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HomeMy WebLinkAbout027-230-038r ` . GARY WARNER 27 3-38 � • - "'� 27-23-38 'WIS icultural Bldg Exem W/S private rd.,7/10 mi.S. of Cox P ` _ Permit/livestock &feed) Ln: ,1 '-mi.E.of `Pi ermo Hloncut Hwy. } gPalermoi contr?Carrell- ros.MH's, Chico j Permit ##5000-75P,, �l ,MH)— ELEC . .SUPPORT STRUCTURE REQ. k TEST REQ COMPACTION _ contr: Carrell Bros.MH Sales,Clico' " Permit #5001=•75MKI l Issued 422'23 -038 MISCELLANEOUS Electric Panel REPLACE ELECT MAIN ON POLE 264 WAYNE CHARLES RD WARNER GARY L & CHARLOTTE IV • a F i i h' IV • i 4 h' u f 311 1 El 0 T TF. BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES • BUILDING PERMIT • • 24 HOUR INSPECTION (IVR): (530) 538-4365 COVNt'� OFFICE: (530) 538-7541 FAX#: (530) 538-2140 ONLINE PERMIT/RENEWAL PAYMENTS: www.buttecounty.net\dds i PROJECT INFORMATION Site Address: 264 WAYNE CHARLES RD Owner: Permit No: B08-1642 APN: 027-230-038 WARNER, GARY L & CHARLO Perm1915 COX LN it type: MISCELLANEOUS Issued Date: 08/13/2008 By KCG Subtype: Electric Panel OROVILLE, CA 95966 Expiration Date: 08/13/2009 Description: REPLACE ELECT MAIN ON POLE (530) 534-6855 Occupancy: Zoning: A5 WARNER, GARY L & CHARL 1915 COX LN OROVILLE, CA 95966 (530)534-6855 FEE INFORMATION DBE Single Phase Service-Resid $59.00 Building Garage Remdl/Addn Other Porch/Patio Total Total Charged: $59.00 Fees Paid: Balance Due: $0.00 Receipt No: LICENSED CONTRACTOR'S DECLARATION OWNER / BUILDER DECLARATION (Name) State Contractors License No. / Class / Expires / / I HEREBY AFFIRM UNDER PENALTY OF PERJURY that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. X I 08/13/2008 Contractors Signature Date I WORKERS' COMPENSATION DECLARATION 1 HEREBY AFFIRM UNDER PENALTY OF PERJURY one of the following declarations: 1 ❑I HAVE AND WILL MAINTAIN A CERTIFICATE OF CONSENT TO SELF -INSURE FOR WORKERS' COMPENSATION, as provided for by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑I HAVE AND WILL MAINTAIN WORKER'S COMPENSATION INSURANCE, as required by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. My Workers' Compensation insurance carrier and policy number are; I Carrier: Policy Number: Exp. Dale: Ztlcuon need notbe completed if the permit is oronce unndreddllars ($100) or ess.FY THAT IN THE PERFORMANCE OF THE WORK FOR WHICH THIS PERMIT IS , I shall not employ any person in any manner so as to become subject to the Workers' Compensation Laws of California, and agree that if I should become subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. r\ 08/13/2008 WARNING URE O SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SU AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000), IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR INSECTION 3706 OF THE LABOR CODE, INTEREST AND ATTORNEY'S FEES. CONSTRUCTION LENDING AGENCY I HEREBY AFFIRM UNDER PENALTY OF PERJURY that there is a construction lending agency fol " the performance of the work for which this permit is issued. (3097 civ. code) I HEREBY AFFIRM UNDER PENALTY OF PERJURY that I am exempt from the Contractor's License Law for the following reason (Sec. 7031.5), Business and Professions Code: Any city or county that requires a permit to construct, alter, improve, demolish, or repair any structure prior to its issuance, also requires the applicant for such permit to file a signed statement that he or she is licensed pursuant to the provisions of the Contractor's License Law [Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code] or that he or she is exempt therefrom and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars [$5001; Please eck one of the following: I, AS OWNER OF THE PROPERTY, OR MY EMPLOYEES WITH WAGES AS THEIR SOLE COMPENSATION, WILL DO THE WORK, AND THE STRUCTURE IS NOT INTENDED OR OFFERED FOR SALE (Sec. 7044, Business and Professions Code: The Contractor's License Law does not apply to an owner of the property, who builds or improves thereon, and who does the work himself or herself or through his or her own employees, provided that such improvement: are not intended or offered for sale. If, however, the building or improvement is sold within one year of completion, the owner -builder will have the burden of proof that he or she did not build or improve for the purpose of sale.). ❑I, AS OWNER OF THE PROPERTY, AM EXCLUSIVELY CONTRACTING WITH LICENSED CONTRACTORS TO CONSTRUCT THE PROJECT (Sec. 7044, Business and Professions Code: The Contractors License Law dows not apply to an owner of the property who builds or improves thereon, and who contracts for the projects with a contractor(s) licensed pursuant to the Contractor's License Law.). ❑ I AM EXEMPT under Section B. & P.C. for this reason: II Owners Signature \— Date I hereby certify that I have read this application and state that the above information is correct. I agree to comply with all City and County ordinances, rules, regulations, and State laws relating to building construction, and with any and all conditions of permit. I agree to defend, indemnify, and hold harmles Butte County, its officers, agents and employees from any and all claims and liability for personal injury, including death, and property damage caused by, arising out of, or in any way connected with the issuance of this permit. I hereby acknowledge that issuance of this permit does not authorize the use or occupancy of any sidewalk, street, or subsidewalk. I hereby authorize representatives of Butte County to enter the above mentioned property for inspection purposes. I hereby certify that I am the property owner or am uthrized to act on the property owner's behalf. V n. _ —) I I )o A -P A (^VXo, r L t, 1A y or -f? 08/13/2008 Contractor OR DAgent for Owner Agent for City State Zip I FILE COPY BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT APPLICATION" OFFICE #: (530) 538-7541 FAX #: (530) 538-2140 A FEE WILL BE REQUIRED AT TIME OFAPPLICA TION Website: www.buttecounty.net/dds PLEASE PRINT CLEARLY PERMIT NO. BIN # **IWhen filed, this application and all supporting material becomes subject to the California Public Records Act. All public information related to this application is subject to public inspection and will be posted on the County's website for electronic access. I OWNER INFORMATION Le a Fi Name Mailing A d ss� C i L Fate t✓ Zip 5 C7 Fax Fax E-mail I CONTRACTOR Name S rtL Address Zip City Fax State Zip Phbne Fax E-mail Lic; # I Class I ARCHITECT/ENGINEER Name I City Address Zip City Fax State Zip Phone I Fax E-mail i State License Number APPLICANT INFORMATION Name Address I City State Zip Phone I Fax E-mail i I I APPLICANT SIGNATURE I PROJECT LOCATION AP# 02-7-1")0 -000 DD Property Address OAUM U. city v n ( do I WORKER'S COMPENSATION Policy Number Carrier If hiring anyone other than licensed contractors, a certificate of worker's compensation must be shown at the time of permit issuance. LENDING AGENCY Name Address DESCRIPTION OR SCOPE OF WORK: Scl FT- Living Garage Open Cov ❑ Structure Built without Permits ❑ Proposed Change of Occupancy (Note previous use): For office use only: Zoning Flood Zone SRA Yes No Occ. Type Const. Butte County Department of Development Services TIM SNELLINGS, DIRECTOR I PETE CALARCO, ASSISTANT DIRECTOR 7 County Center Drive Oroville, CA 95965 (530) 538-7601 Telephone (530) 538-2140 Fax WWW. buttecounty.net/dds I OWNER -BUILDER INFORMATION An application for a building permit has been submitted in your name listing yourself as the builder of the property improvements specified. For your protection you should be aware that as "owner -builder" you are the responsible party of record on such a permit. Building permits are not required to be signed by property owners unless they are personally performing their own work. If your work is being performed by someone other than yourself, you may protect yourself from possible liability if that person applies for the proper permit in his or her name. Contractors are required by law to be licensed and bonded by the State of California and to have a business license from the city or county. They are also required by law to put their license number on all permits for which they apply. If you plan to do your own work, with the exception of various trades that you plan to subcontract, you should be aware of the following information for your benefit and protection: ° If you employ or otherwise engage any persons other than your immediate family, and the work (including materials and other costs) is $500 or more for the entire project and such persons are not licensed as contractors or subcontractors, then you may be an employer. ° iIf you are an employer, you must register with the state and federal government as an employer and you are subject to several obligations including state and federal ° . income tax withholding, federal social security taxes, workers/ compensation insurance, disability insurance costs, and unemployment compensation contributions. There may be financial risks to you if you do not carry out these obligations, and these risks are especially serious with respect to workers' compensation insurance. ° For more specific information about your obligations under federal law, contact the Internal Revenue Service (and, if you wish, the U.S. Small business Administration). For more specific information about your obligations understate law, contact the Department of Benefit Payments and the Division of Industrial Accidents. If the structure is intended for sale, property owners who are not licensed contractors are allowed to perform their work personally or through thier own employees, without a license contractor or subcontractor, only under limited conditions. A frequent practice of unlicensed persons professing to be contractor is to secure an "owner -builder" building permit, erroneously implying that the property owner is providing his or her own labor and material personally. Building permits are not required to be signed by property owners unless they are performing their own work personally. Information about licensed contractors may be obtained by contacting the Contractors' State License Board's automated telephone information system at 1-800-321 -CLSB (2752) or by accessing thier website at www.CSLB.ca.gov. PLEASE COMPLETE AND RETURN THE ENCLOSED OWNER -BUILDER VERIFICATION FORM SO THAT WE CAN CONFIRM THAT YOU ARE ` AWARE OF THESE MATTERS. THE BUILDING PERMIT WILL NOT BE ISSUED UNTILL THE VERIFICATION IS RETURNED. OWNER BUILDER VERIFICATION PLEASE COMPLETE THIS FORM AS REQUIRED BY THE STATE OF CALIFORNIA (SENATE BILL NO. 831 EFFECTIVE JULY 1, 1980). NO BUILDING PERMIT WILL BE ISSUED UNTIL THIS VERIFICATION IS RECEIVED. 1. I I PERSONALLY PLWi TO PROVIDE THE MAJOR LABOR AND MATERIALS FOR CONSTRUCTION OF THE PROPOSED PROPERTY IMPROVEMENT. R NO) 2. I C�RAVVE NOT) SIGNED AN APPLICATION FOR A BUILDING PERMIT FOR THE PROPOSED WORK. 3. I HAVE CONTRACTED WITH THE FOLLOWING PERSON (FIRM) TO PROVIDE THE PROPOSED CONSTRUCTION: NAME ADDRESS CITY PHONE CONTRACTORS LICENSE NO 4. I, PLAN TO PROVIDE PORTIONS OF THE WORK, BUT I HAVE HIRED THE FOLLOWING PERSON TO COORDINATE, SUPERVISE, AND PROVIDE THE MAJOR WORK: NAME ADDRESS Cl PHONE CONTRACTORS LICENSE NO. I WILL PROVIDE SOME OF THE WORK BUT I HAVE CONTRACTED (HIRED) THE FOLLOWING PERSONS TO PROVIDE THE WORK INDICATED: NAME ADDRESS PHONE TYPE OF WORK Description: REPLACE ELECT MAIN ON POLE Reference Number: B08-1642 Applicant Name: WARNER, GARY L & CHARLOTTE Owner's Name: WARNER, GARY L & CHARLOTTE AP # : 027-230-038 Signature of Property Owner Date:— I COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541 AGRICULTURAL BUILDING EXEMPTION PERMIT PERMIT NO. Y� Agricultural building is defined as follows: Agricultural building is a structure designed and constructed to house farm implements, hay, grain, poultry, livestock, or other horticulutral products. This structure shall not be a place of human habitation or a place of employment where agricultural products are processed, treated, or packaged, nor shall it be a place used by the public. ASSESSOR PARCEL Nom. ..JJ ZONING _� OWNER PHONE NO. OWNER'S AD RESS to e- LOCATION OF BUILDING USE OF BUILDING SIZE OF STRUCTURE X = SQ. FT. TYPE OF CONSTRUCTION: WOOD FRAME STEEL CONCRETE OTHER (Specify) TYPE OF SIDING R OF COVER G FLO/QTYPE ESTIMATED COST OF CONSTRUCTION $ AG Buildings shall comply with the building front, side, and rear yard requirements of the applicable County Ordinances as follows: FRONT SIDES REAR ,S�r AG Buildings shall be a minimum of five (5) feet from any septic tank or leach fields. AG Buildings less than 1000 sq. ft. in floor area shall be located a minimum of 6 feet from a residence, 10 feet from a mobilehome, and 23 feet from a commercial building. AG Buildings greater than 1000 sq. ft. in floor area shall be located a minimum of 23 feet from a residence and a mobilehome, and 40 feet from a commercial building. I declare under penalty of perjury that the building will be used as stated above and the proposed use conforms with the AG Building definition. If any change in use or occupancy of the building is made, I will contact the Department of Public Works and will obtain any necessary permits, inspections, and approvals to comply with the requirements in effect at that time and before occupancy. Date .>4 - Signature of Owner aw�w- Permit Fee - $25.00 The above described AG Building is a mpt from a building permit. Receipt No. �% . 02-- Director of Public Works By Date /^,7/, p q. White - DPW, Yellow - Assessor, Pink - B.I., Goldenrod - Applicant util ,MH 5000-75P E PERMIT N0. i P- E N M MH UTIL. PERMIT NO. PERMIT EXPIRES Z Z2 z OWNER Gary Warner CONTR. Carrell Bros. Mobile Homes, Chico LOCATION (A.P. 27-23-38 ) W/S private rd.,7/10 mi.S.of Cox Ln.,l4 mi. .E.- of Palermo Honcut Hwy., Palermo Temp. Power Pole Called PG&E � , 7 f Temp. Elea, Serv. Called PG&E Temp. Gas Serv. Called PG&E JOB FINALED (Date) (Signature) 0 is Forms Main Bldg. Footings StemwaI I Slab Piers Garage Footings Stemwa l l Slab Carport Footings Slab Patio Footings Masonry Walls Reinf. Steel Bond Beam Framing Stucco Mesh Scratch Brown Finish Interior Lath Door Closer DATE COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS BUILDING INSPECTION RECORD BUILDING BUILDING (Cont'd) PLUMBING Firewall Soil Piping Parapets 1st Floor Restroom Finish 2nd Floor Windows 3rd Floor Siding To out Roof Sheathing Water Piping�G Roofing Sewer Fdn. Vents Fixtures Garage Vents Water Htr. Prov. for physically handicapped Heaters Appliances Conformance of ex. structure Gas Piping & Test Temp. Gas Final Sanitation FIREPLACE Final 5- �-- s- - Footing ELECTRICAL Throat Rough Final Fixtures FIRE SPRINKLERS Motors Final MECHANICAL Heating Cooling Ducts Ventilation Final REMARKS OR CORRECTIONS_ Grd. Fault Prot. Service A"e-Z / 2 s -=-- Temp. Pole Underground Permanent Final i/ 4 —e"S—" — f ^i MOBILEHOME INSTALLATION INSPECTION CHECK LIST Is the mobilehome located w 1. it 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' No 3. Are footings and supports properly sized, spaced, and braced as pef approved plans? (Note possible variation at spring shacklesj (Sec. 5082 & 5083) Yes ✓ No 4. Is the mobilehome level? (Sec. 5088) Yes No 5, If mor than a single unit, are rossover connectio properly installed? (Sec. 5088) Yes No 6. Water A. Is flexi Ye connector of adequate size and properly installed (1/2" ID min.)? (Sec. 5566) Yes To B. Test - Does water piping withstand working pressure or 50 lbs, air test? Yes "o C. Backflow - If coach is not State o 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 41P per foot slope and is it properly supported? YesjZNo C. Are any leaks detected in drainage system after r}i, ng 3-ga ns of water through each, fixture including washing machine standpipe?. -Ye s No D. If cis not State of California approved, does station have required trap and vent? Yes No . 8. Gas Piping and Gas Vents A. Connector - Is,mobilehom connected to the gas supply with an approved 3/4" minimum mobilehome connector r more than 6 ft. long? Note: All piping is to be at least as large as the mobil ome gas line inlet without ductions other than the mobilehome connector. Yes No B. Test OK as per, following procedure? Yes No 1. Open all appliance connector valves. 2.. Shut.off appliance burner and pilot valves. 3. i''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 I 9. Electrical A. Is service large enough to Prov' e adequate amperage -to mobilehome (must equal rating of mobilehome with a minimum oamp) and other facilities on lot, i.e., water pumps, -garage, cabana, etc.? Yes No I ) / B e v Is there proper clearances around. panels. Yes No C, Is power supply cord or feeder assembly properly fused? Y4_1No 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 LO Length �v a Width Vehicle Serial No. 1-41-C% State Identification No.—� �O—D c Z / I L. Additional.Information or Comments: �. COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS � �� - 7 County Center Drive — Oroville, California 95965 Telephone: 534-4541 APPLICATION AND PERMIT BUILDING Owner SQ. FT. OCC. BUILDING VALUATION Mailing Address Telephone No. Fireplace Contractor ��/ �p.u' S', CA" Total Valuation Mailing Address a te,) x1 , Q46: Permit Fee Plan Checking Fee&/or Penalty � Tele hone No. C Permit Fee Building Address s` I r /O r• PLUMBING No. @ FEE PERMIT FILING FEE $3.00 ®Q - 0P � (3 1( � � �, Each Trap 1.50 .1207 o 04 e w 7— w .9GG�hI o. Repair drainage or vent piping 1.50 Water piping. 1.50 Q, p d CEach gas water heater or vent 1.50 A. P. No. -y � �Zon' n Gas piping system 1 - 5 outlets 1.50 legQ Each additional outlet 30 Fels W.�'. Sani n Fir Dept. Fire Zone Use Permit Building sewer 5.00 ©, 0C EQA Parking Parce F ns Declaration I 60' R/W Improvements p Lawn sprinkler system 2.00 Bldg. flans Recd D cel Approval % Plan pproval Permit Fee $513- QQ.$ 33� Q� 1t NEW ❑ ADDITION ❑ UTILITIESa OTHER ❑ ELECTRICAL No. @ FEE PERMIT FILING FEE -$3.00 �� 0C:) Main service incl. 1 meter e 0 Q Additional meters, each 1.00 Sub-panel (12 or less) (more than 12) — Single Family ❑ Duplex ❑ Mobil Home Q Others ❑ Range, Cook-top or Oven 1.00 ly1 Water Heater or Space Heater` 1.00 Light fixtures 2u 0 25 10 10 a Receps., switches & fix outlets 20 P 25 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 ' sOb oCsLY` ('� >✓ 6 ! �t,� 1 `% ,�L__4C ` ,5is, Hood, Ex. Fan or F.A. Furn. Motor 1.00 Evap. cooler, gar. disp. or D.W. 1.00 Air conditioner or heat pump Water pump Mobil Home Facilities 5.00 c(� Temp. Power Pole 5.00 License No.- %,S Classification C—("/ Misc. wiring ❑ I am exempt from the Contractors License Laws of the State of California. Permit Fee $ MECHANICAL No.@ I FEE WORKMEN'S COMPENSATION INSURANCE 1 am aware of the provisions of Section3700 of the California Labor Code which requires every employer to be insured against liability for Workmen's Compensation. 1 have placed on file with the County of Butte a certificate of Norkmen's Compensation Insurance. I certify that in the performance of the work for which this permit ,is issued I shall not employ any person in any manner so as to become subject to the Workmen's Compensation Laws of California. PERMIT FILING FEE $3.00 Heating Cooling Ventilation Hood 2.00 Permit Fee $ I certify that I have read this application and state that the above .information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the County of. -Butte to enter upon the above-mentioned property for inspection purposes. X 9Date Signature of Permitee or Agent Q' Receipt No. LCnLf ,�J White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant TOTAL PERMIT FEE $_"$; S) This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR OF P LIC WORKS BY Date �� w7 ' 7 J— BIlcing permit expires Date /®'% —7r, .COUNTY OF BUTTE --r DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - O'roville, California 95965 �O�/`76 ' r Telephone: 534-4541 / ` APPLICATION AND PERMIT v/ autnorize representatives of the county of t3utte to enter upon the This permit is hereby issued under the applicable provisions of above- tioned proper for inspection purposes. the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. X Date �t�' DIRECTOR PUBLIC WORKS Signature of Permitee or Agent - ��' By r Dated -to -'7! Receipt No. White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant Uild.ing permit expires Date BUILDING Owner SQ. FT. OCC. BUILDING VALUATION Mailing Address Telephone No. Fireplace Contractor Total Valuation Mailing Address-30Sa C Permit Fee Plan Checking Fee &/or Penalty 1L+ _ Telephone No.. 3� ,Permit Fee _ Building Address S t2 E- OeJ, Y10 P" PLUMBING No. @ FEE PERMIT FILING FEE $3.00 _ S' C9 - / yn 0/� Each Trap 1.50 t5'f2l�'! 0 Oh C 4 (� l Repair drainage or vent piping 1.50 Water piping 1.50 LC2h7 Q Each gas water heater or vent 1.50 A. P. No. --2 3-�- -3 8 Zoning & Planning Gas piping,system 1 - 5 outlets 1.50 Each additional outlet 30 Fees W -c; SanRa&6n Fire Dept. Fire Zone Use Permit Building sewer 5.00 EQA Parking Plans Parcel Declaration p 60' R/W improvements p LaWn sprinkler system 2.00 Bldg. Plans Rec'd Porce4� pproval P I a n JA`p`p"ro v a I Permit Fee $ NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER, ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 _ S L Q --Vain service incl. 1 meter �1 "�'—®©"�% --• Additional meters, each 1.00 Sub -panel (12 or less) (more than 12) — Single Family ❑ Duplex ❑ Mobil Home,Ek Others ❑ Range, Cook -top or Oven 1.00 Water Heater or Space Heater, 1.00 Light fixtures Receps., switches & fix outlets 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 steleV of: r / 4rosk/ l -e Hood, Ex. Fan or F.A. Furn. Motor 1.00 Evap. cooler, gar. disp. or D.W. 1.00 Air conditioner or heat pump Water pump Mobil Home Facilities 5.00 Temp. Power Pole 5.00 - � License NoA g S % w a 1. . 2. 3. 4. 5. 6. 7. 8. COUNTY OF BUTTE Department of Public works 7 County Center Drive, Oroville, California PHONE: 534-4541 m MOBILEHO'KE INSTALLATION INFORMATION Lot Facilities Plot plan dimensioned, location of mobile and utility connections? Yes No Electrical service'. equipment ainpacity�,Q - Circuit breaker ampacity Permanent Wirin Connection Ampacity % Receptacle Ampacity Gas: Natural LPG Gas riser size Drain inlet size Uar_er riser size ? �� Are utility connections located outside the rear 1/3 of thz mobilel:ome within 4 feet of tl,e left%"wall? Yes_X No If not, slim.; di.mensions.above. Is the mobilehome:`,;clear of septic tank, leach fields and located outside public utility easements? 1'es_ No Do you propose tondo other work on the property other than the mobilehome installation which will require a`permit l Yes No_x_ If so, specify *For plans and specifications of support s Mobilehome Data 1. Length Fidth Manufacturer owl, Vehicle Serial No. Insignia Control No. _ 2. Feeder assembly ampacity Conduit size_ Power supply cord (amps) 3. Gas inlet size Mobilehome connector size Capacity 4. Drain connector: describe on reverse side 5. Water connector: describe on reverse side 6. Designed loads: Roof ' live load�psf. Wind load / IC psf. . (Drily forr..obiifehoines manufactured after ;October 7,1973). 7. NanufAcaurer's installation instructions? _y Xes No 8. Will the mobile home be installed on'a separate sup ort structure? Yes No � ystem, see other side. irve. LOATH BEAR INC Su:'P0c TS ADDITIONAL COAL\: ?:;TS (_ CM.til P C 4-P- V` 9 P_ G. Prnn. & Water Connector, Describe f n PI -e t ` ''" �,•;.i LOO BEARI.iG SUPPORT AND V'OOTING iNFOPKATION Pier Spacing Used S42 Maximum Pier Load_3 6en C:) Maximum Column Load (multi -units only) _�© O Soil Bearing Capacity J5 a Footing Dimension Used—"/ TYPE OF PIER USED Steel Concrete Concrete Blcck X Other TYPE OF FOOTING MAT_RIAL USED Pressure Treated Wood Concrete X Redwood (Grade) Other Approved Type BUTTE COUNTY BUILDING .DEPARTMENT APPRONE-D �N. r This set of plans604 MUST be kept on the fob at all times and it is unlawful +p make �My changes or alterations on same without„ written permission from the Department of Pubaic�``' Works, County of Butte. t The 4ft. Setback shall be 5 ft. from the side property line and 50 ff. from the centerline of the road, permitting a maximum of a 2 ft, eave overli,:, , NOTE. --All Materials & Workmanship Shall Be in Accordance with Recoanized Good Practices and of a quality prescr+hnd for the Specified use in �I^^ Uniform BuHinq, Plum! ing & Machanical Codes and the National Electrical Code. � rPerMif atio h °f bhe rnuireol for the Septic system and location .�f4wW- ,� ,,,� ob`/shome to be as per Butte Gcurity Health Dept. Re- t quirements, `A A>! { ^ \ All utility connections shall be located wiAin 4 ft. outside the rear third 'section of the mobile home on the left (road) side of the mobile Wyk home: - I � BUTTE COUNTY BUILDING DERARTMr-NIT APPROVED I NOLura- ou QIG lc.' 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