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HomeMy WebLinkAbout058-520-045MIKE _ 056s app. 1 mi N. o rk Hill -Store, on e/ s V� Big Berid- Rd.-; " (right -- contr: Acro -Lome, Oroville Permit# 1362-75B(awning, 3 58-21-60 S S Big Bend Rd.,app. 1 mi.up from Par Hill Store, Oroville , Permit� 460 -76PP,,E,(uti1.,MH-exis.site')., GAS ZFO ti:e SUPP RT TRUCTURE REQ, COMPACTION TEST REQ. N. 58- = r--160 Permit #4708- Issued_�� 58-21-60 o ntr : Hobbs Const ,6 Paradise Permit #5036-77B new private detached g. garages ces- 58-21-60 N�MER'STRONGAAwgd ')x S/S Big Bend R , O'SE Bardees Bar Rd, Big Bend ARea Permit#4544-81P(solar water heater)MH 058-520-045 01-2404 STRONG, GERT r --1A/ lq- L 41 TOBIN CT, OROVILLE CONT: STRANG ELEC MAIN SERC CHNG/DUE TO FIRE 11 �� _ w.r...-e�....�...•.r�..-'-'..�.�opy.r �„ r- �... .-..o �� ;aa. -a _ � . � .. .. _ .-... _ .,_ -.._-. n, y�.rie� �V G� Y' c 4 r I , c COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541 PERMIT NO. (Rev. 12/96) APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER 058-52D-045 ZONING BUILDING PERMIT I ft,SEM TE %16 SO. FT. OCC. BUILDING VALUATION . OWNERS MAILING ADDRESS 41 TMM CT=ice HM.. CA 95965 S» [ SM Rs �MJFe•1 c TE N2%5 c3J7DR ifZLI 4i AMOW=,F CA, 95%6 CONSTRUCTION LENDER Fireplace LENDER'S MAILING ADDRESS d Total Valuation Is ARCHITECT OR ENGINEER LICENSENO. Filing Fee $ 20.00 Permit Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ BUILDING ADDRESS �s 41 TWE (T • XAM Energy Plan Checking Fee $ $ t PERMIT FEE S LOT NO. SUBDIVISIONS NAME PARCEL, MAP PLUMBING PERMIT Filing Fee 20.00 Each Trap 7.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome ❑ Other SPECIFY ! Solar or heat pump water heater 23.00 Water piping 15.00 Each gas water heater or vent 15.001 TYPE OF WORK i New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ M6101 Describe Work: MO am min 8ery1w C 8 "' t f13M j Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home ISI GI W1 @20.00 PERMIT FEE $ ELECTRICAL PERMIT Filing Fee 20.00 V OR LESS Main Service p q OR LESS 23.0023.00 i LICENSED CONTRACTOR'S DECLARATION d 1 hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. ,.. -• License Class -» U Lic. No. 7' J C) ,� OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: ❑ 1, 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 ❑ 1, as owner of the property, am exclusively contracting with licensed contractors to construct the project. I ❑ 1 am exempt under Sec. Business and Professions Code for this reason i WORKERS' COMPENSATION DECLARATION 'i 1 hereby affirm under penalty of perjury one of the following 'declarations:.. ❑ 1 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 ❑ I have and will maintain workers' compensation Insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: ) Carrier Policy Number (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) ❑' 1 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 workers' compensation laws of California, and agree that'H I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall forthwith comply with those provisions. % X (1 ,�C� i .=--` e -Date (/ ! Signature of AlTpl(cant.,o ❑ t Vii er .❑ Contractor ❑ Agent t An OSHA permit is required for excavations over 5'0" deep and demolition or construction of structures over 3 stories in height. Main .Service 200A TO 1000A 46,00 NEW CONST. DWELLING OCCUR SO OR ADDNS. ( a ACC. BUDS. 3.5¢FT. ET NEW CONST MULTI -OUT! UI- @7,50 POWER APPARATUS 8 SINGLE OUTLET CIR. OUTLET OR FIXTURES 20 @ "Do Ex. Occup. SAL @ ,50 Ex. Occup.. 6 xLmFrsRa DE„ 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE t MECHANICAL PERMIT Filing Fee 20.00 Heating Coolin ). Hood '<. , •' i 6.50 Ventilation I PERMIT FEt $ Mobile Home Installation Fee $ Energy Inspection Fee $ OCC CONST. TYPE TOTAL FEE $ 4LOO HAZ D FEES IMP I FLOOD CDF pgRCEL PD HD ISSU This permit is ereby issued under the of th • Butt C�oun Code and/or indica d ova f which fees have By , i PERMIT EXPIRES ON applicable provisions Resolutions to do work been paid Date Date Receipt No. 3322-% WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT I J i� i COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541 PERMITNO. (Rev. 12/96) APPLICATION AND PERMIT 8) • e� ASSESSOR PARCELNUMBER 058-520-045 ZONING BUILDING PERMIT OWNER GERT STRONG TELEPHONE 534-9516 SO. FT. OCC. BUILDING VALUATION . OWNERS MAILING ADDRESS 41 TOBIN Cr. YANKEE ffRL CA 95965 CONTRACTOR'S NAME STRANG ELDCTRIC TELEPHONE 533-2585 3577ORHIUDALE AVE. OROVI= .- CA 95966 CONSTRUCTION LENDER Fireplace LENDER'S MAILING ADDRESS Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ BUILDING 41 TOBIN Cr. YANKEE --- Energy Plan Checking Fee $ $ PERMIT FEE $ LAT NO. SUBDNISIONSNLME PARCEL MAP PLUMBING PERMIT Fling Fee 20.00 Each Trap 7.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome ❑ Other SPECIFY Solar or heat pump water heater 23.00 Water piping 15.00 Each gas water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ M.H. Describe Work: 200 aW main Seryi. a Change - due to fire Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home I S I G I W (a?20.00 PERMIT FEE _ ELECTRICAL PERMIT Fling Fee 20.00 800V ORLESS Main Service p.OR LESS 23.00 23.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is In II force Qnd effect. (J License Class �---/ U Lic. No. % -5— d J7`I OWNER -BUILDER ECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: ❑ 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. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 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. ❑ 1 have and will maintain workers' compensation Insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier Policy Number (The above sections need not be completed if the permit is for work of a valuation of 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 1n any manner so as to become subject to 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 co ly with those provisions. �— \ / X Date -- d Signature of p (cant - ❑ ql3er Z-eontractor ❑ Agent ,An OSHA permit is required for excavations over 60" deep and demolition or construction of structures over 3 stories in height. Main Service 200A TO t000A 46.00 NEW CONST. DWELLNG OCCUP. OR ADONS. ( a ACC. BLDS. so 3.5QFT. pI0" gEs,pT MULT- OUTLET @7.50 POWER APPARATUS S SINOLE OIJRET CIR. .00 EX. Occup. OUTLET OR FIXTURES BAL @ I.50 Ex. Occup.. DUTIETS R� D °E. 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE S4.3.00 MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEt S Mobile Home Installation Fee $ Energy Inspection Fee $ Occ CONST. TYPE TOTAL FEE $ 43.00 HAz. I D FEES IMP FLOOD CDF PARCEL PD HD ISSUE/ This rmit is ereby issued under the applicable provisions of th Butt un Code and/or Resolutions to do work indic d ov f whi h fees have been paid By Date PERMIT EXPIRES ON 44/02 to Receipt No. 332254 WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT r APPLICATION AND PERMIT �~ r'tHmll No. monsoon = aapr.aolprApteawrat �-- ,� � �,�,� BUILDING PERMIT —13 SO. 1• OCC. BUILDING VALUATION wNPl11 mmum A00ft - � - _ - 301enwcro" Umot :.�o.s wnwa AooMws Ic""CT on 0"NEot eGfTM ON WO1141 Al www ACOMI ,ko" A00paaa TF T No. 9UeOW111110" WAC rAACEL wAI USEOFSTRUCTURE O Duplex O Mobnehorne O Other TYPE OF Fireplace PERMIT FEE Ill Total Valuation s ELECTRICAL PERMIT Filing Fee 20.00 Filing Fee S 20.00 Permit Fee _ Main Service ao" To towA 40.00 Plan Checking Fee = MEIN CONT. OWB M OOWP. - a AOC. alba. 9.SeR ON ADON.WW Energy Plan Checking Fee s CoWT N0IFIIQio. NULT4plrnET 1116"M cmkcurra 07.50 i a! PERMIT FEE _ cut PLUMBING PERMIT 1 FiUng Fee 20.00 Each Trap 1 I 7.00 Solar or heat pump water heater 1 p 29.00 Water piping 15.00 Each gas water heater or vent 15.00. Gas piping yetem t . 5 outlets 15.00 Buildin sewer PERMIT FEE s —� 15.00 Mobile Home S G WtS120.00 MECHANICAL PERMIT Filing Fee 20.00 SRA PERMIT FEE Ill ELECTRICAL PERMIT Filing Fee 20.00 --•—•---- on Main Service "GA OA Esi 23.00 - Main Service ao" To towA 40.00 MEIN CONT. OWB M OOWP. - a AOC. alba. 9.SeR ON ADON.WW CoWT N0IFIIQio. NULT4plrnET 1116"M cmkcurra 07.50 a! cut 1 Ex. Occup. ovnEr opt rammer " a 1.00 61L ib 1 I Ex. Occu o�� ev1D)CA 5.00 1 p Temporary Service Y3 00 Mobile Home Facilities 20,00 Misc. Win 23.00 PERMIT FEE s —� *PERAIT FEE PAID MECHANICAL PERMIT Filing Fee 20.00 SRA Heating Cooling SHERIFF # Hood t1.50 OTHER Ventilation PERMIT FEE i Mobils Home Installation Fee s Energy Inspection Fee i «c cow' r� TAL FEE _ AMOUNT RECQ1/EO JJ� I MA>_ o. F10 r F�' p1O00 Oor I I rAptCB Tro 10 ewe This permit is hereby Issued under the applicable provisions Of the Butts County Code and/or Resolutions to do work CE1+�, "R�•.��". NVAABER Indicated above for which fest have been paid. " TO BE PVT INTO COMPUTER By Date PERMIT EXPIRES ON PERMIT NO.* 1362-75B . � P E M MH UTIL. PERMIT NO. PERMIT EXPIRES _ /7— OWNER Mike McIver CONTR. _ Acro—Lume, Oroville LOCATION (A.P. 58-21-60 app. 1 mi. up from Park Hill Store ,on e/s Big Bend Rd., Oroville Temp. Power Pole C< Temp C< Temp C: JOB FINA Setback (� Forms Main Bldg. Footings Stemwal I Slab Piers Garage Footings Stemwa I I Slab Carport Footings Slab Patio Footings Masonry Walls Reinf. Steel Bond Bea Framing Stucco Mesh Scratch Brown Finish Interior Lath Door Closer DATE COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS BUILDING INSPECTION RECORD BUILDING BUILDING (Cont'd) PLUMBING irewall Soil Piping Parapets 1st Floor Restroom Finish 2nd Floor Windows 3rd Floor Siding To out Roof Sheathing Water Piping Roofing Sewer Fdn. Vents Fixtures Garage Vents Water Htr. Prov. for physically handicapped Heaters Appliances Conformance of ex. structure e Z=gtTemp. Gas Piping & Test Gas Final Sanitation FIREPLACE Final Footing Throat t Final FIRE SP 5 Test MECHANICAL Heating Cooling Ducts Ventilation Final REMARKS OR CORRECTIONS Fixtures Motors Water Htr. Subpanels Grd. Fault Prot. Service Temp. Pole Underground Permanent Final ELECTRICAL COUNTY OF BUTTE — i DEPARTMENT OF PUBLIC 0 S %3 _2 7 County Center Dewe -1,Oroville, California 95965 / (l/ 1 Telephone: 534-4541 APPLICATION AND PERMIT authorize representatives of the County of Butte to enter upon the above-mentioned rp,per for in pection purposes. x_+�� l� t Date Sig ureJf�P/ermi a or Agent Receipt No. / %� 0/ 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 'd. DIRECTOR OF BLIC WORKS Rv Date -9— 17- 7J Be/XIding permit expires Date..................q-12 ...7". 76 ........... BUILDING Owner ,t//�i/r - /' / / -- � ,�-/C . SO. FT. OCC. BUILDING VALUATION Mailing Address iX o��/� % / (• �L%Lr/CC (' C'i'Pr �!�/ CiJ� %/�'��/ %!fL'it�>/�c ��,^.l Telephone No /I ��f—cl�Zjt Fireplace Contractor C 1-2 rJ f W. Total Valuation Mailing Address c' f�'' r' /���' }�NJ/ f� ` Permit Fee Plan Checking Fee&/or Penalty 7 '-� ✓ (. J (_� Tel Telephone No. c•y/ C � ` �-� Permit Fee $ $ Est Building Address PLUMBING No.1 @ FEE PERMIT FILING FEE $2.00 JAclor 1�16e_ /&, cc Each Trap 1.50 Repair drainage or vent piping 1.50 Water piping 1.50 Each gas water heater or vent 1.50 A. P. No. ", ,' Zoning & Planning Gas piping system 1 - 5 outlets 1.50 Each additional outlet .30 Ffee-sV1tE� Sa on ire Dept. Fire Zone Use Permit Building sewer 5.00 EOA Parking Plans Parcel Declaration Parcel Ma p 60' R/W Im rovements p Lawn sprinkler system 2.00 Bldg. aRl ns Recd Par ppro pal PI Approval Permit Fee $ $ NEW MV ADDITION ❑ UTILITIES ❑ OTHER ❑ ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 A/ 1L} _ Main Main service incl. 1 meter 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 20dl0 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: J ILK Hood, Ex. FanorF.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 �1 t- t Cf License No. ">< P1 Classification 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. / 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. @ FEEPERMIT ' 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 $ �r'C authorize representatives of the County of Butte to enter upon the above-mentioned rp,per for in pection purposes. x_+�� l� t Date Sig ureJf�P/ermi a or Agent Receipt No. / %� 0/ 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 'd. DIRECTOR OF BLIC WORKS Rv Date -9— 17- 7J Be/XIding permit expires Date..................q-12 ...7". 76 ........... -1_ f PE�MIT NO. 5036-771 PERMIT EXPIRES D �� OWNER WILLIAM STRONG; CONTR. Hobbs Construction, Paradise LOCATION (A.P. 58-21-60 S/S Big Bend Rd, app 2/10 mi. up from .Park Hill Store, Oroville e Temp. Power Pole Called PG&E _ Temp. Elec. Serv., Called PG&E . emp. Gas Serv. _ Called WB INALED COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS BUILDING INSPECTION RECORD BUILDING BUILDING (Cont'd) PLUMBING Setback Firewall Soil PIPI g Forms Parapets 1st Flo r Main Bldg. Restroom Finish 2nd Flo Footings Windows 3rd Floor Stemwall Siding To out Slab A Roof Sheathing Water PI In ' Piers Roofing Sewer Garage Fdn. Vents Fixtures Footin s Garage Vents Water Htr. Stemwa l l Insulation Heaters Slab KY, Carport Footings Prov. for ph sically handica ed Conformance of ex. structure Appliances Gas Piping &Test Temp. Gas Slab Final Sanitation Patio FIREPLACE Final Footin s Footing ELECT CAL Masonry Walls Throat Rough Reinf. Steel Final Fixtures Bond Beam FIRE kRINKILERS Motors Framing Test Water Htr. Stucco Final Subpanels Mesh MEC ICAL Gird. Fault Prot. Scratch Heating Service Brown Cooling Temp. Pole Finish Ducts Underground Interior Lath Ventilation Permanent Door Closer Final Final MOBILEHOME UTILITIES Elec_ Service Elec. Pedestal Water Piping Sewer Gas Piping =E ME INSTALLATION - - - - - - - - - - - - - - Support Elec. Continuity Water Piping Drainage Gas Piping DATE REMARKS OR CORRECTIONS (NOTE: An entry must be made on this form each time you visit the job site.) COUNTY OF BLTTE — DEPARTMENT OF PUBLIC WORKS 7 County Center Drive — Oroville, California 95965 Telepho�ne:53�a4541^`��� 77 APPLICATION AND PERMIT OULHOFcc IeP eSefilt tiVe5 UI the Uuunty ul buUt: W enter upon ine above-mentioned property for inspection purposes. �WkX / ' Z Date 7 �, Signot a &79-70 , o�fPermitee or Agent Receipt No. / `it -7 y White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR 0 UBLIC WORKS By Date BA/ding permit expires Date BUILDING Owner inn, SO. FT. OCC. BUILDING VALUATION CR Mailing Address Telephone No. Fireplace Contractor �6 66& Total Valuation 11 1 Mailing Address �j V �' Permit Fee Plan Checking Fee&/or Penalty S hone Permit Fee $ t Z'1._ 7q7`� Building Address s S' PLUMBING No. @ FEE PERMIT FILING FEE $3.00 Mo t Each Trap 1..50 Repair drainage or vent piping 1.50 Water piping 1.50 Each gas water heater or vent 1.50 am ^ / h A. P. V C5 tQ (J Zoning 8 Planning Gas piping system 1 - 5 outlets 1.50 Each additional outlet .30 Fes. Sani ion Fire Dept. Fire Zone Use Permit Building sewer 5.00 EQA Parking 'Parcel Plans Parcel Map P 60' R/W Im provements Lawn sprinkler system 2.00 Bldg. ns Recd Parcel Approval Plans Approval Permit Fee $ $ NEW U ADDITION ❑ UTILITIES ❑ OTHER ELECTRICAL No.1 @ FEE PERMIT FILING FEE $3.00 v e Main service j00 00V OR AMP ORSES LESS 5.00 Main service EA. ADD'L 100 AMP 2.50 Single Family ❑ Duplex ❑ Mobil Home ❑ Others ❑ Main service OVER 600V 100 AMP OR LESS 25.00 Main service EA. ADD'L too AMP 1.00 NEW CONST. DWELLING OCCUP. & OR ADONS. ACC. BLDGS. ) 22sgft NEW CONSTR. MULTI.OUTLET NON•RESID, BRANCH CIRCUITS) '2.50ea NEW CONSTR, (POWER APPARATUS&,1 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: pIO� J� n� � S[/ UN 1/ pOt l K-• Ex. Occup(OUTLETS OR FIXTURES) 5021 BAL@04 Ex. CCU FIXED APPLNS, OR D Occup. (RESID) EA) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 r- � License No. 79 J 8 s Classification 1.3. 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. 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 $pt OULHOFcc IeP eSefilt tiVe5 UI the Uuunty ul buUt: W enter upon ine above-mentioned property for inspection purposes. �WkX / ' Z Date 7 �, Signot a &79-70 , o�fPermitee or Agent Receipt No. / `it -7 y White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR 0 UBLIC WORKS By Date BA/ding permit expires Date t COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541 APPLICATIONAR. PERMIT PERMIT NO. ASSESSOR PARCEL NUM ER ��"� ,� .� ZON .ISG - - BUILDING PERMIT OWNER Ww, TELEPHONE 3y- sl SO. FT. OCC.' BUILDING VALUATION "WER'S�AI LING ADDRESS I CONTRACTOR'S NAME I TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Penalty $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Permit fee $ BUILDING A DRESS ��� fi #�0-M� j PLUMBING PERMIT Filin Fee 10.00 9 `�. Each Trap 2.00 Repair drainage or vent piping 5.00 ld Water piping LOT NO. SUBDIVISION NAME (I V PARCEL MAP Each qas water heater or vent 5.00 Gas piping system 1 - 5 outlets USE OF STRUCTURE SF �uplex❑ Mobilehome��ther SPECIFY Building sewer Lawn sprinkler system � ay- 14 E5O Q 00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Uti ities ❑ Installation ❑ Other Describe work: Permit Fee $ -10. be) Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 100 OR LESS 100 OROR LESS 5.00 Main service EA. ADD'L 100 AMP 2.50 NEW CONST. DWELLING OCCUP.d\ OR ADDNS. ACC. BLDGS. / 20 sq ft 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 d 1, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONSTR MULTI -OUTLET NON.RESID BRANCH CIRCUITS)__ 2.50 ea NEW CONSTR. /POWER APPARATUS 61 NON-RESID. ISINGLE OUTLET CIR. I Ex. Occup OUTLETS OR FIXTURES s � 250 FIXED APPLNS. OR EX. Occup.(OUTLETS (RESID.) EA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 7.50 Peirmit Fee $ Contractor MECHANICAL PERMIT FiIingFee 10.00 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 of Consent to Self -Insure. I shall not employ any person in any manner so as to become subject ,e - 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. Heating Cooling Hood 3.00 Ventilation permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the County of 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 all liabilities, judgments, costs, and expenses which may in any way accrue against :said County in consequence of the granting of this permit. , -- the. t�WZ1 X ky t. . ' �•���'� Date .//— Signature of Applicant — Owner'9 Contractor ❑ Agent ❑ / An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height Mobile Home Installation Fee $ TOTAL PERMIT FEE $ OCCUP. GROUP I TYPE OF CONST, PARCEL PD ND ISSUE This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which fees DTR'. CTO OF PUBLIC By ri f PERMIT EXPIRES gate �' the applicable provi- resolutions to do have been paid. WORKS Dat'e/� ��'� , N — Receipt No. T639 WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541 • APPLICATION AND PERMIT PERMIT �. AS ESSO PARCELNU BER ZONING BUILDING PERMIT OWNEL „ It)TELEPHONE 'SO. FT. OCC. BUILDING VALUATION O R'SMAILING ADDRESS CONTRACTOR'S - ME TELEPHONE ' CONTRACTOR'S MAILING ADDREM CONSTRUCTION LENDER UNKNOWN Fireplace Total Valuation $ Filing Fee $ 10,00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER JV 0 SE NO. Plan Checking Fee ,$ Penalty $ ARCHITECT OR ENGINEER'S MAILING ADD SS Permit fee $ BUILDING A ORES / PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Repair drainage or vent piping 5.00 Water piping LOT NO. SUBDIVISION NAME PARCEL MAP Each qas water heater or vent 5,00 Gas piping system 1 - 5 outlets USE OF STRUCTURE SFMWDuplexFJ Mobilehomek<ther SPECIFYZZ Building sewer Lawn sprinkler system 5.00 I au0 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Uti itie ❑ Installation❑ Other Describe work: Permit Fee $ 0-aD Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 6101 OR LESS 100 AMP OR LESS 5.00 Main service EA. ADD'L 100 AMP 2,50 NEW CONST. ( DWELLING OCCUP.d) OR AODNS. 1 ACC. BLDGS. 20 sq it CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): EJI am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. License No. Classification I, as the owner, or my employees with wages as their sole compen- «< sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW NON.RESID R BRANCH CIRCUITS 2.50 ea NEw CONSTR POWER APPARATUS &) NON.RESID, (SINGLE OUTLET CIR. Ex. Occup OUTLETS OR FIXTURES BAL@1 00 FIXED APPLNS, OR Ex. Occup.(OUTLETS (RESID,) EA. 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 7.50 Permit Fee $ Contractor MECHANICAL PERMIT Filing Fee 10.00 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 ,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 shal I be deemed revoked. Heating Cooling Hood 3.00 Ventilation permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the 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 liabilities, judgments, costs, and expenses which may in any way accrue again aid County in consenuence of granting of this permit. X Date Signature of Applicant — Owner Contractor Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over a stories in height. Mobile Home Installation Fee $ TOTAL PERMIT FEE $ ©p� OCCUP, GROUP TYPE OF CONST. PARCEL Po No ISSUE This permit is hereby issued under the applicable provi- sions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. CTOF PUBLIC WORKS By Date — / PERMIT EXPIRES to�� Receipt No. r� 3� WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT A PERMIT NO. .4605-76P,E PERMIT EXPIRES JV1 .1 OWNER William W. Strong CONTR. -owner LOCATION, (A.P. 58-21-60 S/S Big Bend Rd.,app ,1•up from Park Hill Store, Oroville a�%JD. Temp. Power ole Called P &E Temp. Ele . Serv. Calle PG&E • Temp. as Serv.�JG6�. C led PG&E ' y JO F NALED 1 (Date) J ,.ir ` ed A r r s' 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 Sidina To out Slab Roof Sheathing Water Piping PierS.z— Roofing Sewer Garage Fdn. Vents Fixtures Footings Garage Vents Water Htr. StemwaI l Insulation Heaters Slab Carport Footings Prov. for physically handicaped Conformance of ex. structure Appliances Gas Piping &Test Temp. Gas Slab Final Sanitation Patio FIREPLACE Final Footings Footing ELECTRICAL Masonry Walls Throat Rou h 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 DA TE r REMARKS OR CORRECTIONS ,�7 r 4 - (NOTE: An entry must be made on this form each time you visit the job site.) MOBILEHOME INSTALLATION INSPECTION CHECK LIST 1 Is the mobilehome located -%erequired separation from lot lines and buildings and generally conform to.plot plan? YesNo 2. Does the mobilehome have required clearances above ground? (Sec.5085) Ye d— No 3. Are footings and supports properly sized, spaced, and braced a er approved plans? (Note possible variation at spring shackles.) ( ec..5082 & 5083) Yes" No 4. Is the mobilehome level? (Sec. 5088) Y s No 5. If more than a single unit, are crosh onnections properly installed? (Sec. 5088) Yes No 6. Water A. Isf e ' 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? Ye No C. Backflow - If coach is not State of Califon 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? YeA No B. Does it have minimum 4' per foot slope and is it properly supported? Yesv_ No C.- Are any leaks detected in drainage system after running (?gallons of water through each fixture including washing mach' standpipe? Yes No D.. If coach is not State of*. Ca0*_iaapproved,- does station have required trap and. vent? Yes No 8. Gas Piping and Gas Vents A. Connector - Is mobilehome connected to the gas supply with an approved 3/4" minimum mobilehome connector not more than 6 ft, long? Note: All piping is to be at least as large as the mobij1home gas line inlet without reductions other than the mobilehome connector. Yes IVNO B. Test OK as per Lowing procedure? Yes No 1. Open all appliance connector valves.//////— 2.. Shut off appliance burner and pilot valves. 3. Air test with manometer to 10"-14" water column, or test with slope gauge (minimum 6oz.-maximum 8, oz.) calibrated in tenth pound increments. Test for 10 min, without drop. 4. Connect gas meter to mobilehome with connector, turn on gas, test connections with soapy water. C. Are all appliance vents properly installed? Yes No 9. Electrical A. Is service large enough to provide adequate amperage to mebi,lehome (must equal rating of mobilehome with a minimum of 00 amp) and other facilities on lot, i.e., water pumps, garage, cabana, etc.? .Yes No B. Is there proper clearances around panels? Yes4t_`N9 C. Is power supply cord or feeder assembly properly fused? Yet:L: D. Is continuity test satisfactory as per the following procedure? Yes�0 1. De-energize electrical wiring system of the mobilehome at the pe estal. 2. Make sure that the power supply cord or feeder assembly conductors, including neutral conductor, have been disconnected. 3. Switch all breakers and switches in the mobilehome to the "on" position. 4. Connect one lead of a test.instrument to the mobilehome grounding conductor and apply the other lead to each riiobileiiortle 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 to shall then be made between the grounding electrode and the chassis of the t 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 Names tyle Length _2� Width Vehicle Serial No. State Identification No. Additional.Infozmati_on or Comments: COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Ir OrovilIt, California 95965 �lo Tel epho�re: 534-4541 APPLICATION AND PERMIT hL ODUIUI,ca 1VFl100V11lQLIVG0 UI IIM lIUU1RY UI DUtIC N CIILCI UPUII UIC above-mentioned property for inspection purposes. Xf2 Date Signature of Permit/e- or Agent Receipt No. 1 S-1 (AZO 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 O"UBLIC WORKS By Date -K-_12- ildping permit expires Date _ 4 —17– 77 BUILDING Owner A-��A.�L SO. FT. OCC. BUILDING VALUATION Mai Iing Address -Z45 e e"p Q-0. `�� u Telephone No. k1 f14-: Fireplace Contractor cw Al Total Valuation Mailing Address Permit Fee Plan Checking Fee &/or Penalty Telephone No. Permit Fee $ Building Address,, 61(ZlIF PLUMBING No. @ FEE PERMIT FILING FEE $3.00 ,(� © C Mi. ® AP—.L- A LL Each Trap 1.50 .� Repair drainage or vent piping 1.50 Water piping ©zo V I LLE Each gas water heater or vent 1.50 18 v_ 21 / A. P. No. G (D Zoning &Planning Gas piping system 1 - 5 outlets � .F>� Q ,00 i Each additional outlet .30 F S n n FireDept. FireZone Use Permit Building sewer 4..4Q EOA Parking Plans I Parcel Declaration Parcel Ma P 60' R/W Im rovements P 'Lawn sprinkler system 2.00 Flans Recd✓ Parcel Approval PI Pproval Permit Fee $ ws'ads C NEW ❑ ADDITION ❑ UTILITIES OTHER ❑ ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 QCLtr-ATIE I..ITIr-s iF j I k( 6 Main service 100 AMP ORSLESS 5.00 L'! ra, Main service EA. ADD'L 100 AMP 2.50 Single Family ❑ Duplex ❑ Mobil Home 5? Others ❑ Main service R 600V 1100EAMP OR LESS 25.00 Main service EA. ADD•L 100 AMP 1.00 NEW CONST OR ADDNS. ( ACCLBLDGS.LING CCUP. &) 2�sgft NEW CONSTR. MULTI -OUTLET 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 st le of: y Ex. Occup(OUTLETS OR FIXTURES) BAL@250 1 Ex. Occu FIXED APPLNS. OR P• OUTLETS (RESID.) EA) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 �j License No. Classification Misc. Wiring 6.25 )Cy am exempt from the Contractors License Laws of the State of Cali fomia. Permit Fee $ ,00 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 PIis issued I shall not employ any person in any manner so s to become .subject to the Workmen's Compensation Laws of California. MECHANICAL No. @ 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 $ Q( ODUIUI,ca 1VFl100V11lQLIVG0 UI IIM lIUU1RY UI DUtIC N CIILCI UPUII UIC above-mentioned property for inspection purposes. Xf2 Date Signature of Permit/e- or Agent Receipt No. 1 S-1 (AZO 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 O"UBLIC WORKS By Date -K-_12- ildping permit expires Date _ 4 —17– 77 Owner V. COUNTY OF BUTTE - D-EPANTMENT OF PUBLIC WORKS 7 County Center Drive — Uroville, California 95965 Tel ephong: 534-4541 APPLICATION ANb PERMIT BUILDING r•_,,_r,_ _ , _ SO. FT. I OCC. BUILDING VALUATION Mailing Address R I 1 245 C_ 'Bk6 BWO �1q / TKto oao � `\itL���yy(Ugt-s elephone No. "F_ Fireplace Contractor Total Valuation Mailing Address Permit Fee Plan Checki ng Fee &/or Penalty Telephone No. Permit Fee $ Building Address J' (Q P—c) APPW PLUMBING No.1 @ FEE PERMIT FILING FEE J$3.00 A, P F9_01� Q,%4 -S( Each Trap 1.50 tLLF— Repair drainage or vent piping 1.50 Water piping 1.50 Each gas water heater or vent 1.50 A. P. No. �C) Zoning & Planning Gas piping system 1 - 5 outlets 1.50 Each additional outlet .30 Poesl w4e.1 S�n FireDept. FireZone Use Permit Building sewer 5.00 EOA Parking Parcel Plans Declaration parcel Ma P 60' R/W Improvements P Lawn sprinkler system 2.00 Parcel pproval Plan pproval Permit Fee $ NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER ® ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 QM g_44,00�-:7zg Main service 10ov OR LESS 100 AMP OR LESS 5.00 Main service EA. ADD'L 100 AMP 2.50 Single FamilyE] Duplex ❑ Mobil Home M Others ❑ OVER 600V Main service 100 AMP OR LESS 25.00 Main service EA. ADD'L 100 AMP 1.00 NEW CONST. DWELING OR ADDNS. ( ACCLBLOGS,CCUP. &) 2¢sq ft NEW CONSTR. MULTI -OUTLET 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 st le of: Y Ex. Occup(OUTLETS OR FIXTURES) @2sc BAL@1 Ex. OCCU FIXED APPLNS; OR P•(OUTLETS (RESID.) EA) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 License No. Classification Misc. Wiring 6.25 I am exempt from the Contractors License Laws of the State of California. Permit Fee WORKMEN'S COMPENSATION INSURANCE I am aware of the provisions of Section3700 of the California Labor Code which requires every employer to be insured against liability for Workmen's Compensation. ❑I have placed on file with the County of Butte a certificate of Workmen's Compensation Insurance. I certify that in the performance of the work for which this permit is issued I shall not employ any person in any manner so as to become subject to the Workmen's Compensation Laws of California. I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. )w c h X� Signature of Permitee or Agent Receipt No. 1-J ,6 o 3• � White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant MECHANICAL PERMIT FILING FEE Heating Cooling @ FEE $3.00 Ventilation Hood 1 1 2.00 Permit Fee $ 1 $ TOTAL PERMIT FEE $ 3� This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR PUBLIC WORKS By Date l— Z -b°' 76, uilding permit expires Date�Of�7 MOBILEHOME-SVRPQRT DATA 1 69, cam • k-, r Mobilehome Mfr. Ll 1-1 F Setup Model No. zog Year 7 Width (ft.) Length (ft.) Expando Size (Draw 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). *If center piers are other than drawn above, draw''in locations, spacing, and dimensions. Footings--(check;one) T 1. Wood either pressure treated or fdn-. grade. 2. Concrete pad. 3. Other,:specify Supports (check one) Vr1. Concrete block 2. Concrete piers 3. Steel piers 4. Other, specify Typical Support Footing Size Max. Pier Spacing M. 2 � Oveaxrhang BUTTE COUNTY BUILDING DEPARTMENT APPROVED r . i BUTTE COUNTY DEPARTMENT OF PUBLIC WORKS 7 County Center Drive, Oroville, CA. PHONE: 534-4541 MOBILEHOME INSTALLATION SHEET 1. Owner's name: ( LL (A A& W, S (f .D9 & 2. Installer's name: K ex—) 3. Is the site currently under permit?. Yes / / No (If yes, furnish permit number �� �� Pc OR Is the site an existing site? Yes V7 No /�,/ (If yes, furnish two (2) plot plans.) 4. Will the mobilehome be located at least 5 ft. away from septic tank and leach.fields and clear of all setbacks and easements? Yes 7 No / / ( If no, clarify ) ----------------------- 5. What is the mobilehome electrical rating? � 00 Am s P 6. What is the mobilehome site service rating? �----=---- � �©=��'/ /Wo Amp 01 7. What is the mobilehome site circuit'breaker rating------- 100 Amps 8. Is there any other electric load to be served by the mobilehome site service? ----------------------------------------------- --- Yes<7 No (If yes, identify the load and size: I.) PAP (Load) Am s 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? 46(ft.) 12. What is the mobilehome gas demand? ------------------------------ .(BTU) (Th:is;informat:ion not required if pipe length less than 6 ft. on natural gas � v ., or less than 50 ft. on LPG.) NOTE:—ATI Materials &: Workmanship Shall Be in Phis set of plans a�fk ions MUST be Accordance with Recooniz..ed Good Practices and ept on the iob at all times and it is unlawful to of a qunlity prescrihed for the Specified use in thfake any changes or alterations on same without Uniform Building,, Plumhinq & " Machanical Codes an written permisson from the Department of Public the National Electrical Code. Works, County of Butte. \M 1LUTAInA VJ 0 MIR L/ T141-- ir->•r'S TheSetback shall be 5 ft. from the side property line and 50 ft. from . fhe centerline of the road, permitting a maximum of.a 2 ft. eave overhang. pa7�*7,_r - yd s- -/6 All utility connections shall be located within 4 ft. outside the rear third section of the mobile home on the left (road) side of the mobile home. Septic system and location of build- ing drain stub -out to be as. per Butte County Health Dept. Re- qulrements. �-- Mm A permit will be rig'quireil for the installation of the mobilehome... ` SO to 112 BUTTE COUNTY BUILDING DEPARTMENT APPROVED 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 C�,aL�fFyia�/�dministrative Code, Title 25, C�h pter ermit number �`1� D /lv or the followinglocation?: J� J (psi Owner 'tet'-ZJ�tty/�7►�� n ,, �t� /� % Owner's Address Mobilehome Mfg. ,�: �d�C.tl Modely� 7—)( 2s �Year Insignia No. Q1 e?%r� Serial No. / T It is hereby certified for occupancy at the above described location and may be occupied. Director 'f ' ubl:-c Works to �� Date BYA --- �� THIS CERTIFICATE IS VOID WHEN MOBILEHOME IS RELOCATED