in Attic❑ Yes
-----------------------------------------------------------
78. Guard Rails & Deck Construction -Post Caps
--------...----------------------------------- --
79. Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth
Clearance Looked under Floor ❑ Yes
-- --------------------
80. Following instld.: Drive ❑ Yes ❑ No: Walks ❑ Yes ❑ No:
Planters ❑ Yes ❑ No
- - - -- - - - - - -- - ----- -- - -- -----------------------------
81. Stucco: Brown -Finish
.. - - - - - -- - - -.. ------------------------ - --- - - ------
..---------------------------------
82 A C Unit: D sconnect. Electrical. Plumbing
. ... ... ... ...-------------------------------------- -----
83. Vents Above Roof: Plbg.-Appliance-Fireplace.-Clearance to
Openings
.. ........ - . - - - - - - - - -------------------------- -----
84 Water Well: Disconnect. Electrical. Plumbing
85 Exterior Elec. Trim: G F.I. Receptacle -Underground
_. .._.. - ..--- ---------------------------------
d6 Ventilation Throughout House
. ------- -- ----------- --------
------------------
87 Glass Protection
. - - - - - - ----------- - ------
--------------------------
88. Corrections from Previous Inspections
89 Gas Test -Meters Tagged: Gas -Electric
.. .. - -----------------------------
90 Water & Sewer Connected-CrO to Grade -HD Approval
. . . .__..._.._. ..- -----------------------------
91 Energy Compliance Certificate -Other Certificates
----------------------
Date Card B-1 Date Card B-1
.-------------------------------------
Date Card B-1 Date Card B-1
Date Card B-1 Date Card B-1
Comments at Final:
COUNTY OF BUTTE- DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISION 00eZ
7 County Center Drive - Oroville, California 95965 - Telephone (916) 538-7541 MI
P T NO.
APPLICATION AND PERMIT ���3
ASSESSOR PARCEL NUMBER 026-040-010
ZD I A •
BUILDING PERMIT
OWNER
KENNETH E. MC DONALD
TELEPHONE
533-7279
SO. FT. OCC. BUILDING VALUATION
480 @60 6,240.00
OWNERS MAILING ADDRESS
6720 UPPERPALERIN10 RD OROVILLE
CONTRACTOR'S NAME
PIERSON CONSTRUCTION
TELEPHONE
533-8910
CONTRACTORS MAILING ADDRESS
Fireplace
CONSTRUCTION LENDER
UNIC40WN
Total Valuation $ 6,240.00
Filing Fee $ 20.00
LENDER'S MAILING ADDRESS
Permit Fee $ 90.00
ARCHITECT OR ENGINEER
LICENSE NO.
Plan Checking Fee $ 45.00
Energy Plan Checking Fee $
ARCHITECT OR ENGINEERS MAILING ADDRESS
Penalty $
BUILDINGADDRESSPERMITFEE
„
$ 155.00
PLUMBINGPERMIT Fling Fee 20.00
F
Each Trap 7.00
LOT NO.
SUBDIVISIONS NAME
PARCEL MAP
Solar or heat pump water heater 23.00
Water piping 15.00
USEOFSTRUCTURE
SF ❑ Duplex ❑ Mobilehome EX Other
SPECIFY
Each gas water heater or vent 15.00
Gas piping system 1 - 5 outlets 15.00
Building sewer 15.00
TYPE OF WORK
New ❑ XAddition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑
Describe Work: _REPT AGE AND ADD TO AWNT( Ind
Mobile Home S I G W 920.00
PERMITFEE g
Contractor
ELECTRICAL PERMIT Filina Fee 20:00
Main Service a00V OR LESS
( 200A OR LESS ) 23.00
Main Service ( 200A TO 1000A ) 46.00
LICENSED CONTRACTOR'S DECLARATION
1 hereby affirm under penalty of perjury that I am licensed under provisions of Chapter
9 (commencing with Section 7000) of Division 3 of the Business and Professions Code,
and my license is in full force and effect.
License Class d Lic. No. ��!! fes%
OWNER -BUILDER DECLARATION
I hereby affirm under penalty of perjury that I am exempt from the Contractors License
Law for the following reason:
❑ I, as owner of the property, or my employees with wages as their sole compensation,
will do the work, and the structure is not intended or offered for sale.
❑ 1, as owner of the property, am exclusively contracting with licensed contractors
to construct the project.
❑ 1 am exempt under Sec. Business and Professions Code for this
reason
NEW CONST. DWELLING OCCUR SO.
OR ( a acc. BLDS. ) 3.50 FT.
NEW CCNONSS T. MULTI.OUTLET
@7.
NON RESID. ( BRANCH CIRCUITS ) @7.50
POWER APPARATUS
( a SINGLE OUTLET CIR. )
Ex. Occup. ( OUTLET OR FIXTURES) 20 Q 1.00
BAL
FIXED APPLNS. OR
EX. Occup. ( OUTLETS (RESID.) EA. 5.00
Temporary Service 23.00
Mobile Home Facilities 20.00
Misc. Wiring 23.00
PERMITFEE s
Contractor
WORKERS' COMPENSATION DECLARATION
1 hereby affirm under penalty of perjury one of the following declarations:
❑ 1 have and will maintain a certificate of consent to self -insure for workers'
compensation, as provided for by section 3700 of the Labor Code, for the
performance of the work for which this permit is issued.
❑ 1 have and will maintain workers' compensation insurance, as required by Section
3700 of the Labor Code, for the performance of work for which this permit is issued.
My workers' compensation insurance carrier and policy number are:
Carrier
MECHANICAL PERMIT Filing Fee 20.00
9
Heating
Cooling
Hood 6.50
Ventilation
PERMITFEE $
Contractor
Policy Number
(The above sections need not be completed 0 the permit is for work of a valuation
of one hundred dollars ($100) or less.)
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 workers'
compensation laws of California, and agree that if I should become subject to the
workers' compensation provisions of section 3700 of the Labor Code, I shall
;forth�withwith those provisions.
X__Date,-/-ZZZ��
atf Applicant - ❑Owner Contractor ❑Agent
An OSHA permit is required for excavations over 60" deep and demolition or constructionx
of structures over3 stories in height.
Mobile Home Installation Fee $
Energy Inspection Fee Is
Occ
CONST. TYPE
TOTAL FEE $ 11 155.0
HAZ.
I D. FEES
IMP
FLOOD
I CDF PAR PD I HD
U
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.
_./f/y4(_
BY ateS
PERMITEXPIRESON i 7. /
( ate)
ReceiptNo.1 %J i JZ •
WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT
,,...,.--.ca.r,..r.;.., ...i:...-r-..--r,�.--F..-.w-^•+�'ub,.,,.;: = ,.,jam -r,•.. �.. _� ,..-. _ ..... .. .... ...
COUNTYOF BUTTE - DEPARTMENTOF DEVELOPMENTSERVICES -BUILDING DIVIS ON
7 COUNTY CENTER DRIVE - OROVILLE;,CALIFORNIA95965 -TELEPHONE (916) 538-7541
PERMIT APPLICATION DATA SHEET
OWNER C I n O a G,, 1W 19 A. P. No.
Proposed Building Use cJs2�u t/ Building Inspector cl Date z�
At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance:
DATE RECEIVED BY
/-h-II items hav,� been submitted . .........................................
lot plansbA sets, signed by preparer of plans . ..........................
3. Complete plans, 3/4 sets, signed by preparer of plans . ......................
4. Engineered plans and calcs, 3/4 sets, with wet signature on plans . .............
5. Hazardous Material Form ..............:............................ .
6. Energy Design Compliance and supporting documentation . ..................
7. Statement of Intent for Non -Heated and A/C Buildings . ......................
8. Engineered truss details and layout in duplicate (required prior to plan check). ... .
9. Mobilehome data and manufacturer's installation instructions, 2 sets. ...........
10. Fees of $ ...........................................
11. Impact fees as shown on attached schedule . ............................. .
12. California Department of Forestry plan approval/fees. ....................... .
I Flood elevation letter (100 year flod� by C a' ornia Engineer. .
Sanitation and plot plan approvalur�Health Department . ............ q 9G I
15. City of Chico plumbing permit . .........................................
16. Plot plan and business license approval from City of Biggs/Gridley. .............
17. Planning approval for (A) Use: (B) Parking: ........
18. Contact Land Development.a bout (A) Improvements (B) Drainage. .......... .
19. Driveway permit (construction approval required prior to occupancy). .....
20. Pre -inspection for a�anspe*c o" requeV
required. .. to Bead ng Inspedor (Date
21. Contractor's license information. (No., Name Style, Classification). ............. .
22. Certificate of Workmans Compensation Insurance ............. r .............
23. Owner -Builder Verification (Given to owner , Mail to owner ).............
24. Recorded copy of Agricultural Acknowledgement Statement . ..................
25. Letter of signature authorization . ....................................... .
26. Copy of recorded deed of parcel creation and 60 right of way to a public road. .... .
27. Letter of intent on building use . .........................................
28. Mobilehome utility clearance . ..........................................
29. Documentation of legal access.
30. Documentation of 50% subdivision developed or (A) Road improvements completed
and (B) Parcel meets zoning area and frontage requirements . ......... .... .
31. Existing violations/expired permits . .......................................
32. Plan check list . .....................................................
33.
34.
you issue theermit, pr ess as follows: Mail to�Rner. Mail to contractor.
Telephone 5.33- pr
hold for pickup at CJi^,ov it office. Deliver with inspector.
Other
Parcel Creation
Acreage 0111-Applica
Date 4,���
Copy of Haz-Mat form sent Health Dept. Fire Dept. Air Pollution Date
Copy of plans sent Health Dept. Fire Dept. Other Date By
The following data must be submitted
1. Index permit for above items No. _
2. Additional items required:
it issuance: (Circle new item not checked above).
Contractor, designer, owner, was advised of above required data by _ phone _ mail Counter by _ Date
Contractor, designer, owner, was advised of above required data by _ phone -mail Counter by _ Date
Plans checked by TZ Date 4-2-!f- to Plans approved by Date
Sets of plans on hold in File cabinet AP folder
Copy - Department of Public Works
Sptcma. ROOF COVERING PlEEM1514P.:
MIV4
10 p 1/2 ('0
provideadWjjje
zol, SOL
Foot'
t4
°�s - -_ -- _.-_ _ ;�- -- - ---�_. -- - � �`!� � ,k�.
o.c.
ofz-
lleg C/
���� copy
BUTTE COUNTY
BUILDING DEPARTMENI
I.PPROVED
- EH. USE ONLY
rt PI. AM.a.a
FIw Pbn Anaceea —
Sem to B.D. S- f
TO: Building Department
FROM: Environmental Health
SUBJECT: Sanitation Clearance
oa6
6 -i? -o UAP-ne P4,6A120 leo, a214-o�&-o/v
Owner Location AP#
Plan Approved for: Sewage Disposal Water Supply: Public Private Well
Clearance for . Othe /z ' x u ' d �� Cre,o%ce,ne•7�
Hold final for:
Final clearance O.K. for:
NOTE:
Environmental Health Specialist Date
2/011
.3c
fi
APPROVED
Butte County
Environmental Health
Date
Signature
�l
All construction shall be done in accordance with plans as approved by this office. If structural or
other significant code related changes to the plans and the construction are proposed, the following
procedure must be followed prior to allowing the change:
1. If the plans are prepared by a registered engineer or architect, the plan change must be
resubmitted for approval with the consent of the engineer or architect.
2. If the plans are prepared by other than an engineer or architect, the plan change must be
resubmitted for approval.
3. If the change is simple enough to not require resubmission of the plans, the changes may
be made verbally through our plan checkers.
4. Energy revision will require resubmission of energy design compliance and documentation.
NOTE: In all cases, both the job set of plans and our file set of plans must show the approved
changes even if only accomplished by a written and initialed note on the plans.
0 When taking in revisions, charge for one hour ($46.00) for most revisions. Occasionally there will
be major changes that will require more than one hour charge, those will be charged accordingly
by the plan checker. However, collect the minimum $46.00 before accepting the plans for
revision. Also there will be times when a v_,.yr minor change is requested. This may involve one
beam change or maybe a door or window change or one or two trusses. This type of minor
change may be charged at 1/2 hour (or $23.00) only, if revised plan is clear of exact change to be
made, without client having to explain the change to you.
0 There are very few changes that can be done in 1/2 hour because of your time at the counter, our
time pulling A.P. files, pulling original plan, comparing new with old, checking proposed change,
re -filling A.P. jacket and plans, making deposit, etc. Therefore, collect enough money to cover the
4
DATE: / C
Permit Number:
[ Residential [ ]Non -Residential Received by: Receipt )#:
]From Data [ ]Requested by Plan Checker[ ]Engineering[ ]Other:—/ /0 fI/U n S
[ ]Requested b correction notice: Item: 1 / 0, A
q Y
Location in building where change occurs:
When approved, process as follows:
]Mail to owner:
]Mail to contractor:
[ ]Call: and hold for pickup at
[ ]Deliver with next inspection.
REVISED PLAN CHECK FEES PAID
]$23.00 [ ]$46.00 [ ]Additional fees not required
office.
l�
�-A�
(Nn N`
Nil V'
tj�
IC-1/ LIJ L.
_ l
+' PERMIT NO. 339-78B
PERMIT EXPIRES
OWNER Kenneth McDonald
CONTR. owner
LOCATION (A.P. 26-04+-10
® 6720 Upper Palermo Rd., Oroville
Temp. Power Pole
Called PG&E
Temp. Elec. Serv.
Called PG&E
Temp.Gas Serv.
Called PG&E
JOB
FINALED
(Date)
• - i
(Signature)
Reint. Steel I Final I Fixtures / I
rramin r
COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS
BUILDING INSPECTION EcECOR4)
Water Htr.
BUILDING BUILDING (Cont'd)
PLUMBING
Setback
Firewall
Soil Piping
Forms
Parapets
1st Floor
Main Bldg.
Restroom Finish
2nd Floor
Footings
Windows
3rd Floor
StemwalI
SidIn G
To out
Slab
Root Sheathing
Water Piping
Piers
Rooting
Sewer
Garage
Fdn. Vents
Fixtures
Footings
Stemwa I I
Garage Vents
eo V Insulation
Water Htr.
Heaters
Slab
Carport
Footings
Prov. for physically
handicapped
Conformance of ex
structure
Appliances
Gas Piping & Test
Temp. Gas
Slab
Final L
Sanitation
Patio
FIREPL CE
Final
Footings
Footing —
ELECIfRICAL
Reint. Steel I Final I Fixtures / I
rramin r
Test
Water Htr.
Stucco
Final
Subpanels
Mesh
OtHANICAL
Grd. Fault Pro .
Scratch
Heating
Service
Brown
Cooling
Temp. Pol
Finish
Ducts
Under ro nd
Interior Lath
Ventilation
Permane t
Door Closer
Final
Final
MOBILEHOME UTILITIES ------------------
Elec- Service
Elec. Pedestal
Water Piping
Sewer
Gas Piping
M12816EMOME INSTALL TI N - - - - - - - - - - - - - -
Support
Elec. Continuity
Water Piping
Drainage
Gas Piping
DATE
REMARKS OR CORRECTIONS
(NOTE: An entry must be made on this form each time you visit the job site.)
COUNTY OF BUTTE — DEPARTMENT QF PUBLIC WORKS
7 County Center Drive — Oroville, California 95965
�• Telephoi)e: 534-4541
APPLICATION AND PERMIT
authorize representatives of the County of Butte to enter upon the
above-mentioned property for inspection purposes.
X , v Date
Signat a of Permitee or Agent
Receipt No.Ma 46
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"WUBLIC WORKS
By Date l— 7—
Building permit expires Date 7
BUILDING
Owner
SO. FT. OCC. BUILDIW3 VALUATION
al 401;U ff-D
Mailing Address
eIeWon e No.
Contractor
Fireplace
Total Valuation
Mailing Address
Permit Fee
Plan Checking Fee &/or Penalty
Telephone No.
Permit Fee $
Building AddressPLUMBING
No.1 @ FEE
PERMIT FILING FEE $3.00
Each Trap 1.50
Repair drainage or vent piping 1.50
Water piping 1.50
Ile
Each gas water heater or vent 1.50
/-1
A. P. No. — lJ
Zoning 8 Planning
Gas piping system 1 - 5 outlets 1.50
Each additional outlet .30
F
S 'on Fire Dept.
Fire Zone
Use Permit
Building sewer 5.00
EOA
Parking Parcel
Plans Declaration
Parcel Map
60' R/W
Improvements
Lawn sprinkler system 2.00
Bldg. PI s Rec'
Parcel Appro I Plans Appro
Permit Fee $
$
NEW ADDITION ❑ UTILITIES ❑ OTHER ❑
ELECTRICAL No. @ FEE
PERMIT FILING FEE $3.00
Main service 101V OR 100 AMP LESS
RSLESS 5.00
Main service EA. ADD'L too AMP 2.50
Single Family ❑ Duplex ❑ Mobil Home ❑ Others
Main service OVER 600V
100 AMP OR LESS 25.00
Main service EA. ADD'L too AMP 1.00
`y
l
NEW CONST. I DWELLING OCCUP. &
OR ADDNS. %ACC.BLDGS. 20Sgft -
NEW CONSTR. MULTI.OUTLET
NON.RESI D. ( BRANCH CIRCUITS) 2.50ea
NEW CONSTR. POWER APPARATUS &)
NON.RESI D. (SINGLE OUTLET CIR.
CONTRACTORS LICENSE LAW
I am licensed under the provisions of Chapter 9, Div. 3, of the
State of California Business & Professions Code under the name
style of:
Ex. Occup(OUTLETS OR FIXTURES)@25¢
BAL�T
Ex. Occu FIXED APP LNS. OR
P'(OUTLETS (RESID.) EA) 2.00
Temporary service 10.00
Mobile Home Facilities 15.00
License No. Classification
Misc. Wiring 6.25
1 am exempt from the Contractors License Laws of the State of Cal ifomia.
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.
XXI certify that in the performance of the work for which this
. is issued I shall not employ any person in any manner
so as to become subject to the Workmen's Compensation Laws of
California.
MECHANICAL No.1 @ I FEEPERMIT
FILING FEE J$3.00
Heating
Cooling
Ventilation
Hood 2.00
Permit Fee $
$
I certify that I have read this application and state that the above
information is correct. I agree to comply to all County Ordinances
and State Laws relating to building construction, and hereby
TOTAL PERMIT FEE
authorize representatives of the County of Butte to enter upon the
above-mentioned property for inspection purposes.
X , v Date
Signat a of Permitee or Agent
Receipt No.Ma 46
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"WUBLIC WORKS
By Date l— 7—
Building permit expires Date 7
PERMIT NO. 53Y6 -77B'
� PERMIT EXPIRES
OWNER Ken McDonald
CONTR. Holmes Mobile Home Serv., Oro.
LOCATION (A.P. 26-04-10
6720 Upper Palermo.Rd., Palermo
i
Temp. Power Pole
Called PG&E
Temp. Elec. Serv.
Called PG&E
Temp. Gas Serv.
Called PG&E
JOB %
VFINALED
(Date
a
(Signature)
COUNTY OF BUTTE. — DEPARTMENT OF PUBLIC WORKS _
BUILDING INSPECTION RECORD
BUILDING
BUILDING (Cont'd)
PL ,MBING
Setback
Firewall
Soil Piping
Forms
Parapets
1st Floor
Main Bldg.
Restroom Finish
2nd Floor
Footings
Windows
3rd Floor
Stemwall
Siding
To out
Slab -
RootSheathlng
Water Piping
Piers f
Roofing
Sewer
Garage
Fdn. Vents
Fixtures
Footings
Garage Vents
Water Htr.
Stemwal I
Insulation
Heaters
Slab
Carport
Footings
Prov. for phsically
handica e.
Conformance of ��1c i
structure �/ '
Appliances
Gas Pi in &Test
Temp. Gas
Slab
Final 4
Sanitation
Patio
` •FIREPLACE
Final
Footings
Footing
ELECT CAL
Masonry Walls
Throat
Rou h
Reinf. Steel
Final
Fixtures
stucco Final Subpanels
Mesh MECHAY41CAL Grd. Fault Prot.
Scratch Heating Service
Brown Cooling Temp. Pole
Finish Ducts Underground
Interior Lath Ventilation + Permanent
Door Closer Final Final
MOBILEHOME UTILITIES ------------------ Elec. Service Elec. Pedestal
Water Piping Sewer Gas Piping
MQ816EUOME INSTALLATIIO�N - - - - - - - - - - - - • - Support Elec. Continuity_
Water Piping Drainage Gas Piping
DA E REMARKS OR CORRECTIONS
--
(NOTE: An entry must be made on this form each time you visit the job site.)
JCOUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS
7 County Center Drive - OroviIle, California 95965
Telephdne: 534-4541
APPLICATION AND PERMIT
S,376 —7 7
Cru U1uIIGe iuPresentdnves of the County of Butte to enter upon the
above -me tioned property for inspection purposes.
X Date _10
ignat re of Permitee or Agent
Receipt No. 1 "7o -3 W _
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 0 UBLIC WORKS
By. Date -1,4-7]
lJ
B Iding permit expires Date
BUILDING V, WFT1 or 0
Owner C DOM
SQ. FT. OCC. BUILDING VALUATION
Mailing Address r11
Telephone No.
-
Fireplace
Contractor p[ n'► 6 6 �L 6k(1j,4EF_
Total Valuation
Mailing Address,/ (��
Permit Fee
Plan Checking Fee&/or Penalty
�Q ( j✓
Telephone No.
Permit Fee $ t
Building Address
PLUMBING No.1 @ FEE
PERMIT FILING FEE $3.00
% ( d,
Each Trap 1.50
n
Y�'L
Repair drainage or vent piping 1.50
Water piping 1.50
Each gas water heater or vent 1.50
A. P. No.Z
oning $ Planning
Gas piping system 1 - 5 outlets 1.50
Each additional outlet .30
sad;+ion
I FireDept.
I FireZone
Use Permit
Building sewer 5.00
EQA
Parkiarking n
DeP arcel
Parcel Map
60' R/W
Improvements
Lawn sprinkler system 2.00
ec'd
Parcel Approvql PI pproval
Permit Fee $
$
NEW ADDITION ❑ UTILITIES ❑ OTHER ❑
ELECTRICAL No. @ FEE
PERMIT FILING FEE $3,00
Main service io°°V OR o AMP ORLESS5.00
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 100 AMP 1.00
r
/Y��/ ]�� el/ AJ
(i V CJ IV /J/
NEW CONST. DWELLING OCCUP. &
OR ADDNS. ( ACC. BLDGS. ) 120 sq ft
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
$t le of
Y �/ � ^^B bIL�
M �{- �L (/r CrE
Ex. Occup(OUTLETS OR FIXTURES) BAL @251O 9
FIXED APPLNS. OR
EX. QCCU p.(OUTLETS (RESID) EA) 2•��
Temporary service 10.00
Mobile Home Facilities 15.00
License No. _5Z/3 / _�
7 Classification
Misc. Wiring
146.25
❑ 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 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
$
30
Cru U1uIIGe iuPresentdnves of the County of Butte to enter upon the
above -me tioned property for inspection purposes.
X Date _10
ignat re of Permitee or Agent
Receipt No. 1 "7o -3 W _
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 0 UBLIC WORKS
By. Date -1,4-7]
lJ
B Iding permit expires Date
,PERMIT NO. 3961-77MHI
Po- ••
j
PERMIT EXPIRES
OWNER KENNETH McDONALD
CONTR. Lincoln Village MH Ser, Oro.
LOCATION (A.P. 26-04-10 )
6720 Upper Palermo Rd.,, Palermo
Temp. Power Pole
Called PG&E
Temp. Elec. Serv.
Called PG&E
Temp. Gas Serv.
/Called PG&E
FINALED
(Date
(Sig a ure)
M0BP,1ai0ME' LISTALLM'10 d INSPECTION CHECK LIST
1. Is the.. rnobilehom,: located wit -Ji required separation from lot lines and buildings and general].%
conform to plot plan? Yes �,� No
2. Does the m:?bil.ehome lave- required clearances above ground? (Sec. 5085) Yes No
3. Are foot:in�s and supports properly sized, spaced, and braced a r approved plans? (Note
possible variation at spring shackles.) (Sec. 5082 & 5083) Yes_No
4. Is the mobilehome level.? (Sec. 5088) Yes No'
5,. If more than-a`single unit, are crossover connections properly installed? (Sec. 5088)
Yes No
5. Water.
A. Is flexible connector of adequate size and properly installed (1/2" ID min.)? (Sec. 5566)
Yes_X No
B. Test - Does water piping withstand working pressure or 50 lbs, air test? Yes No
C. and Pres - If coach valve?
nla 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 per foot slope and is .it properly 'supported? Yes No
Are any leaks detected in drainage system after running 3 -gallons of water through each
fixture including washing machine standpipe? Yes No�%�
D. I.' d does station have required trap and vent?
Yes No
8. Gas Piping arY Gas Vents
A. Connector- Is mobilehome connected to the gas sUp with an approved 3/4" minimum
mobilehome connector not more than 6 ft, long? ote: All piping is to be at least as
large as th mobilehome gas line inlet without eductions other than the mobilehome
connector. s No
B. Test OK as per f lowing procedure? Yes No
1, Open all appli ce connector valves,
2. Shut off applianceurner and pil t valves.
3. Air test with manomet to 10" 4" water column, or test with slope gauge (minimum
6oz.-maximum 8 oz.) tali rat in tenth pound increments. Test for 10 min, without
drop.
4. Connect: gas meter to ilehorne tli connector, turn. on gas, test connections with
soapy water. /
C. Are all .appliance vents properly installed? Yes_ No
9. Electrical
A.
Is
service large enoligl. to provide adequate amperage to mobilehome. (must equal rating of
mobilehome ('aith 8. :;i'1Tl.l]t:Um o, 100 amp) and other faciliti_Eis on lot, i.e., water pumps,
gara ,e, cabana, ctc.? Yes No
li.
Is
there proper clearances around panels? YesNo_
C.
Is
power supply cord or feeder assembly properly fused? YesX No ._
D.
Is
continuity test satisfactory as per the following procedure? YesV Yes'No
1.
De -energize electrical wiring systeri of the mobilehome at the pe e tal+
2.
Make sure that the power supply cord or feeder assembly conductors, including neutral
conductor, have been disconnected.
3.
Switch all brealcers and switches in,the mobilehome to the "on" position.
4.
Connect one lead of a test instrument to the mobilehome grounding conductor and
�_ .., _I..... ,_.. ,. ,
apply the oLhe Lead %u each ❑IUUL.LC1LL)11Le Sii�iYly CUnuLiCtU'i, ilicluuiYig iteL.iLrat.
5.
All nor. -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 completic_n of the above procedure, the power supply cord or feeder assembly
conductors shall be connected to the site service equipment. A further continuity
te::;L shall then be made between the grounding electrode and the chassis of the
mobilehome. UDOn satisfactory completion of the electrical tests, the lot or site
service equipment may be approved for energizing.
.G, Ts job card si 'ned by Health Departme�lt for water and sanitation?
o
l.i., if everything olray, sign off card and t.a; services.
MUB7:L'c:ilUi^jam' DATA �\
rlanufacturer and/or Namestyle���
Length Width
Vehicle Se=ial No.
State Idencif icati.on No.
4.dei Ltional Infol-natJon or Comments:
COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS .
BUILDING INSPECTION RECORD
BUILDING
BUILDING (Cont'd)
PLUMBING
Setback
Firewall
Soil Piping
Forms
Parapets
1st Floor
Main Bldg.
Restroom Finish
2nd Floor
Footin s
Windows
3rd Floor
StemwaII
Siding
To out
Slab
Roof Sheathing
Water Piping
Piers
Roofing
Sewer
Garage
Fdn. Vents
Fixtures
Footings
Stemwa l l
Garage Vents
Insulation
Water Htr. -
Heaters
Slab
Carport
Footings
Prov. for physically
handica edy
Conformance of ex.
structure
Appliances
Gas Piping &Test
Temp. Gas
Slab
Final
Sanitation
Patio
FIREPLACE
Final
Footings
Footing
ELECTRICAL
Masonry Walls
Throat
Rough
Relnf. Steel
Final
Fixtures
Bond Beam
FIRE SPRINKLERS
Motors
Framing
Test
Water Htr.
Stucco
Final
Subpanels
Mesh
MECHANICAL
Grd. Fault Prot.
Scratch
Heating
Service
Brown
Cooling
Temp. Pole
Finish
Ducts
Underground
Interior Lath
Ventilation
Permanent
Door Closer
Final
Final
MOBILEHOME UTILITIES ------------------ Elec- Service
Elec. Pedestal
Water Piping
Sewer
Gas Piping
E ME INSTALLATION
- - - - - - - - - - - - - - Support '
Elec. Continuity d
Water Piping
Drainage
Gas Piping
DATE
REMARKS OR CORRECTIONS
(NOTE: An entry must be made on this form each time you visit the job site.) I
COUNTY OF BUTTE
DEPARTMENT OF PUBLIC WORKS 7 COUNTY CENTER DRIVE
OROVILLS, CALIF. - 534-4541
CERTIFICATE OF OCCUPANCY
This mobilehome has been. installed in accordance with the requirements
of the Califor is Administratve Code, Title 25, Chapter 51 under permit
number �y�i--,7-7for the following location:
Owner—
Owner's Address 7�/ems
r /y77
• Mobilehome Mfrg,.� /�/�I'-���- Model Year
Insignia No. !'%�i�.S"�/� 4- 3 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
�. COUNTY OF BUTTS — DEPARTMENT OF PUBLIC WORKS
7 County Center Drive — UroviIle, California 95965
Telephone: 534-4541
APPLICATION AND PERMIT
,� (?6 , / --7
ec,� 4�-�
authorize representatives of the County of Butte to enter upon the
abo-me honed property for inspection purposes.
Date
Signal re of Piermiittteeeeoor Agent
er
Receipt No. is /
White-D.P.W. - Yellow -Assessor - Pink -Inspector - Goldenrod-Applicarit
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 aid.
DIRECTOR OXBLIC WORKS
B yS Dated 1T1
1
l lding permit expires Date 7
BUILDING
Owner i'I ew14Lerp IN 0
SQ. FT. OCC. BUILDING VALUATION
M a i I i n g A d d re s s 7� (� (j�✓�L �py�o,
�i�
�1 Lb
W � 1J I. L a- C4i ice,
Telephone No.
Fireplace
Contractorhi 1L 0, L fid,,- L
Total Valuation
Mailing Address0lL,2, Cf V &. Li -A 6 Lc?0
Permit Fee
Plan Checking Fee &/or Penalty
_
uldel CA -LIP,
T ho e
_
Permit Fee $
Building Address.13� Q���-
PLUMBING No. @ FEE
PERMIT FILING FEE $3.00
Each Trap 1.50
Repair drainage or vent piping 1.50
Water piping 1.50
Each gas water heater or vent 1.50
A. P. No.
Zoning & Planning
Gas piping system 1 - 5 outlets 1.50
Each additional outlet .30
Fees
W. .
Sa I on
�FireDept.
Fire Zone
Use Permit
Building sewer 5.00
EQA
Parking Parcel
Plans Declaration
Parcel Ma P
60' R/W
Improvements
P
Lawn sprinkler system 2.00
ec'd A
Parcel A val I
Pla pproval
Permit Fee $
$
NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER
ELECTRICAL No. @ FEE
PERMIT FILING FEE $3.00
S
Main service 800V OR LESS 5.00
100 AMP OR LESS
Main service EA. ADD'L 100 AMP 2.50
Single Family ❑ Duplex Mobil Home Others ❑
ER 600V
Main service 10 0 AMP OR LESS 25.00
Main service EA. ADD•L 100 AMP 1.00
NEW OR ADDNST ( OACCLBLDGSLING �CUP. &) 22.sgft
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
styleof: I1 /( H`� /_ {�
L LIpl�4b� Tf/ ` ,�"1 's'
Ex. Occup(OUTLETS OR FIXTURES) BAL�
Ex. Occup.04
FIXED APPLNS. OR
OUTLETS (RESID.) EA) 2.00
Temporary service 10.00
}IIiL
rsGfD l L11�1�Li1 /.7_ ��.i ��� ®/Lo U ( Ile C/i�-�C/ �-��
Mobile Home Facilities 15.00
License No. 301 (63 Lassifiratinn
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.
fGi I have placed on file with the County of Butte a certificate of
4dc� Workmen's Compensation Insurance.
I certify that in the performance of the work for which this
permit is issued I shall not employ any person in any manner
so as to become subject to the Workmen's Compensation Laws of
California.
MECHANICAL No. @ FEE
PERMIT FILING FEE $3.00
Heating
Cooling
Ventilation
Hood 2.00
Permit Fee $
$
I certify that I have read this application and state that the above
information is correct. I agree to comply to all County Ordinances
and State Laws relating to building construction, and hereby
//
/7%.9IL-r A.1- a-
TOTAL PERMIT FEE
$� 8�
authorize representatives of the County of Butte to enter upon the
abo-me honed property for inspection purposes.
Date
Signal re of Piermiittteeeeoor Agent
er
Receipt No. is /
White-D.P.W. - Yellow -Assessor - Pink -Inspector - Goldenrod-Applicarit
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 aid.
DIRECTOR OXBLIC WORKS
B yS Dated 1T1
1
l lding permit expires Date 7
NOTE: --All Materials & Workmanship Shall Be in
Accordance with Recognized Good Practices and
of a quality prescribed far . the Specified _ use in the
Uniform Building, Plumbing & Mechanical Cod s afid
the -National Electrical Code.
T
This set of plans and specificc tions MUST be
hr- n+ nn Ahe lob at 0 +irnes and t is unlawful to
m.roirn nriv changes or caltprci+ions en same without
written permission from the Depai f ment of Public
Works, County of Butte.
All utility connections sha I be 5
located within 4 it. outside tha rear
third section of the mobile home
on the left (road) side of theobile
home. In , .
41#
The 4W Setback shaA be j 4t. from the
side property line and e 0 ft. fr amnaxi
centerline of the road, p g
mum of a 2 ft. eave overha g but entirely,
out of all easements.
BUTTE COUNTY
BUILDING DEPARTMENT
APPROVED ��
(� 1
F
F-
ee ie Nom
1 ,• �• i i.
WE WILL BUY SE
CONSIGN YOUR MOBILE HOA
DEALING IN 12 WIDES — EXPANDOS
24 WIDES — NEW & GOOD CLEAN USED HOMES
2 Miles South of Oroville on (Lincoln Blvd.)
(old Palermo Rd.)
BUTTE COUNTY DEPARTMENT OF PUBLIC WORKS `
7 County Center Drive, Oroville, CA.
PHONE: 534-4541
MOBILEHOME INSTALLATION SHEET
1. owner's name: r (F/V 11 9-M /M C /./(TW (jj
2. Installer's name :. 11 1 Ue-4,6- l V I L.IJy C
3. Is the site currently under permit? Yes / / No
(If yes, furnish permit number ) 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
e
clear of all setbacks and easements? Yes No
(if no, clarify )
14
5. What is the mobilehome electrical rating?�---°�'�-� - Ot Amps
P
6. What is the mobilehome site service rating? --------------------- 02. Amps
7. What is the mobilehome site circuit breaker rating? ------------- (fes Amps
8. Is there any other electric load to be served -by the mobilehome
site
service? --------------------------------,-------------------
Yes � No
(If yes, identify the load and M1size:'
O" VYLJ9 (Load) 0-;
(Amps)
9.
What
is the mobilehome site gas pipe size?
----------------------
(in.)
10.
What
is the type of as service.
YP g �-----------------------------
Natural —T
/--�>_.• LPG
11.
What
is the gas pipe length.from meter or tank to the mobilehome? �
(ft.)
12.
What
is the mobilehome gas demand? ------------------------------
-Z!S)—
(BTU)
(This information not required if pipe
length less than 6 ft. on natural gas
t or lit{ 9/ ttiari, 50 ft-, on;:LPG. )
MOBILEHOME SUPiORT -DATA
Mobilehome Mfr. PO 6) u R Setup Model No. `G ;W Year
Width c2,�l (ft.) Length (ft.) Ekpando Size �"ft.x--& ft.
(Draw 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).
k
Center Support
Footing Sizes
(in.)
x
(in.)(in.)
Sin�le - e
*If center piers are other than drawn above,
draw in locations, spacing, and dimensions.
Footings-(check.one)
/ 1. Wood.either
pressure treated or
fdn. grade.
2. Concrete pad.
3. Other,: specify
Supports (check one)
1. Concrete block
2. Concrete piers
3. Steel piers
4. Other, specify
Typical Support
Footing
Footing Size
Ir......-.__.-_._ Max. Pier
n.) Spacing
Max.
ice) Overhang
In.
BUTTE COUNTY
BUILDING DEPARTMENT
APPpOVED
_ 'loam•►-.-.sy:'a�c<..c�s•+ e!- _ ::.�..'+aEJl1�' rn^�71� .s}'�T� "�',-:'14t" ` �`i"-`_ `f �r�(�� � y., -'f�; ,I�Y.'.�:7y :A- ^.+t:.F'er
Y• � •
4'
REQUEST TO DEBATE
24 X 56 Fuqua Gulfstream Mobile Home
j 24 x 56 Q 1344 Sq. Ft. x 3 watts a 40)2 W.
2 Kitchen circuits 3000, W.
1 Washing Machine circuit 1500 W.
Purna�ce 15000 W.
Hotwater hetater 9800 W. ?
Stove & *Ren 11180 fit.. ?
TOTAL WATTS 4454. W -
/V/
V/ DOO CO, 00 7d M b O (.)
p
1A `
BUTTE
COUNTY
BUILDING'
DEPgRTMENT
APPROVED
0
"PERMIT NO. 708-76B
i'
PERMIT EXPIRES
'OWNER W. Salisbury,
CONTR. Acro-Lume, Oroville
LOCATION (A.P. 26-04-10 )
6720.Upper Palermo Rd., Oroville
Temp. Power Pole
Called PG&E _
Temp. Elea Berg
Called P &E _
Temp. G s Serv. _
.'-f PG&E _
JOB
FINALED
(Date) /}
(Signature)
(NOTE: An entry must be made on this form each time you visit the job site.)
COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS ,
BUILDING INSPECTION`RECMD
BUILDING BUILDING (Cont'd)
PLUMBING
Setback Firewall
Soil Piping
Forms
Parapets
1st Floor
Main Bldg.
7 Restroom Finish
1
2nd Floor
Footings
Windows
3rd Floor ?
Stemwall
Siding
To out j !
Slab
Roof Sheathing
Water PipingI
Piers
Roofing
Sewer
Garage
Fdn. Vents
Fixtures
Footings
Garage Vents z
Water Htr.
Stemwall
Slab
Prov. for physically
handicapped
Heaters
Appliances
Carport
Footings
Conformance of ex
structure
Gas Piping & Test
Temp. Gas
Slab
Final
Sanitation
Patio
FIREPCAClk
Final
Footings
Footing
E CTRICAL
Masonry Walls
Throat `
Rough
Reinf. Steel
Final
Fixtures
Bond BeamFIRE
PRI KLERS
Motors
A, Framin
` Test
Water Htr.
Stucco
Final
Subpanels
Mesh
ME ANICAL
Grd. Fault Pro .
Scratch
Heating
Service
Brown
Cooling
Temp. Pole'
Finish
Ducts
Under round
Interior Lath
Ventilation
Permanent
Door Closer
Final i
Final
DATE REMARKS OR CORRECTIONS
(NOTE: An entry must be made on this form each time you visit the job site.)
COUNTY OF BUTTE —-DE—P-ARTMENT OF PUBLIC WORKS
7 County Center Drive �} Orowille, California 95965
Z�PTel epfione: 534-4541 `76
APPLICATION AND PERMIT All
auro vrermir r r en'r/
%y o7- 6 �7` By Date 2, Z- •-7
Receipt No. Z, Zt( •-Z7
White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant E Uilditl9 permit expires Date
BUILDINCT
Owner AL /S 1 t
SQ. FT. OCC. BUILDING VALUATION
Mailing Address
Telephone No.
Fireplace
Contractor 4C
— u )LI. c, ,
Total Valuation Q-rJ
Mailing Address L. v p
Permit Fee
Plan Checking Fee &/or Penalty
elephone No.
® Q-0LJ/ 14L�
Permit Fee
42
Building Address PPJFP_ AL. la P_ �1�
PLUMBING No. @ FEE
PERMIT FILING FEE $3.00
v 12®U ILt_C_.
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. (Q - (2)4— I O
Zoning & Planning
Gas piping system 1 - 5 outlets 1.50
Each additional outlet .30
F
do
Fire Dept.
Fire Zone
Use Permit
Building sewer 5.00
EQA
Parking -1
Plans
Parcel
Declaration
Parcel Ma p
60' R/W
Improvements
Lawn sprinkler system 2.00
Bldg. Plans Recd
Parcel provol
�p�
Plons Approval
Permit Fee $
NEW ADDITION ❑ UTILITIES ❑ OTHER IN
ELECTRICAL No. @ FEE
PERMIT FILING FEE $3.00
L
Main service incl. 1 meter
Additional meters, each 1.00
Sub -panel (12 or less) (more than 12)
—
Sin a Family ❑ Duplex ❑ Mobil Home ® Others ❑
Range, Cook -top or Oven 1.00
`- l ���
Water Heater or Space Heater 1.00
Light fixtures bal 0 (d0 102
Receps., switches & fix outlets
CONTRACTORS LICENSE LAW
I am licensed under the provisions of Chapter 9, Div. 3, of the
State of Calif rnia Business & Professions Code under the name
style of:
C A::!® — �� �%4
Hood, Ex. Fan or F.A. Furn. Motor 1.00
Evap. cooler, gar. disp. or D.W. 1.00
Air conditioner or heat pump
Water pump
Mobil Home Facilities 5.00
Temp. Power Pole 5.00
License No. 51S-_Classification
Misc. wiring
❑ I am exempt from the Contractors License Laws of the State of California.
Permit Fee $
$
MECHANICAL No. @ FEE
WORKMEN'S COMPENSATION INSURANCE
1 am aware of the provisions of Section3700 of the California Labor
Code which requires every employer to be insured against liability
for Workmen's Compensation.
®' I have placed on file with the County of Butte a certificate of
Workmen's Compensation Insurance.
❑I certify that in the performance of the work for which this
permit ,is issued I shall not employ any person in any manner
so as to become subject to the Workmen's Compensation Laws of
California.
PERMIT FILING FEE $3.00
Heating
Cooling
Ventilation
Hood 2.00
Permit Fee $
$
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 ui ding construction, and hereby
authorize representative hemy of Butte to ter upon the
above -me 'oned ope&yinsK�ft��ion pu
X Date — —
TOTAL PERMIT FEE
$
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 b paid.
DIRECTOR OF UBLIC WORKS
auro vrermir r r en'r/
%y o7- 6 �7` By Date 2, Z- •-7
Receipt No. Z, Zt( •-Z7
White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant E Uilditl9 permit expires Date
PERMIT NO. 4252-75P,E
P
E
M
�.MH UTIL.
PERMIT.'NO.
PERMIT EXPIRES
,OW.NER Delbert' Salisbury
,,CONTR.
LOCATION (A.P. 26-04-10
6720 -Upper Palermo Rd., Palermo
Temp. PowerzPole
,or
Called PG&E
i. Temp. E1c. Serv.
Called PG&E
AV
Temp. Gas Serv.
9 knvf c -
Called PG&E
v
JOB
FINALED
`�/`
(Dat
(Sidnature)
MOBILEHOMEINSTALLA?"436-1 INSPECTION CHECK LIST
1. Is the mobilehome located with•required separation -from lot lines -and buildings and generally
conform to.plot'plan?' Yes 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 approved plans? .(Note
possible variation at spring shackles.) (Sec. 5082.& 5083) Yes No
4.. Is the mobilehome level? (Sec. 5088) Yes_ No
5. I.f more than a single unit, are crossover connections properly installed? (Sec. 5088)
Yes No
6. Water
A. Is flexible connector of adequate size and properly installed (1/2" ID min.)? (Sec. 5566) -
Yes No
B. Test - Does water piping withstand working pressure.or 50 lbs, air test? Yes No
C. Backflow - If coach is not State of California approved, does station have backflow device
and pressure -relief valve? Yes No
7. Wastes and Drains
A. Is connection.made with Schedule 40 DWV and have flex connectors.at"each end? Yes No
B. Does it have minimum" per foot slope and is it properly supported? Yes No
C. Are any leaks detected in drainage system after running 3 -gallons of water through each
fixture including washing machine standpipe?•,.Yes No
D. If coach is not State of California approved, does station have required trap and vent?
Yes No
8. Gas Piping and Gas Vents
A. Connector - Is mobilehome connected to the gas supply with an"approved 3/4" minimum
mobilehome connector not more.than 6 ft, long? Note: All piping is to be at least as
large as.the mobilehome gas line inlet without reductions other than the mobilehome
connector.' Yes No
B." Test OK as per following procedure? Yes_ No
1. Open all appliance connector valves.
2. Shut.off appliance burner and pilot valves.
3. Air test with manometer to 10"-14"'water column, or test with -slope gauge (minimum
6oz.-maximum 8 oz.) calibrated in tenth pound increments... .Test for 10 min, without
drop.
4. Connect gas meter to mobilehome.with connector, turn on gas, test connections with
soapy water.
C. Are all appliance vents properly installed? Yes No
9. Electrical^`
A. Is service large enough to provide adequate amperage -to mobilehome (must equal rating of
mobilehome wtith a minimum of 100 amp),and other facilities on'lot, i.e., water pumps,
garage, cabana, etc.? Yes No
B. Is there proper clearances around panels? Yes No
C. Is power supply cord or feeder assembly properly fused? Yes No
D. Is continuity test satisfactory as per the following procedure? Yes No-
l..
o_1. De -energize electrical wiring system of the mobilehome at the pedestal.
2. Make sure that the power supply cord or feeder assembly conductors, including neutral
conductor, have been disconnected.
3. .Switch all breakers and switches in the mobilehome to the "on" position.
4. Connect one lead of a test instrument to the mobilehome grounding conductor and
apply the other "Lead to each mobilehome supply conductor, including neutral.
5. All non-current, carrying metal parts of the mobilehome (aluminum siding, gas line,
water line), including fixtures and appliances, shall be tested for continuity from
such equipment and the grounding conductor.
6. Upon completion of the above procedure, the power supply cord or feeder assembly
conductors shall be connected to the site service equipment. A further continuity
test shall then be made between the grounding electrode and the chassis of the
mobilehome. Upon satisfactory completion of theelectrical 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 /J
Manufacturer and/or Namestyle.
Length Width
Vehicle Serial No.01Y `� ✓�_� �� 5 S'
State Identification No.2,� ,9-"d K&;ZZ 7775
Additional,Information or Comments:
DATE REMARKS OR �CqRRECTIONS
le
/
I
r .
COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS
BUILDING INSPECTION RECORD
r ^�
B 'ILDING UILDING (Cont'd)(
PLUMBING
Setback
Firewall i
Soil Piping
Forms
Parapets
1st Floor
Main Bldg.
Restroom Finis
2nd Floor
Footings
Windows
3rd Floor
Stemwall
Siding
To out
Slab
Roof Sheathing
Water PieinqZ—'%
Piers
Roofing
Sewer . Q X_
Garage
Fdn. Vents
Fixtures
Footings
Garage Vents
Water Htr.
Stemwall
Slab
Prov. for physically
handicapped
Heaters
Appliances
Carport
Footings
Conformance of ex.
structure
Gas Piping & Test
Temp. Gas _AD
Slab
Final
Sanitation r
Patio
FIRE 5 LACE
-Final 3
Footings
Footing
ELECTRICAL
Masonry Walls
Throat
Rough A10
Reinf. Steel
A Final
Fixtures
Bond Beam
FIRE SPRIN E S
Motors
Framing
Test
Water Htr.
Stucco
Final
Subpanels
Mesh
MECHANICA
Grd. Fault Prot. `
Scratch
Heating
Service 111717-1
Brown
Cooling
Temp. Pole
Finish
Ducts
Underground
Interior Lath
Ventilation
Pennanen
Door Closer
Final
Final
DATE REMARKS OR �CqRRECTIONS
le
/
I
COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS
7 County Center Drive — Oroville, California 95965
Telephone: 534j4541
APPLICATION AND PERMIT
BUILDING
Owner
SQ. FT. OCC. BUILDING VALUATION
Mailing Address
Tel hone No.
Fireplace
Contractor
Total Valuation
Mailing Address
Permit Fee
Plan Checking Fee &/or Penalty
Telephone No.
Permit Fee
$
I
Building Address
PLUMBING
No.
@
FEE
PERMIT FILING FEE $3.00
,QO
Each Trap 1.50
Repair drainage or vent piping
1.50
Water piping 1.50
d0
Each gas water heater or vent 1.50
A. P. No. 6 --' & - O
AZoning
Gas piping system 1 - 5 outlets
1.50
Each additional outlet .30
F s-11
S n ion
Fire Dept.
Fire Zone
Use Permit
Building sewer 5.00
�Oa
EQA
Parking
Plans
Parcel
Declaration
Parcel Ma P
60' R/W
Improvements
p ovements
Lawn sprinkler system 2.00
Plans ec`_d
Parcel Approval
Plants pproval
Permit Fee
$
NEW ❑ ADDITION ❑ UTILITIES OTHER ❑
ELECTRICAL
No.
@
FEE
PERMIT FILING FEE $3.00
3 DO
Main service incl. 1 meter
jf
Additional meters, each
1.00
-
Single Family ❑ Duplex ❑ Mobil Home Co Others ❑
Sub -panel (12 or less) (more than 12)
Range, Cook -top or Oven 1.00
Water Heater or Space Heater
1.00
Light fixtures
Receps., switches & fix outlets
CONTRACTORS LICENSE LAW
I am licensed under the provisions of Chapter 9, Div. 3, of the
State of California Business & Professions Code under the name
style of:
Hood, Ex. Fan or F.A. Furn. Motor
1.00
Evap, cooler, gar, disp. or D.W. 1.00
Air conditioner or heat pump
Water pump if 0°
710
Mobil Home Facilities 5.00.!
r_
Temp. Power Pole 5.00
License No. Classification
Misc. wiring
XN 1 am exempt from, the Contractors License Laws of the State of California.
Permit Fee
$
a.40
$
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.
ygg I certify that in the performance of the work for which this
permit Js 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
$ OG
au Uwll IcFll vocal RaUVW;1 UI UIC VUUnIy UI DULLU [U,t3111C1 UPU11 MU
abovje-mentioned property for inspection purposes.
X /- . .�Datea/ .5",
Signature of Permitee or Agent
R4% No.9/ :::T3
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 PUBLIC WORKS
By Date��J
Wilding permit expires DateJ% %7
NOTE:—All Mr4prinls & Workmanship :Shall Be in
• ! /!.� r{)rr� nr^p W tlt d c ces ?
,, fwnA pr!! �; am
Of a cr«�!< ,, nre cforke Spec;f;ed use in the
UniformBi!1lf4}r:1,- Pkfml inq & Machanical Codes and
the National Electrical Code.
7-
11 Utli . .
:I°ea ty co
I ed with Conn
°h th section f ft oUtsldeshall. C!
'� a /L the the ,kIr'_ Q
hOn7e.. (r°ad, sld 7►obile pt, 1,f.
�A a of the mobil a �-�
• pal', PGQ
p
4ip6il ' 40'.
- � ego ; jr�e ti •
N
94; teaehoc,,�dhd/�tohca.s. . to /oh
ea $
e &,4LC
f,
r'
t
hi� ii5
rhe B Setback shall be 5 ft. fTotn
the side property line and 50 ft. frop-•
the' centerline of the road; .permittirtio
a maximum of a 2 ft, eave `o'verhar g
fhis set of plans a --s ib# , MUST be
cept on tho job at all times and it is unlawful to
eke any changes or alterations on same without
wrItt n permisson •from. the Department of Public
Works, County, of butte.°¢,
9
BUTTE COUNTY
e
T 31JILDING DEPARTMENT
PROVE
I
i COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS
7 Qounty Center Drive — Oroville, California 95965
Telephone: 534-4541
APPLICATION AND PERMIT t
Owner
Mailing Address
I I BUILDING,
'I SO. FT. I OCC.T BUILDING VALUATION
Telephone No.
Contractor
Mai I i ng Address
Telephone No
35— a -a6
Building Address �a-U
A. P. No. cy-6 — Q — / Q Zoning & Planning
F Sa"48+ierr Fire Dept. Fire Zone Use Permit
EOA Parking I Parcel Parcel Ma 60' R/W Im rove ents
Plans Declaration p p
Bldg. PVKs Rec'd Parcel I proval Plans Approval
NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER
Single Family ❑ Duplex ❑ Mobil Home Others'❑
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 incl. 1 meter
Additional meters, each
Sub -panel (12 or less) (more than 1:
Range, Cook -top or Oven
Water Heater or Space Heater
Light fixtures
Receps.., switches & fix outlets
CONTRACTORS LICENSE LAW Hood, Ex. Fan or F.A. Furn. Motor
I am licensed under the provisions of Chapter 9, Div. 3, of the Evap. cooler, gar. disp. or D.W.
State of California Business & Professions Code under the name Air conditioner or heat pump
style of: Water pump
Mobil Home Facilities
QTemp. Power Pole
` ' Misc. wiring
License NQA� 42n> Classification
( 4, z -
❑ I am exempt from the Contractors License Laws of the State of California. Permit Fee
MECHANICAL
WORKMEN'S COMPENSATION INSURANCE PERMIT FILING FEE
I am aware of the provisions of Section3700 of the California Labor Heating
Code which requires every employer to. be insured against liability
for Workmen's Compensation.
❑I have placed on file with the County of Butte a certificate of
Workmen's Compensation Insurance.
❑I certify that in the performance of the work for which this
permit .is issued I shall not employ any person in any manner
so as to become subject to the Workmen's Compensation Laws of
California.
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 repesentative f the Count of Butte to enter upon the
above -men 'ed prope orins/� io purposes.
Date
Signature of Perrmmitee or Agent
Receipt No. ZJ 17 0
White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant
Coo I i
Ventilation
Hood
Permit Fee
@ FEE
$3.00
1.50
1.50
1.50
1.50
1.50
.30
5.00
2.00
$3.00
2.00
FEE
D
" TOTAL PERMIT FEE 1$90106
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 0 UBLIC WORKS
ByDate 0 7
��. t
ilding permit expires,Date ���1�
=I
COUNTY OF BUTTE - Department of Public Works
7 County Center Drive,, Oroville, California
PHONE: -534-4541
MOBILEiOME INSTALLATION INFORMATION
Lot Facilities
1. Plot plan dimensioned, location of mobile
and utility connections?
Yes ->L No
2`. Electri.cal.service equipment ampacit4m
Circuit breaker ampacity
Permanent Wirin Co nection v, e a ,
Aspacity
Receptacl Ampaci.ty.�
Gas:. Natural LPG
Gas riser size
4. Drain inlet size
5. Hater riser. size
6..Are utility connections located outside
the rear 1113 of the mob:ilebome within -
4 feet of the left wall? Yes No
If not,. show dimensions.above.
7. Is the mobilehome clear of septic tank,
leach fields and located outside public
utility easements? Yes No
8. Do you propose to do other work on the
property other than the mobilehome
installation 'rich will require a permit
Yes_ No
If so, specify
_
Mobilehome Data
1. Length._ Width C�
Manuf acturer&,J1.j(
Vehicle Serial No. 4/(155
Insignia Control No. A/ -7 -y
.2. Feeder assembly ampacity 0?0y
Conduit size
Power supply cord (amps
Gas inlet size
Mobilehome connector size
Capacity.
4. Drain connectors describe on reverse side
5. 'Waterconnector: describe on'reverse side -
6. Designed loads:
Roof live load o psf.
.Wind load 15 psf. .
(only for nobilehomes manufactured after
October 7, 1973)
7. Manufacturer's installation instructions?
Yes,>< No
8. Will the mobile home be installed on -a
separate su port structure?
Yes No
*For plans and specifications.of support system, see other side..
I
�
��s
LOATJ BEARING
SUPPORTS
ADDITIONAL CO1,D!7';TS
Drain Connector, Describ(e3AVS S 1,J�_
Water ornector, Describes
LOAD BEARING SUPPORT A1ND 100TING�d%1ATION
Pier_ Spacing Used to
Maximum Pier Load �-znen
Column tMaximum Column Load (multi -units onfly) �
Supports o -a/) 0, R44qQ V
Soil Bearing Capacit- 0
Footing Dimension Used ef
t� TYPE OF PIER. USED
/�,
� Steel Concrete Concrete Block_
Q Other
r�
TYPE OF FOOTING MATERIAL USED
Pressure Treated Wood
Cor_crete
°D RedV70od (Grade)
� Other Approved Type.
BUTTE. COUNTY .
BUILDING DEPARTMENT
APPROVED