HomeMy WebLinkAbout027-015-019\
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Robert E. Adams
Rd,, Palgrmo Area
Fennic #1;iKU*-./8?B/"`,E,M(new siggle
family) loop* ,
COMPACTION TEST REQ. A)479
27-15—ff 161
Contr: J.B. Mobile Service
Permit #4346 78 Ki
ssued
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LAND OF NATURAL WEALTH AND BEAUTY
DEPARTMENT OF PUBLIC HEALTH
DIVISION OF ENVIRONMENTAL HEALTH
Address ❑ 196 Memorial Way X7 County'Center Drive ❑ 747. Elliott Road
Reply to Chico, California 95926' Oroville, California 95965 Paradise, California 95969
py Telephone: 916/891-2727 Telephone: 916/534-4281 Telephone: 916/872-2961, Ea-58
November 221 1983
Mr. Robert E. Adams
3565 Grubbs Road
Oroville, CA .95965
Dear Mr. Adams:
This is to advise you that pursuant to Section .19-19 of the
Butte County Code, the Board. of Supervisors has approved a
variance renewal to Sections.19-10 and 19-.12.of the Butte County
Code .fo.r .the continued 'use of a mobile home on your property
located at 3565 Grubbs Road, 0_roville area
and identified as Assessor's Parcel Number - ., �= .
'This variance renewal wasg ranted on Octob 25, . 1983 and
includes .the following conditions:
1. The variance renewal is granted only for a term of one year.
At the end of one-year you must apply for a new variance if
the use is to'continue. ---.
2. If the:applicar_t residing in the mobile home or conventional'.
residence moves to another location or is deceased, the
variance automatically expires and the mobile home shall be
moved within 120 days. If the mobile home-is not removed
within 120 days, the county may remove said mobile home and
store it at the.owner's expense.
Very truly yours,
Lynn E. Vanhart, Director
Division of Environmental health
LEV/lda
cc: Clerof the Board
P -rning Department
p-i11ding Department
t
7
cou#
LAND OF NATURAL W EAL'TH
DEPARTMENT OF PUBLIC HEALTH
DIVISION OF ENVIRONMENTAL HEALTH
Address 0 695 Oleander Avenue, P.O. Box 11oo IN 7 County Center Drive . O 747 Elliott Road
Reply to Chico, California 95927 Oroville, California 95965 Paradise,- California 95969
Telephone: 916/891-2727 Telephone: 916/534-4281 Telephone: 916/ 8:2-2961, Ext.
September 14, 1981
Robert E. Adams
3565 Grubbs Road
Oroville, CA 95965
Dear Mr. Adams:
This is to advise you that pursuant to Section 19-19 of the Butte
County Code, the Board of Supervisors has approved a variance renewal
to Sections 19-10 and 19-12 of the Butte County Code for the continued
use of a mobile home on your property located at 3565 Grubbs Road,
Oroville, CA and identified as Assessor's Parcel Number 27-15-18.
This variance renewal was granted on August 18, 1981 and includes the
following conditions:
1. The variance renewal is granted only fora term of one-year.- At
the end of one year you must apply for a new variance ' if the use is to
continue.
2. If the applicant residing in the mobile home or conventional
residence moves to another location or is deceased, the variance
automatically expires anal the mobile home shall be moved within 120
days. If the mobile home is not removed within 120'days, the County
may remove said mobile home and store it at the owner's expense.
Very truly yours,
Lynn Vanhart, Director
Division of Environmental Health
LE V/11d
:cc: Clerk of the Board
Planning Department
�'Bui'in- Department
• t.
."-.ff
DO -Ito &OUR
LAND OF NATURAL W EALTF1 Ah,]D BE UT
DEPARTMENT OF PUBLIC HEALTH
196 Memorial Way DIVISION OF ENVIRONMENTAL HEALTH
Address ❑ - P.O. Box 1100 [X7 County Center Drive ❑ 747 Elliott Road
Reply to Chico, California 95927 Oroville, California 95965 Paradise; California 95939
Telephone: 916/891-2727 Telephone: 916/534.4.281 Telephone: 916/ 872-2961, Ext. 58
July 24, '1980
Mr. Robert E. Adams
3565 Grubbs Road
Oroville, CA 95965
Dear Mr. Adams:
This is to advise you that pursuant to Section 19-19 of the Butte
County Code, the Board of Supervisors has approved a variance renewal.
to Sections 19-10 and 19,-12 of the Butte County Code for the continued
use of a mobile home. on your property located at 3565 Grubbs Road,
Oroville, CA and identified as Assessor's Parcel'Number 27-15-18.
This variance renewal was granted on July 22, 1980 and includes the
following conditions:
1. The variance renewal is granted only for a term of one year. • At
the end of one-year you must apply for anew variance if the use .is to
continue.
2. If the applicant residing in the mobile home or conventional
residence moves to another location or is deceased, the variance
automatically expires and the mobile home shall be moved within 120
days. If the mobile home is.not removed within 120 days, the County
may remove said mobile home and store it at the owner's expense.
Very truly yours,
Lynn Vanhart, Director
Division of Environmental Health
=V/lld
cc: Clerk of the Board
P2sanning Department
uilding Department
0
r -ter:. 3'.�li��•`G �„_��`. .
Bume cou
LAND OF NATURAL WEALTH AND BEAUTY
DEPARTMENT OF PUBLIC HEALTH
DIVISION OF ENVIRONMENTAL HEALTH
Address ❑ 695 Oleander Avenue, P.O. Box 1100 IX
7 County Ce
Chico, California 95927 center Drive ❑ 747 Elliott Road]
Reply to
Telephone: 916/891.2727 Oroville, California 95965 Paradise,: calif orria 95969
Telephone: 916/534.4281 Telephone: 916/ 372-2961, Ex
June 30, 1980
Mr. Robert E Adams
3565 Grubbs Road
Oroville, CA 95965
Dear Mr. Adams:
This is to advise you that pursuant to Section 19-19 of the
County Code, the Board of Supervisorsv
has a Butte
renewal
to Sections 19-10 and 19-12 of the Butte CountyCode for1vartheecce ontinued
use of a mobile home on your property located at
3565 Grubbs Oroville,,CA and identified as Assessor's Parcel Number toad,
This variance renewal was granted on May 20-15-'18.
following conditions: y , 1980 and includes the.
1. The variance renewal is granted only for a term of one.
the end of one-year you must apply for a new variance year. At
continue. if the use .is to
2. If the applicant residing•i.n the mobile home or conventional
residence moves to another location or is deceased, the variance
automatically expires and the mobile home shall be moved within 120
days. If the mobile home is not removed within 120 days, the Count
may remove said mobile home and store it at the owner ' xPense s e Y
.
Very' truly yours,
Lynn Vanhart, Director
Division of Environmental Health
ISE V/l ld
cc: Clerk of the Board
P anning Department
wilding Department
`PERMIT NO. 4181'-.78P,E _
PERMIT EXPIRES 94) Oh�
s �
OWNER Robert E. Adams
CONTR. nwner
27-15-3
LOCATION (A.P. )
3565 Grugbs Rd., Oroville
Temp. Power Po'
Called PG&E
Temp. Elec. Sery
I Called PG&E
lJemp. Gas Serv.
Called PG&E Q /
OB y
FINALE*iu
v
)
MOBILEHOME INSTALLATION INSPECTION CHECK LIST
1. Is the mobilehome. located witk�required separation from lot lines.and buildings and generally
conform to plot plan? Yes_ No
2. Does the mobilehome have required clearances above ground? (Sec.5085) Yes f/N0
3. Are footings and supports properly sized, spaced, and braced as p approved plans? (Nate
possible variation at spring shackles.) (Sec. 5082 & 5083) Yes_ No_
4. Is the mobilehome level? (Sec. 5088) Yes, JNo_
5. If mo e than a single unit, are crossover connections properly installed? (Sec. 5088)
Yes No
6. Water
A. Is fle ible 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�o
C. Backflow - If coach is not State of California approved, does.station have backflow device
and pressure -relief valve? Yes_ No
7. Wastes and Drains
A.' Is --connection made,with Schedule 40 DWV and have flex connectors at each end? Yes"- No
B. Does it have minimum 4" per foot slope and is it properly supported? Ye No
C. Are any leaks detected in drainage system after running 3 -gal -ons of water through each
fixture including washing machine standpipe? Yes_ No
D. If coach is not State of California approved, does station have required trap and vent?
Yes No
8. Gas.Piping and Gas Vents
A. Connector - Is mobilehome connected to the gas supply with an approved 3/4" minimum
mobilehome connector not more than 6 ft, long? Note: All piping is to be at least as
large as the mobile a gas line inlet without reductions other than the mobilehome
connector. Yes No
B. :Test OK as per following procedure+ Yes_ No
1. Open all appliance connector vf.lves.
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 mobilehorqe.with connector,turn on gas, test connections with
soapy water.
C. Are all appliance vents properly installed? Yes No_
9. Electrical
A. Is service large enough toprov'de adequate amperage to mobilehome (must equal rating of
mobilehome with a minimum of 0 amp) and other facilities on lot, i.e., water pumps,
garage, cabana, etc.? Yes No
B. Is there proper clearances around panels? Yes !
COUNTY OF IB U T T V-"
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'I - '• for the following location:
t
Owner
Owner's Address
Mobilehome Mfg. 'f Model Year
Insignia No. - ` Serial No. I,
It is hereby certified for occupancy at the above described location and
may be occupied.
Director of Public Works _-
Date By,
THIS CERTIFICATE IS VOID WHEN MOBILEHOME IS RELOCATED
White - Owner, Yellow - Installer, Pink - D.P.W.
COUNTY OF BUTTE — DEPARTMENT OF,PUBLIC WORKS
BUILDING INSPECTION RECORD ;
BUILDING BUILDING (Cont'd) PLUMBING
a ioaCK FI wall Sckl Piping
Fo s Parakets Am Floor
MXJn Bldg. Restr m Finish 2A Floor
Sla
Piers
Garage
Footin
Stemwa I I
Slab
Carport
Footings
Slab
Patio
Footings
Masonry Walls
Relnf. Steel
Mesh
WindowsX
Siding
Roof SheattXng
Roofing
Fdn. Vents
Garage Vents
Insulation
Prov. for ph sical
handicaooed
Conformance of ex.
Footin
FIRE SP
Fiflish lentilation is
In rior Lath
or Closer nal
MOBILEHOME UTILITIES ------------------ Elec. Service
Water Piping 7` -7 ?- Sewer -)JV
Idg§16EHOME INSTALLAT N - - - - - - - - - - - - - - Support
Water Piping Drainage—��
DATE REMARKS OR CORRECTIONS
T
3rd Xloor
To out
Water PI
Sewer
Fixtures
Water Htr.
Heaters
Appliances
Gas Piping &
Temp. Gas
Sanitation
Final
F
. Pole
Final
Elec. Pedestal
Gas Piping
Elec. Continuity
Gas Piping
(NOTE: An entry must be made on this form each time you visit the job site.)
ELECTRICAL
r r
Owner _ •.4
COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS
7 County Center Drive — OroviIle, California 95965
Telephone: 534-4541
APPLICATION AND PERMIT
BUILDING
yJ ,� SQ. FT. I OCC. BUILDING VALUATION
Mai l i ng Address -3,5— t,—' — �. �� i
- f2� > LSC �¢
Contractor
Mailing Address
Building Address `7
e
Telephone No.
A. P. No. 15- —3 1 Zonin & Planning
FW.- Senitetrom Fire Dept. FireZone Use Permit
EOA Parking I Parcel Parcel Ma 60' R/W Im rovements
Plans Declaration P P
Bld ec d Parcel 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:
License No. Classification
I am exempt from the Contractors License Laws of the State of Califomia.
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.
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.
Joe
Signature of Per (tee or Agent
Receipt No.
White-D.P.W. — Yellow -Assessor —___77ink- nspector — Goldenrod -Applicant
Fireplace
Total Valuation
Permit Fee
Plan Checking Fee &/or Penalty
Permit Fee
PLUMBING
PERMIT FILING FEE
Each Trap
Repair drainage or vent piping
Water piping
Each gas water heater or vent
Gas piping system 1 - 5 outlets
Each additional outlet
Building sewer
Lawn sprinkler system
Permit Fee
ELECTRICAL
PERMIT FILING FEE
Main service
600V OR LESS
100 AMP OR LESS
Main service
EA. ADD -L 100 AMP
Main service
OVERs0o
100 AMP OvR LESS
Main service
EA. ADD'L 100 AMP
NEWC
CONST. (
OR ADDNS.
DWELLING OCCUP. S
ACC. BLDGS.
NEW CONSTR.
NON.RESID_
(MULTI -OUTLET
l BRANCH CIRCUITS
$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. QCcup(OUTLETS OR FIXTURES
50@
MI
EX. OCCU FIXED APPLNS. OR
P•(OUTLETS (RESID.) EA)
2.00
Temporary service
10.
Mobile Home Facilities
15.00
Misc. Wiring
6.25 (o,oZS
Permit Fee $
MECHANICAL N0.1 @ 1 FEE
PERMIT FILING FEE J$3.001
Heatina
Cooling
Venti Iation
Hood 1 2.00
Permit Fee $ $
Land Development Fee $ /
TOTAL PERMIT FEE $
This permit is hereby issued under the applicable provisions of
the Butte County Code and/or resolutions to do work indicated
above or which fees have been paid.
D&EC -OR OF PU LIC WORKS
B ate J76bf
Building—permit expires Date
r`- I
COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS
Center Drive' - Oiovi l le, California 95965 i
Telephone: 534-4541
APPLICATION AND PERMIT /fin
•-r••---•'••-••••••+ vv.. ,•y v• u.— av unci uFv MV
above-mentioned property for inspection purposes.
X
Signaturree ooff Pe tee or Agent
Receipt No. ` / [J
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 ineicated
above for which fees have been paid..
DIRECT,�O PUBLIC WORKS
BYu� Date 7-
u xa� - Z
BUILDING
Owner
�l
SO. FT. OCC. BUILDING VALUATION
Mai I i ng Address o Al d�
/
egh
Contractor
Mailing Address
Fireplace
Total Valuation
Telephone No.
Permit Fee
Building Address 15— /
Q
PlanCheckingFee&/or Penalty
Permit Fee
PLUMBING No.1 @ FEE
PERMIT FILING FEE $3.00 (7Q
26YINO Ver• _
Each Trap 1.50
Repair drainage or vent piping 1.50
A. P.�
Z '" g
Water piping _}-rip 0
Each gas water heater or vent 1.50
F s
VL4Salt on Fire Dept.
Fire Zone
Use Permit
Gas piping system 1 - 5 outlets -1-- QC)
EOA
Parking
Plans
Parcel
Declaration
Parcel M
60' R/W
Improvements
Each additional outlet .30
Building sewer -646@- Q
Q!/�� �
/-61N'g��•�la Recd
Parce rovol
Plan pprovol
Lawn sprinkler system 2.00
NEW ❑ ADDITION ❑ UTILITIES OTHER ❑
Permit Fee $
$
ELECTRICAL No.1 @ FEE
PERMIT FILING FEE $3.00 Q
Single Family lex Mobil Home Others
❑ Duplex ❑ ❑
Main service 600V OR LESS
too AMP LESS 5.00
Main service EA. ADD - 100 AMP 2.50
L
Al
— �7'�
4 _ (//V /
sm $Q, 1=T, MINIM M
Main service OVER 600V 25.00
100 AMP OR LESS
Main servlce EA. ADD'L 100 AMP 1.00
oR ADONS. ( DWEACCLBLING LOGS,CCUP. S)22sq ft
EOR MO TRACTORS LICENSE LAW
I am licensed under the provisions of Chapter 9, Div. 3, of the
State of California Business & Professions Code under the name
Ie
St Of:
Y
NEW CONSTRES,., MULTI.OUTL T
NON-RESID (BRANCH CIRCUITS) 2.50ea
NEW CONSTR. /POWER APPARATUS B
NON-RESID. ,SINGLE OUTLET CIR.
Ex. OCCUD(OUTLETS OR FIXTIil7 ES 5 L�
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 $ A,7
$
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.
1W 1 have placed on file with the County of Butte a certificate of
AX"orkmen's Compensation Insurance.
rVI I certify that in the performance of the work for which this
le�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
Land Development Fee
TOTAL PERMIT FEE Is
- d(
•-r••---•'••-••••••+ vv.. ,•y v• u.— av unci uFv MV
above-mentioned property for inspection purposes.
X
Signaturree ooff Pe tee or Agent
Receipt No. ` / [J
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 ineicated
above for which fees have been paid..
DIRECT,�O PUBLIC WORKS
BYu� Date 7-
u xa� - Z
�i COUNTY OF., UT -TE — QEPARTMNT OF PUBLIC WORKS +
7 County Center Drive — 'Oroville, California 95965
- Telephone: 534-4541 /
APPLICATION AND PERMIT i
authorize representatives of the County of Butte to enter upon the
above-mentioned property for ins ection purposes.
t
X Date
Signature of Permitee or Agent
Receipt No. /1'7,���
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.
DIRECTO R_OF ELIC WORKS
BY Date
permit expires Date — 77 -d_ -F-1_9
BUILDING
Owner �-
SQ. FT. OCC. BUILDING VALUATION
Mai I i ng Address
Telephone No.
Contractor �^ <
��� ���
Mailing Address J J
Fireplace
Total Valuation
Telephone No.
£
Permit Fee
Building Address
P I an Checking Fee &/or Penalty
-
Permit Fee
PLUMBING No.1 @ FEE
AS
PERMIT FILING FEE $3.00
Each Trap 1.50
Repair drainage or vent piping 1.50
A. P. o. ��S J
Zonin & Planning
Water piping 1.50
Each gas water heater or vent 1.50
F s
Senna n
Fire Dept.
Fire Zone
Use Permit
Gas piping system 1 - 5 outlets 1.50
EQA
Parking
Plans
Parcel
Declaration
Parcel Map
60' R/W
Improv is
Each additional outlet .30
Building sewer 5.00
BW tans Recd
Parcel A rov
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
too AMP OR LESS 5.00
SinSingle Family Duplex Mobil Home Others
9 Y ❑ P ❑ ❑
Main service EA. ADDtoo 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 A.D.S. ACCLBLOGS.LING CCUP. "t) 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
sty leV
/.
C
NEW CONSTRES'D, -OUTLET
NON-RESID BRANCH CIRCUITS) 2.50ea
NEW CONSTR (POWER APPARATUS &
NON-RESID. SINGLE OUTLET CIR.
Ex. Occup(OUTLETS OR FIXTVIPES 5 L�
EX. OCCUp ( FIXED APPLNS, OR 2 00
OUTLETS (RESID.) EA/\
Temporary service 10.00
Mobile Home Facilities 15.00
License No. �%.9� Z Classification C
Misc. Wiring 6.25
❑ 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.
Whave placed on file with the County of Butte a certificate of
Workmen's Compensation Insurance.
❑I certify that in the performance of the work for which this
permit is issued I shall not employ any person in any manner
so as to become subject to the Workmen's Compensation Laws of
California.
MECHANICAL No @ FEE
PERMIT FILING FEE $3.00
Heating
Cooling
Ventilation
Hood 2.00
Permit Fee $
$
1 certify that I have read this application and state that the above
information is correct. I agree to comply to all County Ordinances
and State Laws relating to building construction, and hereby
L
Is-- $0 0
TOTAL PERMIT FEE
$
authorize representatives of the County of Butte to enter upon the
above-mentioned property for ins ection purposes.
t
X Date
Signature of Permitee or Agent
Receipt No. /1'7,���
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.
DIRECTO R_OF ELIC WORKS
BY Date
permit expires Date — 77 -d_ -F-1_9
BUTTE COUNTY DEPARTMENT 'OF PUBLIC WORKS
7 County Center Drive, Oroville, CA.
I PHONE: 534-4541
MOBILEHOME INSTALLATION SHEET
1. Owner's name: LO ;ellot)W-
2. 4-:7 2. Installer s name: NOS// �� C
3. Is the site currently under permit? Yes No
( If yes, furnish permit number "7�'yl ) 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? ----------------------- Amps
6. What is the mobilehome site service rating? --------------------- Amps
-
-
7. What is the mobilehome site circuit breaker rating. ----------- 40 Amps.
8. Is there any other electric load to be served by the mobilehome
siteservice? --------------------------------------------------- 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 / / LPC
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 han 6 ft. on natural gas
or less than 50 ft. on LPG.')
BUTTE COUNTY
'BUILDING DEPARTi
MENT--
APPROVEDIPI
I
MOBILEHOME SUPPORT DATA
If other than single wide,
Mobilehome Mfr. //��y` �'�s furnish. Setup Model No. Year7/7
Width A 4 (ft.) Box Length V/'0 (ft.) Tagalong or Expando Size ft. x ft.
(SHOW SUPPORT DETAILS BELOW)
On all mobilehomes manufactured after Octobe?- 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 ,gro�f w
mobilehome unless otherwise specified.
Footings (check one)
ZOO Single 1. Wood either
jl� 2 �- X'3c7 .
pressure treated c
foundation grade.
0
(ft.)(in:). (in.) (in.) 2. Other (specify)
Center support
Center support
locations*
footing sizes
Supports (check one)
(in.)
(ft.)I (in.)
(in.) (in.)
61: Concrete block.
�(
E] 2. Other (specify)
(ft.)(in.)
(in.) (in.)
--Tagalong or Expando,
show support details.
(in.) (in.)
*If center piers are other than drawn above,
draw in locations, spacing, and dimensions.
12, 00 1 Typical Support
(in.) (in.) Footing Size
-- Max. Pier Spacing
�-
% Max. Overhang
(in.) (in.)
(ft.)I (in.)
(in.) (in.)
*If center piers are other than drawn above,
draw in locations, spacing, and dimensions.
12, 00 1 Typical Support
(in.) (in.) Footing Size
-- Max. Pier Spacing
�-
% Max. Overhang
a
V PERMIT
NO. 1105-78B,P:E-M
PERMIT EXPIRES
'::OWNER
o
Robert E. Adms
�CONTR.
owner
27-15-3
LOCATION
(A.P. )
_
NIS Grubbs Rd., app. 1 mi.W.of Dunstone Rd.
Palermo Area
r
.L
ri
.. t
}
1.
c'.
Temp. Power Pole����'0�5
Called PG&E
Temp. EIec. Serv.�% ,'/= 7�
Called PG&E
Temp. Gas Serv.
S
Called PG&E
'
.. JOB
Q
FINALED
(Date)
(Signature)
'!'
4'.
RESIDENTIAL
ENERGY CONSERVATION STANDARDS
CONSTRUCTION COMPLIANCE CERTIFICATE
THIS IS.TO CERTIFY THAT ENERGY CONSERVATION REQUIREMENTS HAVE BEEN
INS IN CONFORMANCE ENT�ENEGY�GONSERVA�O��LATIONS
AT S
(location)
BUILDING PERMIT NO.11 ,*g m % A;P. NO.9 %a /S
THE FOLLOWING HAVE BEEN INSTALLED AS PER APPROVED PLANS:
(Check each item or write N/A if not applicable)
INSULAT ION:
Slab Edge. Al
Fan. Walls
Floors Al A
Walls/_7
Ceiling_/Roof
Ducts
Circulating Pipes
APPROVED HEATER
APPROVED WTR.HTR.
GLAZING:
Single Glazed IV A
Special (Insulated),
CERT. & LABELED WDS.
& SLIDING DRS.
WEATHERSTRIPPED DRS. 4, ---
BACK DAMPERED FANS Al
INTERMITTENT IGNITION DEVICES—*--'
CERT. APPLIANCES X / A
I DECLARE THAT ALL REQUIRED ITEMS AS NOTED ABOVE HAVE BEEN INSTALLED
IN ACCORDANCE WITH THE ENERGY CONSERVATION REQUIREMENTS AND AGREE TO
THE COMPLETENESS OF THIS CERTIFICATE AS SUBMITTED. �+y
Insulation Applicator Name' Al"
Signature of
(please print)
Insulation Applicator
ate Contractors
License No. /y
General Contractor/Owner Name®i,�7�°"� �✓ /�
(please print)
Signature of
General Contractor/Owner ,�rte
State Contractors
^
License No.
THIS CERTIFICATE MUST BE ON FILE ,WITH THE BUILDING DEPARTMENT PRIOR TO
REQUESTING FINkL INSPECTION AND SHALL BE POSTED IN A CONSPICUOUS LOCATION
WITHIN THE DWELLING.
�\ 1
��� ll0��-7 � �.
,.,
_
iso cAI!V ,
r
r
r
Reinf. Steel I Final-%- 1`1 C -ID I Fixtures / �' V
to
Stucco
Mesh MEC ICAL Grd. Fault Prot. v
Scratch4A 11 gHeatin Service
Brown 10',Cooling too,/ Temp. Pole
Interior Lath Ventilation 1/ I Permanent
Door Closer -. Final Final n - 4-Z'
MOBILEHOME UTILITIES - - - - - - - - - - - - - - - Elec. Service Elec. Pedestal
Water Piping Sewer Gas Piping
MQBI�IIN� TALLLATION - - - - - Support Elec. Continuity
Water Piping Drainage Gas Piping
DATE
REMARKS OR CORRECTIONS
..tea
l
b Rpuou, c,J�T v� oro �b�N s i2� �` G
a /t
COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS
BUILDING INSPECTION RECORD
6-1. Lf i <f 4 &C,--
1 a 111.7 r-
//
B ILDI G BUILDING (Cont'd)
� t)� o �
An entry must be made on this form each time you visit tM. job Fite.)
PLUMBING
Setback
Firewall
Soil Piping
Forms
Parapets
1st Floor
n /72 JK
Main Bi dg.
Restroom Fini h -
2nd Floor
111
Footings
Windows 9
3rd Floor
Stemwall
r VSiding
To out
Slab
/ Roof Sheathing
Water Piping
Piers
Garage
Roofing
Fdn. Vents
Sewer
Fixtures
Footin s
Stemwall
Garage Vents
Insulation In
Water Hit.
Heaters
Slab
Carport
p
Footings
Prov, for physically
handica ed •-�--r'
Conformance of ex.
structure
Appliances
Gas Piping
Temp. Gas
t/
& Test
Slab
Final �= Z-�--'
Sanitation
Patio
FIREPLACE
Final
- ZZ -
Footings
Footing
ELECTRICAL
Reinf. Steel I Final-%- 1`1 C -ID I Fixtures / �' V
to
Stucco
Mesh MEC ICAL Grd. Fault Prot. v
Scratch4A 11 gHeatin Service
Brown 10',Cooling too,/ Temp. Pole
Interior Lath Ventilation 1/ I Permanent
Door Closer -. Final Final n - 4-Z'
MOBILEHOME UTILITIES - - - - - - - - - - - - - - - Elec. Service Elec. Pedestal
Water Piping Sewer Gas Piping
MQBI�IIN� TALLLATION - - - - - Support Elec. Continuity
Water Piping Drainage Gas Piping
DATE
REMARKS OR CORRECTIONS
..tea
l
b Rpuou, c,J�T v� oro �b�N s i2� �` G
a /t
z'v
6-1. Lf i <f 4 &C,--
1 a 111.7 r-
//
Q
(NOTE:
� t)� o �
An entry must be made on this form each time you visit tM. job Fite.)
COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WOR
7 County Center Drive �. Ororille, California 95965
Telephone: 534-4541
APPLICATION AND PERMIT
auinurize represeniativeS`Or the county of butte to enter upon the
above-mentioned property for inspection purposes.
Signature of Perri ee o'rrAgent
Receipt No. 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.
DIRECTU EDeeF F UBLIC WORKS
BY
B ding permit expires Date
BUILDING
Owner /p
SQ. FT. OCC. BUILDI
VALUATION
Mai I i ng Address S
DTelephone
No.
t!
3
of
Contractor aA< ,J33 -z 72,
GG
Mailing Address
Fireplace
57t
Total Valuation
.Telephone No.
Permit Fee �
Building Address / r s
Plan Checking Fee Vor Penalty
Permit Fee
1 41 , r
PLUMBING
No.
@ FEE
PERMIT FILING FEE
$3.00 ,
Each Trap 1.50
Koft Yfiri a 'o C)nl.
Repair drainage or vent piping 1.50
A. P. o. - r 9
Water piping
1.50
Each gas water heater or vent 1.50
/
Fes ftle S on F'reDept.
Fire Zone Use Permit
Gas piping system 1 -5 outlets 1.50
EQA
Parking
Plans
Parcel
Declaration
Parcel Map
60' R/W
Improvements
Each additional outlet .30
Building sewer 5.00
BQ/Plans Re 'd
Parcelrovol
Plans val
Lawn sprinkler system 2.00
NEW ADDITION ❑ UTILITIES ❑ OTHER ❑
Permit Fee $ -
$ 1,/
ELECTRICAL
No.
@ FEE
PERMIT FILING FEE
$3.00 '
i
-
Main service 600V OR LESS
100 AMPORLESS 5.00
Single Family Duplex Mobil H ome Others
❑❑ ❑
Main service EA. ADD'100 AMP 2.50
Main service OVER 600v
100 AMP OR LESS
25.00
-
Main service EA. ADD'L 100 AMP1,00
pM�P
OR ADDNS.NEW CONST. ACCLBLDG 20Sq ft ~)
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:
Y
NEW RESID,CON T RANCH CIR T 1
NON-RESID BRANCH CIRCUI S
12.50ea
NEW CONSTR. POWER APPARATUS 6
NON-RESID. SINGLE OUTLET CIR.
EX. OCCUD(OUTLETS OR FIXT11RES50@25
Ex. Occup. FIED APPLNS, OR
P•� OUXTLETS (RESID,) EA) 2.00
Temporary service 10.00
Mobile Home Facilities 15.00
License No. Classification
Misc. Wiring 6.25
JRLI am exempt from the Contractors License Laws of the State of California.
Permit Fee
$
$
WORKMEN'S COMPENSATION INSURANCE
I am aware of the provisions of Section3700 of the California Labor
Code which requires every employer to be insured against liability
for Workmen's Compensation.
❑I have placed on file with the County of Butte a certificate of
Workmen's Compensation Insurance.
I certify that in the performance of the work for which this
ermit 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-
Noi
@ FEE
PERMIT FILING FEE $3.00 9- 100
Heating
Cooling -j5ern S
Ventilation ? ,
Hood 2.00 "'
Permit Fee $ I
$ 7 ,~
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
Land Development Fee
S
$
TOTAL PERMIT FEE
$ /
[�
auinurize represeniativeS`Or the county of butte to enter upon the
above-mentioned property for inspection purposes.
Signature of Perri ee o'rrAgent
Receipt No. 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.
DIRECTU EDeeF F UBLIC WORKS
BY
B ding permit expires Date
-To: Building Department
From: Enviro=ental Health
Regarding: Sewage and/or Water, apd/or Addition Clearance(s)
arm a
Owt R LOUTION T/ A.P. No.
Plans are approved for: Sewage Disposal Water Supply
Hold up Final for:
Final Clearance OK for:
Clearance is fo.r a""'�edroom ((home r mobile home) .
The addition(s) will be
Sanitarian
Othe r
Water Supply
Water Supply
Date
OWNEP
Zoning Use Proposed
Permit No.
A.P.-No. 2 7--/.S --_-s
Approved
Not aunroved
Permit fee based upon: 1. Complete contract price.
2. Partial contract price (explain).
3. DPW Valuation (show): '
At time of permit application, the applicant was advised the following data or information mist be
submitted prior to permit processing and/or issuance:
Date received
1. All items have been submitted.'----! -----------------------
2. Plot plans in duplicate/triplicate. ---------------------
3. Complete plans in duplicate/triplicate. -----------------
4. Complete engineered plans and cal�cs- --------------------
5. Fees of $ ----------- ---------
6. Letter of signature authorization. ----------------------
7. Sanitation approval. ------=---;------------------------- /
8. Planning approval for --•
9. Workmen's Compensation Insurance Certificate. -----------
10. Contractors license information.
11. Parcel declaration, recorded copy. ----------------------
12. Access declaration. -------------------------------------
13. Aunt Minnie information. --------------------------------
14. Deed of access', recorded copy. --------------------------
15. Deed of parcel creation, recorded copy. ---=------------
16:: Parcel map, recording data. -----------------------------
17. Pre -inspection request for --
8. Improvements - plan requ'red & DPW appro al. ----- -----
9. Other ------ [�(u� �n� 77-4- 11441-Y 1 id
By Date
ldg. Inspector
During plan checking process, the following data
or information must be submitted prior to permit
issuance:
1. Index permit for items
above and in addition the folio ing:
2. Applicanta v sed by Telephone
� �� Mail
� �
P1, Other
3. Plans checked by Date
4. Plans approved by Date .3•�
en pe it is issued, process as follows:
�1. Mail to owner.
2. Mail to contractor.
3. Deliver with inspection.
__44. Telephone S 3 a h, id,
for pickup @ is
5. Other
Before permit issuance, all of the following
items must be signed or marked NA:
1. Zoning use
2. Legal parcel
3. Envir.Health - Date Plans Sent
A. Sanitation
B. Restaurant
C. Other
4. Public Works - Date BTotice Sent
A. Street Imp.
B. Drainage
C. Permits & Fees
,2 F1 D. Other.
5. Planning
A. Use Permit
B. Variance
C. Other
6. Other Agencies - Date Plans Sent
A. Fire Dept.
B. Other
I'
J,z1y 24, 1978
Mr. Robert E. Adams
31565 Grubbs Road
Grcrvilley California. 95965
a- Mr. Adams
.J'S is to advise you that pursuant to Section 19•-19 of ie Bu'_lo' Cour''-; _ +d;>
.7
the Boa_d. of Supv3 rvis0_s has approved a x4riance to Sections 19-10 an? \. 9-i2
c t'le Butte-' County Code fo-- the placeirie t of a St?obi.D-, ho -ma on_ jcz-,r prOn?rty
ocat d at 3565 Grubbs Road, Q.rov:i.11e, C4 <
SLn�et Address
4:3: o.C3i,?c" O<'_ July 18D 19x(3 :d iii','_lr Aes :"_, f
l} ".?"he .`2.?'i.anc--:' is gra.^,ted O"!ly for a te*-m or one year. At.. ^;;h-
-en i o` one yesix you must arr ? y fr, a new vari-an-e -:f t \, .:s-
is to c-ontinue,
2) If ti;`_` -,t f lic rn4 1;t %ne nubile hzxiie or c.orri-e i'tiona i
_. to —if.us.it_r tl.`.1�._;i.. is E.:_.c •.1 Ci,
au
Lomatically ex-pires and the mobile home shall be re',toved ":i¢hir.
120 days. If the mobile hone 'is z oa removad within 120 daY;,
Cc?u tty . nay remove said c -b` l: Y.orpe wii store it at the
expense.
j) the home shall be placer O;: the proper.t- without tiicla i
f,V ;F `�ta S"t�` ��ti Zc_lSli^'?`'?'_5 ^c the _ltT yt -ic'a -LO-- 'J
1s Ioca' .ed. -
4,1 �he' ?'7i:1.C:1P11: SL. ii.l� secure all necessary disposal'
building r"a- ' Its nectssar. to install Zn`
7
S L'! co f.L!i•. _? 3l ..,.'i!1tf,
cl:. cit•_-'' o' t,;-- 5--1:1rd