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HomeMy WebLinkAbout058-720-023ON� I CIA SNS of pri. rd (Nob�app 1400' N,.,o.f._,B.i.g_Bend,. app 1.8 mi. E--of- Hwy 70 - Permit ##4499-76P,E (ut 1, NIH) ELEC ;• GAS. g SUPPORT STRUCTURE REQ, COMPACTION TEST REQ. Wo S0--_7-2-23----- contra OX'O lre Irl-TSallKs?-Oro. Permit #6008-76MHI Issued 3 58-72=23 _ 1034-90E GARCIA, Corrine. 5039 Nobb.Rd, Oroville Contr : Tri-County �D new_elec sery/MH a h � _ .. .. - � �. �+�sr''y'�,. ►:'P'—et.: �°M�feT"fr"FRc'� �F::?7,'�F+F''-nr+��:,. � :`�....,fy�. _ .,.., COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO. 7 County Center Drive - Oroville, California 959E5 - Telephone: 916/538-7541 �^ , / 9TIol APPLICAI�A�D'A'i D PERMIT ' «'l�` n ASSESSOR PARCEL NUMBER 58-72-23 ZONING 1 BUILDING PERMIT OWNER Corrine Garcia TELEPHONE SQ. FT. OCC.1 BUILDING VALUATION OWNER'S MAILING ADDRESS } 5039 Nobb R 0 v ' CONTRACTOR'S NAME TELEPHONE Tri --Count Durham CONTRACTOR' 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 $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS 5039 Nobb Rd Or v ll Permit fee $ PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Solar or heat pump water heater 20.00 LOT NO. SUBDI VISION NAME PARCEL MAP Water piping 5.00 Each qas water heater or vent 5.00 USE OF STRUCTURE Gas piping system 1 - 5 outlets 5.00 SF ® Duplex❑ Mobilehome❑ Other Building sewer 5.00 SPECIFY Mobile Home S I G W 10.006 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Uti lities ❑ Installation ❑ Other ❑ Permit Fee $ Describe work: New Electrical Service - _ Contractor teg n-,: � ELECTRICAL PERMIT Filing Fee 10.00 i Main service 6001 OR LE SS 100 AMP OR LESS Main service EA. ADD'L 100 AMP 2.50 -7-5U— CONTRACTORS 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.SINGLE License No. Classification F1I, as the owner, or my employees with wages as their sole compen- NEW CONST. DWELLING OCCUP.& 1 OR AODNS. ( AGC, BLOGS. i NEW NON•RESID R. BRANCH O CTLETITS POWER APPARATUS &) OUTLET CIR. Occup(OUTLETS OR FIXTURES Ex. OCcu FIXED APPLNS. R 1 -Ex. Occup. OUTLETS IIRESID )EA.1 2/20sgft 2.50 ea 20 a 50C aAL@30 2.00 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 Temporary service Mobile Home Facilities Misc. Wiring 10.00 15.00 15.00 • ❑ I am exempt under Sec. , Business and Professions Code for this reason Permit Fee $ • Ju Contractor WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): MECHANICAL PERMIT Filing Fee 10.00 ❑ The permit is for $100.00 (valuation) or less. Heating ❑ 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 Cooling Hood 3.00 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 Ventilation .Permit Fee $ provisions or this permit shall be deemed revoked. 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 Mobile Home Installation Fee $ Energy Inspection Fee $ 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 I'abIIItIes'judgments, costs, and expenseswhich may in any way accruer aga st said County in con equence'of th nting of this permit. occ CONST TYPE TOTAL FEE $ ALL 37,50 HAZ CUA PARK EE PARJP0JHDJ5 Iss4Eall !� 7h;s permit is hereby issued under the applicable provi- sions of the Butte County Code and/or resolutions to do 7 X ,il.C., 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 3 stories in height. work indicated aboveforwhich fees 1 (i 01(0 PUBLIC By PERMIT EXPIRES Date have been paid. WORKS �f �) Date "f �v _ Receipt No. .J 1� WN,TE-D.P.W.. YELLOW -ASSESSOR, PINK -INSPECTOR. GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville,l�talifornia 95965 - Telephone: 916/538-7541 APPL'ICAT DNIAND PERMIT PERMIT NO. ASSESSOR PARCEL NUMBER 58-72-23 ZONING 1 BUILDING PERMI OWNER TELEPHONE SO. FT. OCC. BUILDING V TION OWNER'S MAILING ADDRESS 5 CONTRACTOR' S NAME Tri—Count TELEPHONE CONTRACTOR' 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 $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS 5039 Nobb Rd, Orovillp Permit fee $ PLUMBING PERMIT FiIingFee 10.00 Each Trap 2.00 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 is G W 10.00e TYPE OF WORK New❑ Addition❑ Remodel❑ Utilities❑ Installation❑ Other❑ Describe work: New Electrical Service _ Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 100 AMP ORSLESS 1 10.00 10.00 Main service EA. ADO'L 100 AMP 2.50 2.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): ❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. License No. Classification ❑ I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ 1 am exempt under Sec. , Business and Professions Code for this reason GOCCUP.&) S. OR ADDNST ( DWEACCLLING 2'/22sgft NEW CONSTR. ULTI-OUTLET NON.RESID BRANCH CIRCUITS) 2,50 ea POWER APPARATUS &) (SINGLE OUTLET CIR. Ex. Occup(OUTLETS OR FIXTURES 20@80t eAL®30 Ex. Occup. our ETS ((RESID A D )REA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 115.00 Permit Fee $ 37.50 Contractor 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 shall be deemed revoked. MECHANICAL PERMIT Filing Fee 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 I' ilities, judgments, costs, and expenses which may in any way accrue ago' s said County in con uence of the .ing of this permit. %� ' � Date s2/_ 2� Signature of Applicant — Owner ❑ Contractor ❑ Agent ❑ An OSHA permit is required for excavations over '0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ Occ CONST TYPE TOTAL FEE $ 37.50 HAz CUA PARK SCHL FLo PAR PD HD Iss This permit is nereby issued under sions of the Butte County Code and/or work indicated above for which fees I PUBLIC By PERMIT EXPIRES Date the applicable provi- resolutions to do have, been paid. WORKS q�` Date ` r �V0 t� Receipt No. cl' 1i -3/%y... 6 '�tj,S WHITE-D.P.W., YELLOW -ASSESSOR, PINK I S Lkt�'O'OP- LD � P ,CANT File No. li' BUTTE COUNTY (For Action 1, 2, 3) Public Works Dept. (For Information o/ ) Director Dep. Dir. Sec. Rd. & Br. Mtce. Shop & Yards Bldg. Insp. Admin. Design Engr. Bridge Engr. Constr. Engr. Surveys Mapping T ran sp. Land Dev. Drng. /S.I. Sub, & Pcl. Maps Permits Addr. May 8, 1990 - Corrine Garcia 5039 Nobb Road Oroville, CA 95965 Dear Ms. Garcia: Your check number 255 dated April 9, 1990 in the amount of $37.50 has been returned to us marked insufficient funds. Please provide us with cash or certified check in the amount of $47.50 ($37.50 plus $10.00 service charge) within seven (7) days of the date of this letter. Should you have any questions concerning this matter, please contact this office. Yours very truly, William Cheff Director of Public Works RIS: ds Robert Reith Building Inspector IV ,Y PERMIT NO. 4499-76pE (ufil, MH) „ PERMIT EXPIRES OWNER BONIFACIO GARCIA CONTR. owner ;LOCATION (A.P. XX%dol, 62-45-23 NS pri. rd (Nobb Rd.) app 1400' N of Big Bend Rd, app E of Hwy 70 j T' 7 t. i. 4i O Temp. Power Pole Called PG&E Temp. Elec. Serv. Z/ - Called PG&E p. Gas Serv. D 7C0 4 Called PG&E � - c F t JOB + FINALED (Date) (Signature) J�ry V 1401311,"FHO.EE INSTALLATION INSPECTION CHECK LIST 1. Is the mobilehome locatcc }rrequired separation from lot lines and buildings and generally conform to plot plan? Y sv No� ? , Does the mobil eehome have requirc d clearances above ground? (Sec.5085) YeA__�No_ 3. Are,foot:i_n--,s and supports properly sized, spaced, and braced as per approved plans? (Note .possible variation at spring shackles.) (Sec. 5082 & 5083) Yes VNo 4. Is the mobilehome level.? (Sec. 5088) Yc-=s�No� 5. If mo r than a single unit, are crossover connections properly installed? (Sec. 5088) Yes ` 5. Water. A. Is Llexi:ble connector of adequate size and properly installed (1/2" ID min.)? (Sec. 5566) Yes l% No B. Test - Does water piping w'thstand working pressure or 50 lbs, air test? Ye� No C. Backflow - If coach is ate of California approved, does station have backflow device and pressure -relief v e Yes No 7. Wastes and Drains A. Is connection made with Schedule 40 DWV and have flex connectors at each end? Yer No B. Does it have minimum �;" per foot slope and is it properly supported? Yes z N' C. Are any leaks detected in drainage system after runningi �-gallons of water through each fixture including washing machine standpipe? Yes_ Noy D. If coach is n to 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 connector not more than 6 ft, long? Note: All piping is to be at least as large as the mobjd(e home gas line inlet without reductions other than the mobilehome connector. Yes No B. `fest OK as per following procedure? Yed/ Pdo_ 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 eno iglk. to provide .:idcqu<rr_e ampc>rage. to-mubi-lcliome (must equal rating; of Mobi.lehome with a ::;in.u:um o,Ei100 amp) an:1 other faciliti_t-!s on lot, i.e., water pumps, g..tra ,e, cabana, etc.'? Yes (Y ---No B. Is ther�-� proper clearances around panels? Yes—yNo C. Is power supply cord or feeder assembly properly fused? Yes_ No` D. Is continuity test satisfactory as per the following procedure? Ye& No_ 1. De -energize electrical wiring system of the mobilehome at the pedestal. 2. Make sure that t:iie power supply cord or feeder assembly conductors, including neutral conductor, have been. disconnected, 3. Swi.r_ch all breakers and switches in the mobilehome to the "on" position. 4. Connect one 1:-:.icl of a test instrument to the mobilehome grounding conductor and •, _, ,. apply tine Gtii.:' a.C:.au h %u eacniuu'L.��itGiiie stxpp�y CGf►utiCtG'i, •itiCluuttig Yt8ai.rcli. 5. All non.-ci.irrent, carrying metal parts of the mobilehome (aluminum siding, gas line, w.ater line), inr_litding fixtures and appliances, shall be tested for continuity from such eyi:ipment 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 shall then be made between L -.he grounding electrode and the chassis of the 111.0ibilehome. UDnn sat'i_s1factory completion of the electrical tests, the lot or site service equi-pment may be approved for energizing. ;_r. I:; job card si ned by health Departmeat for water and sanitation? 11.. If everything (A<ay, sign off card and tag, services. MOBILdilOML DATA Manufacturer and/or Namest:yl.e Length Width "vehicle Serial No. State Identif icat i..on No. y_ - :.&: tional Infoi-nation or Ciorcurents: COUNTY OF BUTTE — DEPARTMENT ,OF PUBLIC WORKS BUILDING INSPECTION RECORD BUILDING I BUILDING (Cont'd). PLUMBING Setback Firewall Soil Piping Forms Parapets 1st Floor Main Bldg. Restroom Finish 2nd Floor Footings Windows 3rd Floor Slab Roof Sheathing Piers Roofing Garage Fdn. Vents Footin s StemwaII Garage Vents Insulation - Slab Carport Footings Prov. for ph sically handica ed Conformance of ex. structure Slab Final Patio FIREPLACE Footings Footing Masonry Walls Throat Reinf. Steel Final Bond Beam FIRE SPRINKLEI Framing Test Stucco Final Mesh MECHANICAL Scratch Heating Brown Cooling ' Finish Ducts Interior Lath Ventilation Door Closer Final DATE REMARKS OR CORRECTIONS Water Piping�� Sewer Fixtures Heaters Appliances — Gas Piping &.Test Temp. Gas Sanitation Final ELECTRICAL Rough Fixtures Motors Water Htr. Subpanels Grd. Fault Prot. Service Temp. Pole Underground Permanent Final 19 c^2z�2 Ar (NOTE: An entry must be made on this form each time you vislt the job site.) COUNTY OF BUTTE — DEPA14TMENT OF PUBLIC WORKS 7 County Center Drive Oroville, California 95965 / Telephone: 534-4541.4 APPLICATION AND PERMIT c+uu,or a representatives UI Ulu uUuniy UI Butte to enter upon the above-mentioned property for inspection purposes. X �,ooA d Date Signature of,Permitee or Agent Receipt No. -..zV% % F7 t. White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR OF-% PUBLIC WORKS By .__,._-� Date ? z -3 -7 ullding permit expires Date 8� z'� 7 BUILD NG Owner2ou,F14 ia ArC1 SQ. FT. OCC. BUILDING VALUATION Mailing Address F. S-5- 1O V Telephone No. Fireplace Contractor Total Valuation Mai Iing Address f-- Permit Fee Plan Checking Fee &/or Penalty Telephone No. Permit Fee $ Building Address A/ S m F /�/C�OdATe PLUMING No. @ FEE PERMIT FILING FEE $3.00 3,0 PPYo k / -00 Al ® t G a e_ cJ d Each Trap 1.50 r�epair APP �e.a �a � Al,Mt.�e. E esf NLv % drainage or vent piping 1.50 Water piping Ii J0.0 Zoning Verification Only Each gas water heater or vent 1a515.1 A. P. No. 6 :2 _ S- a3 Zan Gas piping system 1 - 5 outlets d.c51vY n Each additional outlet .30 F S ion FireDept. FireZone Use Permit Building sewer 4;0, /0,0 EQA Parking Par Plans Declaration Parcel Ma P 60' R/W Im rovements P Lawn sprinkler system 2.00 Bldg. Plans Recd Co -7—, r-7Permit Parcel Approv P Ap P44 proval Fee $ ,3.e0 $ J O NEW ❑ ADDITION ❑ UTILITIES M_ OTHER ❑ ELECTRICAL No. @ FEE PERMIT FILING FEE J$3.00 3.00 Main service 100 AMP OR1 OR SLESS 5.00 , Main service EA. ADD'L too AMP 2.50 • , Single Family ❑ Duplex ❑ Mobil Home & Others ❑ Main service OVER 600V 1100 AMP OR LESS 25.00 Main service EA. ADD'L 100 AMP 1.00 NEW CONST OR ADDNS. ( ACCLBLDGL I NG OCCUP. &\ / 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 style of: W ft I -L �• �' Ex. Occup(OUTLETS OR FIXTURES)@� 104 (FIXED Ex. Occu FIXED APPLNS. OR (RESID.) EA) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 i S D0 License No. Classification Misc. Wiring 6.25 I am exempt from the Contractors License Laws of the State of California. Permit Fee $ s $ 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. jj�� I certify that in the performance of the work for which this Lp permit is issued I shall not employ any person in any manner S 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 $ s 7,775 -c c+uu,or a representatives UI Ulu uUuniy UI Butte to enter upon the above-mentioned property for inspection purposes. X �,ooA d Date Signature of,Permitee or Agent Receipt No. -..zV% % F7 t. White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR OF-% PUBLIC WORKS By .__,._-� Date ? z -3 -7 ullding permit expires Date 8� z'� 7 COUNTY OF BUTTE — `OLPA0,1tMENT OF PUBLIC WORKS 7 County Center Drive Urovilie, California 95965 Telephone: 534-4541 APPLICATION AND PERMIT -76 M.LIVUa U uICunLy UI mile W enter upon the above-mentio pr ` erty ins ction purposes. Daet Signa re of Per 14eE or Agent 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. DIRECTOR OF PUBLIC WORKS By Date .6 g permit expires Date BUILDING Owner ` , SQ. FT. OCC. BUILDING VALUATION Mailing Address •T— / /� Telephone No. Fireplace Contractor Total Valuation Mailing Addres , `64 F i r }'� l Permit Fee Plan Checking Fee Vor Penalty ZL Telephone No. l:?5 i Permit Fee $ Building Address PLUMBING No. @ FEE FILING FEE $3.00 TT) (IVI19PERMIT p ©� Each Trap 1.50 Repair drainage or vent piping 1.50 Water piping 1.50 l £•S tZ62 Each gas water heater or vent 1.50 A. P. N c ,j 3 Zoning & Planning Gas piping system 1 - 5 outlets 1.50 Each additional outlet .30 es Sa (on I FireDept. FireZone Use Permit Building sewer 5.00 EQA Parking Plaanss Parcel Declaration parcel Ma P 60' R/W Improvements P Lawn sprinkler system 2.00 Bldg. PIan�2ec'd Parcel pproval Pla pproval Permit Fee $ $ NE ADDITION ❑ UTILITIES ❑ OTHER ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 ti Y Main service soov OR LESS 5.00 100 AMP OR LESS Main service EA. AOD'L 100 AMP 2,50 Single Family ❑ Duplex ❑ Mobil Home P Others ❑ Main service ,0v0EAMP OR LESS 25.00 Main service EA. AOD'L 100 AMP 1.00 NEW OCCUP. &) 2¢syft OR ADDNST ( ADWECCLBLDGLING S. NEW CONSTR. (MULTI -OUTLET NON.RESID. BRANCH CIRCUITS) 12.50ea NEW CONSTPOWER APPARATUS & NON.R. RESID. (SINGLE OUTLET CIR. CONTRACTORS LICENSE LAW I am licensed under the pr visions of Chapter 9, Div. 3, of the /at f California Busin- s & P fession Co a ur{ r the name of: i / Ex. Occup(OUTLETS OR FIXTURES) L � BAL@1 Ex. Occu FIXED APP LNS, OR Occup. (RESID.) EA) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 License N J?, r /� / /> 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 en's Compensation. for�0,,,;,: placed on file with the County of Butte a certificate of oen's Compensation Insurance. lecertify 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. 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�lding construction, and hereby MECHANICAL No. @ FEE PERMIT FILING FEE $3.00 Heating Cooling Ventilation Hood 2.00 Permit Fee $ $ .?16 oQL TOTAL PERMIT FEE $ M.LIVUa U uICunLy UI mile W enter upon the above-mentio pr ` erty ins ction purposes. Daet Signa re of Per 14eE or Agent 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. DIRECTOR OF PUBLIC WORKS By Date .6 g permit expires Date Al - BUTTE COUNTY DEPARTMENT OF PUBLICWORKS 7 County Center Drive, Oroville,.CA. PHONE: 534-4541 MOBILEHOME INSTALLATION SHEET D �: 1. Owner's name: a! -" 2. Installer's name: DROVILLE MAILS,, SMUS 3. Is the site currently under permit? Yes /4_7No (If yes, furnish permit number ) OR Is the site an existing.site? Yes / / No Tel (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 No (If no, clarify 5. What is the mobilehome electrical rating? --------- _______7 6. What is the mobilehome site service rating? ________________ 7. What is the mobilehome site circuit breaker rating? _______y---- 8. ____ 8. Is there any other electric load to be served by the mobilehome site service? --------------------------------------------------- (If yes, identify the load.and size: (Load) 9. What is the mobilehome site gas pipe size? -------------------101 - F;= Amps Yes /fes / No (Amps) (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? ------------------------------ Z6 (B(B ) (This information not required if pipe length les'"s than 6 ft. on natural gas , ` or. less than 50ft. on LPG. )' MOBILEH(?ME SUPPORT DATA 6 yXo� Mobilehome Mfr. Setup Model No. - Year L, Width �i (ft.) Lengt 7 (ft.)-Expando�Size t. (Draw support details below) . On all mobileho �'es manufactured after October 7, 1973, furnish manufacturer's installation anfall and stru'tural sip' sheets ,(if. not .on file with the County of Butte) . Ur S.in le . —moi Footings--(check.one) /�1-ood:either . pressure treated or Center Center Support fdn. ` grade. : Support Footing Sizes Locati s (in.) ...... : Ljj 2. -Concrete pad. , x :. / / 3.. - Other, specify 1ki in. (in.) S orts (check one) 1. Concrete block r- x 2. Concrete piers 3. Steel piers /.4 Other, specify I ....... J�n Typical Support �" Footing Size .(in.) (in.) Max. Pier. •f) Spacing ft.An.) kin:. 2x (in.) (in.) ' t Max hFM ^If center piers are other than drawn above, draw in locations, spacing, and dimensions. SUVE COUNTY BUILDING DEPARTMENT APPROVED NOTE:—All Materials & Workmanship Shall Be in Accordance with Recognized Good Practices and of a quality prescribed for the Specified use in the Uniform Building, Plumbin & Machanical Codes and the National Electrical Cde.. 7, V / AJC i'e 45 This ser of plans and s citications MUST be (apt on +a job at all times and it is unlawful to make any changes or alters ions on same without written permisson from the Department of Public Works, County of ButtR ? v.pic. a 00 ,L:Wic system and loc tion - o be as per Butte County Heal Dept. Re- quirements. f3pAJit.4 6,9"A ^111. � unL,►TIles The Ifty. Setback shall be 5 ft. from the side property line and 50 ft. from the centerline of the road, permitting a maximum of a 2 ff. eave overhang. / ilii 1, .4 permit will be required f fheF ` nstallation of the mobileho ne. ok 4499-7,6 o 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. 0 r e 4d (A)1% 6 C7� -7. 3 S" c -o BUTTE COUNTY 8ULDING DEPARTMENT APPROVED I/