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HomeMy WebLinkAbout040-260-046- `40-26-46 �(—E/S of Lott Rd., app. 200' S. of Durham.Oroville Hwy, Durham �~ / �GAS �SUP ORT STRUCTURE RftL � COMPACTION TEST REQ--��67/AP 40 - Permit 4426-76MHI iCONTR: Beich es, Chico | �ISSUED — � | `40-26-46contr: Northstate Aluminum, Chico |Permit #5198-76B(ne�M�rt// . `. . 'rl . � . . / ~ `. . ( \ ' | � ' '! ' ` ' o . ' � / . '41 � ti �. ,.� ^t;� �. �- - - � -- ��. 1 OFFICE CO Address s GAS Meter By ate_ a ELECTRIC ` Meter By Date 1 L 1 �l 1 4 1 t , R � I , I 4 i COUNTY OF BUTTE - DEPAUTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541 `" APPLICATIONAND PERMIT PERMIT NO. ASSESSOR PARCEL NUMBER ZONING BUILDING PERMIT OWNER TELEPHONE SO. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS CONTRACTOR'S NAME TELEPHONE CONTRACTOR'S MAIL'ING'ADDRESS • - ' / ; r- A Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Free $ Penalty $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Permit fee $ BUILDING ADDRESS PLUMBING PERMIT9 Filin Fee 10.00 Each Trap 2.00 Solar Water Heater 20.00 At Water piping 5.00 LOT NO. SUBDIVISION NAME PARCEL MAP Each qas water heater or vent 5.00 Gas piping system 1 - 5 outlets 5.00 USE OF STRUCTURE SF [:1Duplex ❑ Mobi lehome ❑ Other SPECIFY Building sewer 5.00 Mobile Home S G W 10.00 e TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Instal lation ❑ Other 0 Describe work: Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service eODV OR LESS 100 AMP OR LESS 10.00 Main service EA. ADD'L 100 AMP 2.50 NEW CONST. DWELLING OCCUP.& OR ADDNS. ACC. BLDGS. , 2h0sgft CONTRACTORS LICENSE LAW I declare under penalty of perjury (Check one): El 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, Q 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 ULTI.OUTLET 2.50 ea NON-RESID BRANCH CIRC ITS NEW CONSTR. ( POWER APPARATUS &') NON-RESID, SINGLE OUTLET CIR. / Ex. Occup(OUTLETS OR FIXTURES 120 a 9A 030 FIXED APPLN5. OR EX. OCCUp. OUTLETS (RESID,) EA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 Permit Fee $ C Contractor MECHANICAL PERMIT FiIingFee 10.00 WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. O I shall not employ any person in any manner so as to become subject - to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Heating Cooling Hood 3.00 Ventilation permit Fee $ Contractor 1 certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the 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"County in consequence of the granting of this permit. ; `�� / fir _; X D ate / J Signature of Applicant — Owner F-1 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 $ TOTAL PERMIT FEE $ OCCOP. GROUP I TYPE OF CONST. [F7PD ND ISSUE This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which DIRECTOR OF PUBLIC I BY PERMIT EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS Date - Receipt No. r 1 WNITE-D.P.W.. YELLOW -ASSESSOR, PINK -INSPECTOR. GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO. 7 County Center Deive - Oroville, California 95965 4: Telephone 916/534-4541 - APPLICATION AND'Pthff ASSESSOR PARCEL NUMBER C: =-2�� ••= ZONING BUILDING PERMIT OWNER � ✓��Lr�'�•, �T - ��,`? TELEPHONE SO. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS , CONTRACTOR'S NAME TELEPHONE r+ CONTRACTOR'S MAILING ADDRESS CONSTRUCTION LENDER UNKNOWN Total Valuation $ LENDER'S MAILING ADDRESS Filing Fee $ 10.00 Permit Fee $ ARCHITECT OR ENGINEER _ r LICENSE No. Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ Permit fee $ BUILDING ADDRESS PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 - ] Solar Water Heater 20,00 Water piping 5.00 LOT NO. SUBDIVISION NAME PARCEL MAP Each qas water heater or vent 55,00 Gas piping system 1 - 5 outlets 5.00 'USE OF STRUCTURE SF ❑ Duplex❑ Mobilehome_­1 Other SPECIFY Building sewer 5.00 Mobile Home I S I G W 10.00e TYPE OF WORK New❑ Addition❑ Remodel❑ Utilities❑ Installation[] Other Describe work:_i(�l:/:Cr�� F f�; ,(��1� /=,(r F'T;�'�F _ Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 150V OR Main service AMP ORLESS10.00 Main service EA. ADD -L too AMP 2.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): I amNO licensed under provisions of Chapt. 9, Div. 3 of the Business and Professio s ode an'd my license .is in full force and effect. License No. Classification - - /� I, as the owner, or my employees wi'th wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) - El 1, as the owner, am exclusively con tract ting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONST. / DWELLING OCCUP.& , OR ADDNS. C ACC. BLDGS. 2/20sq ft NE NO C:O,N STR U TI -OUTLET NON-RESID BRANCH CIRC ITs 2.50 ea NEW CONSTR. ( POWER APPARATUS &1 N.R ESI D. (SINGLE OUTLET CIR, / Ex. Occup( zo@ooa p(ouTLETs OR FIXTU R,ES 9AL@300 Ex. Occup. OUT ETS PRESID )LNS REA.�� 2.00 Temporary service 10.00 Mobile Home Facilities• 15.00 !S �j Misc. Wiring 15.00 Permit Fee $ Contractor WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. 1 shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. MECHANICAL PERMIT Filing Fee 10.00 Heating Cooling Hood 3.00 Ventilation Permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. 1 also agree to save, indel ify and keep harmless the County of Butte against and expenses which may in an way a crue ag inst ai Coue of the granting of this permit a ilitie ,. j�2� X '� ``z Date 5 -`'` Signotura Applicant — Owner ❑ Contractor ) Agent ❑ An SHA pe mit is required for excavations over 5'0 deep and demolition or construct- ion o ttures over stories in height. Mobile Home Installation Fee $ TOTAL PERMIT FEE $ OCCUP. GROUP TYPE OF CONST. PARCEL PO NO ISSUE This permit ishereby issued under sions of the Butte County Code and/or work indicated above for which aDIRECTOR OF PUBLIC By L111-7-071—Date PERMIT XPIRES Date -.Z the applicable provi- resolutions to do fees have been paid. WORKS J -Z G - , .• X3 Receipt No. i WHITE,-D.P.W.. YELLOW��5;5133(4r3.; POLAR GOLDLNnOO-APPLICANT I . 'i COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541 APPLICATION AND PERMIT PERMIT NO. ASSESSOR PARCEL NUMBER ZONING. BUILDING PERMIT OWNER .TELEPHONE SQ. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS CONTRACTOR'S NAME(�rp TEL PHONE/� —9 CONTRACTOR'S MAILT11IG ADDRESS gj Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation Is Filing Fee $ 10,00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Penalty $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Permit fee $ BUILDING ADDRESS PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Solar Water Heater 20.00 UR Water piping 5.00 LOT NO. SUBDIVISION NAME PARCEL MAP Each qas water heater or vent 5.00 Gas piping system - 5 outlets 5.00 USE OF STRUCTURE SF ❑ Duplex ] MobilehomejT0 Other SPECIFY -1 Building sewer 5.00 Mobile Home JSJGJW.J .00 e TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other Describe work: �PEP.CAr�'F /j/tom -.0 Ja ��P_ Awy4sk Permit Fee $ Contractor ELECTRICAL PERMIT Fi'lingFee 10.00 V OR LES Main service 1000 AMP ORS SLESS 10.00 Main service EA. ADD'L too AMP 2.50 NEW CONST. / DWELLING OCCUP.& OR ADDNS. ( ACC. BLDGS. 2�2QSQft CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): My I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Profess io s ode and my license is in full fore and effect. License No. Classification 0_D 1, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale_ (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONSTR U TI -OUTLET 2.50 ea NO N.RESID BRANCH CIRC ITS &' NEW •CONSTR (POWER APPARATUS .&') NONRESID, ( SINGLE OUTLET CIR Zo@goe Ex. OCCUp(OUTLETS OR FIXTURES BAL®30 FIXED APPLNS. OR EX. QCCUp. OUTLETS (RESIO.) EA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 157,60 Misc. Wiring 15.00 Permit Fee $ Contractor WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. 1 shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shal I be deemed revoked. MECHANICAL PERMIT FiIingFee 10.00 Heating Cooling Hood 3.00 Ventilation permit Fee $ Contractor 1 certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot� Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, inde ify and keep harmless the County of Butte against a ilitie judgme , c sts, and expenses which may in an way a crue a inst ai C unty i c e ce of the granting of this permit 2 X Date 2—- SntI nature Applic - Owner ElContractorAgent Li A SHA pe mit is required for excavations over 5'0f' deep and demolition or construct- ion o ures over in height. Mobile Home Installation Fee $ TOTAL PERMIT FEE $ , OCCUP. GROUP I TYPE OF CONST. PARCEL PD NO I ISSUE This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which DIRECTOR OF PUBLIC BY PERMIT XPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS ���-D77ate Z --Li p3�stories r Receipt No. 6 1�7 S� WHITE-D.P.W., YELLOW-ASSeSSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT y L PERMIT NO. 5198-76B PERMIT EXPIRES���/ OWNER Jay Gardner CONTR. Northstate Aluminu[ , Chico LOCATION (A.P. 40-26-46 ) E/S Lott Rd.,app. 200'S..of Durham -Oro Hwy,Durham r .at it j `r 1' j A f 4 , Temp. Po er Pole Calle PG&E i Temp. ec. Serv. Cal ed PG&E Temp. Gas Serv. C Iled PG&E \" /FNALED (Date) (Signature) COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS BUILDING INSPECTION RECORD BUILDING BUILDING (Cont'd) PLUMBING Setback Q— 12 Firewall Forms Parapets Main Bldg. Restroom Finish Footings Windows61 StemwaI I Siding Slab Roof Sheathing Piers Roofing Garage Fdn. Vents. Footings Garage Vents Stemwa I I Insulation Slab Prov. for phsically handicaped Carport i Conformance of ex. Footings i structure Slab Final Z. Patio FIRIgPLAQE Footings Footing MasonryWails- Throat Reinf. Steel Final Bond Beam FIRE SP INK RS Framing Test Stucco Final Mesh M CHANT L Scratch Heating Brown Cooling Finish Ducts Interior Lath Ventilation Door Closer - Final DATg, REMARKS OR CORRECTIONS Soil Piping 1st Floor 2nd Floor 3rd Floor Topout Water Piping Sewer Fixtures Water Htr. Heaters Appliances Gas Piping & Test Temp. Gas Sanitation Final i R Fixtures Motors Water Htr. Subpanels Grd. Fault Prot. Service Temp. Pole Underground Permanent Final (NOTE: An entry must be made on this form each time you visit the job site.) d/ t �y a COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS ' 7 County Center Drive,,►Jroville, California 95965 - 1/CEJ, Telephone: 58%-4541 r APPLICATION AND PERMIT =+uu V1 &V reprV5cntau CJI I tele Uuutlty UI butte to enter upon the above mentioned pro erty for inspection purposes.X op- e7— / Dat $ignatu of Permitee or Agent Receipt No. White-D.P.W. — Yellcw-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 hav een paid. DIRECT R F PUBLIC WORKS I/ BY DatCe2� % b wilding permit expires Date / -ZZ - BUILDING Owner c �L ry �(���� SQ. FT. OCC. BUILDING VALUATION Mailing 4dres l,� T lhne No. `epo2. , •Fireplace Contractor :� z ,•Total Valuation Mailing Address Permit Fee Plan Checking Fee&/or Penalty ,tzPermit leone No. Fee Building Address APLUMBING 2'6 - / No. @ FEE PERMIT FILING FEE $3.00 Q Each Trap 1.50 Repair drainage or vent piping0 ,/I Water piping 1.50 Each gas water heater o nt 1.50 A. P. No. �� ..0 -C% - Q Zoning & Planning Gas piping syst - 5 outlets 1.50 Each add' nal outlet .30 Fees W.C. Sag&nj Fire Dept. I Fire Zone I Use Permit EQA Parking I Parcel Parcel Map, 60' R/W Im rovements PlansDeclaration P P Bu' ng sewer 5.00 Lawn sprinkler system 2.00 Bldg. P4arr9'i_ec'c Parce Approval r Plgns Approval Permit Fee $ NEW D§ ADDITION UTILITIES ❑ OTHER ❑ ELECTRICAL No. @ EE PERMIT FILING FEE Main service 100 AMP ORV OR LESS,, -'5.00 r Main service EA, ADD'L AMP 2.50 Single Family ElDuplex ❑ Mobil Hom Others ❑ Main service OVER 6 100 A OR LESS 25.00 Main service ADD•L 100 AMP 1,00 • NEW CONST DWELLING OCCUP. & OR ADD ACC. BLDGS. ) 2�sgft N S D MULTI.OUT LET -RESID, ( BRANCH CIRCUITS) 2.50ea NEW CONST. POWER APPARATUS & NON.R 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 o BA?5c Ex. Occup(OUTLETS OR FIXTURES)Q L@t Ex. Occup. ( FIXED APPLNS. OR 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 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. ave 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. @ FEEPERMIT FILING FEE $3.00 Heating Cooling Ve ation 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 is =+uu V1 &V reprV5cntau CJI I tele Uuutlty UI butte to enter upon the above mentioned pro erty for inspection purposes.X op- e7— / Dat $ignatu of Permitee or Agent Receipt No. White-D.P.W. — Yellcw-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 hav een paid. DIRECT R F PUBLIC WORKS I/ BY DatCe2� % b wilding permit expires Date / -ZZ - r j%/ 9,161, I d� ''C04, 'Co9 /7so"f o T_ r o ty u.�il.,MH 1110=76P,E PERMIT NO. PERMIT EXPIRES —27� OWNER .Tay Qgrdner CONTR. owner LOCATION (A.P. 40-26-46 ) E/S Lott Rd., app. 200' S. of Durham-Oroville Hwy,, Durham �s. t�• :x i i 12 Temp. Power ole Called P &E Temp. Ele . Serv. m' Calle PG&E }� o� Temp. as Serv. C led PG&E r JO F ALED '��°'�� (Date) i (Signature) COUNTY OF BI,ITTE` — DEPARTMENT OF PUBLIC WORKS BUILDING INSPECTION RECORD oA,} BUILDING BUILDING (Cont'd) PLUMBING Setback - J-�� 'rewall Soil Piping Form r ParbQets 1st Floor -3 a-7 MainNPIdg. Restro Finish 2nd Floor - Foo "ngs Windows 3rd Floor Stem II Siding To out Slab Roof Sheathin& o Water Piping Piers Roofing Sewer -�O-' / Garage Fdn. Vents Fixtures Footings Garacie Vents Water Htr. StemwaII Prov. for p sically Heaters Slab handica ed Appliances Carport Con rmance of ex. Gas Pipin &Test Footings 4 ucture Temp. Gas Slab y Final Sanitation Patio FIREPLACE Final Footings Footing ELECTRICAL - Masonry Walls Throat Rough -em L-1 Reinf. Steel Final Fixtures FIRE SPRINKLE Framing Test Water Htr. Stucco Final Subpanels Mesh MECHANICAL Grd. Fault Prot. Scratch 4 Heating Service Brown Cooling, ( Temp. Pole Finis Ducts Underground Interio Lath Ventilation Permanent Dor loser Final Final ��•,-- DATE T y-� E&J,Qj/// &C 6"4/ilZb REMARKS OR CORRECTIONS FoA---- M"7— • eve �� �x � ��s �DGYL 1���T� dr/�S � S�Lc/�/� C -S �j¢- j`"��-- • TD dvrz�iL, (NOTE: An entry must be made on this form each time you visit the job site.) F I COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 7 COUNTY CENTER DRIVE OROVILLE, CALIF. - 534-4541 CERTIFICATE OF OCCUPANCY This mobilehome has been installed in accordance with the requirements of the California Administrative Code, Title 25, Ch ter j�5�, under pp��ggrmit n be�2`a- 7G -for the following location: - Owner Owner's Address i Mobilehome We. —//1/'C Model Year "Insignia No. =,e s 3 A I Serial No. �670 �5_5- X It is hereby certified for occupancy at the above described location and may be occupied. Director of Public Wo Date By _ THIS CERTIFICATE IS VOID WHEN MOBILEHOME IS RELOCATED -- COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 7 COUNTY CENTER DRIVE OROVILLE, CALIF. - 534-4541 CERTIFICATE OF OCCUPANCY This mobilehome has been installed in accordance with the requirements. of the California Administrative Code Title 25 Ch Ater under ? rmit nu be �� %� for the following location: �E ©77`— / 1�I Owner --1 Wit- V lfl/4KZ� l /i/ C --/Z i Owner's Address i �p Nobilehome Mfg. S �/��� Model t�y_ear&7 'Insignia No. i s 3 5-" Serial No. 70 5 5 x It is hereby certified for occupancy at the above described location and may be occupied. Director of Public Wo s Date By r t THIS CERTIFICATE IS VOID WHEN MOBILEHOME IS RELOCATED 9. Electrical A. Is service large enough to provide adequate amperage to mobilehome (must equal rating of mobilehome with a minimum of I amp) and other facil-ities on lot, i.e., atepum �� �, garage, cabana, etc.? .Yes No ®� / � /_1WX B. Is there -proper clearances around panels? Yes ! N, �rn� uJcZG C. Is power supply cord_�or feeder assembly properly fused? Yes No D. Is continuity test satisfactory as per -the following procedure? Yes_ No 1. De -energize electrical wiring system of the mobilehome at the pedestal. 2. Make sure that the power supply cord or feeder assembly conductors, including neutral conductor, have -been disconnected. 3.' Switch all breakers and switches in the mobilehome to the "on" position. 4. Connect one lead of a test.instrument to the mobilehome grounding conductor and ,apply the other lead to each m.obilel�ome supply conductor, including neutral. S. All non-current., carrying metal parts of the mobilehome (aluminum�s 'id ing, gas line, water line),, including fixtures and appliances, shall be tested for continuity from such equipment and the grounding conductor. ti Upon completion of the above procedure, the power supply cord or feeder. assembly conductors. shall be connected to the site service equipment. A further continuity test `shall then be made between the grounding electrode and the chassis of the mobilehome. Upon satisfactory completion of the electrical tests, the lot or site service equipment may be approved for energizing. 10. Is job card -signed by Health Department for water and sanitation?f�/�--�.d 11. If everything .okay, sign off card and tag services.4TE/2 MOBILEHOME DATA -7 A001 Manufacturer and/or Namestyle / Length Width 21124 ,. Vehicle Serial No. State Identification No. / Additional.Information or Comments: �,ysi -�g7s joss-f� /if/�G �o� Ssf�ogr .y ' MOBILEHOME INSTALLATION INSPECTION CHECK LIST 1: Is the mobilehome located with quired separation from lot lines and buildings and generally conform to plot plan? Yes No 2. Poes the mobilehome have required clearances above q ground? (Sec.5085) Yes-�!No 3. Are footings and supports properly sized, spaced, and braced as per a proved plans? (Note possible variation at spring shackles.) (Sec. 5082 & 5083) Yes 4. Is the mobilehome level? (Sec. 5088) Yes L__No 5. If more an a single unit, are crossover connections properly installed? (Sec. 5088) Yes o 6. Water A. Is flexib connector of adequate size and properly installed (1/2" ID min.)? (Sec. 5566) Yes vNo B: Test - Does water piping withstand working pressure or.50 lbs, air test? Yes vNo C. Baa, w - f coach is not State of California approved, does station have backflow device �, es re -relief valve? Yes No 7. Wastes and Drains A. Is connection made with Schedule 40 DWV and have flex connectors at each end? Yes B. Does it have minimum k" per foot slope and is it properly supported? Yesy No C. Are any leaks detected in drainage system after running3-gall ns of water through each fixture including washing machine standpipe? Yes No D. If co tate of -California approved, does station have required trap and vent? Yes*N/ 8. Gas Piping and Gas Vents A. Connector - Is mobilehome connected to the gas supply with an approved 3/4" minimum mobilehome connector'n more than 6 ft. long? Note: All piping is to be at least as large as the mobil me gas line inlet without reductions other than the mobilehome connector. Yes No B. Test OK as per following procedure? Yes v No 1.Ope all appliance connector valves. Shutoff appliance burner and pilot valves. 3. 4-A�r test with manometer to 10"-14" water column, or test tfith slope gauge (minimum 6oz.-maximum 8 oz.) calibrated in tenth pound increments. Test for 10 min. without drop Connect gas meter to mobilehome with connector, turn on gas, test connections with soapy water. C. Are all appliance vents properly installed? Yes o COUNTY OF BUTTE DEPARTMENT OF PUBLIC'WORKS 7 County Center Drive — Oroville, California 95965 Telephone: 534-4541 76 APPLICATION AND PERMIT / 4F F BUILDING Owner SQ. FT. OCC. BUILDING VALUATION Mai I i ng Address Tele one No. —� Fireplace Contractor fir!/ Total Valuation Mailing Address Permit Fee Plan Checking Fee&/or Penalty Telephone No. Permit Fee Building Address PLUMBING No.1 @ FEE PERMIT FILING FEE J$3.00 3,tom® C� d� Each Trap 1.50 L Repair drainage or vent piping 1.50 (J110 Water piping 1.50 70. CIO Each gas water heater or vent 1.50 �.g �� A. P. No. gyp.—� �In 9 Gas piping system 1 - 5 outlets 1.50 ®- 0 Each additional outlet .30 F S�i ion Fire Dept. Fire Zone Use Permit Building sewer 5.00 M � 0 EQA ParkinDeclare Plansdg. ion Parcel Map 60' R/W Improvements Lawn sprinkler system 2.00 Plans Recd Parcel Approval Plan proval Permit Fee NEWADDITION ❑ ❑ UTILITIES OTHER ❑ ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00: Q 0 00V OR L Main service 100 AMP ORSLESS 5.00 S Q Main service EA. ADD'L 100 AMP 2.50 Single Family ❑ Duplex ❑ Mobil Home Others ❑ Main service OVER 600V 100 AMP OR LESS 25.00 Main service EA. ADD'L 100 AMP 1.00 /•rV� / NEW CONST.(DWELLING OCCUP. & OR ADDNS. ACC. BLDGS. ) 20sq ft NEW CONSTR. (MULTI -OUTLET NON-RESID, l BRANCH CIRCUITS) 2.50ea NEWCONSTR. 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: 1.(9 Ex. Occup(OUTLETS OR FIXTURES) @@1 109 Ex. Occup. ( FIXED A P7OUTLETS ((RESID.)REA) 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 Califomia. Permit Fee 1 00 s G� 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. ❑ 1 have placed on file with the County of Butte a certificate of Workmen's Compensation Insurance. I certify that in the performance of the work for which this permit is issued I shall not employ any person in any manner so as to become subject to the Workmen's Compensation Laws of California. MECHANICAL No. @ FEE PERMIT FILING FEE $3.00 Heating Cooling Ventilation Hood 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 $ (� -.-__ ... .... .........� ., ....,.w a.. ..Heti uNvn uro above -men ioned property for inspection purposes. X . Si gnat f P rmitee or Agent R eipt N� White-D.P.V.-- 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 PU IC WORKS By e" ,ate- ,3`�7'� Builtting permit expires Date 1 "'/ , COONTY OF BUTTE — bEPARTMtNT OF PUBLIC WORKS 7 County Center Drive — Oroville, California 95965 Telephone: 534-4541 APPLICATION AND PERMIT authortce representatives or the County of Butte to enter upon the above-mentioned property for inspection purposes. X r Date $i ature ooff Permitee�orr Agent Or Receipt No. White-D.P.W. — Yellow -Ass ssor — 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 LIC WORKS ;il Date ding permit expires Date (7— 77 BUILDING Owner N -- SO. FT. OCC. BUILDING VALUATION Mailing Address Telephone No. Fireplace _ Contractor -•' G ft 0 v 6cS Total Valuation Mai I i ng Address ® ',S L RN4 G Permit Fee Plan Checking Fee &/or Penalty CL3 Telephone No. Ys_;;I// Permit Fee $ �' �+ La -p, Q ) r a BuildingAddress J r_d PLUMBING No. @ FEE PERMIT FILING FEE $3.00 OF 2 III; "W uRL A 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. a- TO � Zoningl�Gas & Planning piping system 1 - 5 outlets 1.50 Each additional outlet .30 Fees W.C. 6aefLica Fire Dept. Fire Zone Use Permit Building sewer 5.00 EOA Parking Plans Parcel Declaration Parcel Ma 60' R/W P Im pro ments Lawn sprinkler system 2.00 Bldg. Plans Rec'd Parcel Appr al Pla s Approval Permit Fee $ $ NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 r ` K),$To4A4 /` � Forz. /'Vl� � % —% Main service i°o°o AMP ORSLESS 5.00 Main service EA. ADD'L too AMP 2.50 Single Family ❑ Duplex ❑ Mobil Home Others ❑ Main service R 600V 1100EAMP OR LESS 25.00 Main service EA. ADD'L too AMP 1,00 NEW CONST. OR ADDNS. ( ACCLBLDGLING OCCUP. &) 22sgft NEW CONSTR. MULTI.OUTLET NON•RESID, BRANCH CIRCUITS) 2.50ea NEW CONSTR. POWER APPARATUS &) NON.RESI D. (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)BAL21Oq Ex. Occu FIXED APP LN S- 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. I certify that in the performance of the work for which this permit is issued I shall not employ any person in any manner so as to become subject to the Workmen's Compensation Laws of California. MECHANICAL No. @ FEE PERMIT FILING FEE $3.00 Heating Cooling Ventilation Hood 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 14,14. TOT AL PERMIT FEE $ D authortce representatives or the County of Butte to enter upon the above-mentioned property for inspection purposes. X r Date $i ature ooff Permitee�orr Agent Or Receipt No. White-D.P.W. — Yellow -Ass ssor — 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 LIC WORKS ;il Date ding permit expires Date (7— 77 P L 7-C., oc- 1.n V o 1.50" :f' )7 yr�� -V -- -, I I Lf) LP -4 p 3, -Fc;p, (P) di P PI p 7o 0 P .4 o r, r 9 XL p 5 Qoll P G 0 p 0 �4 0 P P 4100" 3 1 0 Lf) '2 0' 0.6 f, TV 0 ri p CP 'o C; ID r obo 04 p .0(,9' L -IA 9 L�A, 0, 0 A ()o 0 O� go 0 rn Oa r-,o 'r 71 p 0 OD 0 p c a OA, o Lf, Q9 �jb ,4 0 In" 1p 11 19, 3 -1 i 0 3p J: 0 A ^e- d' 4 4.00- 0 0 ol P ", .� 6 �, 9 . - 0 TOIL' \.SNW' 1.01t. '1 0 6- Ir I. f. f., 7 6 99.. 0 6 66. rn:; 9 p )7 Sp ', L/I L� Oc 00 C9 0 4k P < V 0 %j -410D I I . - . - 7'j 0 LP $ rp P 0 0 0 0 ip fl-9 0 G. cq! o p p P E: ID'-) 21 � 4o -9�119ao�s --IgiR"o pgyp0 U:) =D, V4 -r 0 W v* :E o 14 6-6- C, y0'"0 0 0 m r Q- '1 0 0, -P -1 5, 4 1 1 1 1 C. ji 11 z 1 z 0) r 2 --t :r I / I z 0 In A p p -0 i R > a p S 111 0 C yon- - _2 z 9- �f 7 3-3 ;,!P.i A 61, -1 Z M 3 p 1L 1,0 o0-0 -q n XD ko 9 -,o 0 J 011), ;rl -21 9 , JJIP➢i 9, N q, 4 P q L P, 0 f , 0 0 arn -ed' c p 9 up_ ),7 P^ �q p IQ fT, '0 0 / ,°niJ�.i � \ ! 9 ion P pJ 1^ 9 p 0 1 )7� 9 P, 'r 0 0 9 o 'r -,o I�p l-a 0 GIPP 9 P p 0 -P ;rp 0, p- 0 c F, 0 P a' Li 0 r LO �p P, BUTTE COUNTY DEPARTMENT OF PUBLIC WORKS 7 County Center Drive, Oroville,.CA. PHONE: 534-4541 MOB MEHOME 'INSTALLAT ION SHEET 1. Owner's name:. 0,9K CT A /l 4 n t r 2. Installer's name: %3 t/dIA l wd 4 y -t441C �b S 3. Is the site currently under permit? Yes No _L (If yes, furnish permit number OR Is the site an existing.site? Yes / / No /.tom (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? --------- --------- ------- lQ d01 s 6. What.. is the mobilehome site service rating? --------- - ^F Amps 7. What is the mobilehome site circuit breaker rating? ------------ Amps 8. Is there any other electric load to be served by the mobile me -.". siteservice? --------------------------------------------------- Yes,/ / No (If yes, identify the load and size:F: (Load) 7, -Amps) 9. What is the mobilehome site gas pipe size? ---------------------- 10. What is the type of gas service? --------=--------------------- Naturar F-1 LPG / r 11. What is the gas pipe length from mete – or tank to the mobilehome? (ft.)� 12. :What is the mobilehome gas demand?,,�-------- - --=- ------ / � (BTU) (This information not required if pipe length less than 6 ftp. o natural gas or less than 50 ft. on LPG) MOBILEHOME• SUPPORT DATA 10 Mobilehome Mfr. S Art G Setup Model No. Year Width (ft.) Length (ft:) -Expando'.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) . c s IU4� single .. Footings -(check.one; -1. -Wood:either pressure treated or Center Center Support ;" .:-::fdn: grade.:' Support Footing Sizes Locations (in2-..:Concrete pad. (ft. in.) an. �).. x — — (in.) (in.) " u Max. Pier.. _ Spacing ` 3 . rrOther .. specify qq in. in.�13n., _ Su its (check one; / Concrete block. 2. Concrete Xt piers �in3 . (in:) (in:) .... ........ .. _ . ......... . .... .. . 3. Steel piers ::.... . ...... :.. _ ...... 4. Other, specify 711 36 K3Typical Support, ' Footing Size- .(i.n.) (in.) (ft. in.) an. �).. x — — (in.) (in.) " *If center piers are other than drawn above, draw in locations, spacing, and dimensions. BUTTE COUNTY BUILDING .DEPARTMENt APPROVED u Max. Pier.. _ Spacing ` - 0 ,Overhang *If center piers are other than drawn above, draw in locations, spacing, and dimensions. BUTTE COUNTY BUILDING .DEPARTMENt APPROVED L ob r: o.•-,+cv �- �„ �:-r..---s.—�-�. �-��str,+fre:�r�r.:es�»�.�. �-• �ca.5s-'-�, y CA F ✓R � 71) ♦ice 1 °�� ° � ` F__c 'Saw. SF a �i!"•.�',::J° 6S .E ii];` . : �� �� �vi f' r' 4� - — M•�,rr ' 1•...w. r�.- �..+�2w.— -.� ` r.�..rw�,+.u..+.rw.....�.r..��rF.�...... f v-.-w�-u xaun . L (� t+ ...., -� .e'er...._... .....�.,,..-•.-.+rt,.�.....�-.�+��..+-�..,. - - - --....•,..,..s.�r.�..._...,n......- L ob r: o.•-,+cv �- �„ �:-r..---s.—�-�. �-��str,+fre:�r�r.:es�»�.�. �-• �ca.5s-'-�, y CA F ✓R � 71) ♦ice 1 °�� ° � ` F__c 'Saw. SF a �i!"•.�',::J° 6S .E ii];` . : �� �� �vi