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Home My WebLink About058-730-022W. G.Vall A.441 SIS pri.rd.,467'off Sj S Big Bend Rd., 3 1/3 mi.E.of Hwy 70, Oroville Permit #6673-77P,E(util. ,MH) W*-� ELEC.) /00�?-R..�O GA S SUPPORT STRUCTURE REQ. Aj-0 COMPACTION TEST RIQ 01116 .o //�//// r �Coftr :. aI �eNTVrrs.MH, Chico Permit #818-78MHI Issued - - 79 Permit j-.006-78B,E(new scr en porch/ MH) - 58-73 -;Z;L% 621 46 Permit X1597-79B(new-covered deck/MH) OF' PERMIT NO. 459779B PERMIT EXPIRES OWNER Wendell Van Vleck owner SON TR. LOCATION (A.P. 62-46-22 . SIS pri.rd., 4671of _S/S Big Bend Rd., 3 mi.E.of Hwy 70 v•11e 3 Temp. Power Pole Called PG&E Temp. Elec. Serv.- Called PG&E Temp. Gas Serv. Called PG&E JOB FINALED (Date) (Signature) W; COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS BUILDING INSPECTION RECORD BUILDINga BUILDING (Cont'd) PLUMBING Setback / /— Firewall Soil Piping Forms Parapets 1st Floor Main Bldg. Restroom Finish 2nd Floor Footings Windows I 3rd Floor Stemwal l Siding I T000ut Slab Roof Sheathing Water Piping Piers Roofing Sewer Garage Fdn. Vents Fixtures Footings Stemwal I Garage Vents Insulation Water Htr. Heaters Slab Carport Footings Prov. for physically handicappedy Conformance of ex. structure Appliances Gas Piping &Test Temp. Gas Slab Final Sanitation Patio FIREPLACE Final Footings Footing ELECTRICAL Masonry Walls Throat Rough Reinf. Steel Final Fixtures Bond Beam FIRE SPRINKLERS Motors Framing Test Water Htr. Stucco Final Subpanels Mesh MECHANICAL Grd. Fault Prot. Scratch Heating Service Brown Cooling Temp. Pole Finish Ducts Underground Interior Lath Ventilation Permanent Door Closer Final Final 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 • • �71 /10 (NOTE: An entry must be made on this form each time you visit the job site.) .> PERMIT NO. 2006-78B,E PERMIT EXPIRES ��•� v OWNER Wendell Van Vleck CONTR. owner {'_OCATION (A.P. 62-46-22 i S/S lxi.rd.,467'off SIS Big Bend Rd., 32 mi. p. E.of Hwy,70, Oroville Temp. Power Pole Called PG&E _ Temp. Elec. Serv.. Called PG&E . Temp. Gas Serv. _ Called PG&E JOB FINALED (Date) (Signature) COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS BUILDING INSPECTION RECORD BUILDING BUILDING (Cont'd) PLUMBING Setback ,�'— Firewall Soil Piping Forms Parapets 1st•Floor Main Bldg. 4V se Restroom Finish 2nd Floor Footings Windows 3rd Floor Stemwall Siding To out Slab Roof Sheathing Water Piping Piers Roofing Sewer Garage Fdn. Vents Fixtures Footings Stemwa I I Garage Vents Insulation Water Htr. Heaters Slab Carport Footings Prov. for physically handica ed Conformance of ex. structure Appliances Gas PipingTest Temp. Gas Slab Final Sanitation Patio FIREPLACE Final Footings Footing ELECTRICAL Masonry Walls Throat Rough Reinf. Steel Final Fixtures Bond Beam - _ FIRE SPRINKLERS Motors Mesh MECHANICAL Grd. 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 1 EHOME INSTALLATION - - - - - - - - - - - - - - Support Qmm Elec. Continuity Water Piping Drainage Gas Piping DATES REMARKS OR CORRECTIONS / r orf ce_� (NOTE: An entry must be made on this form each time you visit the job site.) To: Building Department From: Enviro=ental Health Regardis.g: Sewage and/or Water and/ Addition' earance(s) nnd (,0r�-�'i� 0wtall LOCATION A.P. No. Plans are approved for: Sewage Disposal -Water-Supply- Hold Water-SupplyHold uo Final for: Water Supply ./ Final: Clearance OK for: Clearance is for a bedroom (home or mobile home . Tia addition(s) will be Sanitarian Other 'dater Supply COUNTY OF BUTTE — bEPAR'TMENT OF PUBLIC WORKS y 7 County Center Drive — Oroville, California 95965 Telephone: 534-4541 APPLICATION AND PERMIT �15�92 �9 authorize representatives of the County of Butte to enter upon the above -mention property forinspectionpurposes. X� �/.�Date /2-% ignature of Permiit�teee or Agent Receipt No. �`b0 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*P PUBLIC WORKS By Date Building permit expires Date BUILDING Owner Wca U&N V SQ. FT. OCC. BUILDING VALUATION DY ave,R 32 2 Mailing Address VT I ",a� FVV C,P,_ C ((U Telephon e No ce"C?14 - Contractor Aj Mailing Address Fireplace Total Valuation i Telephone No. Permit Fee Building Address <3LS �O mc - Plan Checking Fee&/or Penalty Permit Fee p {� 0_ 3 / L—AS f 0 P tau% V '70 PLUMBING No.1 @ I FEE PERMIT FILING FEE J$3.00 Each Trap 1.50 cebataz Repair drainage or vent piping 1.50 A. P. No. �" ['2,Z Zoning & Planning Water piping 1.50 Each gas water heater or vent 1.50 F es I C. I S+OwayFire Dept. Fire Zone Use Permit Gas piping system 1 - 5 outlets 1.50 EQA Parking P s Parcel0' Declaration Parcel Ma p 6 R/W Im p rovemen ach additional outlet .30 Building sewer 5.00 Bldg. lans ec'd Parcel A iroyal I Plans 4proval Lawn sprinkler system 2.00 NEW ADDITION ❑ UTILITIES ❑ OTHER ❑ Permit Fee $ ELECTRICAL No. @ FEE Single Family ❑ Duplex ❑ Mobil Home Others PERMIT FILING FEE $3.00 Main service 6001 OR LESS 100 AMP OR LESS 5.00 Main service EA. ADD'L 100 AMP 2.50 Main service OVER 6001 25.00 100 AMP OR LESS Main service EA. ADD•L 100 AMP 1.00 NEW CONST.( OR ADDNS. ACCLLING BLDGS.CCUP. 4\ •Z0Sq ft 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: NEW RESID,CONSTMULTI-OUTLET NON-RESID � BRANCH CIRCUITS) 2.50ea CIRCUITS) ' NEW CONSTR (POWER APPARATUS 6� NON.RESID, SINGLE OUTLET CIR. Ex. Occup{OUTLETS OR FIXTIIRES 5 L� FIXED APPLNS. OR Ex. Occup. OUTLETS (RESID.) EA) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 cense No. Classification Misc. Wiring 6.25 10 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 J$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 Land Development Fee $ TOTAL PERMIT FEE $ 2� authorize representatives of the County of Butte to enter upon the above -mention property forinspectionpurposes. X� �/.�Date /2-% ignature of Permiit�teee or Agent Receipt No. �`b0 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*P PUBLIC WORKS By Date Building permit expires Date COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS 7 County Center Drive , — •Oroville, California 95965 Telephone: 534-4541 APPLICATION AND PERMIT authorize representatives of the County of Butte to enter upon the above`meentio e,21 propertyy for inspection purposes. �y is G'(/ �c�(/ Date %6 /SignatureofPermtee or Agent Receipt No. L v7;1 7G19' 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 Pld'B'i_IC WORKS BY B(ding permit expires Date BUILDING /100 00 �L� `�_ /� Owner � V L. zG/� OCC. BUILDING VALUATION 4NC% Irs i0 Mailing Address 52,579/- I .1 v L L_t? Telephone No. rFireplace' Contractor Mailing Address Total Valuation 6G Telephone No. Permit Fee 19'no Building Address 5 > )� 7 _— dL� lQ/l�/PL/G cl Plan Checking Fee Vor Penalty Permit Fee Qp QQ c : ,L0 PLUMBING No.1 @ I FEE PERMIT FILING FEE $3.00 Each Trao 1.50 Of�r LLQ' Repair drainage or vent piping 1.50 / A. P. NO. — b �' 17� Zoning 8 Planning Water piping 1.50 Each gas water heater or vent 1.50 Fie s -SalEyKn Fire Dept. Fire Zone Use Permit Gas piping system 1 - 5 outlets 1.50 EQA Parking Par elEach Plans Declaration Parcel Map 60' R/W Improv additional outlet .30 Building sewer 5.00 Bldg. ans Recd // Parcel A d"l Plans Ap rovol Lawn sprinkler system 2.00 NEW ADDITION ❑ UTILITIES ❑ OTHER permit Fee $ $ ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 ,(70 V OR L Main service 1000 AMP ORSLESS 5.00 Single Family Duplex Mobil Home Others ❑ Main service EA. ADD'L 100 AMP 2.50 Main service OVER e O 25.00 100 AMP OR LESS Main service EA. ADD'L 100 AMP 1.00 NEW CONST OR ADDNS. ACC j,,, G CUP. Y) 22 Sq ft 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: NEW CONSTR. MULT -OU LET NON-RESID. a BRANCH CIRCUITS) 2.50ea NEW CONSTR. (POWER APPARATUS 6 NON-RESID. SINGLE OUTLET CIR. Ex. OCCU17(OUTLETS OR FIXTIIRES g @1 FIXED APPLNS. OR Ex. Occup. 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 $ MECHANICAL No. @ 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. 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 Land Development Fee $ TOTAL PERMIT FEE $ S authorize representatives of the County of Butte to enter upon the above`meentio e,21 propertyy for inspection purposes. �y is G'(/ �c�(/ Date %6 /SignatureofPermtee or Agent Receipt No. L v7;1 7G19' 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 Pld'B'i_IC WORKS BY B(ding permit expires Date N PERMIT NO. 6673-77P,E PERMIT EXPIRES L0� OWNER MNKXM Van Vle ck, Wendel CONTR. owner 62-46-22 LOCATION (A.P. S/S pri.rd.,467'off S/5 Big Bend Rd., 3 1/3 mi.E.of Hwy 70 rove e j. Temp. Power Pole Called PG&E Temp. Elec. Serv- Y-7 lied PG&E 'JTe p. Gas Serv. Called PG&E JOB B FF=0I N A L E D el (Signature) MOBILEMOME INSTALLATION INSPECTION CHECK LIST 1. Is the mobilehome located with ,, -required separation from lot lines and buildings and generally conform to plot plan? Yes No_ 2. Does the mobilehome have.required clearances above ground? (Sec.5085) Yes --"-No 3. Are footings and supports properly sized, spaced, and braced as pe approved plans? (Note possible variation at spring shackles.) (Sec. 5082 & 5083) Yes_ No_ 4. Is the mobilehome level? (Sec. 5088) Yes L, No_ 5. If more than a single unit, are crossover connections properly installed? (Sec. 5088) i Yes / No 6. Water A. Is flexible connector of adequate size and properly installed (1/2" ID min.)? (Sec. 5566) Yes ✓ N o B. Test - Does water piping withstand working pressure or 50 lbs. air test? Yes L -"No C. Backflow - If coach is not State of California approved, does station have backflow device and pressure -relief valve? Yes_ No_ 7. Wastes and Drains A. Is connection made with Schedule 40 DWV and have flex connectors at each end? Yes L./ No B. Does it have minimum k" per foot slope and is it properly supported? Yes L156' C. Are any leaks detected in drainage system after running 3 -gallons of water through each fixture including washing machine standpipe? Yes No t';_1 D. If coach is not State of California approved, does station have required trap and vent? Yes No_/� 8. Gas Piping and Gas Vents A. Connector - Is mobilehome connected to the gas supply with an approved 3/4" minimum mobilehome connector not more than 6 ft. long? Note: All piping is to be at least as large as the mobilehome gas line iiilet without reductions other than the mobilehome connector. Yes No B. Test OK as per following procedure? Yes t;'�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. VINO.� C. Are all appliance vents properly installed? Yes 9. Electrical A. Is service large enough to provide adequate amperage -to mobilehome (must equal rating of mobilehome with a minimum of 100 amp) and other facilities.on lot, i.e., water pumps, garage, cabana, etc.? Yes ✓No B. Is there proper clearances around panels? Yesl✓No_ C. Is power supply cord•or feeder assembly properly fused? YesyNo D. Is continuity test satisfactory as per the following procedure? Yes /✓No 1. De -energize electrical wiring system of the mobilehome at the pedestal. 2. Make sure that the power supply cord or feeder assembly conductors, including neutral conductor, have been disconnected. 3. Switch all breakers and switches in the mobilehome to the "on" position. 4. Connect one lead of a test instrument to the mobilehome grounding conductor and apply the other lead to each mobilehome supply conductor, including neutral. 5. All non-current, carrying metal parts of the mobilehome (aluminum siding, gas line, water line), including fixtures and appliances, shall be tested for continuity from such equipment and the grounding conductor. 6. Upon completion of the above procedure, the power supply cord or feeder assembly conductors shall be connected to the site service equipment. A further continuity test shall then be made between the grounding electrode and the chassis of the mobilehome. Upon satisfactory completion of the electrical tests, the lot or site service equipment -may be approved for energizing. 10. Is job card signed by Health Department for water and sanitation? 11. If everything okay, sign off card and tag services. MOBILEHOME DATA Manufacturer and/or Namestyle Length Width Vehicle Serial No. i State Identification No. Additional Information or Comments: COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 7 COUNTY CENTER DRIVE OROVILLE, CALIF. - 534-4541 CERTIFICATE OF OCCUPANCY This mobilehome has been installed in accordance with the requirements of the California Administrative Code, Title 25, Chapter 5, under permit number 0 I _9 — '71 for the following location: -1 1/> • I ,� r - ,� t`- G ` T? ,/ `� Owner ! II r JJA01 1/,, ro, Owner's Address C, Mobilehome Mfg. C PV It ksr= Model U F I1 /- 120efYead':�-V Insignia Nof-)�I C1 A qC1 J) Serial No. C1 f h It is hereby certified for occupancy at the above described location and may be occupied. Q Director of Public Works Date—^ 1 ` L4 U By THIS CERTIFICATE IS VOID WHEN MOBILEHOME IS RELOCATED White - Owner, Yellow - Installer, Pink - D.P.W. COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS BUILDING INSPECTION RECORD 13UILDING BUILDING (Cont'd) 4N PLUMBING Set ck Forms Main Idg. Foot s Stem* 1 Slab Piers Garage f Footings I[ StemwaII Slab Carport Footings Slab Patio Footinas Bond rewall S •1 Piping Pa a ets 1 t Floor Res oom Finish 2n Floor Roof Sh thin Roofing Fdn. Vents Garage Vent Insulation Prov. forph sh handicanoed Conformance of Footin Throat Final Final Heats PLACE MECHANICAL 3rd oor To out Water Pipi Sewer Fixtures Water Htr. Heaters Appliances Gas Piping & Test Temp. Gas Sanitation Final i Fixtures Motors Water Htr. Subpanell Grd. F It Prot: Servi T mo. Pole 'Inde r round In rior Lath V ntllation ennanent oor Closer Iflnal J111nal • MOBILEHOME UTILITIES ----------------•- Elec. Service — al , Water Piping / —, 7 V Sewer ' J > Gas Piping ME INSTALLATI N Support Elea Continuity Water Piping I LT Drainage ,.7 f/ Gas Piping DATE REMARKS OR CORRECTIONS (NOTE: An entry must be made on this form each time you visit the job site.) V COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS 7 County Center Drive — Orovi Ile, California 95965 a Telephone: 534-4541 APPLICATION AND PERMIT cN�coci ^iau VCS VI LHe IOumy UI Oulle lu enter upon the above -.mention e roperty forinspectionpurposes. X�U Date ! 2 WZ7 ignature of Peer/rmitee 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/ftBLIC WORKS By D�te/�-23— 7� BA ding permit expires Date 'Z 7-7 BUILDING Owner SQ. FT. OCC. BUILDING VALUATION Mailing Address ,AL Telephone No. Fireplace Contractor Total Valuation Mailing Address Permit Fee Plan Checking Fee &/or Penalty Telephone No. Permit Fee Building Address S PLUMBING No. @ FEE PERMIT FILING FEE $3.00 Do _S'j<— Each Trap 1.50 3 URepair drainage or vent piping 1.50 Water piping 1.50 ID .100- _ Each gas water heater or vent 1.50 A. P. No. �` e7 A)- ening Gas piping system 1 - 5 outlets 1.50 ,0.00 Each additional outlet .30 F S 1 ' ion Fire Dept. Fire Zone Use Permit Building sewer 5.00 oxo EQA Parking Plans arcel �a 60' R/W Declaration Im r p ovemen Lawn sprinkler system 2.00 Bldg. PIRecd r val Plans proval Permit Fee NEW ❑ ADDITI ILITIESOTHER ❑ ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 ,00 Main service 10000 AMP V OR LESS 10 5.00 d Main service EA. ADO'L 100 AMP 2.50 Single Family ❑ Duplex ❑ Mobil Home Others ❑ Main service OVER 600V 100 AMP OR LESS 125.00 Main service EA. ADD'L 100 AMP 1.00 NEW CONST. DWELING OR ADDNS. ( ACCLBLDGS. OCCUP. &) 20sgft 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: BOO 1z Ex. Occup(OUTLETS OR FIXTURES) BAL@@i 09 Ex. Occup. FIXED ALNS. OR P•(OUTLETS IPPRESID.) 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. J0I certify that in the performance of the work for which this J0 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 P it 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 S — TOTAL PER IT FEE $ cN�coci ^iau VCS VI LHe IOumy UI Oulle lu enter upon the above -.mention e roperty forinspectionpurposes. X�U Date ! 2 WZ7 ignature of Peer/rmitee 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/ftBLIC WORKS By D�te/�-23— 7� BA ding permit expires Date 'Z 7-7 J , + COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Uroville, California 95965 Telephone: 534-4541 APPLICATION AND PERMIT BUILDING Owner L- SQ. FT. OCC. BUILDING VALUATI N Mailing Address e Telephone o. Fireplace ' '' 'dd11,,� Contracto , �.�R-d Total Valuation Mailing Address Q �a Q Permit Fee Plan Checking Fee&/or Penalty v Telephone No. - �3a Permit Fee Building Address _ - PLUMBING No.1 @ FEE PERMIT FILING FEE $3.00 • / Each Trap 1.50 3 Repair drainage or vent piping 1.50 Water piping 1.50 6 �ti� Each gas water heater or vent 1.50 A. P. N `" '� Zoning 8 Planning Gas piping system 1 - 5 outlets 1.50 Each additional outlet .30 F Fire Dept. FireZone Use Pen -nit Building sewer 5.00 EQA Parking Plans Parcel Declaration parcel Ma P 60' R/W Im rovements P Lawn sprinkler system 2.00 pI^^' pe. aParcel 4 pproval PIa pproval Permit Fee $ $ NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER YL ELECTRICAL No.1 @ I FEE PERMIT FILING FEE $3.00 ®sv -3-7 Main service 100 AMP OR LESSLESS 5.00 Main service EA. ADD -L 100 AMP 2.50 Single Family Duplex Mobil Home in Others ❑ ❑ Icy ❑ Main service OVER 600V +oo AMP OR 25.00 0 AM Main service EA, ADD'L 100 AMP 1.00 NEW OR ADDNS. ( ACCLBLDGS.LING CCUP. &) 2¢Sgft NEW CONSTR. MULTI -OUTLET NON.RESID. ( BRANCH CIRCUITS) 12.50ea NEWCONSTR. POWER APPARATUS & NON .RESID. (SINGLE OUTLET CIR. CONTRACTORS LICENSE LAW 1 am licensed under the provisions of Chapter 9, Div. 3, of the State of California Business & Professions Code under the name style of:EX. Ex. Occup(OUTLETS OR FIXTURES) BAL@251t OCCU FIXED APP LNS. OR P• ( OUTLETS (RESID.) EA) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 License No. 10 e) C2 S �7 Classification Misc. Wiring 6.25 ❑ I am exempt from the Contractors License Laws of the State of California. Permit Fee. WORKMEN'S COMPENSATION INSURANCE 1 am aware of the provisions of Section3700 of the California Labor Code which requires every employer to be insured against liability for Workmen's Compensation. I�1 I have placed on file with the County of Butte a certificate of J[� Workmen's Compensation Insurance. ❑I certify that in the performance of the work for which this permit is issued I shall not employ any person in any manner so as to become subject to the Workmen's Compensation Laws of California. MECHANICAL No. @ FEE PERMIT FILING FEE $3.00 Heating Cooling Ventilation Hood 2.00 Permit Fee,. $ $ I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby -TOTAL PERMIT FEE D above-mentioned property for inspection purposes. v V y 4rV x Datez-Z� _ Signature of Permiteee or Agent ' Receipt No. _ �Q�f'� White-D.P.W. — Yellow -Assessor 2 ink -Inspector — Goldenrod -Applicant Ihis permit is hereby issued under the applicable provisions of the Butte County Codeand/or resolutions to do work indicated above for which fees have been paid. +',. DIRECTOR OF PU LIC WORKS 3 —7� BY -YDate Q ,St"di 9 permit expires Date 3- / 7 7 Ad 8161 C 9 83J r L S)Ii OA011afld d0 'ld30 3Ln3 20 •U.Nnoo MOBILEHOME SUPPORT DATA If other than single wide, Lo--eMobilehome Mfr.furnish Setup Model No. Year Widthf (ft.) Box Length _(ft.) Tagalong -or Expando Size ft. x ft. (SHOW SUPPORT DETAILS BELOW) On all mobilehomes manufactured after October 7, 1973; furnish manufacturer's installation manual and structural setup sheets (if not on file with the County of Butte). All center supports measured from front of mobilehome unless otherwise specified. + }. Footings (check one) Single �� 7 f _ n 1. Wood either *If center piers are other than drawn above, draw in—locations, spacing, and dimensions. pressure treated or foundation grade. ® 2. Other (spgecnify/) Supports"(check one) 1i Concrete block. -2. Other (specify) Tagalong or Expando, show support details. x a4 --;Typical Support in.) (in.) Footing Size Max. Pier Spacing ,� -- Max. Overhang (ft.)(in.) BUTTE COUNTY BUILDING DEPARTMENT APPRovED (ft.)(in.) (in.)' (in.) 7 (in.) (in.) Ce ter support Center support PP PP ocations* footing sizes (ft.)(in.) (in.) (in.) (in.) (ft.) (in.) (in.) (in.) (ft.)(in.) (in.) (in.) *If center piers are other than drawn above, draw in—locations, spacing, and dimensions. pressure treated or foundation grade. ® 2. Other (spgecnify/) Supports"(check one) 1i Concrete block. -2. Other (specify) Tagalong or Expando, show support details. x a4 --;Typical Support in.) (in.) Footing Size Max. Pier Spacing ,� -- Max. Overhang (ft.)(in.) BUTTE COUNTY BUILDING DEPARTMENT APPRovED (in.) (in.) (ft.)(in.) (in.) (in.) (ft.) (in.) (in.) (in.) *If center piers are other than drawn above, draw in—locations, spacing, and dimensions. pressure treated or foundation grade. ® 2. Other (spgecnify/) Supports"(check one) 1i Concrete block. -2. Other (specify) Tagalong or Expando, show support details. x a4 --;Typical Support in.) (in.) Footing Size Max. Pier Spacing ,� -- Max. Overhang (ft.)(in.) BUTTE COUNTY BUILDING DEPARTMENT APPRovED BUTTE COUNTY DEPARTMENT OF PUBLIC WORKS 7 County Center Drive, Oroville, CA. PHONE: 534-4541 MOBILEHOME INSTALLATION SHEET 1. Owner's name: �—l'� U�c.� vj—e-c- 2. Installer's name : �, �d'� `�°� • U� b /'�"' � �- 3. Is the site currently under permit? /Yes / / No (If yes, furnish permit number fico 7.� ' %% ) OR Is the site an existing site? Yes / / 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 No (If no, clarify ' 5. What is the mobilehome electrical rating? --------------- - ---- �b d _ Amps �tL 6. What is the mobilehome site service rating? ------------ - - Amps - - 1c� 7. What is the mobilehome site circuit breaker rating? --------- - '��' Amps 8. Is there any other electric"load=to be served by the mobilehome site service? --------------------------------------------------- Yes / No (If yes, identify the load and size: _(Load) (Amps) 9. What is the mobilehome site gas pipe size? ---------------------- (in.) 10. What is the type of gas service? ---------- Natural / / LPG 11. What is the gas pipe length from meter or tank to the mobilehome? �-Z� (ft.) 12. What is the mobilehome gas demand?------------------------------g'� (BTU) (This information not required if pipe length less than 6 ft. on natural gas or less than 50 ft. on LPG.)