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Home My WebLink About030-195-02130-19521 fib. �ois Brewer 10 2th St., lot 1, Oroville Permit 2.29-80P,E(util.,MH) GAss—� q,n'� •• �D SUPPORT STRUCTURE >.N a COMPACTION TES �Q. � J 30-195 Perm' -2197-80MHI ued 30-19531. Permit #5507-80B,P(replace exis.porcl & add W/H vent/SF VWdi q 0-/ n _ 3 + PERMIT NO. 5507-808,P .`=..,..� PERMIT EXPIRES OWNER Lois, Brewer CONTR. owner ASSESSOR PARCEL 30-195-1 YMMI LOCATION 1048 12,th St., Oroville l F Temp. Power Pole Called PG&E t Temp. Elec. Service_ Called PG&E Temp. /ee Cal JOB FI Signatur = OK = Not OK = Not Applicable MOBIL.EHOMES w MISCELLANEOUS = Not Ready,. Date MOBILEHOME UTILITIES (Plans) OK except q's 1. Zoning Requirements -Setbacks -Easements Date DECKS, COVERS, CARPORTS, ETC. (Plans) OK except N'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 7. Utility Clearance 6. Carports; Windows -Doors 7. Elec. Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Date Card -BI Date MOBILEHOME INSTALLATION (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements Card -BI Date Date Card -BI Date POOLS (Plans) OK except a'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 5. Drain; MH Test -Fall -Flex Connector 4. Elec.; Receptacles and Lighting; Distances-GFI 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 8. Elec.; Grounding; Equip. w/5' -Circulating Equip. -Pool Lghtg. Boxes -Enclosures -Panel boards -Ins. to Main in Conduit 9. Health Department Approval 9. Exits; Insp.-Sketch 10. Cert. of Occupancy 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 -BI Date Card -BI Date Card -BI Date = OK = Not OK = Not Read cable RESIDENTIAL (Single and Duplex) Ready Date UNDERFLOOR Plans OK except #'s Date FRAMING (Continued) 1. Zoning requirements -Setbacks -Easements 2. Ftg., Main; Soils-Steel-Elec. Grnd.- / /" Ftg. Depth 48. 49. Property Line Firewall & Openings Ext. Doors -One 3' -Check Garage -3rd story, 2 exits 3. Ftg., Garage; Soils -Steel- / /" Ftg. Depth 50. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 4. Fig., Porches & Decks; Soils -Steel- / /" Ftg. Depth 51 Plywood on Roof Overhang -Attic Vents -Rafter Outriggers 5. Stemwalls, Main; Steel-Blockouts-Wrapped-Slab Siding -Nailing -Veneer 6. Stemwalls, Garage; Steel-Blockouts-Wrapped-Slab 53. Stucco Mesh -Drip Screed-Fdn. Vents-Underflr. Access 7. Piers -Fireplace Ftg.-Steel 54. Glazing Area -Glass Protection -Skylights -Plastic 8. D.W.V.: Fall -Fittings -Test -2 way C/O -Sewer Test 55. Shear Walls; Nailing -Bolts 9. Gas Pipe; Size -Anchors 10. Water Pipe; Test -Anchors -Regulator -Service Test 11. Electric; Underground 12. Plenums & Ducts; Clearance -Material -Support -Ins. 13. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Date Card -BI Date FINAL (P*1fs_)OK except N's Ext. Steps -Door & Sidelight Protection -Landings Card -BI Date Date Card -BI Date P UMBING (Permit) OK except q's 57. Smoke Detector Water Ht.; en Access -Combustion Air 58. Furnace; Vents -Clearance -Comb. Air -Connector- In Garage; Above Floor-Ducts-Mech. Protection _}&, Water Pipe; Test & Anchors -Nail Protection It--D.W.V.; Test-Fttngs & Anchors -Nail Protection 59. Bedroom Exiting -Shower Pan; Test, First Floor -Tub Access 60. G.F.I. & Bath Fixtures & Tub Access Nest Tub & Shower, 2nd Floor -Tub Access 61. Elec. Trim & Subpanel; Breaker Sizes -Labels -49 --'Gas Pipe; Size & Anchors 62. 63. Stairs & Rails Fireplace or Stove; Clearances -Hearth 64. Elec. Outlets at Wood Panel; Int. & Ext. Card -BI Date 3 f Card -BI Date 65. Kit. Fixt. &Appliance; Grnd.-Air Gap -Cooking Clearance Card -BI Date Card -BI Date 66. Elec. Outlets & Receptacles at Kit. Counter Date ELECTRICAL Permit OK except q's 67. Garage Fire Door; Swing -Landing -Closer 68. A.C. Duct in Garage -Damper 20. Fixture & Transformer Clearance -Ins. Protection 69. Wtr. Htr.; V s learance-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. Equip. Ground made up w/Mech. Fasteners -Bond Gas & Water 72, Insulation -Foam -Looked in Attic ❑Yes73. Guard Rails & Deck Construction -Post Caps 25. 2 Appliance Circuits in Kitchen & Conductor Size 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 El No 75. Following instld.: Drive ❑ Yes ❑ No; Walks ❑ Yes ❑ No; Planters ❑Yes ❑No 28. Service -Riser Conductors & Ground -Main Disconnect 76. Stucco; Brown -Finish 29. Equip. Clearances; Panels-Motors-Mech. Equip. 77. A.C. Unit; Disconnect-Cirnces-Brkr. & Cond. Size -115V Outlet 30. Clothe Closet Light -Shower Light 78. 79. 80. Vents Above Roof; Plbg.-Appliance-Firepl.-Clearance to Opngs. Water Well; Disconnect, Electrical, Plumbing Exterior Elec. Trim; G.F.I. Receptacle -Underground C /f fox �^^' Card B-1 Date Card -BI Date 81. Ventilation throughout House Card B -I Date Card -BI Date 82. Glass Protection Date MECHANICAL (Permit) OK except q's 83. Corrections from Previous Inspections 84. Gas Test -Meters Tagged; Gas -Electric 31. A.C. Ducts; Insulation & Support 85. Water & Sewer Connected -C/O to Grade -HD Approval Fan; Exhaust above Insulation 86, Energy Compliance Certificate -Other Certificates -17O3Vent 33. 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 Date and -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Comments at Final: Date FRAMING(Plans) OK except q's 36. Sills; Proper Material & Anchors 37. Walls; Studs -Nailing, Spacing & Bracing -Plates -Sound LOP 38. Bearing Walls over Girders & Floor Nailing _ 39. Draft Stop in Walls (rat proof) 40. Fire Stops; Furred Ceilings -Stairs -Chases -Tub 41. Header & Beam -Size & Bearing 42. Hangers -Post Caps -Anchors -Connectors 43. Cing. Joist-Rftr. Ties-Purlin-Roof Brac.-Truss-Shthng.-Rfng. _ 44. Fireplace Ties or Type A Flue -Fireplace Throat 45. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 46. Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions 47. Garage Fire Protection Framing (NOTE:Anentrymust be made each time you visit jobsite) COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO. 7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541 APPLICATION AND PERMIT v ASSESSOR PARCEL NUMBER ZONING BU DING PER OW ER TELEPHONE v SO. FT. C. BUILDING VALUATION OWNER'S MAILING ADDRE1 / 1Yh CO TRAC O 'S NAME TELEPHONE CONTRACTOR'S MAILING ADDRESS CONSTRUCTION LENDER UNKNOWN Fireplace Total Valuation $ LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Penalty $ ARCHITECT OR ENGINEER'S MAILING ADDR SS Permit fee $ BUILDING ADDRESS PLUMBING PERMIT Filing Fee A3j00 Each Trap 2.00 Repair drainage or vent piping 2.00 Water piping LOT NO.SUBDIVISION NAME PARCEL MAP Each qas water heater or vent 2.00 Gas piping system 1 - 5 outlets USE OF STRUCTURE SF Duplex❑ Mobilehome❑ Other SPECIFY Building sewer Lawn sprinkler system 2.00 TYP 0 WORK New ❑ Add it11o ❑ Remodel Utilities ❑ Installation❑ ther ❑ Describe work: t — ,,IJ CIA Innk Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 3.00 Main service 60 0 AMP ORV OR LESS 5.00 Main service EA. ADD'L too AMP 2.50 NEW CONST. DWELLING OCCUP.&\ OR ADDNS. ACC. BLDGS. I 20 sq ft CONTRACTORS LICENSE LAW I declare under penalty of perjury (check One): ❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. License No. Classification I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONSTR ULT' -OUTLET 2,50 ea NON-RESID BRANCH CIRC ITS NEW CONSTR. ( POWER APPARATUS &� NON-RESID. SINGLE OUTLET CIR. Ex. Occup(OUTLETS OR FIXTURES 50 @25C BAL@t0¢ Ex. Occup.FIXED APP ESI* OR (DUT LETS (RSID.) EA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 6.25 Permit Fee $ Contractor WORKMEN'S COMPENSATION INSURANCE 1 declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. I shall not employ any person in any manner so as to become subject j� to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. MECHANICAL PERMIT Filing Fee 3.00 Heating Cooling Hood 2.00 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 Countyot Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against said ounty in co equence of the granting of this permit. X Date 3 Signatu of Applicant — Owner LJ Contractor ❑ Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ Land Development Fee $ TOTAL PERMIT FEE $ OCCUP. GROUP T'Y/PO'P/ CONST. PARCEL PD I ND I ISSUE This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which DI CTOR O PUBLIC By PERMIT EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS Date Receipt No. ��/ �/ WHITE-D.P.W.. YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT . t PERMIT N0. -M PERMIT EXPIRES. OWNER Lois Brewer Amxxx flim . CONTR. owner LOCATION (A.P. 30-195-1 port. ) 1048 12th St., lot 1, 0roville f Y {j i C 1 t + Temp. 'Power Pole ( Called PG&E ' Temp. Elm Serv. i CaVled PG&E iTem Gas Serv. _�- Called PG&E • I J B s INALED . A, (Date) (Signature) COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS BUILDING INSPECTION RECORD BUILDING BUILDING (Cont'd) PLUMBING S tback F wall Soll (oino Bldg. )tinas Slab Piers Garage Footi Stemv Slab Footings Slab itio Footings Ery Walls knf. Steel Stucco Restrkom Finish Window Siding Roof Shea In Roofing Fdn. Vents Garage Vents Insulation Prov. for ph sicall handicapped Conformance of ex. structure Final REP CE Footing Throat Final FIRE SPRINKLER Test Final MECHANICAL 1st loo' 2nd F or �ZA Water Piping Sewer Fixtures Water Htr. Heaters Appliances Gas Piping & Temp. Gas Sanitation Final Fixtures Motors Water Htr. Gird. Scrata, I HeatiAg I Servlgfi Bro n ' _ Co ng I T mp. Pole ECTRICA F6011sh D is nder round In dor Lath entilation Permanent LoCloser anal %Final L MOBILEHOME UTILITIES ---------- ------ Elec. Service Elec. Pedestal Water Piping ._ � Sewer < <. L V Gas Piping MOSILEHOWE INSTALLATION - - - - - - - - - - - - - - Support Elec. Continuity Water Piping Drainage Gas Piping DATE REMARKS OR CORRECTIONS A4 `979 C, -- (NOTE: An entry must be made on this form each time you visit the job site.) a 97 -CO '3 v � 73 9/ 049 -5-a COUNTY OF BUTTE c DEPARTMENT OF PUBLIC WORKS 7 COUNTY CENTER DRIVE OROVILLE, CALIF. - 534-4541 } CERTIFICATE OF OCCUPANCY This mobilehoine has been installed in accordance with the requirements of the- California Administrative Code, Title 25, Chapter 5, under permit number for the following location: Owner Owner's Address Mobilehome Mfg. Model Year Insignia No. Serial No. It is hereby certified for occupancy at the above described location and may be occupied. Director of Public Works Date By THIS CERTIFICATE IS VOID WHEN MOBILEHOME IS RELOCATED White -Owner, Yellow- Installer, Pink - D.P.W. COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 695 Oleander Avenue, Chico — Phone 343-4211, Ext. 70 7 County Center Drive, Oroville — Phone 534-4541 Skyway and Elliott Road, Paradise — Phone 877-3435 CORRECTION NOTICE lo(-/? lalk S- Oro BUILDING OR PROPERTY ADDRESS A routine inspection indicates that the following violations of County Ordinance exist at the above address and should be corrected. Please notify this office when correction of work is completed. If you have any question pertaining to this matter, or need additional explanation, please contact this office immediately. Inspector lim %I %j Date— MOBILEHOME INSTALLATION INSPECTION CHECK LIST 1., Is the mobilehome located with required separation from lot lines and buildings and generally conform to plot plan? Yes_ o 2. Does the mobilehome have required clearances above ground? (Sec.5085) Yes L--�No 3. Ate footings and supports properly sized, spaced, and braced as per approved plans? (Note possible variation at spring shackles.) (Sec. 5082 & 5083) Yes Po_ 4. Is the mobilehome level? (Sec. 5088) Yes v9.50_ 5. If more t a gle unit, are crossover connections properly installed? (Sec. 5088) Yes_ N 6. Water A. Is fl�x'ible 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 0-�No_ C. Backflow - If coach is not State f� lifornia approved, and pressure -relief valve? Yes does station have backflow device 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 k" per foot slope and is it properly supported? Yes moo_ C. Are any leaks detected in drainage system after.running 3 -gallons of water through each fixture including washing machine standpipe? Yes_ D. 'If coach#t-ate of California approved, does station have required trap and vent? Yes— No'-l� �iVV r 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 mobilehpme gas line inlet without reductions other than the mobilehome connector. Yes No B. Test OK as per following procedure? Yes -L, . 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. I - 4, Connect gas meter to mobilehome with connector, turn on.gas, test connections with soapy water. C. Are all appliance vents properly installed? Yes o. 9. Electrical cVW-O FI,- w v A. Is service large enough to provide adequate amperage -to mobile'aome (must equal rating of mobilehome with a minimum of 100 p) and other facilities on lot, i.e., water -�umps`,' garage, cabana, etc.? Yes_ o_ B. Is there proper clearances around panels? Yes__4 C. Is power supply cord or feeder assembly properly fused? Yes G�Ydo D. Is continuity test satisfactory as per the following procedure? Yes_lPC 1. De -energize electrical wiring system of- the mobilehome at the pedestal. 2. Make sure that the power supply cord or feeder assembly conductors, including neutral conductor, have been disconnected. 3. Switch all breakers and switches in the mobilehome to the "on" position. 4. Connect one lead of a -test instrument to the mobilehome grounding conductor and apply the other lead'to each mobilehome supply conductor, including neutral. 5. All non-current, carrying metal parts of the mobilehome (aluminum siding, gas line, water line), including fixtures and appliances, shall be tested for continuity from such equipment and the grounding conductor. 6. Upon completion of the above procedure, the power supply cord or feeder assembly conductors shall be connected to the site service equipment. A further continuity test shall then be made between the grounding electrode and the chassis of the mobilehome. Upon satisfactory, completion of theelectrical tests, the lot or site service equipment may be approved for energizing. 10. Is job card signed by Health Department for water and sanitation? 11. If everything okay, sign off card and tag services. MOBILEHOME DATA Manufacturer and/or Namestyle Length_ Width__ { Vehicle Serial No. State Identification No. / lJy Additional Information or Comments: 1 s COUNTY OF BUTTE — DEPARTMENT OF OUBLIC WORKS r 7 County Center Drive Oroville, California 95965 Telephone: 534-4541 � `Yo APPLICATION AND PERMIT BUILDING Dwner SQ. FT. OCC. BUILDING VALUATIONf Nailing Address Telephone No. Dontractor ,— A A J Mailing Address Telephone No. Building Address „t— — Gi A. P. No.,j 0 I Zoning & Planning s S ion Fire Dept. Fire Zone Use Permit EQA IParking rcel Plan Declaration Parcel Map 60' RW I Improvement Bldg. Plans Recd I —Parcel-'Approvol I Plans Approval NEW ❑ ADDITION [I UTILITIES � OTHER ❑ Single Family ❑ Duplex ❑ Mobil Home Others ❑ 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: License No. Classification I am exempt from the Contractors License Laws of the State of California. 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. ®1 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 authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. Dat L 9 nature of Permitteeedor Agent d"`7 Receipt No. M 1 White-D.P.W. - Yellow-Assesso - Pink -Inspector - Goldenrod -Applicant Fireplace 4) "_1117 I'll ELECTRICAL No.1 Total Valuation PERMIT FILING FEE 1 $3.00 1 joj Permit Fee 5.00 S sQ) Main service EA. ADD'L 100 AMP Plan Checking Fee&/or Penalty Main service OVERe00v 100 AMP OR LESS 25.00 Permit Fee 1.00 NEW CONST. ( DWELLING OCCUP. Y� OR ADDNS. ACC. BLDGS. PLUMBING No. @ FEE PERMIT FILING FEE $3.00 _ ,Q Each Trao 1.50 2.00 Repair drainage or vent piping 1.50 Mobile Home Facilities Water piping 1.50 /0-0 Each gas water heater or vent 1.50 Gas piping system 1 - 5 outlets 1.50 0, j Each additional outlet .30 Building sewer 5.00 b.e Lawn sprinkler system 2.00 Permit Fee 4) "_1117 I'll ELECTRICAL No.1 @ I FEE PERMIT FILING FEE 1 $3.00 1 joj Main service 100 AMP ORSLESS 5.00 S sQ) Main service EA. ADD'L 100 AMP 2.50 Main service OVERe00v 100 AMP OR LESS 25.00 Main service EA. ADD'L 100 AMP 1.00 NEW CONST. ( DWELLING OCCUP. Y� OR ADDNS. ACC. BLDGS. 2¢sgft NEW CONSTR. MULTI.OUTL T NO N.R ESID BRANCH CIRCUITS 2.50ea NEWCONSTR. POWER APPARATUS a NON •RESID. SINGLE OUTLET CIR. EX. OCCUD OUTLETS OR FIXTI IaES do V �5a @ 10¢ BALFIXED APLN5. Ex. Occup. \ OUTLETS P(RESID )READ 2.00 Temporary service 1 10.00 Mobile Home Facilities 15.00 Misc. Wiring 6.25 Permit Fee $ MECHANICALNo. @ PERMIT FILING FEE $3.00 Heating Cool Scl Ventilation Hood 1 1 2.00 Permit Fee $ $ Land Development Fee $ �Q TOTAL PERMIT FEE Is This permit is hereby issued under the applicable provisions of theCounty Code and/or resolutions to do work indicated abonefwhich fees have been paid. UBLIC WORKS yA t7J (a— J -_ VV _k --I- Dat Building permit expires Da / ��1 COUNTY OF BUTTE - DEPARTMENT, OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541 APPLICATION AND PERMIT PERMIT NO. ASSESSOR PAR L NUMBER /5 -- po2r ZONING y BUILDING PERM OWNER LDS TELEPHONE 533-�" SO. FT. OCC. BUILDIN ALUATION OWNER'S MAILING � A ESS - 0�vl" CONTRACTOR'S NAME TELEPHONE CONTRACTOR'S MAILING ADDRESS CONSTRUCTION LENDER UNKNOWN Fireplace Total Valuation $ LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Penalty $ ARCHITECT OR ENGINE R MAILING ADDRESS Permit fee $ BUI N �RESS S PLUMBING PERMIT Filing Fee 3.00 Each Trap 2.00 Repair drainage or vent piping 2.00 Ur!� Water piping LOT NO.SUBDIVISION NAME PARCEL MAP Each qas water heater or vent 2.00 Gas piping system 1 - 5 outlets USE OF STRUCTURE SF ❑ Duplex❑ Mobilehome - Other SPECIFY Building sewer Lawn sprinkler system 2.00 TYPE OF WORK New ❑ Add itionA [:1 ❑ Uti Iities ❑ Ins al lation Other ❑ Describe work: /✓`fT� � ii�� Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 3.00 V OR Main service 100 AMP ORSLESS 5.00 Main service EA. ADD'L 100 AMP 2.50 NEW CONST DWELING OR ADDNS. ( ACCLBLDGS.CCUP.&) 20 sq ft CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): ❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Business Professions Code and my license is in full force and effect. License No. Classification [] I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CO ID R. BRANCH CIRCTITS 2.50 ea NEW CONSTR.( POWER APPARATUS & 1 NON.RESID. SINGLE OUTLET CIR. P\o OR FIXTURES BAL@rpz Ex. Occu / 50 @ 250and FIXED A Ex. Occup.(OUT OUTLETS ((RESID )PPLNSREA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 6.25 Permit Fee $ Contractor WORKMEN'S COMPENSATION INSURANCE 1 declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ 1 have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. N79 1 shall not employ any person in any rganner so as to become subject Y� to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. MECHANICAL PERMIT FiIingFee 3.00 Heating Cooling Hood 2.00 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 Countyoi Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against s id unty in sequence of the granting of this permit. 7 X Date 17 Signature of Applicant — Owner Contractor ❑ Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ 7 V—,7u-- Land Development Fee $ TOTAL PERMIT FEE $ , aL) OCCUP. GROUP I TYPE OF CONST, PARCEL PD I ND ss This permit is hereby issued under sions the Butte County Code and/or wor in icated above for which PU BI -Al PERMIT EXPI S Date the applicable provi- resolutions to do fees have been paid. C WORKS ��(y ate��+ Receipt No. 85 ?� WHITE-D.P.W.. YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT 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: Q W AI Q V- 3. Is the site currently under permit? Yet M/ No ( If yes, furnish permit number �� - / 1.5~ ) 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 /JC/ No ( If no, clarify ) 5. What is the mobilehome electrical rating? ----------------------- s� Amps 6. What is the mobilehome site service rating? --------------------- 7.. What is the mobilehome site circuit breaker rating? ------------- 8. Is there any other electric load to be served by the mobilehome siteservice? --------------------------------------------------- Amps Amps Yes No,77 (If yes, identify the load and size: (Load) (Amps) �r 9. What is the mobilehome site gas pipe size? ---------------------- / (in.) 10. What'is the type of gas service? -------=--------------------- Natural T77 LPG �p � 11. What is the gas pipe length from meter or tan to the mobilehome? d (ft.) 12. What is the mobilehome gas demand?------{--�Gl� (BTU) (This information not required if pipe length less than 6 ft. on natural gas.. or less than 50 ft. on LPG.) MOB ILEHOME SUPPORT DATA If other than single wide, Mobilehome Mfr. furnish Setup Model No. Year71 �� 7 Width— (ft.) Box Length, (ft.)' Tagalong or Expando Size ft. k ft.. (SHOW SUPPORT DETAILS BELOW) On all mobilehomes manufactured after October 7, 1973; furnish manufacturer's installation manual and structural setup sheets (if not on file with the County of Butte). All center supports measured from front of mobilehome unless otherwise specified: Footings (check one) Single Vr.1. Wood either. pressure treated or foundation grade. x (ft. (i, :) Ain.) (in.) 2. Other' (specify) Center suppo t Center sup ort locations* footing s'zes Supporta (check one) (in.) V.; Concrete block. ® 2.: Other (specify) (ft.)(in.) (in.) (in.). <----Tagalong or Expando,' show supporE-details. Cin)) x -- Typical Support (in.) (in.) Footing Size L-� 11 (ft.)(in.) ( n.) (in.) -- Max Pier Spacing *If center piers are other than drawn above, draw in-locations,.spacing, and dimensions. �. -- Max. Overhang (ft.)(in.) BurrE courvrr BUILDING DEPARTMEN' APPROVE() ��- 2197-9D AQ�� ,V ® dir`ectl ha1•f. o L) uired for the y.. P ' . q perm; will be req `"' pe n of the mobilehome• ti'=*= }I ins lot; FliS4 x ��. \fix we V Y,' • t , ; . � J.:J.r•• C� t r �,� e 4• q of 5 ft. from the s,� f`b t �•; �r."r,6 , ;' } • s� f� of 50ft. from the road centerline shall be clear of �I structures or equipment except for a 2 ft, cave overhang. + � s �S S( Ar� � �. • uired for the y.. P ' . q perm; will be req `"' pe n of the mobilehome• ti'=*= }I ins lot; FliS4 x ��. \fix we onnections shall be within the mobilehome, either behind or within the rear roadside (left) of the w I '1 r:'J" N ;This set of plans and specifications MUST be :4 .' k . t on'the job at ali times and it is unlawful to ce"s'1tl�s�, r?'ic!rteu~vk ..' si �f rant a nvpa trnerat of,Pblic7 /+ �Y NWf? '`a ja i' S. BUTTE COUNTY Y ?ARTMENT �• � � f ' �E a �� , �bg��d�� , £od an :, , .► t+ � r 3 �i' `� f r �`' i�S r i " �1 s y ' ` < t AE D R iS 1 } t ia,11ccfl f, i� ,f r � P .... e a �� p � ' t� .�+'7 f i�3. .t- �',,�'ry �r 1 ..n; . a-• ?.liSr ' i� �./ �� t[�C�� • i.., I� J rl - 7 �.f i'�,. , h' S . , 1 , , on N1777, �.1 i�� fds_.C.',L'm�.i,seq -`w-xi'' ae+tea> r..;�s-`a�:.:'�..°'S .?�.... a: �`_ ..:r.•-,=....,..__._-:� . ?. ,.. ...' r_ ._ _ , ._ i �,. Y,' • t , ; . t r �,� e 4• q of 5 ft. from the s,� f`b t �•; �r."r,6 , ;' } • setback property lines and a setback f� of 50ft. from the road centerline shall be clear of �I structures or equipment except for a 2 ft, cave overhang. + � s onnections shall be within the mobilehome, either behind or within the rear roadside (left) of the w I '1 r:'J" N ;This set of plans and specifications MUST be :4 .' k . t on'the job at ali times and it is unlawful to ce"s'1tl�s�, r?'ic!rteu~vk ..' si �f rant a nvpa trnerat of,Pblic7 /+ �Y NWf? '`a ja i' S. BUTTE COUNTY Y ?ARTMENT �• � � f ' �E a �� , �bg��d�� , £od an :, , .► t+ � r 3 �i' `� f r �`' i�S r i " �1 s y ' ` < t AE D R iS 1 } t ia,11ccfl f, i� ,f r � P .... e a �� p � ' t� .�+'7 f i�3. .t- �',,�'ry �r 1 ..n; . a-• ?.liSr ' i� �./ �� t[�C�� • i.., I� J rl - 7 �.f i'�,. , h' S . , 1 , , on N1777, �.1 i�� fds_.C.',L'm�.i,seq -`w-xi'' ae+tea> r..;�s-`a�:.:'�..°'S .?�.... a: �`_ ..:r.•-,=....,..__._-:� . ?. ,.. ...' r_ ._ _ , ._ i �,. ,, j. , A ..b' r .. . � r ..'[ .At. .N. -...: N" .r rr .... r -- y • .. . y .t .. ... a r r ....rr -JA . • 1 r r .. - w• THERMALITO IRRIGATION DISTRICT 5 , 1 410 GRAND AVENUE OROVILLE, CALIFORNIA 95965 TELEPHONE 533-0740 CSA 26 SEWER SERVICE APPLICATION AND CONNECTION PERMIT Service Address: Owner's Name: Date: Address: %' Acct. No: ' A. P. No.:-, ,= 9 , Phone: r- No. Units: Applicant/Agent: Agents Proof: i Address: Fees: Phone: Application $ ` Arrearage Preliminary Review By: x ' Date: CSA 26 Remarks: SC -OR ' 1st mo. S.C. Other Total Fees Collected By: Date: - r Field Review By: Date: Remarks: 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). 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