Loading...
HomeMy WebLinkAbout058-230-0230 p 58-23-23�..J' ROBERT CHILDERS _ s1s Cribbage Lane, 900' off Concow Rd. Or oville - Permit# 2144n75P, E(util. ) MH),_, .... . ELEC. �- ' ! GAS — -- SUPPORT STRUCTURE RBQ . r I COMEAACTION TEST RBQ. A aIa ` AY 58-23-23 CONTR: Seeurity MH Show, Sacramento Permit# 3887-75MHI Issued c14115 58-23-23 ° Permit #46 0 79B,P,E M(new single i family) --023=13`54— U58�30-023 _ MISCELLANEOUS Demo-Fire08 I DEMO PERMIT - JUNE LIGHTNING F:- ° 3999 CRIBBAGE LN' - r MURRAH, JANIS' I 0 p til ��� CVD 1� IID til ��� CVD 1� BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT 24 HOUR INSPECTION (IVR): (530) 538-4365 OFFICE: (530) 538-7541 FAX#: (530) 538-2140 ONLINE PERMIT/RENEWAL PAYMENTS: www.buttecounty.net\dds PROJECT INFORMATION Site Address: 3999 CRIBBAGE LN Owner: Permit No: B08-1554 APN: 058-230-023 MURRAH, JANIS Permit type: MISCELLANEOUS 3999 CRIBBAGE LN Issued Date: 8/6/2008 By GLB Subtype: Demo-Fire08 OROVILLE, CA 95965 Expiration Date: 8/6/2009 Description: DEMO PERMIT - JUNE LIGHTNIN (530) 534-7207 Occupancy: Zoning: FR5 Contractor Applicant: Square Footage: Building Garage Remd]/Addn Other Porch/Patio Total ;FEE INFORMATION LICENSED CONTRACTOR'S DECLARATION Contractor (Name) State Contractors License No. / Class / Expires I HEREBY AFFIRM UNDER PENALTY OF PERJURY that I am licensed under provisions of Chapter (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. X 8/6/2008 Contractor's Signature Date WORKERS' COMPENSATION DECLARATION I HEREBY AFFIRM UNDER PENALTY OF PERJURY one of the following declarations: ❑I HAVE AND WILL MAINTAIN A CERTIFICATE OF CONSENT TO SELF -INSURE FOR WORKERS' COMPENSATION, as provided for by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ I HAVE AND WILL MAINTAIN WORKER'S COMPENSATION INSURANCE, as required by HAVE 3700 of the Labor Code, for the performance of the work for which this permit is issued. My Workers' Compensation insurance carrier and policy number are; Carrier: Policy Number: Exp. Dale: (This section need not be competed if the permit is for one hundred dollars ($100) or less. ® 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 Workers' Compensation Laws of California, and agree that if I should become subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. I -X M 8/6/2008 Signature Date WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000), IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR INSECTION 3706 OF THE LABOR CODE, INTEREST AND ATTORNEY'S FEES. CONSTRUCTION LENDING AGENCY I ota] Charged: $0.00 Fees Paid: $0.00 Balance Due: $0.00 Receipt No: OWNER / BUILDER DECLARATION I HEREBY AFFIRM UNDER PENALTY OF PERJURY that I am exempt from the Contractor's License Law for the following reason (Sec. 7031.5), Business and Professions Code: Any city or county that requires a permit to construct, alter, improve, demolish, or repair any structure prior to its issuance, also requires the applicant for such permit to file a signed statement that he or she is licensed pursuant to the provisions of the Contractor's License Law [Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code] or that he or she is exempt therefrom and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars [$500]; Please check one of the following: ❑I, AS OWNER OF THE PROPERTY, OR MY EMPLOYEES WITH WAGES AS THEIR SOLE COMPENSATION, WILL DO THE WORK, AND THE STRUCTURE IS NOT INTENDED OR OFFERED FOR SALE (Sec. 7044, Business and Professions Code: The Contractor's License Law does not apply to an owner of the property, who builds or improves thereon, and who does the work himself or herself or through his or her own employees, provided that such improvements are not intended or offered for sale. If, however, the building or improvement is sold within one year of completion, the owner -builder will have the burden of proof that he or she did not build or improve for the purpose of sale.). ❑I, AS OWNER OF THE PROPERTY, AM EXCLUSIVELY CONTRACTING WITH LICENSED CONTRACTORS TO CONSTRUCT THE PROJECT (Sec. 7044, Business and Professions Code: The Contractor's License Law dows not apply to an owner of the property who builds or improves thereon, and who contracts for the projects with a contractor(s) licensed pursuant to the Contractor's License Law.). ❑ I AM EXEMPT under Section B. & P.C. for this reason: I HEREBY AFFIRM UNDER PENALTY OF PERJURY that there is a construction lending agency fork I' the performance of the work for which this permit is issued. (3097 civ. code) Lender's Address City State Zip Owner's Signature 8/6/2008 Date I hereby certify that I have read this application and slate that the above information is correct. I agree to comply with all City and County ordinances, rules, regulations, and State laws relating tc building construction, and with any and all conditions of permit. I agree to defend, indemnify, and hold harmless Butte County, its officers, agents and employees from any and all claims and liability for personal injury, including death, and property damage caused by, arising out of, or in any way connected with the issuance of this permit. I hereby acknowledge that issuance of this permit does not authorize the use or occupancy of any sidewalk, street, or subsidewalk. I hereby authorize representatives of Butte County to enter the above mentioned property for inspection purposes. I hereby certify that I am the property owner or am authorized to act o the property owner's be elf. -n„�, A)/�"`�-� i�.I,(� 8/6/2008 Owner ❑ Contractor OR:Agent for Owner ❑Agent for Contractor FILE COPY BUTTE COUNTY . ' :' o��TTF0 DEPARTMENT OF DEVELOPMENT SERVICES PERMIT 0 0BUILDING PERMIT APPLICATION"`'T NO. . °' ° OFFICE#: (530).538=754.1 FAX #:.(530) 5387-2140 o -" A FEE WILL BE REQ UIRED AT TIME OF APPLICATION Website: www.buttecounty.net/dds BIN C'DU=� PLEASE PRINT CLEARLY "When filed; this• application and all supporting material becomes subject to the California Public Records Act.All public'information' related.to this application is subject to public inspection and will be posted on the County's website:for.electronic access. - APPLICANT INFORMATION OWNER INFORMATION Last Name City First Name Zip 4 �s Mailing Address 3999 C R-4c&- Lq :.. ,E City K ! L Dcv State, Qi 69--C Phone Fax Class E-mail APPLICANT INFORMATION CONTRACTOR Name City Address Zip City. Fax State Zip Phone Fax E-mail Lic. # Class APPLICANT INFORMATION ARCHITECT/ENGINEER Name City Address Zip City Fax State Zip Phone Fax E-mail State License Number APPLICANT INFORMATION Name Address City State Zip Phone Fax E-mail APPLICANT SIGNATURE X , PROJECrTTLLOCATION . ,Propert Address. J.>=j City. .• -WORKER'S COMPENSATION Policy Number;: Carrier if. hiring anyone:otherthan licensed contractors, a certificate of worker's compensation must be shown at the time of permit issuance. DESCRIPTION. OR SCOPE OF WORK: a �e � IL . Sq FT- Living Garage Open Cov ❑ Structure. Built without Permits ❑ Proposed Change of Occupancy (Note previous use): . For office use only Zoning Flood Zone. SRA Yes . No Occ. Type Const. . . r N Butte.Cacrnty Department af'Dev Iopment Services TIM SNELLINGS, DIRECTOR I PETE CALARCO, ASSISTANT DIRECTOR 7 County Center Drive Oroville, CA 95965 (530)° 538-7541 Telephone . (530) 538-2140 Facsimile xy%m,.buttecounty.netldds BUIPING PERMIT APPLICATION. -REQUIREMIENTS FOR .THE . DEMOLITION. -.OF STRUCTURES DESTROYED' IN THE BUTTE COUNTY FIRE S TORM 2008 Note: A building permit must be obtained for the demolition of any building or a portion thereof, including but not limited to debris and ash. This requirement includes mobile/manufactured/modular homes, single-family dwellings, ,garages; Storage units and conunercial buildings. This permit will be used' to' assist the Assessor's Office in re-evaluating the value of the property. 1)- Completed Butte County Department of Development Services building permit application.* Application fees have been waived'fot this permit. 2) If the application is being made by someone other than the owner. or licensed contractor (with written authorization to' apply for the permit), California State Law requires that. an Owner -Builder Declaration be mailed to the property owner and returned to our office prior to permit issuance. �) Review and approval of debris and ash removal'by Butte County Public Health and Public Works is necessary prior to issuance. 4) An inspection may be required by Butte County Development Services - Building Division, Public Health and Public Works if needed. *When filed, this application and all supporting material becomes subject to the California Public Records Act. All public information related to this application is subject to public inspection and will be posted on the County's website for electronic access. 7/24/08 Butte County Department of Development Services TIM SNELLINGS, DIRECTOR I PETE CALARCO, ASSISTANT DIRECTOR 7 County Center Drive Oroville, CA 95965 (530) 538-7601 Telephone (530).538-2140 Fax www.buttecounty.neVdds OWNER -BUILDER INFORMATION An application for a building permit has been submitted in your name listing yourself as the builder of the property improvements specified. For your protection you should be aware that as "owner -builder" you are the responsible party of record on such a permit. Building permits are not required to be signed by property owners unless they are personally performing their own work. If your work is being performed by someone other than yourself, you may protect yourself from possible liability if that person applies for the proper permit in his or her name. Contractors are required by law to be licensed and bonded by the State of California and to have a business license from the city or county. They are also required by law to put their license number on all permits for which they apply. If you plan to do your own work, with the exception of various trades that you plan to subcontract, you should be aware of the following information for your benefit and protection: ° If you employ or otherwise engage any persons other than your immediate family, and the work (including materials and other costs) is $500 or more for the entire project and such persons are not licensed as contractors or subcontractors, then you may be an employer. G If you are an employer, you must register with the state and federal government as an employer and you are subject to several obligations including state and federal G income tax withholding, federal social security taxes, workers/ compensation insurance, disability insurance costs, and unemployment compensation contributions. There may be financial risks to you if you do not carry out these obligations, and these risks are especially serious with respect to workers' compensation insurance. ° For more specific information about your obligations under federal law, contact the Internal Revenue Service (and, if you wish, the U.S. Small business Administration). For more specific information about your obligations under state law, contact the Department of Benefit Payments and the Division of Industrial Accidents. If the structure is intended for sale, property owners who are not licensed contractors are allowed to perform their work personally or through thier own employees, without a license contractor or subcontractor, only under limited conditions. A frequent practice of unlicensed persons professing to be contractor is to secure an "owner -builder" building permit, erroneously implying that the property owner is providing his or her own labor and material personally. Building permits are not required to be signed by property owners unless they are performing their own work personally. Information about licensed contractors may be obtained by contacting the Contractors' State License Board's automated telephone information system at 1-800-321 -CLSB (2752) or by accessing thier website at www.CSLB.ca.gov. PLEASE COMPLETE AND RETURN THE ENCLOSED OWNER -BUILDER VERIFICATION FORM SO THAT WE CAN CONFIRM THAT YOU ARE AWARE OF THESE MATTERS. THE BUILDING PERMIT WILL NOT BE ISSUED UNTILL THE VERIFICATION IS RETURNED. OWNER BUILDER VERIFICATION PLEASE COMPLETE THIS FORM AS REQUIRED BY THE STATE OF CALIFORNIA (SENATE BILL NO. 831 EFFECTIVE JULY 1, 1980). NO BUILDING PERMIT WILL BE ISSUED UNTIL THIS VERIFICATION IS RECEIVED. I PERSONALLY PLAN TO PROVIDE THE MAJOR LABOR AND MATERIALS FOR CONSTRUCTION OF THE PROPOSED PROPERTY IMPROVEMENT. (YES OR(q IAV /HAVE NOT) SIGNED AN APPLICATION FOR A BUILDING PERMIT FOR THE PROPOSED WORK. 3. I HAVE CONTRACTED WITH THE FOLLOWING PERSON (FIRM) TO PROVIDE THE PROPOSED CONSTRUCTION: I►0tyll ADDRESS CITY PHONE CONTRACTORS LICENSE NO 4. I PLAN TO PROVIDE PORTIONS OF THE WORK, BUT I HAVE HIRED THE FOLLOWING PERSON TO COORDINATE, SUPERVISE, AND PROVIDE THE MAJOR WORK: ADDRESS CITY PHONE 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 Description: DEMO PERMIT - NNE LIGHTNING FIRE 062208 Reference Number: B08-1554 Applicant Name: Owner's Name: MURRAH, JANIS AP # : 058-230-023 Signature of Property Owner: C�G?/!2!�! Q, Date: 8 — 6—OR w PERMIT NO. 4630-79B°4P,E,M PERMIT EXPIRES' Robert Childers OWNER .CONTR. owner 58-23-23 LOCATION (A.P. ) S/S Cribbage Ln., app.900'f �ConcowOro t z i AC t� c 3 1 •'1f Temp. Power Pole Called PG&E l Temp. Elec. Serv. y Called PG&E /0j.-,Y/7;F Temp. Gas Serv. {� Called PG&E 1, + JOB ' FINALED (Date) (Signature) e Interior Lath Ventilation ` G/` PermanwAk I t Z Door Closer Final Final MOBILEHOMEUTILITIES ------------------ Elec- Service Elec. Pedestal Water Piping Sewer Gas Piping �OBILEHOME INSTALLATION - - - - - - - - - - - - - - Support Elec. Continuity Water Piping Draina a Gas Piping 777 auk 7,0777 W7 DATE REMARKS OR CORRECTIONS x a, ccr,�o 2z"X3B ,� %..��`cvA✓y�rJ,o p . (NOTE: An entry must be made on this form each time you visit the job site.) COUNTY OF BUTTE - DEPARTMENT OR)'PUBLIC WORKS BUILDING INSPECTION RECORD BUILDING BUILDING (Cont'd) PLbMBING Setback. fJ Firewall Soil Piping Forms Parapets 1st Floor Main Bldg. Restroom Finish 2nd Floor 164-23-71W F otin s ^i0- 7 Windows 3rd Floor Siding To out i Roof Sheathing Water Piping Piers Roofing b Sewer Garage Fdn. Vents Fixtures Footings Stemwall I ulation' Water Htr. Heaters Slab Carport p Footings Slab Prov. cally handica e Conformance of ex. s - Final Appliances Gas Piping & Test Temp. Gas Sanitation Patio FIREPLACE Final Footings Footina ELEC ICA Masonry Walls Throat _ Reinf. Steel Final 9— fixtures Bond Beam FIR SPR N LERS Motors Framing Test Water Htr. Stucco Final Subpanels Mesh MECHANICAL Grd. Fault Prot. Scratch Heating Service Brown Cooling Temp. Pole Finish Ducts /` 5 / Underarotm , / ,.., Interior Lath Ventilation ` G/` PermanwAk I t Z Door Closer Final Final MOBILEHOMEUTILITIES ------------------ Elec- Service Elec. Pedestal Water Piping Sewer Gas Piping �OBILEHOME INSTALLATION - - - - - - - - - - - - - - Support Elec. Continuity Water Piping Draina a Gas Piping 777 auk 7,0777 W7 DATE REMARKS OR CORRECTIONS x a, ccr,�o 2z"X3B ,� %..��`cvA✓y�rJ,o p . (NOTE: An entry must be made on this form each time you visit the job site.) tit COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 Telephone: 534-4541 4 APPLICATION AND PERMIT - aUl11UilLC IViJICJCIIL0tIVCJ UI LIIC I,UU11ty UI DUMC tU UIRUF UPUII llle above-mentioned property for inspection purposes. X Oirca,411i Date d Signature of Permitee or Agent Receipt No. "Is O/ 9 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 7 r9 Building permit expires Date BUILDING Owner 094SIIE " SQ. FT. OCC. BUILDING VAL ION Mai Add11ressgo x' 2_311�r 1216(a CO V /yl�Ing C6 y� gflo o. 3 Contractor Mailing Address Fireplace Total Valuation Telephone No. Permit Fee Building Address�� Plan Checking Fee&/or Penalty Permit Fee OCC A)COW &AO PLUMBING No. @ FEE PERMIT FILING FEE $3.00'S,©0 Each Trap 1.50 V3 ,50 �p,� (. wte,i( -v Repair drainage or vent piping 1.50 A. P. No. " 2,3 Loning & P nning Water piping 1.50 Each gas water heater or vent 1.50 Us I W. I San' t' Fire Dept. Fire Zone Use Permit Gas piping system 1 - 5 outlets 1.50 EQA Parking Pla s .Parcel Declaration Parcel M p 60' R/W Improvements Each additional outlet .30 Building sewer 5.00 Bldg. Ions Recd Parc royal Pla proval Lawn sprinkler system 2.00 NEW ADDITION ❑ UTILITIES ❑ OTHER ❑ T w PrLaermit $ ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 Main service 600V OR LESS 100 AMP OR Less 5.00 Single Family Duplex Mobil Home ❑ Others ❑ Main service EA. ADD•L 100 AMP 2.50 Main service OVER P OR LESS 100 AMP O 25.00 Main service EA. ADD'L 100 AMP 1.00 NEW CONST. D OCCUP, Y T OR AODNS. A S. 20 sq ft .T 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 t style of: Y NEW CONSTR RANCH CIRCUITS) NON.RESID ( BRANCH CIRCUITS) 2.50ea NEW CONSTR. (POWER APPARATUS & NON.RESID. SINGLE OUTLET CIR. Ex. Occuo(OUTLETS OR FIXTIIRES 5 L� Ex. Occup. FIXED APPLNS. OR p• OUTLETS (RESID,) EA) 2.00 Temporary service 110.00 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. ❑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_ 3,Qp v Ventilation J=2.00 Hood .co Permit Fee $ ,00 $ 1/ o0 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 $ 25io0 TOTAL PERMIT FEE $ aUl11UilLC IViJICJCIIL0tIVCJ UI LIIC I,UU11ty UI DUMC tU UIRUF UPUII llle above-mentioned property for inspection purposes. X Oirca,411i Date d Signature of Permitee or Agent Receipt No. "Is O/ 9 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 7 r9 Building permit expires Date RESIDENT IAL - PLAN CHECKING GUIDE (S.F.V DUPLEX, & MISC. ONLY) Bldg,. Permit # OWNER A.P. # A.. GENERAL Zoning requirements (sideyards and parking). Valuation. Signature by R.C.E. or Architect (if required). B. PLOT PLAN Complete parcel size and dimensions. >e-011*Setbackq, sideyards, easements, etc. Other buildings or structures. Grading, fills, drainage. C FLOOR PLAN ' Complete to scale plan with dimensions. ,3-0' Required windows for light and ventilation (Sec. 1405). • ., t Required windows for second exit (Sec. 1404). �� Allowable glazing for -energy requirements (20% max-., per.State law). >!017Human impact glass -(Sec. 5406). .�tequired room sizes, ceiling heights (Sec. 1407). iy'' G.F.C.I.'s in baths and exterior outlets (Sec. - ,gk!' Light fixtures, switches, receptacles, and terior receptacles for maintenance o c anical gqUjRWS;w. ocations of water heater, eatin coo ing equi men other electrical or gas _ equipment, and plumbing fixtures. 1 - 3'0" exterior exit door (Sec. 33 Fireplace location,. Smoke detectors (Sec. 1413). D. STRUCTURAL DETAILS Foundation plan complete enough to construct building. al. Floor construction details complete enough to construct building. ,340 Elevations and wall construction. details complete enough to construct building.' Roof construction details complete enough to construct building. 7VrV fS Fireplace construction details and calcs if over one=story in height. Sufficient data and details to satisfy energy insulation requirements (State law). E. MISCELLANEOUS ITEMS TO LOOK OUT FOR CCX plywood on exposed locations and overhangs. Stairway details (Sec. 3305). Guardrail details (Sec. 1716). Brick or stone veneer (Chapter 30). Exterior plaster - weep screeds (Sec. 4706 & 4708). Proper roof pitch -for roof covering (Chapter 32). Rafter ties or bearing ridge beam. Gar age, ,door,or porch header sizes. .! Adequate bracing. t -W. Living area over garage - complete 1-hour.separation required including supporting walls and posts, etc. Two (2) exits on three-story dwellings (Sec. 3302). A 1 ?lui UtiI PERMIT NO. 2144-75P.E P E M MH UTIL. PERMIT NO. }} PERMIT EXPIRES `OWNER Robdrt Childers 't�CONTR. LOCATION (A.P. 58-23-23 4 s/s Cribbage Lane, app. 900' off Concow Rd. Oroville J, - ' Temp. Power Pole Called PG&E Temp. Elea Serv.a Called PG&E Temp. Gas Serv. Called PG&E i 1 J B ALED • (Date) (Signature) 1 COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS BUILDING INSPECTION RECORD BUILDING BUILDING (Cont'd) PLUMBING Setback Firewall Soil Piping Forms Parapets 1st Floor Main Bldg. Restroom Finish 2nd Floor Footings Windows 3rd Floor Stemwall Siding To out Slab Roof Sheathing Water Pipjpg.41% 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 & 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 n 21 Ce 4!�15vc/4,eC-A 5 �y WS TO Building Department FtROrl Envirormiental Health Pr8 : Sewage and/or ?Fater, Clearance SCC t.T10H Has been approved for Su:i.AGE DISPOSAL !� Tt?R SUPPLY ani t/arian Date 1 . • (g MOBILEHOME INSTALLATION INSPECTION CHECK LIST 1. Is the mobilehome located w'th r quired 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 No 3. Are footings and supports properly sized, spaced, and braced as per approved plans? (Note possible variation at spring shackles.) (Sec. 082 & 5083) Yes 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 fle 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? Yes N C. Backflow - If coach is not State o Californ' 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 Leo B. Does it have minimum" per foot slope and is it properly supported? Yes " No C. Are any leaks detected in drainage system after running 3 -gallons of water through each fixture including washing machine standpipe?. Yes No D. If coach is not State of Californ' approved, does station have required trap and vent? Yes No 8, Gas Piping and Gas Vents A. Connector,- Is mo ilehome connected to the gas'supply with an approved 3/4" minimum mobilehome ea to hart 6 ft. long? Note: All piping is to be .at least as large as the mobileho e g e 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. r 9. Electrical $, A. Is service large enough to provide adequate amperage -to mobilehome (must equal rating of mobilehome with a minimum of 100 amp);,and other facilities on lot, i.e., water pumps` garage, cabana,_ etc.? Yes 4�N­o Li Z5 B. Is there proper clearances around panels. Yes ----No 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 mobilehome supply conductor, including. neutral. 5. All non-current, carrying metal parts of the mobilehome (aluminum siding, gas line, water line), including fixtures and appliances, shall be tested for continuity from such equipment and the grounding conductor. 6. Upon completion of the above procedure, the power supply cord or feeder assembly conductors shall be connected to the site service equipment. A further continuity test shall then be made between the grounding electrode and the chassis of the mobilehome. Upon satisfactory completion of 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? y , 11. If everything okay, sign off card and tag services. MOBILEHOME DATA Manufacturer and/or Namestyle f� �/- Lengths'1 -2— Width l `~z` Vehicle Serial No. State Identification No.Q ? 0 �cs Additional Information or Comments: .�'�� S- �/©�'s� �-;� �� � � /� �,► � � �� l� ate �- z COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WO K '7 County Center Drive - OroviIIe;Cali fornia 95965 Tel ,phone: 534-4541 APPLICATION AND PERMIT 2��(n � l0 By I<. —Date 0 d ✓ J Receipt No. White-D.P.W. - Yellow -Assessor - Pink -Inspector - Goldenrod -Applicant Tiding permit expires Date d BUILDING Owner SQ. FT. OCC. BUILDING VALUATION Mailing Address Telephone No. Fireplace Contractor Total Valuation Mailing Address o2 3-r Permit Fee Plan Checking Fee &/or Penalty Telephone No. Permit Fee Building AddressPLUMBING No. @ FEE PERMIT FILING FEE $3.00 Q� 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. �8-� 3 -;7-13 Zoning &Planning Gas piping system 1 - 5 outlets 1.50 Each additional outlet .30 FR s cS Fire Dept. Fire Zone Use Permit Building sewer 5.00 EQA Parking Plans Parcel Declaration Parcel Ma P 60' R/W Im r p ov ents Lawn sprinkler system 2.00 Bldg. Plans Rec'd Parcel oproval Plans fpproval Permit Fee $ $ NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER M, ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 / 4W- 7 5 Main service incl. 1 meter Additional meters, each 1.00 Sub -panel 02 or less) (more than 12) Single Family ❑ Duplex ❑ Mobil Home jo Others ❑ Range, Cook -top or Oven 1.00 Water Heater or Space Heater 1.00 Light fixtures 60 a2 Receps., switches & fix outlets b,1 In 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 e5 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_' - b/ Misc. wiring ❑ 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. rVr 1 have placed on file with the County of Butte a certificate of Workmen's Compensation Insurance. F -1I 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 authorize representatives o the County of Butte to enter upon the • above -me oned property r inspection purposes. X j Date Signature of P `mite, or Agent 3c% TOTAL PERMIT FEE $ 3004 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 b;paid. DIRECTOR UBLIC WORKS (,:�, 1/1111/1 D _ -, .-- 2��(n � l0 By I<. —Date 0 d ✓ J Receipt No. White-D.P.W. - Yellow -Assessor - Pink -Inspector - Goldenrod -Applicant Tiding permit expires Date d MA COUNTY OF BUTTE – DT OF PUBLIC WORKS ' 7 County Center Drive - rr, Ile, California 95965 Telephone: 534-4541 APPLICATION AND PERMIT o�1 4 T `75— J Receipt No. ,�7 z2q- C. White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant Building permit expires Date ' 7 BUILDING Owner C1112- SQ. FT. OCC. BUILDING VALUATION Mailing Address w C Tele—one. Fireplace Contractor Total Valuation Mailing Address Permit e Plan Checking Fee&/or Penalty Telephone No. Permit Fee i Building AddressS sr C Ile J-8 .. vim- PLUMBING No. @ FEE PERMIT FILING FEE $3.00 4.-O ",Eo — d el Each Trap 1.50 1 v/LLC Repair drainage or vent piping 1.50 Water piping 1.50 Each gas water heater or vent 1.50 A. P. No. Q / Zuni Gas piping system 1 - 5 outlets 1.50 Each additional outlet .30 FSa ' • Fire Dept. Fire Zone Use Permit Building sewer -5- 0 EQA Parking Plans Parcel Declaration Parcel Ma P 60' R/W Im rovements P Lawn sprinkler system 2.00 zo 7- 9. Plans Rec'd Parc proval Pla pproval Permit Fee $ !rfl $ 3 NEW ❑ ADDITION ❑ UTILITIES OTHER ❑ ELECTRICAL No.] @ FEE PERMIT FILING FEE $3.00 Main service incl. 1 meter�q , 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 fixtures 20 %2 10 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. FanorF.A. Furn. Motor 1.00 Evap. cooler, gar. disp. or D.W. 1.00 Air conditioner or heat pump Waterpump / Mobil Home Facilities 5.06 Temp. Power Pole 5.00 License No. Classification Misc.. wiring I am exempt from the Contractors License Laws of the State of California. Permit Fee $ ,y7 ,PQ $ 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. 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 authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. X ate 19' "/,6 - Li Signature of Perite or Agent . -- � TOTAL PERMIT FEE $ u / 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 BLIC WORKS -- By - Date Receipt No. ,�7 z2q- C. White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant Building permit expires Date ' 7 I Aj of pians and 6P@QA4Cs&4i0AS MUST be apt on the -job of all times and it is unlawful to - make any changes or alterations on some witheui written panytisson from the Department of Public Works, County of Butte; Septic system and location @44AWd- 10 be as Boer u tte County Heatth DePt. Re- quirements. 'n. f0cated Within 4 i ft. outside the reap third section of the Mohaleihome on the left (road) tide of mobile 5625- 7 z i 446;— M- pie side property line and 50 ft. frorl, the centerline of the road, perrnKting a maximum of a 2 ft.--eave overhang '9k. permit will be required for the installation of the ni6billehome;- BUTTE COUNTY BUILDING DEPARTMEM At­,P.R0VFD cs` MOBILEIiOME iNSTALLATION.INFORMATI.ON COUNTY OF BUTTE - Department of 7 County Center Drive, Oroville, PHONE:_534-4541 Public Works California Lot Facilities Mobilehome Data 1. Plot plan dimensioned, location of mobile 1. C Length Widt and utility connections? Manufacturer J7,,,, Yes No Vehicle Serial No. 4 14 ref ci 2. Electrical.service equipment ampacity Insignia Control No. 6 70 3 Sf Circuit breaker ampacity -7 G 2. Feeder assembly ampacity �pU Permanent Wiring Connection JC Conduit size r Ampacity p Utility Power supply cord (amps)1 Receptacle :m-- Eunpaclty 3. Gas inlet size• �- 3.' 20' Mobilehome connector-�-i-ae t� :C t7 47 Gas riser size min Capacity. 4. Drain inlet size 11 /1'- 4. Drain connector: describe on reverse side w 5� 5. Water connector: describe on reverse side 6. Are utility coiunections located outside 6: n' . °�, the reat .1/3 of the mobilehome within `ref` H m � s Wind load s . If not, show di.mensions.abov_T-7 (only for robilehomes manufactured after 7' Is the mobilehome clear of septic tank,October 0. M leach fields and located outside public 7. Manufacturer's installation instructions? utility easements? Yes No cs` If so, specify For plans and specifications of support system, see other side. RM, MOBILEIiOME iNSTALLATION.INFORMATI.ON Lot Facilities Mobilehome Data 1. Plot plan dimensioned, location of mobile 1. C Length Widt and utility connections? Manufacturer J7,,,, Yes No Vehicle Serial No. 4 14 ref ci 2. Electrical.service equipment ampacity Insignia Control No. 6 70 3 Sf Circuit breaker ampacity -7 G 2. Feeder assembly ampacity �pU Permanent Wiring Connection JC Conduit size r Ampacity p Power supply cord (amps)1 Receptacle :m-- Eunpaclty 3. Gas inlet size• �- 3.' Gas:. Natural LPG Mobilehome connector-�-i-ae Gas riser size Capacity. 4. Drain inlet size 11 /1'- 4. Drain connector: describe on reverse side 5. 4Tater riser. size d 5. Water connector: describe on reverse side 6. Are utility coiunections located outside 6: Designed loads: the reat .1/3 of the mobilehome within Roof live load '2 y psf. 4 feet of the left wall? Yes ) ' No Wind load s . If not, show di.mensions.abov_T-7 (only for robilehomes manufactured after 7' Is the mobilehome clear of septic tank,October 7, 1973) leach fields and located outside public 7. Manufacturer's installation instructions? utility easements? Yes No Yes. No 8. Do you propose to do other work on the 8, Will the mobile home be installed -o -n ­a property other than the mobilehome installation w ich will require a permit Y separate sup ort structure? Yes No, Yes No If so, specify For plans and specifications of support system, see other side. RM, LOAD BEARING SUPPORTS ; ADDITIONAL CO1VT,dTS Drain Connector, Describe 3.e�5 Water. Connector, Describe LOAD BEARING SUPPORT AND VOOTING INFOMSATION Pier Spacing Used Ma.yimum Pier Load O 00. Maximum Column Load (multi -units only) Soil Bearing Capacity Footing Dimensi4mo� TYPE OF PIER USED Steel -x Concrete Concrete Block Other TYPE OF FOOTING MATERIAL USED Pressure Treated Stood Concrete Redwood (Grade) Other Approved Type AAA M -Fv�vH e�ci BUTTE COUNTY BUILDING. DEPARTMENT APPROVED y� r .v M Al d , i I V,. 4 ' 4 i '+, . � _-...._... ..: :.�:-e�4.sr•�44NM•+d'i�ri.,�whYrwFi"nYni +w..4�M1Y+�M+x +Y+`M�s•I+wnrvxi'++a•+�fr W.. 4!'�.' M..-..•t.4f.-'-�.i.:.1 ,. i+.i+.'t*vaa•..nlwg,-a`�„�-_d"�"„� �..., i.�.w uv ri'.e Pr•4. �.ty Hs?31LtSl is t r, i a i1 I 1 v f ",°. ,. .,.,.... ...,.r r .-. �...•�«.r��-u.M4-„.,.+..,ri•*�..."!tYe"'o�.,v,aw..<,{,,,w.a+wc=+�.ts`:•u". r°`,a"'s'i;a�..�.��—.o. .r:iC edn}i..:cl9�Qi U81 all