Loading...
HomeMy WebLinkAbout026-060-014� 696 Melvina Ave., Paleiriiomoon.1416-06-1406-14' �6964 Melvina' Palermo � ^ i 'nutil., MH� —,;� I — '7y . � . . ' | | � � ' . / / ` | � ' 8T 6964 Melvina Ave., Palermo Permit# 114 -7;5fI Issued_~ / ^ � 2 06 14 .rpermit# 1280-75P(gas line for�ex.40'__,_J, 26: 06147 New Own er 26-06-14 ?6-06-14 Gloria Raymond Contr: Center eX 6964 Melvina ANT.; -'Palermo Permit# 1 232-8 , 6MHI - (existing site) ELEC Ice An jo GAS . JAI SUPP&T tTRUCTURE REQ. ,VO 26-06-14 COMPACTION TEST RKQ. Permit#2361-87P(gp-as 26-06-14 contr: S.O.S. Mobile Home Serv., P�IaLra. Permit#32�02­8-7MHI_(exist S� �te) Permit #5278-76MHI.- Ls s ed 26-06 26-0-6-14 3812 contr: Gene Schmitt Mobile Home Ser\. 89E 6-06-14 -Permit 3540-77P 77 A RA OND RAYM `6964 Me]LV,!zina,_,PPalermo | ! / | � � y ` � L � ` � -..`<"`Y"7-Vs-:vrti•..i'FTi�tgwa'"'o�i�lYt.:+s„w77'w"�'+`Y. _ Y .. .. - ...s i.�.�-:F�.., »�r..srs S".itiln/r'''f/�-rtYrr'L,+:.^erttT 4•t: .r r4 COUNTY OF BUTTE - DEPARTMENT. OFaPUBLIC WORKS PERMIT NO. 1.'� 7 County*Center Drive - Oroville, Cmlifor 95965 - Telephone: 916/538-7541. APPLICATION AND PERMIT ASSESSOR PAVL NUM ER a BUILDING PERMIT O WN1R TELEPHONE SQ. FT. OCC:' ,• . BUILDING VALUATION OW q'SM ILING tABDD ESS r� P a r�A F CONT )AC OR'S NAME' TELEPHONE ne)w ✓1 CONTRACTOR'S MAILING ADDRESS \i Fireplace CONS 'U{TION LENDER fl UNKNOWN Total Valuation $ Filing Fee $ 10•00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Ener Plan Checking Fee Energy 9 ARCHITECT OR ENGINEER'S MAILING ADDRESS 4 � Penalty $. BUILDING ADDRESSPermit V fee $ -PLUMBING PERMIT Filing Fee 10.00. , Each -Trap 2.00;_.' i1 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCFL'�MAP� "t ' Water piping 5.00 .R Each pas water heater or vent 5.00 , USE OF STRUCTURE// 11 ` �, SF ❑ • Duplex❑ Mobilehome❑ Other We E/ � ''� SPECI FY t, ;r�� - *:�,_ Gas piping system 1 - 5 outlets 5.00 .00 Building sewer 5.00 Mobile Home S G W 10-00ea. /r . ,• TYPE OF WORK '•New ❑ Addition ❑ Remodel .ter ❑ Uti ities ❑ I tallation❑ ��,yOther��i Describe work: u) �0 L 1(N /+)` Permit Fee $ � Contractor 1. ELECTRICAL PERMIT Filing Fee 10.00. • '� {rj /'/FI Main service 100V OR LESS I00 AMP OR LESS 10.00 , Main service EA. ADD -L 100 AMP 2.50 j +NTRACTORS LICENSE LAW 1: t 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 aritl effect. License No. Classification F' ❑ 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) Vo'i, as the owner, am exclusively contracting with Iicensed*`contract- �N ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions.ICode for this reason " ;" NEW CONST. DWELLING OCCUPM OR ADDNS. (ACC. BLDGS. , 2/xQsgft i NEW CONSTR. MULT'-OUTLET NON-RESID BRANCH CIRC ITS 2.50 ea i ( POWER APPARATUS &) (SINGLE OUTLET C'R. ) �` 1 Ex. OCC'up(OUTLETS OR FIXTURES ot 120 09AL@30 r FIXED APPLNS. OR Ex. Occup. OUTLETS IRESID.1 EA.) tt 2.00 t' Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 9 15.00 Q Permit F $ <j 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.ttie County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. 3, shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement; should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Contractor � MECHANICAL PERMIT Filing Fee 10.00 , Heating (' Cooling f `Hood 3.00 Ventilation - Permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws:relating to building construction, and hereby authorize representatives of the 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 County in consequence of the granting,of this permit. X -.� .� . r t <�. �1��6.f " Date r0/" %'�/ r Signature of Applicant— ,,�/0 ner❑ Conirac to?U Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over,3,stories in height. f Mobile Home Installation Fee $ I Energy Inspection Fee $ occ CONST TYPE TOTAL FEE $ HAZ I CUA I PARK I SCHL rD I PAR PD HD -ISSUE This permit is hereby issued under sions of the Butte County. Code and/or work caov k indited abe fhich f � or wpp DI OF P 'BLI • Y X _ )PERMIT EXPIRES Date the applicable provi- resolutions to do s haid. have been p WORKS - Date _ Receipt No. WNITE-D.P.W.• YELLOW -ASSESSOR. PINK -INSPECTOR. GOLDENROD -APPLICANT } 26-06-14 .� 3812-89E REYMOND, Gloria 6964 Melvina Ave, Palermo (elec/well) ����Bi '����.�f ale �-%-•,,,,p �.� COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 196 Memorial Way, Chico — Phone: 891-2751 7 County Center Drive, Oroville.— Phone: 538-7541 747 Elliott Road, Paradise— Phone: 872-6307 ,= tCORRECTION NOTICE Q o OWER fPERMIT NO. r4 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. Inspector - Date / COUNTY OF BUTTE - DEr AR+MENTOF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541 APPLICATION AND PERMIT P RMIT NO. ,X21 ASSE S R PAR NUM E (�J)TELEPHONE BUILDING PERMIT ow inn YJ rl I SQ. FT. OCC. BUILDING VALUATION OW R5�M ILINQSS LEZ0 V C 5 NJACg R'S NAM TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSJJUCTION LENDER UNKNOWN Total Valuation $ Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHIT CT OR ENGINEER LICENSE No. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS fi�Q Ca 14,V0 Permit fee $ PLUMBING PERMIT Filing Fee 10.00 Each Trap 2,00 1n Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 5.00 Each qas water heater or vent 5.00 USE OF STRUCTURE/' [:1SF Duplex❑ Mobilehome❑ OtherJC- `/ SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home JSFG IN 10.00e TYPE OF WORK New ❑ Addition ❑Remodel F-1Ut' ities ElI tallation❑ Other De vibe work: 10 _ De; I(` Vy­,,i,__ Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 y� ♦ r l Main service 600V OR LESS 100 AMP OR LESS 10.00 Main service EA. ADD'L 100 AMP 2.50 NTRACTORS LICENSE LAW I declare under penalty of perjury (check one): ❑ 1 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) as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONST. DWELLING OCCUP.91 OR ACDNS. ACC. BLOGs. ) , 2/ zQsgft NEW CONSTR. MULTI -OUTLET NO N.RESID BRANCH CRC., TS 2.50 ea POWER APPARATUS a SINGLE OUTLET CIR. ) EX. Occu o Occup(OUTLETS OR FIXTURES 20®e0a BAL030 LNS Ex. Occup. OUTLETS ED APP(RESID.)REA.) 1 2.00 Temporary service 1 10.00 Mobile Home Facilities 15.00 Misc. byirin g 15.00 Permit F $ 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. IYJ shall not employ any person in any manner so as to become subject ' to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Contractor MECHANICAL PERMIT Filing Fee 10.00 Heating Cooling g Hood 3.00 Ventilation. permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyof Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against said Co my in co ence of the granting of this permit. X _Date Signature of Applicant — O ner ❑ Conrracro Q Agent E:1work An OSHA permit is required for excavations over 5'0" deep and demolition or construct- n of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST TYPE TOTAL $ AL E FEE HAZ CUA PARK PAR PD I HD ISSUE This permit is hereby issued under sions of the Butte County. Code and/or i icated above for which f OI JQtOFP L Y IT EXPIRES Date the applicable provi- resolutions to do s have been paid. WORKS ate 1 eceipt No.Y�L NITC-D.P.W.. YELLOW -ASSESSOR. PINK -INSPECTOR. GOLDENROD -APPLICANT rR v PERMIT NO. 232-86NHI '' (existing site) { PERMIT EXPIRES 2/3/87 OWNER GLORIA RAYMOND CONTR. Mobile Home Center Inc. ASSESSOR PARCEL 26-06-14 LOCATION 6964 Melvina, Palermo ,r F < V Temp. P er Pole 1 Called PG&E. !L Temp. Elec. Ser ice folz i Called P &E fti Temp. Gas Irvice Called G&E i JOB FINALED (Date) Signature ' S V-1 0'= Not OK — = Not Applicable MOBIL EHOMES = Not Ready MISCELLANEOUS Date MOBILEHOME UTILITIES (Plans) OK except q's 1. Zoning Requirements—Setbacks—Easements Date DECKS, COVERS, CARPORTS, ETC. (Plans) OK except N's 1. Zoning Requirements—Setbacks—Easements 2. Soils; Special' MH Support -Sketch _ 2. Footings; Size—Depth—Spacing—Connectors 3. Sewer; Location—Test--Fall-C/0—Concrete 3. Decks; Girders and/or Joists—Decking—Bracing—Stairs—Rails 4. Water; Location—Test-Easement Needed (Sketch) 4, Wood Awn.; Posts—Beams—Rftrs.—Connec.—Shthg.—Rig.—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. r Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Date IVIOBILEHOME INSTALLATION (Plans) OK except N's Z ing Requirements—Setbacks—Easements Card -BI Date Date Card -BI Date POOLS (Plans) OK except #'s 1, Setbacks—Easements Footings; Size—Spacing—Marriage Line 2. Soils; Compaction—Structure Stability 0-3�s; MH Test—D and—VajYe—Connector 3. Pool Structure; Steel—Connections—Thickness—Dead Men—Lining . E tricity; M est—Cr Bre ers—Clearances 4, Elec.; Receptacles and Lighting; Distances—GFI [)rain; MH Test—Fall—Flex Connector 5. Elec.; Pool Lighting; 15 volts—GFI Water; MH Test—Regulator—Connector 6. Elec.; Enclosures; Conduit Entries—Terminals—Listed ater and Sewer Connected—C/O to Grade—HD Approval 7. Elec.; Bonding; Metal w/5'—Circulating Equipment—Heater 8. -Gas and Electricity Tagged 8. Elec.; Grounding; Equip. w/5'—Circulating Equip.—Pool Lghtg. Boxes—Enclosures—Panel boards—Ins. to Main in Conduit 9 Exits; Insp.—Sketch 10. Cert. of Occupancy 9. Health Department Approval 10. Plumb; Cir. Test—Water Supply Test Card 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 (� 01 in (fit YZL�2 n �T'�C1L�D /Yl.e ' U t, J = OK CIO = Not M = Not Applicable RESIDENTIAL (Single and Duplex) = Not Ready )ate UNDERFLOOR (Plans) OK except N's 1. Zoning requirements -Setbacks -Easements 2. Ftg., Main; Soils-Steel-Elec. Grnd.- / /" Ftg. 3. Ftg., Garage; Soils -Steel- / /" Ftg. Depth 4. Ftg., Porches & Decks; Soils -Steel- / /" Ftg. [ 5. Stemwalls, Main; Steel-Blockouts-Wrapped-Slab 6. Stemwalls, Garage; Steel-Blockouts-Wrapped-Slab 7. Piers -Fireplace Ftg.-Steel 8. D.W.V.: Fall -Fittings -Test -2 way C/O -Sewer Test 9. Gas Pipe; Size -Anchors 10. Water Pipe; Test -Anchors -Regulator -Service Test 11. Electric; Underground 12. Plenums & Ducts; Clearance -Material -Support -Ins. 13. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples Card -BI Date Card -BI Date Card -BI Date Card -BI Date Date PLUMBING (Permit) OK except N's 14. Water Ht.; Vent -Access -Combustion Air __15. Water Pipe; Test & Anchors -Nail Protection 16. D.W.V.; Test-Fttngs & Anchors -Nail Protection _ 17. _Sh ower Pan; Test, First Floor -Tub Access 18. Test Tub & Shower'. 2nd Floor -Tub Access 19. Gas Pipe; Size & Anchors Card -BI _ Date Card -BI Date Card -BI 51. Date Card -BI Date Date ELECTRICAL (Permit) OK except q's Siding -Nailing -Veneer 20. _Fixture & Transformer Clearance_ -Ins. Protection Stucco Mesh -Drip Screed-Fdn. Vents-Underflr. Access 21. Elec. Receptacles Spacing -Lights & Switches at Doors _ 22. Size Boxes _& No. of Conductors -Stapled _ 23. Romex Installed Close to Edge of Studs & C.J. __24. Equip. Ground made up w/Mech. Fasteners -Bond Gas & Water 25. 2 Appliance Circuits in Kitchen & Conductor Size 26. Subfeed Wire Size ga. ga. Cu or AI-A.C. Wire Size / / ga. Cu or Al 27. Range Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or At, Date Card -BI Date Card -BI Insulated Neutral ' ,Yes `]No _ 28. Service -Riser C_onduc_tors & Ground -Main Disconnect_ 29. _ Equip. Clearances: Panels-Motors-Mech. Equip. 30. Clothes Closet Light -Shower Light Card B-1 60. Date Card -BI Date Card B -I 61. _ _ _ Date Card -BI Date Date MECHANICAL (Permit) OK except #'s Stairs & Rails 31. A.C. Ducts: Insulation & Support 32. Vent Fan: Exhaust above Insulation 33. _ Condensate Drain & Overflow; Size & Grade 34. Furnace -Vent: Access -Comb. Air -Return Vent -_115_V outlet 35. _Air Attic Access & Platform if Furnace in Attic FRAMING (Continued) 48. Property Line Firewall & Openings 49. Ext. Doors -One 3' -Check Garage -3 2 exits 63. Fireplace or Stove; Clearances -Hearth 64. Elec. Outlets at Wood Panel; Int. & Ext. 65. Kit. Fixt. & Appliance; Grnd.-Air Gap -Cooking Clearance 66. Elec. Outlets & Receptacles at Kit. Counter 67. Garage Fire Door; Swing -Landing -Closer 68. A.C. Duct in Garage -Damper 69. Wtr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V.- In Garage; Above Floor -Meth. Protection 70. Plb., Elec. & Mech. Equip. Listed for Location 71. Elec. Receptacles in Garage; (G.F.I.)-Romex Protec. 72. Insulation -Foam -Looked in Attic El Yes 73. Guard Rails & Deck Construction -Post Caps 74. Fdn. Vents & Crawl dole Door-Crainage & Wood -Earth Clearance Looked under Floor ❑ Yes 75. Following instld.: Drive ❑ Yes ❑ No; Walks ❑ Yes ❑ No; Planters El Yes ❑No 76. Stucco; Brown -Finish _ 77. A.C. Unit; Disconnect-Clrnces-Brkr. & Cond. Size -115V Outlet 78. Vents Above Roof; Plbg.-Appliance-Firepl.-Clearance to Opngs. 79. Water Well; Disconnect, Electrical, Plumbing 80. Exterior Elec. Trim; G.F.I. Receptacle -Underground 81. Ventilation throughout House 82. Glass Protection _ 83. Corrections from Previous Inspections _ 84. Gas Test -Meters Tagged; Gas -Electric 85. Water & Sewer Connected -C/O to Grade -HD Approval 86. Energy Compliance Certificate -Other Certificates _ Card -BI Date Card -BI Date Card -BI Date Card -BI _ _Date - _ Card -BI rate Card -BI Date Card -BI Date Card -BI Date C d -BI D t C BI D Date ar a e ard- ate FRAMING(Plans) OK except N's Comments at Final: 36, Sills; -Proper Material & Ancho_rs _ 37. Walls Studs -Nailing, Spacing & Bracing -Plates -Sound 38. Bearing Walls over Girders &_F_loor Nailing 39. Draft Stop in Walls (rat proof) 40. Fire Stops: Furred Ceilings -Stairs -Chases -Tub 41. Header & Beam -Size & Bearing 42. Hangers -Post Caps -Anchors -Connectors 43. Cing. Joist-Rftr. Ties-Purlin-Roof Brac.-Truss-Shthng.-Rfnq. _ 44. Fireplace Ties or Type A Flue -Fireplace Throat - -- - -- - - 45. Attic Access: Size & Romex Protection -Draft Stop -Ins. Baffles_ 46. Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimen-sions 47. Garage Fire Protection Framing (NOTE: Anentrymust be made each time youvisit jobsite) 50. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 51. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers 52. Siding -Nailing -Veneer 53. Stucco Mesh -Drip Screed-Fdn. Vents-Underflr. Access 54. Glazing Area -Glass Protection -Skylights -Plastic 55. Shear Walls; Nailing -Bolts Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Date Card -BI Date FINAL (Plans) OK except H's 56. Ext. Steps -Door & Sidelight Protec'ion- Land ings 57. 58. Smoke Detector Furnace; Vents -Clearance -Comb. Air -Connector - In Garage; Above Floor -Ducts -Meth. Protection 59. Bedroom Exiting 60. G.F.I. & Bath Fixtures & Tub Access 61. Elec. Trim & Subpanel; Breaker Sizes -Labels 62. Stairs & Rails 63. Fireplace or Stove; Clearances -Hearth 64. Elec. Outlets at Wood Panel; Int. & Ext. 65. Kit. Fixt. & Appliance; Grnd.-Air Gap -Cooking Clearance 66. Elec. Outlets & Receptacles at Kit. Counter 67. Garage Fire Door; Swing -Landing -Closer 68. A.C. Duct in Garage -Damper 69. Wtr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V.- In Garage; Above Floor -Meth. Protection 70. Plb., Elec. & Mech. Equip. Listed for Location 71. Elec. Receptacles in Garage; (G.F.I.)-Romex Protec. 72. Insulation -Foam -Looked in Attic El Yes 73. Guard Rails & Deck Construction -Post Caps 74. Fdn. Vents & Crawl dole Door-Crainage & Wood -Earth Clearance Looked under Floor ❑ Yes 75. Following instld.: Drive ❑ Yes ❑ No; Walks ❑ Yes ❑ No; Planters El Yes ❑No 76. Stucco; Brown -Finish _ 77. A.C. Unit; Disconnect-Clrnces-Brkr. & Cond. Size -115V Outlet 78. Vents Above Roof; Plbg.-Appliance-Firepl.-Clearance to Opngs. 79. Water Well; Disconnect, Electrical, Plumbing 80. Exterior Elec. Trim; G.F.I. Receptacle -Underground 81. Ventilation throughout House 82. Glass Protection _ 83. Corrections from Previous Inspections _ 84. Gas Test -Meters Tagged; Gas -Electric 85. Water & Sewer Connected -C/O to Grade -HD Approval 86. Energy Compliance Certificate -Other Certificates _ Card -BI Date Card -BI Date Card -BI Date Card -BI _ _Date - _ Card -BI rate Card -BI Date Card -BI Date Card -BI Date C d -BI D t C BI D Date ar a e ard- ate FRAMING(Plans) OK except N's Comments at Final: 36, Sills; -Proper Material & Ancho_rs _ 37. Walls Studs -Nailing, Spacing & Bracing -Plates -Sound 38. Bearing Walls over Girders &_F_loor Nailing 39. Draft Stop in Walls (rat proof) 40. Fire Stops: Furred Ceilings -Stairs -Chases -Tub 41. Header & Beam -Size & Bearing 42. Hangers -Post Caps -Anchors -Connectors 43. Cing. Joist-Rftr. Ties-Purlin-Roof Brac.-Truss-Shthng.-Rfnq. _ 44. Fireplace Ties or Type A Flue -Fireplace Throat - -- - -- - - 45. Attic Access: Size & Romex Protection -Draft Stop -Ins. Baffles_ 46. Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimen-sions 47. Garage Fire Protection Framing (NOTE: Anentrymust be made each time youvisit jobsite) COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 196 Memorial Way, Chico — Phone: 891-2751 7 County Center Drive, Oroville — Phone: 534-4541 , Skyway and Elliott Road, Paradise — Phone: 872-2961, Ext. 57 ---CO-R R ECT I ON ..-NOVICE Q'I / A— /r�, PryA 4e 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. c 3 Inspector i I Date MOBILEHOME INSTALLATION ACCEPTANCE COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS — 7 COUNTY CENTER DRIVE OROVILLE, CALIFORNIA — 534-4541 Address orloc Owner's name Owner's addre PERMIT N0. -'02 -12-- R' I', Insignia or hud number Manufacturer's name T VA P .' Serial number of V.1.N. CQ -i5 S 14 Year of manufacture L"f .-41 — 1 • — nstollotion) (Date) IF THE MOBILEHOME IS MOVED OR RELOCATED, THE MOBILEHOME INSTALLATION ACCEPTANCE SHALL BECOME INVALID. THIS FORM SHALL NOT -BE USED WHEN THE ,.�MOBILcHOME IS INSTALLED ON A FOUNDATION SYSTEM. 513B White - Owner, Yellow - Instoller, Pink - D.P.W. MOBILEHOME INSTALLATION ACCEPTANCE COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS — 7 COUNTY CENTER DRIVE OROVILLE, CALIFORNIA — 534-4541 Address or loc Owner's name Owner's addre PERMIT NO. a32 -9'6 Insignia or hud number oC G� q ) O Manufacturer's name Serial numAfr Of Y—kv.iy �J S � j Year of manufacture 1q"7� vej111MjW=--T,'ng Installation) . . IF THE MOBILEHOME IS MOVED OR RELOCATED, THE MOBILEHOME INSTALLATION ACCEPTANCE SHALL BECOME INVALID. THIS FORM SHALL NOT BE USED WHEN THE MOBIL-ZHOME IS INSTALLED ON A FOUNDATION SYSTEM. 513E White - Owner, Yellow - Installer, Pink - D.P.W. COUNTY OF BUTTE - DEPARTMENT OF-PUBLIC.WORKS 7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541 APPLICATION AND PERMIT PERMIT NO! • f ASSESSOR PARCEL NUMBER C!/ ZONING BUILDING PERMIT WWO E m.e/ TE OE SO. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS v .v CONTRA TO 'S AM � e TELEPHONE - 3 CONTRACTOR'S MAILING ADDRES %%`iU f Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ ka On Penalty $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Permit fee $ BUILDING ADDRESS PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Solar Water Heater 20.00 r Water piping 5.00 LOT NO. SUBDIVISION NAME PARCEL NTIAP Each qas water heater or vent 5,00 Gas piping system 1 - 5 outlets 5.00 USE OF STRUCTURE SF ❑ Duplex[] Mobilehome Other SPECIFY Building sewer 5.00 Mobile Home S G I W 10-00ea TYPE OF WORK New ❑ Addition ❑ ,,_ Remodel ❑ Uti' es ❑ Instal lation K Other ❑ �. t Describe work: — Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 600V OR LESS 100 AMP OR LESS 10.00 Main service EA. ADD'L 100 AMP 2.50 NEW CONST. DWELLING OCCUP.& OR DCONSTR(ACC. u OUTLET S. 1 2�x(ysgft CONTRACTORS LICENSE LAW I declare u penalty of perjury (Check One): I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions a and mfr license is in full force and effect. License No. Classification ❑ I, as the owner, or my employees with wages as the'r sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW Ti NON.RESID BRANCH CIRC TS 2.50 ea NEW CONSTR /POWER APPARATUS l4 NON-RESID, (SINGLE OUTLET CUR. 200500 Ex. Occup(OUTLETS OR FIXTURES BAL®30 FIXED APPLN5, OR \ Ex. Occup. OUTLETS (RESID.) EA./ 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 Permit Fee $ Contractor WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The mit is for $100.00 (valuation) or less. ave 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 FiIingFee 10.00 Heating Cooling Hood 3.00 Ventilation t_ Permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, Inde d keep harmless the County of Butte against all liabili ' dg a costs, d expenses which may in an way accrue agains aid u i nse a of the granting of this permi te 3� Signature o pplicant — Owner❑ Contractor Agent An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 storiesinheight. Mobile Home Installation Fee $ TOTAL PERMIT FEE Occup. GRouP TYPE of CONST. PARCEL PD HD ssu This permit is hereby issued under sions of the Butte County Code and/or Work indicated above for which DIRECTO OF PUBLIC By PEF3 IT EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS / Date.2�� Receipt No. .:/ 7 WHITE-D.P.W., YELLOW-ASSESSO , PINK -INSPECTOR, GOLDENROD -APPLICANT i COUNTY OF BUTTE - DEPAti,TMENT.OF,_PU.h3LIC WORKS -BUILDING DIVISION 7 COUNTY CENTER DRIVE' OROVILLE, CALIFORNIA 95965 - TELEPHONE: 916/534-4541 PERMIT APPLICATION DATA SHEET Permit No. OWNER C� 1 D Y 1,6 P0 V i'i't -9h . A. P. No. Proposed Building Use A/ lz� V? S 1, f - Permit Fee Based Upon: Complete Contract Price DPW Valuation 0th E p in) Building Inspector. Date.4� CCS At time of permit application, I was advised the following data must be submitted prior to permit processing and./or issuance: DATE RECEIVED APPROVED 1. All items have been submitted. . . . . . . . . . . . 2, Plot plans in duplicate/triplicate. . . . . . . . . . . 3. Complete plans in duplicate/tri.plicate. . . . . . . . . 4. Complete engineered plans and calcs. . . . . . . . . . 5. Plans with Energy Design Compliance Statement. . . . . . 6. CUSD "Fees Paid'' Stamp on Floor Plan . . . . . . . . 7 Statement of Intent for Non -Heated and AC Buildings.. 8. Fees of $ . . . . . . . . XWLetter of signature authorizat' n. . . . . . . -1 Sanitation approval from )r 0i,llel Health Dept. 11. Planning approval for (A) Use: (B) Parking: 12. Certificate of Workmen's Compensation Insurance. . . . . . 13. Contractor's License Information (no., name style, classif.) 14. Owner -Builder Verification (Given to owner[], Mail to owner ❑ ) 15. Improvements may be required. , . . . . . . . . 16. Mobilehome Installation Data. . . . . . . . Pre-Insp17. Pre -Inspection for Required- Building In request to (Date) p q Building Inspector L r 18. Recorde�� f Aph•I�i. Xpr L;AcknowIedgment Statement. 19. Other onstruction approval required prior to occupancy When you issue the permit, process as follows: -Mai l to owner. Mail to contractor. Telephone and hold for pickup at office. Deliver w/inspector. Other Ap11,canDate Copy of plans sent Health Dept., Fire Dept., Other Date During the plan checking process, the following data must be submitted prior to permit issuance: (For required items not checked above at ti of application, circle item.) 1. Index permit for above Items No. 2. Additional items required: (Contractor, Designer, Owner) was advised of above required data by Telephone Mail Other By Date Plans checked by- Date Plans approved by „ «Date' 3 Other: Copy—DPW To: Building Department' From: Environmental Health Subject: Sanitatio Clearance raw C/o �lo��u�, o2� Owner Location AP# Plan Approved for:. Sewage disposal water supply final for: �, water supply ..Hold Final clearance O.K. for: water supply Clearance for bedroom mobile home. pOther -NOTE Sanitarian Date ' OTE: -An .tvlaterials & W-Arnanship Shah Be in NOTE Matoricls & Wcrkmcnship Shall Be in o2G _ oG _ /,� Accordance v� I� ;4e,cc:,r._�u� C7;,a:' fir: ctices and Accordcnca with Rec, inized Good Practices and of a �a�iity rresc:i s::.or *';a - r,ec ficd use in the ,f a qL -ur :r��GCii::c:: !'�i 7.'. "•3Ci'ii^ i Use in the r � U11* 'rhe 1 uilonal Eiecfric } Code., _ the Nations! Electrical Cade. i A setback of 5 ft. from. the -'—I 10 ! property lines and a setback of 50ft. from tl-ie read centerline shell be clear of structures or equipment exc t . for a 2 ft. eave overhang. /a2Xloo 00 s-� �pv�'.PSIeTI? C-4 i UTTE CO NTY fbm-G7 A°T A �,- APPROVED" 7- 4e A10 �� «,iIto OTE:-Afl Materials & Workmanship Shall Be in NOTE:—All Materials & Wcrkmans} ip Shall Be in 'Accordcnce rvi�'h Rec.:��nized Good Practices and and -Jr S• cifie : use in th© Fne Notional Eiectric,6 Code. of a r,_i.;.tlity press:il.e5rnectied use in the tate Naticncl Electrical Code. - v� Utility connections shall be within 4 ft. of the mobilehome, either directly behind or within the rear - half hof the mobilehom. s � , r A setback of 5 ft. from the o ` property line; and a setback V of 50ft. from the rcad centerline shell be clear of structures or equipment exc( for a 2 ft. eave overhang. Pee�,e7il z3z -s� BUTTE COUNTY BUILDING DEPARTMENT - APPROVED s-� o?( jgos- C-6 / 1. Owner's name: BUTTE COUNTY.DEPARTMENT OF PUBLIC WORKS 7 County Center Drive, Oroville, CA. PHONE: 534-4541 MOBILEHOME INSTALLATION SHEET 1 2. Installer's name: 1�- Nrf .r� 1,41 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 fr septic tank and leach fields and clear of, all setbacks.and easements? Yes ( If no, clarify ) ( r ) 5. .What is the mobilehome electrical rating? ----------------------- Amps 6. What is the mobilehome site service rating? --------------------- Amps 7.. What is the mobilehome site circuit breaker rating? ------------- Amps 8. ti. Is there any other electric load -to be served by the mobilehome siteservice?---------------------------------� ---------- Yes No 7_1 (If yes, identify the load and size: (Load) (Amps) 9. What is the mobilehome site gas pipe size? ---------------------- 10. What is the type of gas service? ----------------------------- Natural _7 LPG 11. What is the gas pipe length from meter or tank to the mobilehome? (ft.). 12.' What is the mobilehome gas demand? (BTU) (This information not required if pipe length less than 6 ft. on natural' gas . or less than 50 ft. on LPG.) i BUTTE COUNTY. BUILDING DEPARTMENT APPROVED i MOBILEHOME SUPPORT DATA If other than single wide..�� Mobileho a Mfr. furnish Setup Model No. Year Width (ft.) Box Length (ft.) Tagalong or Expando Size ft. x ft. (SHOW SUPPORT DETAILS BELOW) On all mobilehomes manufactured after October 7, 1973,• furnish manufacturer's installation manual and structural setup sheets (if not on file with the County of Butte). All center supports measured from front of mobilehome unless otherwise specified. F ti (check s (check one) Single 1. Wood either pressure treated or ohm A foundation grade. x ( f ;.) (in: ) (in (in.) D 2. Other; ( specify) Center support Cort locations* fes Support (check one) \ 1: Concrete block. E] .2: Other. (specify) (ft.)(in. in.) (in.)7 m6 16 f �1 (ft.)(in.) (in.) (in.) (ft.)(in,) I ` (in.) (in.) 1,—J (ft.) (in.) x i in.)l (in.) *If center piers are other than drawn above, draw in -locations, spacing,, and dimensions. Tagalong or Expando,' show support details. X 1 -- Typical Support .) (in.) Footing Size -- Max. Pier Spacing (ft.)(in.) /.r O" -- Max. Overhang L(f�t.)(�in.) :7 3108-82NHI ex Site PERMIT NO. l(, PERMIT EXPIRES I 140 OWNER GLORIA RAYMOND CONTR. Mobilehome Center ASSESSOR PARCEL 26-06-14 LOCATION _6964 Melvina, Palermo Temp. Power Pole A Called PG&E Temp. Elec. Service Called PG&E Temp. Gas Service Cal led PVE E JOB FINALE Signature .a :7 3108-82NHI ex Site PERMIT NO. l(, PERMIT EXPIRES I 140 OWNER GLORIA RAYMOND CONTR. Mobilehome Center ASSESSOR PARCEL 26-06-14 LOCATION _6964 Melvina, Palermo Temp. Power Pole A Called PG&E Temp. Elec. Service Called PG&E Temp. Gas Service Cal led PVE E JOB FINALE Signature J. = 014 " 0 = Not OK V: �•t'" . c - 1 = Not Applicable MOBILEHOMES MISCELLANEOUS s. = Not Ready :. Date MOBILEHOME UTILITIES (Plans) OK -except N's 1. Zoning Requirements -Setbacks -Easements Date DECKS, COVERS, CARPORTS, ETC. (Plans) OK except N's 1. Zoning Requirements -Setbacks -Easements 2. Soils; Special.MH Support -Sketch 2. Footings; Size -Depth -Spacing -Connectors 3. Sewer; Location -Test -Fall -C/0 -Concrete 3.Decks; Girders and/or Joists -Decking -Bracing -Stairs -Rails 4. Water; Location -Test -Easement Needed (Sketch) 4. Wood Awn.; Posts-Beams-Rftrs.-Connec.-Shthg.-Rfg.-Bracing 5. Electricity; Location-Clearances-Grnd.-/ / Amp -Concrete 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Gas; LocatiorrTest-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 Card -BI Date Card -BI Date Card -BI Date Date MOBILEHOME INSTALLATION (PI OK except N's Z,.Z'on!,pg Requirements -Setbacks -Easements Date POOLS (Plans) OK except H's 1. Setbacks -Easements 0o ings; Size -Spacing -Marriage Line 2. Soils; Compaction -Structure Stability z 6LS; MH Test -Demand -Valve -Connector 3. Pool Structure; Steel -Connections -Thickness -Dead Men -Lining Ae'tI ctricity; MH Test -Crossovers -Breakers -Clearances. 4, Elec.; Receptacles and Lighting; Distances-GFI &-116ra,in; MH Test -Fall -Flex Connector 5. Elec.; Pool Lighting; 15 volts-GFI Ze6ier; MH Test -Regulator -Connector 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed r and Sewer Connected -C/0 to Grade -HD Approval 7. Elec.; Bonding; Metal w/5' -Circulating Equipment -Heater Gas and Electricity Tagged 8. Elec.; Grounding; Equip. w/5' -Circulating Equip. -Pool Lghtg. Boxes -Enclosures -Panel boards -Ins. to.Main in Conduit xi ; Insp.-Sketch 1 ert. of Occupancy 9. Health Department Approval 10. Plumb; Cir. Test -Water Supply Test ,151_1 C -I Date d -BI Date Card -BI Date Card -BI Date Card B -I Date Card -BI Date Card -BI Date Card -BI Date = OK = Not OK = Not Applicable = Not Ppady RESIDENTIAL (Single and Duplex) Date UNDERFLOOR Plans OK exce tk's Date FRAMING (Continued) 1. Zoning requirements -Setbacks -Easements 48. Property Line Firewall & Openings 2. Ftg., Main; Soils-Steel-Elec. Grnd.- / /" Ftg. Depth 49. Ext. Doors -One 3• -Check Garage -3rd story, 2 exits 3. Ftg., Garage; Soils -Steel- / /" Ftg. Depth 50. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 4. Ftg., Porches & Decks; Soils -Steel- / /" Ftg. Depth 51. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers 5. Stemwalls, Main; Steel-Blockouts-Wrapped-Slab 52. Siding -Nailing -Veneer 6. Stemwalls, Garage; Steel-Blockouts-Wrapped-Slab 53. Stucco Mesh -Drip Screed-Fdn. Vents-Underflr. Access 7. Piers -Fireplace Ftg.-Steel 54. Glazing Area -Glass Protection -Skylights -Plastic 8. D.W.V.: Fall -Fittings -Test -2 way C/0 -Sewer Test 55. Shear Walls; Nailing -Bolts 9. Gas Pipe; Size -Anchors 10. Water Pipe; Test -Anchors -Regulator -Service Test 11. Electric; Underground 12. Plenums & Ducts; Clearance -Material -Support -Ins. 13. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Date FINAL (Plans) OK except q's 56. Ext. Steps -Door & Sidelight Protection -Landings Card -BI Date Date Card -BI Date PLUMBING (Permit) OK except q's 57. Smoke Detector 14. Water Ht.; Vent -Access -Combustion Air 58. Furnace; Vents -Clearance -Comb. Air -Connector - In Garage; Above Floor-Ducts-Mech. Protection 15. Water Pipe; Test & Anchors -Nail Protection 16. D.W.V.; Test-Fttngs & Anchors -Nail Protection 59. Bedroom Exiting 17. Shower Pan; Test, First Floor -Tub Access 60. G.F.I. & Bath Fixtures & Tub Access 18. Test Tub & Shower, 2nd Floor -Tub Access 61. Elec. Trim & Subpanel; Breaker Sizes -Labels 19. Gas Pipe; Size & Anchors 62. Stairs & Rails 63. Fireplace or Stove; Clearances -Hearth 64. Elec. Outlets at Wood Panel; Int. & Ext. Card -BI Date Card -BI Date 65. Kit. Fixt. & Appliance; Grnd.-Air Gap -Cooking Clearance Card -BI Date Card -BI Date 66. Elec. Outlets & Receptacles at Kit. Counter Date ELECTRICAL Permit OK except N's 67. Garage Fire Door; Swing -Landing -Closer 68. A.C. Duct in Garage -Damper 20. 21. Fixture& Transformer Clearance -Ins. Protection Elec. Receptacles Spacing -Lights &Switches at Doors 69. Wtr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V.- In Garage; Above Floor-Mech. Protection 70. Plb., Elec. &Mech. Equip. Listed for Location 22. Size Boxes & No. of Conductors -Stapled 71. Elec. Receptacles in Garage; (G.F.I.)-Romex Protec. 23. Romex Installed Close to Edge of Studs & C.J. 24. Equip. Ground made up w/Mech. Fasteners -Bond Gas &Water 72. Insulation -Foam -Looked in Attic ❑Yes 73. Guard Rails &Deck Construction -Post Caps - - 25. 26. 2 Appliance Circuits in Kitchen & Conductor Size Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga. Cu or At 74. Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance Looked under Floor ❑ Yes 27. Range Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or At, Insulated Neutral ❑Yes ❑No 75. Following instld.: Drive ❑ Yes ❑ No; Walks ❑ Yes ❑ No; Planters ❑Yes 0 N 28. Service -Riser Conductors & Ground -Main Disconnect 76. Stucco; Brown -Finish 29. Equip. Clearances; Panels-Motors-Mech. Equip. 77, A.C. Unit; Disconnect-Clrnces-Brkr. & Cond. Size -115V Outlet 30. Clothes Closet Light -Shower Light 78. Vents Above Roof; Plbg.-Appliance-Firepl.-Clearance to Opngs. 79. Water Well; Disconnect, Electrical, Plumbing 80. Exterior Elec. Trim; G.F.I. Receptacle -Underground Card B -I Date Card -BI Date 81. Ventilation throughout House Card B-1 Date Card -BI Date 82. Glass Protection Date MECHANICAL (Perm,it) OK except N's 83. _ Corrections from Previous Inspections 84. Gas Test -Meters Tagged; Gas -Electric 31. A.C. Ducts; Insulation & Support 85. 86. Water & Sewer Connected -C/O to Grade -HD Approval Energy Compliance Certificate -Other Certificates _ 32. 33. Vent Fan; Exhaust above Insulation Condensate Drain & Overflow; Size & Grade 34. Furnace -Vent; Access -Comb. Air -Return Air Vent -115V outlet 35. Attic Access & Platform if Furnace in Attic Card -13-1 Date Card -BI Date Card -BI -Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Date FRAMING(Plans) OK except N's Comments at Final: 36. Proper Material & Anchors 37. _Sills; Walls; Studs -Nailing, Spacing & Bracing -Plates -Sound _ 38. Bearing Walls over Girders & Floor Nailing 39. Draft Stop in Walls (rat proof) _ 40. Fire Stops; Furred Ceilings -Stairs -Chases -Tub 41. Header & Beam -Size & Bearing _ 42. 43. 44. 45. Hangers -Post Caps -Anchors -Connectors Cing. Joist-Rftr. Ties-Purlin-Roof Brac.-Truss-Shthng.-Rfng. Fireplace Ties or Type A Flue -Fireplace Throat Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 46. Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions 47. Garage Fire Protection Framing (NOTE: Anentry must be made each time you visit jobsite) COUNTY OF BUTTE -, DEPARTMENT OF PUBLIC WORKS 7 COUNTY CENTER DRIVE' OROVILLE, CALIF. - 534-4541 CERTIFICATE OF OCCUPANCY This mobilehome has been installed in accordance with the requirements of the California Administrative Code, Title 25, Chapter 5, under permit number e?— for the following location:_ Owner's Address Mobilehome Mfg. ��.+� �-��* -s=ue �• -Model Year Insignia No. 215 JZ 7A u'- /7 Serial No. 3!? It is hereby certified for occupancy at the above described location and may be occupied. _ Director of Public Works - Date 1-4—,e 10 �{' 2 _.. By THIS CERTIFICATE IS VOID WHEN MOBILEHOME IS RELOCATED White - Owner, Yellow - Installer, Pink - D.P.W. COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS -s 196 Memorial Way, Chico — Phone: 891-2751 7 County Center Drive, Orovi Ile — Phone: 534-4541 Skyway and Elliott Road, Paradise — Phone: 872-2961, Ext. 57 CORRECTION NOTICE BUILDING OR PROPERTY ADDRESS A routine Inspection indicates that the following violations of County Ordinance exist at the above address and should be corrected. Please notify this office when correction of work is completed. If you have any question pertaining to this matter, or need additional explanation, 'please contact this office immediately. ! a #1 1 n r �) r Inspector '/ Date COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO. 7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541�y APPLICATION AND PERMIT v ASSESSOR PARCEL NUMBER ZO ING 42 06- � ?,— BUILDING PERMIT TELEPHONE SQ. FT. OCC. BUILDING VALUATIO OWN R'S MAILING ADDRESS Al - v. CONTRACTOR'S NAME CONTRACT'S MAILING ADDRESS ';% I- G9 C CONSTRUCTION LENDER LENDER'S MAILING ADD SS ARCHITECT OR EN (NEER ARCHITECT OR NGINEER'S MAILII BUILDING ADDRESS G fd -4 MC /✓.AJ. T NO. I SUBDIVISION NAME VPW � UNKNOWN LICENSE S USEOUCTURE SF [_1 Duplex❑ Mob ilehome Other PARCEL MA SPECIFY TYPE OF WORK New ❑ Addition ❑ Remodel �q/� UtiIitiiess ❑ II�nstallation D Other ❑ Describe work: 2 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 gode and my license is in full forand effect. License No. Classification C—Z % ❑ I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason \ WORKMEN'S COMPENSATION INSURANCE I declare under pehaIty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. FL? I have placed on file with the County of Butte Building Departnt Yom' a Certificate of Workmen's Compensation Insurance or a Certificamete 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. I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, Ind emni�y_an keep harmless the County of Butte against all liabi ' judgments osts, d expenses which may in any way accrue aga' said un in nse ce of the granting of this permit. X Date /W I.F-44 Ti - Signature of Applicant — Owner ❑ Contractor Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Receipt No. 1, Z, WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR. GOLDENROD -APPLICANT Fireplace Filing Fee 10.00 Main service 100 AMP LESS 100 Total Valuation $ Main service EA. ADD'L too AMP 2.50 Filing Fee $ 10.00 Permit Fee $ Plan Checking Fee $ ,a.v Penalty $ 10.00 Permit fee $ Misc. Wiring PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Repair drainage or vent piping 5.00 Water piping Each qas water heater or vent 5.00 Gas piping system 1 - 5 outlets Building sewer Lawn sprinkler system 5.00 Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 100 AMP LESS 100 5.00 Main service EA. ADD'L too AMP 2.50 NEW CONS. DWELING OR ADDNST (ACCLBLOGS.CCUP.y\ 20 sq ft NEW CONSTR 1 -OUTLET NON-RESID. BRA CH CIRCUITS) 2.50 ea NEW CONSTR (POWER APPARATUS D1 NON.RESID. SINGLE OUTLET CIR. Ex. OCCUR(OUTLETS OR FIXTURES` BAL@;001 FIXED ALNS Ex. Occup.(. UTLETS P(RESID )REA.1 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 7.50 rermit t-ee $ Contractor MECHANICAL PERMIT Filing Fee 10.00 Heating Cooling Hood 3,00 Ventilation Permit Fee S Contractor Mobile Home Installation Fee $ r_pp TOTAL PERMIT FEE $ �/Ocq I OCCUP. GROUP I TYPE OF CONST. I 1PARCELIPDNTIISSUEI This permit is hereby issued under the applicable provi- sions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIREgf_0� OF PUBLIC WORKS By 4 f of '-� P IT EXPIRES Date Date��— !lir Retukd to DPW AGRICULTURAL STATEMENT -OF ACKNOWLEDGEMENT FOR RESIDENTIAL DEVELOPMENT Section 26-8.1 of the Butte County Code requires this acknowledgement be recorded prior to issuance of a building permit. I . 92-31.5&} OCf IC:4t F r Y'(iRL HUTTE COUNT'(- C<<..:f C0R7 Sk F 4 Q' i.:::11 The property described herein is adjacent to land or included OC 1-146 FM within an area zoned for agricultural purposes, and residents of �• this property may be subject to inconveniences or discomfort arisingCLECLERK RN. ii RECOROE RDR from the use of agricultural chemicals, including, but not limited to herbicides, R i pesticides, and fertilizers; and from the pursuit of agricultural operations including, but not limited to cultivation, plowing, spraying, pruning, and harvesting which occa- sionally generate dust, smoke, noise, and odor. Butte County has established a&icul- tural zones which have as a priority use for productive agricultural purposes, and residents within said zones and on adjacent property Ohould be prepared to accept such inconvenience or discomfort from normal, necessary farm operations. All that real property situate in the County of Butte,�State of California, r.• ��' `[ described as follows: I, , 1� �t I I tr I Lot 17, in' Block 77, of Subdivision number 19 of the i,Palertno ' Citrus Tract# according to the Oricial Map thereof, -filed in -,the offs ew.c the �1RecIPFder of thel County of Butte, State of 'Ca. , Sept. 1791,1888; � i�. � ' "r ;T ERMOM, the South' 110.0 feet of, the l above described {r rtyl •,�r' ,r:P�Pe �. rt ., I ( aL 1 ¢ [ [ Dater �_ PROPERTY OWNERS; , I State' of C -s- ) ) SS. County o� �_ ) On this the _\qZ_1_ day of alA__ before me, the undersignd N ry Public, personally appeared ����� - \`�S�'�C�r---� OFFICIAL SEAL known to me to be the person(s) whose name(s) c - ANGELA D. HENDERSHOT subscribed to the within instrument' and acknowledged NOTARY PUBLIC • CALIFORNIA that �-.. � executed the same for the purposes PRINCIPAL OFFICE IN therein contained. BUTTE COUNTY 1. �IMY COMM4SICN EXPIRE! SEPT. 7, 1986 IN WITNESS WHEREOF, I hereunto set my hand and official i .... ..� 41 .. /R �Ia'Jrf I•:IFY,..�Mr ary Public gg , ' � tiJr.•�J_._la z IS'!i �'i)r+��, a.,..a'°. 'L..'4.1�1. �, . f�r Ffj7� 69W A.) NOTE:—All Mcl,erirls &Workmanship Shall Be in /�r'�'a • NOTE.—All Materials & Workmanship manship $haN Be in Accordance wi.h he==-•. Good Practices an:! 01l ' �'l " /�i Accordanco with Rocogn:zed Good P t' oa i�ri•-, y 'cd use in theUnn�ecii or:i Buiic;ig, Alr & Iyiechcalicul Coj.;s and the Nafional Electrical-CnrIA rac ices and of a qual i•y prescri�ed for the Specified use in the Uniform Building, Plur4ing.&.Mechanical -Codes -arn� the Nafional Electrical Code. 'Coe A setback of 5 ft. from the property lines and a setback of 50ft. from the road centerline shall be clear of structures or equipment exce for a 2 ft. eave overhang. I '- fir. C?* 1 ,a BUI�E COUN jY -�a $UILDING_DERARWENT / APPROVED It MOBILEHOME SUPPORT DATA If other •than single wide, Mobilehome Mfr.. 126G.e,11�' furnish Setup Model No. cO0•5 Year o4= Width(ft.) Box Length 18 (ft.) Tagalong or Expando Size --'ft. x ft. (SHOW SUPPORT DETAILS BELOW) On all mobilehomes manufactured after October 7, 1973; furnish manufacturer's installation manual and structural setup sheets (if not on file with the County of Butte). All center supports measured from front of mobilehome unless otherwise specified. - _ Footings .(check one) % Single ® 1 W d i h O d 0 oo e t er pressure treated or foundation grade. (ft.)(in:) (in.) (in.) 2. Other: (specify) Center support Center support locations* footing sizes Supporta (check one) (in.) 1: Concrete block. 8 �� •� 3Gxd3o - E] .2: Other. (specify) (in.) (in.) F --tagalong or Expando,'- 3Z� Q show support: details., (in.) (in.) Typical Support (in.) (in.) Footing Size -(in.) (in.) 5�.�• -- Max. Pier Spacing (ft. in.) in.01 (in.) OF a -- Max. Overhang (ft.)(in.) BUTTE COUNTY BUILDING DEP4 -k APPROVED*If center piers are other than drawn above, `L draw in. -locations. spacing, and dimensions. BUTTE COUNTY DEPARTMENT OF PUBLIC WORKS 7 County Center Drive, Oroville, CA. PHONE: 534-4541 MOBILEHOME INSTALLATION SHEET 1. Owner's name: 2. Installer's name: %%% 4ze 3. Is the site currently under permit? Yes / / No 507 (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 clear of all setbacks and easements? Yes/ No ( If no, clarify ) 5. What is the mobilehome electrical rating? ----------------------- /m r) Amps 6. What is the mobilehome site service rating? --------------------- Amps 7.. What is the mobilehome site circuit breaker rating? ------------- Amps 8. Is there any other electric load to be served by the mobilehome 9. 10. 11. 12. siteservice? --------------------------------------------------- Yes T / No (I£ yes, identify the load and size: Load) / (Amps) What is the mobilehome site gas pipe size? -------------------- What is the type of gas service? ----------------------------- Natural LPG What is the gas pipe length from meter or tank to the mobilehome? �� (ft.) What is the mobilehome gas demand? ------------------------------ a/'U (BTU) (This information not required if pipe length less than 6 ft. on natural gas or less than 50 ft. on LPG.) .k oPERMIT NO. ---- 161-75MHI a P E (MH UTIL. "PERMIT NO. i ~ PERMIT EXPIRES �r [OWNER Stephen Roth {• �CONTR. s (LOCATION (A.P. 26-06-14 ) ; 6964 Melvina Ave., Palemao . i K.. 3 k Temp. Power Pole Called PG&E Temp. Elea Serv. a Called PG&E Temp. Gas Serv. / Called PG&E J /JOB VVV FINALED �`� �' f --7 2 (Da ) (Signa r ) 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 Footings Windows 3rd Floor Stemwall Siding To out Slab Roof Sheathing Water Piping Piers Roofing Sewer 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 Rough Reinf. 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 DATE REMARKS OR CORRECTIONS MOBILEHOME INSTALLATION INSPECTION CHECK LIST 1. Is the mobilehome located with required separation from lot lines and buildings and generally conform to plot plan? YesV No 2.: Does the mobilehome have required clearances above ground? (Sec.5085) Yes No S. Are footings and supports properly sized, spaced, and braced as per approved. plans? (Note possible variation at spring shackles.) (Sec. 5082 &•5083) Yes No T 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 6. Water .A. Is flexible connector of adequate size and pr.operly.installed (1/2" ID min.)? (Sec. $566) 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 PYA, 7. Wastes a and Drains A. Is connection made with Schedule 40 DWV and have flex connectors at each end? Yes No B. Does it have minimum 'k" 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 standpipel..YesX— No D. If coach is notStat{elof Californiaapproved, does station have required .trap and vent? Yes No v ,� 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 YNo B. Test OK as per following procedure? Yes NC No 1. Open all appliance connector valves. 7'Shut off 'appliance burner and pilot valves. Air 3. Air test with manometer to 10"-14" water column, or test with slope gauge (minimum maximum 8 oz.) calibrated in tenth pound increments.. Test for 10 min. without 4. Connect gas meter to.mobilehome with connector, turn on gas, test connections with soapy water. C. Are all .appliance vents.properly installed? Yes X' No 9. Electrical A. Is service large enough to provide adequate amperage -to mobilehome (must equal rating of mobilehome with a minimum of 100 amp) and other facilities on lot, i.e.,.water pumps, garage, cabana, etc.? Yes V No Pt B. Is there proper clearances around panels? Yes_6. No C.. Is power supply cord or feeder assembly properly fused? Yes No D. Is continuity test satisfactory as per the following procedure? Ye.&� No 1. De -energize electrical wiring system of the mobilehome at the pedestal. 2 Make sure that the power supply cord or feeder assembly conductors, including neutral conductor, have been disconnected. . 'Switch all breakers and switches in the mobilehome to the "on" position. Connect one lead of a test instrumentto 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, �j 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 6ompletion 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 -- Manufacturer and/or Namestyle Length Width Vehicle Serial No. State Identification No. -5-6 -7 LS Additional Information or Comments: 0 t/. COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS i l 7 County Center DrPVe — Oroville, California 95965 Telephone: 534-4541 APPLICATION AND PERMIT authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. X A&) Date Sign ture of Permitet or Agent Receipt No. 4:4- ©�n White-D.P.W. — Yellow -Assessor --Pink-Inspector — Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR OF P BLIC WORKS By Date uilding permit expires Date ............................................ BUILDING Owner �a SO. FT. OCC. BUILDING VALUATION Mailing Address T� ✓"�✓ Contractor 6046i 1-d1le Fireplace Total Valuation Mailing Address Permit Fee Plan Checking Fee &/or Penalty Telephone No. Permit Fee Building Address PLUMBING No. @ FEE PERMIT FILING FEE $2.00 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 Fee S i tion ire Dept. FireZone Use Permit Building sewer 5.00 EOA Par arcel Plans Declaration Parcel p 60' R/W Im r p ove is Lawn sprinkler system 2.00 Bldg. Pla eed Parc Approval Plan pproval Permit Fee $ $ NEW ❑ ADDITION ❑ UT LITI_ES ❑ OTHER ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 Main service incl. 1 meter e li Single Family ❑ Duplex❑ Mobil Home Others ❑ dditional meters, each 1.00 Sub-panel (12 or less) (more than 12) Range, Cook -top or Oven 1.00 f Water Heater or Space Heater 1.00 Light fixturesbal 25 10 Receps., switches & fix outlets 20025 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. FanorF.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. Classification Misc. wiring -14 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. JI certify that in the performance of the work for which this permit is issued'l shall not employ any person in any manner so as to become subject to the Workmen's Compensation Laws of California. 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 MECHANICAL No.1 @ FEEPERMIT FILING FEE J$3.00 Heating Cooling Ventilation Hood 2,00 Permit Fee $ 44 H _714 ' $ TOTAL PERMIT FEE $ authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. X A&) Date Sign ture of Permitet or Agent Receipt No. 4:4- ©�n White-D.P.W. — Yellow -Assessor --Pink-Inspector — Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR OF P BLIC WORKS By Date uilding permit expires Date ............................................ COUNTY OF BUTTE - Department of Public Works 7 County Center Drive, Or6villef, California PHONE,: -'534-4541 { u, 1 _ tenerh = � I This set of Ions and specifications MUST be En rt K m r, 0 K d K F'• C .N E w MOBILEHO E INSTALLATION INFORMATION Lot Facilities 11obilehome Data 1. Plot plan dimensioned, location of mobile 1. Length 64Z Width and utility connections? Manuf acturer Yes No Vehicle Serial NO.7a 2. Electrical. service equipment ampacityk)o Insignia Control No. 3 Circuit breaker ampacity 2. Feeder assembly ampacity. .;�. Pennaner,t Wir,ng Connection v h' @ Conduit size" Ampacity vi� P s Power supply cord (amps) Receptacle_ Y_C� Ampacity,5 U 3. Gas inlet size 3 " 3. Gas: Natural_ LPC,r! "�._„�,., Mobilehome connector size _ Gas riser size �{— ASA _ Capacity. 4. Drain inlet size `, `F- f� 4. ain connector: describe on reverse side 5. Water riser size << 5. W ter connector'. describe on reverse side 6. Are utility connec ions locate o t 14 6. -esigned loads: the rear 1/3 of the mobilehd`RMi't•H--n Roof live load,2 Opsf . 4 feet of the left. wall? Yes No Wind load /_ sf. . If not, show di.mensions. above. (only for uobilehomes manufactured after 7. Is the mobilehome clear of septic tank,October 7, 1973) leach fields and located outside public 7. Manufacturer's installation instructions? utility easements? Yes_. No Yes No_> 8. .Do you propose to do other work on the- 8. - Will the mobile home be instilled on a property other than the mobilehome separate,support structure. installation which will require a permit! Yes No_�_ Yes No�( If so, specify *For plans and specifications of suDDort system, see other side. r LOAD BEARING SUPPORTS. el�S . . ADDITIONAL CC1D! 7:,TS 1 Drain Connector, Describe - Water Connector, Describe`a- 4VV*M to, f t ;LOAD BEIMN—G SUPPORT AND -FOOTING IlyTFOc^.'.NATION Pier Spacing Used ��•r �r � I is 12ax�m, um Pier Load Maximum Column Load (mLlfi-units only) QSoil \ Bearing Capacity, ..'ooting Dimension Used.... 4Pot— /y TYPE OF PIER. USED Steel Concrete Concrete Block_ Q Other 1 TYPE OF FOOTING MATERIAL USED Pressure Treated Vlood�, Concrete # Redwood (Grade) Vr/o O 2ther Approved Type . 0Y 4VV*M to, f • COUNTY OF BUTTE — DEFAIRTMENT OF PUBLIC WORKS /�� — ;�5 7 County Center Drive — Oroville, California 95965 ����fff{ ���/// • Telephone: 534-4541 APPLICATION AND PERMIT •—r•---� •• ^••�� •� vvu,.y v. uuaw av c 1a 1 uNvn uia' above-mentioned property for inspection purposes. X 6���_C ir" c� Date Signature of Permitee or Agent Receipt No. /l 3`s 7�/ White-D.P.W. — Yellow -Assessor = Pink -Inspector — Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR OF PUBLIC WORKS By. Date permit ex ires Date ............................................ ano BUILDING Owners'�� �O v SQ. FT. OCC. BUILDING VALUATION Mailing Address G�cJl� _z Te ephone No. —07f Fireplace Contractor �C(/IZ gil� Total Valuation Mailing Address Permit Fee Plan Checking Fee &/or Penalty Telephone No. Permit Fee $ Building Address `.r� PLUMBING No.1 FEE PERMIT FILING.FEE vy Each Trap 1.50 Repair drainage or vent piping 1.50 Water piping 1.50 Each gas water heater or vent A. P.,No. ��� d� �/ Zoning 8 Planning Gas piping system 1 - 5 outlets Mr. V-0 Each additional outlet .30 Fess --W. Samson Fire Dept. Fire Zone Use Permit Building sewer 5.00 EQA Parking Plans Parcel Declaration parcel Ma P 60' RM ImprovementsLawn sprinkler system 2.00 Bldg. Plans Recd Parcel Approval I Plans Approval Permit Fee $ $ L' NEW ❑ ADDITION ❑ UTILITIES QOTHER ❑ ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 Main service incl. 1 meter Additional meters, each 1.00 Sub -panel (12 or less) (more than 12) Single Family ❑ Duplex ❑ Mobil Home Q Others ❑ Range, Cook -top or Oven 1.00 Water Heater or Space Heater 1.00 -20 Light fixtures ball Bio Receps., switches & fix outlets Uk 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 Mobil Home Facilities 5.00 Temp. Power Pole 5.00 License No. Classification Misc. wiring I am exempt from the Contractors License Laws of the State of California. Permit Fee $ WORKMEN'S COMPENSATION INSURANCE 1 am aware of the provisions of Section3700 of the California Labor Code which requires every employer to be insured against liability for Workmen's Compensation. 'have placed on file with the County of Butte a certificate of ❑ Workmen's Compensation Insurance. 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 MECHANICAL No. @ FEE PERMIT FILING FEE $3.00 Heating Cooling Ventilation Hood T2.00 Permit Fee $ $ TOTAL PERMIT FEE $/D •—r•---� •• ^••�� •� vvu,.y v. uuaw av c 1a 1 uNvn uia' above-mentioned property for inspection purposes. X 6���_C ir" c� Date Signature of Permitee or Agent Receipt No. /l 3`s 7�/ White-D.P.W. — Yellow -Assessor = Pink -Inspector — Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR OF PUBLIC WORKS By. Date permit ex ires Date ............................................ ano � ,moi' - .,� .< . '�" i • � � z ��- �. ,._ t• COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS 7 County Center Drive pV Oroville, California 95965 Telephone: 534-z*641 APPLICATION AND PERMIT autnonce representanves or the county or tsutte to enter upon the above-mentioned property for inspection purposes. s r f - x -Date Signature of Permitee or Agent Receipt No. r ,/ White-D.P.W. - Yellow -Assessor - Pink -Inspector - Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR OF PUBLIC WORKS By 1 Building permit expires Date Date—' BUILDING Owner (_� r L.. SQ. FT. OCC. BUILDING VALUATION Mailing Address �� �% ���/�L't, . ` Telephone No. Fireplace Contractor �� Total Valuation Mailing Address Permit Fee Plan Checking Fee &/or Penalty Telephone No. Permit Fee $ Building Address �/ �? ��/I� ►►i w PLUMBING No. @ FEE r 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. -- ti {.' - Zoning &Planning Gas piping system 1 - 5 outlets 1.50 //,i.&Z' Each additional outlet .30 Fees W. C. -Sanitation FireDept. FireZone Use Permit Building sewer 5.00 EQA Parking Plans Parcel Declaration parcel Ma P 60' R/W Im rovements P Lawn sprinkler system 2.00 Bldg. Plans Recd Parcel Approval Plans Approval Permit Fee $f $ /''f-' NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER ❑ ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 V OR LE Main service 100 AMP ORSLESS 5.00 r r Main service EA. ADD'L too AMP 2.50 OVER 600V Main service 100 AMP OR LESS 25.00 Single Family ❑ Duplex ❑ Mobil Home ❑1C Others ❑ Main service EA. ADD'L 100 AMP 1.00 NEW CONST. DWELING OR ADDNS. ( ACCLBLDGS.OCCUP.. &) 20 sq ft NEW CONSTR. MULTI.OUTLET NON.RESID. ( BRANCH CIRCUITS) 2.50ea NEW CONSTR. (POWER APPARATUS & NON RES,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) BgL@j FIXED APPLNS. OR Ex. Occup.(OUTLETS (RESID.) EA) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 License 11o. 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 certify that in the performance of the work for which this permit is issued I shall not employ any person in any manner so as to become subject to the Workmen's Compensation Laws of California. MECHANICAL No. @ FEE PERMIT FILING FEE $3.00 Heating Cooling Ventilation Hood 2.00 Permit Fee $ $ I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building- construction, and hereby TOTAL PERMIT FEE autnonce representanves or the county or tsutte to enter upon the above-mentioned property for inspection purposes. s r f - x -Date Signature of Permitee or Agent Receipt No. r ,/ White-D.P.W. - Yellow -Assessor - Pink -Inspector - Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR OF PUBLIC WORKS By 1 Building permit expires Date Date—' COUNTY OF'BUT HE' — DEPARTMENT OF PUBLIC WORKS f / 7 County Center Drive—t_,Uroville, California 95965 C��`/ � _ Telephone: 5S4-4541 APPLICATION AND PERMIT a t� authorize representatives of the County of Butte to enter upon the above-mentioned prope or inspection purposes. �] / Date Signature oftoj,mit /or/Agent Receipt No. White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR Of PUBLIC WORKS BY Date 7 ! Y— Bui ding permit expires Date 7 t f-7 BUILDING Owner / ` SQ. FT. OCC. BUILDING VALUATION Mailing Address 6 A4 e' °0 Telepho e Fireplace Contractor Total Valuation Mailing Address Permit Fee Plan Checking Fee &/or Penalty e Tlephone No. Permit Fee $ Building Address q e)It PLUMBING No. @ FEE PERMIT FILING FEE $3.00 Q� Each Trap 1.50 Repair drainage or vent piping 1.50 Water piping 1.50 Each gas water heater or vent 1.50 A. P. No. �p © 4pZo i nng 8 Planning Gas piping system 1 - 5 outlets 1.50 , Each additional outlet .30 Fes W. Fire Dept. Fire Zone Use Permit Building sewer ` 5.00 EQA Parking Plans Parcel Declaration Parcel Ma P 60' R/W Improvements P Lawn sprinkler system 2.00 Slag. Flans Rec Parcel Approval Plans Approval Permit Fee ,$ $ NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER Q ELECTRICAL No.1 @ FEE PERMIT FILING FEE $3.00 ,Q 600V OR LESS Main service 100 AMP OR LESS 5.00 S/te Main service EA. ADD•L 100 AMP 2.50 Single Family ❑ Duplex ❑ Mobil Home Others ❑ Main service OVER 6 00V25.00 100 AMP OR LESS Main service EA. ADD'L 100 AMP 1.00 NEW CONST. DWELING OR ADDNS. ( ACCLBLOGS.CCUP. &) 22sgft NEW CONSTR. MULTI -OUTLET NON-RESID- ( BRANCH CIRCUITS) 2.50ea NEW CONSTR. (POWER APPARATUS .&) NON-RESID, (SINGLE OUTLET CIRC CONTRACTORS LICENSE LAW I am licensed under the provisions of Chapter 9, Div. 3, of the State of California Business & Professions Code under the name style of: Ex. Occup(OUTLETS OR FIXTURES) BAL@2514(� FIXED APPLNS. OR Ex. (FIXED (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. ❑1 have placed on file with the County of Butte a certificate of Workmen's Compensation Insurance. 54 1 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 L2.00 Hood 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 $ authorize representatives of the County of Butte to enter upon the above-mentioned prope or inspection purposes. �] / Date Signature oftoj,mit /or/Agent Receipt No. White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR Of PUBLIC WORKS BY Date 7 ! Y— Bui ding permit expires Date 7 t f-7 NO. 4841-76P,E w 7 1 r ty PERMIT EXPIRES 142177 tOWNER Gloria Raymond r owner CONTR. 'r P. " 26-06-14 LOCATION (A. 6964 Melvina Ave., Palermo . J� • y' • 1 YJ / • t Temp. Power Pole 3f„ Called PG&E 9 Temp. Elea Serv._ t Called PG&E em p Gas Serv. /A ; r9, Called.VS&EtQ�.�� JOB FINALED (Date) (Signature) c . 0BTi,l li0ME-' INSTALLA`l'100 INSPECTION CHECK LIST 1. Is the mobilehome located w.i.l_ required separation from lot lines and buildings and generally conform to plot plan? Yes No 2, Does the m?bA.ehome have requir<_d clearances above ground?. (Sec.5085) Yes 7y No 3. Are,footin,,s and supports*properly sized, spaced, and braced a- er approved plans? (Note possible variation at spring shackles.) (Sec. 5082 & 5083) YesNo 4. Is the mobilehome level.? (Sec. 5088) Yes No 5. If moXe than a single unit, are crossover connections properly installed? (Sec. 5088) Yes NoAk y. 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 -L No C. BaG4"Q Tf - "" -�of Cal' o -r -a approved, does station have backflow device and p�� sure -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 runnin 3 -gallons of water through each fixture including washing machine standpipe? Yes Non D. I.f co e o California app d, 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 mob'lehome gas line'irilet without reductions other than the mobilehome connector. Yes Z No B. Test OK as per following procedure? YesY. 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. en.oiigl. to provide ;-.Wequ;it-_e amperage to mobilcliome. (must equal rating of mobi.lehoine (aitli a. ::i'inh-uni of 100 amp) and other facilities on lot, i.e. , water pumps, llara,;e, cabana, eta:.:' Yes No B. Is ther--� proper. clearances Around panels? Yes No C. Is power supply cord or feeder assembly properly fused? SA -- No_ D. Is continuity test satisfactory as per the following procedure? YeXdcstal-. No 1. De-energLze electrical wiring, system of the mobilehome at the p 2. Make sure that tide 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 lc,., -id of a test instrument to the mobilehome grounding conductor and — ,....... , . apply ttie U i�.c .i.uau i:U Gaul niuuL.�ciiuuit supply CUnuuCtUi, 1nullrg ftEilirdi. 5. All nor. -current, carrying metal parts of the mobilehome (aluminum siding, gas line, i.ater 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 te:=;t shall then be Wade between the grounding electrode and the chassis of the rtoi)ilehome. Unon satisfactory completion of thecl.ectrical tests, the lot or site service equipment may be approved for energizing. Is ;ob card si-ned by flealth Departmeat for water and sanitation? 11. If everything okay, sign off card and ta; services. 'ManufLi?U!'r DATA f �'�� ZZZQQ Manufacturer and/car Names.yle ��'������- Ler.gth � Width a T Vehicle Serial No. a4l114WJ=Z State Identification No. 4de,;tional Information or Cornments: : COUNTY OF`BUTTE — DEPARTMENT OF PUBLIC WORKS '... , . BUILDING INSPECTION RkORD • j BUILDING BUILDING (Cont'd) Setback / Soil Piping Firewall Forms Para ets Main Bldg. 3rd Floor Restroom Fi ish Footings Windows Stemwal I Sewer Siding Slab ' Roof Sheathin Piers Heaters Roofing Garage Fdn. Vents Footings Stemwall FFinal Garage Vents Insulation Slab Carport Footings Prov. for physicall, handicaped Conformance of ex. structure Slab Final Patio I Footinqs Footinq Bond Test PLUMBING / Soil Piping 1st Floor 2nd Floor 3rd Floor To out Water Piping-� Sewer Fixtures ' Water Htr. Heaters r Appliances Gas Piping & Test ' Temp. Gas Sanitation EPLACE FFinal F ELECTRICAL Mesh I \ /MECHANICAL Grd. Fault Prol. Scratch Heating Service Brown Cooling Temp. Pole Finish ( Ducts Underground Interior Lath Ventilation Permanent Door Closer Final Final D T REMARKS OR CORRECTIONS \ ,,A17AlZ1 -7 1 (NOTE: An entry must be made on this form each time you visit the job site.) COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS 7 County Center Drive — UPOville, California 95965 �/�/// Telephone: 53414541 '( `l APPLICATION AND PERMIT ;4 �r•���•••-••�+ .w BUILDING Owner G ���A O�� SQ. FT. OCC. BUILDING VALUATION Mailing Address er9 6' 1, L -L 111AIA- X (e X z-ey O Telephone No. L S33— 71 � Fireplace Contractor Total Valuation Mailing Address ® Permit Fee Plan Checking Fee &/or Penalty • Telephone No. Permit Fee Building Address 6 ���L v v , PLUMBING No. @ FEE PERMIT FILING FEE $3.00 ,o L� O Each Trap 1.50 Repair drainage or vent piping 1.50 Water piping 4-5e0,0 Q I�OnPng Verification phtg Each gas water heater or vent 1.50 G e �� `�/ A. P. No. Y' O`* -Z g Gas piping system 1 - 5 outlets Each additional outlet .30 FeA Sa n Fire Dept. Fire Zone . Use Permit Building sewer 5.A& Q, O(? EQA Parking�elonparcel Plans Ma P 60' R/W Im rovementsLawn'sprinkler P system 2.00 rF4577e(0 Parcel App P s Approval Permit Fee $ -3300$-33 NEW ❑ ADDITION ❑ UTILITIES OTHER ❑ ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 , p© Main service 8000V OR 0 AMP LESS 5.00 O O Main service EA. ADD'L 100 AMP 2.50 " Single Family ❑ Duplex ❑ Mobil Home Others ❑ Main service OVER 600V100 AMP OR LESS 25.00 Main service EA. ADD'L 100 AMP 1.00 NEW CONST. DWELLING OCCUP. & OR ADDNS. ACC. BLDGS. ) 22sgft NEW CONSTR. MULTI.OUTLET NON.RESID. BRANCH CIRCUITS) '2.50ea NEWCONSTR. 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) @251t00 Ex. Occup. FIXED ALNS. OR P'(OUTLETS IPPRESID.) EA) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 f, License No. Classification Misc. Wiring 6.25 I am exempt from the Contractors License Laws of the State of Califomia. Permit Fee $ 23.0 $ 2 O 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. l/121 I certify that in the performance of the work for which this p3 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 S State Laws relating to building construction, -and hereby MECHANICAL No. @ FEE PERMIT FILING FEE $3.00 Heating Cooling Ventilation Hood • 2.00 Permit Fee FEE TOTAL PERMIT /^ n� � 6 V -—Y vw ­UNvn UIV above-mentioned property for inspection purposes. xX A 'Date Sig ature of-Permitee JrAgents/ Receipt No. /?2 l 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. DIRECLOR OF PUBLIC WORKS Building permit expires Date BUTTE COUNTY DEPARTMENT OF PUBLIC WORKS ` 7 County Center Drive, Oroville, CA. PHONE: 534-4541 MOBILEHOME INSTALLATION SHEET 1. Owner's name: 2. Installer's name: 3. Is the site currently under permit?. Yes / yr 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 clear of all setbacks and.easements? Yes 1.41 No,/ / ( If no, clarify A ) 5. What is the mobilehome electrical rating? ----------------------- �n Amps 6. What is the mobilehome site service rating? -----=--------------- fps 7. What is the mobilehome site cifcuit•breaker rating? ------------- / p mac, 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 / / LPG 11. What is the gas pipe length from meter or tank to the mobilehome? (ft.) 12. What is the mobilehome gas demand? ------------------------ ---- (gam) (This information not required if pipe length less thai 6 ft. on .natural gas or lepss than- 50 ft:' on LPG.) "/ r. MOBILEHOME. SUPPORT DATA Mobilehome'Mfr.Setup Model No. Year -S^ Width _ .(ft.) Length (ft.) Expando 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). I - Sin lV e -a q. I Center Center Support d 4A Support Footing Sizes Lo�t�,s(in.) ..�� /1Z in.jZ'in. Ad x (tom(in.)(in.) .)(in.) 601 (in.) (in.) . in..) in: in.) . (in.) (in.) *If center piers are other than drawn above, draw in locations, spacing, and dimensions. Footings--(check.-one) /li—l. Wood either ' pressure treated or f dn-. grade. Concrete pad. 3. Other,: specify Supports (check one) I/ 1. Concrete block 2. Concrete piers 77 3. Steel piers 4. Other, specify Typical Support x P Footing Size in. in. )) (�er '-44 'J MSpacing ft. in.) P g Max. } - Overhang 'BUTTE COUI�i BUILDING DEPARTMEW.. APPROVED r COUNTY OF BUTTE — ISEPAR-ITMENT OF PUBLIC WORKS y 7 County Center Drive — Uroville, California 95965 Telephone: 534{-4541 APPLICATION AND PERMIT rr l� uuuw„ce iepresentaU ves UI llle lwunty of buite to enter upon the above-mentioned property for inspection purposes. a , � ��r� Datel— xpm Signature of Peermitee gent Receipt No. _✓ 3- White-D.P.W. – Yellow -Assessor – Pink -Inspector – Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR OF BLIC WORKS BY Date F— Zr--% %G - F- z�- ilding permit expires Date BUILDING Owner ��� ��� SQ. FT. OCC. BUILDING VALUATION Mailing Address Telephone No. Fireplace Contractor �y wvitz Total Valuation Mai I ing Address�� Permit Fee Plan Checking Fee &/or Penalty / e lephone No. Permit Fee / Building Address , �p EL / �• 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 ides� W.C. 9e"4"Wcy Fire Dept. Fire Zone Use Permit Building sewer 5.00 EQA A Parking Plans Parcel Declaration Parcel Ma P 60' R/W ImprovementsLawn sprinkler system 2.00 � B -Bldg. Plans RecdParcel pproval PIo Approval Permit Fee $ $ NEW ADDITION ❑ UTILITIES OTHER ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 OV ~�I`, (� Main service 100 AMP ORSLESS 5.00 Main service EA. ADD'L 100 AMP 2.50 Single Family ❑ Duplex ❑ Mobil Home,K Others ❑ Main service OVER 600V too AMP OR LESS 21.00 Main service EA, ADD'L too AMP 1.00 NEW CONST. DWELING OR ADDNS. ( ACCLBLDGS.OCCUP. &) 20sq 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 style of:. Ex. Occup(OUTLETS OR FIXTURES) @�C BALD/ ExO ccu FIXED APPLNS, OR P• ( OUTLETS (RESID,) EA) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 License Nolple!2�� 9 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. fI 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. 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 MECHANICAL No.1 @ I FEEPERMIT FILING FEE J$3.00 Heating Cooling Ventilation Hood 2.00 Permit Fee $ %/GePJ 2V $ A TO PERMIT FEE $ Q uuuw„ce iepresentaU ves UI llle lwunty of buite to enter upon the above-mentioned property for inspection purposes. a , � ��r� Datel— xpm Signature of Peermitee gent Receipt No. _✓ 3- White-D.P.W. – Yellow -Assessor – Pink -Inspector – Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR OF BLIC WORKS BY Date F— Zr--% %G - F- z�- ilding permit expires Date CITY OF DEPARTMENT OF BUILDING & SAFETY PLOT PLAN DATE: BUILDING PERMIT NO. i P/L Ii MOBILE HOME �. IP/L rn P/L . I STREET: 96 y / e,4 V,)A)4i P,4jZ)� /,70 LOT No.: Name of Park: Street Address'. Name of Tenant: STS; F,)) k j✓ RD ifl Brand Name: State Approval. #: State Model # Installer: gi,✓ . �ss:e�lephone:��—Ge Describe Work to be Done: �/i✓ S7A��la7>Oi✓ Cost: $ BUTTE COUNTY We, the undersigned, hereby apprr�ve the installation of the agree that the information furnished herein his correct and in accor ance with all applicable provisions of the Health and Safety Code and Relate ft of California.. ®V" Tenant: Park Manager Signature Signature y . 02/ 0% BUTTE COUNTY DEPARTMENT.OF PUBLIC WORKS 7 County Center Drive, Oroville, CA. PHONE: 534-4541 1. Owner's name: 2. 3. Installer' s name; J fy /7-1 i 7 KV r Is the site currently under permit? Yes / / t No / ✓/ (If yes, furnish permit number ) OR Is the site an existing site? Yes'/7/ No MOBILEHOME INSTALLATION SHEET (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? ----------------------- / 0 Amps 6. What is the mobilehome site service rating? --------------------- / D 0 Amps 7. What is the mobilehome site circuit breaker rating? ------------- /ofJ 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? ---------------------- 3 (in.) 10. What is the type of gas service? ----------------------------- Natural / / LPG 11. What is the gas pipe length from meter or tank to the mobilehome? So (ft,,) 12. What is the mobilehome gas demand? ------------------------------ (BTU) (This information not required if pipe length less than 6 ft. on natural gas or less than 50 ft. on LPG.) MOBILEHOME SUPPORT DATA Mob ilehome Mfr. ,"� S17 V Setup Model No. Year % % Width r2 ! (ft.) Length / D (ft.) Expando Size ft.x ft. (Draw support details below) On all mobilehomes manufactured after October 7, 1973, furnish manufacturer's installation manual and st cttu�urffal setup sheets (if not on file with the County of Butte). Sin le s, Footings (check one) /,/ 1. Wood either pressure treated or Crnter Center Support fdn. grade. S Footing SizessLns (in.) f /L 2. Concrete pad. 3. Other, specify O Supports (check one) 1. Concrete block 2. Concrete piers (f t (in) 3. Steel piers I / / 4. Other, specify Typical -Support I/„? _X 47j Footing Size , J J� �0 S _ 6 + Max. Pier -- + Spacing (in.) (in•)_ %�. �, Max. Overhang (.tt.,�) (in.) *If center piers are other than drawn above, .draw in locations, spacing, and dimensions. SUTTEE COUNTY BUILDING DE?ARTMENr APPROVED DECLARATION.REGARDING LOTS OR PARCELS I certify that as owner of the property acquired by deed in Volume Pager' -''/rte:` , :Official Records of Butte County, (AP# C-) O /` 0- I am requesting permission to.build or install an additional living unit on this property. I will not divide the aforementioned property for sale, lease, rent, or financing unless all applicable land division laws and map requirements are com- plied with. I am conversant with the present zoning regulations affecting the aforementioned property; and declare that I shall not violate same. I represent that the proposed use of the additional living unit is and that further I shall not change this proposed use of the additional living unit unless and until I receive written approval therefor from the County of Butte. I fully understand that pursuant to Chapter 20 of the Butte County Code and §11535 et seq of the Business and Professions Code that if I, in the future, sell, lease or finance the area on or adjacent to said improvement without fully complying with the applicable laws and ordinances, that I shall be guilty of a misdemeanor and c therefore, subject to the aforesaid penalties and imprisonment pursuant to law. Further, this statement shall be properly acknowledged and recorded at the request of the County.of Butte. t ' OFFICIAL RECORDS r OUTTE COU%or' LIF OR2E . t , 6140_' 1�+�, 9 4 M 76 LQUISE KLUENDER COUNTY RECORD i FEE. . 4422 "Z �- Owner Address Date --- - - - - - - - - - - - - - - - - 7 - - - - - - - - - - - - - - - - - - - - ' STATE OF CA FO NIA ) ss OF on this "y Of 197 %, befq" mo, � Q a 16im Pubut in h o 7 .tate of lifornia r 'ding therein, duly eommis- sioned and sworn, personally appeared known to me to be the person_ whose name_ _ fit, subscri d tote within`instrument and acknowledged to me that,Qhe.:- executed the same. IN1,11ITNESS �VOhave hereunto set my hand and affixed my official seal in the County of the day and year in this certificate first above written. 4&17X_� I Notary Public M 0 0 a rn END OF DOCUMENT Cn S96-1275 r -_J OF -FICIAL SEAL I)EL(XU 3 A. McKIM ` NOTARY PUALIt - CALIPORNIA 1 VRINCIML WNCG IN YIII 1 cQUNTY OP DUTTA .a My Commission 6xpi►cs Octobo► 8, 1979 �IAl1AAAAlAAAAAAAAAAAl1AiGAACCAl1A1GAC1AAAl1AA111111A11! 4&17X_� I Notary Public M 0 0 a rn END OF DOCUMENT Cn S96-1275 r -_J i"•�f ' t_ .. ............ +.P r. . 1. � ..1: r ., � � •tet ' a ,L' i .' ,a ,v L... '1�4+ ��r 1. ,; '�CfS- �i `: ti `�tf.�l r �......va. ...n .... ',•��.+-Q�.i,.•�..::..: •.c ....� • � a •J.. a . .. ` ,. ' "• � � a • _. • •v . ... if a s. • � , A _ Ono 0; Ali w r fj son; _. ,L' i .' ,a ,v L... '1�4+ ��r 1. ,; '�CfS- �i `: ti `�tf.�l r �......va. ...n .... ',•��.+-Q�.i,.•�..::..: •.c ....� w I NIS PERMIT NO. 3033-77MHI PERMIT EXPIRES O OWNER Gloria Raymond CONTR. Gene Schmitt MH Serv., Chico LOCATION (A.P. 26-06-14 6964 Melvina Ave., Palermo I Temp. Power Pole Called PG&E emp. Elec. Serv. i Called PG&E Temp. Gas Serv. Called PG&E 1 JOB FINALED /41 (Date) r. (Signature) P - COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS BUILDING INSPECTION RECORD ` ;BUILDING:, BUILDING (Cont'd) PLUMBING . Setbacks Firewall Soil Piping Forms Parapets 1st Floor o Main Bldg. Restroom Finish 2nd Floor Footings Windows 3rd Floor Stemwall Sidinq To out Slab Roof Sheathing Water Piping Piers Roofing ` ' Sewer Garage Fdn. Vents Fixtures Footings Stemwal l Garage Vents Insulation Water Htr. Heaters Slab Carport Footings Prov. forph sically handica ed Conformance of ex. structure A liances Gas PIpInq & Test Temp. Gas Slab Final Sanitation Patio.'" FIREPLACE Final Footings Masonry Walls Reinf. Steel Footinc Thrn.f: ELECTRICAL trona 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 E'lec. Pedestal --" Water Piping ewer Gas Piping 1 E ME INSTALLATION LLAT_ION •- - - - - - - - M� Support / Elec. Continuity Water Piping �� DrainageGas a Piping p g " o�e�' l DATE REMARKS OR CORRECTIONS (NOTE: An entry must be made on this form each time you visit the job site.) 3 COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 7 COUNTY CENTER DRIVE OROVILLE, CALIF. - 534-4541 CERTIFICATE OF OCCUPANCY This mobilehome has been installed in accordance with the requirements of the California Administrative Code, Title 25, Chapter 51 under permit number ` > - ` L for the following location: Owner. Owner's Address Mobilehome Mf �' " Model Year g. - Insignia No. Serial No. It is hereby certified for occupancy at the above described location and may be occupied. Director of/Public Works Date i /% By THIS CERTIFICATE IS VOID WHEN MOBILEHOME IS RELOCATED -M0BIi,'F;fi0iME INS'I'ALLAT100 INSPECTION CHECK LIST 1. Is the rnobilehom� located Nri.l_li required separation from lot lines and buildings and generally conform to plot plan? Yes No ?, noes the mobilehome have required clearances above ground? (Sec.5085) YesX No 3. Are foot:in,s and supports properly sized, spaced, and braced as per approved plans? (Note possible variation at spring shackles.) (Sec. 5082 & 5083) Yes V) No 4. Is the mobilehome level.? (Sec. 5088) Yesx— No 5. If more than a single unit, are crossover connections properly installed? (Sec. 5088) Yes No 5, Water A. Is 'lexible connector of adequate size and properly installed (1/2" ID'min.)? (Sec. 5566) YesNo B. Test - Does water piping withstand working pressure or 50 lbs, air test? Yes\ No_ C. B ec��e-h is net State eta-]-f-o-r�ra 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 z," 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. 1, roved, 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 -p - B. Test OK as per following procedure? Yesy 140 1. Open all appliance connector valves./T 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 i-nstalled? -Yes No P 9. Electrical A. Is sorvice Large enokigh to provide adequate amperage to mobileliome (must equal rating of mobilehome with a -.:;inu::um of 100 amp) and other facilities on lot, i.e., water pumps, ..arat,e, cabana, etc,? Yes/ No B. Is them proper clearances around panels? Yes'( No C. Is power supply cord or feeder assembly properly fused? Yesy— No_ D. Is continuity test satisfactory as per tate following procedure? Ye''s �(, No_ 1. De -energize electrical xuiring 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 breaker:, and switches in the mobilehome to the "on" position. 4. Connect one lead of a test instrument to the mobilehome grounding conductor and � iy ttiC Oiu.i't .te au %u eai l TlIVU1.LE,loffle slippiy CoriiILieto'i, 11ii iiUltig ne I is L. 5. All tion -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 te;,-L shall then bemade between tg LI -.he 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. I1; job card signed by health Department for water and sanitation? I.I., If eve ything okay, sign off card and ta— services. iUli TL L;?U?^.L _DATA –� Manufacturer and/or Namestyle ��7/!�P�,�'t `� Length Width Vehicle Serial No. State Identification No. 4&1,;tional Information or. Comments: COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS 7 County Center Drive — Orovi Ile, California 95965 ,. Telephone: 534-4541 / APPLICA-TION AND PERMIT authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. Ax /�-,�cR �YJ r 9 Date Z -G20- 7 7 Signature of Permitee or Agent Receipt No. /1; Z White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR OF`PUBLIC WORKS BY Date to—Z.- 77 Building permit expires Date 09—z7— BUILDING Owner `� %fO�C! SQ. FT. OCC. BUILDING VALUATION Mailing Address Telephone No. Fireplace Contractor SC' ` ' l - '` Total Valuation Mailing Address 6J Permit Fee Plan Checking Fee &/or Penalty 7 © C. Teleepho/ Permit Fee $ Building Address PLUMBING No. @ FEE PERMIT FILING FEE $3.00 / s 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. !i !� D Zoning & Planning Gas piping system 1 - 5 outlets 1.50 Each additional outlet .30 176/sI .C. Sani+&+en Fire Dept. Fire Zone Use Permit Building sewer 5.00 EQA Parking Plans I Parcel Declaration Parcel Ma P 60' R/W Improvements P Lawn sprinkler system 2.00 Bldg. P14A c'd I Parcel A vol Pla pproval Permit Fee $ $ NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER IN ELECTRICAL No.1 @ FEE PERMIT FILING FEE J$3.00 Main service 100 AMP OR00V OR LESS5.00 Main service EA. ADD'L 100 AMP 2.50 Single Family ❑ Duplex ❑ Mobil Home Others ❑ Main service OVER 600V 25.00 100 AMP OR LESS Main service EA. ADD'L 100 AMP 1.00 NEW OR ADDNST ( ACCLBLDGS.LING CCUP. &) 20sgft NEW CONSTR. MULTI -OUTLET NON-RESID. ( BRANCH CIRCUITS) 2.50ea NEW CON ST R. (POWER APPARATUS &) NON-RESID. SINGLE OUTLET CIR. CONTRACTORS LICENSE LAW I am licensed under the provisions of Chapter 9, Div. 3, of the State of California Business & Professions Code under the name style of: _ .5 C'�rn 7-/ 7— �'J %� S$) Ex. Occup(OUTLETS OR FIXTURES) BAL@1 Ex. Occup.(FIXED APPLNS. OR OUTLETS (RESID.) EA) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 �� G/ License No. _3%a c3o2,� 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 certify that in the performance of the work for which this ❑pie permit is issued I shall not employ any person in any manner so as to become subject to the Workmen's Compensation Laws of Cal i forni a. MECHANICAL No. @ FEE PERMIT FILING FEE $3.00 Heating Cooling Ventilation ,r 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 G �✓ TOTAL PERMIT FEE $ authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. Ax /�-,�cR �YJ r 9 Date Z -G20- 7 7 Signature of Permitee or Agent Receipt No. /1; Z White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR OF`PUBLIC WORKS BY Date to—Z.- 77 Building permit expires Date 09—z7— `r 1743-74B PERMIT NO. h P ,s y E ! . � I MH UTIL. PERMIT NO. PERMIT EXPIRES OWNER. Don A _• Mi sener CONTR. Owner .-,CATION (A.P. 26-06-14 � 6964 Melvina Avenue, Palermo 0 ai i; A i 4 I. Temp. Power Pole • e Called PG&E Temp. Elec. Serv. { Called PG&E tI Temp. Gas Serv. } Called PG&E 1 JOB 1 J FINALED - A (Dates I i (Signatur ) 5r Ze fen r h y.cte, J COUNTY OF BUTTE — DEPARTMI;_NT 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 Footings Windows 3rd Floor Stemwall Siding To out Slab Roof Sheathing Water Pi in 4p Piers Roofing Sewer Garage Fdn. Vents Fixtures Footings Garage Vents Water Htr. StemwaII Prov. for physically Heaters Slab handicapped Appliances Carport Conformance of ex. Gas Piping & Test Footings structure Temp. Gas Slab Final Sanitation Patio FIREPLACE Final Footings Footing ELECTRICAL Masonry Walls Throat Rough Reirif. 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 DATE REMARKS OR CORRECTIONS - - -7-5 `Gr 1j Lv t f� S �� a r %yi .1-�.- G COUNTY OF BUTTE — SDE-PARTMENT OF PUBLIC WORKS P� 7 County Center Drive — Oroville, California 95965 Telephone: 534-4541 77 APPLICATION"AND PERMIT authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. X /�y rh' /`C�ipate�c,c�7 •Sr—�D� Signature of Pyermitee or Agent Receipt No. 1 / / 57f 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 e Date.,ng permit expires Cate...............s -. zZ --7 BUILDING Owner/5 E , D-4 A/, Z SQ. FT. OCC. BUILDING VALUATION 42 SCS A5%0. 1/ioA) Mailing Address (0 0 Telephone No. Fireplace Contractor (1) �/ /?j Notal Valuation Mailing Address Permit Fee Plan Checking Fee&/or Penalty Telephone No. Permit Fee37 $ ex $ Building Address 19PLUMBING No. @ FEE 7 'PERMIT FILING FEE $2.00 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.// �Co— Zoning 8 Planning Gas piping system 1 .- 5 outlets 1.50 Each additional outlet .30 F W ire Dept. Fire Zone Use Permit Building sewer 5.00 EQA Parking Plans Parcel Declaration Parcel Ma P 60' R/W Im rovements P Lawn sprinkler system 2.00 Bldg. Plans Rec'd I Parcel Approval Plans Approval Permit Fee $ $ NEW ❑ ADDITION ❑ -UTILITIES ❑ OTHERELECTRICAL L� No. @ FEE PERMIT FILING FEE $3.00 t Main service incl. 1 meter Additional meters, each 1.00 Sub -panel (12 or less) (more than 12) Single Family Duplex ❑ Mobil Home ❑ Others ❑ Range, Cook -top or Oven 1.00 Water Heater or Space Heater 1.00 Light fixtures ba1�12o Receps., switches & fix outlets1125 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. FanorF.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. Classification Misc. wiring 1 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. rV 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 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 /�y rh' /`C�ipate�c,c�7 •Sr—�D� Signature of Pyermitee or Agent Receipt No. 1 / / 57f 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 e Date.,ng permit expires Cate...............s -. zZ --7 .PERMIT NO. P E M MH UTIL. PERMIT NO. 2004-74P,E PERMIT EXPIRES 6--7-7t, Mn OWNER Mrs. Don Misener )CON TR. A =LOCATION (A.P. 26-06-14 ) • 6964 Melvina., Palermo Temp. Power Pole cT. Called PG&E Temp. Elec. Serv.�,-� Called PG&E Temp. Gas Serv. Called PG&E JOB FINALED A (Date) 'i (Signature) COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS BUILDING INSPECTION RECORD BUILDING BUILDING (Cortt'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 Piping— — Piers Roofing Sewer Garage Fdn. Vents Fixtures Footings Gara a Vents Water Htr. StemwaII Slab Prov. for physically handicapped Heaters Appliances Carport Footings Conformance of ex. structure Gas Piping & Test Q — — Temp. Gas Slab Final Sanitation Patio FIREPLACE Final Footings Footing ELECTRICAL Masonry Walls Throat Rough Reinf. 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 Under round Interior Lath Ventilation Permanent — Door Closer Final Final DATE REMARKS OR CORRECTIONS OA�—&—Ao— 779e�140? .--� i COUNTY OF BUTTE — DEPARTMENT OF PUBLIC W I 7 County Center Drive — Oroville, California 95965 CY Tel ephorfe: 534-4541 APPLICATION AND PERMIT • BUILDING OwnerO^ ` ��� S0. FT. OCC. BUILDING VALUATION Mailing Address a_l s w ,/� ,I Telephone No. 33— S5r-0t 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 $2.00 , p 0 Each Trap 1.50 Repair drainage or vent piping 1.50 Water piping 1.50 ,S Each gas water heater or vent 1.50 A. P. No. .� Zonin P n Gas piping system 1 - 5 outlets 1.50 Each additional outlet .30 s Fire Dept. Fire Zone se Permit Building sewer 5.00 0 EQA Parking Plans Parcel Declaration Parcel Ma p 60' R/W Im provements Lawn sprinkler system 2.00 Bldg. Plans Rec'd Porce pprovol Pla pproval Permit Fee $ NEW F]ADDITION ❑ UTILITIES OTHER ❑ ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 3,00 Main service incl. 1 mete pp,43=CS0 Additional meters, each 1.00 Sub -panel (12 or less) (more than 12) � / Single Family ❑ Duplex ❑ Mobil Home Others ❑ Range, Cook -top or Oven 1.00 Water Heater or Space Heater 1.00 Light fixtures 2516 0 4;20 Receps., switches& fix outletsCONTRACTORS 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. Motor1.00 Evap. cooler, gar. disp. or D.W. 1.00 Air conditioner or heat pump Water pump Mobil Home Facilities 5.00 5,()0 Temp. Power Pole 5.00 License No. Classification Misc. wiring x I am exempt from the Contractors License Laws of the State of California. Permit Fee $ $ r QQ $ WORKMEN'S COMPENSATION INSURANCE 1 am aware of the provisions of Section3700 of the California Labor Code which requires every employer to be insured against liability for Workmen's Compensation. 1:1 I have placed on file with the County of Butte a certificate of Workmen's Compensation Insurance. certify that in the performance of the work for which this xXIermit is issued I shall not employ any person in any manner so as to become subject to the Workmen's Compensation Laws of Cal i forni a. MECHANICAL No. @ FEE PERMIT FILING FEE $3.00 Heating Cooling Ventilation Hood 2.00 Permit Fee $ I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. X 9,0ZI,LuDa Pete Signature of rmitee .rAgent Q Receipt No. /;2Z_- (/o eq White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant TOTAL PERMIT FEE $ p This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR OF UBLIC WORKS By ✓' nate_ 4, % — i (Z Iding permit expires Date........... G—7...7Js k This � 6f �9aws ��� speei�rcations �RUS`� b® 7 kept on the job at all times. and it is unlawful to make any changes or alterations on same without written permisson from the Department of Public L C f R.4*. NOTE.—AI) Materials & Workmanship Shall Be in r Accordance with Recognized Good Practices and of a quality, prescribed for the Specified use in the Uniform Building. Code, Uniform Plumbing Crdp. = nd the National, Electrical .Code - sum UNV 'BUILDING DEPARTMEW, 4 POVED Wor s, ounty o u Bldg. Setback shall be 5 ft. from ' .. the side 'property line and 50 ft. from ,. erline of the road, permitting a maximum of a 2 t. eave-----v''erhan�' o= o M ' 0 e a N� 0 O E o . - r-o0-� :rv1�L O o J SSP&� W�@� � location M.. &Z +- E U2 Q ° o I e I . to be as per Butte County Health Dept. Re- quirements. NOTE.—AI) Materials & Workmanship Shall Be in r Accordance with Recognized Good Practices and of a quality, prescribed for the Specified use in the Uniform Building. Code, Uniform Plumbing Crdp. = nd the National, Electrical .Code - sum UNV 'BUILDING DEPARTMEW, 4 POVED c3o2Go� OIC— 0/p C�re_cw-M AlYW0PO .P. 1. @MOTE:—All . Mnteric!ls & Workmanship Shall Be in b4 N "W%imoA Accordance w th Recocinized Good Practices` and 90A, M� ' Cate of a' quality p �escrihed for the Specified use in the U ' orm Building, Plumbin g & Machanical Codes. and f ational Electrical_ Code. �, rJF °�-o Fa4" U1E1I_ - .� a E c X�6a�� hero o_ s o,, �o i6 Q) �... p.��+� ��aa,.- . emu H o o c o�'��o �o °r6 ,c o-77 a a o 0 o OA,. S` ,�• ° -�= a • `°^ '�`-� o ` � � a 05 0- NccQuo^god' y t A permit will Ge requked. for the 1 h rinstaHdtion-of the -c' 6o ilehome ., .. .' ♦ }`ted ._. ;100. �>:• .,r,;�• . ....,.. . .4� _ 00 . � a �itUTTE LINTY _oJ< .� .. BUILDING D PARTMENT Q G �5 p_p_R_ V E -D a as:b6q ?Cyl.An"0131"ZIA o\%o-C►o-CJZ .an 1 ` At - s � - OOPJ b,GJ 1 04 ..? - . .+aft' :_. �J1n�►c «�' , s fft i 0 i lc� � x • y''7. + ,`• E � .I r f �� .1 A ''tea' .r• r �', � I I wh x i Qf '9-L-61 T W� d3 S 'S�la Ali -10g __q1/18 �'p -N 0 '1d3: 00 r t; PERMIT NO. 9361-87P (MH) PERMIT EXPIRES OWNER GLORIA RA394f--ill CONTR. ASSESSOR PARCEL 26 9 14 LOCATION — 6964 Mel-v4:fte, . Paler -me. 4 , 4 J OFFICE COPY Address GAS Meter By IC Dat-? Datcr y% Temp. Power Poie - Celled PG&E Temp. Elec. Service Called PG&E Temp. Gas Service Called PG&E Y 1 JOB FINALED (Date) Signature = OK i 0 = Not OK =oApplicable NtdyMOBILE HOMES MISCELLANEOUS Date MOBILE HOME UTILITIES (Plans) OK except #'s ; Date DECKS,COVERS,CARPORTS,GARAGES, (Plans)OK except #'s 1. Zoning Requirements -Setbacks -Easements 1. Zoning Requirements -Setbacks -Easements 2. Soils; Special MH Support -Sketch 2. Footings; Sol ls-Size- Depth •Spacing -Connectors -Steel 3. Sewer; Location -Test -Fall -C/O -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 6. Gas; Location -Test -Wrap: / P L" ft. / /"Nat. or/ P L" ft./ /"LPG 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures. 6. Carports; Windows -Doors 7. Utility Clearance 7. Elec. 8. Frmg; Sills-Anchors-Studs-Rftrs-Trusses 9. Siding; Nailing -Veneer -Stucco -Mesh Card -131 Date Card -B1 Date 10. Roof; Shthg-Roofing Card -B1 Date Card -B1 Date 11. Ext.; Steps -Doors -Landings Date MOIVLEHOME INSTALLATION Plans OK except #'s oning Requirements -Setbacks -Easements Card -131 Date Card -B1 Date ,,Footings; Size -Spacing -Marriage Line Card -B1 Date Card -B1 Date 3. Gas; MH Test -Demand -Valve -Connector 4-1E16ctricity; MH Test -Crossovers -Breakers -Clearances Date POOLS (Plans) OK except #'s Drain; MH Test -Fall -Flex Connector 1. Setbacks -Easements ater; MH Test -Regulator -Connector 2. Soils; Compaction -Structure Stability (i .,Water and Sewer Connected -C/O to Grade -HD Approval 3. Pool Structure; Steel -Connections -Thickness - Dead Men -Lining as and Electricity Tagged its; Insp.-Sketch 4. Elec.; Receptacles and Lighting, Distances-GFI Cert. of Occupancy 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.;Ground ing; Equip. w/5' -circulating Equip. -Pool Lghtg. Boxes -Enclosures -Panel boards -Ins. to Main in Conduit Card -B1 Date ' Card -B1 Date Card -B1 Date Card -B1 Date 9. Health Department Approval ! 10. Plumb.; Cir. Test -Water Supply Test Card -B1 Date Card -131 Date Card -B1 Date Card -131 Date = OK o = NotOK RESIDENTIAL (Single and Duplex) - =Not Applicable = Not Ready Date UNDERFLOOR (Plans) OK except #'s Date FRAMING (Continued) 1. Zoning requirements -Setbacks -Easements 44. Hangers -Post Caps -Anchors -Connectors 2. Ftg., Main; Soils-Steel-Elec. Grnd.-/ ' /" Ftg. Depth 45. Cing. Joist-Rftr. Ties-Purlin-Roof Brac.-Truss-Shthng.-Rfng. 3. Ftg., Garage; Soils -Steel-/ /" Ftg. Depth 46. Fireplace Ties or Type A Flue -Fireplace Throat 4. Ftg., Porches & Decks; Soils -Steel-/ /"Ftg. Depth 47. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 5. Stemwalls, Main; Steel- Blockouts-Wrapped 48. Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions 6. Stemwalls, Garage; Steel-Blockouts-Wrapped 49. Garage Fire Protection Framing 7. Slab; Steel -Wrapped 50. Property Line Firewall & Openings 8. Piers -Fireplace Ftg.-Steel 51. Ext. Doors -One 3' -Check Garage -3rd story, 2 exits 9. D.W.V.; Fall -Fittings -Test -2 way C/O -Sewer Test 52. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 10. Gas Pipe; Size -Anchors 53. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers 11. Water Pipe; Test -Anchors -Regulator -Service Test 54. Siding -Nailing Veneer 12. Electric; Underground 55. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access 13. Plenums & Ducts; Clearance-Material-Supprt-Ins. 56. Glazing Area -Glass Protection -Skylights -Plastic 14. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples 57. Shear Walls; Nailing -Bolts 15. Insulation 58. Insulation-Walls-Cig. 59. Infiltration-Walls-Wndws Card -B1 Date Card -81 Date Card -B1 Date Card -131 Date Date PLUMBING (Permit) OK except #'s 16. Water Ht. Vent -Access -Combustion Air 17. Water Pipe; Test & Anchors -Nail Protection 18. D.W.V.; Test-Fttngs & Anchors -Nail Protection 19. Shower Pan; Test, First Floor -Tub Access 20. Test Tub & Shower, 2nd Floor -Tub Access 21. Gas Pipe; Size & Anchors Card -B1 Date Card -B1 Date Card -B1 Date Card -B1 Date Date ELECTRICAL (Permit) OK except #'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. Fasteners -Bond Gas & Water 27. 2 Appliance Circuits in Kitchen & Conductor Size 28. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / /ga. Cu or Al 29. Range Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or Al. Insulated Neutral Yes No 30. Service -Riser Conductors & Ground -Main Disconnect 31. Equip. Clearances Panels-Motors-Mech. Equip. 32. Clothes Closet Light -Shower Light -Spa Light Card -B1 Date Card -B1 Date Card -B1 Date Card -81 Date Date MECHANICAL (Permit) OK except #'s 33. A.C. Ducts Insulation & Support 34. Vent Fan; Exhaust above insulation 35. Condensate Drain & Overflow; Size & Grade 36. Furnace -Vent; Access -Comb. Air -Return Air Vent -115 outlet 37. Attic Access & Platform if Furnace in Attic Card -B1 Date Card -B1 Date Card -B1 Date Card -81 Date Date FRAMING (Plans) OK except #'s 38. Sills, Proper Material & Anchors 39. Walls Studs -Nailing, Spacing & Bracing -Plates -Sound 40. Bearing Walls over Girders & Floor Nailing 41. Draft Stop in Walls (rat proof) 42. Fire Stops; Furred Ceilings -Stairs -Chases -Tub 43. Header & Beam -Size & Bearing Card -B1 Date Card -B1 Date Card -B1 Date Card -81 Date Date FINAL (Plans) OK except #'s 60. Ext. Steps -Door & Sidelight Protection -Landings 61. Smoke Detector 62. Furnace; Vents -Clearance -Comb. Air -Connector - In Garage; Above Floor -Ducts -Mach. Protection 63. Bedroom Exiting 64. G.F.I. & Bath Fixtures & Tub Access -Spa ,65. Elec. Trim & Subpanel; Breaker Sizes -Labels 66. Stairs & Rails 67. Fireplace or Stove; Clearances -Hearth 68. Elec. Outlets at Wood Panel; Int. & Ext. 69. Kit. Fixt. & Appliance; Grnd. -Air Gap -Cooking Clearance 70. Elec. Outlets & Receptacles at Kit. Counter 71. Garage Fire Door; Swing -Landing -Closer 72. A.C. Duct in Garage -Damper 73. Wtr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V.- In Garage; Above Floor-Mech. Protection 74. Plb., Elec. & Mech. Equip. Listed for Location 75. Elec. Receptacles in Garage; (G.F.I.)-Romex Protec. 76. Insulation -Foam -Looked in Attic ❑ Yes 77. Guard Rails & Deck Construction -Post Caps 78. Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance Looked under Floor ❑Yes 79. Following instld.; Drive ❑ Yes ❑ No; Walks O Yes ❑ No; Planters ❑ Yes ❑ No 80. Stucco; Brown -Finish 81. A.C. Unit; Disconnect, Electrical, Plumbing 82. Vents Above Roof; Plbg.-Appliance-Firepl.-Clearance to Openings. 83. Water Well; Disconnect, Electrical, Plumbing 84. Exterior Elec. Trim; G.F.I. Receptacle -Underground 85. Ventilation throughout House 86. Glass Protection 87. Corrections from Previous Inpections 88. Gas Test -Meters Tagged; Gas -Electric 89. Water & Sewer Connected -C/O to Grade -HD Approval 90. Energy Compliance Certificate -Other Certificates Card -B1 Date Card -B1 Date Card -B1 Date Card -B1 Date Card -B1 Date Card -B1 Date Comments at Final: (NOTE: An entry must be made each time you visit lob site) MOBILEHOME INSTALLATION ACCEPTANCE COUNTY OF BUTTE .. DE:ARTMENT OF PUBLIC WORKS — 7 COUNTY CENTER DRIVE OROVILLE, CALIFORNIA — 534-4541 PERMIT N0. Address or location of mobi lehome „Owner's name Owner's address address / Insignia or hud number.�a^rry Manufacturer's name ,Serial number of V.I.N. (Official Approving Installation Year of manufacture (Date) IF THE MOBILEHOME IS MOVED OR RELOCATED, THE MOBILEHOME INSTALLATION ACCEPTANCE SHALL BECOME INVALID. THIS FORM SHALL NOT BE USED WHEN THE MOBILEHOME IS INSTALLED ON A FOUNDATION SYSTEM. 513B White - Owner, Yellow - Installer, Pink - D.P.W. COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS • 196 Memorial Way, Chico — Phone: 891-2751 7 County Center Drive, Orovi Ile — Phone: 538-7541 747 Elliott Road, Paradise — Phone: 872-6307 CORR CTION NOTICE ,2���-�� OWNER PERMIT NO. 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. Inspector Date COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PER IT NO/ 7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541 37 APPLICATION AND PERMIT ASSESSOR PAR E� NUMMBEE _ / �L����CCJJ (/(,f ZONIN � BUILDING PERMIT OWNER /+� •� rl .53 TELEPHONE SO. FT. OCC. BUILDING VALUATION OWNER' M (LING D S CONTRA TOR'S NA E TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation Is Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Q(,j° Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRE 5 Permit fee $ 02 56- -m -PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 5,00 Each qas water heater or vent 5.00 USE OF STRUCTURE SF ❑ DupleDuplex[]Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home S G W 10.00 ea TYPE OF WORK New ❑ Addition ❑ R model ❑ Utilities ❑ Installation Other ❑ Describe work: G _ r.3(0% �'7 ►�% Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 6001 OR LESS 100 AMP OR LESS 10.00 Main service EA. ADD'L 100 AMP 2.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): ❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. License No. Classification , --�� � ', as the owner, or my employees with wages as their sole compen- sation, will do the work, and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) EJI am exempt under Sec. , Business and Professions Code for this reason oR ADDNST DDWEACCLL DGOCCUPM 21h¢sgft NEW CONSTR. MULTI -OUTLET NON.RESID BRANCH CIRC ITS 2.50 ea /POWER APPARATUS y) (SINGLE OUTLET CIR. EX, Occup(OUTLETS OR FIXTURES e20 ® SOC ALa 30 FIXED APPLNS. OR Ex. Occup. OUTLETS (RESID.) EA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring15.00 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. RJ_ -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 FiIingFee 10.00 Heating Cooling Hood 3.00 Ventilation permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the 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 County in consequ of the granting of this permit. n Date j Signature of Applicant — er Contrac r ❑ A y An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures ov(e�r 33 stories inheight. Mobile Home Installation Fee $ 41 Energy Inspection Fee $ TOTAL PERMIT FEE $ O occuP. CONST.TYPEJ FLODD A C (O . Pa ND This permit is hereby issued under sion o the Butte County. Code and/or wo in icat a ve for which 1 CTOR OF PUBLIC By PERMIT EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS t Date Receipt No. /i ! so2 % WHITE-O.r.W.. YELLOW-ASSE330R. PINK -INSPECTOR. GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS - BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILI E �,LIfO,.RNIA 95965 - TELEPHONE: 916/538-7541 s" PERMIT APPLICATION DATA SHEET Permit No. 7 OWNER - %C�"(�t G� A %��0� _ P. No. I5. 'Proposed Building Use ��/ �� Building InspectorC- � Date At time of permit application, I was advised the following data must be submitted prior to permit processing , and/or issuance: I DATE RECEIVED APPROVED 1. All items have been submitted. 2. Plot plans in duplicate/triplicate, signed by preparer of plans. _ 3. Complete plans in duplicate/triplicate, signed by preparer of plans. 4. Complete engineered plans and calcs, with wet signature on plans. 5. Plans with Energy Design Compliance Statement. . . . . . 6. School District ''Fees Paid'' Stamp on Floor Plan. 7 Statement of Intent for Non -Heated and AC Buildings. . . . . 8. Fees of $ . ... . . . . . 9. Letter of signature authori .;f1ion. `.� �.� . . . . . . . Y 10. Sanitation approval from_ Health Dept. 11. Planning approval for (A) Use: (B) Parking: 12, Certificate of Workmen's Compensation Insurance. . . . . . ' 13. Contractor's License Information (no., name style, classif.) _14. Owner -Builder Verification (Given to owner❑, Mail to owner ❑) 15. Improvements may be required. a� 1 6. 'Mobi lehome Installation Data. . . . . . . . . ':2 k2 6;K.! 17. Pre -Inspection for _ ....__. _Required. Pre-Inspec. request to (Date)Building Inspector 18. Recorded copy of Agricultural Acknowledgment Statement. 19. Driveway Permit, 20. Plot plan approval from city of 21. — — 22. _ — When you issue the permit, process as follows: Mail to owner, Mail to contractor. Telephone and hold for pickup at office, Deliver w/inspector. Other I Copy of plans sent Health Dept.; Fire Dept., Other Date The following data must be submitted prior to permit issuance: (Circle new item riot checked above). 1. Index permit for above items No. f 2. Additional items required: Contractor, designer, owner, was advised of above required data by_phone---nail—counter byz date r Contractor, designer, owner, was advised c, above required data by—phone —ma il_counter"W-a date Plans checked by Date Plans approved by te _ J e Sets of plans on hold in File cabinet AP folder Copy—DPW 't TO Buildinv Department FROM: Environmental Health SUBJECT: Sanitation Clearance Owner Location s Plan Approved for: Sewage Dis Hold final for: Final clearance O.R. for: Clearance for __bedroom (;;;Phome. NOTE * * * Sanitarian �g -ool-1 AP# posal _- Water Supply Water Supply Water Supply _. Other Da e qz. d - ,'. COUNTY OF BUTTE - Department.of Public Works 7 County Center Drive,.Oroville, CA 95965 Phone: 916-538-7541 OWNER -BUILDER VERIFICATION Attention Property Owner: An "owner -builder" building permit has been applied for in your name and bearing your signature. Please complete and return this information at your earliest opportunity to avoid unnecessary delay in processing and issuing your building permit. No building permit will.be issued until this verification is received. 1. I personally plan to provide the.major labor and materials for construction of the proposed property improvemen (yes or no) 2. I (have/have not)signed an application for a building permit . I�Afor the proposed work. 3. I have contracted with the following person (firm) to provide the proposed-, construction: Name Address City Phone Contractors License No. 4.. I plan to provide portions of this work, but I have hired the following person to coordinate, supervise, and provide the major work: Name Address City Phone Contractors License No. 5. I will provide some of the work'but I have contracted (hired) the following persons to provide the work indicated: Name Address Phone Type of Work Signed: Property Owner <_ Social Securit Number Date � c NOTE: This Owner -Builder Verification is sent to you as required by Sections 19831 and 19832 of the California Health and Safety Code. This verification must be completed and returned to our office before we are per- mitted to issue the permit. 6� jp r 6 W This set of plans and specifications MUST be kept on the job at all times and it is unlawful to make any changes or alterations on same without written permission from the Department of Public Works, County of Bu#e. Utility connections shall be wlt"►jri 4 ft of the mobilehome, either behind or within the roar waif 4; of the naobilehome. 500 SQ. F!'. hAINIMUM FOR AAQBII.ES NOTE:—All Materials & Workmanship Shall ei Accordance with Recognized Good Practices , and of a quality prescribed for the Specified use in the Uniform Building, Plumbing & Machanical Com orifi *e National Electrical Code, SZzZ6 - A setb ck of 5 ft. from the properlines and a setback of 50ft from the road -----� centerl ne shall be clear of structu es or equipment except for a 2 ft. eave overhand. -Bum IUILDING DEPARiM" . APPROWD i� BUTTE COUNTY DEPARTMENT OF PUBLIC WORKS t 7 County Center Drive, Oroville, CA ,PHONE: 538-7541 MOBILEHOME INSTALLATION SHEET 1. Owner's Name: (n It) 0 i Li r9 Y1 Y] - 2. Installer's Name: 6 ug ►1e- 3. Is the site currently under permit? Yes F No (If yes, furnish permit number ) OR Is the site an existing site? Yes No (If yes, furnish two plot plans.) 4. Will the mobilehome be located at least 5 ft. away from septic tank and leach fields and clear of all setbacks and easements? Yes No (If no, clarify 5. What is the mobilehome electrical rating? --------------- c� Amps 6. What is the mobilehome site service rating? ------------- 1(s—D Amps 7. What is the mobilehome site circuit breaker rating? ----- �� Amps 8. Is there any other electric load to be served by the No M mobilehome site service? ------------ -------------------- Yes (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 L/\j LPG D 11. What is the gas pipeA ength from meter or tank to the mobilehome?---------- --------------------------------- 12. What -is the mobilehome gas demand? ------------------ (BTU) *(This info'r'Qiition'not required if pipe. length less than 6 ft. on natural gas or less than 50 ft. on LPG:) t • MOBILEHOME SUPPORT DATA If other than single wide, Mobilehome Mfr. /� h'I0Y61- furnish Setup Model No.— Width Ig- (ft.) Box Length_4�(ft.) Tagalong or Expando Size /0 Year ft. x_ft. On all mobilehomes manufactured after October 7, 1973, furnish manufacturer's installation manual and structural setup sheets (if not on file with the County of Butte). FOOTINGS (check one) F1. SUPPORTS (check one) FX Line 1 Piers: SiNCLE-WIDE Wood -pressure treated or foundation grade. 2. Other (specify) Concrete block.a 2. Other (specify) Pier Footing Sizes and Locations MULTI -WIDE Line 1 Line 2 Main Beams ine2 --_—_—-- — ---- Main Beams — — — — — — — — — — — ---[�–Line Tag or Triple Size -Min. ------------ Spacing -Max. -'------- From Enda-Max. ------- ' •• Li ac "L Piers: SI•re-Min.------------ nx� Spacing -Max.--------- . �. From Ends -Max .------- " Lina 'S Enoi Wads: Size -Min. ------------ Line 4 I� Line 1 Line 1 Openings: Size -Min. ------------------ ux u Each Side of Openings With Width Over--------- E= Line 3 Piers: (Under Bearing Wall Only) Size -Min ------------------- x 'Sp,icing-Max---------------- From Ends -Max .------------- _ "x "x— N "x "x.11 N "x 4 - - "x Lncation (From Frgnl) - - _ - _ _ _ 1. j '- - Linc 4 Piers: Line S Piers: (Under Bearing Walls Only) Sizc-Min------------- k Size -Min------------------- x Spacing -Max.--------- . ., _ Spacing -Max .--------------- . .. From Ends- Max.------- _ o From Ends -Max .------------- _ so Linc 5 Eoof !nada: sumC Size -Mill -------------- io" rA 1A,cation (From Front) ===� — �__ . 9"'a s -- — J COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO. 7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541 _ APPLICATION AND PERMIT ASSESSOR PARCEL NUMB R — Q trQ —/ ZO NG K BUILDING PERMIT O WNE n TELEPHONE X53 1 9 . OCC. BUILDING VALUATION -SQ-FT OWNE 5 MAILING ADD 5 NT ACTORSNAME TELEPHONE CON ACTOR'S MAILING ADDRESS Fireplace CONS RUCTION LENDER OkiFiling UNKNOWN Total Valuation $ Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ ARC TECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS '^ Permit fee $ PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 In Wt Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 5.00 Each qas water heater or vent 5.00 USE OF STRUCTURE SF ❑ Duplex❑ Mobilehomeg Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer, 5.00 Mobile Home S 10.00ea ,0 TYPE OF WORK New ❑ Addition ❑ Remodel ❑/ Utilities ❑ Installation❑ Other I" Describe work: ( ��_�S h , i (`'t,Il i"✓t' • �i �1��'F! +i. t'r.F;• 1i 4 r s �^ i�•k 3r-%$�� ♦ .,t' 1 '`,i'.�t .1 '�� jN .�' 1, �i t . IC f t Pfi}. ��'.r ..5.�'_ri �[ � ��+.�'Xtii,: ^ � � ��i11, .+. � • ... 'r 4 � COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS - BUILDING DIVISION 7 COUNTY CENTER DRIVE OROVIQ E,.CALIF,O, RNIA 95965 - TELEPHONE: 916/538-7541 PERMIT APPLICATION DATA SHEET a Permit No. a' ��'1 ' OWNER A. P. No, v� Building Use �� Building Inspector L/ Date// Zv Proposed At time of.permit application, I was advised the following data must be submitted prior to permit processing anC rissuance: I DATE RECEIVED APPROVED 1. All items have been submitted. . . . . — 2. Plot plans in duplicate/triplicate, sighed by preparer of plans. _ 3. Complete plans in duplicate/triplicate, signed by preparer of plans. 4. Complete engineered plans and calcs, with wet signature on plans. ' 5. Plans with Energy Design Compliance Statement. . . . . . 6. School District ''Fees Paid" Stamp on Floor Plan. 7 Statement of Intent for Non -Heated and AC Buildings. 8. Fees of $ . . . . . . 9. Letter of signature authorization. . .. . . . . . . 10. Sanitation approval from _ Health Dept. 11. Planning approval for (A) Use: (B) Parking: 12. Certificate of Workmen's Compensation Insurance. . . . . . 13. Contractor's License Information (no., name style, classif.) —14. Owner -Builder Verification (Given to owner❑, Mail to owner ❑ ) _..._15. Improvements may be required.. . . . . . . . . . 16. Mobilehome Installation Data. . . . - . . . . . 17. Pre-Inspec.request to (Date) Pre -Inspection for_.—_ _ _'_ Required- Building Inspector 18. Recorded copy of Agricultural Acknowledgment Statement. .19. Driveway Permit. — _ 20. Plot plan approval from city of _ 21. — — — 22. — When you issue the permit, process as follows: —Mail to owner; _Mail to contractor - Telephone and hold for pickup at office, Deliver w/inspector. Other Applican L / .'-�) �ate "` , Copy of plans sent Health Dept.; Fire Dept., Other Date The following data must be submitted prior to permit issuance 1. Index permit for above items No. — 2. Additional items required: —___— (Circle new item not checked above). Contractor, designer, owner, was advised of above required data by—phone---naiI—counter by date Contractor, designer, owner, was advised ci above required data by—phone—mail—counter by date Plans checked by ,.,—Sets of plans on hold in Copy—DPW Date Plans approved by Date File cabinet AP folder. P C COUNTY OF BUTTE - Department.of Public Works 7 County Center Drive,.Oroville, CA 95965 Phone: 916-538-7541 OWNER -BUILDER VERIFICATION Attention Property Owner: An 'owner -builder" building permit has been applied for in your name and bearing your signature. Please complete and return this information at your earliest opportunity to avoid unnecessary delay in processing and issuing your building permit. No building permit will: -be issued until this verification is received. 1. I personally plan to provide the major. labor and materials for construction of the proposed property improvement (yes or no) 2. I (have/have not) signed an application for a building permit for the proposed work. 3. I have contracted with the following person (firm) to provide the proposed-, construction: ,Name Address City Phone Contractors License No. 4.. I plan to provide portions of this, work, but I have hired the following person to coordinate, supervise,'and provide the major work: Name Address City Phone Contractors License No. 5. I will provide some of the work'but I have contracted (hired) the following persons to provide the work indicated: Name Address Phone Type of Work Signed: Property Owner Social Securit Number Date NOTE: This Owner -Builder Verification is sent to you as required by Sections 19831 and 19832 of the California Health and Safety Code. This verification must be completed and returned to our office before we are per- mitted to issue "the permit.