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HomeMy WebLinkAbout041-330-05741-33-57 Al E ndemano SE wy 70, \app.2 mi-S'.Of inters.of Pentz a1:'ia Hwy & Hwy 70, Rrdise P Eutil,,Il Woo Permit # -78P,E(util.,MH) ELEC. GAS V/ -7 ,Oz SUP RT /S STRUCTURE Q. -7-Z-Q T Q. Q,ONPAC TEST Q. -72-6 41-33-5 Permit #5296-78NHI Issued &77r. 1 a-7 9' 41-33-57 SE/S Hwy 70,app.Z mi.S.or Pentz Magalia Hwy, Paradise contr: Mobile Home Center, Oroville Permit #1311-80MHI (existing site) Isgued c;o— (2ro —41-33-5-7;!z --------- P�ermit#16 BOP(gas vilm'd I A4 41-33-5t Thomas H. Kruse . /6 S't'/S Hwy 70, app.32- mi.S.of Pentz-Maga. Hwy, Paradise NN Permit #2435-80B(new decks/MH) V40. I. 41-33-57 Al E ndemano SE wy 70, \app.2 mi-S'.Of inters.of Pentz a1:'ia Hwy & Hwy 70, Rrdise P Eutil,,Il Woo Permit # -78P,E(util.,MH) ELEC. GAS V/ -7 ,Oz SUP RT /S STRUCTURE Q. -7-Z-Q T Q. Q,ONPAC TEST Q. -72-6 41-33-5 Permit #5296-78NHI Issued &77r. 1 a-7 9' 41-33-57 SE/S Hwy 70,app.Z mi.S.or Pentz Magalia Hwy, Paradise contr: Mobile Home Center, Oroville Permit #1311-80MHI (existing site) Isgued c;o— (2ro —41-33-5-7;!z --------- P�ermit#16 BOP(gas vilm'd I A4 41-33-5t Thomas H. Kruse . /6 S't'/S Hwy 70, app.32- mi.S.of Pentz-Maga. Hwy, Paradise NN Permit #2435-80B(new decks/MH) V40. PERMIT NO. 2435-80B PERMIT EXPIRES. `.OWNER Thomas H. Kruse owner CONTR. 41 -33 -57 - LOCATION (A.P. ) j SE/S Hwy 70, app.'k mi.S.of Pentz-Magalia Hqy; Paradise r. k Temp. Power Pole Called PG&E _ Temp. Elec. Serv.. Called PG&E . Temp. Gas Serv. _ Called PG&E JOB FINALED (Date) (Signature) J COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS ;3 " 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 StemwalI Siding To out Slab Roof Sheathing Water Piping Piers Roofing Sewer Garage - Fdn. Vents Fixtures Footings Stemwal I Garage Vents Insulation Water Htr. Heaters Slab Carport Footings Prov. for physically handica ed Conformance of ex. structure Appliances Gas Piping & Test Temp. Gas Slab Final Sanitation Patio FIREPLACE Final Footings Footing ELECTRICAL Masonry Walls Throat Rough Reinf. Steel Final Fixtures Bond Beam FIRE SPRINKLERS Motors Framing Test Water Htr. Stucco Final Subpanels Mesh MECHANICAL Gird. Fault Prot. Scratch Heating Service Brown Cooling Temp. Pole Finish Ducts Underground Interior Lath Ventilation Permanent Door Closer Final Final MOBILEHOMEUTILITIES ------------------ Elec. Service Elec. Pedestal . Water Piping Sewer Gas Piping OBILEHOME INSTALLAL W - - - - - - - - - - - - - - Support Elec. Continuity Water Piping Drainage Gas Piping DATE REMARKS OR CORRECTIONS u (NOTE: An entry must be made on this form each time you visit the job site.) COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS P RMIT NO�� ' 7 County Center Drive - OroviJle, California 95965 - Telephone 916/534-4541 APPLICATION AND PERMIT ASS 5 OR PARCEL NL�BER �� 3 3 " ✓ Z NING , >`� BUILDING PERM OWNER/�.jJo J /rte eJr TELEPHONE, S0. T. OCC. BUILDING LUATION OW R'S MAILI G ADDRESS . ©. O K /o Z&(/ia,1 neoc 9s9�S V. C NTRACTOR'S NAME TELEPHONE CONTRACTOR'S MAILII,,rG ADDRESS CONSTRUCTION LENDER UNKNOWN Fireplace Total Valuation $ 134i LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINE LICENSE No. Plan Checking Fee $ Penalty $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Permit fee $ BuSDE S DRESS 0 A P P Z PLUMBING PERMIT Filing Fee 3.00 #,/ 14, o I �/ . 7 Each Trap 2.00 Repair drainage or vent piping 2.00 Water piping LOT NO. SUBDIVISION NAME 77�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 ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other Describe work: 4f=— — Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 3.00 Main service 100 AMP S ORLESS 5.00 Main service/EA, ADD'L too AMP 2.50 OR ADDNSNEW CONST. ACCLBLDGS.LING CCUP.&� 20sgft CONTRACTORS LICENSE LAW I declare under penalty of perjury (Check One): F-1NON-RESID, 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-"ULT'-OUTLET EW CONSTR U T1.OUTLET NO N.RESID BRANCH CIRC ITS 2.50ea NEW CONSTR POWER APPARATUS & ( SINGLE OUTLET CIR. ExOccup(ouTLETS OR FIXTURES �@� . BAL@tOQ EX. Occup. FIXED APPLNS. OR p.(OUTLETS (RESID,) 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. 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 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 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 id C unty in con equence of the granting of this permit. X Date — Sif Applicant — Owner Contractor ❑ Agent a?OHA Apermit is required for excavations over 5'0" deep and demolition or construct- iotures over 3 stories in height. Mobile Home Installation Fee $ Land Development Fee $ TOTAL PERMIT FEE 3�, oc CUP. GROUP t TYPE OF CONST. r / , / V A PARCEL �/ PD `/ N SSUE This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which DIRECT R OF PUBLIC By PE IT EXPIRES Date_ the applicable provi- resolutions to do fees have been paid. WORKS ate p�G Receipt No. 30 6o �^/ WHITE-D.P.W., YELLO 5 PINK NSP G�QyN ROD -APPLICANT COUNTY OF BUTTE – DEPARTMEN00F PUBLIC WORKS – BUILDING DIVISION >+7 County Center Drive — 0rovil&i ,Cadif,ornia 95965 — Telephone 534-4541 Jk PERMIT APPLICATION DATA SHEET Permit No OWNER Kms(/ S – A.P. No. Proposed Building Use Permit fee based upComplete Contract Price on: i a hr (explain) Building Inspector Date `7Y-�S_� �7 6,,–. DPW Valuation At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance: DATE RECEIVED APPROVED 1. All items have been submitted................................................................... Plot plans in duplicate/triplicate.....................................n....................... __j2jZ-3• Complete plans in duplicate/triplicate.....g.....I.�1!....�L.ay!v... 4. Complete engineered plans and calcs......... `�....ao' 5. Plans with Energy Design Compliance Statement ............................ 6. State Energy Forms No. .................... 7. Statement of Intent for Non -Heated & AC Buildings ................... 8. Fees of $.................................................. 9 Letter of signature authorization............................................................. _04_4c--1TSanitation approval from /51-f,4 Health Dept.... 11. Planning approval fQr 2. C rtificate of rk s Compensation Insurance ........................ tion (no., name style, !� classification) ............................... a/ d 14. Improvements may be required. Contact Land ' Development Section of Dept. Public Works (see addressbelow)................................................................................................. ' 15. Pre -inspection forrequir Pre-inspe . request to ' bldg. ins ector date 16. Other When you issue the permit, process as follows: Mail to owner Mail to contractor. Telephone and hold fo pick-up at office. Deliver w/inspection. Other /41.4/4 �." JA &X E. K2I E:- 'b$0 7-071 ago L e I - . li4 Applicant Copy of plans sent Health Dept., =====[ .)Fire Dept., Other Date— During ateDuring the plan checking process, the following data must be submitted prior to permit issuance: (For required items not checked above at time of application, circle item.)f 1. Index permit for above Items No. /4 2. Additional items required: (Contractor, Designer, Owner) was advised of above required data by Telephone =Mail -V1/5/80 Other ' By Date - Plans checked by Date -4--- 6 —cOlo Plans approved by Date OTHER: Copy/DPW Subject., :!ari�,a�yad�.► �:2fiaYA; CB ter Ian t3 it 3 dpPrOV-,+i Hold f w.naI t Or. Disposal Clearance ticr Mobile i:one. O#,hur V � L;;arat5z£` i or dtfd1 Cio(, of as n i r :t� si -__ `i5a a �'•;?. COUNTY -OF BUTTE - Department of Public Works 7 County Center Drive, Oroville, CA. 95965 Phone: 916-534-4541 OWNER -BUILDER VERIFICATION .Attention Property Owner: J 1 v �j ei1 KIM An "owner -builder" building permit has been applied for in your name "and bearing your signature. Please complete and return this information in the envelope provided at your earliest opportunity to avoid unnecessary delay in processing and issuing your build- ing permit. No building permit will be issued until this verification is received. 1. 3. l� 4. perp. I personally plan to provide the major labor and materials for construction of the proposed property improvement (yes awe) l I.(have 4 N signed an application for a building permit for the proposed work. I have contracted with the following person (firm).to provide the proposed construction: wT--- Address 11 Phone Contractors License No C ity I plan to provide portions of this work, but I have hired the following person to coordinate, supervise, and provide the major work: Address, .Phone_ City Contractors License No. 5. I will provide some of the work but I have contracted (hired) the following persons'to provide the work indicated: Name Address Phone Type of Work S ign Soc1a1 Security number Date NOTE: This Owner -Builder Verification -is sent to you as required by Sections 19831 and 19832 of the California Health and Safety Code. This verification must be completed and returned to -our office before we are permitted to issue the permit. A setback of a ft. from tho ro Pty ines anal a setb ��pn lei of 5 .from fhe �r��c� .. , ��P"/,%f�:� � !'� . r •,..�::�R:5:09! Be�s Accc�rdCjnre w'I i9 c�,r9ni�e � :+d #': c#ices and centerline shall be clearf a qucal4"sy prescribed far .SpacitaYr� use in#hs stmctures ®r equipm, ant except' Uniform B�iilding, Plumbing 4VPS. 1cl,M h -:11 -cal �o�gs ��� fc w e 2 ft, eave overhang,' the 1�,lofio��l Electrical Code, E pT1 GOO -- � t '#w U i t r r.- i - ( _ 3E'CFiCCl�!�"1 3,t r�t9 fiflr? 9e, Eit1C� �r 5 �i'4p 'Pf. kept 0 V:sY s$ ��G/(fi �,� fn�ke Ony �llc�ngBS or t�1#arolio�s�n s +� �� l*eu �[ r' ri4yra erg++pion #row tie�pn��t 7 3 '"' e. works, F � Ui' � Sl��o2N, �f�l� �f c !� 4� Cii9U4)ijf 4 _ ''BUTTE Ct UNTY BUILDING Dr:PART&4jF A MR OVED--- --f #44—�-.t }=�� ' Kr�i;rs� • f . �� J ��-t ►J 4 - � s H�t�Tt� � rl C� - gLSPA((-( x 2 x4 s T -D, ire Fort--o-SP_ io tail to be 36 in. high Ip • ? � � intermediate rails to be r ofI Post ,- • I c :� over 9 in. apart. �. G4 -PS J ' •� r � jij { � M .r �. S• •�•� � `+y .w�w.r.. -.. rr�-r..rF a..+r«...� � � • ~ M t.�i •f •� ` � /d////// � J I . 4 t O.C. � � � " w ` .C' .ter � i�'� �'1 `s- + �'•r. .� All, ' , .. •ate s v e� a ya'�+. y,,, � "`�.5' t•�� �`/ I E pp L i —r)D 7o Bqc k D TR F do -r 5D Wo&P c— rt2O BUTTE COUNTY BUILDI DEPARTMEl" MG APPROVED' FR Lj��l °xl2„ STAIR ,TRi�i<�r:. r��'�. �--- 2 I -TOP \JIEW DECKit` G �41- 5/0_JET I T C•C EXT Mv16BILE- HOMEFLY- 1 CLIP (E:'WE POST- 1 �ItAR�^kA1L f2C?r Y _ PUl_TS I ' ►'. M ..DE.CKtIJ G34 : " GiRD�R ." - . - _ ,,`�, .. �. . ,�• "- ;w� �.. POST _ PIER �ACEUATE E)(A , _ j - rRACI 1Jf3.` !D 1 /'i4L ,' ��,.,4n ,� 12Fc" �1' COUNTY OF BUTTE DEPARTMENT DF PUBLIC WDRKS r 4 ' 7 County CeriterDrive -- Orovilie; California 95965 " -4 x 14' MIN. F Tatephone: 534-45,11 _ _ _ 9aa 4 ZUe& We& Dace ,ItiF THOMAS H. KRUSE DRILLING CO. State Contractors License Number C 57.209738 P. 0. BOX 1026 N.W.W.A. CERTIFIED DRILLERS Oroville, California 95965 Telephone (916)'589-0428 TO: Count of Butte -- Department: of Public Works subject,-,,' PFermjitz -Author z.e. jfdck_ E. Kruse to obtain Permits far: my pro.perW,,,-Gn Irwun. 70) M. Thomas; Br Kruse COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS 7 County Center Drive . -r Oroville, California 95965 Telephont,: 534-4541 APPLICATION AND PERMIT (j authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. X -Date— Signature Date Signature of Permitee or Agent Receipt No. 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 - Date Building permit expires Date BUILDING Owner SQ. FT. OCC. BUILDING VALUATION Mailing Address f r rI C Telephone No. Contractor Mailing Address Fireplace Total Valuation Telephone No. Permit Fee Building Address ��� Plan Checking Fee&/or Penalty Permit Fee PLUMBING No.1 @ FEE PERMIT FILING FEE $3.00 Each Trap 1.50 Repair drainage or vent piping 1.50 A. P. No. �. / -- '� L Zoning & Planning Water piping 1.50 Each gas water heater or vent 1.50 Fees W:C. Sanitation Fire Dept. Fire Zone Use Permit Gas piping system 1 - 5 outlets 1.50 EQA Parking Plans ParcelEach Declaration Parcel Map 60' R/W Improvements additional outlet .30 Building sewer 5.00 Bldg. Plans Recd I Parcel AeErovol Plans Approval Lawn sprinkler system 2.00 NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER Q Permit Fee $ Is � ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 Main service 1000 AMP ORV OR SLESS 5.00 Single Family ❑ Duplex ❑ Mobil HomeE] Others ❑ Main service EA. ADD•L 100 AMP 2.50 Main service OVER 25,00 100 AMPP OR LESS O Main service EA. ADD•L 100 AMP 1.00 NEW CONST OR ADDNS. ACC•I-'BLDGS.LING CCUP. 4) 20sgft CONTRACTORS LICENSE LAW I am licensed under the provisions of Chapter 9, Div. .3, of the State of California Business & Professions Code under the name style of: NEW CONSTP_ MULTI -OUT LET NON.RESID BRANCH CIRCUITS) 2.50ea NEW CONSTR. !POWER APPARATUS 8), NON-RESID. (POWER OUTLET CIR. Ex. OCCUD(OUTLETS OR FIXTURES) g 101 Ex. Occup. ( OUTTS ((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 California. Permit Fee $ $ 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. ❑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. 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 buildinq construction, and hereby Land Development Fee $ TOTAL PERMIT FEE $ ` authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. X -Date— Signature Date Signature of Permitee or Agent Receipt No. 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 - Date Building permit expires Date f COUNTY OF BUTTE - -DEPARTMENT OF PUBLIC WORKS ` 7 County Center Drive. CLroville, 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. to ''gna4re�Permitee or Agent Re e' t No. 3 0 / 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. ECTOR OF PUBLIC WORKS By— Dale WhitV-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant I Bu BUILDING Owner �A-ck, SO. FT. OCC. BUILDING VALUATION Mailing Address C) 2p� Telephone No. Contractor b%'Z — Mailing Address Fireplace Total Valuation Telephone No. Permit Fee Building Address j �� Plan Checking Fee&/or Penalty Permit Fee PLUMBING No. @ I FEE PERMIT FILING FEE $3.00 Each Trap 1.50 Repair drainage or vent piping 1.50 A. P. No. 3+ 3 s o 'ng 8, Planning Water piping 1.50 Each gas water heater or vent 1.50 Files Weel Smri-t9rMi' Fire Dept. Fire Zone Use Permit Gas piping system 1 - 5 outlets 1.50 EOA Parking Plans Parcel Declaration Parcel Map 60' R/W Improvements Each additional outlet .30 Building sewer 5.00 Bldg. PT.—Rs—R—.. Parcel A roval Plans Approval Lawn sprinkler system 2.00 NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER Permit Fee $ J$ ELECTRICAL No.1 @ I FEE PERMIT FILING FEE $3.00 00V OR LE Main service 100 AMP ORSLESS 5.00 Single Family ❑ Duplex ❑ Mobil Home Others ❑ Main service EA. ADD'L 100 AMP 2.50 Main service OVER e00v 25.00 100 AMP OR LESS Main service EA. ADD'L 100 AMP 1.00 NEW OR ADDNST % ACCLBLDGS.LING Ccup- Y) 20 Sq ft 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: NEW CONSTR BRANCH TLET NON.RESID. (MULTI BRANCH CIRCUITS) 2.50ea CIRCU NEW CONSTR. POWER APPARATUS B NON.RESID. SINGLE OUTLET CIR. Ex. OCCUD(OUTLETS OR FIXTI'RES) g L 1@ 01 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 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 o 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 $ $ 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 Land Development Fee $ TOTAL PERMIT FEE $ I authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. to ''gna4re�Permitee or Agent Re e' t No. 3 0 / 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. ECTOR OF PUBLIC WORKS By— Dale WhitV-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant I Bu PERMIT NO. 1311—SOMHI (exi st si te) a' PERMIT EXPIRES OWNER JACK I JSE CONTR. Mobile .Home Center } I LOCATION (A.P. 41-33-57 E/S Hwy 70, app i mi S of inter of Pentz Mag. Hwy & Hwy 70, Par. ;tF ' 4 i iF A } Temp. Power Pole Called.PG&E + Temp. Elec. Serv. Z Called PG&E 6 9//��PT�edm�p Gas Sere Z UA" a11ed.PG&E JOB /A1 FINA.LED �(/ r PERMIT NO. 1311—SOMHI (exi st si te) a' PERMIT EXPIRES OWNER JACK I JSE CONTR. Mobile .Home Center } I LOCATION (A.P. 41-33-57 E/S Hwy 70, app i mi S of inter of Pentz Mag. Hwy & Hwy 70, Par. ;tF ' 4 i iF A } Temp. Power Pole Called.PG&E + Temp. Elec. Serv. Z Called PG&E 6 9//��PT�edm�p Gas Sere Z UA" a11ed.PG&E JOB /A1 FINA.LED �(/ L r MOBILEHOME INSTALLATION INSPECTION CHECK LIST 1.• Is the.mobilehome located with required separation from lot lines and buildings and generally conform toplot plan? Yes_O No , 2.' Does the mobilehome have required clearances above ground? (Sec.5085) YesNo 3. Are footings and supports properly sized, spaced, and braced as per approved plans? (Note possible variation at spring shackles.) (Sec. 5082 & 5083) Yes yG No 4. Is the mobilehome level? (Sec. 5088) YeS�_ No 5.' If more than a single unit, are crossover connections properly installed? (Sec.. 5088) Yes No 6. Water A. Is flexible connector of adequate size and properly installed (1/2" ID min.)? (Sec: 5566)' Y e sem` No B. Test -,Does water piping withstand working pressure. or 50 lbs. air test? Yescd No_ Backflow - If coach is not State of California approved, does station have backflow device and pressure -relief valve? Yes_ No 7. Wastes and Drains A. Is connection made with Schedule 40 DWV and have flex connectors at each end? Yes No B. Does it have minimum" per foot slope and is it properly supported? Yes V1 No C. Are any leaks detected in drainage system after running 3 -gallons of water through each fixture including washing machine standpipe? .Yes— No_)g;, ` If coach is not State of California approved, 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 mobilehome with connector, turn on gas, test connections with soapy water. C. Are all appliance vents properly installed? Yes No 9. Electrical T ' A. Is service large enough to provide adequate amperage -to mobile�idme (must equal rating of mobilehome with a minimum of 100 amp) and other facilities on lot, i.e., water pumps, garage, cabana, etc.? Yes7zo No B. Is there proper clearances around panels? Yeses No_ C. Is power supply cord or feeder assembly properly fused? Yeses No D. Is continuity test satisfactory as per the following procedure? Yes No 1. De -energize electrical wiring system of the mobilehome at the pe estal. 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, appliances, shall be tested for continuity from water line), including fixtures and 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 the electrical tests,4the 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 G Vehicle Serial No. State Identification No. C`i�L �CyZS GLSZZ� Additional Information or Comments: t Setback Forms Main Bldg. Footings Stemwa I I Slab Piers Garage Footings Stemwa I I Slab Carport Footings Slab Patio Footinas Bond COUNTY OF BUTTE — DEPARTMEN-I- OF PUBLIC WORKS BUILDING INSPECTION RECORD ' BUILDING BUILDING (Cont'd) Firewall Soil Piping Parapets 1st Floor Restroom Finish 2nd Floor Windows 3rd Floor Siding To out Roof Sheathing Water Piping Roofing Sewer Fdn. Vents — Fixtures Garage Vents Insulation Water Htr. Heaters Prov. for ph sically handicaooed Appliances Foot Thro Fina of ex. FIREPLACE brucco Final Mesh MECHANICAL Scratch Heating Brown Cooling Finish Ducts Interior Lath Ventilation Door Closer Final MOBILEHOME UTILITIES -------=---------- Elec. Service Water Piping Sewer 1 E OME INSTALLATION - - - - - - - - - - - - - - Support ��al Water Piping Drainage'. DATE —REMARKS -OR CORRECTIONS_ q`jl,�& _4-- 5 JN3 PIL 0e 6�; z Cell- Gas Piping & T Temp. Gas Sanitation Final Grd. Fault Prot. Service Temp. Pole Underground Permanent Final Elec. Pedestal Gas Piping Elec. Continuity Gas Piping (NOTE: An entry must be made on this form each time you visit the job site.) PLUMBING ICA L COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 7 COUNTY CENTER DRIVE OROVILLE, CALIF. - 534-4541 CERTIFICATE OF OCCUPANCY This mobilehome has been installed in accordance with the requirements of the California Administrative Code, Title 25, Chapter 5, under permit number for the following location: A. Owner Owner's Address _ Mobilehome Mfg., -U ' r Model ` Year ' c Insignia No. ' " ' J 'y Serial No. It is hereby certified for occupancy at the above described location and may be occupied. Director of Public Works I 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 13JOILDINI OR PR PERTY ADDRESS A routine Inspection indicates that the following violations of County Ordinance exist at the above address and should be corrected. •PIease 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 - (0 C) mmediately. Coo Inspector y Date v 1 4e c COUNTY OF BUTTE — DEPARTMFti1T OF PUBLIC WORKS 7 County Center Drive. - Oroville, California 95965 " • • • Telephone: 534-4541 APPLICATION AND PERMIT /S �a`_flj authorize representatives of the County of Butte to enter upon the above-mentioned property for in p tion purposes. XDate Signature of Permit a or Agent Receipt No. O � - White-D.P.W. - Yellow -Assessor - Pink -Inspector - Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR 0 PUBLIC WORKS By Date B ilding permit expires Date BUILDING Owner nA SQ. FT. OCC. BUILDING VANION Mailing Address Telephone No. f Contractor Mailing Address Fireplace Total Valuation Tele hone No. Permit Fee Building AddressPlan Checking Fee&/or Penalty Permit Fee PLUMBING No. @ FEE .0 PERMIT FILING FEE $3.00 Each Trap 1.50 Repair drainage or vent piping 1.50 A. P. No. 'C)4 w 1 '330^� �Q g /� Zoning &Planning Water piping 1.50 Each gas water heater or vent 1.50 Fees IN Fire Dept. Fire Zone Use Permit Gas piping system 1 - 5 outlets 1.50 EQA Parking Plans Parcel Declaration Parcel Map 60' R/W Improvements Each additional outlet .30 °Building sewer 5.00 Bldg. Plans Recd Parcel A a Plan royal Lawn sprinkler system 2.00 NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER Permit Fee $ $ ELECTRICAL No.1 @ FEE PERMIT FILING FEE J$3.00 Main service 800V OR LESS100 AMP OR LESS 5.00 Single Family ❑ Duplex ❑ Mobil Home ® Others ❑ Main service EA. ADD'L 100 AMP 2.50 Main service OVER 25.00 100 AMPP OR LESS O Main service EA. ADD -L 100 AMP 1.00 NEW CONST.( LING O OR ADDNS. ACCLBLDGS,CCUP. 41 20sgft CONTRACTORS LICENSE LAW I am licensed under the provisions of Chapter 9, Div. 3, of the State of California Business & Professions Code under the name style of: / /� �d4/4 &*12fE &W NEW RESID, MULTI-OUTL T NON-RESIDCO N ST � BRANCN CIRCUITS) 2.50ea NEW CONSTR. (POWER APPARATUS .& NON-RESID. SINGLE OUTLET CIR, Ex. OCCUp(OUTLETS OR FIXTURES) g 100 FIXED APPLNS. OR Ex. Occup. 2.00 p• OUTLETS (RESID.) EA) Temporary service 10.00 Mobile Home Facilities 15.00 License No. -2/ /9LO.� s� Classification Cr ln/ 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. 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. No. @ MECHANICAL FEEPERMIT FILING FEE $3.00 Heating Cooling Ventilation Hood 2.00 Permit Fee $ $ Q Oe 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 Land Development Fee $ TOTAL PERMIT FEE authorize representatives of the County of Butte to enter upon the above-mentioned property for in p tion purposes. XDate Signature of Permit a or Agent Receipt No. O � - White-D.P.W. - Yellow -Assessor - Pink -Inspector - Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR 0 PUBLIC WORKS By Date B ilding permit expires Date ' 1,15 set rf ; IF. r„ ZnJ specificatibns kr::-'' c n V ;,h c.. t c9 i' and i,-{- is un! .�''fuI 1c, n- Lir ..:� •,!� :, ./' r �>•�%J t �a''ior,s on sane wi'i;loui C.tt ^I i':'.4: S! on .zror;l Lep!artrrcnt of Puh ^, IP.c Works, Coun'Ey of Butte. N0iF: `'I Accc.rC I . e N'Jrill � fi;;l::C•� C - cc t :�{ }i e.-, C."Id 1 Of Ca rEl'...i"� ►?fC5(.11, I 7:moi 1; x'. .Y::i; � ! � \ � -f`—_. � Un*,fn".:;.; n(I., l• ::,.. i�lE Ln e+I^� (• c\r-�� j 1 Septic sysrn locaa of \� to b as per i' C3utte ,` un'Ey'Ith D pt. Re- \ , quircm lits. Milt be 5 ft. from thr, I �P I �.\� ilia+ SO f -l'. from the � - ::::, , ni'E'Ei. cl maxi- Pcrr�l '\ a�.r u+M'� fir c, on C; :I :,, o'I -inc, rte. n �Ic! - t� ... c ti _ l � _ i �� IrlStuiii'E• 1`• : ium o�! c., 2 !I. ecivc a;r{r, :..;� but entirely - cut of rail easements. { I Il li ^Ci 11 �1Pi1'fi !r ! cm'� li Il'L i.iGt '',L fioi: ilC e. 1 �G� I \� BUTTIT: COUNTY UVF D ♦ o BUTTE COUNTY. DEPARTMENT OF.. PUBLIC _WORKS_ A �' 7 County_ Center Drive, Oroville,yCA. PHONE: •.534-4541' MOBILEHOME INSTALLATION 'SHEET 1. Owner's name: •2. Installer's name: We, 3. Is the7site-currently under permit? Yes / / No / (If yes, furnish permit number �) OR Is the site pan existing site? Yes No (I+f. 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?----------------------- / a!a Amps 6.: What is<.the.mobilehome site service rating?--------------------- aw Amps 7.------ . What is the mobilehome site circuit breaker 'rating? --- Amps 8. Is there any other electric load to be served by the.mobilehome siteservice? --------------------------------------------------- Yes No / / (If yes, identify the load and size: (Load) (Amps) 9. What is the mobilehome site gas pipe size? ---------------_. 10. What'is the type of gas service? ----------------------------- Natural 11. What is the gas pipe length from meter:or tank to the mobilehome? 4 fl (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.) r MOB ILEHOME SHP-P6R?: DATA If other than single wide, __/I Year Mobilehome Mfr. �l� ..-.furnish Setup Model No. Width (ft.) Box Length (ft.) `Tagalong or Expando Size�x 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 1. Wood either. . (ft.)(in;) Center support locations* •t. (ft.)(in.) Gv'o� (ft.)t (in.) *If center piers are other than drawn above, draw in -locations, spacing, and dimensions. pressure treated or foundation grade. 2. �Other (speciff L,��3 rc4N�_ CEJ /ot� a?7ao?U`.: Supports.(check one) 1: Concrete block. 2. Other (specify) Tagalong or Expando,'' show support details. Typical Support n.) Footing Size (ft.) (in.) -- Max. Pier Spacing -- Max. Overhang _TJ (ft.)(in.) /�(/-PIC) 8U fTE COUND APK` R,OVE;D COUNTY OF BUTTE — p7Fir TMI 7 County Center Drive - rovill Telephone: E 4-454 APPLICATION ND Owner ;Nailing Address �. Telephone No. Contractor���L Mai I i ng Address Tel hone No. Building Address 7-0 A. P. No. " —3:3 —,V5-7�3Zoning 8 Planning Fees I W. . r98rritst'en Fire Dept. Fire Zone Use Permit EQA I Parking Parcel parcel Ma 60' R/W Improvements,_ Plans Declaration p p Bldg. Pians Recd Parcel Approval Plans Approval NEW ADDITION UTILITIES ❑ OTHER 1e Lel. 1 . �CS y S r " Single Family ❑ Duplex E] Mobil Home e 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 : 77 License No. ,�24 /9,04r Classification e— G/ ❑ 1 am exempt from the Contractors License Laws of the State of Cal ifomia. 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. r-n,.+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. 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 insp tion purposes. %�-Date -0 -1-2 tfd Signa ure of ermi e'e or Agent'C Receipt No. �" pl�;— White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod-Applicont Ei AT OF PUBLIC WORKS f l -O California 95965 ERMIT 20 � / BUILDING FT. OCC. BUILDING VALU N /1 /.O/M� . Fireplace I I v \ Total Valuation ELECTRICAL Permit Fee PERMIT FILING Plan Checking Fee &/or Penalty $3.00 Permit Fee _ $ PLUMBING No.1 @ 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 Gas piping system 1 - 5 outlets 1.50 Each additional outlet 30 Building sewer 5.00 Lawn sprinkler system 2.00 Permit Fee $ ELECTRICAL No.1 @ FEE PERMIT FILING FEE $3.00 Main service soot/ OR LESS 100 AMP OR LESS 5.00 Main service EA. ADO'L too AMP 2.50 Main service OVER 600V 100 100 AMP OR LESS Main service// EA. ADD'L 100 AMP 1.00 OR AODNSNEW T \ DACCLBLDGS.LING CCUP, S\ 2¢sgft NEWCONSTR. Nnr.l-RFSin. MULTI.OU L BRANCH CIRCUITS 2.50ea Ex. OCCUp(OUTLETS OR FIXTIIRES� BALDFIXED LNS Ex. Occup. (0U LETSP(RESID.)REA� 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 6.25 Permit Fee $ MECHANICAL No.1 @ PERMIT FILING FEE $3.00 Heatino Cooli Ventilation Hood 1 1 2.00 Permit Fee $ $40 loo Land Development Fee S TOTAL PERMIT FEE $CJ 00 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 Date ` Building permit expires Date PERMIT NO. 5000-78P,E 7 PERMIT EXPIRES Al Endemano OWNER t CONTR. owner LOCATION (A.P. AIM 41=33-57 SE/S Hwy 70, app. i mi.S.of ider_s. of Pentz Mgplia 15 Hwy 70, Paradise y. e • _7 VI r. tI� 4J _ ,f F Y: _e T `1 Temp. Power Pole Called PG&E . ' Temp. Elec. Serv. Called PG&E Temp. Gas Serv. Called PG&E r+ ' JOB FINALED (Date) (Signature) COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS BUILDING INSPECTION RECORD BUILDING BUILDING (Cont'd) PLUMBING S back ewall I Piping `' Fo s Pa ets t Floor M ri Bldg. Rest om Finish A Floor St wall Siding Slab Roof Shea In Piers Roofing Garage X Fdn. Vents Footin s Stemwal I Garage Vents Insulation Slab Carport Footings Prov. for ph sical '� hand(ca ed Conformance of ex. structure Slab Final Patio I Footings Footing isonry Walls Throat Relnf. Steel Final Bond Beam FIRE Mesh or n U0 ting nish D is erior Lath entllation oor Closer Anal MOBILEHOMEUTILITIES------------------ Elec. Service Water Piping Sewer E E INSTAL A I N---------- --- Support 7=0 Water Piping Drainage DATE REMARKS OR CORRECTIONS 3rd Xloor To out Water PlAng Sewer Fixtures Water Htr. Heaters Appliances Gas Piping & Test Temp. Gas Sanitation Final EL Fixtures Motors Water Htr. Sub anels Grd. Fa t Pr, Servic Tejo. Pole Final Elec. Pedestal Gas Piping , Elec. Continuity Gas Piping - a (NOTE: An entry must be made on this form each time you visit the job site.) Z — +as— . - COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 7 COUNTY CENTER DRIVE OROVILLE, CALIF. - 534-4541 CERTIFICATE OF OCCUPANCY This mobilehome has been installed in accordance with the requirements of the California Administrative Code, Title 25, Chapter 5, under permit number l/Ifor the following location: Owner J .C/ Owner's Address Mobilehome Mfg.n ✓//� fir- Model —276C Ab Year ^ Insignia No. ( 1 .�/ /�-01 %? Serial No. (5, It is hereby certified for occupancy at the above described location and may be occupied. } /j Directo(of Publ c`�Wo ks Date 71 $ ` /Nl - 1 i��Lf Y THIS CERTIFICATE IS VOID WHEN OBILEHOME,IS/per '— COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WOR " . 7 County Center Drive — Oroville, California 95965 �� �� Telephone: 534-4541 APPLICATION AND PERMIT dull luI ILu It:PICACIILGlIVeS UI lite L.,VUnly UI outtu LU enter upun ine above-mentio d.property i spection purposes. Date Signature o Permitee or Agent Receipt No. ! Ya 04-% 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. DIRECTO�FBLIC WORKS BY �/ Date !2-/ Z: 7 � YB 'ding permit expires Date BUILDING Owner /q L A) b EM)4A)Q SQ. FT. OCC. BUILDING VALUATION Mailing Address P. 0 36)( OS7 �/• co 9S-V�(o _TO)jnOaCC��Q/ h 3 Contractor Mailing Address Fireplace Total Valuation Telephone No. Permit Fee Building Address 5'1�/ �O /lPP %/� fT PianCheckingFee&/or Penalty Permit Fee Ml. S 01F /N' FE45. P6AJTa— PLUMBING No. @ FEE ,+c �GJ I N'/V� 1't�Y -70 PERMIT FILING FEE $3.00 Each Trap 1,50 Repair drainage or vent piping 1.50 /�_ 3 3 _ 5 A. P. No. 7 Zoning 8 Planning Water piping 1.50 Each gas water heater or vent 1.50 PW I Wial Fire Dept. Fire Zone Use Permit Gas piping system 1 - 5 outlets 1.50 EQA Parking PI ns Parcel Declaration Parcel Map 60' R/W Improvements Each additional outlet .30 Building sewer 5.00 Bldg.ans Recd Parcel royal Pla Approval Lawn sprinkler system 2.00 NEW �UU ADDITION ❑ UTILITIES ❑ OTHER Permit Fee $ $ dd /tJ!T1 F02 1,�7L. S000-- 70 ELECTRICAL No. @ FEE PERMIT FILING FEE $3,00 Main service 10000 AMP OR00V OR LESS5.00 Single Family Duplex ❑ Mobil Home Others ❑ Main service EA. ADD'L 100 AMP 2.50 Main service OVER 600V 25.00 100 AMP OR LESS Main service EA. ADD'L 100 AMP 1.00 NEW CONS. DWELING OR ADDNST ( ACCLBLDGS.CCUP. S) 20sgft LICENSE LAW I am licensed under the provisions of Chapter 9, Div. 3, of the State of California Business 8, Professions Code under the name le of: style NEW. RESID, MULTI -OUTLET CONSTCONTRACTORS -REBID BRANCH CIRCUITS) 12.50ea NEW CONSTR. (POWER APPARATUS .&,, NON.RESID, SINGLE OUTLET CIR. Ex. OCCUD(OUTLETS OR FIXTURES 6 L@; Ex. Occu / FIXED APPLNS, 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 orkmen's Compensation Insurance. J. certify that in the performance of the work for which this permit is issued I shall not employ any person in any manner so s to become subject to the Workmen's Compensation Laws of California. , @ MECHANICAL No. FEEPERMIT FILING FEE $3.00 Heating Cooling Ventilation 12.00 Hood Permit Fee $ $ I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby e A 7 $ 30 &C TOTAL PERMIT FEE $ i� dull luI ILu It:PICACIILGlIVeS UI lite L.,VUnly UI outtu LU enter upun ine above-mentio d.property i spection purposes. Date Signature o Permitee or Agent Receipt No. ! Ya 04-% 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. DIRECTO�FBLIC WORKS BY �/ Date !2-/ Z: 7 � YB 'ding permit expires Date BUTTE.COUNTY DEPARTMENT OF PUBLIC WORKS 7 County Center Drive, Oroville,.CA. PHONE: 534-4541, MOBILEHOME INSTALLATION SHEET 1. Owner's name: ZZ/ , Iyiz e z2 A16 2. Installer's name 3. Is the site currently underpermit? Yes No (If yes, furnish permit number`j dQ —70 ) , 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? ------------------- Amps 6. What is the mobilehome site service rating? --------------------- Amps 7. What is the mobilehome site circuit breaker rating? --------=---- Amps 8: Is there any other electric load to be served by the mobilehome, site service? --------------------------------------------------- Yes / / No (If yes, identify the load and size (Load) _ (Amps) 9. What is the mobilehome site gas pipe size? ---------------------- `" (in.) � 10. What is the type of gas service? ------------------ -. ----- 11. What is the gas pipe length from meter or tank to the mobilehome? �//l.� (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 SUPPOkT DATA If other than single wide, �X1- Mobilehome Mfr. ��}r�'L� , � CL/ furnish Setup Model No. xcJ Year Z Width 12— (ft.) Box Lengt(ft.) Tagalong or Expando Sizeft. x�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). e All center supports measured from front of mobilehome unless otherwise specified. a Footings (check one) Single • x � x12 ��y��2 � 1. Wood either Apressure treated o foundation grade. (ft.) in:) (in.) (in. ��) El 2. Other (specify) Center sup ort Center ort P PP locations footin sizes Supports (check one) (i .) 1: Concrete block. x 2. Other (specify) (ft.)(in.) ( n.) (in.) • x -- Max. Overhang (ft.Vin.) (in.) (in (ft.)(in.) am BUTTE COUN 1-Y BUILDING DEPARTMENT - AP -PROVED y *If center piers are other than drawn above,. draw in. --locations, spacing, and dimensions. 4—Tagalong or Expando, show support details. (ft.)(in. (in.) (in.) -LIL'x3Typical Support ' (in.) (in.) Footing Size (in.) (in.) -- Max. Pier Spacing - x -- Max. Overhang (ft.Vin.) (in.) (in (ft.)(in.) am BUTTE COUN 1-Y BUILDING DEPARTMENT - AP -PROVED y *If center piers are other than drawn above,. draw in. --locations, spacing, and dimensions. COUNTY OF BUTTE - "Df=PA-sTMENT OF PUBLIC WORKS - 7 County Center Drive — Oroville, California 95965 .; Telephone: 534-4541 APPLICATION AND PERMIT above-mentionedproperty f inspection purposes. X Date ignature of Perrmitor Agent Receipt No. /7?/YO 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,QF PUBLIC WORKS BY Date 5--\ '70 Bffilding permit expires Date 5 ' BUILDING Owner A1Z>EMAA10 SQ. FT. OCC. BUILDING VALUATION Mailing Address 0 6ox 777 6,141CO CA qrV27 I 1, Contractor Mailing Address Fireplace Total Valuation Telephone No. Permit Fee Building Address �`j s !a ��� �� Pian Checking Fee&/or Penalty Permit Fee /. S of /i(/TC—p-S, r -z , A4Ac7 4L/ PLUMBING No.1 @ FEE 14W h -AJ D hJ V, 70 PERMIT FILING FEE $3.00 1,00 Each Trap 1.50 -S.. Repair drainage or vent piping 1.50 A. P. No. A Z) S-14 Zoning & Plannin Water piping 1.50 (J 00 Each gas water heater or vent 1.50 F s S ion Fire Dept. Fire Zone Use Permit Gas piping system 1 -5 outlets 1.50 EQA Parking arcel- Plans Declaration arcel ap 60' R/W Improvemen4 Each additional outlet .30 Building sewer 5.00 ,00 Bldg. Plans Recd Pa Plans pproVal Lawn sprinkler system 2.00 NEW ❑ ADDITION UTILITIES� OTHER ❑ Permit Fee $ 2�jcti>v . 03 �G ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 t400 Main service 600V OR LESS 10o AMP LESS 5.00 , 00 Single Family Duplex Mobil Home Others 9 Y ❑ P ❑ ❑ -L Main service E4. ADD'L 100 AMP 2.50 , G ��/ � I�� $ . FT. tM1N1NIUM f�A-QQRLLES Main service OVER 600V 25.00 100 AMP OR LESS EA. ADD'L 100 AMP 1.00 Main serviceNEW CONS. // OR ADDNST % ACCLBLDGSDWELING CCUP. 4\ 20sgft CONTRACTORS LICENSE LAW I am licensed under the provisions of Chapter 9, Div. 3, of the State of California Business & Professions Code under the name style Of: Y NEW RESID,CONSTBRANCHCIRMULTI-OUTLET NON-RESID (BRANCH CIRCUITS 2.50ea NEW CONST. POWER APPARATUS 8 NON - R R ESID, (SINGLE OUTLET CIR, Ex. OCCUD(OUTLETS OR FIXTI]RES 5BOA@L @251100 FIXED APPLNS. OR Ex. Occup.(OUTLETS (RESID.) EA) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 100 License No. ClassificationFyv Misc. Wiring 6.25 fzv"ro 0 I am exempt from the Contractors License Laws of the State of California. Permit Fee $ , SO g"C 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 Land Development Fee $ ; aao TOTAL PERMIT FEE $ above-mentionedproperty f inspection purposes. X Date ignature of Perrmitor Agent Receipt No. /7?/YO 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,QF PUBLIC WORKS BY Date 5--\ '70 Bffilding permit expires Date 5 ' Aw o �l i tits set of plans and specifications MUST b: k'lept on the job at all times and it is unl wful to rijial e �. y changes or alterations on same wiithoui :r writ'en permission from 'the Department of Pul••; loic• Works, County of Butte. /'' . �. MOTE:—All Materials & Workmanship hall Be in l � 't�� � -a Rccordance with Recognized Good Pro rices and of a quality prescribed for the Sp ecif'se use in the ���,\ Uniform Buri?ding,'Piunq; )ing & Mecn�ar,i ::"i odes and Electrical Code. 1 Septic sysm loco IJ of,b to b as per \' r' Butte unty H6olfh D pt. Re- quiremd ts: The Aft. Se46ack shall be 5 ft. from the / "� j P l S%.J side properly line and 50 ft. from the - i A ermi d r uii�€ f�r tF centerline of the road,'permitting amaxi- �t P� l/. -- iifum of a 2 ft. eave overhangbut entirely \l installat �•- ` Y All utilityconnexions. sh II be Thum of. all easements. I "^ located wihin 4 ft. outside he rear Aird section of the moile home s I + on the left (road) side the: mobile home. a 78 BUTTE COUNTY BUILDING DEPARTMENT APPROVED V1. 191ft. 20 ga Olo Z8 w0.59Y:_ 1 E ?541.67 - • N 51.6 0010 We "513-34 .hQD®' k `•. ve ra11. o b .`•. N. -N .31 oa o0 �� .O :, %! � S� • � :. _ .... 313.34 1 cv._ . , 65002' 10'.r= Np� .� ,�O �• . 206.11. \ 4dna39°43'tl "E 0 0 FOVND STS �34.60,00or- O , l �? D.IV.t1 P612 1711V -M `- a� o(oo59-04 -2 00 Q4> 176.1a g l 1 21.62 4C1?ES Oi / u TAl. N 36.57' goHE 800/12262 O.�P AT PdG[ 346 !. R,Q •.i�'=�' 30.06 � l'n t . Y '° . , •, ; .. �°0� �1 J • ;-: � 'soh ..� �� •� . ' • fs ° - � -'r� �'� '►�' 1? E. 4209 Y %00 / / it �� DET61L B: IS' a off' O'1' j it A �. // / 60'F4.5EMC-NT FOO ' �� PIOW-g PVOLIC UTILITIO PUV05C I / BOW 2255 0.2 0PAGE 564 g 89 •,44' o5 "E ?595.67 12 75.00 S 13001 2262 0.0 4T P-466 342 t� r v6 // // 1"•S7 ^ n rjl" 30 701.9 A , 17.42' 07 ° �7. � p0w r1= 1-537.34 {� Ida• 3� I&= 7"!4'15• yo L 0 4 74.97 —°` 12. 1? 67.34 X99 63 f , L o 174.15 t � F z. y ;= N 470 02' 3511 w L� !,9 43 34 R®ILI206D Q/�V o 50.00 e� NOT �T r?aGE 34d �--q t2onD $- I? Q! 5 til. 3 a 9lb T 2- 4LL L 1513. le S MOLT' 30 oalrb .29 OO I, 2boo.34 sa7-a5 0� TUC �• o IN TUE, D.w, t7' / a _ q 0. IV' f: 121\v map o&o59-04.2! a MUM 5- 3 - z "� S MAP - AS BEES+ EXAMINED, FO�t COa1�ORasa►�10E 1E�ITN THE fILEO � THIS , , ^r zT..:4 QEb11a-S :a rmiE -14,yo SugyE•r0� S -Acr TH15 ./%f!'Q4Y lal BOOK 1144 W,tY"4j, ',ar"".urOV P " • r. d 04T �• ..� V►s v C . l/s i`� _ '' = _ryj� :i✓ ...^ � `# iz ��y y+ie-'•�- x � ' � ~ S -'1f4. 3{'r� 2 �..�4 �'- �-a,' e'Y�'Y+• `- i �`• � i`., r`Ji � `� a 'r � , .� � 1 -. S j �=rx,A�...` 'iia j e,1 �,, y . a •4 Ya 'a,�• • e l♦cry a ^tea �t J• `� ., �Y'• t �.5'r• -1 — "L .3{.. .tet CC M iso:: • � - . 191ft. 20 ga Olo Z8 w0.59Y:_ 1 E ?541.67 - • N 51.6 0010 We "513-34 .hQD®' k `•. ve ra11. o b .`•. N. -N .31 oa o0 �� .O :, %! � S� • � :. _ .... 313.34 1 cv._ . , 65002' 10'.r= Np� .� ,�O �• . 206.11. \ 4dna39°43'tl "E 0 0 FOVND STS �34.60,00or- O , l �? D.IV.t1 P612 1711V -M `- a� o(oo59-04 -2 00 Q4> 176.1a g l 1 21.62 4C1?ES Oi / u TAl. N 36.57' goHE 800/12262 O.�P AT PdG[ 346 !. R,Q •.i�'=�' 30.06 � l'n t . Y '° . , •, ; .. �°0� �1 J • ;-: � 'soh ..� �� •� . ' • fs ° - � -'r� �'� '►�' 1? E. 4209 Y %00 / / it �� DET61L B: IS' a off' O'1' j it A �. // / 60'F4.5EMC-NT FOO ' �� PIOW-g PVOLIC UTILITIO PUV05C I / BOW 2255 0.2 0PAGE 564 g 89 •,44' o5 "E ?595.67 12 75.00 S 13001 2262 0.0 4T P-466 342 t� r v6 // // 1"•S7 ^ n rjl" 30 701.9 A , 17.42' 07 ° �7. � p0w r1= 1-537.34 {� Ida• 3� I&= 7"!4'15• yo L 0 4 74.97 —°` 12. 1? 67.34 X99 63 f , L o 174.15 t � F z. y ;= N 470 02' 3511 w L� !,9 43 34 R®ILI206D Q/�V o 50.00 e� NOT �T r?aGE 34d �--q t2onD $- I? Q! 5 til. 3 a 9lb T 2- 4LL L 1513. le S MOLT' 30 oalrb .29 OO I, 2boo.34 sa7-a5 0� TUC �• o IN TUE, D.w, t7' / a _ q 0. IV' f: 121\v map o&o59-04.2! a MUM 5- 3 - z "� S MAP - AS BEES+ EXAMINED, FO�t COa1�ORasa►�10E 1E�ITN THE fILEO � THIS , , ^r zT..:4 QEb11a-S :a rmiE -14,yo SugyE•r0� S -Acr TH15 ./%f!'Q4Y lal BOOK 1144 W,tY"4j, ',ar"".urOV P " • r. d 04T �• ..� V►s v C . l/s i`� _ '' = _ryj� :i✓ ...^ � `# iz ��y y+ie-'•�- x � ' � ~ S -'1f4. 3{'r� 2 �..�4 �'- �-a,' e'Y�'Y+• `- i �`• � i`., r`Ji � `� a 'r � , .� � 1 -. S j �=rx,A�...` 'iia j e,1 �,, y . a •4 Ya 'a,�• • e l♦cry a ^tea �t J• `� ., �Y'• t �.5'r• -1 — "L .3{.. .tet