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HomeMy WebLinkAbout027-084-033'27 -Cg+ -33 port. Elizabeth Ann Risk ap .4 mi.N.of So. Villa, lot #3, Orovill .- Permit 472-77P,E(uV1.,MH) ELEC. a GAS gip/ SUPP R STRUCTURE REQ. AM COMPACTION TEST REQ. tiD 27-084-33 port. contr: Wilsons Mobilo, Home Serv., Orov. Permit #114 =77MHI Issul 27-084-33 Ann. Risk % 7-3'05=L01=ive=Ave-,Palermo hermit # 2870-82MHI(on exist iter); contr : _ Tom's. -Mobil -e- & •Motor,07;.i11e Issued` 27-084-33 ;Permit,-# 2907-82 (relorc egas fog ex ing site)MH kja �OIg1 contr: Feather River Gas,©roville ring n gg�y�. -7� '` 633 n r •s PERMIT NO. 472-77P.E PERMIT EXPIRES i OWNER Elizabeth Ann Risk { CONTR. owner ` LOCATION (A.P. 27=.084-33 port. E/S Olive Ave.,app.-kmi.N.of So.Villa, lot #3, Oroville � M V Temp. Power Pole Called PG&E Temp. Elea Serv. �'�� ,Called PG&E / r Temp. Gas Serv.y� i Called PCS& -E_ B /FC1 NALED (Date) (Signature)G'Y✓Li� , COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 7 COUNTY CENTER DRIVE OROVILLE, CALIF. - 534-4541 1 CERTIFICATE OF OCCUPANCY This mobilehome has been installed in accordance with the requirements of the California Administrative Code, Title 25, Chapter 5, under perwit number % for the fol owing location: Owner Owner's Address ����•�"��Lt� - Mobilehome Mfg. &U Model Yearo�z Insignia No. Serial No. It is hereby certified for occupancy at the above described location and may be occupied. Director ob Public Works Ole Date By THIS CERTIFICATE IS VOID WHEN MOBILEHOME IS RELOCATED COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 7 COUNTY CENTER DRIVE OROVILLE, CALIF. - 534-4541 CERTIFICATE OF OCCUPANCY This mobilehome has been installed in accordance with the requirements of the California Administrative Code, Title 25, Chapter 5, under permit number 2'for the following location: Owner Owner's Address Mobilehome Mfg. Model Year Insignia No. t/ Serial No. It is hereby certified for occupancy at the above described location and may be occupied. Director of Public Works Date By ` THIS CERTIFICATE IS VOID WHEN MOBILEHOME IS RELOCATED COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS BUILDING INSPECTION RECORD BUILDING X BUILDING (Cont'd) PLUMBING Se ck FXewall Sk Piping For Par ets 1 Floor Mahk Bldg. Rest om Finish 2noV ioor Fo tins Windo 3rd k0or Ste all Siding To out Slab Roof Sheaking Water Pi I Piers Roofing Sewer Garage Fdn. Vents Fixtures Footings Stemwall Garage Vents Insulation N Water Htr. Heaters Slab N Carport Footings V Prov. for physical \Appliances n ed C Conformance of ex. structure V Gas Piping & Test Temp. as Slab A Final Sanitation Patio REP CE Final Footin s Footing ECTRIC L Masonry Walls Throat Rou h Reinf. Steel Final Fixtures Bond Bea FIRE SPRINKLE Motors Framing Test X Water Htr. Stucco Final Sub anel Mesh MECHANICAL Grd. FaCit Prot. Scr h Heatl Servigg Brq4n Co ng T mp. Pole nish Dills X nder round I erior Lath entilation Permanent oor Closer Inal Final MOBILEHOME UTILITIES Elec. Service 1111727 Elec. Pedestal Water Piping 77 v19 Sewer Gas Piping 81 E ME INS A LATI N Support ,j , , Elec. Continuity /� y 7 Water Piping (� C % % / Drainage �� e7�% j ', Gas Piping / c7 DATE REMARKS OR CORRECTIONS z Ye 01111117 (NOTE: An entry must be made on this form each time you visit the job site.) ii0f3Ti,t?.IiU�t13.INS`1'ALLA'1'[0N INSPECTION CHECK 1.,IST 1. Is the mobilehome 1ocat ed. wi.i.h rQquired separation from lot lines and buildings and generally conform to plot plan? Yes No� ?, Doe;.; the mobilehome have required clearances above ground? (Sec.5085) Yes No 3. Are foot:i_n-,s and supports properly sized, spaced, and braced as`,per.approved plans? (Note possible varication at spring shackles.) (Sec. 5082 & 5083) Yes( No 4. Is the mobilehome level.? (Sec. 5088) Yes No 5. more than a single unit, ar Erc-,, ver connections properly installed? (Sec. 5088) Yes No . 5. Water. A. Is fl�xi-ble 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. Bac kf coach is not State of a 7 exsu_aa 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? YesX No B. Does it have minimum k;" per foot slope and is it properly supported? Yes -No_ C. Are any leaks detected in drainage system after running 3 -gallons of water' through each fixture including washing machine standpipe? Yes_ No� D. California aop�oved, 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 notmore than 6 ft. long? Note: All piping is to be at least as Large as the mobile" gas line inlet without reductions other than the mobilehome connector. Yes No B. Test OK as per following procedure? YesNo1. Open all appliance connector valves. 2. Shut off appliance burner and pilot valves. 3. Air test with manometer to 10"-14" water column, or test with slope gauge (minimum 6oz.-maximum 8 oz.) calibrated in tenth pound increments. Test for 10 min. without drop. 4. Connect: gas meter to mobilehome with connector, turn. on gas, test connections with soapy water. C. Are all appliance vents properly installed? Yes No 9. Electrical. A. Is service large enough. to provide rulequate amperage to mobilehome. (must equal rating of mobilehome with a. ::iinu;:um of 100 6rnp) and other facilities on lot, i.e. , water pumps, garage, cabana, ctc.? Yes r No B Is them proper clearances around panels? Yes'�rNo C. Is power supply cord or feeder assembly properly fused? Yes_X No_ D. Is continuity test satisfactory as per the following procedure? Yes No_ r. 1. De -energize electrical wiring s stein of the mobilehome at the pAdestal. g g Y 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 lo. ---id of a test instrument to the mobilehome grounding conductor and apply tine oiii.oi .[E:au to each niubl.lciwiue supply Conductor, iliCli.iUlitg YLeULrai. 5. All nor. -current, carrying metal parts of the mobilehome (aluminum siding, gas line, water line), including fixtures and appliances, shall be tested for continuity from such equipment and the grounding conductor. 6. Upon completion of the above procedure, the power supply cord or feeder assembly conductors shall be connected to the site service equipment. A further continuity to -t shall then be made between the grounding electrode and the chassis of the 111.0bilehome. Upon satisfactory completion of the electrical tests, the lot or site service equipment may be approved for energizing. 1 1,; job card signed by Health Department for water and sanitation? 11.. If everything ol<ay, sign off card a.nd t.ag services. MOBTLLi? ME DATA Manufacturer and/or Namestyle 4 14��c`'�c- .ength -4 Width Vehicle Serial No. —3 State Identif. icati..on No. P&.1,;tional Information or Comments: COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS 7 County Center Drive — OroviIle, California 95965 Telephone: 534-4541 APPLICATION AND PERMIT Telephone No. s'S,b-7tt Telephone No. on n eriticat,an QnN A. P. No. � •- �` 'llFees W. . Sa on Fire Dept. FI re Zone Use Permit EQA Parking arcel Parcel Ma 60' R/W Im rovements Plans Declaration P P /,0rd`g. Plans Recd I 'Parcel Approval Plans 415roval NEW ❑ ADDITION ❑ UTILITIES 5( OTHER ❑ Single Family ❑ Duplex ❑ Mobil Home CR Others ❑ 600 SQ. FT. MINIMUM I BUILDING SQ. FT. 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 &ooV 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. ( OR ADONS. DWELLING OCCUP. & ACC. BLDGS. NEW CONSTR. Nn N.RESIn_ (MULTI.OUTLET 1 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 0 l; 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 Ex. Occup(OUTLETS OR FIXTURES)50 @25¢ 104 style of: FIXED APPLNS. OR Ex. Occup.(OUTLETS (RESID.) EA) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 5:: License No. Classification P:� x KI am exempt from the Contractors License Laws of the State of California. Permit Fee $ 5& is 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. y� I certify that in the performance of the work for which this Ventilation permit is issued I shall not employ any person in any manner so as to become subject to the Workmen's Compensation Laws of Hood 2.00 California. Peoit Fet $ $ I certify that I -have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. X X i /J% Date 2-1-77 Signature of Permittee or Agent Receipt No. lslo/ %CA White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant TOTAL PERMIT'FEE $ ffs ksv 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 F P BLIC WORKS BY Date uilding permit expires Date This set of plans a 1' ' - . 'mss MUST he kept on the j66 at all f;mes and it is unlawful to make any changes or altercations on same without written permission from the Department of Public Works, County of Butte. t NOTE:=AII Materials & Workmanship Shall iri. Accordance with Recognized Good Practice and a quality pre, Pung& Mechanical bril use n the U Cods and Uniform Building, lmbi A -e N. ational'Clectrical Code. c }fie cecP -NeVo ok aQ� Septic system and location 4." X60 _9khamaj. to be as per 66 Butte County Health Dept. Re- quirements. All utility connections shall be located within 4 ft. outside the rear third section of the mobile home on the left (road) side of the mobile home. The Setback shall be 5 ft. from the side property line and 50 ft. from the BUTTE COUNTY centerline of the road, permitting a maxi- mum of a 2 ft. wive overhang but. entirely , 3 BUILDING DEPARTMENT out of all eosementsa APPROVE® COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS 7 County Center Drive — Uroville, California 95965 * Telephone: 534-4541 ((( APPLICATION AND PERMIT BUILDING Owner /� �� SQ_F.T._.. OCC. BUILDING VALUATION Mailing Address 5- Telephone No. Fireplace t Contractor otal Valuation Mailing Address a le,Permit Fee Plan Checking Fee &/or Penalty T phN o e_ �� Permit Fee $ Building Address PLUMBING No. @ FEE PERMIT FILING FEE $3.00 I © It 1(e- (/r Each Trap 1.50 / v AA Repair drainage or vent piping 1.50 Water piping 1.50 Each gas water heater or vent 1.50 n A. P. No. 69 ` _ r Zoning & Planning Gas piping system 1 - 5 outlets 1.50 Each additional outlet .30 F Ww.. 9a�i4e*1M I Fire Dept. I Fire Zone Use Permit Building sewer 5.00 EQA Parking Plans I Parcel Declaration Parcel Ma P 60' R/W Im rovements P Lawn sprinkler system 2.00 AW Plans Recd I Parcel Appr6ual- Plans�val Permit Fee $ $ NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER ® ELECTRICAL No.1 @ FEE PERMIT FILING FEE $3.00 Main service 600V OR LESS 5.00 100 AMP OR LESS Main service EA. ADD'L 100 AMP 2.50 OVER 600V Main service 100 AMP OR LESS 25.00 Single Family ❑ Duplex ❑ Mobil Home [21 Others ❑ Main service EA. ADD'L 100 AMP 1.00 CONST.NEW ( L BLDGS.CCUP. &\ OR ADDNSACC.20 sq ft I NEW CONSTR. (MULTI.OUTLET NON•RESID. BRANCH CIRCUITS) 12.50ea NEWCONSTR. (POWER APPARATUS & NON .RESID. SINGLE OUTLET CIR. CONTRACTORS LICENSE LAW I am licensed under the provisions of Chapter 9, Div. 3, of the Cifor State of Calis Business & Profe ions Code under the name style 0@ 25C Ex. Occup(OUTLETS OR FIXTURES) BAL@1 01 FIXED APP LNS, OR Ex. Occup. (OUTLETS (RESID.) EA) 2.00 Temporary service 10.00 f Mobile Home Facilities 15.00 License NoJ,2/—./'7/ Classification e'—'Misc. — �' Wiring 6.25 ❑ I am exempt from the Contractors License Laws of the State of Califom'ia. 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 Workm Compensation. ave placed on file with the County of Butte a certificate of Workmen's Compensation Insurance. lecertify 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 authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. ate -3f— ` Signature o %er�milteA e e r Receipt No. c9Ly � 3 White-D.P.W. - Yellow -Assessor - Pink -Inspector - Goldenrod -Applicant TOTAL PERMIT FEE $'wQ 00 This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR OF UBLIC WORKS BY Date`' 77 B ilding permit expires Date C —/ :- 7 t MOBILEHOME SUPPORT DATA IJobilehome Mfr-. Setup Setup Model No. Year/97Z 1 " Width % Z— (ft.) Length to U (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). Center Support Footing Sizes in. 1 (iri.) r (in.)(�) - - STinie -®. 3� *If center piers are other than drawn above, draw in locations, spacing, and dimensions. -97 Footings (check one) /�-Wood either pressure treated or fdn. grade. Ll 2. Concrete pad. / / 3. Other, specify Supports (check one) / . Concrete.block 2. Concrete piers 3. Steel piers 4. Other, specify x -'; T pical Support )F ng Size in. in.) I i j.. f Max. Pier rotSpacing t,).. in.) i - I Max. Overhang BUTTE COUNTY BUILDING DEPARTMENT APPROVED El BUTTE COUNTY DEPARTMENT OF PUBLIC WORKS 7 County•Cen-ter Drive, Oroville, CA PHONE: 534-4541 MOBTLEHOME INSTALLATION SHEET 1. Owner's name: 2. Installer's name: 3. Is the site currently under permit? Yes / —4-r No / / G (If yes, furnish permit number ) OR Is the site an existing site? Yes'/ / No (If yes, furnish two (2) plot plans.) 4. Will the mobilehome be located at least 5 ft. away from septic tank and leach fields and site service? --------------------------------------------------- Yes / / No/Z,_1 (If yes, identify the load and size: (Load) (Amps) 9. What is the mobilehome site gas pipe size? ---------------------- 10. What is the type of gas service? ----------------------------- Natural / / LPG 11. What is the gas pipe length from meter or tank to the mobilehome? _(ft.) 12. What is the mobilehome gas demand? ------------------------------ (BTU) (This information not required if pipe length less than 6 ft. on natural gas or less than 50 ft. on LPG.) clear of all setbacks and easements? Yes No ( If no, clarify ) 5. What is the mobilehome electrical rating? ----1' - ---------------- -60 fps 6. What is the mobilehome site service rating? v v _ ------ /00 Amps 7. What is the mobilehome site circuit breaker rating.? ---------- � Amps 8. Is there any other electric load to be served by the mobilehome site service? --------------------------------------------------- Yes / / No/Z,_1 (If yes, identify the load and size: (Load) (Amps) 9. What is the mobilehome site gas pipe size? ---------------------- 10. What is the type of gas service? ----------------------------- Natural / / LPG 11. What is the gas pipe length from meter or tank to the mobilehome? _(ft.) 12. What is the mobilehome gas demand? ------------------------------ (BTU) (This information not required if pipe length less than 6 ft. on natural gas or less than 50 ft. on LPG.) 73os vl COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541 APPLICATION AND PERMIT PERMIT NO. ASSESSOR PARCEL NUM ER •+ s% - �L/ _ 3 ZO NG H 'S BUILDING PERMIT O WNEFj IN Y\ TELEPHONE SO. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS J i, � v O CONTRAC O,R'5 NA E TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUC ION LENDER UNKNOWN Total Valuation is 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 $ BUILDING ADDRESS PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Repair drainage or vent piping 5.00 Water piping LOT NO. SUBDIVISION NAME PARCEL MAP Each qas water heater or vent 5,00 Gas piping system 1 - 5 outlets 1h,() USE OF STRUCTURE 0' SF ❑ Duplex ❑ Mob lehome Q Other SPECIFY Building sewer Lawn sprinkler system 5.00 TYPE OF WORK New ❑ Addition.❑ Remodel ❑ Utilities ❑ 9 Installati n❑ Other Q' ,r J r Describe work:z!t- 1�-�ra hc"�r� A l� c�.S I T X ` N i9 t- Permit Fee $ r) -n Contractor ELECTRICAL PERMIT Filing Fee 10.00 1100V OR LESS Main service 100 AMP OR LESS 5.00 Main service EA. ADD'L 100 AMP 2.50 NEW CONST. / DWELLING OCCUP.01) OR ADDNS. \ ACC. BLDGS. 2� sq ft CONTRACTORS LICENSE LAW I declare under penalty of perjury p y p y (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 ❑ I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONSTR. I.OUTLET NON.CONS BRANCH PIRA ITs 2,50 ea NEW RESID. (POWER APPARATUS 6\ NON .R ESI D. SINGLE OUTLET AIR. / Ex. Occup OUTLETS OR FIXTURES 50 a 25¢ gqL �1 Ex. Occup.(o IXED PR \\ UTLETS (RESID,)EA.1 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 7.50 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 of Consent to Self -Insure. ❑k I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you becomesubject 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 County of Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against said County in consequence of the granting of this permit. �++' �� 1 �- �` / Date l�D3�i� X " _ -t 1 ^ - Signature of Applicant — Owner �� Contractor ❑ Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 33 stories in height. Mobile Home Installation Fee $ TOTAL PERMIT FEE $ OCCu P, GROUP I TYPE OF CONST. PARCEL PD HD ISSUE This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which 0 ;CTOR OF PUBLIC _ By 1 PERMIT EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS Date "1' , rte. r Receipt NO. l w�` Q 8 0 WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541 APPLICATION AND PERMIT PERMIT NO. n? ASSESSOR PARCEL NUMBER ZO ING. _ r S IkkuILD G PERMIT OWN EAV,TELEPHONE t SQ. FT. OCC. BUILDING VALUATION OWNE:R'S MAILING A RESS V CONT AC O 'S N E �y V TELEPHONE CO T ACT R' MAILING ADDRESS • Fireplace C ONSTR UC ION LENDER n�� dr\ UNKNOWN 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 AD RESS Permit fee $ BUILDING ADDRESS PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Repair drainage or vent piping 5.00 a-- Water piping LOT NO. SUBDIVISION NAMEPARCEL MAP Each qas water heater or vent 5.00 Gas piping system 1 - 5 outlets USE OF STRUCTURE SF ❑ Duplex❑ MobilehomePETO' Other SPECIFY Building sewer Lawn sprinkler system 5.00 TYPE OF WORK New ❑ Additio Re el ❑ptiliiesEJ Installa ' n ❑ Other Describe work: Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 100V OR LESS 100 AMP OR LESS 5.00 Main service EA. ADD'L 100 AMP 2.50 NEW CONST. (DWELLING OCCUP.DI\ OR ADONS. ACC. BLDGS. _ -I- I 20 sq CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): El 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 ❑ I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CO R BRANCH CIRCTITS 2.50 ea NEW-CONSTR. ( POWER APPARATUS DI NON RESID. SINGLE OUTLET CIR. Ex. Occup OUTLETS OR FIXTURES a �@ FIXED APPLNS. OR Ex. Occup. (o UTLETs (RESID.) EA) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 7.50 Permit Fee $ Contractor WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. 1 shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. MECHANICAL PERMIT Filing Fee 10.00 Heating Cooling Hood 3.00 Ventilation permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against aidC nt i conseque a of a granting of this permit. � �AZ64�14 1 La' Date ��� ��/ Signature of Applicant — Owner Contractor ❑ Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct -TO ion of structures over 3 stories Mobile Home Installation Fee $ TOTAL PERMIT FEE , OCCUP. GROUP TYPE ov CONST. PARCEL PD No 99UE This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which F PUBLIC BY PERMIT EXPIRES to the applicable provi- resolutions to do fees have been paid. WORKS �y� Date -C39 r Tin�height. Receipt No. T=ay WHITE-D.P.W.. YELLOW -ASSESSOR. PINK -INSPECTOR. GOLDENROD -APPLICANT z t PERMIT NO. 2870-82MHI PERMIT EXPIRES OWNER Ann Risk CONTR. Tom's Mobile & Motor,Oroville ASSESSOR PARCEL 27-084-33 LOCATION 7305 Olive Ave,Palermo Temp. Power Pole_ Called PG&E _ Temp. Elec. Service Called PG&E— Temp. as Service _ Called PGEJr JOB FJ/ALED (Date) Signature V = OK 0 = Not OK — = Not Applicable * = Not Ready MOBILEHOMES MISCELLANEOUS Date MOBILEHOME UTILITIES (Plans) OK except N's Date DECKS, COVERS, CARPORTS, ETC. (Plans) OK except N's 1. Zoning Requirements—Setbacks—Easements 1. Zoning Requirements—Setbacks—Easements 2. Soils; Special MH Support—Sketch 2. Footings; Size—Depth—Spacing—Connectors 3. Sewer; Location—Test—Fall-C/0—Concrete 3. Decks; Girders and/or Joists—Decking—Bracing—Stairs—Rails 4. Water; Location—Test—Easement Needed (Sketch) 4, Wood Awn.; Posts—Beams—Rftrs.—Connec.—Shthg.—Rfg.—Bracing 5. Electricity; Location—Clearances—Grnd.—/ / Amp—Concrete _ 5. Alum. Awn.; Columns—Connections—Splice—Decal—Enclosures 6. Gas; Location—Test—Wrap:/ /"L"ft./ /"Nat. or/ /"L" ft./ /"LPG 6. Carports; Windows—Doors 7. Utility Clearance 7. Elec. Card -BI Date Card -BI Date 1 Card -BI Date Card -BI Date Card -BI Date Date Card -BI Date { MOBILEH_OME INSTALLATION (PI OK except #'s 1 Card -BI Date _ Date Card -BI Date POOLS (Plans) OK except H's 'ng Requirements—Setbacks—Easements f 1. Setbacks—Easements F tings; Size—Spacing—Marriage Line 2. Soils; Compaction—Structure Stability Gas; MH Tgst—Demand—Valve—Connector 3. Pool Structure; Steel—Connections—Thickness—Dead Men—Lining . Electricity; MH Test—Crossovers—Breakers—Clearances 4, Elec.; Receptacles and Lighting; Distances—GFI r in; MH Test—Fall—Flex Connector 5. Elec.; Pool Lighting; 15 volts—GFI ater; MH Test—Regulator—Connector 6. Elec.; Enclosures; Conduit Entries—Terminals—Listed ater and Sewer Connected—C/0 to Grade—HD Approval 7. Elec.; Bonding; Metal w/5'—Circulating Equipment—Heater ams and Electricity Tagged S 6. Elec.; Grounding; Equip. w/5'—Circulating Equip.—Pool Lghtg. Boxes—Enclosures—Panel boards—Ins. to Main in Conduit 9. its; Insp.—Sketch 1A.' -Cert. of Occupancy 9. Health Department Approval 10. Plumb; Cir. Test—Water Supply Test C B -I Dat and -BI Date Card -BI Date Card -Bl Date Card B -I Date Card -BI Date Card -BI Date Card -BI Date O OK = Not OK = Not Applicable Not Ready RESIDENTIAL (Single and Duplex) = Date UNDERFLOOR Plans OK exce t#'s Date FRAMING (Continued) 1. Zoning requirements -Setbacks -Easements 48. Property Line Firewall & Openings 2. Ftg., Main; Soils-Steel-Elec. Grnd.- / /" Ftg. Depth 49. Ext. Doors -One 3' -Check Garage -3rd story, 2 exits 3. Ftg., Garage; Soils -Steel- / /" Ftg. Depth 50. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 4. Ftg., Porches & Decks; Soils -Steel- / /" Ftg. Depth 51. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers 5. Stemwalls, Main; Steel-Blockouts-Wrapped-Slab 52. Siding -Nailing -Veneer 6. Stemwalls, Garage; Steel-Blockouts-Wrapped-Slab 53. Stucco Mesh -Drip Screed-Fdn. Vents-Underflr. Access 7. 8. Piers -Fireplace Ftg.-Steel D.W.V.: Fall -Fittings -Test -2 way C/0 -Sewer Test 54. 55. Glazing Area -Glass Protection -Skylights -Plastic Shear Walls; Nailing -Bolts 9. Gas Pipe; Size -Anchors 10. Water Pipe; Test -Anchors -Regulator -Service Test 11. Electric; Underground 12. Plenums & Ducts; Clearance -Material -Support -Ins. 13. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples Card -BI Date Card -BI Date Card -BI Card -BI Date Card -BI Date Date Card -BI Date Card -BI Date Card -BI Date Date FINAL (Plans) OK except #'s Card -BI Date Card -BI Date Date PLUMBING (Permit) OK except #'s 14. Water Ht.; Vent -Access -Combustion Air 15. Water Pipe; Test & Anchors -Nail Protection 56. Ext. Steps -Door & Sidelight Protection -Landings 57. 58. Smoke Detector Furnace; Vents -Clearance -Comb. Air -Connector - In Garage; Above Floor-Ducts-Mech. Protection 16. D.W.V.; Test-Fttngs & Anchors -Nail Protection 59. Bedroom Exiting 17. Shower Pan; Test, First Floor -Tub Access 60. G.F.I. & Bath Fixtures & Tub Access 18. Test Tub & Shower, 2nd Floor -Tub Access 61. Elec. Trim & Subpanel; Breaker Sizes -Labels 19. Gas Pipe; Size & Anchors 62. Stairs & Rails 63. Fireplace or Stove; Clearances -Hearth Card -BI Date Card -BI Date 64. 65. Elec. Outlets at Wood Panel; Int. & Ext. Kit. Fixt. & Appliance; Grnd.-Air Gap -Cooking Clearance Card -BI Date Card -BI Date 66. Elec. Outlets & Receptacles at Kit. Counter Date ELECTRICAL Permit OK except #'s 67. Garage Fire Door; Swing -Landing -Closer 68. A.C. Duct in Garage -Damper 20. Fixture & Transformer Clearance -Ins. Protection 69. Wtr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V.- In Garage; Above Floor-Mech. Protection 21. Elec. Receptacles Spacing -Lights & Switches at Doors 22. Size Boxes & No. of Conductors -Stapled 70. 71. Plb., Elec. & Mech. Equip. Listed for Location Elec. Receptacles in Garage; (G.F.I.)-Romex Protec. 23. Romex Installed Close to Edge of Studs & C.J. 24. Equip. Ground made up w/Mech. Fasteners -Bond Gas & Water 72. Insulation -Foam -Looked in Attic ❑Yes 25. 2 Appliance Circuits in Kitchen & Conductor Size 73. Guard Rails & Deck Construction -Post Caps 26. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga. Cu or Al 74. Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance Looked under Floor ❑ Yes 27. Range Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or Al, Insulated Neutral ❑Yes ❑No 75. Following instid.: Drive ❑ Yes ❑ No; Walks ❑ Yes El No; Planters Dyes ❑No 28. Service -Riser Conductors & Ground -Main Disconnect 76. Stucco; Brown -Finish 29. Equip. Clearances; Panels-Motors-Mech. Equip. 77. A.C. Unit; Disconnect-Clrnces-Brkr. & Cond. Size -115V Outlet 30. Clothes Closet Light -Shower Light 78. Vents Above Roof; Plbg.-Appliance-Firepl.-Clearance to Opngs. 79. Water Well; Disconnect, Electrical, Plumbing " 80. Exterior Elec. Trim; G.F.I. Receptacle -Underground Card B -I Date Card -BI Date 81. Ventilation throughout House Card B -I Date Date Card -BI Date MECHANICAL (Permit) OK except #'s 31. A.C. Ducts; Insulation & Support 82. Glass Protection 83. Corrections from Previous Inspections 84. Gas Test -Meters Tagged; Gas -Electric 85. Water & Sewer Connected -C/O to Grade -HD Approval _-_ _ 32_ 33. 34. Vent Fan; Exhaust above Insulation Condensate Drain & Overflow; Size & Grade Furnace -Vent; Access -Comb. Air -Return Air Vent -115V outlet 86, Energy Compliance Certificate -Other Certificates 35. Attic Access & Platform if Furnace in Attic Card -BI - Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI _ Date Card -BI Date Comments at Final: Date FRAMING(Plans) OK except #'s 36. Sills; Proper Material & Anchors 37. Walls; Studs -Nailing, Spacing & Bracing -Plates -Sound _ 38. Bearing Walls over Girders & Floor Nailing 39. Draft Stop in Walls (rat proof) 40. Fire Stops; Furred Ceilings -Stairs -Chases -Tub 41. Header & Beam -Size & Bearing _ 42. 43. 44. Hangers -Post Caps -Anchors -Connectors Cing. Joist-Rftr. Ties-Purlin-Roof Brac.-Truss-Shthnq.-Rfng. Fireplace Ties or Type A Flue -Fireplace Throat 45. Attic Access: Size & Romex Protection -Draft Stop -Ins. Baffles 46. _Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions 47. Garage Fire Protection Framing (NOTE: An entry must be made each time youvisit jobsite) COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 196 Memorial Way, Chico — Phone: 891-2751 7 County Center Drive, Orovi Ile — Phone: 534-4541 , Skyway and Elliott Road, Paradise — Phone: 872-2961, Ext. 57 ff CORRECTION NOTICE BUILDING OR PROPERTY ADDRESS A routine inspection indicates that the following violations of County Ordinance exist at the above address and should be corrected. Please notify this office when correction of work is completed. If you have any question pertaining to this matter, or need additional explanation, please contact this office immediately. / 01 Inspector k'/�J- 1�� .— Date COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 7 COUNTY CENTER DRIVE c OROVILLE, CALIF. - 534-4541 CERTIFICATE OF OCCUPANCY This mobilehome has been installed in accordance with the requirements of the California Administrative Code, Title 25, Chapter 51 under permit number JS yin_ 9'2— for the following location: Owner Owner's Address Mobilehome Mfg. `` - - -- Model1X�- —7;' — Yearll Insignia No. 1220117 `�z�lda Serial No. AI UES Z .050 9-'� It is hereby certified for occupancy at the above described location and may be occupied. Z!L X T Directorrof'Public Works Date By THIS CERTIFICATE IS VOID WHEN MOBILEHOME IS RELOCATED White - Owner, Yellow - Installer, Pink - D.P.W. COUNTY OF BUTTE - DE�PARTMENT.OF PUBLIC WORKS -� 7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541 APPLICATION AND PERMIT PERMIT. NO.� ASSESSOR PARCEL NUMBER 027-08-4-033-0 ZONING A15 BUILDING P RMIT OWNER ANN RISK TELEPHONE 533-7311 SQ. FT. OCC. OILDING VALUATION OWNER'S MAILING ADDRESS 7305 OLIVE AVENUq OROVILLE� CA. 95965 CONTRACTOR'S NAME TOMIS MOBILE & MOTOR TELEPHONE 33-911% CONTRACTOR'S MAILING ADDRESS 6366 LINCOLN OROV I LLE, CA. 95965 Fireplace CONSTRUCTION LENDER N/A UNKNOWN Total Valuation $ Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee M $ 1-5—.00 Penalty $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Permit fee $ BUILDIN A DRESS � ` 0 DL! vC AV -A&I PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Repair drainage or vent piping 5.00 Water piping LOT NO. SUBDIVISION NAME PARCEL MAP Each qas water heater or vent 5.00 Gas piping system 1 - 5 outlets USE OF STRUCTURE SF ❑ Duplex❑ Mobilehome® Other SPECIFY Building sewer Lawn sprinkler system 5.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation [g Other ❑ Describe work: X9P(9X(99XBXXSI1N(KXN ffZKXNNH INSTALL MOB ILEHOME Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 600V OR LESS 100 AMP OR LESS 5.00 jeq.51_7' / SITE Main service EA. AD 100 AMP 2.50 NEW CONST. (DWELLING OCC UP. y� OR ADDNS. ACC. BLDGS. 22 sq ft 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 m license is in full force and effect. y n License No. 327023 Classification c61 ❑ I, as the owner, or my employees with wages as their sole compen- sation, will do the work, and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONSTR. TI -OUTLET 2,50 ea NON.RESI D. BRANCH CIRC ITS NEW CONSTR. ( POWER APPARATUS &) NON•RESID. SINGLE OUTLET CIR, 5o@2550 Ex. OCCUp OUTLETS OR FIXTURES BAL@10t FIXED APPLNS. OR Ex. Occup.(oUTLETS (RESID.) EA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 7.50 Permit Fee $ Contractor MECHANICAL PERMIT FiIingFee 10.00 WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ® 1 have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. ❑ I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. 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 County of Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against said ounty in co equence the granting of this permit. �_ �, — C X Datez ) — ❑ Contractor of �pplicantractor 5 Agent ❑ Owner An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ 5,(7e3 TOTAL PERMIT FEE $ 70. D!7 OCCOP. CROUP I TYPE OF CONST. I PARCEL PD 1 11 ssuE L/ This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which DIRECT OF PUBLIC By PER EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS Date — �� Receipt No. ! ��� WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT k This set of plans and specifications MUST be ;+_ kept on the -job- t-a-H-t'rn T �- la'afuJ � make any changes or alterations on sai out written permission from the Department A Public Works, County of Butt.ee 1. NOTE:—All Materialslp(drknienship Shall Be in �l Accordance with Recognized Good Practices a-' J of a quality prescribed for the Specified use in thr Uniform Building, Plumbing « /Mechanical Codes structures or equip ent except y�6 for a 2 ft. eave ove Bang. /vitt /F l ' S Ir BUT7E C OUN-1 'SUILDING DEPARTMEN PP VLD A �O and the National Electrical Code. �y1 � E/.cG7�Yic O G A setback of 5 ft., from the • l property lines an I a setback 60, of 50ft. from the road centerline shall b, clear of structures or equip ent except y�6 for a 2 ft. eave ove Bang. /vitt /F l ' S Ir BUT7E C OUN-1 'SUILDING DEPARTMEN PP VLD A �O 4301 Power Inn Road -Sacramento, Calif. (916) 452-7021 SYMBOL OF 3301 D West Meade -Las Vegas, Nevada (702) 876-. ., 1820 E. Whitmore Ceres, Calif. (209) 537-1922 Box 1672- Medford, Oregon (503) 779-3443 AWNING 3322 W. Sussex- Fresno, Calif. (209) 224-0587 i 4679 Silverton Road N.E.- Salem, Oregon (503) 399-7403 DUALITY 1190 Terminal Way- Reno, Nev. (702) 786-7844 18902 13th Place So. - Seattle, WA - (206) 246-3350 ' ' Awnings -Marquees' ; Screenrooms * Steps Porcbes; r r . Skirting and Storage Lockers STAT[ CONTRACTORS NO - 243020 BUTTE COUNTY DEPARTMENT OF PUBLIC WORKS 7 County Center Drive, Oroville, CA. PHONE: 534-4541 MOBILEHOME INSTALLATION SHEET 1. Owner's name: A N N R I SK 2. Installer's name: TOM'S MOBILE & MOTOR 3. Is the site currently under permit? Yes / / No /X / (If yes, furnish permit number ) OR Is the site an existing site? Yes // No (If yes, furnish two (2) plot plans.) 4. Will the mobilehome be located at least 5 ft. away from septic tank and leach fields and clear of all setbacks and easements? Yes /X / No ( If no, clarify ) 5. What is the mobilehome electrical rating? ----------------------- 100 Amps 6. What is the mobilehome site service rating? -------- ------ I -Z- =442— Amps 7. What is the mobilehome. site circuit breaker rating? -------------- 100 44-57- Amps 8. Is there any other electric load to be served by the mobilehome (This information required if pipe length less than 6 ft. on natural gas or less th ft. on LPG.) site service? --------------------------------------------------- Yes No TX-/ / (If yes, identify the load and size: (Load) (Amps) 9. What is the mobilehome site gas pipe size? ---------------------- Y4 (in. 10. What is the type of gas service? -----=----------------------- atural / / LPG /X / 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 required if pipe length less than 6 ft. on natural gas or less th ft. on LPG.) MOBILEHOME SUPPORT DATA ,.If 'other,'';than single wide; Mobilehome Mfr.R u1�-h 'S)etup Model No. Year 132 Width 2_(ft.) Box LengthSri (ft.) Tagalong or Expando Size ft. x ft. (SHOW SUPPORT DETAILS BELOW) On all mobilehomes manufactured after October 7, 1973, furnish manufacturer's installation manual and structural setup sheets (if not on file with the.County of Butte). All center supports measured from front of mobilehome unless otherwise specified. % Footings (check one) Single 1. Wood either pressure treated or foundation grade. (ft.)(in:) (in.) (din!) 1 2. Other. (specify) Center support Center support locations* footing/sizes Supporta (check one) (� 1: Concrete block. 2 1 a x .2. Other ( specify) (in.) (in.) l 4 ---Tagalong or Expando,' a show support details. (int) (in.) a Typical Support (in.) (in.) Footing Size x� (ft.)(in.) (in.) (in.) �j _ leu -- Max. Pier Spacing (ft.)(in.) Max. Overhang ft I F in. in, in. ) ( ) ( ) BUIJTE C OUN I t SUILDING DEPARTMEN w, APPRC VAC"' ?� *If center piers are other than drawn above, r -n— iT,. 1—ni-inna anarina anA Aimancinna_ __