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028-420-079
^ " ^Everett Anderson 10A ff W/S Assion Olive Rd.,Young Elec., Oro,�*ll,NeGAS 4SUPPORT StRUCTITRE REQ -GITACTION TEST REQ._ j4- 28-0-79Issuedco txn okes Mobile Home Ser Oro.Permit 4447-79B(new carpo /NH)Permit #1633-81B(open & coveredt�� z//oMission Olive R roville.Permit#3O35-83B-V-P,E(nei� garage/MH) ` s u l .T . PERMIT NO. .3035-83B,P,E PERMIT EXPIRES /,&/a�: ( OWNER EVERETT ANDERSON CONTR. Fairbanks Enterprises ASSESSOR PARCEL 28-19-79 t LOCATION 414 Mission Olive Rd, Oroville ;r fi 4 I , r r�• K •r <4 Temp. Power Pole ,L Called PG&E Temp. Elec. Service Called PG&E Temp. Gas Service Cal led PG&E JOB FINALED (Date) Z"A9 �� a J ' t Signature i f X T -� COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 196 Memorial Way, Chico Phone: 891-2751 7 County Center Drive, Oroville — Phone: 5344541 Skyway and Elliott Road, Paradise -- Phone: 872-2961, Ext. 57 CORRECTION NOTICE 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. Inspector_ _t ��_ Date__/`�� �J 4U COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 196 Memorial Way, Chico — Phone: 891-2751 7 County Center Drive, Oroville — Phone: 534-4541 Skyway and Elliott Road, Paradise — Phone: 872-2961, Ext. 57 CORRECTION NOTICE .X 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. Inspector Date Date_ v _ i Inspector Date Date_ v _ COUNTY OF BUTTE ,., DEPARTMENT OF PUBLIC WORKS lz— 196 Memorial Way, Chico — Phone: 891-2751 7 County Center Drive, Oroville — Phone: 534-4541 • Skyway and Elliott Road, Paradise — Phone: 872-2961, Ext. 57 CORRECTION NOTICE OWNER PERMIT NO. 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 rrection of work is completed. If you have any question pertaining to this matt r, or need additional explanation, please contact this office immediately. r ;rat_ 4,Q41t. , cel 4. L- .17/ Ill <AJ, Inspector //���tf`"` '1 Date J = OK 0 = Not OK - = Not Applicable {� = Not Ready - RESIDENTIAL (Single and Duplex) Date UNDERFLOOR Plans) OK except #'s Date FRAMING (Continued) �_2,C 1p-ecning requirements -Setbacks -Easements 48,__Rmpert7-t1?l7Firewall &Openings 2. Ftg., Main; Soils-Steel-Elec. Grnd.- / /" Ftg. Depth 4 EA ^�=3'-Check Garage -3rd story, 2 exits 3 g., Garage; Soils -Steel- 11X 1/ Ftg. Depth 50. 4t&ix-WiOib- 1eadroom-Rise-Run-Landing-Fire Protection 4. Fta,, Porches & Decks; Soils -Steel- / /" Ftg. Depth 51w-TTy-7vood on Roof Overhang -Attic Vents -Rafter Outriggers Main; Steel-Blockouts-Wrapped-SINailing-Veneer -(�� Stemwalls, Ga age; Steel-Blockouts-Wr d -SI 53. Stucc�gl�P�h=mrip Screed-Fdn. Vents-Underfir. Access _ 7. P' -Fireplace Ftg.-Steel 54. ea -Glass Protection -Skylights -Plastic D.W.V.: Fall -Fittings -Test -2 -way C/O -Sewer Test 55. Spea4-WaUa,-Wailing-Bolts 9. Gas Pipe; Size -Anchors 10. W416 Pipe; Test -Anchors -Regulator -Service Test Electric; Underground 12. Plenums & Ducts; Clearance -Material -Support -Ins. 13. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples I ate Card -BI Date (� h - iy, pe f c a Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card- -0e ,y(, C D �-- Date FINAL (Plans) OK except #'s BI ate Card -BI Date Date PLUMBING (Permit) OK except #'s S xt. Steps -Door & Sidelight Protection -Landings 57 a etector 14. 14 T I -Combustion Air 58. Furnace a'fice-Comb. Air -Connector- I arage; Above Floor -Ducts -Meeh. Protection r Pipe; Test &Anchors -Nail Protection _- 1 D.W.V.: Test-Fttngs & Anchors -Nail Protection 59• " st, First Floor -Tub Access 60. tx u e Access _ _1 18. 4s�-Shower, 2nd Floor -Tub Access ec. Trim & Subpanel; Breaker Sizes -Labels 19_. Tari -Pine; Size & Anchors 62. S ails _ 63. F' ances-Hearth Card -BI (.�C/ Date/6'/�O 3 Card -BI Date Outlets at Wood Panel; Int. & Ext. 65 ; Grnd.-Air Gap -Cooking Clearance Card -BI Date Card -BI Date 66. _ cies at Kit. Counter Date ELECTRICAL Permit OK except #'s 67. o -Landing-Closer 68. _ per Fixture &Transformer Clearance -Ins. Protection ----�--- 69. Wtr. Htr.`; nis�Caearance-Comb. Air-Connector-P.R.V.- arage; Above Floor-Mech. Protection 21. ce tacles Spacing -Lights & Switches at Doors _ - _ 22. g42e-3-oxes & No. of Conductors -Stapled 70. Plb . Listed for Location , eceptacles in Garage; (G.F.I.)-Romex Protec. 23. iex ns alled Close to Edge of Studs & C.J. - ° 2 ip. Ground made up w/Mech. Fasteners -Bond Gas & Water 72.Mulat - m- ooked in Attic ❑Yes _ 25. ance Circuits in Kitchen & Conductor Size 73• QA^Ld+ "-1'^ -Q;,ck Construction -Post Caps - s 26. $.4feetf- ire Size r / ga. Cu or AI-A.C. Wire Size / / ga. Cu or Al 74. Fdn. Ve ole Door -Drainage & Wood -Earth Clearance Lo ed under Floor E) Yes - 27. Range ' / / ga. Cu or AI -Oven Circ. / / ga. Cu or AI, _I retrlZted Neutral ❑Yes ❑No] 75. Foll tif*IIrive ❑ Yes ❑ No; Walks ❑ Yes ❑ No: Iante Yes No ❑ _ 28. Sauce -Riser Conductors & Ground -Main Disconnect 76. - tntsh - - 29. Ec}uip � _ -c Panels-Motors-Mech. Equip. 77• nt t c-Clrnces-Brkr. & Cond. Size -115V Outlet et - 30. Claihes set Light -Shower ht -Shower Light _ 78• yam; Plbg.-Appliance-Firepl.-Clearance to Opngs. - ---- - ------ 79. Wet TSMnect, Electrical, Plumbing --- ------- C B-IDate - Card -BI Date 80. Exterior Met. I F174; G.F.I. Receptacle -Underground 81. t ation throughout House Card 8-t Date / Card -BI Date g2,echon Date MECHANICAL (Permit) OK except #'s 83. 84. vious Inspections Tagged; Gas -Electric 31. A.C. Ducts: Insulation & Support 85. a er ewer Connected -C/O to Grade -HD Approval 32. V_ent_Fan_E_xhaust above Insulation - - -- 33.Condensate Drain _& Overflow; Size &Grade _ _ 34. Furnace -Vent; Access -Comb. Air -Return Air Vent -115V outlet 86. ice Certificate -Other Certificates 35. Attic Access & Platform if Furnace in Attic Card -BI -- Date_-- Card -BI Date C BI ate t7- Card -BI Date Card -BI Card -BI Date Card -BI Date Date Card -BI Date _ Card -BI Date Card -BI Date Date FRAMI G(Plans) OK except #'s Comments at Final: _ lls; Proper Material & Anchors - 374,W'a'IIs; Studs -Nailing, Spacing & Bracing -Plates -Sound 3.a�aring Walls over Girders &Floor Nailing___ - 39• raft Stop in Walls (rat proof) _ _42, -,Fire Sto ; Furred Ceilings -Stairs -Chases -Tub 4 er Beam -Size & Bearing_ gers-_Post Caps -Anchors -Connectors 43. Qlng Inigt-Rfir-- �Oin-Ro ac.rusr Sht -Rf� 44.-LPeptar Type A Flue -Fireplace Throa �45 A"4& -At etr"s-s-!�7ze &Rom_ex Protection -Draft Slop -Ins. Baffles - ^- 46.jn ow or_xili_ng Doors -Sill Hgt. & Dimensions - 47. CtW-- - -- 4QW--coon Frami g-- - - (NOTE:Anentrymust be made each time youvisit jobsite) OK = Not OK = NotApplicablee? MOBILEHOMES = Not Ready MISCELLANEOUS Date MOBILEHOME UTILITIES (Plans) OK except q's 1. Zoning Requirements—Setbacks—Easements Date DECKS, COVERS, CARPORTS, ETC. (Plans) OK except a's 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 Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Date MOBILEHOME INSTALLATION (Plans) OK except N's 1, Zoning Requirements—Setbacks—Easements Date _ POOLS (Plans) OK except Lt's 1. Setbacks—Easements 2. Footings; Size—Spacing—Marriage Line 2. Soils; Compaction—Structure Stability 3. Gas; MH Test—Demand—Valve—Connector 3. Pool Structure; Steel—Connections—Thickness—Dead Men—Lining 4. Electricity; MH Test—Crossovers—Breakers—Clearances 4, Elec.; Receptacles and Lighting; Distances—GFI 5. Drain; MH Test—Fall—Flex Connector 5. Elec.; Pool Lighting; 15 volts—GFI 6. Water; MH Test—Regulator—Connector 6. Elec.; Enclosures; Conduit Entries—Terminals—Listed 7. Water and Sewer Connected—C/0 to Grade—HD Approval 7, Elec.; Bonding; Metal w/5'—Circulating Equipment—Heater 8. Gas and Electricity Tagged 9. Exits; Insp.—Sketch 8. Elec.; Grounding; Equip. w/5'—Circulating Equip.—Pool Lghtg. Boxes—Enclosures—Panel boards—Ins. to Main in Conduit 10. Cert. of Occupancy 9. Health Department Approval 10. Plumb; Cir. Test—Water Supply Test Card B-1 Date Card -BI Date Card -BI Date Card -BI Date Card B-1 Date Card -BI Date Card -BI Date Card -BI Date e COUNTY OF BUTT,- DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, Califfth 95965 -Telephone 916/534-4541 APPLICATION -AND PERMIT PERMIT NO. L36 -- ASSESSOR 3s= ASSESSOR PARCEL NUMBE ZONING Z6-"-1 h7 BUILDING PERMIT OWNER J� }'''�� TEL �O�Ni�E V G I/ � �~ SO. FT. OCC. BU�IL)DING VAL TIO �j' ! L v `� OWNER'S MAILING ADDRESS �f (� CON RACTOR• N M � � ELEPHONE 5 CONTRACTOR'S MAXLING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ ©._ Filing Fee $ 10.00 LENDER'S MAILIN ADDRESS Permit Fee $ �� ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee 10 ,$' Z,77, G Penalty $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Permit fee $ BUI , I G ADDRESS PLUMBING PERMIT FilingFee 10.00 f. � � S 0 A �/ �/G 50: ' Each Trap 2.00 �G�O Solar Water Heater 20.00 Water piping 5.00 Soso LOT NO. SUBDI ION AME PARCEL MAP Each qas water heater or vent 5.00 Gas piping system 1 - 5 outlets 5.00 USE OF STRUCTURE SF ❑ Duplex❑ Mobilehome%4 Other SPECIFY Building sewer 5.00 Mobile Home JSJG1W1 10.00e TYPE OF WORK New ❑ AdditionM Remodel ❑ - Utilities ❑ Installation ❑ Other ❑ Describe work: Permit Fee $17, Contractor ELECTRICAL PERMIT FilingFee 10.00 Main service 600v OR LESS 100 AMP OR LESS 10.00 Main service EA. ADO'L 100 AMP 2:50 NEW CONST. DWELLING OC UP.& OR ADDNS. ( ACC. BLDGS. 1 JC 2h2Sgft 1.7 CONTRACTORS LICENSE LAW I declare under penalty of perjury (Check One): I am licensed under provisions of Chapt. 9, Div. 3 of the Business20®s0a and Professions Code and m license is in f fo ce and effect. y 2n T7 Classification a License No. 2_ 8 ❑ I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure isnot 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 NON.RCONESID BRANCH CIRCUITS) STR ULTI.OUTLET 2.50 ea NEW CONST R. / POWER APPARATUS &') NON-RESID. \SINGLE OUTLET CIR. I Ex. Occup(o TS DR FIXTURES eAL®30 XED FIXED APPLNS. OR EX. Occup. OUTLETS (RESID.) EA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring15.00 Permit Fee $� Contractor MECHANICAL PERMIT FilingFee' 10.00 WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. XI 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. 1 also agree to sav indemnify and keep harmless the County of Butte against all liabilities, jud nts osts, and exp ses which may in any way accrue a T id Cou y i segue a of t granting of this permiti X 1 Date IF /�11sions Signature of Applicant/ -I Owner❑ Contractor Agent ❑ An OSHA permit is required for excavations over 5' " eep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ TOTAL PERMIT FEE $ ,.5-p OCCUP. GROUP M _ 1 TrP� OIUSI, ST. '� F PARc�i P H ISSUE This permit is hereby issued under of the Butte County Code and/or work indicated above for which DIRECT R PUBLIC By PERMIT EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS ;Ie I�9 ��Z Receipt No.� 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 AGRICULTURAL BUILDING EXEMPTION PERMIT PERMIT NO. 6-Y *3 A 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 NO. tg / ZONING Q 1 s' OWNER �/Je pViEi r IgAJI � S © PHONE NO. sv �--'L� 2`� OWNER'S ADDRESS 8.L! LI C �0 _ ( LOCATION OF BUILDING 5zft77—A 9- 1,47 1t 0 r USE OF BUILDING SIZE OF STRUCTURE ® x `� = T SQ. FT. TYPE OF CONSTRUCTION: WOOD FRAME Y_STEEL CONCRETE OTHER (Specify) TYPE OF SIDING At yup ROOF COVERING FLOOR TYPE ESTIMATED COST OF CONSTRUCTION ' $ 6t�i AG Buildings shall comply with the building front, side, and rear yard requirements of the applicable County Ordinances as follows:tt , FRONT 'fV�ri SIDES r__ - REAR AG Buildings shall be a minimum of five (5) feet from any septic tank or leach fields. AG Buildings less than 1000'sq. ft. infloor 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 ` �� Signature of Owner Permit Fee - $25.00 The above described AG Buildings/6xempt from a building permit. Receipt No. (e26E2 i. Director of Public Works By Date White - DPW, Yellow - Assessor, Pink - B. I., Goldenrod - Applicant �t PERMIT NO. 4447-79B PERMIT EXPIRES VA OWNER Everett J. Anderson !CONTR. Holmes Mobile Home Serv., Orovi 1 28-19'-79 !. LOCATION (A.P. ) 414 Miision Olive Rd.,Oroville r �r f' r y r Y f ` L Temp. Power Pole C led PG&E c Te p. Elec. Serv. Called PG&E emp. Gas Serv. Called.PG&E f - (Date JOBL FINALED (Signa e) . It Mesh COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS BUILDING INSPECTION RECORD Gird. Fault Prot. BUILDING BUILDING (Cont'd) PLUMBING Setback Firewall Soil Piping Forms Parapets 1st Floor Main Bldg. Restroom Finish 2nd Floor Footings Windows 3rd Floor Stemwall Siding To out Slab Roof ShepAing, Water Piping Piers Roofing Sewer Garage Fdn. V is Fixtures Footings Stemwa I I Garage Vents Insulation Water Htr. Heaters Slab Carport Footings Prov. for physically handica ed Conformance of'ex. at ronTemp. Appliances Gas PipingTest Gas Slab FI Sanitation Patio FIREPLACE Final Footin s ,x/ 177 Footing ELECTRICAL Masonry Walls Throat Rough Reinf. Steel Final Fixtures Bond Beam _ FIRE SPRINKLERS Motors It Mesh MECHANICAL Gird. Fault Prot. Scratch Heating Service Brown Cooling Temp. Pole Finish Ducts Underground Interior Lath Ventilation Permanent Door Closer Final Final MOBILEHOME UTILITIES ------------------ Elec. Service Elec. Pe stat Water Piping Sewer Gas Piping 061LEHOME INSTALLAIMN - - - - - - -,- - - - - - - Support Elec. Continuity Water Piping Drainage Gas Piping DATE REMARKS OR CORRECTIONS (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 Dive ` Oroville, California 95965 Tel ephone: 534-4541 APPLICATION AND PERMIT authorize representatives of the County of Butte to enter upon the above-mentioned property fori pe ion purposes. X Date���� Signature of Permitee or Agent Receipt No. 2,5; 15 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 UBLIC WORKS By Date62�2_ 7 9 Building permit expires Date BUILDING Owner �V— '- �T ��D��S�� SO. FT. OCC. BUILDING VALUATION IT dieke :4(4 1 Mailing Address 414 IMlSS \Oh Tel hone No. k Contractor Av1A,-S Mob c`v-_ \A-oIA&F_- Mailing Address 5kLA 2 Fireplace Total Valuation Q Telephone No. Permit Fee Building Address lLl V11kt-SS\Ol, wi- Q_Z, Plan Checking Fee&/or Penalty Permit Fee ® l�►.�CAV PLUMBING No.1 @ FEE PERMIT FILING FEE $3.00 Each Trap 1.50 Repair drainage or vent piping 1.50 A. P. No. Z� C( - C) �- O Zoning & Planning Water piping 1.50 Each gas water heater or vent 1.50 Fes W.C. Saq on Fire Dept. Fire Zone Use Permit Gas piping system 1 - 5 outlets 1.50 EQA Parking sans f Parcel Declaration Parcel Map 60' R/W Improvements Each additional outlet .30 Building sewer 5.00 Bld Plans Rec'd Parcel Approval Plans Approval Lawn sprinkler system 2.00 NEW ADDITION ❑ UTILITIES ❑ OTHER ❑ Permit Fee $ VZ. SZ' C ArQA>o :V ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 + 00V OR LE Main service 100 AMP ORSLESS 5.00 Single Family ❑ Duplex ❑ Mobil Home Others ❑ Main service EA. ADD'L 100 AMP 2.50 Main service OVER 600V 25.00 100 AMP OR LESS , Main service(( EA. ADD'L 100 AMP 1.00 NEW CONS.• OR AODNST l ACCLBLOGS,DWELING CCUP. Y� 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: _ ±/l \V� m_:rs ,� �IY�. O \ W�,� SZ2UlC� LT NEW CONSTR.B ANCOUTL T � RANCH CIRCUITS 2.50ea NON -REBID B NEW CONSTR /POWER APPARATUS 6 NON.RESID. (SINGLE OUTLET CIR. Ex. Occuo(OUTLETS OR FIXTURES 50@25 Ex. OCCU FIXED APPLNS. OR p•�orvice S (RESID.) EA) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 1 License No.3Zt' ��` Classification ` Misc. Wiring 6.25 ❑ I am exempt from the Contractors License Laws of the State of California. Permit Fee $ $ WORKMEN'S COMPENSATION INSURANCE 1 am aware of the provisions of Section3700 of the California Labor Code which requires every employer to be insured against liability for Workmen's Compensation. M 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 1 2.00 Permit Fee $ $ 1 certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby Land Development Fee $ TOTAL PERMIT FEE $ `i authorize representatives of the County of Butte to enter upon the above-mentioned property fori pe ion purposes. X Date���� Signature of Permitee or Agent Receipt No. 2,5; 15 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 UBLIC WORKS By Date62�2_ 7 9 Building permit expires Date PERMIT N0. 1633-81B 4ca, PERMIT EXPIRES 15 / k OWNER Everett Anderson CONTR. owner ASSESSOR PARCEL 28-19-79 LOCATION 414 Mission Olive Rd., Oroville Temp. Power Pole_ Called PG&E _ Temp. Elec. Service Called PG&E _ Temp. Gas 'Service _ Called PG&E— JOB FIN LED (Date) Signature V = OK 0 = Not OK — = Not Applicable . = Not Ready MOBBLEHOMES MISCELLANEOUS Date MOBILEHOME UTILITIES (Plans) OK except N's Date . DECKS, C ERS, CARPORTS, ETC. (Pl:-) OK except N's 1. Zoning Requirements—Setbacks—Easements 1 oning Requirements—Setbacks—Easements 2: Soils; Special MH Support—Sketch _ _Footings; Size—Depth—Spacing—Connectors 3. Sewer; Location-Test—Fall-C/0—Concrete A—Mcks; Girders and/or Joists—Decking—Bracing—Stairs—Rails 4. Water; Location—Test—Easement Needed (Sketch) ood Awn.; Posts— Beams—Rftrs.—Connec.—Shthg.—Rfg.—Bracing 5. Electricity; Location—Clearances—Grnd.—/ / Amp—Concrete 1$—A1MTt.-Aua.; 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 C d -BI )ate— Card -BI Date Card -BI Date Card -BI Date C BI Date �-- Card -BI Date Date MOBILEHOME INSTALLATION (Plans) OK except N's Date _ POOLS (Plans) OK except k's 1. Zoning Requirements—Setbacks—Easements 1. Setbacks—Easement's 2. Footings; Size—Spacing—Marriage Line 2. Soils; Compaction—Structure Stability 3. Gas; MH Test—Demand—Valve—Connector 4. Electricity; MH Test—Crossovers—Breakers—Clearances 3. Pool Structure; Steel—Connections—Thickness—Dead Men—Lining 4, Elec.; Receptacles and Lighting; Distances—GFI 5. Drain; MH Test—Fall—Flex Connector 5. Elec.; Pool Lighting; 15 volts—GFI 6. Water; MH Test—Regulator—Connector 7, Water and Sewer Ccnnected—C/0 to Grade—HD Approval 6. Elec.; Enclosures; Conduit Entries—Terminals—Listed 7, Elec.; Bonding; Metal w/5'—Circulating Equipment—Heater 8. Gas and:Electricity Tagged 8. Elec.: Grounding; Equip.w/5'—Circulating Equip.—Pool Lghtg. Boxes—Enclosures—Panel boards—Ins. to Main in Conduit 9. Exits; Insp.—Sketch 10. Cert. of Occupancy 9. Health Department Approval 10. Plumb; Cir. Test—Water Supply Test Card B -I Date Card -BI Date Card -BI Date Card -BI Date Card B -I Date Card -61 Date Card -BI Date Card -BI Date f 'S = OK - Not OK = Not Applicable = Not Ready RESIDENTIAL (Single and Duplex) Date UNDERFLOOR Plans OK except #'s Date FRAMING (Continued) 1. Zoning requirements -Setbacks -Easements 48. Property Line Firewall & Openings 2. 3. Ftg., Main; Soils-Steel-Elec. Grnd.- / /" Ftg. Depth Fig., Garage; Soils -Steel- / /" Ftg. Depth 49. 50. Ext. Doors -One 3' -Check Garage -3rd story, 2 exits Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 4. Ftg., Porches & Decks; Soils -Steel- / P 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. Piers -Fireplace Ft .-Steel 54. 55. Glazing Area -Glass Protection -Skylights -Plastic Shear Walls; Nailing -Bolts 8. D.W.V.: Fall -Fittings -Test -2 way C/O -Sewer Test 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 Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Date FINAL (Plans) OK except N's 56. Ext. Steps -Door & Sidelight Protection -Landings Card -BI Date _ Date Card -BI Date PLUMBING (Permit) OK except q's 14. Water Ht.; Vent -Access -Combustion Air 57. 58. Smoke Detector Furnace; Vents -Clearance -Comb. Air -Connector - In Garage; Above Floor-Ducts-Mech. Protection 15. Water Pipe; Test & Anchors -Nail 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 64. Elec. Outlets at Wood Panel; Int. & Ext. Card -BI Date Card -BI Date 65. Kit. Fixt. & Appliance; Grnd.-Air Gap -Cooking Clearance Card -BI Date Card -BI Date 66. 67. Elec. Outlets & Receptacles at Kit. Counter Garage Fire Door; Swing -Landing -Closer Date ELECTRICAL Permit OK except q's 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 70. Plb., Elec. &Mech. Equip. Listed for Location 22. Size Boxes & No. of Conductors -Stapled 71. Elec. Receptacles in Garage; (G.F.I.)-Romex Protec. 23. Romex Installed Close to Edge of Studs & C.J. 24. 25. Equip. Ground made up w/Mech. Fasteners -Bond Gas & Water 2 Appliance Circuits in Kitchen & Conductor Size 72. 73. Insulation -Foam -Looked in Attic ❑Yes Guard Rails & Deck Construction -Post Caps 26. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga. Cu or At 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 ❑ Yes No; Walks instld.: Drive PlantersEl El ❑ El Yes E3 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 Card -BI Date 82. Glass Protection Date MECHANICAL (Permit) OK except N's 83. 84. 85. Corrections from Previous Inspections Gas Test -Meters Tagged; Gas -Electric Water & Sewer Connected -C/O to Grade -HD Approval 31. A.C. Ducts; Insulation & Support 32. Vent Fan; Exhaust above Insulation 86. Energy Compliance Certificate -Other Certificates Condensate Drain & Overflow; Size & Grade 34. Furnace -Vent; Access -Comb. Air -Return Air Vent -115V outlet 35. Attic Access & Platform if Furnace in Attic - -------- Card -BI Date Card -BI Date Card -BI Card -BI Date - Date _ _ Card -BI Date Date Card -BI Date FRAMING(Plans) OK except p's Card -BI Date Card -BI Date Card -BI Date Card -BI Date Comments at Final: 36. _Sills; Proper Material & Anchors _ 37. --Walls; 38. 39 Studs -Nailing, Spacing & Bracing -Plates -Sound Bearing Walls over Girders & Floor Nailing Draft Stop in Walls (rat proof) 40. Fire Stops; Furred Ceilings -Stairs -Chases -Tub _ 41. 42. 43. 44. Header & Beam -Size & Bearing_ Hangers -Post Caps -Anchors -Connectors Cing. Joist-Rftr. Ties- Purlin -Roof Brac.-Truss-Shthng.-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 Framing11 (NOTE:Anentrymust be made each time youvisit jobsite) COUNTY I F BUTTE - DEPARTMENT OF PUBLIC WZ40 PERMIT NO. 7 County Center Drive - Oroville, California 95965- Telephone 916//� V APPLICATION 9ND PERMIT Z - ASSESSOR PARCEL NUM R _7y 7 ZO ING �. BUILDING PERMIT OW TELEPHONE SO. FT. OCC. BUILDING VALUATION Z L OWNER'S MAIL( G ADDRESS y AtSfi v CONTRACT R'SNAME r TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ a( D ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ /Lh CC Penalty $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Permit fee $ a, BUILDING ADDRES ISS ✓ 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 SF ❑ ❑ DuplexMobilehome Other SPECIFY Building sewer Lawn sprinkler system 5.00 TYPE OF WORK New ❑ Addition Remodel ❑ Utilities ❑ Insulation ❑ Other Describe work: Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service DOOV OR LESS 100 AMP OR LESS 5.00 Main service EA. ADD'L 100 AMP 2.50 NEW CONST. /DWELLING OCCUP.y) OR ADONS. l ACC. SLOGS. 20 sq CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): ❑ I am licensed under provisions of Chapt. 9, Div. 3 of the BusinessSO@2D¢ and Professions Code and my license is in full force and effect. cense No. Classification 1, 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.Ou LET 2,50 ea NON.RESID BRANCH CIRC TS NEW CONSTR. (POWER APPARATUS &I NON.RESID. (SINGLE OUTLET CIR. / Ex. Occup(OUTLETS OR FIXTURES BAL01 EOUAPPLES, OR x. Occup. LETS (RESID.) EA. 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 1 1 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 'Consent to Self -Insure. shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Heating Cooling Hood 3.00 Ventilation Permit Fee S Contractor 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 above-mentioned property for inspection purposes. I also agree to save, indemnify� nd keep harmless the County of Butte against liabil' ' judgment fists, an expenses which may in any way accruerV/ ag inst i ounty ' e c r rating of this permi . / Signature of Applica t — Owner Contractor ❑ Age An OSHA permit is r uired for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ TOTAL PERMIT FEE $ D oeeuP GRouP TYPE of CONST. IPARCELI [�HD S§UEall This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which DIRECTOR F PUBLIC , BY _ PERMIT EXPIRES Date the applicable provi- Date resolutions to do fees have been paid. WORKS Date �( /) Receipt No. Q WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT ' COUNTY OF BUTTE, — DEPARTMENT OF PUBLIC WORKS BUILDING INSP8CTION,RECORD BUILDING BUILDING (Cont'd) PLUMBING Setback Firewall t Soil Piping Forms Parapets 1st Floor Main Bldg. Restroom Finish 2nd Floor Footings Windows 3rd Floor StemwalI Siding To out Slab Roof Sheathing Water Piping 'JLf - %? Piers Roofing Sewer — % Garage Fdn. Vents Fixtures Footings StemwaI I Garage Vents Insulation Water Htr. Heaters Slab Carport Footings Prov. for physically handica ed Conformance of ex. structure Appliances Gas Piping &Test Temp. Gas Slab Final Sanitation Patio FIREPLACE Final Footings Footing ELECTRICAL 'Masonry Walls Throat Rou h Relnf. Steel Final Fixtures Bond Beam 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 ,1 —% Door Closer Final Final DATE o2 ✓�cS RE RKS OR CORRECTIONS _5t1? -To a�� �:,D /V w 0 73 WZZ- C_/ "b a*s AID ��afco' Aa S cl P s.CAF- i (NOTE: An entry must be made on this form each time you visit the job site.) V PERMIT"NO:— ZM 303=77P,E i PERMIT EXPIRES / �.� 7f ,OWNER Everett Aderson : CON TR. Young Elec.,Oroville V LOCATION (A.P. 28-19-79 1 ` q7 ]_ App.4 mi.off W/S Mission Olive Rd., .8 mi.S,%of E -W job, Oroville= i } • Si 11 r� I J: I• F ' i fl 'k I 1� Temp. Power Pole Called PG&E " Temp. Elec. Serv. Called PG&E +1 Temp. Gas Serv. Called PG&E /FINALED B (� G / R (D ) � 'i (S'ig t e) Pte, I T-4 � oxo 4�.•j• _ �.. ..�t 1. 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 y63-77 for the following location: y'� �� or w/S ", 'sOwner Owner's Address Mobilehome Mfg. r � 0 J. Model 2��� 2 Year -77 Insignia No <,l%a&,�- 33 — 34 Serial No...0 It is hereby certified for occupancy at the above 'described location and may be occupied. Director of-Public"Works l' r _ Date }�' I / 017 By THIS CERTIFICATE IS VOID WHEN MOBI-LEH,7, ME IS RELOCATED COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS 7 County Center Dri've — UroviIle, California 95965 3-2 7 Telephone: 534-4541 APPLICATION AND PERMITL--- above- n one property for ' spe io purposes. Xto 7 Signature of ermitee r Agent Receipt No. White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant Inls 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 OVT' UBLIC WORKS BY Date B 'ding permit expires Date BUILDING Owner Q SQ. FT. OCC. BUILDING VALUATION Mailing Address Telephone No. Fireplace Contractor Total Valuation Mailing Address ' ® Permit Fee Plan Checking Fee&/or Penalty Tele hone N % Permit Fee Building AddressrWIS PLUMBING No. @ FEE PERMIT FILING FEE $3.00 31 OD Each Trap 1.50 Repair drainage or vent piping 50 Zoning Veri#icafion Oq) Water piping Each gas water heater or vent 1.50 0 — A. P. No. 79yoEach �ZS Gas piping system 1 - 5 outlets 1.50 additional outlet .30 F s S i n Fire Dept. Fire Zone Use Permit Building sewer EQA Plans ParkinDeParct/ion P rcel ap 60' R/W Improvemen s Lawn sprinkler system 2.00 Bldg. Plans c'd I Parcel l�pro Plan pproval Permit Fee $ NEW❑ ADDITION ❑ UTILITIES OTHER ❑ ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 �QQ Main service 100 AMP OR0V OR LESS5.00 Main service EA. ADD'L too AMP 2.50 Single Family ❑A' Duplex ❑ Mobil Home Others ❑ R 600V Main service °o EAMP OR LESS 25.00 Main service EA. ADD'L too AMP 1.00 SMSQ. FT. MINIMUM OR ADDNSNEW T ( DWEACC BL GS. P. &) 22sgft NEW CONSTR. MULTI -OUTLET NON-RESID, BRANCH CIRCUITS) 2.50ea FOR MOBILES ' NEW CONST R. (SOWER APPARATUS & NON.RESID. GLE OUTLET CIR. CONTRACTORS LICENSE LAW I am licensed under the provisions of Chapter 9, Div. 3, of the State of California usiness & Professions Code under the name style of:V f _ Ex. Occup(OUTLETS OR FIXTURES) gA 25, Ex. Occup. ( OUTLETS FIXED APP(RESID )REA) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 �-�.-�' ` License No. 2C Classification Misc. Wiring 6.25 ❑ I am exempt from the Contractors License Laws of the State of California. Permit Fee WORKMEN'S COMPENSATION INSURANCE I am aware _9.f -the provisions of Section3700 of the California Labor Code w (requires every employer to be insured against liability for W men's Compensation. I have placed on file with the County of Butte a certificate of Workmen's Compensation Insurance. I certify that in the performance of the work for which this ermit is issued I shall to P employ an y person in any manner so as to become subnot emject to the Workmen's Compensation Laws of California. MECHANICAL No. @ FEE PERMIT FILING FEE $3.00 Heating Cooling Ventilation Hood 2.00 Permit Fee $ $ 1 certify that I have read this application and state that the above information) rrect. I agree t comply to all County Ordinances and State aw relating to ullding construction, and hereby nuthn.i�o ... ,.s .„ t TOTAL PERMIT EE above- n one property for ' spe io purposes. Xto 7 Signature of ermitee r Agent Receipt No. White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant Inls 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 OVT' UBLIC WORKS BY Date B 'ding permit expires Date COUNTY OF BUTTE` - DEPARTMENT OF PUBLIC WORKS b 7 County Center,Drive — Uroville, California 95965 —7 x]17 Telephone: 534-4541 / APPLICATION AND PERMIT At , �,t5y Date �� J — i Receipt No. /�16 White-D.P.W. - Yellow -Assessor - Pink -Inspector - Goldenrod -Applicant Building permit expires Date BUILDING Owner e© ke. All do es2,oi SQ. FT. OCC. BUILDING VALUATION Mai I i ng Address T ne No. J' Fireplace e37QN B5 A7o/a�f Contractor Total Valuation Mai I i ng Address Permit Fee PI an Checking Fee &/or Penalty Telephone No. Permit Fee 8� /// Building Address ( °u PLUMING No. @ FEE PERMIT FILING FEE $3.00 ` ° Each Trap 1.50 Repair drainage or vent piping 1.50 Water piping 1.50 s Each gas water heater or vent 1.50 A. P. N0. --+ -""� Zoning &Planning Gas piping system 1 - 5 outlets 1.50 Each additional outlet .30 Fee " W. I X41 r c Fire Dept. FireZone Use Permit Building sewer 5.00 EQA Parking Plans I Parcel Declaration Pa ce Ma 60' R/W p provements Improvements Lawn sprinkler system 2.00 Bldg. Plan ec'd I Parcel proval Plans oval Permit Fee $ NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 01V OR 00 AMP ORLESS5.00 Main service 16 Main service EA. ADD•L too AMP 2.50 Single Family ❑ Duplex ❑ Mobil Home Others ❑ OVER 600V Main service 100 AMR OR LESS 25.00 Main service EA. ADD•L 100 AMP 1.00 .^ / Q �L NEW CONST. DWELLING OCCUP. & OR ADDNS. ( ACC. BLDGS. ) 2�sgft NEW CONSTRMULTI-OUTLET NON.RESIO. ( 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)@gym BAL@1 EX. OCCU FIXED APP LNS. 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 California. Permit Fee $ $ WORKMEN'S COMPENSATION INSURANCE 1 am aware of the provisions of Section3700 of the California Labor Code which requires every employer to be insured against liability for Workmen's Compensation. Elhave placed on file with the County of Butte a certificate of 'workmen's Compensation Insurance. Cjam( I certify that in the performance of the work for which this 44��I1 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 proper pr inspection purposes. }�X Date -27 Signat Permitee or Agent f— MECHANICAL No. @ FEE PERMIT FILING FEE $3.00 Heating - 4 Cooling Ventilation Hood 2.00 Permit Fee ''� $ $ TOTAL PERMIT FEE Is an be_ - 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 0 UBLIC WORKS , �,t5y Date �� J — i Receipt No. /�16 White-D.P.W. - Yellow -Assessor - Pink -Inspector - Goldenrod -Applicant Building permit expires Date J -j041 WY $Qno do nd do O ��wj ': c � a ..�: , 1�, 1 r T � + � f i IL— , ' r / w. 1 �, \� • � .,, 1 � . e r � / w. .,, 1 � . e r � � ' t w .y .r 19 a NRY MOBILEHOME SUPPORT DATA Mobilehome Mfr. Setup Model ,Ncsp/ % %/a"2 -'Year er— Width L .(ft.) Length �p (� (ft-.) ftzLta. 0 ft.x (Draw support details below) On all mobilehomes manufactured after��ctober 7, 1973, furnish manufacturer's installation manual and structural setup sheets (if nod on file with the,County of Butte). e, Sin le Footings (check one) &Mal . 1. Wood either 11' pressure treated or Center Center Support � 4� ' fdn. grade. Support Locations (ftp (in) Footing Sizes Q (in.) lln•) (in.� C�� l yX-owv (in.)(in.) 1 4 (in.),(in. ) �/�f tt.�Cin.) [36 4495x 0i (in.) (in.) Ll 2. Concrete pad. 3. Other, specify Supports (check one) i �1 1. Concrete block 2. Concrete piers 3. Steel piers 4. Other, specify Y --- Typical Support Footing Size *If center piers are other than drawn above, draw in locations, spacing, and dimensions. I Max. Pier - Spacing (ft.) Max. Overhang .(in.) BUTTE COUNTY BUILDING DEPARTWNT APPROVED. BUTTE COUNTY DEPARTMENT OF PUBLIC WORKS 7 County Center Drive, Oroville, CA. PHONE: 534-4541 ry MOBILEHOME INSTALLATION SHEET 1. Owner's name: PUm.r-1- d g Arm name: /�All g2. Installer's PAe�D�s� ri l�nar�s 3. Is the site currentlyunder permit? Yes / / No / S�??� P � Ler-17w- 2 r PG* Rptt7 ?"o /AA7.44.1. (If yes, furnish permit number ) OR Mu B i C.G di)M cf' Is the site an existing site? Yes.L No /� (If yes, furnish two (2) plot plans.) 4. Will the mobilehome be located at least 5 ft. away from septic tank and leach fields and clear of all setbacks and easements? Yes// No (If no, clarify ) 1 5. What is the mobilehome electrical rating? -------------- "- ---=- 2 p O Amps 6. What is the mobilehome site service ratin -----------^=---- Amps 7. What is the mobilehome site circuit breaker rating. ------ ------ 7-00 Amps Is' /9,V O 8. Is there any other electric load to be served by the mobilehome site service? -------------------------------=------------------- Yes / / No ,(If yes, identify the load and size: /,�pn /A)AZZr (Load) rp (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.) z� r 3 a. CONTR. LIC. X261265 TELEPHONE 245-6121 Mr. Everett Anderson, 10292 Norwich Ave., Cupertino, Ca. 95014. Dear Mr. Anderson: OBILHOMES 1039 EAST EL CAMINO REAL SUNNYVALE, CALIFORNIA 94087 d'. January 26, 1977 This should clarify and answer the questions that you need for Butte County Department of Public Works. We will contract with Bernie's Mobile Home Service to install your unit (address: 6550 Daphne Lane, Paradise, 95969) (phone: 916-877-0807). Mr. Bernie Hoffman will get the permit to install the mobile home, and pay the fees as per our agreement. As to permits and fees for the property improvements, this part is up to you (power, water,*septic tank, etc., satisfactory to the 'county, so we can then get the permit to install the mobile home). These utilities are to be located in relation to the mobile home within the rear 1/3rd of the "A" unit of the mobile home. Berniels Mobile Home Service will use pressure treated wood footingsl and concrete block supports, and will install same as 'per factory sdtup instructions (copy enclosed). Your mobile home electrical rating will be 200 amps in order to handle your all -electric unit. Your site supply will have to be 200 amps for the mobile home. Also enclosed is a floor plan of your unit which gives dimensions. Speci- fications are on,the back side of the page. If you or Butte County Department of Public Works need any other informa- tion, please feel free to contact us. Y' Sincerely, C. W. Sicklesteel, President.'' • CWS:v E cc• B C D.P.W Bernie Hoffman T0: Buildin6 Department -�nvirormental Health I seaa6e and/or , ater Clearance Oi"NERLOC.�`ITIuiv I Ras .been approved for. Ss d.�GS DISPOESAL JATER SUPPLYS- // { Sanits i2 n II "'�IZ ZZ.ate 59:-775 ,Yy iiU}3Ii,131iO�t.G BS''ALLATION INSPECTION CRECK• LIST „• 1. Is the mobilehome loc;�!tcd wil.-h requirbd separatiofl from' lot lines and buildings and generally conform to plot plan? Yes. No� 2, noes the m,bil.ehome Have required clearances above ground? (Sec.5085) YesV No 3. Are footings and supports properly sized, spaced, and braced as per approved plans? (Note possible variation at spring shackles.) (Sec. 5082 & 5083) Yes No 4. Is the mobilehome level.? (Sec. 5088) Yes No 5. If mo than a' single unit, are crossover connections properly installed? (Sec. 5088) Yes %No 5. Water A. Is flvible connector of adequate size and properly installed (1/2" ID min.)? (Sec. 5566) Yes 74No B., Test - Does water piping withstand working pressure or 50 lbs, air test? Yes/No C. Ba - o a e o a i ornia ap does station have backflow device and pressure -relief valve? Yes No 7, Wastes and Drains A. Is connection made with. Schedule 40 DWV and have flex connectors at each end? Yes No B. Does it have minimum �, per foot slope and is it properly supported? Yes , 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. If c i.s not State of California aper es - ta_ti_on._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 c vector not more than 6 ft, Ion ?. Note: All piping is to be at least as large as the m bilehome gas line inlet wit ut reductions other than the mobilehome connector: Yes No B. Test OK as per foll ing procedure? s_ No 1. Open all applianc connector va es. ', 2. Shut off appliance b ner an pilot valves. 3.. Air test with manometer 6oz.-maximum 8 oz.) ca. a drop. 4. Connect: gas meter mobile soapy water. 10"-14" water column, or test with slope gauge (minimum ted in tenth pound increments. Test for 10 min, without with connector, turn. on gas, test connections with C. Are all appliance vets properly installed? Yes— No a. Electrical A Is service large enooglk to provide adequate amperage to mobilehome. (must equal rating of mobilehome caitii a. :::in.i:•:um of 100/ ) and other /faciliti.cs on lot, i.e., waiter pumps, , a r a , e , cabana, etc. 7 Yes! 4 7V91-2 1;. Is them proper clearances around panels? Yeo No C. Is power supply cord or feeder assembly properly fused? YesX 1\10 T). Is continuity test satisfactory as per the following procedure? Yes No • 1. De -energize electrical wiring, syste:i of the mobilehome at the pX` ssta1. 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 1•s._id of a test instru^?ent to the mobilehome grounding conductor and , ,. , _ , avpiy ti -ie o''je a. eau to e.aclh CIIVIJL.LCLIUIIIt supply CunUucto'i, iucluuirtg fieilirdl. 5. All non-current, carrying metal parts of the mobilehome (aluminum siding, gas line, viater line), including fixtures and appliances, shall be tested for continuity from such egt:ipment and the grounding conductor. 6. Upon completion of: the above procedure, the power supply cord or feeder assembly conductors shah be connected to the site service equipment. A further continuity te:=;t shall then be nude between the ,grounding electrode and the chassis of the t:oi)ileltome. UDOn sat-i_sfactory completion of the electrical tests, the lot or site service oqui.pment may be approved for energizing. is Is job card sined by stealth Department for water and sanitation? If everything (A<ay, sign off card and ta,; services. 1. . iUFi -LIJi OME DATA Manufacturer and/or Namestyle Length �p � Width��� Vehicle Serial No. State Identification No. r.d�iutional Infnrnati()n or Cornments: Av WIlil w� z16 7 ;7 4 lox 6;1-9 6, GU -;76 — ate eny o ._ ......... VY 140-V/ b� f -lye. r s ��-