Loading...
HomeMy WebLinkAbout058-340-040I l I 4 C 58-34-1p ROBERT SCHWYHART Am" i lad/,Ir NIS pri dirt rd, app 8/10 mi E of eConcow Rd, app 300'N of enf of ljpavement, Concow Permit x#330-76MHI (lexisting site) Issued !��' 58-34-10 PERMIT #424-76P(, S PIPING FOR EXIST. SITE My 58-341-d# FPermit r: OrovIl Trailer Sales � v #570�79MI � a V d — (•j I �,bs/ a SCHWYHART, Robert 3504-73E 1100' off . Conc ow Rd, , 200; yds . , pa t `Jad€ �p turn in at red -color d,. ranch -style gate,) (elec . only f or MH) � /6 -//- 73 (*coni-tr:Oro.Trailer"Sales-MH•imstall existing site)(**GAS PIPING FOR EX. 4 ? m tPERMIT NO. 5708-79MHI existing site PERMIT EXPIRES OWNER ROBERT grHWYHART CONTR. Oreyi_1 1 e Trailer Gales LOCATION (A.P.�/ 5,8/-314 -1�r8/ N/S pri dirt rd, app 8/10 mi E of Concow Rd, app 3001N of end of pavement �ncow I'. ;U 1 I t l y� Temp. Power Pole �4 Called PG&E 1 Temp. Elec. Serv. Called PG&E Temp. Gas Serv. Called PG&E JOB FINALED (D to (Signature). 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 Piping Piers Roofing Sewer Garage Fdn. Vents - s - Fixtures Footings Stemwa I I Garage Vents E L Insulation Water Htr. Heaters Slab Carport Footings Prov. for phsically handicaped Conformance of ex. structure Appliances Gas Piping &Test Temp. Gas Slab Final Sanitation Patio FIREPLACE Final Footings I Footinq ELECTRICAL Reinf. Steel I Final I Fixtures Bond Beam I FIRE SPRINKLERS I Motors stucco Final Subpanels Mesh MECHANICAL Grd. Fault Prot. Scratch Heating Service Brown Cooling Temp. Pole Finish Ducts Underground Interior Lath Ventilation Permanent ' �Ooor Closer Final Final 'MOBILEHOME UTILITIES ------------------ Elec. Service Elec. Pedestal =Water Piping Sewer Gas Piping B EMEINSTALLATION--------------Support Eec. Continuity Z— Water Piping ��- Drainage ' Gas Piping �— A DATE REMARKS OR CORRECTIONS f (NOTE: An entry must be made on this form each time you visit the job site.) 05 MOBILEHOME INSTALLATION. INSPECTION CHECK- LIST 1. Is the mobilehome located wit required separation from lot lines -and buildings and generally conform to plot plan? Yes No 2. Does the mobilehome have.required clearances above ground? (Sec.5085) Yes No 3. Are footings and. -supports properly sized, spaced, and braced as pe approved plans? (Note possible variation'at spring shackles.) (Sec. 5082 & 5083) Yes_ No 4. Is the mobilehome level? (Sec. 5088) Yes No 5. Yes_ a single unit, are crossover connections properly installed? (Sec. 5088) No_ /,/����9,�G 6. Wate " A. Is fle9kie 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 No C. Backflow - If coach is not Stat of California approved, does station have backflow device and pressure -relief valve? Yes o 7. Wastes and Drains A. Is connection made with Schedule 40 DWV and have flex connectors at each end? Yes�o B. Does it have minimum 4" per foot slope and is it properly supported?.Yes No C. Are any leaks detected in drainage system after rgnning 3- allons of water through each fixture including washing machine standpipe? Yes No D. If co h 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 conn to of more than 6 ft. long? Note: All piping is to be at least as' large as the mobi home 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, t n on gas, test connections with soapy water. C. Are all appliance vents properly installed? Yes No 9., Electrical s_ A. Is service large enough to provide adequate amperage -to mobilehome (must equal rating of mobilehome with a minimum of WO amp) and other facilities o lot, i.e., water pumps, garage, cabana, etc.? Yes No 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. S. 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? 11. If everything okay, sign off card and tag services. MOBILEHOME DATA Manufacturer and/or Length_- ZWi Vehicle Serial No. Namestyle J. dth 2 ,0,6 Z State Identification No. Additional Information or Comments: I r' COUNTY OF BUTTE — �L'IPAATMENT OF PUBLIC WORKS ( 7 County Center Drive — Oroville, California 95965 - Telephone: 534-4541 APPLICATION AND PERMIT BUILDING Owner SQ. FT. OCC. BUILDING AfIUATION Mailing Address Telephone No. Contractor 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 Wor en'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. 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 a ounty of Butte to enter upon the above-mentioned proper or i ection purposes. X / Date C �� Sign lure f armitee or Agent Receipt No. White-D.P.W. - Yellow -Assessor - Pink -Inspector - Goldenrod -Applicant Permit Fee $ MECHANICAL No. @ FEE PERMIT FILING FEE $3.00 Heating Cooling Ventilation Hood 2.00 Permit Fee $ ad-Develepmenit F=A- aff-L 1$ K30 TOTAL PERMIT FEE 1 $ aw t This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above r which fees have been.paid. D ECT. O�F PU WORKS �7 e ate i, G Building perm expires Date "_ �� Fireplace Mailing Address e Total Valuation Tele hone No. c -� Permit Fee --dPI an Checki ng Fee &/or Penalty BuildingAddress (u �/- � S P✓Q�'�l/ �! ! x.1511 51 - -1 Permit Fee - �os�G'd6y /tC7i ASD 300 0� PLUMBING No. @ FEE PERMIT FILING FEE $3.00 Each Trap 1.50 C-0 tiCZW Repair drainage or vent piping 1.50 Water piping 1.50 A. P. o. Zoning & Planning Each gas water heater or vent 1.50 es I WEe.1 Se�r Fire Dept. Fire Zone Use Permit Gas piping system 1 - 5 outlets 1.50 EOA Parking P I Parcel Declaration Parcel Map 60' R/W Improvements Each additional outlet .30 ns Building sewer 5.00 Bldg. lens Recd I Parcel A oval Plans royal Lawn sprinkler system 2.00 NEW ADDITION ❑ UTILITIES ❑ OTHER Permit Fee $ I I� I dN EVIS �AJ * S ITL ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 Main service 600V OR LESS 100 AMP OR LESS 5•�� Single Family ❑ Duplex Mobil Home Others ❑ Main service EA. ADD'L 100 AMP 2.50 Main service OVER 600V 100 AMP OR LESS 25.00 Main service EA. ADD'L 100 AMP 1.00 ' NEW CONST. ( DWELLING OCCUP. 'I)20sgft OR ADDNS. ACC. BLDGS. CONTRACTORS LICENSE LAW NEW CONSTR. ULTLOU L T NON.REsID BRANCH CIRCUITS/ 2.50ea I am under the provisions of Chapter 9, Div. 3, of the NEW CONSTR. POWER APPARATUS 8 NON.RESID. SINGLE OUTLET CIR. ,licensed State of California Business & Professions Code under the name Ex. Occup{OUTLETS OR FIXTIIRES g L@; .style 0 Ex. Occup ( FIXED TS (RESAPPLNS. OR ) OUTLETS (RESID.) EA 2.00 / f?n AZA R i/f/1 � F I 7%J Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 6.25 License No.g?& / y'o.i' Classification el -e/ 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 Wor en'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. 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 a ounty of Butte to enter upon the above-mentioned proper or i ection purposes. X / Date C �� Sign lure f armitee or Agent Receipt No. White-D.P.W. - Yellow -Assessor - Pink -Inspector - Goldenrod -Applicant Permit Fee $ MECHANICAL No. @ FEE PERMIT FILING FEE $3.00 Heating Cooling Ventilation Hood 2.00 Permit Fee $ ad-Develepmenit F=A- aff-L 1$ K30 TOTAL PERMIT FEE 1 $ aw t This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above r which fees have been.paid. D ECT. O�F PU WORKS �7 e ate i, G Building perm expires Date "_ �� 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 ngmber for the following location: Owner Owner's Address Mobilehome Mfg. Model,Year Insignia No. Serial No.: It is hereby certified for occupancy at the above described location and may be occupied. Director of Public Works Date ; By THIS CERTIFICATE IS VOID WHEN MOBILEHOME IS RELOCATED White - Owner, Yellow - Installer, Pink - D.P.W. I c E vi °0�• Oma' A m V mt'ON m O c ° a 0." •N a-- w r�LL) > 0. vo ;, o a .;O J °0�• Oma' A m V mt'ON m O c ° a 0." •N a-- BUTTE COUNTY DEPARTMENT OF PUBLIC WORKS - 7 County Center Drive,.Oroville, CA. PHONE: 534-4541 MOB ILEHOME INSTALLATION SHEET 1. Owner's name: 2. Installer's name: MAILER SALES 3. Is .the site currently under permit? Yes / / No (If yes, furnish permit number ) OR Is the site an existing site? Yes / No (If yes, furnish two (2) plot plans.) the mobilehome electrical rating? ----------------------- (%O 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 /1;K No ( If no, clarify ) 5. What is the mobilehome electrical rating? ----------------------- (%O Amps 6. What is the mobilehome site service rating? --------------------- /02 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) e,�U (Amps) 9. What is the mobilehome site gas pipe size?-------------------:� (in.) 10. What is the type of gas service? ----------------------------- Natural / / LPG /!// 11. What.is the gas pipe length from meter or tank to the mobilehome? (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 501ft, on LPG.) i V, ki Jyj It MOB ILEHOME SUPT, -MT DATA 4 0 If other than 'single wide, Mobilehome Mfr. s r,o eF MAAJOA-- . furnish Setup .Model No. C�)j Old Year % WidthCjLAZ_(ft.) Box Length _g�b (ft.) -,.,Tagalong or'Expando Sizef t. 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 A Pressure treated or ON an foundation grade. (ft.)(in:) (in.) (in.) ❑ 2. Other (specify) Center support Center support locations* footing sizes Supports (check one) (in.) Concrete block." �- a x 3 0 ❑ 2: Other (specify) (in.) (in.) F—Tagalong or Expando,' show support details. (ft:)(in.) (in.) (in.) X, -7 -?0-- Typical Support (in.) (in.) Footing Size 14/87 461 lix X30 11 (ft.)(in.) (in.) (in.) Max. Pier Spacing (ft.) (in.) �U x 5 -- Max. Overhang r (ft.) (in.) in. in. ... (ft.)(in.) 8LlT1'E'COUNO BALDING DEPARTMW APPROVED �a- *If center piers are other than drawn above, ell-Aw in• lnratinna annirino n"A A4MM"04nne F MOBII &OME INSTALLATION _INSPECTION CHECK LIST �• Is the mobilehome located with required separation from lot lines and buildings and generally conform to plot plan? Yes No s Does the mobilehome have required clearances above ground? (Sec.5085) Yes No .)�x Are footings and supports properly sized, spaced, and braced as per approved plans? (Note possible variation at spring shackles.) (Sec. 5082 & 5083) Yes-4'No �+. Is the mobilehome level? (Sec. 5088) Yes No� f5! If more than a single unit, are crossover connections properly installed? (Sec'. 5088) Yes No 4 6" Water Is flexible connector of adequate size and properly installed (1/2" ID min.)? (Sec. 5566) Yes No Test - Does water piping withstand working pressure or 50 lbs, air test? YeS— No Backflow - If coach is not State of California approved, does station have backflow device and pressure -relief valve? Yes No ,p�/- PV 4 717) 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 No fC/ Are any leaks detected in drainage system after running 3 -gall ns of water through each // fixture including washing machine standpipe? YeSA No 97 P1, 'D. If coach isnot State of California approved, does station have required trap and vent? Yes No V 4 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 �Y. Open all appliance connector valves.' 02: Shut off appliance burner and pilot valves. 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 mina without drop. Connect gas meter to mobilehome with connector, turn on gas, test connections with soapy water. �G. Are all appliance vents properly installed? Ye� No 9 Electrical _4�. 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.? Yes4 No Is there proper clearances around panels? Yes-ILNo ¢'. 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 pede,-tal. 2Make sure that'the power supply cord or feeder assembly conductors, including neutral .e conductor, have been disconnected. Switch all breaker's 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 rn.obilehome supply conductor, including neutral. 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. 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? 11. If everything okay, sign off card and tag services. MOBMEHOME DATA Manufacturer and/or Namestyle 0 %- Length La CI I Width .1 Z_ Vehicle Serial No., State Identification No. �% Z CG Additional.Informati.on or Comments: 41 c�Z 7ro /3 COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS 7 County Center Drive — OroviIle, California 95965 1 , Telephone: 534-4541 APPLICATION AND PERMIT 1 BUILDING Owner SQ. FT. OCC. BUILDING VALUATION r Mai l i ng Address411 elephone No. Fireplace Contractor Total Valuation Mailing Address Permit Fee Plan Checking Fee &/or Penalty Telephone No. Permit Fee $ Building Address{ PLUMBING No. @ FEE PERMIT FILING FEE $3.00 Each Trap 1,50 ✓ 4( Repair drainage or vent piping 1.50 Water piping 1.50 - Each gas water heater or vent 1.50 ' A. P. No. r�_ — Zoning & Planning Gas piping system 1 - 5 outlets _ Each additional outlet .30 F Sanitation. 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 1314g-P-1-an-s—Rec'd Parcel Approval Plans Approval Permit Fee $ NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER ELECTRICAL No, @ FEE PERMIT FILING FEE $3.00 n; Main service 1000 AMP ORSLESS 5.00 C.. Main service EA. ADD'L 100 AMP 2.50 Single Family ❑ Duplex ❑ Mobil Home Others ❑ Main service OVER eooV 25.00 100 AMP OR LESS Main service EA. ADD'L 100 AMP 1.00 NEW CONST. LING OR ADDNS. ( DWEACCLBLDGS.CCUP. &) 22sgft NEW CONSTRMULTI-OUTL T NON-RESID, BRANCH CIRCUITS) 2.50ea NEW CONSTR POWER APPARATUS & NON-RESID, (SINGLE OUTLET CIR. CONTRACTORS LICENSE LAW I am licensed under the provisions of Chapter 9, Div. 3, of the State of California Business & Professions Code under the name style of: Ex. Occup(OUTLETS OR FIXTURES) �@1 BAL t' 101 Ex. Occu FIXED APP LNS, OR P'(OUTLETS (RESID,) EA) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 License No. Classification Misc. Wiring 6.25 N!_I I am exempt from the Contractors License Laws of the State of California. Permit Fee $ $ WORKMEN'S COMPENSATION INSURANCE 1 am aware of the provisions of Section3700 of the California Labor Code which requires every employer to be insured against liability for Workmen's Compensation. ❑I have placed on file with the County of Butte a certificate of Workmen's Compensation Insurance. I certify that in the performance of the work for which this ,permit is issued I shall not employ any person in any manner so as to become subject to the Workmen's Compensation Laws of California. MECHANICAL No, @ FEE PERMIT FILING FEE $3.00 Heating Cooling Ventilation Hood 2.00 Permit Fee $ $ 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 $ authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. -f Date Signature of Permitee or Agent Receipt No. C�, 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. DI ECTOR 0,'PUBLIC WORKS BY A- Date g permit expires Date �L 1 PU COUNTY OF BUTTE jl '1BLIC WORKS 7 County Center Dri Telephone: 534-, 41 ve alifornia 95965 APPLICATION AND PERMIT authorize representatives of the County of Butte to enter upon the above- epi d pro ert ,f r in ection purposes. 4 X Date ­- Signature of/Permitee or Agent Receipt No. i�7`^ 7"_�_)� 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. DIREC R OF PUBLIC WORKS By Date ,guHilftng permit expires Date _ /-T BUILDING Owner 6 /1-T s(i \N%� d—r- SQ. FT. OCC. BUILDING VALUATION Mailing Address • r - Telephone No. Fireplace Contractor ©)� �� _ 5 �� �sC_ Total Valuation 6 Mailing Address S E U� (/. : Permit Fee Plan Checking Fee&/or Penalty /2c Ci Telephone No. --� Permit Fee Building Address ,�V��� �® �SPLUMBING No. @ FEE PERMIT FILING FEE $3.00 Fa .5J4clo C v Q,U t WT Iecra Each Trap 1.50 J0 CW ICP Repair drainage or vent piping 1.50 Water piping 1.50 Each gas water heater or vent 1.50 A. P. No. S'� yJ Zoning &Planning Gas piping system 1 - 5 outlets 1.50 Each additional outlet .30 Rae -S-1 sapilftum Fire Dept. Fire Zone Use Permit Building sewer 5.00 EQA Parking Plans Parcel Declaration Parcel Ma P 60' R/W provements Improvements Lawn sprinkler system 2.00 T !� Plans Recd 1039— 6,1; orcel Approval Plans Approal Permit Fee $ $ NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 �Y <'ii; sf (d`to 600V OR LES Main service 100 AMP ORS SLESS 5.00 Main service EA. ADD'L 100 AMP 2.50 Single Family ❑ Duplex ❑ Mobil Home Others ❑ R 600V Main service 10 OEAMP OR LESS 25.00 Main service EA. ADO'L 100 AMP 1.00 NEW CONS. DWELING OR ADDNST ( ACCLBLDGS.CCUP. &) 20sgft NEW CONSTR. MULTI -OUTLET NON•RESID. ( BRANCH CIRCUITS) 2.50ea NEW CONSTPOWER APPARATUS & NON.RESIR. D. (SINGLE OUTLET CIR. CONTRACTORS LICENSE LAW I am licensed under the provisions of Chapter 9, Div. 3, of the State of California Business & Profession Cod under the name st le y, Ex. Occup(OUTLETS OR FIXTURES)@�Q BAL@1 FIXED APP LNS. OR Ex. Occup. OUTLETS (RESID.) EA) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 1��I5� / License No._ S Classification Misc. Wiring 6.25 FT ❑ 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. IVI 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 -)-e TOTAL PERMIT FEE authorize representatives of the County of Butte to enter upon the above- epi d pro ert ,f r in ection purposes. 4 X Date ­- Signature of/Permitee or Agent Receipt No. i�7`^ 7"_�_)� 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. DIREC R OF PUBLIC WORKS By Date ,guHilftng permit expires Date _ /-T COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS 7 County Center Drive — Oroville, California 95965 Telephone: 534-4541 APPLICATION AND PERMIT ya y 76 14 1 1ABUILDING OwnerVJ Mailing Address ` SO. FT. OCC. BUILDING VALUATION el ephone No. Fireplace Contractor v Total Valuation Mailing Address Permit Fee Plan Checking Fee&/or Penalty Telephone No. Permit Fee $ Building Address PLUMBING No.1 @ FEE PERMIT FILING FEE $3.00 Each Trap 1.50 e 114 '9 Repair drainage or vent piping 1.50 Water piping 1.50 Each gas water heater or vent 1.50 A. P. No. �� s. Zoning 8 Planning Gas piping system 1 - 5 outlets Each additional outlet .30 F Cani�--=t�^ Fire Dept. FireZone Use Permit Building sewer 5.00 EGA Parking Plans Parcel Declaration parcel Ma P 60' R/W provements Improvements Lawn sprinkler system 2.00 BI d I Parcel Approval Plans Approval Permit Fee $ NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 Main service i00 AMP OR00V OR LE5.00 Main service EA. ADO'L too AMP 2.50 Single Family ❑ Duplex ❑ Mobil Home JX Others ❑ Main service OVER 600V 100 AMP OR LESS 25.00 Main service/ EA. ADO'L 100 AMP 1.00 NEW OR ADONST ACCLBL GS.LING CCUP. &) 22Sq ft NEW CONSTR. (MULTI -OUTLET NON.RESID, t BRANCH CIRCUITS) 2.50ea NEW CONSTR. POWER APPARATUS & NON.RESID. (SINGLE OUTLET CIR. CONTRACTORS LICENSE LAW I am licensed under the provisions of Chapter 9, Div. 3, of the State of California Business & Professions Code under the name st le of: y Ex. Occup(OUTLETS OR FIXTURES)@ 26 BALR1 Ex. Occu FIXED APP LNS. OR P• OUTLETS (RESID.) EA) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 License No. Classification Misc. Wiring 6.25 I am exempt from the Contractors License Laws of the State of California. Permit Fee $ $ WORKMEN'S COMPENSATION INSURANCE 1 am aware of the provisions of Section3700 of the California Labor Code which requires every employer to be insured against liability for Workmen's Compensation. ❑I have placed on file with the County of Butte a certificate of Workmen's Compensation Insurance. fSZ(� I certify that in the performance of the work for which this 11-�ermit is issued I shall not employ any person in any manner so as to become subject to the Workmen's Compensation Laws of California. MECHANICAL No. @ FEE PERMIT FILING FEE $3.00 Heating Cooling Ventilation Hood 2.00 Permit Fee $ $ 1 certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby TOTAL PERMIT FEE $ authorize representatives of the County of Butte to enter upon the above-mentioned propept976,r inspection purposes. WdPd2n �a)wLJ_Date-k-l�2 Signature of Permitee or Ag nt 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. DITOR 0 PUBLIC WORKS By CDate permit expires Date COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WO 7 County Center Drive — Oroville, California 95965 Telephone: 534-4541 APPLICATION AND PERMIT i authorize representatives of the County of Butte to enter upon the above-mentioned property ori spec tion purposes. 7 t Date / Signature of Permitee or A nt i Receipt No. �1� White-D.P.W. — Yellow-Asses/or — 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 %— 2 7 - '7 Buiid'►ng permit expires Date ......._..:.._�..w. BUILDING Owner c SO. FT. OCC. BUILDING VALUATION Mailing Address Telephone No. Fireplace Contractor Total Valuation Mailing Address Permit Fee Plan Checking Fee &/or Penalty Telephone No. Permit Fee $ $ Building Address©� PLUMBING No. @ FEE PERMIT FILING FEE J$2.00 2-0 C> 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.—Z Zonin .Z Gas piping system 1 - 5 outlets 1.50 Each additional outlet .30 F an Fire Dept. Fire Zone Use Permit Building sewer 5.00 Eaft Parking Plans Parcel Declaration I Parcel Ma P 60' R/W Improvements p ovements Lawn sprinkler system 2.00 Plans Rec'd parcel Aanrnyal s pproval Permit Fee NEW ❑ ADDITION ❑ UTILITIES ❑ ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 3 9d /OTHER Q�c� Main service incl. 1 meter as 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 5� Light fixtures 2U 1W b_a�l L210 Receps., switches & fix outlets z�25 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 I am exempt from the Contractors License Laws of the State of California. Permit Fee $ &.01111 $=/616 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. placed on file with the County of Butte a certificate of FJ 'workmen's Workmen's Compensation Insurance. ,14 I certify that in the performance of the work for which this permit is issued I shall not employ any person in any manner so as to become subject to the Workmen's Compensation Laws of California. MECHANICAL No. @ FEE PERMIT FILING FEE $3.00 Heating Cooling Ventilation Hood 2.00 Permit Fee $ $ 1 certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby TOTAL PERMIT FEE $ l authorize representatives of the County of Butte to enter upon the above-mentioned property ori spec tion purposes. 7 t Date / Signature of Permitee or A nt i Receipt No. �1� White-D.P.W. — Yellow-Asses/or — 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 %— 2 7 - '7 Buiid'►ng permit expires Date ......._..:.._�..w. Uutte County Department of Public Healfb 695 Oleander Ave. 2430 BIRD STRE-lt CHICO, CALIFORNIA 95926 DIVISION OF SANITATION OROVILLE, CALIFORNIA 95965`. 343-4211: EXT. 62 533-1230: EXT. 297 APPLICATION FOR PERMIT TO CONSTRUCT A SEWAGE DISPOSAL SYSTEM Applicant's Name: .... ,/Q....-P.r.........'.............. C'.:/l ..a y� ..... .................. .......................... Mailing Address:,....�, ,7. ........... /7s „ ......... .............................................. ....;..............................................`...........................................Phone ......`..'3.3......C� Name of Owner: /.J...�'..41Q.Y..�..... .......... .... ......... 1. Construction site: ....t (STRE(ET`@ BER OR DIRECTIO DI TAN TO NEARS CROSSROAD) D 2. Locsize:. .....2L.......3.... ft. x .. /......................fc.�.t�...........................................................acres 3. Application for new system for new buildings [/, ; auxiliary or secondary system 0 ; Repair of or addition to old system F) ; New system to replace existing sewage disposal facilities 0 ; 4. Type of building to be served by proposed system: HOME F --J No. Bedrooms?................//................No. Baths?.......6� ......... ........................ Garbage Grinder OYes. No OTHER [D(Specify)........... �?��rC..... ... .....��s-EIS ........5 .......�..�....... .... .. 5. Water supply for premises: Community❑ ; Private well Other Water supply for adjoining properties: Community; Private Well:O ; Other- ...................................................................................................................................................................... *If private well,, how many feet from your nearest property line? ........................... ................................,,;,,.......... ft. 6. SCALE PLOT PLAN TO BE FURNISHED: Sketch to scale on reverse side hereof, or attach scale sketch of plot plan of the premises showing: a) Property lines. b) Location of proposed building and driveway.. c) Location of large trees, `rocks, or other obstacles. d) Location of any well, spring, creek or other body of water. e) Show direction and approximate amount of slope.. I hereby state that the information above and on the reverse side hereof or attached hereto. is correct and true to the best of my knowledge.. I understand that the permit must be obtained before any construction is begun either on the building or on the sewage disposal system, and that a satisfactory inspection f the system is required be- fore the new building may be occupied or the system backfilled or put into use. % a� Date: / Signed:......... !l.. Zoning -and access:. OKE].,; NOK Cleared by Planning........................:.......................................................................... Permit issued ...................................... Denied:................ By:.............. Re arks: ,2 , ..............................................................:.. Date:....................................... :f r This set of plans and specifications MUST be 'kept on -the job at all times and it is unlawful to make any changes or alterations on some withouf written permission from the Department of Public - W646' Gematyt utte. 7 �^ dew , � Septic system and location o . be as .per Butte County Health Dept. Re- quirements. The All. Setback shall be 5 ft. from the side property line and 50 ff. from the centerline of the road, permitting a maximum of a 2 ft: eave overhang: 4 �.J y, 4Rr 'BUTTE COUNTY / BUILDING DEPARTMENT Ul APPROVED �o,�rr�P�7c ro.Ps i4 , c � �✓ s .� a4lC;2 s BUTTE COUN` EY DEP.!lREHENT OF PUBLIC WORKS 7 Clounty Center Dr.i.ve, Oroville, CA. _— P,i-IONE: 534-4541 MOP,TJ.E1f0MF. IMISTALLATION SHEET --- SCa w Y/b9 e •r— 1. Owner's name: 4 2. Installer's name: 3. Is the site currently under permit? Yes /—I. No 75T/ (If yes, furnish permit number _ — ) OK Is the site an existing, site? `res l 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 nts. ? les / No _:ni . clear of all setbacks and. easeu (If no, clarifyl�[%.,1t�.�lo S. What is the: 1110 >i].chonu; c:],r-,ctr:ic:cJ. r"tt'big? 6. What' iS Che 1110bil-011iaiu: ,.'iLO ---_-----.,..-_..__ 7. What is the mobi.lehomL- site ci:rc..ui.t brealker rating? -----••------•-- £i. Is there .any other electric load tics be. servo -d by Hie mobilehome - - � Amps Amps Amp s . site•' _-•. .___......_________. ______--•------ Yes / No If yes, identify the load and size n; � (Load) �!� �(!�-` A ps) 9. What is the moh:ileboTn.e :-ite l;a:_: pi zc:? --_-- -� 10. Wh<Lt ).:: IaIE,: I.Y11( >I i4:1.:, :1. 7"\l .l(;i. __.____0,� 11. What is tiie gas f77: meter or tank -,Ie mobile -home? A�l (ft,) 12. What is the mobilehome gas demand? ----•----------•-----------•----- (BTU) ('This in:Eorznation not: r.c:quired if f)ri.pe len"ch less, th;--+.n h ft.. on natural gas or less than 50 f.r. . on LPC.) 1.. ..... _: .. r . .n. .. - T ..... . - .. q..Rn.•m,-r...:.. h• ••fir . ,. ...TII�g71+'R: t. .. . ..it"1'TT