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HomeMy WebLinkAbout027-060-040I 27-06-40 Glen Madsen 550 'off NW/S of Bohemia Ave.,app. 6/10 mi.E.of Bohemia & Citrus Ave., R�XX Palermo permit ��4502- 76B,.P ,M(new sBgle family) 27-06-40`' Permit. #k6--78B-(lst . RENEWA7: 4 4,050 SF r i 7-06-40 Permi 5709-79P,E(ut''1.,MH) E GA SUPPORT STRUCTURE. EEQ.. OMPACTION TEST REQ. GL?� ,:27 06-40 Per it 57 -79MHI Issue 0 l �� � f � �J a� � I Viz' {`` �� I '.Y- F AV' PERMIT "PERMIT NO. 4502-76B, P, E, M f � PERMIT EXPIRES � T (OWNER GLEN MADSEN CONTR. OWner yILOCATION (A.P. 23-06-40 550' off NW side'of Bohemia Ave, app 6/10 ,,mi. E of Bohemia & Citrus Ave., Palermo V r Temp. Power Pole Called PG&E _ Temp. Elec. Serv. Called PG&E Temp. Gas Serv. Called PG&E 4 JOB FINALED (Date) (Signature) 9 COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS BUILDING INSPECTION RECORD BUILDING—,/ I BUILDING (Cont'd) I PLUMBING Setback / /%j, Firewall Soil Piping Forms Parapets 1st Floor c %7 Main Bldg. Restroom Finish 2nd Floor Footings �r� %� Windows �" 3rd Floor Stemwall Siding To out Slab Roof Sheathing ✓ Water Piping Piers Roofing Sewer Garage Fdn. Vents -- Fixtures Footings Stemwa I I Garage Vents Insulation Water Htr. Heaters Slab Carport Footings Prov. for physically handicaped Conformance of ex. structure Appliances Gas Piping &Test Temp. Gas Slab Final Sanitation Patio FIREPLACE Final Footings Foo ng _ g, _ EL,ECTRICAI,/ Reinf. Steel Final Fixtures Bond Beam 4 0004 FIRE SPRINKLERS Motors Framing Test Water Htr. Stucco Final Subpanels Mesh MECHANICAL Grd. Fault Prot. Scratch Heating Service Brown Cooling Temp. Pole Finish Ducts Underground Interior Lath Ventilation Permanent Door Closer Final Final DATEEy REMARKS OR CORRECTIONS ellL�i2�Yt/ f�jL��✓f� `amu" i�lL C9 C ��/t/'�V �''C"SZZAi�'���' ����/ oe �J (NOTE: An entry must be made on this form each time you visit the job site.) f ' V .00 LAND OF NATURAL WEALTH AND BEAUTY opo DEPARTMENT OF PUBLIC WORKS CLAY CASTLEBERRY, Director o-�.t,•�.rr, ,i :,;, : ,, c 7 COUNTY CENTER DRIVE, OROVILLE, CALIFORNIA 95965 I Teleohone: (916) 534-4541 H. W.�DONALD Deputy Director RE: Building Permit-# �d�'�z-� b L-7P A. P. # 7-oto With reference to the above subject, we have been advised by one of our building inspectors that there are items requiring corrections for the work which you have done as follows: �r 0`3 a A x i yam, 1 _ cc- e s �� F 3J J ., 4 i�we L�� j' Since these items must be corrected before we can final the job or issue the required Certificate of Occupancy, please make the above corrections and contact this office within ten (10) days of the date of this letter and request final inspection. Your cooperation in resolving these items in a timely manner will certainly be appreciated. Should you have any questions concerning this matter, please contact this office. 0 JFG:dd cc: Building Inspector Yours very truly, Clay Castleberry Director of Publi �.F. Glander Assistant Director ks COUNTY OF BUTTE — 'DEPARTMENT OF PUBLIC WORKS .• 7 County Center Drive — Oroville, California 95965 Telephone: 534-4541 APPLICATION AND PERMIT aUUlU114Ze IePfe5elllaLIVU5 UI ine Guunty oT Butte to enter upon the above-mentioned property for inspection purposes. X _, . Lu Date Signature of Permiteee or Agent Receipt No. Z663 � 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 fo which fees have been paid. D RE/ T R OF P BLIC WORKS f% BY Date � ,3 O Building permit expires Date �/79 T v BUILDING Owner eAA 52 11 SQ. FT. OCC. BUILDING VALUATION Mailing Address Il TelephN ono. Fireplace Contractor Total Valuation Mailing Address Permit Fee Plan Checking Fee&/or PenIty Telephone No. Permit Fee $ $ Building Address Al MPLUMbING No.1 @ FEE PERMIT FILING FEE 1$3.00 Si cte , Each Trap 1.50 171 e 116 QAtJ4 (A Repair drainage or vent piping 1.50 Water piping 1.50 Cl C Each gas water heater or vent 1.50 A. P. No. — y o Zoning & Planning Gas piping system 1 - 5 outlets 1.50 Each additional outlet .30 Fees W.C. Fire Dept. Fire Zone Use Permit Building sewer 5.00 EQA Parking Plans Parcel Declaration Parcel Ma P 60' R/W Improvements provements Lawn sprinkler system 2.00 ans ec'd Parcel Approval Plans Approval Permit Fee $ $ ADDITION NEW F1 ADDITION ❑ OTHER: No. @ FEE PERMIT FILING FEE $3.00 �e ii,,[UTILITIES (, Ile IV Main service 100 AMP 00V OR ORSLESS 5.00 Main service EA. ADD'L 100 AMP 2.50 Single Family [g Duplex ❑ Mobil Home ❑ Others ❑ Main service 10 0 AMP OR LESS 25.00 Main service EA. ADD'L 100 AMP 1.00 NEW CONST. DWELLING OCCUP. & OR ADDNS. ACC, BLDGS. ) 20sgft NEW CONSTR. MULTI -OUTLET NON.RESID, BRANCH CIRCUITS) 2.50ea NEW CONSTR./POWER APPARATUS & NON-RESID. (SINGLE OUTLET CIR. CONTRACTORS LICENSE LAW I am licensed under the provisions of Chapter 9, Div. 3, of the State of California Business & Professions Code under the name style of: Ex. Occup(OUTLETS OR FIXTURES)BAL@@NR 1 Ex. OCCU FIXED APPLNS, OR P•(OUTLETS (RESID.) EA) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 License No. Classification Misc. Wiring 6.25 ❑-I am exempt from the Contractors License Laws of the State of Califomia. Permit Fee $ $ WORKMEN'S COMPENSATION INSURANCE 1 am aware of the provisions of Section3700 of the California Labor Code which requires every employer to be insured against liability for Workmen's Compensation. ❑I have placed on file with the County of Butte a certificate of Workmen's Compensation Insurance. I certify that in the performance of the work for which this permit is issued I shall not employ any person in any manner so as to become subject to the Workmen's Compensation Laws of California. MECHANICAL No. @ FEE PERMIT FILING FEE $3.00 Heating Cooling Ventilation Hood 2.00 Permit Fee $ $ I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby TOTAL PERMIT FEE $ 6Z aUUlU114Ze IePfe5elllaLIVU5 UI ine Guunty oT Butte to enter upon the above-mentioned property for inspection purposes. X _, . Lu Date Signature of Permiteee or Agent Receipt No. Z663 � 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 fo which fees have been paid. D RE/ T R OF P BLIC WORKS f% BY Date � ,3 O Building permit expires Date �/79 T +7 1 COUNTY OF BUTTE - 'DFt=,PARTMENT OF PUBLIC WORKS 7 County Center Drive - Uroville, California 95965 //�•--D� �� Telephone: 534-4541 `Y J APPLICATION AND PERMIT / X X 16(6J,A---- Date -76 Signature of Permitee or Agent Receipt No. Z?�? F77 White-D.P.W. - Yellow- Assessor - Pink -Inspector - Goldenrod -Applicant the tsutte county (;ode and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR a PUBLIC WORKS BY_Date wilding permit expires Date %.- BUILDING IF I Owner .L.ex.,; N/ hd �-e-Q SQ. FT. OCC. BUILDING VALUATION Mailing AddressZAV .0 �Oro� rZo.©o (C)rOV ` L(, Telephone No. `r3- AJ dUR'� QLq,�yjTprA(A 00,00 Fireplace ,on Contractor Total Valuation O Mailing Address OCO /v P_ tr' Permit Fee Plan Checking Fee &/or Penalty Telephone No. Permit Fee (040 $ I Building Address Q �� t' pJ PLUMBING No.1 @ FEE PERMIT FILING FEE J$3.00 Y, &,a Oh�4A4i ,4 oq1/ )'o k . Coll / L Each Trap 1.50 .oS% aF Be A,-" � Ci�'u. �'v� Repair drainage or vent piping 1.50 Water piping 1.50 /50 L Each gas water heater or vent 1.50 A. P. No. 7— O %O Zoning & Planning Gas piping system 1 - 5 outlets 1.50 , 'Q Each additional outlet .30 FAaet Sa itatl n Fire Dept. Fire Zone Use Permit Building sewer 5.00 EQA Parking Plans Parcel Declaratio Parcel Ma P 6 ' R/W Improvements provements Lawn sprinkler system 2.00 I Rec' Parcel Approval Plans Approval Permit Fee $�6,, $ NEW rZ ADDITION ❑ UTILITIES ❑ OTHER ❑ ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 3,601 Main service 600V OR LESS 100 AMP OR LESS 5.00 Main service EA. ADD'L 100 AMP 2.50 Single Family jai Duplex ❑ Mobil Home ❑ Others ❑ Main service OVER OEAMP OR LESS 25.00 Main service EA. ADD'L 100 AMP 1.00 - NEW CONS. DWELING OR ADDNST ( ACCLBLDGS.jy) 22sgft ^ p CONMULTI-OUTLET NEW STR. NON-RESID, ( BRANCH CIRCUITS) 2.50ea NEW CONSTR. POWER APPARATUS & NON-RESID. (SINGLE OUTLET CIR. CONTRACTORS LICENSE LAW I am licensed under the provisions of Chapter 9, Div. 3, of the State of California Business & Professions Code under the name style of: Ex. Occup(OUTLETS OR FIXTURES) BAL21a 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 E`ram 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 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. @ I FEE PERMIT FILING FEE J$3.00 JD Heating J �� .pop Z?T--Q 0 Cooling %OV '% r Ventilation J O p Hood / 2.00 ,p Permit Fee $ 1 certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the .,.,,,,e........ ;------ ;,... .,............. TOTAL PERMIT FEE $ O This permit is hereby issued under the applicable provisions of X 16(6J,A---- Date -76 Signature of Permitee or Agent Receipt No. Z?�? F77 White-D.P.W. - Yellow- Assessor - Pink -Inspector - Goldenrod -Applicant the tsutte county (;ode and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR a PUBLIC WORKS BY_Date wilding permit expires Date An I 1 n - n - r. Y , U != i�: ,� T li K :til �• •/ � n �. • i H � . !` : v � _ ,•, l; I DEPARTMENT OF PUBLIC HEALTH DIVISION OF ENVIRONMENTAL HEALTH Address ❑ 695 Oleander Avenue, P.O. Box 1100 7 County Center Drive ❑ 747 Elliott Road Reply to Chico, California 95927 Oroville, California 95965 Paradise, California 95969 Telephone: 916/891-2727 Telephone: 916/534-4281 Telephone: 916/ 872-2961, Ext. 58 August 7, 1979 Glen & Janet Madsen P.O.. Box 1406 Oroville, CA 95965 Dear Mr. & Mrs. Madsen: This is to advise you that pursuant to Section 19-19 of the Butte County Code, the Board of Supervisors has approved a variance to Sections 19-10 and 19-12 of the Butte County Code for the placement of a mobile home on your property located atP•O. Box 1406- Bohemia/citrus 0.5 M/E of and identified as Appy 27-06-40 This variance was granted on August 7, 1979 and includes the following conditions: 1. The variance is granted only for a term of one year. At the end of one year you must apply fora new variance if the use -is to con- tinue. 2. If the applicant residing in the mobile home or conventional residence.moves to another location or is deceased, the variance auto- matically expires and the mobile home shall be moved within 120 da7s. 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. - 3. The mobile hone shall be placed on the property without violating any of the setback requirements of the -zone in which the _property i s looted. 4. The applicant shall secure all necessary sewage disposal, electrical, plumbing and building permits necessary to install the mobile home. Very tru,�ly yours, 1.4 Z r o Vanhart Direct Division of Environmental Health LEV/0 cc: Clerk of the Board Planning Department zildin; D-DawrtMe.nt Invzr.onmental Health . PERMIT NO. 5709-79P,E, PERMIT EXPIRES OWNER Glen Madsen , owner CONTR. LOCATION (A.P. 27-06©40 550'off NW/S Bohemia Ave.,app.6/10 mi.E.of Citrus Ave., Palermo i k' i p k 4 '{ ' •i R . k F . ,j t } f 4 . r Temp. Power Pole Called'PG&E T mp. Elec. Serv. Called PG&E Temp. Gas Serv. �G Called PG- &E JOB FINALED (Date) ?%�i.,��•—� - (Sign ure) MOBILEHOME INSTALLATION INSPECTION CHECK LIST 1. Is the mobilehome located with ydquired separation from lot lines and buildings and generally conform to plot plan? Yes o 2. Does the mobilehome have required clearances above ground? (Sec.5085) YesO."" No 3. Are footings and supports properly sized, spaced, and braced as pe approved plans? (Note possible variation at spring shackles.) (Sec. 5082 & 5083) Yes No 4. Is the mobilehome'level? (Sec. 5088) Yes!/ No_ ' 5. If more an a single unit, are crossover connections properly installed? (Sec. 5088) Yes o 6. Water A. Is flexi le connector of adequate size and properly installed (1/2" ID min.)? (Sec. 5566) Yes -4" "- B. Test - Does water piping withstand working pressure or 50 lbs. air test? Yes '; o_ 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? Yes C. Are any leaks detected in drainage system after running 3-g llons of water thropgh each fixture including washing machine standpipe? Yes No 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 mobilghome gas line irilet without reductions other than the mobilehome connector. Yes// No B. :Test OK as per following procedure Yes h/No 1. Open all appliance connector v�Llves. 2. Shut off appliance burner and pilot valves.. 3. Air test with manometer to 10"014" 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. r' C. Are all appliance vents properly installed? Yes e 9. Electrical A. Is service large enough to provide adequate amperage -to mobilehome (must equal rating of mobilehome with a minimum of To amp) and other facilities on lot, i.e., water pumps, garage, cabana, etc.? Yes__ B. Is there proper clearances around panels? Yes L.,NO C. 'Is power supply cord or feeder assembly properly fused? Yes No_ D. Is continuity test satisfactory as per the following procedure? Yes_ No 1. De -energize electrical wiring system of the mobilehome at the pedestal. 2. Make sure that the power supply cord or feeder assembly conductors, including neutral conductor, have been disconnected. 3. Switch all breakers and switches in the mobilehome to the "on" position. 4. Connect one lead of a test instrument to the mobilehome grounding conductor and apply the other lead to each mobilehome supply conductor, including neutral. 5. All non-current, carrying metal parts of the mobilehome (aluminum siding, gas line, water line), including fixtures and appliances, shall be tested for continuity from such equipment and the grounding conductor. 6. Upon completion of the above procedure, the power supply cord or feeder assembly conductors shall be connected to the site service equipment. A further continuity test shall then be made between the grounding electrode and the chassis of the mobilehome. Upon satisfactory completion of the electrical tests, the lot or site service equipment may be approved for energizing. 10. Is job card signed by Health Department for water and sanitation? 11. If everything okay, sign off card and tag services. MOBILEHOME DATA Manufacturer and/or Namestyle `&X Length__( Width �' T i Vehicle Serial No. State Identification No. Additional Information or Comments: • �' � . . A �' � z.r '�� t "►' .r � � .� "`1� ' � _ .� . . j9 �i _ �' .,e � � ' .� 4 �� . �� r � .. � �. a .. t .,. 'z .REMAR S OR RRECTIONS (NOTE: An entry must be made on this form each time you visit the job site.) r COUNTY OF BUTTE — DERARTMENT OF PUBLIC WORKS BUILDING INSPECTION -RECORD BUILDING BUILDING (Cont'd) PLUMBING Set\ldg Firewall So&Pipin For Parapets 1st\Floor M Restroom Finish 2nd Foor Windows 3rd Floor I Siding '0. To out Slab Roof Sheathing Water PI in ,, Piers Roofing Sewer Garage Fdn. Vents Fixtures Footings Garage Vents Water Htr. Stemwall Insulation Heaters Slab Carport Footings y Prov. for physically% handica ed `� Conformance of ex. structure V A (lances Gas Piping & Test Temp. Gas Slab Final Sanitation Patio REP CE Final Footings Footing ELOtCTRICAI Masonry Walls Throat Rough Reinf. Steel Final Fixtures Bond Beam FIRE SPRINKLE Motors JF Framing Test Water Htr. Stucco Final Subpanellf Mesh MECHANICAL Grd. Fallt Prot. Scra h Heati Servi Co ng T14p. Pole DV6ts nder round In rior Lath entllation Permanent oor Closer Final inal MOBILEHOME UTILITIES --------•--------- Elec. Service 7 Z Elec. Pedestal.�C—, Water Piping .Z ] . 7f Sewer Gas Piping L C E IftaNSTALLATION - - - - - - - - - - - - - - Support Elec. Continuit Water Piping i Drainage e Gas Piping 'z .REMAR S OR RRECTIONS (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 OROV'ILLE, 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,,]j for the fol�l $ "owing location: "'1&_ LS i•-�.�+4i.�_.n'. - ! ✓�/ ..�!1�t-a►y r � �.»a-.: ,Y' �'* �'; ti, a : tiz.0 _ r�� �...� Owner �• ��--' �` Owner's Address �• d yJ�� Mobilehome Mfg. _Y.Bt�'J�-� Model= Year �! Insignia No. -�� %+ Serial No. It is hereby certified for occupancy at the above described location and may be occupied. Director of Public Works Date -2/ 7% By THIS CERTIFICATE IS VOID WHEN MOBILEHOME IS RELOCATED White - Owner, Yellow - Installer, Pink - D.P.W. COUNTY 6F BUTTE --'DEPNRTMENT OF PUBLIC WORKS 7 County Center Drive — Oroville, California 95965 Telephone: 534-4541 APPLICATION AND PERMIT authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. X ���G.�., (/(/( gets _ Date —/ Z `71 Signature of Permitee or Agent Receipt No. DLO White-D.P.W. - Yellow -Assessor - Pink -Inspector - Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR OF PUBLIC WORKS By Date % j 4u"Ild'ing permit expires Date BUILDING Owner � G,4 Y, SQ. FT. OCC. BUILDING VALUATION Mailing Address 6 ci (A �. Telephone No. Contractor Mailing Address Fireplace Total Valuation Telephone No. Permit Fee Building Address 5-LS70 Plan Checking Fee&/or Penalty Permit Fee �j>� „¢- 1/�', >�� Q fig PLUMBING No. @ FEE // PERMIT FILING FEE $3.00 Each Trap 1.50 10, ,,�Cp Repair drainage or vent piping 1.50 A. P. No. � 7 — d ..in & Planning Water piping 1.50 Each gas water heater or vent 1.50 F es IW.G' I Sa"+*tr;m I Fire Dept. Fire Zone Use Permit Gas piping system 1 - 5 outlets 1.50 EQA Parking Plans Parcel Declaration Parcel Ma p 60' R/W Im rovemen p Each additional outlet .30 Building sewer 5.00 Bldg. 11R e c l Ad Parceroyal Plans oval Lawn sprinkler system 2.00 NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER -2 Permit Fee $ ELECTRICAL No.1 @ FEE PERMIT FILING FEE $3.00 Main service 600V OR 100 AMP ORLESS5.00 Single Family ❑ Duplex ❑ Mobil Home Others ❑ Main service EA. ADD•L 100 AMP 2.50 Main service OVER 100 AMPeo0v OR LESS 25.00 Main service(( EA. ADD'L 100 AMP 1.00 NEW CONSDWELING OR ADDNST \ ACCLBLDGSCCUP. 20sgft 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. -OUTLET NON.RESID BRANCH CIRCUITS) 2.50ea NEW CONSTR. `(POWER APPARATUS & NON•RESID. SINGLE OUTLET CIR. EX. OccuQ(OUTLETS OR FIXTURES B250 AL@1 FIXED Ex. Occup. OUT ETS PLNS (RESID )REA) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 License No. Classification Misc. Wiring I 1 6.25 �am exempt from the Contractors License Laws of the State of California. Permit Fee $ $ MECHANICAL NO -1 @ 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� ISI 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 T 4 .f- $ 6 TOTAL PERMIT FEE $ authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. X ���G.�., (/(/( gets _ Date —/ Z `71 Signature of Permitee or Agent Receipt No. DLO White-D.P.W. - Yellow -Assessor - Pink -Inspector - Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR OF PUBLIC WORKS By Date % j 4u"Ild'ing permit expires Date BUTTE COUNTY DEPARTMENT OF PUBLIC WORKS 7_County Center Drive, Oroville, CA. PHONE: 534-4541 MOBILEHOME INSTALLATION SHEET 1. Owner's dame: /%% ;Q 11y rA E[ M q Cj R $ AN l< 2. Installer's name: _5'A M E 3. Is the site currently under permit? Yes / ,� No (If yes, furnish permit number ) OR Is the site an existing site? Yes./ / No / `f (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? ----------------------- Q O Amps 6. What is the mobilehome site service rating? --------------------- 200 Amps 7. What is the mobilehome site circuit breaker rating?- ------------- :2. Amps 8. Is there any other electric load to,be served by the mobilehome siteservice? --------------------------------------------------- Yes L( --f No (If yes, identify the load and size:&rnesttc- w,4TE2(Load) /S (Amps} 9. What is the mobilehome site gas pipe size? ----------------------- 10. -------------------- 10. What is the type of gas service? ----------------------------- Natural / / LPG / y/ 11. What is the gas pipe length from meter or tank to the mobilehome? _3--c— ow—L—(ft.) 12. What is the mobilehome gas demand? ------------------------------ (This information not required if -pipe length less than 6 ft. on natural gas or less than 50 ft. on LPG.) (BTU) MOBILEHOME SUPPORT DATA If other than'single wide, Mobilehome Mfr.IPoVAC 96mES .Z'N.C. furnish Setup Model No. Year/ 7 72 Width- �(ft.) Box Length �(,,¢_(ft.) Tagalong or Expando Size ft. x ft. (SHOW SUPPORT DETAILS BELOW) On all mobilehomes manufactured after October 7, 1973; furnish manufacturer's installation manual and structural setup sheets (if not on file with the County of Butte). All center supports measured from front of mobilehome unless otherwise specified. o P. z Single ©- a 1.2Y x3o (ft.)(in.) F(in.) (in.) Center support Center support locations* footing sizes (in.) l3 l0 24x30 (ft.)(in.) (in.) (in.) (ft.)(in.) (in.) (in.) 2 $ x 3 n (ft.)(in.) (in.) (in.) 24x3° (ft.) (in.) *If center piers are other than drawn above, draw in. -locations. anacing. and dimensions_ Footings (check one) ® 1. Wood either pressure treated or foundation grade. 2. Other (specify) Supports (check one) R] 1: Concrete block. Ej L Other (specify) 4 --Tagalong or Expando,' show support details. /2 x30 -- Typical Support in.) (in.) Footing -Size ,$ -. ! -- Max. Pier Spacing (ft.)(in.) 121 " -- Max. Overhang (ft.)(in.) BUTTE COUNT -1 BUILDING DEPARTMENT, :APPROVED. a/� COUNTY. OF BUTTE — DEPARTMENT OF PUBLIC WORKS v 7 County Center Drive — Oroville, California 95965 ' Telephone: 534-4541 ��D�—�� APPLICATION AND PERMIT BUILDING Owner �',G, r SQ. FT. OCC. BUILDING VAtUAf ION Mailing Address �r d Telephone No. Ofiw U r Contractor L_-_, L-;r,� Mai I i ng Address eleahone No. Building Address%-- .. . _ r ze-- /.Jn. t-,vJA4 4 A. P. No. p` oning & ning 46s 1 4.6- AI�SJSR Fire Dept. Fire Zone Main service Us ermit EQA I Parking Plans Parcel Declaration parcel a p 60' R/W Improvements p Bldg. P ns Recd 'P`arc`J;Appr.v.I 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 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 OVER 600V 100 AMP OR LESS Main service EA. AOD'L 100 AMP NEW CONST. ( OR ADDNS. DWELLING OCCUP. 5i ACC. BLDGS. NEW CONSTR. .n. P;rgln. (MULTI -OUTLET ` BRANCH CIRCUITS EX. OCCUP(OUTLETS OR FIXTURE EX. OCCU P• FIXED APPLNS. OR OUTLETS (RESID.) EA Temporary service Mobile Home Facilities Misc. Wiring $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 2.00 10.00 15.00 6.25 ©<am exempt from the Contractors License Laws of the State of Cal ifomia. Permit Fee' $ MECHANICAL No. @ 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. ❑1 have placed on file with the County of Butte a certificate of Workmen's Compensation Insurance. �rcertify 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. Signature of Permitee or Agent Receipt No. a2 -% C, , White-D.P.W. – Yellow -Assessor – Pink -Inspector – Goldenrod -Applicant Cooling FEE 11 Ventilation Hood 1 1 2.00 Permit Fee $ $ Land Development Fee $ r� TOTAL PERMIT FEE $ This permit is hereby issued under the applicable pro fisionJ of the Butte County Code and/or resolutions to do work indicated abov 7r which fees have been paid. I U LIC WORKS Date Building permit expires Date -------------- - 06 -•tea NOTE: All Materials & Workmanship Shall Be in ke This t 'Of f / 2 0 . • $ 9 A C /� Accordance with Recognized Good PFactiCes and w an ah the yob A an l of a quality prescribed for the Specified use in the Uniform Building,,- Plumbing &Mechanical Codes and ►,yo ksn pet' h. es Or t �opec�{/cot. th'e Nrtianal-Electrical Code. ' C0 soon {ho a/tArry,yond it ons isms 11•/(�Sr – ,— t� o f B4 t rn the hep ons r'l gwf be r,ent of P4 0 o 1 TP A/ � --k All utility connecfiot s shall be located `within 4 ft. oui side the rear third section of the no6ile home on the left (road) sic(e f the mobile home. - o A permit will be required f tl!ie installation of the molAlel.ome. A E SNoP__ 80,to 600 SQ. FT. MINIMUM Septic ystem and location o+4mld- EOR MOBILES 'be as per �$u a County Health Dept. Re- �� a� 0ements. [no 6lE Nome 24 X 64 The Wg. Setback shall be 5 ft. from the side , property line and. 50 ft.jroivil ` cent6dirie of the road, permit ca maxi- `�' mum of a 2 ft, eave ove'rho y out Wirely COUNTY I out of all ewe ¢i en BUTTE C BUILDING D EPARWEM APPROVE VlY Vi I m r