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HomeMy WebLinkAbout030-101-089G Bert Schroeder 1640 18th St . , Orovr�l Permit # 9= Com' � � � r PERMIT NO. 6490-76B ,r PERMIT EXPIREAAWA?1�0-->F S OWNER Bert Schroeder- ,CONTR. chroeder-,CONTR. owner ,LOCATION (A.P. 30-101-85 • s; 1640 18th St., Oroville e u i 4 Temp. Power Pole �r Called PG&E Temp. Elee-l"serv. Cal4ed PG&E Te eGas Serv. Called PG&E ' JOB 77—( FINALED '4 (Date) (Signature) COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS Q J BUILDING INSPECTION RECORD BUILDING BUILDING (Cont'd) Setback '—Z '7--77 Firewall "Soil Piping Forrps Parapets 1st Floor Ma Bldg. Restroom Finish �— Servic Fo ins Windows T p. Pole Stemw I Sidin NdFloor Slab Roof Sheathin ermanent Piers Roofing — 2 %– 77 ��Vna l Gara a Fdn. Vents — - xures Footings Garage Vents Water Htr. StemwaII Insulation Heaters Slab Prov, for physically �—.-_ Aoollances handIC.ppe Carport Conformance of ex. _ Gas Piping & Fo ins structure Temp. Gas S abFinal Z �? "�Sanitation Pi tlo FIREPLACE Final .Footings Z = ^7 7 IF oting Masonry Walls Thr t Rough Re . Steel z Final Fixtures Bond am Is FIRE SPRINKLEifS Motors PLUMBING Stucco Final Subpanels/ Mesh NICAL Grd. Fa t Prot. Scratch Heatina Servic Brown Cooling T p. Pole Finish Ducts 7Z 46erground Interior La#tz Ven ation ermanent Door91`6-ser Final ��Vna l DATE REMARKS OR CORRECTIONS (NOTE: An entry must be made on this form each time you visit the job site.) COUNTY OF BUTTE — DLPAf�MENT OF PUBLIC WORKS 7 County Center Drive — Oroville, California 95965 Telephone' 534-4541 APPLICATION AND PERMIT authorize representatives of the County of Butte to enter upon the above-mentioned . property for inspection purposes. Signature ofoPeermitee or Agent Receipt No���J z 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 /Z-3-%� Building permit expires Date -7 7 BUILDING Owner j Cy SQ. FT. OCC. BUILDING VALUATION O AJMailing Address .s Tele hone er Fireplace Contractor Total Valuation �� D Mailing Address Permit Fee Plan Checking Fee &/or Penalty Telephone No. Permit Fee $ Q c Building Address PLUMBING 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 A. P.7,0Q ./ Zoning & Planning Gas piping system 1 - 5 outlets 1.50 Each additional outlet 30 es std Wen FireDept. FireZone Use Permit Building sewer 5.00 Parking EQA Plans Parcel Declaration Parcel Map 60' R/W Improvements.: 2.00 Lawn sprinkler system==:Fl dg.�PIons Recd I Parcel Approval Pla pproval Permit Fee $ $ NEW ADDITION ❑ UTILITIES ❑ OTHER ❑ ELECTRICAL No.1 @ I FEE PERMIT FILING FEE $3.00 V OR Main service 10000 AMP ORSLESS 5.00 Main service EA. ADD'L 100 AMP 2.50 Single Family ❑ Duplex ❑ Mobil Home Others ❑ Main service OVERAMP OR LESS 25.00 Main service EA. ADD'L 100 AMP 1.00 / I c %V NEW CONST. DWELLING OCCUP. & gft OR ADDNS. ACC. BLDGS. 20SNEW CONST MULTI NON -RESIT. ( 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) 50 BAL� Ex. QCCU 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. ❑ I have placed on file with the County of Butte a certificate of / Workmen's Compensation Insurance. rVf 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. 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 MECHANICAL No. @ FEE PERMIT FILING FEE $3.00 Heating Cooling Ventilation Hood 2.00 Permit Fee $ $ TOTAL PERMIT FEE $ authorize representatives of the County of Butte to enter upon the above-mentioned . property for inspection purposes. Signature ofoPeermitee or Agent Receipt No���J z 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 /Z-3-%� Building permit expires Date -7 7 7 • a PA -716) S_ I A e NOTE: x!,' Materials & V'dorkrncin;hip• S!mnll Be in ` f Accarcw'r;ce wiA Recocnited' Gla;od Pra--fices ani) of a qucsii''y prescri ci:° 's ike Specified use in the Uniform Buiiding, Numbing S Mechanical Codes and the National Electrical Code. This set of plans MUST 6e kept on t! ,,' ..If r,q times and it is unlawful �o make any c"P,(,7% or alterc,tions on some without written permission from the Department of Public Works, County of Butte. The Sctbacl; Shaq 6e 5 ft. from'the side Pi'0PC:79y line Gnd 50 ff. from the C@:'7i"eYii f .•;� iCif� j•�.s..r�i ��re��i�-�inc� a maxi- n^:Lrn e I?. Cal%7 overhang but entirely Q�'f Of r.11 easements. �f d \ / 6�4 /t— r/l j= ,yG' St's r/ R'4 Ali • BUTTE COUNTY. ,. BUILDING DEPARTMENT APPROVED zz' X4 C' 0 7,z" 4677-77B PERMIV NO. „ A L PERMIT EXPIRES���p OWNER Bert Schroeder i.CONTR. Acro-Lume, Oroville I LOCATION (A.P. 30-101-85 t 1640 18th.St., Oroville 4 ' c. 1 1 ^ • 1 Temp. Power Pole Called PG&E Temp. Elec. Serv. Called PG&E Temp. Gas Serv. Called PG&E JOB Ile 55��;;r FINALED (Date) (Signature) stucco COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS BUILDING INSPECTION RECORD BUILDING BUILDING (Cont'd) PL MBING Setback Firewall Soil Piping Forms Parapets 1st Floor Main Bldg. Restroom Finish 2nd Floor Footings Windows 3rd Floor Stemwall Siding To out Slab Roof Sheathina Water Piping Piers Roofing Sewer Garage Fdn. Vents Fixtures Footin s Stemwal I Garage Vents Insulation Water Htr. Heaters Slab Carport Footings Prov. for phslcally handicapped Conformance o e structure 0 Appliances Gas PI In & Teit Temp. Gas Slab 4 7 17Final Sanitation Patio FIREPLACE r Final Footin s Footing LECTRICAL Masonry Walls Throat Rou h Reinf. Steel Final Fixtures Bond_ Beam _r, i FIRE SPR KLERS Motors stucco Final Subpanels Mesh MiCHANICAL Grd. Fault Piot. Scratch Heating Service Brown Cooling Temp. Po e Finish Ducts Under ro nd Interior Lath Ventilation i Perman nt Door Closer Final Final "-/ MOBILEHOME UTILITIES ----------•------- Elec. Service Elec. Pedestal Water Piping Sewer Gas Piping MOBILEHOME INSTALLATION - - - - - - - - - - - - - - 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.) Owner y1 Mailina�d COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS 7 County Center Drive OroviIle, California 95965 – Telephone: 5344541 APPLICATION AND PERMIT Telephone No. _ BUILDING C/ SQ. FT7 OCC. I BUILDING VALUATION 7�7 Contractor Fireplace ELECTRICAL Total Valuation 5X Main service Mailing Address 17,471&1y ,,�O. ��f Permit Fee EA. ADD -L 100 AMP Plan Checking Fee &/or Penalty OVER 600V 100 AMP OR LESS Main service Telephone No. _qV1 7 Permit Fee $ 2 �� Building Address l lgr7feZC77 PLUMBING No.1 @ FEE PERMIT FILING FEE $3.00 /Z B V Each Trap 1.50 Repair drainage or vent piping 1.50 Water piping 1.50 Each gas water heater or vent 1.50 A. P. No. r O Zoning 8 Planning Gas piping system 1 - 5 outlets 1.50 Each additional outlet .30 Fek W qi 1 n 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. FiAfKs Recd Parcel Approval Plans Approval NEW ADDITION ❑ UTILITIES ❑ OTHER ❑ Single Family ❑ Duplex ❑ Mobil Home Others ❑ I/ )( 1^f / �/w ^J /IV Permit Fee ELECTRICAL PERMIT FILING FEE Main service 600V OR LESS 100 AMP OR LESS Main service EA. ADD -L 100 AMP Main service OVER 600V 100 AMP OR LESS Main service EA. ADD•L 100 AMP NEW CONST. ( OR ADDNS. DWELLING OCCUP. 8 ACC -SLOGS. NEW CONSTR. NOW.RESID- (MULTI -OUTLET l BRANCH CIRCUITS $3.00 5.00 2.50 25.00 1.00 22sq ft 2.50ea FEE 2 CONTRACTORS LICENSE LAW I am licensed under the provisions of Chapter 9, Div. 3, of the State of Ca ' ornia Business & Professions Code under the name style of: e! A-4 ,C Ex. Occup(OUTLETS OR FIXTURES) BALL®1 FIXED APPLNT. Ex. Occup. ( OUTLETS ((RESID.)REA) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 License No. P7y FV7Classification Misc. Wiring P.25: ❑ I am exempt from the Contractors License Laws of the State of California. 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 Work en's Compensation. 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. 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 properyy-ffor inspection purposes. ie e or Agent TOTAL PERMIT FEE $ 2 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. DIRE C OF PU LIC WORKS Dy Date 1& Receipt No.� ��(�� �� �%/ 7� —,Id— White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant Building permit expires Date �/ [� / • THERMALITO IRRIGATION DISTRICT 410 GRAND AVENUE OROVILLE' , CALIFORNIA 95965 TELEPHONE 533.0740 CSA 26 SEWER SERVICE APPLICATION AND CONNECTION PERMIT Service Address: / RTN 57—FEE-77 Owner's Name: A= 2 % 15% C 14 p A) A-- bi=2, Date: �— % © — Zr Address: WZA) A) 1 YA I Acct. No: OR 517fK1A.P. No.: Phone: '�'� -- No. Units: �,r _�4�a r Applicant/Agent: A/% IU Agents Proof: M Address: Fees: Phone: Application $� � Preliminary Review By� AAoll t 1 �'` �•7 Arrearage C }'r • •'� Date: CSA 26 Remarks: SC -OR 1st-mo-S.C. Other Tota IF eesj.' Collected By: Date: a -•/,o- r � Field Review By: Date: Remarks: J MONTHLY SERVICE CHARGES WILL COMMENCE AUTOMATICALLY UPON: ❑ Date of TID approval of completed building sewer (early connection). ❑ 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). Q 180 days after date above, or on date of D.P.W. approval ofcompleted building sewer, which ever comes first ("new construction", after Mar. 5, 1974). DISTRIBUTION: WHITE - TID, YELLOW - APPLICANT, PINK - DPW, GOLDENROD - DPW to TID PERMIT NO. P .E PERMIT EXPIRES OWNER Bert Schroeder CONTR. owner . f LOCATION (A.P. 30-1" 85 (part) ) 1640 18th St., Oroville M F i d s .r 1 r r Wit. Y . J Temp. Power Pole Called PG&E Temp. Eec. Serv. /failed PG&E T mp. Gas Serv. Called PG&E ` 1 t JOB FINALED (Date) (Signature) 'I S ' T t'iUBTI l?,RO.t.G INSTLALLlITO'ON INSPECTION CHECK LIST 1. Is the mobilehome loc,!ted X".II required separation from lot lines and buildings and generally conform to plot plan? Yes No^ r 2. Does' the mobilehome have required clearances above ground? (Sec.5085) Yes No 3. Are footin,,;s•and supports properly sized, spaced, and braced as per approved plans? (Note possible variation at spring shackles.) (Sec. 5082 & 5083) Yes y No 4. Is the mobilehome' level.? (Sec. 5088) Yes No� 7V- 5. If pore than a single unit, are crossover connections properly installed? (Sec. 5088) Yes No 5. Water A. Is fexi_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. Ba c is C.alif n;a_approve,d-i._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. I o_v_ed,_ 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 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. 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 mc�bilehoTae with connector, turn. on gas, test connections with soapy water. C. Are all appliance vents properly installed? YesV No f • 1 9.' Electrical A Is service Large eno�lgli to provide r:ulequare amperage to mobileliome (must equal rating of riiobilehorle' (vitti a a;inu:um of 100 amp) anal other faciliti.c.s on lot, i.e., water pumps, garat,e , cAb.-i-na, etc.',' Yes No li• Is ther,-� proper.. clearances Around panels? Yes No qYesNo C. Is power supply cord or feeder assembly properly fused? YesD. Is c_oncinuity test satisfactory as per the following procedure? 1. De -energize electrical wiring system of the mobilehome at thal. 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 1c.,ad of a test instrument to the mobilehome grounding conductor and _,:. , aptly the oiu.a? .Lcsa-'s i:o eaCu rIIUUr.LCLIUIILt supply cuYiuucto'r, i11(liiulirg Iieuirai. 5. All non-current, carrying metal parts of the mobilehome (aluminum siding, gas line, w.ater line), including fixtures and ;appliances, shall be tested for continuity from such equipment and the grounding conductor. 6. Upon completion of."ilie 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 r.loi)ilehome. Uoon.sati_sfactory'completion of the electrical tests, the. lot or site service equipment may be approved fo7r energizing. Is job card signed by Health Departmeat for water and sanitation? 1. l.. If everything ol:ay, sign off card and t.a;~, services. MOBILEifUP^.L•• DATA Manufacturer and/or N Ler.gth Width Vehicle Serial No. / amest:yle _ 1 State Identif.icati.on No. 4.diiLtional Infor-narion or Cormnents: COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS BUILDING INSPECTION RECORD 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 Sheathing Water Piping7 Piers Roofing Sewer + Garage Fdn. Vents Fixtures Footings Stemwall Garage Vents Insulation Water Htr. Heaters Slab Carport Footings Prov. for physically handica ped Conformance of ex. structure Appliances Gas Piping &Tet l Tem . Gas . L Slab Final Sanitation Patio FIREPLACE Final Footings Footing ELECTRICAL Framing Test Stucco Final Mesh MECHANICAL Scratch Heating Brown Cooling Finish Ducts Interior Lath Ventilation Door Closer Final DATE REMARKS OR CORRECTIONS 1111176 Fixtures Grd. Fault Prot Service � i Temp. Pole Under round Permane t Final �y (NOTE: An entry must be made on this form each time you visit the job site.) COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 7 COUNTY CENTER DRIVE OROVILLE, CALIF. - 534-4541 CERTIFICATE OF OCCUPANCY This mobilehome has been installed in accordance with the requirements of the California Adm'nistrative Code, Title 25, Chapter 5, under permit number �'�'y3 V for the ollowing location: /G4/�1 lam' Owner /�-�'1'---��✓t Owner's Address i0Li%6? %P' Mobilehome Mfg. Model Yearly�'� Insignia No. J (a Fv7 a% 4 Serial No. -6-69-5-4"# i) 4,V It is hereby certified for occupancy at the above described location and may be occupied. / Director f Public Worksi� �G- Date $y /�.�yc�szr�`'(��c/ THIS CERTIFICATE IS VOID WHEN MOBILEHOME IS RELOCATED • � r r _ COUI4ITY OF BUTTE — DEPARTMENT OF PUBLIC WORKS 7 County Center Drive �~ Oroville, California 95965 f Telephone: 534-4541 APPLICATION AND PERMIT auuwrlce representatives or the County of ttutte to enter upon the above-mentioned property for inspection purposes. a� Date /d 7,61 Signature of Permitee or Agent Receipt No.�y OL CZ40 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 id. DIRECTOR OF P BLIC WORKS By Date %~/(. -% 1'0 ilding permit expires Date ��' ` 27 BUILDING Owner a rt -7— d g/Z SO. FT. OCC. BUILDING VALUATION Mailing Address W �itip PEG Plea—" �M LA 2 �J d s ' mel ephone No. Z (O Fireplace Contractor w ''' Total Valuation Mailing Address Permit Fee Plan Checking Fee &/or Penalty Telephone No. Permit Fee $ Building Address El—PLUMBING No.1 @ FEE PERMIT FILING FEE $3.00 3 •Ott Each Trap 1.50 Repair drainage or vent piping 1.50 Water piping 0, Q Zoning Y�rificef10 Only, Each gas water heater or vent 1.50 A. P. No. gs-— l^ Zonl Gas piping system 1 - 5 outlets 1-&H Q .421 Each additional outlet .30 Fees W.C. t "on Fire Dept. Fire Zone Use Perrnit Building sewer `� ed EOA Parking Plans Parcel Declaration [Parcel Ma P 60' R/W Im r p ovements Lawn sprinkler system 2.00 BI� ns Recd ,4ReLL Parcel Approval Plans Approval Permit Fee $ a $ Zjt NEW ❑ ADDITION ❑ UTILITIES OTHER ❑ ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 ,d'O Main service 600V OR LESS 100 AMP OR LESS 5.00 �^ v .4VO Main service EA. ADD'L 100 AMP 2.50 e Main service OVER 600V 100 AMP OR LESS 25.00 Single Family ❑ Duplex ❑ Mobil Home Others ❑ Main service/ EA. ADD'L 100 AMP 1.00 NEW CONST.LING 0 OR ADDNS. ( ACCDWELBLOGS.CCUP, &) 2¢sgft NEW CONSTR. MULTI.OUTLET NON.RESID• ( BRANCH CIRCUITS) 2.50ea NEW CONSTR. POWER APPARATUS & NON-RESID, (SINGLE OUTLET CIR. CONTRACTORS LICENSE LAW I am licensed under the provisions of Chapter 9, Div. 3, of the State of California Business & Professions Code under the name style of: Ex. Occup(OUTLETS OR FIXTURES) BqL@1 FIXED APPLNS. OR Ex. Occup. 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. ❑ 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 FEE PERMIT FILING FEE J$3.00 Heating Cooling Ventilation Hood 2.00 Permit Fee $ $ 1 certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby TOTAL PERMIT FEE 5'7 18t $ auuwrlce representatives or the County of ttutte to enter upon the above-mentioned property for inspection purposes. a� Date /d 7,61 Signature of Permitee or Agent Receipt No.�y OL CZ40 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 id. DIRECTOR OF P BLIC WORKS By Date %~/(. -% 1'0 ilding permit expires Date ��' ` 27 f' �Q 1%,koC a e— 11 M, kl, f V iL �T1�:s The Mhj. Sefbact shall be 5 ft. from the side propertyme and sn f+, from the centerline of t e road, permitting a maximum of a 2 ft. eave overhang. Septic system and locat i to Butte County Health quirements. his set of plans cept on the job at all time make any changes or alter viitten permisson from the 1#11746�. County of Butte: A on mobaNtIo. be as per Dept. Re - Iq X 4 8 Co Ack. it f on ill be of the mobi el�ohe me All utility connections shall be located within 4 ft. outside the rear #hi,rd section of the mobile home MUST be an the heft (road) side. of the mobile and it is unlawful to cions on same without Department of Public. 40TE:=AII Materials & Workmanship Shall Be in kccordance with Recognized Good Practices and >f a quality prescribed for the Specified' use in the Uniform Buildina, PlurnHnq. Machanical Codes and +e National Electirical Cod . ,BUTTE ZOUNTY 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: 11B2"j 2. Installer's name: 3. Is the site currently under permit?. Yes No (If yes, furnish permit number ) OR Is the site an -existing site? '� - '} Yes / / No (If yes, furnish two (2) plot plans.) 4. Will the mobilehome be located at least 5 ft. away from septic tank and leach.fields and clear of all setbacks and easements? Yes No ( If no, clarify ) 5. What is the mobilehome electrical rating? ----------------------- �i o Amps 6. What is the mobilehome site service rating? --------------------- O-er Amps 7. What is the mobilehome site circuit breaker rating? ------------- !la 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? ---------------------- (in.) 10. What is the type of gas service? ----------------------------- Natural IX/ LPG 11. What is the gas pipe length from meter or tank to the mobilehome? /l�%�C 7� ' (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.) • MOBILEHOME SUPPORT DATA ' Mobilehome Mfr. /L% Setup Model No`o� 5-6`5WCl/ Year /?4-21- Width, ?4-21-Width.2=K .(ft.) Length" . (ft.) , Expand6 Size ft.x ft. ' (Draw support details below) On.all mobilehomes manufactured after October 7, 1973, furnish manufacturer's installation manual, and structural setup sheets,. (if not .on '.file with .the County of Butte) . Single —a -, Footings (check: one) (in.)(in.) t. in.) •- �a* *If center piers are other than drawn above, draw"in locations, spacing, and dimensions. • r • +Y i® pooled ?;a-s*f--qS 1. Wood. either pressure treated or fdn-. ,.grade. 2. Concrete pad. 3. Other,: specify Supports (check one) 1. Concrete block 2. Concrete piers 3. Steel piers /_/ 4. Other, specify Typical Support x .Footing Size in. in.) _ Max. Pier — Spacing in. ) ;1 Max. ,Overhang 14 Center Center Support 'A Support r Footing Sizes `�] ` Locations (in.) . - x, in. All �in (in •) (in .) . (t (in.)(in.) t. in.) •- �a* *If center piers are other than drawn above, draw"in locations, spacing, and dimensions. • r • +Y i® pooled ?;a-s*f--qS 1. Wood. either pressure treated or fdn-. ,.grade. 2. Concrete pad. 3. Other,: specify Supports (check one) 1. Concrete block 2. Concrete piers 3. Steel piers /_/ 4. Other, specify Typical Support x .Footing Size in. in.) _ Max. Pier — Spacing in. ) ;1 Max. ,Overhang BUTTE COUNTY DEPARTMENT OF PUBLIC WORKS 7 County Center Drive, Oroville,.CA. PHONE: 534-4541 MOBILEHOME INSTALLATION SHEET 1. Owner's name )Cff Ai .7— % --- Is 2. Installer's name: v 3. Is the site currently under permit? Yes 7771 No 4 (If yes, furnish permit number �r�,, 5;--9 > OR Is the site an existing site? Yes / / No (If yes, furnish two (2) plot plans.) 4. Will the mobilehome be located at least 5 ft. away from septic tank and leach fields and clear of all setbacks and easements? Yes /Z:? No ( If no, clarify 9. ) is the mobilehome site gas pipe size? -------- -------------- , (in.) 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.) 5. What is the mobilehome electrical rating? ------------ - d c> Amps 6. What is the mobilehome site service rating? --------------------- /,00 Amps 7. What is the mobilehome site circuit breaker rating? ------------- b 0 Amps 8. Is there any other electric load to be served by the mobilehome or less ithan;t50 )ftP6n*1PG. ) } site service? --------------------------------------------------- Yes / / No /dil (If yes; identify the load and size: (Load) 9. What is the mobilehome site gas pipe size? -------- -------------- , (in.) 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? ------------------------------ (This information `ft. (BTU) not required if pipe length less than on natu al gas or less ithan;t50 )ftP6n*1PG. ) } MOBILEHOME SUPPORT DATA Mobilehome Mfr. 14 01V7' 1fT7F Setup Model No. - Year �L .Width. v2 `f (ft.) Length T (ft.) Expando. Size . ft.x ft. -(Draw support details below) On all mobilehomes manufactured --after October 7, 1973, furnish manufacturer's installation U and structural setup sheets (if, not on .file with the County of Butte). Sin le ® Footings (check. one) 1. Wood either f pressure treated or Center Center Support r fdn. grade. Support Footing Sizes Locatiolns (in.) 2. Concrete pad. �x�� ., 3. Other,: specify in,j in. Linn – — -- -- -- Supports (check one) Concrete block 2. Concrete piers ` ft�...(•in (iii (in.) 3. Steel piers 4. Other, -specify Typical Sup��t x Footing,Size (in.)(in.) + - Max. Pier _. -°� �j Spacing ft. in.) in: 3*. / i -� Max. .t. Overhang – -- in. ) *If center piers are other than drawn above; draw in locations, spacing, and `dimensions. BUTTE COUNTY BUILDING DEPARTMENT APPROVED ' COU4qTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS 7 County Center Drive = Uroville,-California 95965 Telephone: 534-4541 APPLICATION AND PERMIT authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. X �� � L i Date /c '5 —7t Signature of Permitee[orr Agent Receipt No. /:57 Z 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 O'FIPUBLIC WORKS By Date% ­/ Y 7 a ilding permit expires Date /"t `77 BUILDING Owner SQ. FT. OCC. BUILDIN ALUATION Mailing Address Telephone No. Fireplace Contractor 5N/ Total Valuation Mai I i ng Address 110Y 171/2 . .57- Permit Fee Plan Checking Fee &/or Penalty Telephone No. Permit Fee Building Address PLUMBING No. @ FEE PERMIT FILING FEE J$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 A. P. No. 3c7 Q 1 - Zoning &Planning Gas piping system 1 - 5 outlets 1.5U Each additional outlet 30 F� V�%,Z�-Seni�etFerr Fire Dept. Fire Zone Use Permit Building sewer 5.00 EQA Parking Plans Parcel Declaration Parcel Ma p 60' R/W Im rovemen p Lawn sprinkler system 2.00 Bldg. Plans Recd P1 Parcel A royal Plans proval Permit Fee $ NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER ELECTRICAL No.1 @ FEE PERMIT FILING FEE $3.00 Main service soov OR LESS 5.00 100 AMP OR LESS Main service EA. ADD'L 100 AMP 2.50 Main service OVER soov 25.00 100 AMP OR LESS Single Family ❑ Duplex ❑ Mobil Home Others ❑ Main service EA. ADD'L 100 AMP 1.00 NEW CONST. ( DWELLING OCCUP. &) OR OR ADONS. ACC. BLOGS. NEW CONSTF;L MULTI -OUTLET NON.RESID, ( BRANCH CIRCUITS) 12.50ea 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 styleEx. $ Ex. Occup(OUTLETS OR FIXTURES) BAL@1 Occup ( FIXED APPLNS. OR \2 00 • OUTLETS (RESID,) EA/ Temporary service 10.00 7 Z r-�7-ej /_= /= T C Mobile Home Facilities 15.00 �j // � License No.,,; �1 3 Classification - 6Z Misc. Wiring 6.25 ❑ I am exempt from the Contractors License Laws of the State of California. Permit Fee $ Is 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. eel have placed on file with the County of Butte a certificate of Workmen's Compensation Insurance. ElI certify that in the performance of the work for which this permit is issued I shall not employ any person in any manner so as to become subject to the Workmen's Compensation Laws of California. PERMIT FILING FEE J$3.00 Heating Cooling Ventilation Hood 2.00 Permit Fee $ $ I certify that I have read this application and state that the above information is correct. I agree tomcomply to all County Ordinances and State Laws relating to building construction, and hereby 7A4Z-X ON p.69 TOTAL PERMIT FEE A 3G.dJ $?0 authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. X �� � L i Date /c '5 —7t Signature of Permitee[orr Agent Receipt No. /:57 Z 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 O'FIPUBLIC WORKS By Date% ­/ Y 7 a ilding permit expires Date /"t `77 yy, /� p x tt..ryry ��ff SUPPORT S �fT.?�+t�IC. COWACTION TBSP' EQ. /,Z rsa x mo`'`d 6 @ d $ d 8 fill ij