HomeMy WebLinkAbout042-090-060l
A.P. 42-9-60
JULIAN BROWN
NI E side Hwy. 32, 300 of
Kennedy Ave., Chico
remit 1865 �74P Ems( rt.
-- 42- b-
tr Oakmont MHS-.
Center, Chico
rmit #4577-75MHIsued
42-09-60
Permit #4777-75P(replace exist.
gas line/MH)�/�%-f
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A.P. 42-9-60
JULIAN BROWN
NI E side Hwy. 32, 300 of
Kennedy Ave., Chico
remit 1865 �74P Ems( rt.
-- 42- b-
tr Oakmont MHS-.
Center, Chico
rmit #4577-75MHIsued
42-09-60
Permit #4777-75P(replace exist.
gas line/MH)�/�%-f
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A.P. 42-9-60
JULIAN BROWN
NI E side Hwy. 32, 300 of
Kennedy Ave., Chico
remit 1865 �74P Ems( rt.
-- 42- b-
tr Oakmont MHS-.
Center, Chico
rmit #4577-75MHIsued
42-09-60
Permit #4777-75P(replace exist.
gas line/MH)�/�%-f
1
1
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COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS
7 County Center Drive - Orovilie, California 95965 - Telephone 916/534-4541
APPLICATION AND,PERMIT
PERMIT NO.
A55 5 R PA C �N 11 R
((//QQ
ZONING
BUILDING PERMIT
OWNS
TEL `HONE
W_94
SQ. FT. OCC.1 BUILDING VALUATION
OWN 'S MAI ING AD ESS ^
(7J
CONT T 'S AM
-i nofA
TELEPHONE
NE
R'S MAILING ADDRESS
Fireplace
CONST CTION LENDER
VNKNOWN
Total Valuation $
Filing Fee
$ 10,00
LEN ER'S MAILING ADDRESS -
Permit Fee
$
ARCHITE T OR ENGINEER
LICENSE NO.
Plan Checking Fee
$ .0
Energy Plan Checking Fee
$
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Penalty
$
BUILDING A_J],DR SS
5 J 1A I U 80o W
Permit fee
$
PLUMBING PERMIT
Filing Fee 10.00
o RC
Each Trap
2.00
`
Solar or heat pump water heater
20.00
LOT NO.
SUBDIVISION NAME PARCEL MAP
i I
Water piping
5.00
Each qas water heater or vent
5.00
USE OF STRUCTURE
SF ❑ Duplex[] Mobilehome)] Other
SPECIFY
Gas piping system 1 - 5 outlets
5.00
Building sewer
5.00
Mobile Home I S I G JW 1
10.00 ea
TYPE OF WORK
New ❑ Addition ❑ emodel ❑ Utilities ❑ Install tion Other ❑
Describe work: ` lI #A _
Permit Fee
$
Contractor
ELECTRICAL PERMIT
Filing Fee 10.00
•
Main service 8001 OR LESS
100 AMP OR LESS
10.00
Main service EA. AOD'L 100 AMP
2.50
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
r 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 CONST. DWELLING OCCUP.N
OR ADDNS. ( ACC. SLOGS. 21/20sq ft
NEW CONSTR. ULTI-OUTLET 2.SOea
NON.RESID BRANCH CIRC ITS
POWER APPARATUS e
(SINGLE OUTLET CIR. )
Ex. Occup(OUTLETS OR FIXTURES 20090Q
eALO90
FIXED PK
Ex. Occup. OUTLETS (RESID IEA.) 2.00
Temporary service 10.00
Mobile Home Facilities 15.00
Misc. �Yirin 15.00
9
Permit Fee $
Contractor
WORKMEN'S COMPENSATION INSURANCE
I 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
Consent to Self -Insure.
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.
MECHANICAL PERMIT
FiIingFee 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 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, 'udgments, costs, and expenses which may in any way accrue
a nt consequence of the granting of this permi -.
7 S
%� Date J
Signature of Applicant — Owner ❑ Contractor ❑ Agent Er
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 $
Energy Inspection Fee $
TOTAL PERMIT FEE $ Xloo
OCCUP.
CONST.TYPE
EPARCEL[PD
ND
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 EXPIRES Date
the applicable provi-
resolutions to do
fees have been paid.
WORKS
Date
Receipt No. 62=
WHITE -D. r. W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT
s 3 42-09-60
RUSSELL OWKNS
NE/S Hwy 32 3'00'W Kennedy Ave., Chico
Permit #2099-85MHI(MHI exist site)
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS - BUILDING DIVISION
7 COUNTY CENTER DRIVE OROVILLE, CALIFORNIA 95965 - TELEPHONE: 916/534-4541
PERMIT APPLICATIONNATA SHEET
Permit No,
OWNER �hSCP /l ( �frl� t�! S A. P. No. �� -0C/ "��
Proposed Building Use
Permit Fee Based Upon: Complete Contract. Price DPW Valuation
Other ,(Explain)
.,,Building Inspector �// f` s�f1 ,/il�CX Date r�C- /
At time of permit application, I was advised {he following data must be submitted prior to permit processing
and:/Or issuance: S DATE RECEIVED. APPROVED
,1/ All items have been submitted. . . . . . . . . . . .
Plot plans in d.u�p'l•ic )triplicate. . . . . . . . .
3. Complete plans in duplicate./triplicate. . . . . . . . .
4. Complete engineered plans and calcs. . . . . . . . . . r
5. Plans with Energy Design Compliance Statement. . . . . .
6. State Energy Forms No.
7 Statement of Intent for Non -Heated and AC Buildings.
8. Fees of $ . . . . . . . .
9: Letter of signature authorization.
=K. approval from �.�n g�)—Health Dept.
11. Planning approval for (A) Use:- (B) Parking:
12. Certificate of Workmen's Compensation Insurance.
13. Contractor's License Information (no., name style, classif.)
14. Owner -Builder Verification (Given to owner❑, Mail to owner ❑ )
15,! Improvements may be required. . . . . . . . . . . .
N A6. Mobilehome Installation Data. . . . . . . . _ .
•Pre-Inspec. request to (Dote)
/17i Pre -Inspection for Required. Building Inspector
N i1/: Recorded copy of AgricItural Acknowledgment Statement. c l
v�19. Other—(,,/,, �� ,C 11114 4
When you issue the permit, process as follows: Mail to owner. Mail to contractor.
x Telephone �Q�tC-g/ /I and hold for pickup at ('Dp/n office. Deliver w./inspector.
Other
Applicant ° . -�..� Date 01.2 j
Copy of plans sent Health Dept., Fire Dept., Other Date
During the plan checking process, the following data must a submitted prior to permit issuance.
(For required items not checked above'at ti o ppli ation, c•rcIe it .)
1. Index permit for above Items No.
2. Additional items required:
(Contractor, Designer, Owner) was advised of above required data by Telephone Mail Other
By.
Plans checked by Date
Plans approved by Date
Other:
Copy—DPW
Date
TO: Building Department
FROM: Environmental Health, Chico
SUBJECT: Sanitation Clearance
Owner Lo ati n APN.
Plan approved for.: sewage disposal water supply
Hold final for: ;'`, 'water supply
Final clearance O.K. for: water supply 9 ---
Clearance for bedroo mobile home Other
Notettt
Sanitarian [late
npl- MUM AT—ME
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UWT
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120,
npl- MUM AT—ME
IC �
PERMIT NO.
P
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M
'MH UTIL.
'PERMIT NO. 1865-74P, E
PERMIT EXPIRES 5-31 —7-5
OWNER Julian Brown
CONTR. Owner
LOCATION (A.P. 42-9-60
N/E side Hwy. 32; 300' W. of Kennedy,
�4
I �
I
y
{
t
I Temp. Power Pole
Called PG&E '
tae Elec. Serv.
Qe4ed PG&E
Temp. Gas Serv. —
Called PG&E
JOB
FINALED
(D e)
(Signat e)
r
COUNTY OF BUTTE — DEPARTMENT OF,.PUBLIC WORKS
BUILDING INSPECTION RECORD
BUILDING BUILDING (Cont'd) PLUMBING
Setback
Firewall
Soil Piping
Forms
Parapets
1st Floor
Main Bldg.
Restroom Finish
2nd Floor
Footings
Windows
3rd Floor
Stemwall
Sidinq
To out
Slab
Roof Sheathing
Water Pi in •
Piers
Roofing
Sewer
Garage
Fdn. Vents
Fixtures
Footings
Garage Vents
Water Htr.
StemwaII
Slab
Prov. for physically
handicapped
Heaters
Appliances
Carport
Footings
Conformance of ex.
structure
Gas Piping & Test -24
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
Grd. Fault Prot.
Scratch
Heating
Service
Brown
Cooling
Temp. Pole
Finish
Ducts
Underground
Interior Lath
Ventilation
Permanent
Door Closer
Final
Final
DATE
REMARKS OR CORRECTIONS
4
Owner
Mailing Address d
COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WO
7 County Center Drive — Oroville, California 95965
Telephone: 534-4541
APPLICATION AND PERMIT
BUILDING
SQ. FT. I OCC. BUILDING VALUATION
ephone No.
Contractor 6 rJ h GA--
Mai I i ng Address 5a
Telephone No.
Building Address
a
en
Q
A. P. No. — D Zonin
F W.C. S t i'on Fire Dept. Fire Zone Use Permit
EQA Parking I Parcel Pdlcel 60' R/W Im r
Plans Declaration p p ovem nts
Bldg. PI s Recd Pa el rovaI PI Approval
NEW ❑ ADDITION ❑ 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.
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 inspection purposes.
D ate Ar,
Signature of Permiteel or Agent
Receipt No. 1—f �g 6P
White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant
Fireplace
Total Valuation
Permit Fee
Plan Checking Fee &/or Penalty
Permit Fee
PLUMBING
PERMIT FILING FEE
Each Trap
Repair drainage or vent piping
Water piping
Each gas water heater or vent
Gas piping system 1 - 5 outlets
Each additional outlet
Building sewer
Lawn sprinkler system
Permit Fee
ELECTRICAL
PERMIT FILING FEE
Main service incl. 1 meter
Additional meters, each
Sub -panel (12 or less) (more than 12)
Range, Cook -top or Oven
Water Heater or Space Heater
Light fixtures
Receps., switches & fix outlets
Hood, Ex. Fan or F. A. Furn. Motor
Evap, cooler, gar. disp. or D.W.
Air conditioner or heat pump
Water pump 1 4 J?
Mobil Home Facilities
Temp. Power Pole
Misc. wiring
Permit Fee
MECHANICAL
PERMIT FILING FEE
Heating
Cooling
Ventilation
Hood
Permit Fee
$2.00
1.50
1.50
1.50
1.50
1.50
.30
5.00
2.00
FEE
IE
@ FEE
$3.00 '3 0
13
1.00
1.00
1.00
20 02
)a1pin
M.
1.00
1.00
On
5.00 5`O C
5.00
$3.00
2.00
FEE
sto
fp i -
TOTAL PERMIT FEE J$ )-;-100
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 PUBLIC WORKS
By Dater
wilding permit expires Date ......................................
1 i
9. Electrical
A. Is service large enough to provi e adegO-ate amperage to mobilehome (must equal rating of
mobilehome with a minimum of 0 amo and other facilities on lot, i.e., water pumps,
garage, cabana,_etc.? Yes e No
T. Is there proper clearances around panels? Yes ".— No
C. Is power supply cord -or feeder assemblylproperly fused? YesyNo
D. I continuity test satisfactory as per the following procedrlre?"—'Yes r No
1X De -energize electrical wiring systein,of'the mobilehome at the pedestal,
4
/2. Make sure that the power supply cordor feeder assembly conductors, including neutral
conductor, have been disconnected.
-Switch all breakers and switches in 1 -he mobilehome to the "on" position..
,,,,�Connect one lead of a test instrumen!c to the mobilehome grounding conductor and
Napply :the other lead to each mobilehome supply conductor, including neutral.
All mon--current, carrying metal part, 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.
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 fob card signed by Health Department for dater and sanitation?
11. If everything okay, sign off card and tag services.
MOBILEHOME DATA ;1.
Manufacturer and/or Namestyle �Cz —�0
Length Width
Vehicle Serial No. 6!�
State Identification No.
&dditional Information or Comments:
G
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
3. Are footings and supports properly sized, spaced, and braced as per approved plans? (Note
possible variation at spring shackles.) (Sec. 5082 & 5083) Yes No
4. Is the mobilehome level? (Sec. 5088) Yep 1/No
5f more than a single unit, are crossover connections properly installed? (Sec. 5088)
Yes— No
6. Water
A. Is flex' le 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? Yesz 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 4" per foot slope and is it properZallons
d? Yes' No
C. Are any leaks detected in drainage system after runningof water through each
fixture including washing machine standpipe?,.Yes No
D, 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 mobileho a connected to the gas supply with an approved 3/4" minimum
mobilehome connector of more than 6 ft. long? Note: All piping is to be at least as
large as the mobil ome gas line -iiilet without reductions other than the mobilehome
connector. Yes No
B. Test OK as per following procedure? Yes VXNo
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, 'rn on gas, test connections with
soapy water.
C. Are all appliance vents properly installed? Yes No
COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS
7 County Center Drive — Oroville, California 95965
Telephone: 53,4-4541
APPLICATION AND PERMIT
zY77.2-73
uu.cacinauvaa ui uIV �,uuiny ui ouuc w enter upun the
above-mentioned property for inspection purposes.
- Date —17 — 7-5 �-
Signature of Permite��effor Ag//ent
Receipt No.`i'�`'
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.
D ECTOR 0 UBLIC WORKS y
ateftDate-
ft=
= permit expires Date
BUILDING
Owner ®UJ
SO. FT. OCC. BUILDING VALUATION
Mailing Address T ... ejQ K_
O
ele hone o. t
3P'
Fireplace
Contractor
Total Valuation
Mailing Address
Permit Fee
Plan Checking Fee &/or Penalty
Telephone No.
Permit Fee
$
Building Address � s,, % ��
PLUMBING
No.
@
FEE
PERMIT FILING FEE $3.00
Q
Q Q C9
Each Trap 1.50
_
Repair drainage or vent piping
1.50
Water piping 1.50
/
Each gas water heater or vent 1.50
A. P. NO _®�
Zoning & Planning
Gas piping system 1 - 5 outlets
1.50
Each additional outlet .30
Fees I
W
Sagi-�
Fire Dept.
Fire Zone
Use Permit
Building sewer 5.00
EQA
Parking
Plans
Parcel
Declaration
Parcel Ma P
60' R/W
Improvements
P
Lawn sprinkler system 2.00
Bldg. Plans Recd
Parcel Approval
Plans Approval
Permit Fee
_5r.CC$
❑ ADDITION ❑ UTILITIES ❑ OTHER
ELECTRICAL
No.
@
FEE
PERMIT FILING FEE $3.00
r
CE $
Main service incl. 1 meter
Additional meters, each
1.00
Sub -panel (12 or less) (more than 12)
—
Single Family ❑ Duplex ❑ Mobil HomeQ Others ❑
Range, Cook -top or Oven 1.00
Water Heater or Space Heater
1.00
Light fixturesb I a2
Receps.., switches & fix outlets
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:
Hood, Ex. Fan or F.A. Furn. Motor
1.00
Evap. cooler, gar. disp. or D.W. 1.00
Air conditioner or heat pump
Water pump
Mobil Home Facilities 5.00
Temp. Power Pole 5.00
License No. Classification
Misc. wiring
x 1 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 $
$
I certify that I have read this application and state that the above
information is correct. I agree to comply to all County Ordinances
and State Laws relating to building construction, and hereby
TOTAL PERMIT FEE
$ 3. (
uu.cacinauvaa ui uIV �,uuiny ui ouuc w enter upun the
above-mentioned property for inspection purposes.
- Date —17 — 7-5 �-
Signature of Permite��effor Ag//ent
Receipt No.`i'�`'
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.
D ECTOR 0 UBLIC WORKS y
ateftDate-
ft=
= permit expires Date
COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS
7 County Center Drive - Oroville, California 95965
Telephone: 534-4541
APPLICATION AND PERMIT
7 7 7
;11�w
authorize representatives of the County of Butte to enter upon the
above-mentioned property for inspection purposes.
X C' .�&- 1-4� Date i — 1�p ' iS
/� ignature of
P/e�rmitee or Agent
R
1..rrit Nn
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 PUBLIC WORKS
B Date 57-12-71—
uilding permit expires Date z'7
BUILDING
Owner
SQ. FT. OCC. BUILDING VALUATION
Mailing ddress
Telephone No.
Fireplace
Contractor
Total Valuation
Mailing Address p'2'7 >�
Permit Fee
Plan Checking Fee &/or Penalty
Telep one No.
3 3�8
Permit Fee
Building Addresss��j� 3�
AWWX
PLUMBING No. @ FEE
PERMIT FILING FEE $3.00
Each Trap 1.50
Repair drainage or vent piping 1.50
Water piping 1.50
Each gas water heater or vent 1.50
/
A. P. No. 2 '-Q 9— 4P O
Zoning & Planning
Gas piping system 1 - 5 outlets 1.50
Each additional outlet .30
s
S%ntaTlon
Fire Dept.
Fire Zone
Use Permit
Building sewer 5.00
EQA
Parking
Plans
'Parcel
Declaration
Parcel Ma P
60' R/W
Improve s
P
Lawn sprinkler system 2.00
Bldg. Plana
Parcel A royal
Plans A proval
Permit Fee $
NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER
ELECTRICAL No. @ FEE
PERMIT FILING FEE $3.00
' lr6- ' -- 71V
Main service incl. 1 meter
C q-li-7'1)
Additional meters, each 1.00
Sub -panel (12 or less) (more than 12)
_
Single Family ❑ Duplex ❑ Mobil Home Others ❑
Range, Cook -top or Oven 1.00
_Water Heater or Space Heater 1.00
Light fixturesb0 (N102
Receps., switches & fix outlets
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:
64"e.✓?- madiLc Ae",- C',r/n2 f
Hood, Ex. Fan or F.A. Furn. Motor 1.00
Evap. cooler, gar. disp. or D.W. 1.00
Air conditioner or heat pump
Water pump
Mobil Home Facilities 5.00
Temp. Power Pole 5.00
License No. � 7 3 G _�
� Classification
Misc. wiring
❑ 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.
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 J$3.00
Heating
Cooling
Ventilation
Hood 2.00
Permit Fee $
$
1 certify that I have read this application and state that the above
information is correct. I agree to comply to all County Ordinances
and State Laws relating to building construction, and hereby
s® O.
TOTAL PERMIT FEE
$ 30 0<
authorize representatives of the County of Butte to enter upon the
above-mentioned property for inspection purposes.
X C' .�&- 1-4� Date i — 1�p ' iS
/� ignature of
P/e�rmitee or Agent
R
1..rrit Nn
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 PUBLIC WORKS
B Date 57-12-71—
uilding permit expires Date z'7
COUNTY OF BUTTE - Department of Public Works
7 County Center Drive, Oroville, California
PHONE: 534-4541
Length
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20'
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MOBILE i E INSTALLATION INFOVT�ION
Lot Facilitiesobilehome Data H
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1. Plot_ plan dimensioned, loca von of mobile 1. Length Width z- 7� z
and utility connections? Manufac` ./
Yes ✓ No Vehicle Serial No.
fi H
2. Electrical. service equipment ampac'ty Insignia Control No. [� � 2 l Z
Circuit breaker. ampacity 'o a 2.' Feeder assembly ampacity /e d ,v.,ia
Permanent Wiring Connection D v Conduit size
Ampacity 6 u Power supply cord (amps) 1
Receptacle^" Ampacity 3. Gas inlet size
3. Gas: _ Natural �- PG riobilehome connector size �/y
Gas riser size y Capacity. 294, eae,(l ? y-
4. Drain inlet size 4. Drain connector" describe on reverse side
5. Vlater riser. size 5.. Water connector: describe on reverse side
6. Are utility connections located outside 6. Designed loads:
the rear 1/3 of the mobilehome .within Roof live load _2D psf.
4 feet of the left wall? Yes "`-No Wind load psf.
If not, show dimensions. above. (only for robilehomes manufactured after
7. Is the mobilehome clear of septic tank, October 7,10,73)
leach fields and located ou side public 7. Marufacturer's installation instructions?
-utility easements? Yes No Yes No
8. Do,'you propose to do other work on the---- " - -
property, other than the mobilehome 8. Will the mobile home be installed on a
separate support structure?
installation wl ch :will require a permit' Yes No
Yes No J/
If so, specify
*For plans and specifications of support system, see other side.
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ADDITIONAL COPA""%TS
Drain Connector, Describe.? %+13S P�4s7�G
l%X Gtsr✓.s/cc : N.t 1' � u.fl.i � 7` M c iT s L R- /� .ci A �/ tt/r l� T
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LOAD BEARING
SUnPOR TS
Si rGci✓.vr_�, : i e.✓ _
atei'.' Connector, Describe Az n ,��i�:/✓�'
LOAD BEaZING SUPPORT AND s? OOTING INFORMATION
Pier Spacing Used 5 'o'
Maximum Pier Load 2 Sao
:Maximum Column Load (multi -units only)
Soil Bearing Capacity.
Footing Dimension Used__ i,,, "X 3G "�Y Z
TYPE OF PIER USED
Steel Concrete Concrete Block
Other
TYPE OF FOOTING P1AT RIAL USED
P,ressure Treated good
Concrete
Redwood (Grade)
Other Approved Type
✓x,4/14c f.
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eel '" BUTTE COUNTY
BUILDING DEPARTWNT
S"G re n
APPROVED
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