HomeMy WebLinkAbout030-101-024pp 30-101-24
Rth G. Baldridge'f'I-#wIoglp7����
1766 18th St., Oroville
Permit 1,6470-76P E(util—si i) L�
ELEC. 0 " e
GAS
SUPPO T STRUTURE REQ.
COMPACTION REQ.. AVO
30-101-24
Contr: Huggitt Electric
Permit #1195-77E (ele ser' ch to
ser addit living unit) SF
U—M -1, 30-101-24
contr: Oroville Trailer_ Sales, Oro
Permit #1754-7ZMI
Issued
030-101-024 ' 03-1638
BALDRIDGE; RUTH
1766 18TH ST, OROVILLE
RE -ROOF
1
i
1 COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION
7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541 PERMIT NO.
(Rev. 12/96) APPLICATION AND -PERMIT 03-1038
ASSESSOR PARCEL NUM BER
030-10 -
ZONING
BUILDING PERMIT
OWNER Ruth Ba
TELEPHONE
SQ. FT. OCC. BUILDING VALUATION
. OWNERS MAIUNG ADDRESS
10 600.00
CONTRACTOR'S NAME
owner
TELEPHONE
CONTRACTORS MAILING ADDRESS
CONSTRUCTION LENDER
LENDER'S MAILING ADDRESS
Fireplace
Total Valuation $ 600.00
ARCHITECT OR ENGINEER
LICENSE NO.
Filing Fee
$ 20.00
Permit Fee
$ 17.00
ARCHITECT OR ENGINEERS MAILING ADDRESS
Plan Checking Fee
$
BUILDING ADDRESS
Energy Pian Checking Fee
$
PERMIT FEE
$ 37.00
LOT NO.
SUBDIVISIONS NAME
PARCEL MAP
PLUMBING PERMIT
Filing Fee 20.00
USEOFSTRUCTURE
SF X Duplex ❑ Mobilehome ❑ Other
SPECIFY
Each Trap
7.00
-
Solar or heat um water heater
23.00
Water piping
15.00
Each as water heater or vent
15.00
TYPE OF WORK
New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other
Describe Work: reroof w/com r\
Gas piping system 1 - 5 outlets
15.00
Building sewer
15.00
Mobile Home S I G I W
@20.00
PERMIT FEE
$
ELECTRICAL PERMIT
Filing Fee 20.00
600VR LE
Main Service 200A OR LESS
23.00
LICENSED CONTRACTOR'S DECLARATION
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.P
License Class Lic. No.
OWNER -BUILDER DECLARATION
1 hereby affirm under penalty of perjury that I am exempt from the Contractors License
LYf1, the following reason:
, 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.
❑ I, as owner of the property, am exclusively contracting with licensed contractors
to construct the project.
❑ 1 am exempt under Sec. Business and Professions Code for this
reason
Main Service 200A TO 1000A
46.00
NEW CONST. DWELLING OCCUP,
OR ADDNS. & ACC. BUDS.
SO
3.50FT.
NO"ON.ROSID T. MULTI -OUTLET
@7,50
OWERAPPARATUS
8 SINGLE OUTLET CIR.
Ex. Occup GLmEr oR FOrruREs
20 0 1'00
BAL o .50
Ex. Occup. ounEis RE�S16.) ERA
5.00
Temporary Service
23.00
Mobile Home Facilities
20.00
Misc. Wiring
23.00
PERMIT FEE
$
WORKERS' COMPENSATION DECLARATION
1 hereby affirm under penalty of perjury one of the following declarations:
❑ 1 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.
❑ 1 have and will maintain workers' compensation Insurance, as required by Section
3700 of the Labor Code, for the performance of work for which this permit is issued.
My workers' compensation insurance carrier and policy number are:
Carrier
MECHANICAL PERMIT
Filing Fee 20.00
Heating
Cooling
Hood
6.50
Ventilation
PERMIT FET:
$
Policy Number
(The above sections need not be completed if the permit is for work of a valuation
of one hundred dollars ($100) or less.)
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 workers'
compensation laws of California, and agree that if I should become subject to the
rs' compensation provisions of section 3700 of the Labor Code, I shall
forth ith comply those provisions.
X Date �— y- 0-3
Signa re o Applicant - ❑ Owner ❑ C ntractor ❑ Agent
An OSHA permit is required for excavations over 5'0" deep and demolition or construction
of structures over 3 stories in height.
Mobile Home Installation Fee $
Energy Inspection Fee $
occ
OTAL FEE $ 37.00
NS�TYPEi
�.A
Z HD UE
This permit is hereby issued under the
of the Butte County Code and/or Resolutions
Indic ted ab a for which fees have
y
PERMIT EXPIRESN
applicable provisions
to do work
been ppd.
Date
Dete
Receipt No.
WHITE-D.D.S.-B.D. A A -AS ESSOR PINK -INSPECTOR GOLDENROD -APPLICANT
a
COUNTY OF BUTTE -DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DfVISION
7 County Center Driva m, Orovllla, 0200nia
959x5 • Telephons (530) 538-1541x\,
APP ICATIONAND PERMIT U
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ss osP to t-, I (D` ="m7°
BUILDING PERMIT
ner�a
'f SQ. FT, o= 5UFLD241.33 YALUAMN
v
names chane= � IW= /
`S
:rimrnr�
max= lvm
Fire?�
tea, sewers Ammg
i off! Yalcration s
ezma= Da Daum
Rho Fee 5 20.00
?ennft Fee S
a�� = Da 090=t MUM wnu as
Pian G4�e�¢►o Fee 5
eaama.�a�s
Shergy Plan Cbs-i:hg Fee S
La
P�AiT FE S
arty yrmmv�aLsetne� Pr. s. e►a�
PLUM3mm 'PERMT F+W=g Fee 20. D0
Eft* Trap 7.DD
USEOPS epi UCTURE
S01ar or bmid pump wrier hester 23.DD
3F Duplea 0 hbbDsboene O Oher
V►mbr Arg 15.DD
Semb P= yetw fm6w or vert 5.DD
TYPS OF WDRRK
Q= pbjpg Simi= 1 -5 wgy 5.DD
himo t] Ad:g-= 0 Aid 0 Lw=- O 0 Other _____
_%mcm waver
�g 1.bma S G YV �20.DD
Da=rbs Waal
POT F- S
-ELECT cAL PEpmIi FTmg Fe= 2o.Do
'
lJiaf� Service � o � 2s�
45AD
Mmfm mm sD so"am
E � aces
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• Mn= DB F9MM am
Er.a�s IRE= AERM m
BMW FEE PAlb $
TpMpwvy Ssrvi=e =D
NObbe Horne Facumes ZMDD
SPA
MDD
sk&rrF
'
. �
PERmlT FEE S
XF-CHAMMAL PERW FSng Fee ZD.DD
HeaSmg
Had
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AMOVW RE.CM-Eb
PERBAPi r'r= s
Mobbe Home hsstili n Fee S
ernargy Ins�e_-inn Fee �
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�� � %` ' ✓-� tf �O
" TOTAL FcE $
TOKm � CO
K L t. Fm I R_= COF pi�9 (PD !m t3�=
ibis pPJmb is hareby tmvsd un3ar lha appD=bfe PrniMM
scrs
ad 1fia auk (aunty Code and/or rlm=Wfi= b dD evark
ineiaal,_d e,bove for wNr-h fees have been psd
B�y o� �—
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O.R
OWNER -BUILDER VERIFICATION
Attention Property Owner:
An "owner -builder" building permit has been applied for in your name and bearing your signature.
Please complete and return this information at your earliest opportunity to avoid unnecessary delay
in processing and issuing your building permit. No building permit will be issued until this
verification is received.
I personally plan to provide the major labor and materials for construction of the proposed
property 'rovement : YES �"i NO ❑
I HAVE;."HAVE NOT ❑ signed an application for a building permit for the proposed work.
I have contracted with the following person (firm) to provide the proposed construction:
NAME:
CONTRACTOR'S LICENSE NO.
4. I punto provide portions of this work, but I have hired the following person to coordinate,
supe se, and provide the major work:
EV)
':l%1
5. I will prc
the work
NAME
SIGNED:
CONTRACTOR'S LICENSE NO.
some of the work but I have contracted (lured) the following persons to provide
ADDRESS PHONE TYPE OF WORK
DATE:_ )U
NOTE. This Owner -Builder Verification is required by Section 19831 and 19832 of the
California Health and Safety Code. This verification must be completed and
returned to our office before we are permitted to issue the permit.
OVER
O.B.- I
OWNER BUILDER INFORMATION
Dear Property Owner:
An application for a building permit has been submitted in your name listing yourself as the builder of 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 *$300 or more for the entire project, and such persons are not licensed as contractors or
subcontractors, then you may be an employer.
♦ If you are an employer, you must register with the State and Federal Governments 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 for you if you do not carry out these obligations, and these risks are especially serious
with respect to worker's compensation insurance.
♦ For more specific information about your obligations under Federal Law, contract the Internal Revenue Service (and,
if you wish, the U.S. Small Business Administration). For more specific information about your obligations under
State 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 their own employees, without a licensed contractor or subcontractor, only under, limited
conditions.
A frequent practice of unlicensed persons professing to be contractors 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 contracting the Contractors State License Board in your
community or at 1020 N Street, Sacramento, CA. 95814.
Please complete the "Owner Builder Verification" on the reverse side of this form so that we can confirm that you
are aware of these matters. The building permit will not be issued until the verification is returned.
rely,
Cc .
Mc 1 C. ViZC
.B.O.
M ger, Builg Inspection
NOTE. 77i is Owner -Builder Information is required by Section 19830 of the California Health and Safety Code-
OVER
ode
OVER
-
PERMIT 40. 6470;76P E7
PERMIT EXPIRES 4�2
OWNER Ruth,G.Ba,ldridge
CONTR. owner
LOCATION (A.P. 30-101-24
1766 18th St., Oroville
Temp. Power Pole
Called PG&E
Temp. Elecserv.
Cal le,• PG&E
Temp. Gas Serv.
ailed PG&E
OB
FINALED '!�/ I -R a/7'
(Date)
(Signa`iure)
COUNTY OF BUTTE — DEPARTMENT OF'PUBLIC,WORKS
BUILDING INSPECTION RECORD.
BUILDING BUIL ING (Cont'd) PLUMBING
Firewall Soil Piping
Setback
Forms
Parapets
Main Bldg.
Restroom.Finish
Footings
Windows
Stemwal I
Slab
Roof Sheathing
Piers
Garage
Footings
Stemwa I I
Insulation
Slab
Carport
Footings
structure
Slab
Final
Patio
Footings
Footing
MasonryWalls
Throat
Reinf. Steel
Final
Bond Beam
FIRE
Siding
Roofing
Fdn. Vents
Garage Vents
Prov. for phed sically
handica
Conformance of ex.
' FIRE ACE
Mesh ME K HANL
Scratch Heating
Brown Cooling
Finish Ducts
Interior Lath Ventilation
Door Closer Final
DATE REMARKS OR C RRECTIONS
�/w
�d
1st Floor
2nd Floor..
3rd Floor
To out
Water Piping
Sewer
Fixtures
Water Htr.
Heaters
Appliances
Gas Piping & Test
Temp. Gas
Sanitation /
Final �Q
ELECTRICAL
Rouah
Motors
Water Htr.
Subpanels
Grd. Fault Pr
Service
Temp. Pole
Final
(NOTE: An entry must be made on this form each time you visit the job site.)
,a
. f' til�Bl:i,T?liU,tli INS`CALLATION INSPECTION CHECK LIST
1. Is the mobilehome 'locatcd wi.i-h required separation from lot lines and buildings and generally
conform to plot plan? Yes No
2, noes they mobilehome have. required clearances above ground? (Sec.5085) Ye!.�No_
3. Are foot.in,s and supports properly sized, spaced, and braced aser approved plans? (Note
possible variation at spring shackles.) (Sec. 5082 & 5083) Yes No
4. Is the mobileliome level.? (Sec. 5088) YesXNo—
5. I�f��re1than a single unit, are crossover connections properly installed?,(Sec. 5088)
S. Water
A. Is =1e i_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. of Califo is 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? YesNo
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 trashing machine standpipe? Yes No
D. !,! ch is n a.a.pproved, does station have required trap and vent?
Yes No
8. Gas Piping and Gas Vents
A. Connector - Is mobilehome connected to the gas supply with an approved 3/4" minimum
mobilehome connector -not more than 6 ft. long? Note: All piping is to be at least as
large as the mobilehome gas line inlet without reductions other than the mobilehome
connector. Yes_X No
B. Test OK as per following procedure? YesJU No_
1. 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 increment's. 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 eno`iigl. to provide adequate amperage to mobilchome (must equal rating of
mob ileltom e with a. :::inii,'um of 100 amp) and other facilitit-Is on lot, i.e., water pumps,
garage, cabana, ctc:? Ycs No
1; Is then- proper. cica.r aces. iround panels? Yes No
C. Is power supply cord or feeder assembly properly fused? Yes No_
D. Is continuity test satisfactory as per the following procedure? Yes NoY
1. De -energize electtical4•wiring system` of the mobilehome at the pe estal,.-_
M,/
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 he mobilehome to the "on" position.
'
4:, Connect one lead 'of a'testinstrumena to the mobilehome grounding conductor and'
1-1
apply Llie oi..lAer lead to each Tl1UUL1el-Locke s-Lipp.Ly conductor, 11it.luulltb YIeULrSt.
5. All non-current, carrying metal parts of the mobilehome (aluminum siding, gas line,
,anter, line), including fixtures and appliances, shall be tested for continuity from
such equipment and the grounding conductor. ,
b. 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
te_;L shall then be made between the grounding electrode and the chassis •of the .y
mobilehome.. ' Upoit•'ssti_sfactory completion of the electrical tests, -the ,lot. or site,
service equipment',may be approved. for.energizing. `
I:; job card signed by llealth Department for water and sanitation?
I.,_ 'If everything olsay, sign off card and tag, services. "-
M�oBrLLM.LDATA
MantUf: Cturer and/or Namest-yle
Length ti'itith
Vehicle Serial No. ���� •,
`'tate Identification 'No.
P.deiitional Information or Comments:
r
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
of the California Administrative Code, Title 25, Chapter
number the following location:
the requirements
51 under permit
Owner � . P
_ r
Owner's Address / 744 /�` � �`• �%_ ilk • //
Mobilehome Mfg. Model Year
Insignia No. — 9V-2' Serial No. A
It is hereby certified for occupancy at the above described location and
may be occupied.
Director f Public Works
Date��/% By �-2
� Y
THIS CERTIFICATE IS VOID WHEN MOBILEHOME IS RELOCATED
- COUNTY OF~BUTTE — DEPARTMENT OF PUBLIC WORKS
7 County Center Drive — Orovi Ile, California 95965
Telephone: 534-4541
• APPLICATION AND PERMIT
above-mentioned property for inspection purposes.
r
X , i,
Date _o
Signature of Permiiittee or Agent
Receipt No. 1(Z(�
White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant
I nis permit is hereby issued under the applicable provisions of
the Butte County Code and/ resolutions to do work indicated
above for which fees hav ee paid.
DIRECTO OF PUBLIC WORKS
Z-74-7%
BY Date
uiiding permit expires Date Z— Z�—
BUILDING
Owner(/ H rJ 13,41— ' W6
SQ. FT. OCC. BUILDING VALUATION
Mai I i ng Address/7/`(— /g
/lGG
V
Telephone No.
—1635
Fireplace
Contractor
Total Valuation
Mai l ing•Address
Permit Fee
Plan Checking Fee &/or Penalty
Telephone No.
Permit Fee
Building Address�70� cls
PLUMBING No. @ FEE
PERMIT FILING FEE $3.00 3 •Q
Z_
Each Trap 1.50
Repair drainage or vent piping 4-519 �f D
Water piping 1.50
_
Zoning Verifica ion Only
Each gas water heater or vent 1.50
A. P. No. „3 Zoning & Planning
Gas piping system 1 - 5 outlets C?
h additional outlet .30
Fe Sa ion Fire Dept. Fire Use Permit
EQA Parking `:� parcel Ma 60' R/W Improvements
Plans D r tion P P
Building sewer
Lawn sprinkler system 2.00
Bldg. Plans Recd
Parcel Approval
ons Approval
Permit Fee $
NEW ❑ ADDITION ❑ UTILITIES OTHER ❑
ELECTRICAL No. @ FEE
PERMIT FILING FEE $3.00 3-0
Main service 600V OR LESS ` O Q
100 AMP OR LESS 5.00
Main service EA. ADD'L 100 AMP 2.50
Single Family ❑ Duplex ❑ Mobil Home Others ❑
Main service OVER 100 AMP OR LESS 25.00
Main service EA. ADD'L 100 AMP 1.00
CONST.NEW ( DWELLING CUP. &\
OR ADDNSACCBLDGS 22sq ft
/
NEW CONSTR. MULTI -OUTLET
NON-RESID. ( BRANCH CIRCUITS) 2.50ea
•
NEW CONSTR. POWER A&PPARATUS
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) BAL21
Ex. Occu FIXED APPLNS. OR
P•( 2.00
OUTLETS (RESID.) EAJ
Temporary service 10.00
Mobile Home Facilities 15.00
License No. Classification
Misc. Wiring 6.25
rV LAJI am exempt from the Contractors License Laws of the State of California.
Permit Fee $ Z
WORKMEN'S COMPENSATION INSURANCE
i am aware of the provisions of Section3700 of the California Labor
Code which requires every employer to be insured against liability
for Workmen's Compensation.
❑ I have placed on file with the County of Butte a certificate of
Workmen's Compensation Insurance.
rVr 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. @ FEEPERMIT
FILING FEE $3.00
Heating
Cooling
Ventilation
Hood 2.00
Permit Fee $
A
$ � v�
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
�rr,r,.l�e a ......:...... ..s
i►�� Li/�11J /nC� �L� C
y O
TOTAL PERMIT FEE
V
above-mentioned property for inspection purposes.
r
X , i,
Date _o
Signature of Permiiittee or Agent
Receipt No. 1(Z(�
White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant
I nis permit is hereby issued under the applicable provisions of
the Butte County Code and/ resolutions to do work indicated
above for which fees hav ee paid.
DIRECTO OF PUBLIC WORKS
Z-74-7%
BY Date
uiiding permit expires Date Z— Z�—
Nei The J14 Setback shaft be 5 it. from the
ry side property line and 50 ft. from the
centerline of the road, permitting a maxi-
mum of a 2 ft. eave overhang but entirely,
,... out of all easements,,
r '
�e
x•�r 2� t !la ion of a required fog
e rnob,leho�QRe
O .
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.
l2 -
This set of plans arr:facts MUST be
kept on the job at all times and it is unlawful to
make any changes or alterations on same without
written permiss onfrom he De; �r+ment of Public
Works, County o
NOTE: All Materials & ,Workmanship Shall Be in
Accordance with Recognized Good Practices and BUTTE COUNTY,
of a quality prescribed for the Specified use in the. BUILDING DEPARTMENT
Uniform Building, Plumbing & Mechanical Codes and
the National Electrical Code.
APPROVED
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_ COUNTYOF'BUT•TE -, DEPARTMENT OF PUBLIC WORKS
7 County Center Drive — Oroville, California 95965
Telephone: 534-4541 >
APPLICATION AND PERMIT
authorize representativesCounty of Butte to enter upon the
above-mentioned operty or spection purposes.
Date 1
Si nature of ermit gent
Receipt No. fJs
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.0PIPUBLIC WORKS
By Date_
wilding permit expires Date e(— 7
BUILDING
Owner R.—ZIL, 13
SQ. FT. OCC. BUILDING VALUATION
Mai I i ng Address
Telephone No.
Fireplace
p
Contractor .cn/L��., g.—c
Total Valuation
Mailing Address �)_5 � *44
�`'^�`^'
Permit Fee
,
Plan Checking Fee&/or Penalty
`
Telephone No.
Permit Fee $
Building Address /764 WAPLUMBING
No. @ FEE
PERMIT FILING FEE $3.00
`
Each Trap 1.50
Repair drainage or vent piping 1.50
Water piping 1.50
Each gas water heater or vent 1.50 f
A. P. No. ��%� ^ 7
Zoning & Planning
Gas piping system 1 - 5 outlets 1.50
Each additional outlet .30 �
Feelt
Wj2
Sar>itirti'lon
FireDept.
FireZone
Use Permit
Building sewer 5.00
EQA
IParking
Plans I
ParcelLawn
Declaration
I Parcel Map
60' R/W I
Improvements
sprinkler system 2.00 '
Bldg. Plans Recd
Parcel A al I
Plans rovol
Permit Fee $
$
NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER
ELECTRICAL No. @ . FEE
PERMIT FILING FEE $3.00
y 7 n_ Z
800V OR LESS
Main service 100 AMP OR LESS 5.00
Main service EA. ADD'L 100 AMP 2.50 ;
Main service OVER 600V 25.00
100 AMP OR LESS
Single Family ❑ Duplex ❑ Mobil Home ® Others ❑
Main service EA. ADD•L loo AMP 1 1.00
"
i"✓L
NY
NEW CONSTDWELLING OCCUP. &
.
OR ADDNS. ( ACC. BLDGS. 20sgft
NEW CONSTR. MULTI.OUT LET
NON.RESID. ( BRANCH CIRCUITS) 2.50ea
NEW CONSTR. POWER APPARATUS &
NON-RESID. (SINGLE OUTLET CIR.
CONTRACTORS LICENSE LAW
I am licensed under the provisions of Chapter 9, Div. 3, of the
State aliforniaJ3usines & Pfessio Code der the name
Sty /,. C�
-
Ex. Occup(OUTLETS OR FIXTURES) BAL@1
FIXED APPLNS, OR
Ex. Occup. (OUT LETS (RESID.) EA) 2.00
Temporary service 10.00
CtJ�lA 12C�[
Mobile Home Facilities 15.00
License No. `�4/qO_ C!_ /
Classification
Misc. Wiring 6.25
❑ I am exempt from the Contractors License Laws of the State of Cali fomia.
Permit Fee $
$
MECHANICAL No. @ FEE
WORKMEN'S COMPENSATION INSURANCE
I am aware of the provisions of Section3700 of the California Labor
Code which requires every employer to be insured against liability
for Workmen's Compensation.
❑ I have placed on file with the County of Butte a certificate of
Workmen's Compensation Insurance.
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 $
$
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
�1z Iy
D a0
TOTAL PERMIT FEE
$ 30 De
authorize representativesCounty of Butte to enter upon the
above-mentioned operty or spection purposes.
Date 1
Si nature of ermit gent
Receipt No. fJs
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.0PIPUBLIC WORKS
By Date_
wilding permit expires Date e(— 7
^If center piers are other•than drawn above,
draw in locations, spacing, and dimensions.
BUTTE COUNTY
BUILDING DEPARTMENT
APPROVED'
MOBILEHOME SUPPORT DATA -
.. ,'
Mobilehome Mfr.. /
Setup Model No.
Year'bC/
Width (ft.) Length==��6�-- (ft.)-Expando'Size ft.x ft.
(Draw support details
below) .
On all
mobilehome°s-manufactured after October
7, 1973, furnish manufacturer`s installation
manual
and structural setup sheets .(if. not .on
file with the County of
Butte).
r
S.in le . �,
1 ..... ' �,�• ' ..
F dtin s- (check. one)
T01111. Wood :either
pressure treated or
Center
Center Support
:: fdn.'grade.:'
Suppo •
Footing Sizes
!.
Locati s
(in.)
........
L112.:Concrete pad.
-
x
/ / 3.::Other,-'specify
in.
in. i
41
Su orts (check one)
Concrete block
(f7_�i.nnt
x
2. Concrete piers
3. Steel piers
Other, specify I
.......
...
,.
....
.........
FF-�Q
Typical Support
x Footing Size
I x
.(in. (in.)
-
... ..... �
:................
......
Max. Pier.
� � Spacing
.. ... •. .._ •. ._ .
ti (-in.) (in.)
1
Max .
Overhang
-�--
^If center piers are other•than drawn above,
draw in locations, spacing, and dimensions.
BUTTE COUNTY
BUILDING DEPARTMENT
APPROVED'
BUTTE -COUNTY DEPARTMENT OF PUBLIC WORKS
7 County Center Drive,•Oroville,.CA.
PHONE: 534-4541,
MOBILEHOME INSTALLATION SHEET
1. Owner's name : / -
'.2: -'Installer's name:Cam:&:tza)
3. Is the site currently under permit? Yes No _1
(If' yes, furnish permit number w- ) 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 fr aseptic tank and leach fields and
clear of all setbacks and easements? Yes / No
(If no, clarify _ )
h
5. What is the mobilehome electrical rating? ----------------------- . A t s
-----6'Vll�_-_
6. What is the mobilehome site service ratang.. -- - Amp s
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
(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 / / LPC,,4--1
11. What is the gas pipe length from meter or tank to the mobilehome?
z. V
12 What is the mobilehome gas demand? ------------------------------ (BTU)
(This inforniationjnot required if pipe length less than 6 ft. on natural gas
or less than 50 ft, on LPG.) -,
THERMALITO IRRIGATION DISTRICT r
410 GRAND AVENUE
OROVILLE, CALIFORNIA 95965
TELEPHONE 533-0740
CSA 26 SEWER SERVICE APPLICATION AND CONNECTION PERMIT
1
Service Address:
Owner's Name:
Date:
Address:
Acct. No:
'
A.P. No.: "
Phone: -
No. Units: i
Applicant/Agent: r f `
Agents Proof:
Address:
Fees:
Phone:
Application $
Arrearage
Preliminary Review By: Date: ' r -7
CSA 26
Remarks:
SC -0 R '
1st mo. S.C.
Other
Total Fees -
Collected By:
Date:
Field Review By: Date:
Remarks:
MONTHLY SERVICE CHARGES WILL COMMENCE AUTOMATICALLY UPON:
❑ Date of TID approval of completed building sewer (early connection).
,
El 30 days after date above, or on date of D.P.W. approval of completed building
sewer, which ever comes
first ("existing construction", prior to Mar. 5, 1974).
❑ 180 days after date above, or on date of D.P.W. approval of completed building sewer, which ever comes
first ("new construction", after Mar. 5, 1974).
DISTRIBUTION: WHITE - TID, YELLOW - APPLICANT, PINK - DPW, GOLDENROD - DPW to TID
i
c
. l7G Ir 4<
u
` COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS
�1\ 7 County Center Drive — Orovi Ile, California 95965 ( �_
�
Tel epkone: 534-4541 l
APPLICATION AND PERMIT
'
BUILDING
Owner � ll, ZZ
SO. FT. OCC. BUILDING VALUATION
N
Mailing Address
Telephone No.
Fireplace
�/
Contractor Hj�% �iC'"/j/��i�j�
Total Valuation
Mailing Address ��d 5� �`'/�,�/��ff��/ S%�
Permit Fee
Plan Checking Fee&/or Penalty
Telephone No.
Permit Fee
Building Address ��� S7"
PLUMBING No. @ FEE
PERMIT FILING FEE $3.00
Each Trap 1.50
��/,///; '
el;nWater
Repair drainage or vent piping 1.50
piping 1.50
Each gas water heater or vent 1.50
A. P. No. �Q l/D/ ���
Zoning & Planning
Gas piping system 1 - 5 outlets 1.50
Each additional outlet .30
Fees
W:C
Sanitation,
Fire Dept.
Fire Zone
Use Permit
Building sewer 5.00
EQA
Parking
Plans
Parcel
Declaration
Parcel Ma p
60' R/W
Improvements
Lawn sprinkler system 2.00
Bldg,Plans.Rec'd
Parcel Approval
Plans Approval
Permit Fee $
NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER Q
ELECTRICAL No.1 @ FEE
PERMIT FILING FEE $3.00,QQ
I aq.�le,r -
5splljef_ 1-4z of 75 Cr �-ai�%
Main service 601V OR LESS
100 AMP OR LESS 5.00
Main service EA. ADD'L 100 AMP 2.50
Main service OVER 600V 25.00 -
100 AMP OR LESS
Single Family a Duplex ❑ Mobil H g
Main service EA. ADD -L. 100 AMP 1.00
NEW OR ADDNST ( DACCLBLDGLING OCCUP. &) 2¢sgft
NEW CONSTR. MULTI -OUTLET
NON-RESID. ( BRANCH CIRCUITS) 2.50ea
NEW CONSTRPOWER APPARATUS &
NON -RES ID. (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)@�R
BAL@I
FIXED APPLNS. OR
Ex. Occup.(OUTLETS (RESID.) EA) 2.00
Temporary service 10.00
Mobile Home Facilities 15.00
License No._719a Classification
Misc. Wiring 6.25
❑ I am exempt from the Contractors License Laws of the State of California.
Permit Fee S /0..rC�
MECHANICAL No. @ 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.
/ ❑have placed on file with the County of Butte a certificate of
Workmen's Compensation Insurance.
F]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
TOTAL PERMIT FEE
$
authorize representatives of the County of Butte to enter upon the
above-mentioned property for inspection purposes.
t' X 114, ,... s l tJ ®/ D ate
! Signature of P/ermi�tee or �Aggent
Receipt No. 1(4 ` � !�
White-D.P.W. - Yellow -Assessor - Pink -Inspector - Goldenrod -Applicant
This permit is hereby issued under the applicable provisions of
the Butte County Code and/or resolutions to do work indicated
above for which fees have been paid.
DIRECTOR OF,'PUBLIC WORKS
By / _L, Date 1,_11-7
'Building permit expires Date Z1—//- ? P
•=�1"COUNTY OF BUTTE —.:,DEPARTMENT OF PUBLIC WORKS
7 County Center Drive — Uroville, California 95965
Telephone: 534-4541
APPLICATION AND PERMIT
y
authorize representatives of the County of Butte to enter upon the
above-mentioned property for inspection purposes.
X �.G�a s� Date
r __Signature of Permitee r Age±
Receipt No. �IT�D & ✓
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 0 PUBLIC WORKS `
BY i Date_559
ig permit expires Date 5-ZL-
7
BUILDING
OwnerAl &Z &.1' S
SQ. FT. OCC. BUILDING VALUATION
If
Mailing Address
Telephone No.
Fireplace
Contractor &�f/��li
Total Valuation
Mailing Address o Lu�
Permit Fee
Checking Fee&/or Penalty
`Plan
n1i
Permit Fee $
Building Address S'
PLUMBING No. @ FEE
PERMIT FILING FEE $3.00
Each Trap 1.50
r
Repair drainage or vent piping 1.50
Water piping 1.50
Each gas water heater or vent 1.50
A. P. �o —/40 y
Zoning & Planning
Gas piping system 1 - 5 outlets 1.50
Each additional outlet .30
es
Se(fi4e ew
Fire Dept.
Fire Zone
Use Permit
Building sewer 5.00
EQA
Parking
Plans
I Parcel
Declaration
Parcel Ma P
60' R/W1.
Improvements
Lawn sprinkler system 2.00
Bldg. -a".9 -Re -d I
Parcel Approval I
Plans Approval
Permit Fee $
$
NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER (�
ELECTRICAL No. @- 'FEE
PERMIT FILING FEE $3.00 3400
t
df
600V OR LESS
Main service 100 AMP OR LESS 5•00 OD
Main service EA. ADD'L 100 AMP 2.50 25741
Main service OVER 6 O 25.00
100 AMP OR LESS
Single Family Duplex ❑ Mobil Home Others ❑
Main service EA. ADD'L 100 AMP 1.00
NEW OR ADDNST ( ACCL BLOGS.LING CCUP. &) 2¢sq ft
NEW CONSTR. MULTI -OUTLET
NON.RESID. ( BRANCH CIRCUITS) '2.50ea
NEW CONSTR. (POWER APPARATUS .&)
NON.RESID. SINGLE OUTLET CIR.
CONTRACTORS LICENSE LAW
I am licensed under the provisions of Chapter 9, Div. 3, of the
State of California Business & Professions Code under the name
st II of:
00,
Ex. Occup(OUTLETS OR FIXTURES) 50 BAL@j
FIXED APPLNS. OR
Ex. Occup.(OUTLETS (RESID.) EA) 2.00
Temporary service 10.00
Mobile Home Facilities 15.00
License No.3c241 "_ Classification
Misc. Wiring 6.25
❑ I am exempt from the Contractors License Laws of the State of California.
Permit Fee $ O
$ 70 3
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 Wor men's Compensation.
I/ 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.1 @ I FEEPERMIT
FILING FEE J$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
E TOTAL PERMIT FE
$ 0
authorize representatives of the County of Butte to enter upon the
above-mentioned property for inspection purposes.
X �.G�a s� Date
r __Signature of Permitee r Age±
Receipt No. �IT�D & ✓
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 0 PUBLIC WORKS `
BY i Date_559
ig permit expires Date 5-ZL-
7