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HomeMy WebLinkAbout058-450-020a 58-45-20 JAME FOSTER, SR, 2950 RoAnn ; Oroville - Permit#1374-8 util, MH) �oo ELEC—/— 3" SUPPORT STRUCTURE REQ-- Ado— COMPACTION TEST REQ rad. Q _58-45-20 Permi'86MHI- Is 4 l . a F o f i LPI mz)� Lo PERMIT NO. P E MH PERMIT EXPIRES OWNER JAMES L. FOSTER, Sr.` CONTR. owner ASSESSOR PARCEL 58-45-20 LOCATION 2950 Ro Ann Way, Oroville r 5z L.jra C4 TT) 14 Temp. Power Pole_ Called PG&E _ Temp. Elec. Service Called PG&E_ Temp. Gas Se i Called PC- JOB GJOB FINALE[ Signature A( n !JK- . O = Not OK — = Not Applicable MOBILEHOMES * = Not Ready MISCELLANEOUS Date MO)3ILE ME UTILITIES (Plans) OK except N's Date DECKS, COVERS, CARPORTS, ETC. (Plans) OK except N's ng Requirements—Setbacks—Easements 1. Zoning Requirements—Setbacks—Easements 2A-foilVtpecial MH Support—Sketch 3 ewer cation—Test—Fall-C/O—Concrete 2• Footings; Size—Depth—Spacing—Connectors 3. Decks; Girders and/or Joists—Decking—Bracing—Stairs—Rails ater; cation—Test—Easement Needed (Sketch) 4, Wood Awn.; Posts—Beams—Rftrs.—Connec.—Shthg.—Rfg.—Bracing 5 e tricity: Location—Clearances—Grnd.—/ / Amp—Concrete 5. Alum. Awn.; Columns—Connections—Splice—Decal—Enclosures ask Location—Test—Wrap:/ /"L"ft./ /"Nat. or/%V/"L"ft./ "LPG. 6. Carports; Windows—Doors iIity Clearance 7. Elec. Card -BI A Date Card -BI Date j Card -BI Date Card -BI Date Card -BI Date Date Card -BI Date 'r MOBIL OME INSTALLATION (Plans) OK except Ws Card -BI Date Date Card -BI Date POOLS (Plans) OK except Ws on' Requirements—Setbacks—Easements 1. Setbacks—Easements ootings; Size—Spacing—Marriage Line 2. Soils; Compaction—Structure Stability Gas; MH Test—Demand—Valve—Connector 3. Pool Structure; Steel—Connections—Thickness—Dead Men—Lining -lectricity; MH Test—Crossovers—Breakers—Clearances / 4, Elec.; Receptacles and Lighting; Distances—GFI rain; MH Test—Fall—Flex Connector 5. Elec.; Pool Lighting; 15 volts—GFI ,ter; MH Test—Regulator—Connector 6. Elec.; Enclosures; Conduit Entries—Terminals—Listed ater and Sewer Connected—C/0 to Grade—HD Approval 7. Elec.; Bonding; Metal w/5'—Circulating Equipment—Heater 8. Gas and Electricity Tagged 8. Elec.; Grounding; Equip. w/5'—Circulating Equip.—Pool Lghtg. Boxes—Enclosures—Panel boards—Ins. to Main in Conduit -� Exits; Insp.—Sketch 10. Cert. of Occupancy 9. Health Department Approval i 10. Plumb; Cir. Test—Water Supply Test i Card B -I CA2 Date /_ and -BI Date 7< r I K—,? Card -BI Date Card -BI Date Card B -I Date r Card -BI Date Card -BI Date Card -BI Date r D;r i %(- = OX - O = Not OK - = Not Applicable * = Not Ready RESIDENTIAL (Single and Duplex) Date UNDERFLOOR Plans OK except N's Date FRAMING (Continued) 1. Zoning requirements -Setbacks -Easements 48. Property Line Firewall & Openings 2. Ftg., Main; Soils-Steel-Elec. Grnd.- / /" Ftg. Depth 49. Ext. Doors -One 3' -Check Garage -3rd story, 2 exits 3. Ftg., Garage; Soils -Steel- / /" Ftg. Depth 50. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 4. Ftg., Porches & Decks; Soils -Steel- / /" Ftg. Depth 51. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers - 5. Stemwalls, Main; Steel-Blockouts-Wrapped-Slab 52. Siding -Nailing -Veneer 6. Stemwalls, Garage; Steel-Blockouts-Wrapped-Slab 53. Stucco Mesh -Drip Screed-Fdn. Vents-Underflr. Access 7. Piers -Fireplace Ftg.-Steel 54. Glazing Area -Glass Protection -Skylights -Plastic 8. D.W.V.: Fall -Fittings -Test -2 way C/0 -Sewer Test 55. Shear Walls; Nailing -Bolts 9. Gas Pipe; Size -Anchors 10. Water Pipe; Test -Anchors -Regulator -Service Test 11. Electric; Underground 12. Plenums & Ducts; Clearance -Material -Support -Ins. 13. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples Card -BI Date Card -BI Date Card -BI Card -BI Date Card -BI Date Date Card -BI Date Card -BI Date Card -BI Date Date FINAL (Plans) OK except N's Card -BI Date Card -BI Date Date PLUMBING (Permit) OK except q's 14. Water Ht.; Vent -Access -Combustion Air 56. 57. 58. Ext. Steps -Door & Sidelight Protection -Landings Smoke Detector Furnace; Vents -Clearance -Comb. Air -Connector - In Garage; Above Floor-Ducts-Mech. Protection 15. Water Pipe; Test & Anchors -Nail Protection 16. D.W.V.; Test-Fttngs & Anchors -Nail Protection 59. Bedroom Exiting 17. Shower Pan; Test, First Floor -Tub Access 60. G.F.I. & Bath Fixtures & Tub Access 18. Test Tub & Shower, 2nd Floor -Tub Access 61. Elec. Trim & Subpanel; Breaker Sizes -Labels 19. Gas Pipe; Size & Anchors 62. Stairs & Rails 63. Fireplace or Stove; Clearances -Hearth Card -BI Date Card -BI Date 64. Elec. Outlets at Wood Panel; Int. & Ext. 65. Kit. Fixt. & Appliance; Grnd.-Air Gap -Cooking Clearance Card -BI _ Date Card -BI Date 66. Elec. Outlets & Receptacles at Kit. Counter Date ELECTRICAL Permit OK except N's 67. Garage Fire Door; Swing -Landing -Closer 68. A.C. Duct in Garage -Damper ---- 20. 21. 22. 23. Fixture & Transformer Clearance -Ins. Protection Elec. Receptacles Spacing -Lights & Switches at Doors Size Boxes & No. of Conductors -Stapled Romex Installed Close to Edge of Studs & C.J. 69. Wtr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V.- In Garage; Above Floor-Mech. Protection 70. Plb., Elec. &Mech. Equip. Listed for Location 71. Elec. Receptacles in Garage; (G.F.I.)-Romex Protec. -Insulation _ _ Card B -I Card B -I _ 24. 25. 26. 27. 28. 29. 30. Equip. Ground made up w/Mech. Fasteners -Bond Gas & Water 2 Appliance Circuits in Kitchen &Conductor Size Subfeed_Wir_e Size / / ga. Cu or AI-A.C. Wire Size / / ga. Cu or Al Range Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or Al, Insulated Neutral _'Ye_s ,]No_ - Service -Riser Conductors & Ground -Main Disconnect Equip. Clearances; Pane Is_Motors-Mech. Equip. Clothes Closet Light -Shower Light - - ----- - - Date Card -BI Date -- - Date Card -BI Date 72. -Foam -Looked in Attic ❑Yes 73. Guard Rails &Deck Construction -Post Caps 74. Fdn. Vents & Crawl 'sole Door -Drainage & Wood -Earth Clearance Looked under Floor ❑ Yes 75. Following instld.: Drive ❑ Yes ❑ No; Walks ❑ Yes ❑ No; Planters Dyes [J -No 76. Stucco; Brown -Finish 77, A.C. Unit; Disconnect-Clrnces-Brkr. & Cond. Size -115V Outlet 78. 79. Vents Above Roof; Plbg.-Appliance-Firepl.-Clearance to Opngs. Water Well; Disconnect, Electrical, Plumbing 80. Exterior Elec. Trim; G.F.I. Receptacle -Underground 81. Ventilation throughout House 82. 83. 84. 85. t Glass Protection _ Corrections from Previous Inspections Gas Test -Meters Tagged; Gas -Electric Water & Sewer Connected -C/O to Grade -HD Approval Date MECHANICAL (Permit) OK except p's Card -BI Card -BI 31. 32. 33. 34. 35. A.C. Ducts_ Insulation & Support _ _ _ Vent Fan: Exhaust above Insulation_ _ _Condensate Drain &_Overflow: Size & Grade _ Furnace -Vent: A_cc_ess-Comb. Air -Return Air Vent_ -_115_V outlet Attic Access & Platform if Furnace in Attic - Date Card -BI _ _Date _ Date Card -BI Date 86, Energy Compliance Certificate -Other Certificates Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Date FRAMING(Plans) OK except q's Comments at Final: _ 36. 37. 38. 39. 40. Sills; Proper Material & Ancho_rs Walls: Studs -Nailing, Spacing & Bracing -Plates -Sound Bearing Walls over Girders & F_loor Nailing Draft Stop in Walls (rat proof) Fire Stops: Furred Ceilings -Stairs -Chases -Tub 41. 42. 43. 44. 45. 46. 47. Header & Beam -Size & Bearing Hangers -Post Caps -Anchors -Connectors Cing. Joist-Rftr. Ties-Purlin-Roof Brac.-Truss-Shthng.-Ring. Fireplace Ties or Type A Flue -Fireplace Throat Attic Access: Size & Romex Protection -Draft Stop -Ins. Baffles_ _ Bdrm. Windows or Exiting Doors -Sill Hgl. & Dimensions Garage Fire Protection Framing _ (NOTE: Anentrymust be made each time you visit jobsite) COUNTY OF BUTTE _ DEPARTMENT OF PUBLIC WORKS 196 Memorial Way, Chico — Phone: 891-2751 7 County Center -Drive, Oroville — Phone: 534-4541 Skyway and Elliott Road, Paradise— Phone: 872-2961, Ext. 57 CORRECTION NOTI'`CE=J� _ OU R \ PERMIT NO. i A' routine inspection indicates that the following violations of County Ordinance' exist at the above address and should be corrected. Please notify this office when correction of work is completed. If you have any question pertaining to this matter, or need additional explanation, please contact this office immediately. r'` r Inspector&,.�,`-Date-7` Z s, 91� a MOBILEHOME INSTALLATION ACCEPTANCE. COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS — 7 COUNTY CENTER DRIVE OROVILLE, CALIFORNIA — 534-4541 1 - IF Address or location of mobilehome Owner's name —1 PS Owner's address Insignia or hud number Manufacturer's name _ F Serial nu18er of/, m—`\ ._I 3 / Year of manufacture AJ Vil -1 i —ILA pproving Installation) (Date) aj IF THE MOBILEHOME IS MOVED OR RELOCATED,. THE MOBILEHOME INSTALLATION �y ACCEPTANCE SHALL BECOME INVALID. THIS FORM SHALL NOT BE USED WHEN THE .MO,BILEHOME IS INSTALLED ON A FOUNDATION SYSTEM. 513B White - Owner, Yellow - Installer, Pink - D.P.W. MOBILEHOME INSTALLATION ACCEPTANCE `COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS — 7 COUNTY'CENTER DRIVE OROVILLE, CALIFORNIA — 534-4541 / PERMIT NO..." ; Address or location of mobilehome Owner's name_ ,r Owner's address Insignia or hud number Manufacturer's name �R .t ` F �Re0 ti��95 Serial nun mber ofV-iI.N. ' A. Year of manufacture =J11111rL=1 (Official Approving Installation) (Date) ,-"IF THE MOBILEHOME IS MOVED OR RELOCATED, THE MOBILEHOME INSTALLATION ACCEPTANCE SHALL BECOME INVALID. THIS FORM SHALL NOT BE USED WHEN THE L�MOBI'LEHOME IS INSTALLED ON A FOUNDATION SYSTEM. f r 513B White - Owner, Yellow - Installer, Pink - D.P.W. COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKSPERMITNq. 7 County Center Drive - Oroville, California'95965 - Telephone 916/534-4541 /,j/ APPLICATION AND PERMIT ASSESSOR PARC L NUMBE ZO IjJG BUILDING PERMIT OWNE, 1 L� .SM TEL PHONE SQ. FT. OCC. BUILDING VALUATION OWN E 'S LING A D ESSJ 119, .^ 1 CONT A O''AA'S NAME r\ TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONST CTION LENDER 6tA e- UNKNOWN Total Valuation Is Filing Fee $�' LENDER'S MAILING ADDRESS Permit Fee $ ARCHIT T OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS _ Permit fee $ PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAMEPARCEL MAP Water piping 5.00 Each qas water heater or vent 5.00 USE OF STRUCTURE SF ❑ Duplex[] Mobilehome'�J Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home 4 S 10.00ea TYPE OF WORK New ❑ Addition ❑ergpde ❑ UtilitiesX Installation Other ❑ Describe work: (l•Jl Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 600V OR LESS AMP OR LESS 10.00 0100 Main service EA, ACC'L 100 AMP 1 2.50 � CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): ❑ 1 am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is In full force and effect. No. Classification OE(I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ontract- ors. ors.(Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONST. DWELLING OCCUP.lL� OR ACDNS. A Bt_ ) h¢sgft NEW CONCONSTR.ULUL TI -OUT LET NON.RESID BRANCH CRC ITS 2.50 ea POWER APPAIRATUS a (SINGLE OUTLET CIR. Ex. Occu 20050e Occup(OUTLETS OR FIXTURES 5AL030 FIXED APLNS.License Ex. Occup. OUTLETS P(RESID )REA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring g 15.00 Permit Fee $ WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate f 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. Contractor ' MECHANICAL PERMIT Filing Fee 10.00 Heating Cooling Hood 3.00 Ventilation penult 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. 1 also agree to save, indemnify and keep harmless the County of Butte against liabilities, judgments, costs, and expenses which may in any way accrue/ against aid County in co eque e o the gra ting of this permit. X t Date ! Signa a of Applicant — Owner'i Contractor ❑ Agent ❑ An O A permit is required for excavations over 5'0" deep and demolition or construct- ion o structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ TOTAL PERMIT FEE $ 9th occuP, cONST.TYPe F L1071 PARC L I POJ 7Z��all This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which DIRECTO"F PUBLIC By PE EXPIRES Date _ the applicable provi- resolutions to do fees have been paid. WORKS Date Receipt No. WHITE-O.P.W., FELLOW -ASSES SOR, PINI( -INSPECTOR, GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPARTMEN.T OFj�UBLIC WORKS - BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE: 916/534;-4541 -PERMIT APPLICATION DATA SHEET Permit No. _ l - OWNER Gt Wl S �"DS t& r sr, A. P. No. �/ �J Proposed Building Use Permit Fee Based anon I Building Inspector i COmDlete Contract Price DPW Valuation At time of permit application, I was advised the following data must be submitted ,prior to permit processing and./or issuance: DATE RECEIVED APPROVED 1. All items.have been submitted. . . . . . . . . . . . 2., Plot plans in duplicate/triplicate. . . . . . . . . 3. Complete plans in duplicate/triplicate. . . . . . . . 4. Complete engineered plans and calcs. . .. . . . . . . . 5. Plans with Energy Design Compliance Statement. . . . . . 6. CUSD ''Fees Paid'' Stamp on Floor Plan 1 . . . . . . . 7 Statement of Intent for Non -Heated and AC Buildings. 8. Fees of $ . . . . . . . . 9. Letter of signature authoriz ion. ,/ 10. Sanitation approval from 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. . . . . . . . . . . . 16. Mobilehome Installation Data. . . . . . . . . . •Pre-Inspen request to Required. Pre-Inng Inspector (Date) Pre -Inspection for ': (� 18. - kk�� ecorde�R RA I r Qnstructi�neapproval required prior to occupancy Vother When you issue the permit, process as follows: Mail to owner. Mail to contractor. Telephone and hold for pickup at office. Deliver w/inspector. Other Applicant t Date Copy of plans sent Health Dept., Fire Dept. Other Date During the plan checking process, the following data rust be submitted prior to permit issuance: (For required items not checked above at time of application, circle item.) 1. Index permit for above Items No. 2. Additional items required: (Contractor, Designer, Owner) was advised of above required data by Teflephone Mail Other By Date v-� Plans checked by Date Plans approved bv__ Date Other Copy—DPW To: Building Department From: environmental Health Subjeet:,- Sanitation Clearance S-- o0a O�.mer Location AP# Plan Approved for: Selwage disposal, crater supply Hold final for: dater supply Final clearance O.K. for: eater Supply Clearance for +� bedro m n:oUile ome. Other 1'iO1S Sanitarian v Date Return.to DPW AGRICULTURAL STATEMENT OF ACKNOWLEDGEMENT • FOR RESIDENTIAL DEVELOPMENT i3iE4014t1E0K0FFICfA6RECORDS OF BUTTE COUI TWCAI.IE¢[tOilA Section 26-8.1 of the Butte County Code requires'this acknowledgement AT THEREOUESYOF he recorded prior to issuance of a building permit. PARri SHOWN 86-16,374 The property described herein is adjacent to land or included within an area zoned for agricultural purposes, and residents of this property may be subject to inconveniences or discomfort arising from ; QNOR BEGKER the use of agricultural chemicals, including, but not limited to herbicdeE_.,r;- and fertilizers; and from the pursuit of agricultural operations includlimited to cultivation, plowing, spraying, pruning, and harvesting which occasionally generate: dust, smoke, noise, and odor. Butte County has established agricultural zones which have as a priority use for productive agricultural purposes, and residents within said zones and on adjacent property should be prepared to accept such inconvenience or disconform from normal, necessary farm operations. All that real property situate in the County of Butte, State of California, described as follows: The lest half of the South half of the Horth half of the Southeast quarter of the Southwest quarter of Section 20, Township 22 North, Rance 4 East, M. D. B. § M. TOG`'THEIR WITH a right of way for road and utility purposes over a strip of land 30 feet in width lying Northerly of and ajdacent to the Northerly boundary line of thL above described parcel. A'SO TOGETHER WITH a right of way for road and utility purposes over the Easterly 60 feet of the Vest half of Section 20, lying Southerly of the Jordnn Fill Road. ALSO XG--THE:'. WITH a right of way for road and public utility purposes over the the North 10 feet of the East half of the South half of the North half of the Southeast quart=r of the Southwest quarter of Section 20, Township 22 North, Range 4 East. H. D. B. & M. h 1);ite : 3(�, PROPERTY OWNERS: State of ) On this the thy(.. day of , 19 $L, before SS. me, the undersigned Notary Pub ic, personally appeared County of 5 _) --T Ll Personally known to me.- Proved to me on the basis of satisfactory evidence. _ to be the persons) whose names)subscribed to OFFICIAL SEAL the within instrument and acknowledged that DOROTHY A. WISE Notary Public-Callfomla executed the same for the purposes therein contain d. . ,•. s o BUTTE COUNTY IN WITNESS WHEREOF, I hereunto set my hand and official seal. i My Comm. Exp. Aug. e, 9888 a otary Public Present A. P. No. AP ��. .�~� y 2- OWNER OWNER 6Z AZe4 PERMIT'lk P3,) 4 MH UTIL.CLEARANCE DA E %r�o INSPECTOR ELECTRIC GAS Support Struc. Compaction ITest-Req. Service Other Size Load Type Pipe. Size Length YES NOI YES NO ~I COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 9596t - Telephone 916/534-4541 APPLICATION AND PERMIT ASSES ORd PARCEL NUMBER J ZOO/�I / BUILDING P OWNER© er t^, SO. FT. OCC. BUILDING VALUATION OW R'S MAILIN DDRESS d C N ACTOR'S NAME TELEPHONE CO RACTOR'S MAILING ADDRESS Fireplace CONST• U CTLENDER UNKNOWN Total Valuation $ Flling Fee $ 10.00 L NDER'S MAILING ADDRESS Permit Fee $ ARCH)CT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS ^ M - �1 Permit fee $ 00 PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 dl _ Y Solar or heat pump water heater 20.00 LOT NO.SUBDIVISION NAME PARCEL MAP 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 I 10.00ea TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation)6 Other ❑ Describe work: / Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 6001 OR LESS 100 AMP OR LESS 10.00 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 as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason Main service EA. ADD•L 100 AMP 2.50 NEW CONST. DWELLING OCCUP.e! OR ADDNS. ACC. BLDGS. 21/2 0sq ft NEW CONSTR. M ULT' -OUTLET NON-RESID BRANCH CIRC ITS 2.50 ea POWER APPARATUS e SINGLE OUTLET CIR. ) p UT Ex. Occu o zAL@ LETS OR FIXTURES eL030 FIXED APLNS.I, Ex. Occup. OUTLETS P(RESID.)REAJ 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 9 Permit Fee $ 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 of 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. Contractor MECHANICAL PERMIT FiIingFee 10.00 Heating Cooling g Hood 3.00 Ventilation Permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all li bilitIes, judgments, costs, and expenses which may in any way accrue again t said County i Dcons uen a of th granting of this permit. o Date ,����^ p 1( re of Applicant — Owner Contractor ❑ Agent ❑ HA permit is required for excavations over 5'0" deep and demolition or construct- Vnof structures over 3 stories in height. Mobile Home Installation Fee $ ;�© Energy Inspection Fee $ TOTAL PERMIT FEE OCCUP. CONST.TYPE FLOOD PARCEL PD ND[INUE 'This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which D) OR OF UBLIC .® By L PERMIT EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS ' Date Receipt No.M24 WHITE-D.P.W.. YELLOW -ASSESSOR. PINK -INSPECTOR. GOLDENROD -APPLICANT -2 V-, it's COUNTY OF BUTTE - DEPARTMENT -OF t?UBi�,IC WORKS - BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE: 916/534-4541 / r. PERMIT APPLICATION DATA SHEET 'Permit No. OWNER UQ YdIC� i_0S �� V' , A. P. No. Proposed Building Use Permit Fee Based Upon: Complete Contract Price DPW Valuation Building Inspector At time of permit application, I was advised the following data must be submitted prior to permit processing ' andJor Issuance: DATE RECEIVED APPROVED 1. All items.have been submitted. . . . . . . . . . . . 2., Plot plans in duplicate/triplicate. . .. . . . . . 3. Complete plans in duplicate/tri.plicate. . . . . . . 4. Complete engineered plans and calcs. . . . . . . . . . 5. Plans with Energy Design Compliance Statement. . . . . . 6. CUSD "Fees Paid'' Stamp on Floor Plan . . . . . . . . 7 Statement of Intent for Non -Heated and AC Buildings. 8. Fees of $ . . . . . . . . 9. Letter of signature authorization. . . . 10. Sanitation approval from 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 ❑ ) Improvements may be required. , . . . . . . . . . k�1/6lMobilehome. Installation Data. . . . . . . .. . • Pre-Inspec. request to ate) 17. Pre -Inspection for Required- Bu;ldina Inspector 18. Recorde y f c�turt Acknowled ment StateMent . 19. Other M vJA-Y k�t�C, ``��onstructit�n approval required prior to occupancy) When you issue the permit, process as follows: A Mail to owner. Mail to contractor. Telephone and hold for pickup at office. Deliver w!inspector. Other Applicant Date r ',23 b Copy of plans sent Health Dept., Fire Dept.; Other Date During the plan checking process, the following data must be submitted prior to permit issuance: (For required items not checked above at ti of application, circle item.) 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 Date Plans checked by Date Plans approved by ' Date Other: Copy—DPW N 1. Owner's Name: 2. Installer's Name: BUTTE COUNTY DEPARTMENT OF PUBLIC WORKS 7 County Center Drive, Orovil,le, CA PHONE: 534-4541 MOBILEHOME INSTALLATION SHEET _„/_. { M 3. Is the site currently under permit? Yes F;� No (If yes, furnish permit number OR Is the site an existing site? . Yes No FXJ (If yes, furnish two plot plans.) 4. Will the mobilehome be located at least 5 ft. away from septic, tank and leach fields and clear of all setbacks and easements? Yes No (If no, clarify 5. What is the mobilehome electrical rating? --------------- Amps 6. What is the mobilehome site service rating? --- ----------- Q Amps 7. What is the mobilehome site circuit breaker rating? ----- �® Amps 8. Is there any other electric load to be served by the --------- ----------------------- Yes F1 F1 mobilehome site service? No (If yes, identify the load and size: (Load) (Amps.) )4 9. What is the mobilehome site gas pipe size? -------------- (in.) F] RX 10. What is the type of gas service? --=---------------- Natural LPG 11. What is the gas pipe length from meter or tank to the mobilehome?--------------------------------------------- �7. '(ft.) * 12. What is the mobilehome gas demand? ---------------------- TU) *(This information not required if pipe.length less than 6 ft. on .natural gas'or less than -50 ft. on LPG.)-NN16 E BU 29 BUILDING DEPARTMENT MOBILEHOME SUPPORT DATA If other than single wide Mobilehome Mfr. /'f furnish Setup Model No. Year /T Width (ft.) Box Length'11 Z7 (ft.) Tagalong or Expando Size ft, x ft. 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). FOOTINGS (check one) U 1. Wood -pressure treated or foundation grade . 2. Other (specify) SUPPORTS (check one)U1. Concrete block.1-1 2. Other (specify) Pier Footing Sizes and Locations SINGLE -WIDE , Main Beams j..� — -- � Main Beams Line 1 Pier -a: Size -Min. ------------ Spacing -Max. --------- .From --- .From Ends -Max .------- Line 2 Piers: Size -Min .------------ „x X61 Spacing -Max---------- From Ends -Max .------- r_ Line 3 Roof Loads: Size -Min. -- - ---- Location (From Front) Tag or Triple iinw Line 1 Line 1 Openings: Size -Min. ------------------ ox Each Side of Openings With Width Over --------- Line 3 Piers: (Under Bearing Wall Only) Size -Min .------------------ n Spacing -Max---------------- From Ends -Max -------------- �_ o Line 4 Piers: Size -Min .------------ .k Spacing -Max.--------- ,_ « From Ends -Max .------- „ Size -Min.------------------ Spacing -Max.--------------- �_ n From Ends -Max.------------- '- '� Line 5 Roof Loads Size -Min ------------- .x ..x y� .. ..x „x. ..x ..x 1. k .. Location (From Front), - A setback of JO. from the •�•� -� .,�'"�` " , ' lines and a setback property �j:r :, � �+.e. • . .• f{'.;. I f, of 50ft. from the road f i shall be clear o 1 centerline � �,I`;, , .. <••-• - _.... ._ . � ; �' �° r ,�� _ 1 �, . .structures or equipment PM I> + �� ror a 2 ft. eave overhang- g a a cdA jJ0-tK, Cet}.co-a :, i� r• /�C1�.� . �C, G'6t Ak -- Utility connections shall be.within A. Permit will be re u� ed 4 .a Hayrrc t •��}QIia. ` f'� °- Q°� 4 ft. of the mobilehome, either I ..•®";, ,: 'directly behind or within the rear half- ) of�thel n I �r` S•'_�_"-^-�.�:��ay ! mobilehome. • 1 � - - Agj Materials & Workn Mriship Shall NOTE: OTAccolance with Recognized Good Practices anel " + prescribed for the Specified use in 'the �" ? o.. of r quality p + +-''ornnBuilding, Plum - Machanical Codes and bing �: " >he Ntional Electrical Cod®. !' This set Of plans-aod specifications MOST be ; kept on the job at all times and it is unlawful to make any changes or alterations on same without written permission from the Department of Public Works, County of Butte. f �Q-4, j 1 CoLitm ,l!(LDiNG DEPARTMENT17 , tl:k \�, or AP P R OVE D /3- No, r4- W 4, W- 1 too �o y_C..ly.•„r.,�.V'�ti�'^i'j