HomeMy WebLinkAbout026-171-016026-171-016
w, SPECIAL IN�PJECTION #92-63
-Nancy Ke532 -Lini elvd'co, OrovilTePW;A/ 26,4171-16Permit #1039-77B,E(uti1--,MH)COMPACTION TEST REQ. /VoL 26 L71-16
Issue310? 26-171-16screene rooms -
1 626-171-16nit #4633-78P(relocate gasjp-xi.sting site)26-171-16ermit #7327-78B(in,st. wood burn[Pi ng stove) cabana vzq/421
26-171-16Permit #7387-78B(lst. renewal/Permit #5551-79,B(deU patio coverjjM)
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PERMIT NO.
PERMIT EXPIRES
OWNER -Nancy Kelly
CONTR. owner
LOCATION (A.P. 26-171-16
7532 Lincoln Blvd., Orovia.
i
' 1
r
. y
B,
1
Temp. Power Pole
Called PG&E
Temp. Elec. Serv.
alled PG&E
r
Tep. Gas Serv.
Called PG&E
JOB
FINALED
(Date
(Signati re)'
Stucco Final Subpanels
Mesh MECHANIC A Grd. Fault Prot.
Scratch Heating Service
Brown Cooling Temp. Pole 1
Finish Ducts 1 Underground
Interior Lath Ventilation Permanent
Door Closer Final Final
DATE REMARKS OR CORRECT ONS
(NOTE: An entry must be made on this form each time you visit the job site.)
COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS
BUILDING INSPECTION RECORD
BUILDING BUILDING (Cont'd)
PLUMBING r
Setback
' Firewall +
Soil Piping
Forms
Parapets j
1st Floor
Main Bldg.
Restroom Finish
2nd Floor
Footings
i Windows
3rd Floor
1
Stemwall
Siding
To out
}
Slab
Roof Sheathing
Water Piping1
Piers
1 j Roofing
Sewer
Garage
Fdn. Vents
Fixtures
Footings
Stemwal l
j Garage Vents
Insulation
Water Htr.
Heaters
'
Slab
Carport
Footings
Slab
Prov. for physically
hand ica ed
Conformance of 6V
y structure �(/Q�� f/�
/ Final /
Appliances
Gas Piping & Test '\
Temp. Gas '
Sanitation
Patio
FIREPLACE
Final
Footings
Footing
ELECTRICAL
Masonry Walls
Throat I
Rough
Reinf. Steel
Final
Fixtures
Bond Beam
FIRE SPRIN LERS
Motors
Framing
Test
Water Htr.
'
Stucco Final Subpanels
Mesh MECHANIC A Grd. Fault Prot.
Scratch Heating Service
Brown Cooling Temp. Pole 1
Finish Ducts 1 Underground
Interior Lath Ventilation Permanent
Door Closer Final Final
DATE REMARKS OR CORRECT ONS
(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 — .OroviIle, California 95965 )o /j/C�J —J/
4 Telephane:534-4541 /
APPLICATION AND PERMIT
auuwrI/U IuPFv enrduves or me Lou or tsurre to enter upon lne
above-mentioned property for inspect'ry n purposes.
VX
ignature of Pq*hitee of
1 " ��
Receipt No.
44
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.
DIRECTO 0 PUBLIC WORKS
By< ` Date ZZ -0.1— 7'C,
wilding permit expires Date /L--9--7 '�
BUILDING
Owner �+� �/
SO. FT. OCC. BUILDING VALUATION
Mailing Address C
Gi C1 QT:3
n0
Fireplace
Contractor
Total Valuation
Mailing Address
Permit Fee
PI an Checking Fee &/or Penalty
Telephone No.
Permit Fee
Building Address ' dj �1-z 0JPLUMBING
'
No. @ FEE
PERMIT FILING FEE J$3.00
(� 1/0 0 2 --
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. .��ji —% _ 1 �j
Zoning & Planning
Gas piping system 1 - 5 outlets 1.50
Each additional outlet .30
Fes I
W
ire Dept.
Fire Zone
Use Permit
Building sewer 5.00
EOA
Parking
Plans
Parcel
Declaration
Parcel Ma P
60' R/W
ImprovementsLawn
sprinkler system 2.00
BI g. ans Recd
Parcel Approval
Plans Approval
Permit Fee $
NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER
ELECTRICAL No. @ FEE
PERMIT FILING FEE $3.00
o (YJ S /
Main service 600V OR LESS 5.00
100 AMP OR LESS
LiC v S
Main service EA. ADO'L 100 AMP 2.50
Single Family Duplex ❑ Mobil Home ❑ Others ❑
Main service OVER 600 V
00 AMP OR LESS 25.00
Main service EA. ADD•L foo AMP 1.00
NEW CONST.
OR ADONS. ( DWEACCLBLDGOCCUP. &) 2¢Sgft
NEW CONSTR. MULTI -OUTLET
NON-RESID. BRANCH CIRCUITS) 2.50ea
NEW CONSTR. POWER APPARATUS &
NON.R ESID. (SINGLE OUTLET CIR.
CONTRACTORS LICENSE LAW
I am licensed under the provisions of Chapter 9, Div. 3, of the
State of California Business & Professions Code under the name
st le of:
y
Ex. Occup(OUTLETS OR FIXTURES) BAL@1
Ex. Occu FIXED APPLNS. OR
P• OUTLETS (RESID.) EA) 2.00
Temporary service 10.00
Mobile Home Facilities 15.00
License No. Classification
Misc. Wiring 6.25
1/ 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
rkmen's Compensation Insurance.
'I;I certify that in the performance of the work for which this
permit is issued I shall not employ any person in any manner
so as to become subject to the Workmen's Compensation Laws of
California.
MECHANICAL No. @ 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
$ ,S �
auuwrI/U IuPFv enrduves or me Lou or tsurre to enter upon lne
above-mentioned property for inspect'ry n purposes.
VX
ignature of Pq*hitee of
1 " ��
Receipt No.
44
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.
DIRECTO 0 PUBLIC WORKS
By< ` Date ZZ -0.1— 7'C,
wilding permit expires Date /L--9--7 '�
❑ Complaint -Date
BUTTE COUNTY DEPARTMENT OF PUBLIC WORKS
SPECIAL INSPECTION REPORT
ZONING 6C,
Owner:
Address:
Tenant:
Building Location: S /k% C--
_41�
A.P. # 0 — 1,7/ — !J/b
Date of Inspection
Inspector Gni /`
Type of Inspection requested:. nn
1. Housing / / 2. Financing / / 3. Change of Occupancy to -!�ra�l�9�e >d l/_4
4. Work W/0 Permit / / 5. Other (specify)
Present use of building:
A. Sanitation (Housing)
1. Water closet:
2. Lavatory:
3. Bathtub or shower:
4. Kitchen sink:
5. Hot and cold water to fixtures:
6. Heating facilities:
7. Natural light and ventilation:
8. Room and space requirements:
9. Bedroom window or door for second exit:
10. Infestation of insects, vermin, or rodents:
11. Connection to sewage disposal:
12. Connection to water supply:
13. Rubbish and garbage facilities:
14. Stairs :(Rise, Run, Headroom, 1'n -R, Tolerance$, Handrails)
15. Comments:
B.
Structural
1. Piers and footings:
2. Floor construction:
3. Wall construction:
4. Ceiling and roof construction:
5. Fireplaces:
6. Comments:
C. Electrical
1. Service and ground:
2. Receptacles:
3. Fusing:
4. Comments:
a
E.
F.
Plumbing
1. Fixtures connected and vented:
2. Gas water heater:
3. Gas heating vents:
4. Comments:
Other
1. Maintenance and repair:
2. Fire hazards:
3. Safety hazards:
4. Weather protection:
S. Underfloor and attic ventilation:
6. Energy:
7. Comments:
Commercial Buildings
1. Roof covering:
2. Distance to property lines:
3. Physically handicapped: _
4. Restroom floors and walls:
S. Exits:
6. Improvements:
7. Zoning:
8. Comments:
G. Field Problems or Violations
1. Problem or violation (give complete description):
2. What action taken (give complete description):
3. What action recommended:
/ / A. Information only - file.
/ / B. Hold for ten days, then write letter.
%% C. Write letter.
/ / D. Other:
. ... •- .•wa_��i�.�r-. _s syn- __ _.. ,�., .,, rte.... _, .....�. .. ,y�,�„�+q.��j ''7�''_S'; �r�iF c►v . �.,��a ��e;�",�rr'k ,',i �.. r ...,;
No !
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS
7 County Center Drive, Oxoville, California 95965_ f
Telephone: 538-7541
APPLICATION FOR SPECIAL INSPECTION
Owner Al6 AlC-1 4E A P No (0 24 —1-71 —406
Mailing Address 753z. A 11/r_o� /� � "1-%D Telephone No3,5/0// %
Applicant Telephone No
Mailing Address
Building Location ,�,-.� �(� ��,,. '64yole
v -
I hereby request a special inspection of the following building:
� oa) '5 F -MxA1 F'V -M S 7V K116
Lam' i 1. Dwelling (if only a portion, specify)&4/Q,74, -M E,LLI G 114117-
P T I AL L)6Mp
Q2. Apartment House (if only a portion, specify)
Q3. Commercial (specify present occupancy)
d 4. Other (specify) 4-05 & _PD!
nfAr N
I am requesting a special inspectionfoto purpose
se of:
t
1. Moving the building.
Q2. Financing (specify agency)
0 3. Change of occupancy to
4. Other (specify) DWS 6tt- WNNTS
Case No.
Z) GaN 069 T
Pei
I hereby certify that I will obtain the necessary permits and make any necessary correc-
tions, alterations, or repairs required by the County of Butte, as a result of this inspec-
tion, to comply with building and housing code requirements. I also certify that prior
to the use or occupancy of this building, I will complete the above required corrections,
alterations, or repairs, or, if the building is presently occupied, I will complete the
above required corrections, alterations, or repairs within 30 days.
I certify that I have read this application and state the above information is correct
and hereby authorize representatives of the County iof Butte to enter upon the above-
mentioned property for inspection purposes.
/ Date
Signature of Owner
Fee Paid $ t,0 , 0
1st-DPW/2nd-Inspector/3rd.fApplicant
Receipt No. /,;?-(O (S
COUNTY OF BUTTE,, PAR MENT OF PUBLIC WO r BUILDING DIVISION
7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 TELEPHONE (916) 538- 4 �
PERMIT APPLICAT
OWNER
17
[EFIN DATA SHEET �.; ,;
Proposed Building Use L--' f/1/ `>>`" Building Inspector
At time of permit application, I was advised the following data must be submitted! pjibYto permit processing and/o
DATE RECEIVED.
"'P.II items have been sub"t itWted. .:.........., .....................
2. Plot p1gris, 3/4,sets, sie ned by pr0parer of plans. !✓3 P3�,
.:::w3,,
Complete plans,; -/4 sets, signed'by preparer of plans. ...... afw�f6� 3
4. Engineered plans and calcs, 3/4: set, with wet signature on plans.
5. Hazardous Material Form.
........................ T..,. 1{
6. Energy Design Compliance and supporting documentation. ... ...'.'...
7. Statement of Intent for Non -Heated and A/C Buildings. .. '.`... �. . .
8. Engineered truss details and layout in duplicate (required pati or;to plan @h - tj:. ....
9. Mobilehome data and manufacturer's installation instructions, 2 sets.. ,. ....... .
10. Fees of $ . ...................... 1 ,� w
11. impact fees as shown n attached schedule. ... .
12. California Departmenftt?f Forestry plan approval/fees: � .::.................. .
13. Flood elevation letter (100 year flood) by California�llagineer. ................. .
14. Sanitation and plot plan approval k bl#alth Department . .............
15. City of Chico plumbing permit. ..........�,,l I .............. .
_16t Plot plan and business license v I frj'C' f Biggs/Gridley ..............
17. Planning approval for (A)Us : &V BWParking: . ........
18. Contact Land Development about (A) Improvements (B) Drainage. .......... .
19 Driveway permit (construction approval required prior to occupanc )
ince:
BY
20. Pre -inspection for y '1=re�! gs ect6 req"e —
required. . to Building Inspector (Date)
21. Contractor's license information. (No., Name Style, Classification) . ..............
22. Certificate of Workmans Compensation Insurance. ........1 .............:.... .
23. Owner -Builder Verification (Given to owner , Mail to owner _). .......... .
24. Recorded copy of Agricultural Acknowledgement Statement.
25. Letter of signature authorization. "
26. Copy of recorded deed of parcel creation and 60 right of way to a public road. .... .
27- Letter of intent on building use . .........................................
28. Mobilehome utility clearance . ..........................................
29. Documentation of legal access . ........................................
30. Documentation of 50% subdivision developed or (A) Road improvements completed
and (B) Parcel meets zoning area and frontage requirements . ...............
31. Existing violations/expired permits . ......................................
32: Plan check list . .....................................................
33.
34.
When you issue the permit, process as follows: Mail to owner. Mail to contractor.
Telep)one and hold for pickup at office. Deliver with inspector.
Other
Parcel Creation
Acreage Applicant Date �Q �S Z
Copy of Haz-Mat form sent Health Dept. Fire Dept. Air Pollution Date
Copy of plans sent Health Dept. Fire Dept. Other Date By
The following data must be submitted p
1. Index permit for above items No.
2. Additional items required:
uance:,(.QjPCt'e�ew item not checked above).
Contractor, designer, owner, was advised of above required data by _ phone _ mail Counter by _ Date
Contractor, designer, owner, was advised of above required data by _ phone _ mail Counter by _ Date
.'Plans checked by Date Plans approved by Date
Sets of plans on hold in File cabinet AP folder
Copy - Department of Public Works
m
24
C"L -
CA 10,
!. O�
fp
be C
Per
A
two 1 1 M17W77
f
I T�
4623-77B,E
PEK IT NO.
PERMIT -EXPIRES �/�
OWNER Nancy' Kelly
owner
LOCATION (A.P. 26-171-16
7532 Lincoln Blvd., Oroville
I
Temp. Power Pole
Called PG&E
Temp.Eyc. Serv.
Cal ed PG&E n
fGas
to 77
Tem Serv.
Called PG&E
ZZ
OB
FINALED
(DateQ4,�)..
(S' ture)
COUNTY OF BUTTE — DEPARTMtNf OF PUBLIC WORKS
BUILDING INSPECTION RECORD
BUILDING BUILDING (Cont'd) PLUMBING
Setback Firewall G Soil Pipin -
Forms Parapets 1st Floor
Main Bldg. Restroom Finish `- 2nd Floor
Footings Windows 3rd Floor
StemwaII Siding To out
Slab Roof Sheathing Water Piping
Piers �z Roofing Sewer
Garage Fdn. Vents Fixtures
Footings Garage Vents Water Htr.
Stemwall Insulation Z Z Heaters
Slab Prov. for phfslcally Appliances
Carport handica e
p Conformance of ex. Gas PI In &Test
Footings SIAM041re Temp. Gas
Slab 01Final Sanitation
Patio FIREPLACE ina
Footings Footin ELECTRICAL
Masonry Walls T t Rough
Reinf. Steel I Z d Fixtures 61 3 Z
Bond Beam FIRE SPRINKLERS Motors
Framing - Test Water Htr.
Stucco t Final Subpanels 3
Mesh MECHANICAL Gird. Fault Prot.
Scratch Heating Service
Brown Coolfng Temp. Pole
Finish Ducts Underground
Interior Lath Ventilation anent
Door Closer Final ina
MOBILEHOME UTILITIES - - - - - - - - - - - - - - - - - - Elec. Service Elec. Pedestal
Water Piping Sewer Gas Piping
MRSILEMOME INSTALLATION - - - - - - - - - - - - - - Support Elec. Continuity
Water Piping Drainage Gas Piping
DATE 7� �� -� REMARKS OR CORRECTIONS
L
(NOTE: An entry must be made on this form each time you visit the job site.)
RESIDENTIAL
ENERGY CONSERVATION STANDARDS
CONSTRUCTION COMPLIANCE CERTIFICATE
THIS IS TO CERTIFY THAT ENERGY CONSERVATION REQUIREMENTS HAVE BEEN
INSTALLED IN CONFORMANCE WITH CURRENT ENERGY CONSERVATION REGULATIONS.
AT___2 63 Zae
(1 cation)
BUILDING PERMIT NO. A -.P. NO.
THE FOLLOWING HAVE BEEN INSTALLED AS.PER APPROVED PLANS:
(Check each item or write N/A if not applicable)
IiNSULAT ION :
Slab Edge.
Fdn. Walls
Floors
Walls k -11
Ceiling/Roof
Ducts `-kj- �—
Circulating Pipes
APPROVED HEATER
APPROVED WTR.HTR.—.
GLAZING:
Single Glazed
Special (Insulated)
CERT. & LABELED WDS. '
& SLIDING DRS.
WEATHERSTRIPPED DRS.
BACK DAMPERED FANS
INTERMITTENT IGNITION DEVICES �---
CERT. APPLIANCES
I DECLARE THAT ALL REQUIRED ITEMS AS NOTED ABOVE HAVE BEEN INSTALLED
IV'ACCORDANCE WITH THE ENERGY CONSERVATION REQUIREMENTS AND AGREE TO.
THE COMPLETENESS OF THIS CERTIFICATE AS SUBMITTED.
Insulation Applicator Name
Signature of (please print)
Insulation Applicator
State Contractors
License No.
General Contractor/Owner Nam4/VG
(please rin )
Signature of
General Contractor/Owne Dat o�
State ntracto s
Licen e No.
THIS CERT IFICATE MUST BE ON FILE WITH THE BUILDING DEPARTMENT PRIOR TO
REQUESTING FINAL INSPECTION AND SHALL BE POSTED IN A CONSPICUOUS LOCATION
WITHIN THE DWELLING. .
11/9/76
PER HEALTH DEPT., WOULD BE OKAY TO REMODEL 20x28 MAIN
STRUCTURE ONLY. SEPTIC SYSTEM INSTALLED AND APPROVED
FOR THAT.
Lloyd
I
Aes
r
' �
Location:
/Inspection requested:
COUNTY DEPARTMENT OF PUBLIC WORKS
SPECIAL INSPECTION REPORT
P. #G-✓�i-/C
Date of Inspection
Inspector
Present use of building:
A Sanitation (Housings
1. Water closet:
2. Lavatory:
3.. Bathtub .or shower:
4. Kitchen sink:
.5. Hot and cold water to fixtures:.
6. Heating facilities:
7. Natural light and ventilation:
8. Room and space requirements:
9. Bedroom window or door,for second exit:
10. Infestation of insects, vermin, or. rodents:
11. Connection to sewage disposal:
12. Connection to water.supply:.
13. .Rubbish and garbage facilities:
14. Comments•
B. Structural
1. Piers and footings::,
2. . Floor construction: -z,
3. Wall construction:
4. Ceiling and roof construction:
5. Fireplaces:
��li1Tx2.-� r�f1 /Jn
6. Comments •
C. Electrical
1. Service and ground:
2. Receptacles:
3. Fusing: "
4. Comments:
a
D. Plumbing
1. Fi;tures connected and vented:
2. Gas water heater:
3. Gas. heating vents.: `_ L
.4. C cmment s : to
(continued on back):
1.
Housing 77 2. Financing / / 3..Change of Occupancy to
4.
Other (specify)
Present use of building:
A Sanitation (Housings
1. Water closet:
2. Lavatory:
3.. Bathtub .or shower:
4. Kitchen sink:
.5. Hot and cold water to fixtures:.
6. Heating facilities:
7. Natural light and ventilation:
8. Room and space requirements:
9. Bedroom window or door,for second exit:
10. Infestation of insects, vermin, or. rodents:
11. Connection to sewage disposal:
12. Connection to water.supply:.
13. .Rubbish and garbage facilities:
14. Comments•
B. Structural
1. Piers and footings::,
2. . Floor construction: -z,
3. Wall construction:
4. Ceiling and roof construction:
5. Fireplaces:
��li1Tx2.-� r�f1 /Jn
6. Comments •
C. Electrical
1. Service and ground:
2. Receptacles:
3. Fusing: "
4. Comments:
a
D. Plumbing
1. Fi;tures connected and vented:
2. Gas water heater:
3. Gas. heating vents.: `_ L
.4. C cmment s : to
(continued on back):
TA -1
l'�-
SPECIAL INSPECTION REPORT
Owner:. i
V / 1S
Build ing%Location:
Type.of Inspection requested -
P. #
equested
P.#
Date of Inspection
Inspector Zx,L
_%4
�j j / 1. Housing ".2. 2. Financing 3. Change of Occupancy to
/ / 4. Other (specify)
Present use of building:
A. Sanitation (Housing)
l.- Water closet:
2. Lavatory:
3. Bathtub.:or shower:
4. Kitchen sink:
5. Hot and cold water to fixtures:
6. Heating facilities:
7. Natural light and ventilation:
.8. Room and space requirements:
9. Bedroom window or door for second exit:
10. Infestation of insects, vermin, or rodents:
11. Connection to sewage disposal:
12. Connection to water supply:
13. Rubbish and garbage facilities:
14. Comments•
B. Structural
1. Piers and footings:
2. Floor_ construction:
3. Wall construction:
4. Ceiling and roof construction:
5. F ireDlaces:
6.
C. Electrical
1. Service and ground:
2. Receptacles:
3. Fusing:
4. Comments:''
D. Plumb in
1. Fixtures connecte
2. . *Gas water heater:
3. Gas heating vents
4. Comments:
-f
4,+
.(continued on back)
E. Other
1. Maintenance and repair:
2. Fire hazards:
3. Safety hazards:
4. Weather protection:
5. Underfloor and attic ventilation: -
6. Comments:. ,
F. Commercial Buildings
1. Roof covering:
2. Distance to property lines:.
3. Physically handicapped:
4. Restroom floors and walls:
5. Exits•
6. Improvements• `
7. Zoning:
8. Comments•
G. Field Problems or Violations
1. Problem or violation (give complete description):
2. What action taken (gjve,complete description):
3. What action recommended:
A. Information only - file. . a,
B. Hold for ten (10) days, then write letter.
C. Write letter.
D. Other••
ri
I
COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS
7 County Center Drive - Oroville, California 95965 r
Telephone: 534-4541
APPLICATION AND PERMIT
authorize representatives of the County of utte to enter upon the
above-mentioned property for inspection roses
.
�(Date /
ignature of11r;1 tee or Agent
Receipt No. 74
White-D.P.W. - Yellcw-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.
DIR TO UBLIC WORKS
By t Date
L2 LVJ-2k--
Building permit expires Da e — lo It 54
BUILDING
OwnerSQ.
..
FT. OCC. BUILDING VALUATION
Mailing Address
i
Telephone No.
ek
Contractor
Mailing Address
Fireplace
Total Valuation
Telephone No.
Permit Fee
�—
Building Address 3 (wv
Plan Checking Fee &/or Penalty
-
Permit Fee Lk p
PLUMBING No.1 @ FEE
PERMIT FILING FEE $3.00
Each Trap 1.50
Repair drainage or vent piping 1.50
�� /
A. P. N0. Ip
Zoning 8 Planning
Water piping 1.50
Each gas water heater or vent 1.50
F
ire Dept.
Fire Zone
Use Permit
Gas piping system 1 - 5 outlets 1.50
_!QA
J Parking
Plans
I Parcel
Declaration
Parcel Ma P
60' R/W
Improvements
p ovements
Each additional outlet .30
Building sewer 5.00
WAw-ftlrn-s ec
Parcel Approvol
Plans Approval
Lawn sprinkler system 2.00
NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER
Permit Fee $
$
ELECTRICAL No. @ FEE
PERMIT FILING FEE $3.00
Main service 600V OR LESS
100 AMP OR LESS 5.00
�/
Single Family ❑ Duplex ❑ Mobil Home ❑ Others [B
Main service EA. ADD'L 100 AMP 2.50
Main service OVER e00V 25.00
100 AMP OR LESS
Main service/ EA. ADD'L 100 AMP 1.00
NEW CONST.OR ADDNS. ( ACCLBLDGS.LING CCUP. !) 22sgft
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:
NEW CONSTR MULTI.OUTL T
NON -REBID ( BRANCH CIRCUITS) 12.50ea.
NEW CONSTR (POWER APPARATUS 9
NON-RESIO. SINGLE OUTLET CIR.
Ex. Occup(OUTLETS OR FIXTURES g L 1
FIXED APLNS.
Ex. Occup. (OUTLETS P(RESID.)REA) 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 $
$
MECHANICAL NO -1 @ FEE
' WORKMEN'S COMPENSATION INSURANCE
1 am aware of the provisions of Section3700 of the California Labor
Code which requires every employer to be insured against liability
for Workmen's Compensation.
❑I have placed on file with the County of Butte a certificate of
Workmen's Compensation Insurance.
I certify that in the performance of the work for which this
permit is issued I shall not employ any person in any manner
so as to become subject to the Workmen's Compensation Laws of
California.
PERMIT FILING FEE J$3.00
Heating
Cooling
Ventilation
Hood 2.00
Permit Fee $
$
1 certify that I have read this application and state that the above
information is correct. I agree to comply to all County Ordinances
and State Laws relating to building construction, and hereby
11 Land Development Fee
$
TOTAL PERMIT FEE
$
authorize representatives of the County of utte to enter upon the
above-mentioned property for inspection roses
.
�(Date /
ignature of11r;1 tee or Agent
Receipt No. 74
White-D.P.W. - Yellcw-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.
DIR TO UBLIC WORKS
By t Date
L2 LVJ-2k--
Building permit expires Da e — lo It 54
CQUNTY,OF,,BUTTE — DEPARTMENT OF PUBLIC WORKS
- 7 County Center Drive — Oroyille, California 95965
Telephone:' 534-4541
APPLICATION AND PERMIT ]/
autnonze representatives of the county or t3utte to enter upon the
above-mentioned property for inspection purposes.
'_-Va I
Date`
$ignotu o ermi ee or Age t,
Receipt No.
White-D.P.W. — lllow-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 ELIC WORKS
By DateZ--J__ 77
Buding permit expires Date �a'S' ?I
BUILDING
Owner
SQ. FT. OCC. BUILDING VALUATION
Mai I i ng Address j3 g��
C�
d 0 , pTj
�t Y
Teleph ne No.
3 '� d
Fireplace d`O
Contractor C Ji A 12
Total Valuation 47 470 -00
Mailing Address
Permit Fee
Plan Checking Fee &/or Penalty
Telephone No.
Permit Fee $
ile I�-
Building Addr ss�3 �0
PLUMBING No.1 @ 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. (7 v
Zoning &Planning
Gas piping system 1 - 5 outlets 1.50
Each additional outlet .30
Fe
W.C. Sa ' on eDept.
FireZone
Use Permit
Building sewer 5.00
EQA
Parking
Plans
Parcel
Declara ' n
Parcel Ma P R/W
Im r
p ov �nts
Lawn sprinkler system 2.00
Bldg. P a Parcel Appr val
Plans Approval
Permit Fee $
$
NEW ADDITION ❑ [JUTILITIES ❑ OTHER
ELECTRICAL No• @ FEE
PERMIT FILING FEE $3.00 , Q�
Ca b /( �/'/�
�\ �r ` Q Q-
Main service 600V OR LESS 5.00
100 AMP OR LESS
Main service EA. ADD'L 100 AMP 2.50
Single .Family ❑ Duplex ❑ Mobil Home ❑ Others
Main service OVER 6 25.00
100 AMP O OR LESS
Main service EA. ADD'L 100 AMP 1.00
NEW CONS, DWELING
OR ADDNST ( ACCLBLDGS.0 ) 2¢Sq ft ♦ Q
. MULTI-OUTET
NEW CONSTR( L
NON-RESID. BRANCH CIRCUITS) - 2.50ea
NEW CONSTR. POWER APPARATUS &)
NON•RESI D. (SINGLE OUTLET CIR.
CONTRACTORS LICENSE LAW
I am licensed under the provisions of Chapter 9, Div. 3, of the
State of California Business & Professions Code under the name
style of:
Ex. Occup(OUTLETS OR FIXTURES)92SQ
BAL@1
FIXED APPLNS. OR
Ex. Occup. OUTLETS (RESID.) EA) 2.00
Temporary service 10.00
Mobile Home Facilities 15.00
License No. Classification
Misc. Wiring 6.25
I am exempt from the Contractors License Laws of the State of California.
Permit Fee $ . 6 D
$ 6e
MECHANICAL No. @ FEE
WORKMEN'S COMPENSATION INSURANCE
1 am aware of the provisions of Section3700 of the California Labor
Code which requires every employer to be insured against liability
for Workmen's Compensation.
❑I have placed on file with the County of Butte a certificate of
Workmen's Compensation Insurance.
I certify that in the performance of the work for which this
permit is issued I shall not employ any person in any manner
so as to become subject to the Workmen's Compensation Laws of
California.
PERMIT FILING FEE $3.00
Heating
Cooling
Ventilation
Hood 1 1 2.00
Permit Fee $
$
I certify that I have read this application and state that the above
information is correct. I agree to comply to all County Ordinances
and State Laws relating to building construction, and hereby
TOTAL PERMIT FEE
$ o
autnonze representatives of the county or t3utte to enter upon the
above-mentioned property for inspection purposes.
'_-Va I
Date`
$ignotu o ermi ee or Age t,
Receipt No.
White-D.P.W. — lllow-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 ELIC WORKS
By DateZ--J__ 77
Buding permit expires Date �a'S' ?I
COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS
7 County Center Drive - Oroville, California 95965
Telephone: 534-4541
APPLICATION AND PERMIT
authorize representatives of ft County of Butte to enter upon the
above-mentioned property for i pection purposes.
Receipt No. ' e a If s— 1
White-D.P.W. - Yellow -Assessor - Pink -Inspector - Goldenrod -Applicant
This permit is hereby issued under the applicable provisions of
the Butte ounty Code and/or resolutions to do work indicated
above fo ich fees have been paid.
D E IC WORKS
-79
Byt;1 Date
4aFid" permit expires Date
BUILDING
Owner G SGL
SQ. FT. OCC. BUILDING VALUATION
Mai I i ng Address / 1
CTelephone No.
Contractor l yah`
Mailing Address
Fireplace
Total Valuation
Telephone No.
Permit Fee
BuildingAddress .
Plan Checking Fee&/or Penalty
-
Permit Fee
PLUMBING No. @ FEE
PERMIT FILING FEE $3.00 �j�C30
Each Trap 1.50
a
Repair drainage or vent piping 1.50
A. P. No. —1'71 —
Zoning a Planning
Water piping 1.50
Each gas water heater or vent 1.50
e." -s-
dy!G�"
ft"i1vttard
Fire Dept.
Fire Zone
Use Permit
Gas piping system 1 - 5 outlets 1.50
EQA
Parking
Plans
I Parcel
Declaration
Parcel Ma p
60' R/W
Improvements
p
Each additional outlet .30
Building sewer 5.00
BI —g ad"—'PTns Recd
Parcel Approval
Plans Approval
Lawn sprinkler system 2.00
NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER Wpermit
Fee $
.$
ELECTRICAL No. @ FEE
PERMIT FILING FEE $3.00
Main service s00v OR LESS
100 AMP OR LESS 5.00
Single Family ❑ Duplex ❑ Mobil Home to Others ❑
Main service EA. ADD'L 100 AMP 2.50
Main service OVER 25.00
100 AMPP OR LESS O
Main service EA. ADD'L 100 AMP 1.00
NEW CONST. DWELLING OCCUP. Si 2�sgft
OR ACDNS. ACC. BLOGS. /
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:
T 1
NEW RESID,CONST/ BRANCHMULTI-OCIRCUITS
NON•RESID `BRANCH CIRCUITS/ 2.50ea
NEW CONSTR. (POWER APPARATUS &
NON-RESID. SINGLE OUTLET CIR.
250
Ex. Occup{OUTLETS OR FIXTIiRES 5 L ,@
FIXED APP LNS. OR
Ex. Occup.(OUTLETS (RESID.) EA) 2.00
Temporary service 10.00
Mobile Home Facilities 15.00
License No. Classification
Misc. Wiring 6.25
I am exempt from the Contractors License Laws of the State of California.
Permit Fee $
$
MECHANICAL No. @ FEE
WORKMEN'S COMPENSATION INSURANCE
1 am aware of the provisions of Section3700 of the California Labor
Code which requires every employer to be insured against liability
for Workmen's Compensation.
❑I have placed on file with the County of Butte a certificate of
Workmen's Compensation Insurance.
AI certify that in the performance of the work for which this
permit is issued I shall not employ any person in any manner
o s to become subject to the Workmen's Compensation Laws of
California.
PERMIT FILING FEE $3.00
Heating
Cooling
Ventilation
Hood 2.00
Permit Fee $
$
1 certify that I have read this application and state that the above
information is correct. I agree to comply to all County Ordinances
and State Laws relating to building construction, and hereby
Land Development Fee
$
TOTAL PERMIT FEE
$ Z
authorize representatives of ft County of Butte to enter upon the
above-mentioned property for i pection purposes.
Receipt No. ' e a If s— 1
White-D.P.W. - Yellow -Assessor - Pink -Inspector - Goldenrod -Applicant
This permit is hereby issued under the applicable provisions of
the Butte ounty Code and/or resolutions to do work indicated
above fo ich fees have been paid.
D E IC WORKS
-79
Byt;1 Date
4aFid" permit expires Date
,PERMIT N0. 7327-78B
ii---Rdnaoo 7387
Y.r-fid'
PERMIT EXPIRES 12/21/79
OWNER NANCY KELLEY
CONTR. owner
LOCATION (A.P. - 26-171-16 )
7532 Lincoln Blvd.
i
Temp. Po%
. Called
Temp. Ele
Called
Temp. Ga;
ailed
VO B
INALED
i-raming Test Water Htr.
Stucco Final Subpanels
Mesh MECHANICAL Grd. Fault Prot.
Scratch Heating Service
Brown Cooling Temp. Pole
Finish Ducts Underground
Interior Lath Ventilation Permanent
Door Closer - Final Final
MOBILEHOME UTILITIES ------------------ Elec. Service Elec. Pedestal
Water Piping Sewer Gas Piping
MOBILEHOME INSTALLATION - - - - - - - - - - - - - - Support Elec. Continuity
Water Piping Drainage Gas Piping
DATE REMAR S OR CORRECTIONS
'K (NOTE: An entry must be made on this form each time you visit the job site.)
COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS.
BUILDING INSPECTION RECORD
BUILDING BUILDING (Cont'd)
PLUMBING
Setback
Firewall
Soil Piping
. Forms
Parapets
1st Floor
Main Bldg.
Restroom Finish
2nd Floor
Footings
Windows
3rd Floor
Stemwai I
Siding
To out
Slab
Roof Sheathing
Water Piping
Piers
Roofing
Sewer
Garage
Fdn. Vents
Fixtures
Footings
StemwaI l
Garage Vents
Insulation
Water Htr.
Heaters
Slab
Carport
Footings
handicar pehysically
Conformance of ex.
structure
Appliances
Gas Piping & Test
Temp. Gas
Slab
Final
Sanitation
Patio
• FIR P
Final
Footings
Footing
ELECTRICAL
Masonry Walls
Throat
Rough
Relnf. Steel
Bond Beam
Final
FIRE.SPRINKLERS
Fixtures
Motors
i-raming Test Water Htr.
Stucco Final Subpanels
Mesh MECHANICAL Grd. Fault Prot.
Scratch Heating Service
Brown Cooling Temp. Pole
Finish Ducts Underground
Interior Lath Ventilation Permanent
Door Closer - Final Final
MOBILEHOME UTILITIES ------------------ Elec. Service Elec. Pedestal
Water Piping Sewer Gas Piping
MOBILEHOME INSTALLATION - - - - - - - - - - - - - - Support Elec. Continuity
Water Piping Drainage Gas Piping
DATE REMAR S OR CORRECTIONS
'K (NOTE: An entry must be made on this form each time you visit the job site.)
J
Owner -VA At eV k
Mailing Address
Contractor
Mailing Address
Building Address
COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS
7 County Center Drive — Oroville, California 95965
Telephone: 534-4541
APPLICATION AND PERMIT /
ne No.
one No.
A. P. No. ZG_6 /_ lC Zon BZPf-amling
F fti t+ iorr Fire Dept. FireZone Use Permit
EQA Parking I Parcel Parcel Ma 60' R/W Im r
Plans Declaration P p ovements
Bldg. Plans Recd =l Approval Plans Approval
NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER
Single Family ❑ Duplex ❑ Mobil Home ❑ Others
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:
_ BUILDING
SQ. FT. I OCC. I BUILDING VALUATION
Fireplace
Total Valuation
Permit Fee
Plan Checking Fee &/or Penalty
Permit Fee
PLUMBING
PERMIT FILING FEE
Each Trap
Repair drainage or vent piping
Water piping
Each gas water heater or vent
Gas piping system 1 - 5 outlets
Each additional outlet
Building sewer
Lawn sprinkler system
Permit Fee
ELECTRICAL
PERMIT FILING FEE
Main service e00V OR LESS
100 AMP OR LESS
Main service EA. ADD'L 100 AMP
Main service OVER 600V
100 AMP OR LESS
Main service EA. ADD'L 100 AMP
NEW CONST. / DWELLING OCCUP. 9
C
$3.00
1.50
1.50
1.50
1.50
1.50
.30
5.00
2.00
$3.00
5.00
2.50
25.00
1.00
FEE
FEE
NON.RESID. \SINGLE OUTLET CIR. /
EX. OCCUD(OUTLETS OR FIXTIIRES
5BL � tAOL01 OS
EX. OCCU FIXED APPLS. OR
P•�NOUTLETS (RESID.) EA)
2.00
Temporary service
10.00
Mobile Home Facilities
15.00
Misc. Wirina
6.25
License No. Classification
I am exempt from the Contractors License Laws of the State of California. Permit Fee $ $
MECHANICAL No. @ FEE
WORKMEN'S COMPENSATION INSURANCE PERMIT FILING FEE $3.00
1 am aware of the provisions of Section3700 of the California Labor Heating
Code which requires every employer to be insured against liability
for Workmen's Compensation.
❑I have placed on file with the County of Butte a certificate of Cooling
Workmen's Compensation Insurance.
so
I certify that in the performance of the work for which this Ventilation
permit is issued I shall not employ any person in any manneras to become subject to the Workmen's Compensation Laws of Hood 2.00
California. 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 f Butte to enter upon the
above-mentioned property for irlspectiourposes.
Da2�"
nature of PJ14ii_tee or
Receipt No. K U -1 f '
White-D.P.W. — Yellow -Assessor — ink -Inspector — Goldenrod -Applicant
Land Development Fee $
TOTAL PERMIT FEE $ -y ®O
This permit is hereby issued under the applicable provisions of
the Butte County Code and/or resolutions to do work indicated
above for which fees have been paid.
DI OF PUB C WORKS
B Date
Building permit expires Date
PERMIT NO. U51 -79B
PERMIT EXPIRES
OWNER Nancy Kelley
CONT R. owner
26-171-16
LOCATION (A.P. )
7532 Lincoln Blvd., Memo
s'
7 -
• 4
1
3
1 •
C
k '
i
. � s
Temp. Power Pol
Called PG&
Temp. Elea S ru
Called PG&E
&E
Temp. Ga Serv.
Calle PG&E
J B
FI LED
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 Heatinq Service
Brown Cooling Temp. Pole
Finish Ducts Underground
Interior Lath - Ventilation Permanent
Door Closer Final Final
MOBILEHOME UTILITIES ------------------ Elec. Service Elec. Pedestal
Water Piping Sewer Gas Piping
OBILEHOME INSTALLATION - - - - - • - - - - - - Support Elec. Continuity
Water Piping Drainage Gas Piping
DATE REMARKS OR CORRECTIONS
0— q, -D W/f
(NOTE: An entry must be made on this form each time you visit the job site.)
COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS
BUILDING INSPECTIA REGORD
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
Stemwall
Garage Vents
Insulation
Water Htr.
Heaters
Slab
Carport
Footings
Slab
Prov. for phsically
handicapped
Conformance of ex.
structure
Final — o
Appliances
Gas Piping& Test
Temp. Gas
Sanitation
Patio
FIREPLACE
Final
Footin
s j
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 Heatinq Service
Brown Cooling Temp. Pole
Finish Ducts Underground
Interior Lath - Ventilation Permanent
Door Closer Final Final
MOBILEHOME UTILITIES ------------------ Elec. Service Elec. Pedestal
Water Piping Sewer Gas Piping
OBILEHOME INSTALLATION - - - - - • - - - - - - Support Elec. Continuity
Water Piping Drainage Gas Piping
DATE REMARKS OR CORRECTIONS
0— q, -D W/f
(NOTE: An entry must be made on this form each time you visit the job site.)
COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS
7 Countt,4,Center Drive - Oroville, California 95965
' Telephone: 534-4541 567
�....
APPLICATION AND PERMIT
BUILDING
Owner IJA J C-,, / 6 SQ. FT. OCC. BUILDING VALUATION
8 eo V 9001 -
Mai lingnAddresslb3 a
L. / i 6 (iV D
�
T�"LE-ME"W ✓ CA`7 /�, KV6&
�y
Contractor
Mailing Address
Fireplace
Total Valuation
e
Tlephone No.
Permit Fee
.pv
// ,^,
Building Address 7,532 l W
Plan Checking Fee&/or Penalty
Permit Fee
PLUMBING
No.1 @ FEE
PERMIT FILING FEE
$3.00
Each Trap
1.50
Repair drainage or vent piping
1.50
"'�%_&/7///&
A. P. No.Z&— ! 7/ /
zoning & Planning •
Water piping
1.50
Each gas water heater or vent
1.50
S t• n Fire Dept.
Fire Zone
Use Permit
Gas piping system 1 - 5 outlets
1.50
EQA
Parking Parcel
Plans Declaration
Parcel Ma p
60' R/W
Improvements
p -
Each additional outlet
.30
Building sewer
5.00
Bldg. 41n. Recd
Parcel Aperoval
Plans Approval
Lawn sprinkler system
2.00
NEW ADDITION ❑ UTILITIES ❑ OTHER ❑
Permit Fee
$
- A-770 67W 6l,
ELECTRICAL
No.1 @ I FEE
PERMIT FILING FEE
$3.00
Main service 1000V OR 0 AMP ORSLES S
5.00
Single Family ❑ Duplex ❑ Mobil Home Others ❑
Main service EA. ADD'L 100 AMP
2.50
Main service OVERe00v
100 AMP OR LESS
25.00
Main service EA. ADD'L 100 AMP
1.00
NEW OR ADONST % ACCLBLDGS.LING CCUP. 9f�
•ZP,Sgft
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:
NEW CONSTR BRANCH CIRCUITS)
NON.RESID � BRANCH CIRCUITS)
2.50ea
NEW CONSTR. (POWER APPARATUS &
NON-RESID. SINGLE OUTLET CIR.
Ex. OCCUD(OUTLETs OR FIXTURES
250
g L 1
FIXED APPLNS, OR
Ex. QCCUp.�0UTLE TS (RESID.) EA)
2.00
Temporary service
10.00
Mobile Home Facilities
15.00
License No. Classification
Misc. Wiring
6.25
91 I am exempt from the Contractors License Laws of the State of California.
Permit Fee
$
MECHANICAL
No. @ FEE
WORKMEN'S COMPENSATION INSURANCE
1 am aware of the provisions of Section3700 of the California Labor
I d 1' k; I;
PERMIT FILING FEE
$3.00
Heating
Code which requires every emp oyer to be ii nsure against is ity
for Workmen's Compensation.
❑I have placed on file with the County of Butte a certificate of
Workmen's Compensation Insurance.
VI certify that in the performance of the work for which this
permit is issued I shall not employ any person in any manner
as to become subject to the Workmen's Compensation Laws of
Cal i forni a.
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 urposes.
Date
Signature of itee or g nt
Receipt No.
White-D.P.W. - Yellow -Assessor - Pink -Inspector - Goldenrod -Applicant
Cooling
B0
Ventilation
Hood 1 1 2.00
Permit Fee $ $
Land Development Fee $
TOTAL PERMIT FEE is
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.
DIRECTO OF PUBLIC WORKS
By Date ZT
B ding permit expires Dater'— / 7-�0
KX
ell
OROV I LL E, C A L. I F09 N
GENERAL CLAW
CLAIMANT; — Nancy 'Kelly__--
ADDRESS: 753.2Lin G4n-B-1-vd,—
CITY & STATE: Oroville, CA 95965 IMPOWANT:
DATE OF CLAIM-
November' 22, 1983 SEE V'81'PUC_N0�;,-S
0'-4 ": REVERSE SID
SUBMIT CLAM TO DETIARTI.IEW RECEIVING GOODS OR SEF-WiCES
DATE DESCRIPTION OF CLAIM (DESCRIBE FULLY' TO AVOID DELAY) AMOUNT
I,
—
Owner has decided not to do work. (Bldg Permit Appin. #2987-83B,
i
INVOICE
NO.
RM
D
Receipt #06951, dated 9/1/83, AP #26-171-16)..
Building permit fees paid ------------------$107.50
Retain fijiLr4o,,te_e= ----- $ 10,0Q
Retain plan checking fee------- $ 32.50
Amount retained -------------------------- $ 42.50
TOTAL REFUND DUE ----------------------------$`65.00
$65.00
7
`C
ITAL
65f00
=$65,.00-
1, the undersigned, declare under penalty of perjury that the services or articles claimed have been ppfo:,n&:d or dclivg , re J , "'Id that this
c1nim is true and correct os stated.
gy Calif.
Dated this f .........
................... d., .............. . .. ............
t
1, the undersigned, hereby certify- that, to the beat of my know!vdge, the c,services or articles specif: J Pbr-c h-3;- `�a�rt or .. ed or &
t
livered and that there is a Budget AppopH,ion[_j or Specific 1,oqrd Approval I i.
.............. .'...... ..
November
.0 Dated thisda5or 19. at.... ... . .... .... ....... .................... ..
......... ...
...
Aulhcriz;:..
Dapt. Exp.
Code ............................................ Code ................................................ PAYADLE FROM ..................................... IF' Lrr;f)
E30 HOT W"OTE r,r:LOW* THIS AWATOICS US-'
VENDOR DEPT. PROD.
CODE 1, SUB.
SUB.
0111,
C L Al M.
NO.
INVOICE
NO.
RM
D
)!CE GROSS
kTE DISC. S L; b - V I' , T.
----------
------ - ---
---------- -7
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS
7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541
y APPLICATION AND 1RERMIT
PGE}R'M(IIT NO.
/O /—
ASSESSOR A CEL NU
ZONING
BUILDING PERMIT
OWNER
TELEPHONE
SO. FT. OCC. BUILDING VALUATION
OWNER'S MAILIN ADDRESS
' C NTRACTO •S NAME V
p
TELEPHONE
CONTRACTOR'S MAILING ADDRESS
Fireplace
CONSTRUCTION LENDERUNKNOWN
Q
Total Valuation $
Filing Fee
$ 10.00
LENDER'S MAILING ADDRESS
Permit Fee
$
ARCHITECT OR ENGINEER
LICENSE NO.
Plan Checking Fee
$
Penalty
$
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Permit fee
$ V
BUILDING ADDRESS
PLUMBING PERMIT
FiIingFee 10.00
Each Trap
2.00
Solar Water Heater
20.00
Water piping
5.00
LOT NO.
SUBDIVISION NAME PARCEL MAP
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 I G W
10.00 e
TYPE OF WORK
New ❑ Addition ❑ go del ❑ Utilities ❑ Installation ❑ Other
Describe work:
Permit Fee
$
Contractor
ELECTRICAL PERMIT
Filing Fee 10.00
Main service 100V OR LESS
100 AMP OR LESS
10.00
Main service EA. ADD'L 100 AMP
2.50
NEW CONST.(DWELLING OCCUP.&`
OR ADDNS. ACC. BLDGS.
/ 2/20sgft
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)
❑ I am exempt under Sec. , Business and Professions Code
for this reason
NEW CO ID R BRANCH OUTLET
ITS 2.50 ea
NEw CONSTR. ( POWER APPARATUS &')
NON-RESID. SINGLE OUTLET CIR.
20e50c
Ex. Occup(o OR FIXTURES BALO 30
FIXED APPLNS. OR
FIXED A
EX. OCCUp. OUTLETS (RESID.) EA, 2.00
Temporary service 10.00
Mobile Home Facilities 15.00
Misc. Wiring 15.00
Permit Fee $
Contractor
MECHANICAL PERMIT
Filing Fee 10.00
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
f Consent to Self -Insure.
shall not employ any person in any manner so as to become subject
to the W. C. laws of California.
Notice to Applicant: If after making this statement, should you become subject
to the W. C. provisions of the Labor Code, you must forthwith comply with such
provisions or this permit shall be deemed revoked.
Heating
Cooling
Hood
3.00
Ventilation
Permit Fee
$
Contractor
I certify that I have read this application and state that the above information
is correct. I agree to comply to all County Ordinances and State Laws relating
to building construction, and hereby authorize representatives of the Countyot
Butte to enter upon the above-mentioned property for inspection purposes.
1 also agree to save, indemnify a keep harmless the County of Butte against
all liabilities, judgments:,rcosts, and expenses which may in any way accrue11r
agai t said County ' c risequ c of the granting of this permit.
X Date {
Signature of Appl'cant — O finer ❑ Contractor ❑ Agent
An OSHA permit is required for excavations over 5'0" deep and demolition or construct-
ion of structures/�ov/e�r ren
stories in height.
Mobile Home Installation Fee $
TOTAL PERMIT FEE $
OCCUP. GROUP
TYPE OF CONST,
PARCEL PD
D
ISSUE
This permit is hereby issued under
sions of the Butte County Code and/or
work indicated above for which
DIR OR OF BLIC
BY -
PERMIT EXPIRES Date
the applicable provi-
resolutions to do
fees have been paid.
WORKS
Dat
��
Receipt No.� r(r,q:�/
WHITE-D.P.W., YELLOW -ASSESSOR. PINK -INSPECTOR. GOLDENROD -APPLICANT
COUNTY OF BUTTE - DEPARTMENT OF ,PUBLIC WORKS - BUILDING DIVISION
7 COUNTY CENTER DRIVE - OROVILLE, CAtI.F.OR 1IA 95965 - TELEPHONE: 916/534-4541
PERMIT APPLICATION DATA SHEET
Permit No.
+r
OWNERKeAf,"
Proposed Building Use
V
Permit Fee Based Upon: Complete Contract Price DPW Valuation
Other (Explain)
Building Inspector Date
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. /triplicate. "•. . .
4. Complete engineered plans and calcs. . . . . . . . . .
5. Plans with Energy Design Compliance Statement. . . . . .
6. State Energy Forms No.
7 Statement of Intent for Non -Heated and AC Buildings.
8. Fees of $ . , . . , , , .
J9. Letter of signature authorization. . . . . . . . . . .
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 ownerE])
15. Improvements may be required. . . . . . . . . , ,
16. Mobilehome Installation Data. . . . . . . ..
•Pre-Inspec. request to
17. Pre -Inspection for Required. Building Inspector (Dote)
18. Other
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 /
Applicar):t�oD, Date
Copy of plans sent Health Dept., Fire Dept., Othe"
Date
During rthe plan checking process, the following data must be submitted prior to permit issuance:
(For required items not checked above at time 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
't
VERMIT NO. 1039-77P,E
• ,� PERMIT EXPIRES
OWNER Nancy Kelly
c%w✓ �2. y ��D CONTR. owner
01-
07 '7 LOCATION (A.P. 26-171-16
7032 L'nSoln Blvd. Palermo
Temp. Power Pole
Called PG&E
Temp. Elea Serv/ 11f4e11
Called PG&E rn
Temp. Gas Serv.
Called PG&E
JOB
FINALED
(Date)
l (Signature)
COUNTY OF'BUTTE — DEPARTMENT OF PUBLIC WORKS
BUILDING INSPECTION RECORD
BUILDING BUILDING (Cont'd) /\ PLUMBING /
bevqaCK
F ewall
SAI Piping
Fork
Par ets
At Floor
Mal'k Bldg.
Rest om Finish
2n Floor
Fo tins
WindoN
3rd oor
Stem all
Siding
To out
Slab
Roof SheAbIng
Water PI i
Piers
Roofing
Sewer
Garage
Fdn. Vents
Fixtures
Footin s
Stemwa I I
Garage Vents
Insulation
Water Htr.
Heaters
Slab
Carport
po
Footings V
Prov. forph sical
handica ed
Conformance of ex.
structure
Appliances
Gas Piping & Test
Temp. Gas
Slab A
Final
Sanitation
Patio
RE ACE
Final
Footin s
Footing
E ECTRIdkl-
Masonry Walls
Throat
Rou h
Reinf. Steel
Final
Fixtures
Bond Bea
FIRE SPRINKI-Eh
Motors
Framing
Test
Water Htr.
Stucco
Final
Sub anel
Mesh
MECHANICAL
Grd. F It Prot.
Scra h
Heati
Servigi
B n
Coo ng
T mp. Pole •
F nish
D is
nder round
I erior Lath
e -illation
Permanent
oor Closer
anal
Final
MOBILEHOME UTILITIES --
Elec. Service �, W
Elec. Pedestal ---��
Water Piping
Sewer '
Gas Piping
MOSILEHOME INSTALLATION • • - - - -
Support�r 477
77 7
Elec. Continuity77 �s
Water Piping
Drainage
Gas Piping
DAT REMARKS O CORRECTIONS
X71-1
Tam
(NOTE: An entry must be made on this form each time you visit the job site.)
'M0BTGF11OaE INSTALLATION INSPECTION CHECK LIST
1. Is the. mobilehomt located with required separation from lot lines and buildings and generally
.conform to plot plan? YeSNo. X_
2. Does the mobil-ehome have required clearances above ground? (Sec.5085) Yes\'` No
3. Are footings and supports properly sized, spaced, and braced a p r approved plans? (Note
possible variation at spring shackles.) (Sec. 5082 & 5083) Ye§A No
4. Is the mobilehome level.? (Sec. 5088) Yes No
5. If mo ng e unit,are crossover connections properly installed? (Sec. 5088)
Yes No
5. Water
A. Is 'le i_Ule connector of adequate size and properly installed (1/2" ID min.)? (Sec. 5566)
Yes / No
B. Test - Does water piping withstand working pressure or 50 lbs. air test? Yes No
C. if ees-e�ro-t-State-of-California approved, does station have backflow device
and pressure -relief valve? Yes No
7. Wastes and Drains
A. Is connection made with Schedule 40 DWV and have flex connectors at each end? Yes No
B.. Does it have minimum" per foot slope and is it properly supported? Yes /l No
C. Are any leaks detected in drainage system after running 3 -gallons of water
�through each
fixture including washing machine standpipe? Yes No x
D. If-caaeh—i-s-not-State-off C-ali ornia approved, does,station
have required trap and vent?
Yes No
8. Gas Piping and Gas Vents
A. Connector - Is mobilehome connected to the gas supply with an' approved 3/4" minimum
mobilehome connector not more than 6 ft. long? Note: All piping is to be at least as
large as the mobil
ehome gas line inlet without reductions other than the mobilehome
connector. YesNo
B. Test OK as per following procedure? Yes No
1. Open all appliance connector valves.
2. Shut off appliance burner and pilot valves.
3. Air' test with manometer to 10"-14" water column, or test with slope gauge (minimum
6oz.-maximum 8 oz.) calibrated in tenth pound increments. Test for 10 min. without
drop.
4. Connect: gas meter to mobilehome with connector, turn. on gas, test connections with
soapy water.
C. Are all appliance vents properly installed? Yes No
9. Elcctr.. caI
A Is service large enoqL to provide Adequate amperage to mobilehome (must equal rating of
mobilehome with a ::;inh!1uln of 100 amp) and other faciliti.!s on lot, i.e., water pumps,
g 1raGe, cabana, etc.: -Yes No
B. Is ther--� ;groper clearances around panels? Yes,& No
C. Is power supply cord or feeder assembly properly fused? Yes x_ No—
D. Is continuity test satisfactory as per the following procedure?-7Yes - 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,
3. Switch all breakers and switches in the mobilehome to the "on" position.
4. Connect one load of a test instrument to the mobilehome grounding conductor and
apply the oLher lead.to each wob leitoTfie slippiy conductor, illeluding rleuLral.
5. All non-current, carrying metal parts of the mobilehome (aluminum siding, gas line,
water line), including fixtures and appliances, shall be tested for continuity from
such equipment and the. grounding conductor.
6. Upon completion of: the above procedure, the power supply cord or feeder assembly
conductors shah be connected to the site service equipment; A further continuity
te.�;t shall then be made between the grounding electrode and the chassis of the
mobilehome.. UDOI1 satisfactory completion of the electrical tests, the lot or site
service equi.pment may be approved for energizing.
i.0. Is job card signed by L'ealth Department for water and sanitation?
11. If everything okay, sign off card and t.a, services.
MUBILc;110t4L•' DATA
Manufacturer and/car Namest:yle
Length Width_!
Vehicle Serial No.
State Identification No.
A.delitional Infoi,nat..aon or Comments:
R
A -T •,
' -„COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS
y 7 County Center Drive — OroviIIe, California 95965
W Tel$phbne: $34-4541
APPLICATION AND PERMIT
dutnonce representduves o1 the t,ounty of outte to enter upon ine
above-mentioned property for inspe tion purposes.
X ,
I W* �_,
$ignature� rmitee r Agen
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 aid.
DIRECTOR 0 PUBLIC WORKS
By DateZ—
B i(ding permit expires Date �- �� �7 Jp
BUILDING
Owner G ��
SQ. FT. OCC. BUILDING VALUATION
Mailing Address !� /,
i/Tel
ephoneNo.
Fireplace
Contractor
Total Valuation
Mai I i ng Address
Permit Fee
Plan Checking Fee&/or Penalty
Telephone No.
Permit Fee $
Building Address
PLUMBING No.1 @ FEE
PERMIT FILING FEE $3.00 O
3 ' 1 -Ml 1,
Each Trap 1.50
Repair drainage or vent piping 1.50
Water piping I 3-50 Q
.Vor ficefion Only
Each gas water heater or vent 1.50
A. P. o. p — 1,71—��p Zon 9
Gas piping system 1 - 5 outlets �,FiU
Each additional outlet .30
es
Sa i ion Fire Dept.
Fire Zone Use Permit
Building sewer O
EQA
Parking Parcel
Plans Declaration
Pael MaP
60R/W
Im
Lawn sprinkler system 0
4L.0—
s ec'd
arcel Approval
Plan pproval
Permit Fee $ U
$
NEW ❑ ADDITION ❑ UTILITIES OTHER E]ELECTRICAL
No. @ FEE
PERMIT FILING FEE $3.00 3 0
Main service 1101 OR LESS 5.00
100 AMP OR LESS
Main service EA. ADD•L 100 AMP 2.50
Single Family ❑ Duplex ❑ Mobil Home Others ❑
OVR 60
Main service 100E
EAMP OR LESS 25.00
Main service/ EA. ADD'L 100 AMP 1.00
NEW CONST.OR ADDNS. ( ACCDWELBLDGLING OCCUP. &) 22sgft
NEW CON TR. 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
le of:
Ex. Occup(OUTLETS OR FIXTURES)��
BAL�1
Ex. Occup. FIXED APPLNS. OR
P'(OUTLETS IRESID.) EA) 2.00
Temporary service 110.00
Mobile Home Facilities 15.00
Licen a No. Classification
Misc. Wiring 6.25
am exempt from the Contractors License Laws of the State of California.
Permit Fee $
C:
MECHANICAL No.1 @ I FEEPERMIT
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
W rkmen'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.
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
i
TOTAL PE MIT FEE
$ ! G
dutnonce representduves o1 the t,ounty of outte to enter upon ine
above-mentioned property for inspe tion purposes.
X ,
I W* �_,
$ignature� rmitee r Agen
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 aid.
DIRECTOR 0 PUBLIC WORKS
By DateZ—
B i(ding permit expires Date �- �� �7 Jp
I
\ COUNTY OF BUTTE -- DEPARTMENT OF PUBLIC WORKS
7 County Center Drive — Oroville, California 95965
` Tel ephgne: 534-4541
APPLICATION AND PERMIT
autnor)ze representatives of the County 7t Butte to enter upon the
above-mentioned property for inspection urposes.
ignature of
Receipt No./ E:) JJ v 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 01� PUBLIC WORKS
By Date_S
wilding permit expires Date �� 7,`f' 7
BUILDING
Owner £AV
SQ. FT. OCC. BUILDING VALUATION
Mailing Address
Telephone No.
Fireplace
Contractor
Total Valuation
Mailing Address
Permit Fee
Plan Checking Fee &/or Penalty
Telephone No.
Permit Fee
Building Address�' �CO/j��
PLUMBING No. @ FEE
PERMIT FILING FEE $3.00
Each Trap 1.50
f,� O
Repair drainage or vent piping 1.50
Water piping 1.50
Each gas water heater or vent 1.50
A. P./Ko. �p — �,/
Z
Zoning & Planning
Gas piping system 1 - 5 outlets 1.50
Each additional outlet .30
Wes
Saartierj-
Fire Dept.
Fire Zone
Use Permit
Building sewer 5.00
EQA
Parking
Plans
Parcel
Declaration
Parcel Ma P
60' R/W
Improvements_
Lawn sprinkler system 2.00
Bldg. Plan 4 e�
Parcel A a an�Pis App,ovol
Permit Fee $
NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER
ELECTRICAL No.1 @ FEE
PERMIT FILING FEE J$3.00
� 141A Q� 2 Y' (�,39-
Main service j00 AMP OR00V OR LESS5.00
Main service EA. ADD'L 100 AMP 2.50
Single Family ❑ Duplex ❑ Mobil Home ® Others ❑
OVER 600V
Main service 100 AMP OR LESS 25.00
Main service EA. ADO'L 100 AMP 1.00
NEW CONS. DWELING OR ADDNST ( ACCLBLOGS.CCUP. &) 20sgft
NEW CONSTR. MULTI.OUTLET
NON.RESID, ( BRANCH CIRCUITS) 2.50ea
NEW R. CONST(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
le of:
Ex. Occup(OUTLETS OR FIXTURES) BA@L@1 �
Ex. Occup. FIXED APPLNS, OR
P'(OUTLETS (RESID.) EA) 2.00
Temporary service 10.00
Mobile Home Facilities 15.00
License No. Classification
Misc. Wiring 6.25
a1:a:m:exempt from the Contractors License Laws of the State of California.
Permit Fee $
MECHANICAL No. @ FEE
WORKMEN'S COMPENSATION INSURANCE
I am aware of the provisions of Section3700 of the California Labor
Code which requires every employer to be insured against liability
for Workmen's Compensation.
❑I have placed on file with the County of Butte a certificate of
Workmen's Compensation Insurance.
I certify that in the performance of the work for which this
r permit is issued I shall not employ any person in any manner
so as to become subject to the Workmen's Compensation Laws of
California.
PERMIT FILING FEE $3.00
Heating
Cooling
Ventilation
Hood 2.00
Permit Fee $
$
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
// O ,✓
ON
TOTAL PERMIT FEE
autnor)ze representatives of the County 7t Butte to enter upon the
above-mentioned property for inspection urposes.
ignature of
Receipt No./ E:) JJ v 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 01� PUBLIC WORKS
By Date_S
wilding permit expires Date �� 7,`f' 7
8. Is there any other electr'c d to be served by the mobilehome
site service?.---- --- -�- ------------------------------- Yes
No
(If yes, identify the load and size:® (Load) ,,)o (Amps)
9. What is the mobilehome site gas pipe size? ---------------------- (in.)
10. What is the type of gas service? -----=---------- ----- -=---- Natural LPG
`r
11. What is the gas pipe length `from meter or tank to the mobilehome? (ft.) f
r
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.)
f
r
•
BUTTE COUNTY DEPARTMENT OF PUBLIC WORKS
�.�7 County Center Drive,' Oroville, CA
PHONE:'534-4541
MOBTLEHOME INSTALLATION
SHEET\
1.
Owner's name
. 2.
Install'er's name:
w
3.
Is the site currently
under'pennit? Yes/ /
No.
r(If yes, furnish
permit number 1. d " %
% • ) OR
.
Is the site an existing site?- Yes / /
,•
No / /
(If yes, furnish
two (.2) plot plans.)
.
f
.
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 T-7,
( If no, clarify
)
5.
What is the
' mobilehome
electrical rating? -=-----------------
I'[�
Amps
P
6.
What is the mobilehome
site service rating? ---------------------
/ ��
Amps
P
7.
What is the
S
mobilehome
site circuit breaker --rating?
P
8. Is there any other electr'c d to be served by the mobilehome
site service?.---- --- -�- ------------------------------- Yes
No
(If yes, identify the load and size:® (Load) ,,)o (Amps)
9. What is the mobilehome site gas pipe size? ---------------------- (in.)
10. What is the type of gas service? -----=---------- ----- -=---- Natural LPG
`r
11. What is the gas pipe length `from meter or tank to the mobilehome? (ft.) f
r
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.)
f
MOBILEHOME SUPPORT BATA
Mob ilehome Mfr. C�IQ L 1(Z� al ( Setup Model No. Year 7.
Width (ft.) Length S (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).
Lj OAa
Single - a. Xy12 f, 6�-meg Footings (check one)
Lente
Center Support
Suppo
t
Footing Sizes
Loca
ons
(in.)
in
(ft)
n)-
(in.) in
(ft.
(i .)(in.)
i._..._=X._...-.. j
(in.) (in.) a:
I"',
*If center piers are other than drawn above,
draw in locations, spacing, and dimensions.
7K1. Wood either
pressure treated or
fdn. grade.
2. Concrete pad.
3. Other, specify
Supports (check one)
1( 1. Concrete block
2.* Concrete piers
3. Steel piers
4. Other, specify
Typical Support
Footing Size
I
i Max. Pier
Spacing
Max.
Overhang
i.fE.K..in. )
BUTTE COUNTY,
BUILDING DEPARTMENT
APPROVED