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�..AWERMIT NO. 5179-78P,E N r
PERMIT EXPIRES
OWNER James W. Rogers
CONTR. owner
LOCATION (A. -P. 62-38-23
E/S Bunker Hill Rd., app. 1 mi.E.of`Big
'•_ Bend. . , Big Bend
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Temp. Power Pole
Called PG&E
Temp. Elec. Serv.
Called PG&E l 7
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
betDacK
FI wall
SoXI Piping
rms
Par ets
1'*Q Floor
ain Bldg.
Restr om Finish
2n Floor
ootin s
Window
3rd Nor
S mwall
Siding
I To out
Sla
Roof Shealbing1
Water Pi i
Pier
Roofing
Sewer
Garage
Fdn. Vents
Fixtures
Footin s
Stemwal l
Garage Vents
Insulation
Water Htr.
Heaters
Slab
Carport
Footings
Prov. for physica ly
handica ed
Conformance of ex.
structure V
I Appliances
Gas PI In &Test
Temp. Gas
Slab
Final A
Sanitation
Patio
JAR LACE
Final
Footings
Footing
VLECTRItAL,
Masonry Walls
Throat
Rou h
Reinf. Steel
Final
Fixtures
Bond Beam
FIRE SPRINKLE S
Motors
Framing
Test
Water Htr
Stucco
Final
Sub ane
Mesh
MECHANICAL
Grd. F ult Prot.
ScratA
HeatIrA
Serviie
Broin
Coo ng
emp. Pole
F Ish
D is
/Underground
In rior Lath X
entilation
Permanent
D or Closer
Final
Final
MOBILEHOME UTILITIES ----------
rvice ^ ,-- .rte ''
Elec. Pedestal
Water Piping .42
S er
Gas Piping .9
MOBILEHOME INSTALLATION - - - - - - - - - - - - - -
Support
Elec. Continuity
Water Piping
Drainage
Gas Piping
DATE
REMARKS OR CORRECTIONS
awe, �s S
I/; �. .
���U '�nQ„IOTE: 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 with required-sepa`ration from lot' lines and buildings and generally
conform to plot plan? Yes No
2. Does the mobilehome have required clearances above -ground? (Sec.5085) YetZ No
3. Are footings and supports properly sized, spaced; and braced as per approved plans? (Note
possible variation at spring shackles.) (Sec. 5082 & 5083) Yes` No
4. Is the mobilehome level? (Sec. 5088) Yes L_ o_
5. If more 'than a single unit, are'crossover*connections properly•installed? (Sec. 5088)
Yes L --fro
6. Water
A. Is flexible connector of adequate size and properly installed (1/2" ID min.)? -(Sec. 5566)
Yes No
B. Test - Does water piping withstand working pressure or 50 lbs. air test? Yes No
C. Backflow - If coach is not 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 A__�o
B. Does it have minimum 'k" per foot slope and is it properly supported?'Yes"/ No
C. Are any leaks detected in drainage system after running 3 -gallons of water through each
fixture including washing machine standpipeT.Yes No.
D. If coach is not State of California approved; does station have required trap and vent?
Yes No_ N4
8. Gas Piping and Gas Vents
A. Connector - Is mobilehome connected to the gas supply with an approved 3/4" minimum
mobilehome connector not more than 6 ft. long? Note: All piping is to be at least as
large as the mobilehome gas line inlet without reductions other than the mobilehome
connector. Yes No
B. Test OK as per following procedure? Yes_ No
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?
I
Yes L- <o
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',,*ie., water pumps,
,garage, cabana, etc.? Yes (/fo ,
B. Is there proper clearances around panels? Yes
C. Is power supply cord or feeder assembly properly fused? Yes e/ No
D. Is continuity test satisfactory as per the following procedure? es No 1
1. De -energize electrical wiring system of the mobilehome at the
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
Manufacturerand/or Namest,Jyle 2fz�age:g!�Z.,eg,
Length A/r' Width
Vehicle Serial No: S �Sr�/ 2 -
State
State Identification No.
Additional Information or Comments:
Oda cnc, /s A_If� Q_ `
wseaeoMw wsouesrto w
OP.OVILLE TITLE CI)I TANY
Order No. 101703
anw Hamm emensew MAIL N
F M. &PIKS. JARS H. PIGFRSI
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an L OaU*y, Ca. 44561Men J
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SMAM A8CrV9 Trte>. Lw row accommw a usa
Amene SAI V. AS ABOVE "The tlndeesiglta 4 vallim M dsdess i):
Oocirm tory fmrder tm h i 9.35
• x j computed on ful volae of property mweyed,*or
'eftI_ ' I corttx;ied on f:4 vc!ue les, v--!je of dens owd lb
snasnt`ronm remcining of time of sob,
'X) lke nawporoted Leo: ( ) City of _.._
Grw*DoWI
D.T.T. i.._... 35 ....._...._....._.....___....._....
TO 40 CA P -M same 0 r rMr11ta1O w v"A w ► cmmmpv R
0
FOR A VALUAKE OWSWERATWK tT mape.t.iia i bm4 JOMI LEFII•l1MI and
FSl IM LKIMAIRI, hrta6and and %dfs
b,by CRWlgt w JAMS W. RIC M- and E—I)NA Me P. CRS, his wife,, p s Joint
Tenants
the wuwimg tteReY0 "d Im"w, is an
C—my -1 Ba;tte .,neaf cauk ds:
SEE ATTACIO).
Dated .:.,rch 31, 1977
STATE OF CALIFXMN1A l
COUNTY OF sTMSLAUS ss
On Armll 7, IWM In4we we. the
e. Pe*s++llr s>Maenadreer
siP.tIa,ryiPnnrw d-
I�Isann
kne" t. we
t. k the I'llmel—Ameeb,941. the within
inarnase and aeknew that aeetlted the same.
WITNE. my hand
SiRnatare
New 1Typed or Printed)
i J. E KMU i
NOTARY MIMIC. CMXCDM► �
PINCIF t twm N j
• RrAtKaMs CO11NIt1 a
/AY Ga.aralwl ta�hm M1..Y R; PteR .. t
' . Title Orde, No. xrotr or Loan No
_1
IfW .rr. t...wrkl ..t.0" r wl
r•• Matt TAX STATEAMUM AS DIRECTED ABOVE
F -A
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UXUkX C.uNU101703
All that certain real property situate in the County of Butte, State of
California, described as follows:
PARCEL ONE: The North half of the South half of the Northwest quarter
of the Southeast quarter of Section 7, Township 21 North, Range 5 East,
M.D.B. b M.
TOSSIM WITH a right of ray for road and public utility purposes over a
strip of land 60 feet in width lying 30 feet on each side of the
centerline of Big Bend Head.
FARM TWO: M easesient for road and pib lac utility purpose over a
strip of land 60.00 feet in width, lying 30.00 feet on each aide of the
following described cantarline.
Beginning at a point that L located South 89. 00' 40" Wast, a distance of
369.52 feet from the North quarter corner of Section 7, Township 21 North,
Range 5 Bast, M.D.B. 6 M.; thence from said point of beginning, South 24•
19' 57" gest for a distance of 34.59 feet; thence South 12' 41' 27" West
for a distance of 254.91 feet; thence South 63. 45' 33" Bast for a
distance of 280.'02 feet; thence South 44. 53' 53" Bast for a distance of
157.21 feet; thence South 14. 34' 33" est for a diet ance of 414.03 feet;
thence South 10' 48' 57" West for a distance of 119.01 feet; thence
South 13. 04' 13" East for a distance of 322.13 feet; thence South 790
27' 07" West for a distance of 168.94 feet; thence South 2. 01' 33" test
for a distance of 243.91 feet; thence South 69. 26' 43" East for a
distance of 195.79 feet; thence South 28. 15' 13" Seat for a distance of
309.57 feet; thence South 7. 31. 36" West for a distance of 242.09 feet;
thence South 64. 53' 03" East for a distance of 229.75 feet; thence
South 29' 40' 43" East for a distance of 187.33 feet; thence Som 3. 26'
17" West for a distance of 132.26 feet; thence South 37' 42' 27" West for
a distance of 280.66 feet; thence South 240 04' 03" Bast for a distance
of 52.28 feet to a point.that is located South 7. 09' 11" Bast for a
distance of 2893.85 feet from the North one quarter corner of said
Section 7; thence North 63. 28' 57" East for a distance of 405.72 feet; Q
thence South 34' 50' 53" East'for a distance of 46.70 feet; thence
South 330 55' 37" West for a distance of 167.28 feet; thence South 40
WS
37' 07" West for a distance of 210.55 feet; thence South 1. 02' 27" 6-b
West for a distance of 227.93 feet; thence South 24. 26' 23" East for
distance of 221.19 feet; thence South 55. 22' 03" East for a distance of
88
198.13 feet; thence South 10. 58' 43" East for a distance of 148.11 feet;
thence South 24. 21' 43" East for a distance of 492.16 feet; thence
South 120 35' 27" West for a distance of 272.86 feet; thence South 4. 33'
OS" East for a distance of 400.36 feet; thence South 83. 20' 03" Bast
for a distance of 255.05 feet; thence South 50° 54' 43" Bast for a
distance of 44.12 feet to a point in the Easterly line of the West half
of the East half of said Section 7 located North 0. 28' 31" West, a
distance of 303.10 feet from the'Southeast corner of the West half of the
East half of said Section 7; thence continuing South 50. 54' 43" East, a
distance of 222.32 feet; thence North 76. 52' 17" East for a distance of
-1-
ORD$$ Nth tut /03 - ''
1ay.39 feet; thence South 76. 52'
feet; then* South Sr East for a distance of 146.22,
Ir 051 3rEast for a distance of 176.03 feet 4 the
cm
Southerlyterliaeline. of said Section 7 and the end of said described road
that portion lying within Parcel Choo above.
PARCN3. 215M: • right of esy for road and public utility purposes over a
strip of land 60.00 feat in width lying 30.00 fNt esth side dF the
following described road cmterliat:
Begteslft at a point that is located South 7. 099 u" gast, a distance of
21*85feet fr+o• the Norte one 4wrtor corner of section 7
South Swab, 04' �5 jest, M.D.B. 6 M.; thence from said point of dip
17' Wast for a d jest for a distance t; 163.18 feat: thence South 3. 3344'
Wast EDV a distance 0. fee feet; then* some S4. 12' 17"
of stance of 260.64 fief; thence South 0. 04. 33" jest for a
144distance
6ta5 feet; th . fact: thence south 27. 11. 17" %at for a distance of
• tbinoe south 13 069 33" jest for a distance of 225.29
feet; thence South 56. 28' S7" Vast for a distance of 59.35 feet; thence
Borth SO' 03' Sr West for a distant of 121.21 fest to a point in the
Borth and South centerlies of said Section 7 TOM and the and of the herein
seribad ad centerline.
that portion lying within Parcel One above.
PAS' FOUR: M eas•■est for road and public utility purposes over.
Borth 60.00 feet of the East 383.43 feet of the
the West half of Section 7,
Township 21 North, Ragge 5 East, M.D.B. 6 M.
PARCEL pM: An eammt for road and public Utility purposes over the
Borth 60.00 feet of the East half of Section 7, TOINUhip 21 North,
5 :eat, M.D.B. 6 M. 171% Westorly of Big Bead Road. Range
WD Of VOCL 4D,T
C0044TY OF BUTTE — ~DEPARTMENT OF PUBLIC WORKS
7 County Center Drive — Oroville, California 95965
Telephone:, 53U-4541
APPLICATION AND PERMIT A
authorize representatives of the County of Butte to enter upon the
above-mentioned property for inspection purposes.
Date �-
Signature of Permitee or Ag t
Receipt No.2
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
Building permit expires Date
BUILDING IN
Owner
SO. FT. OCC. BUILDING fP10ATION
Mai I ing dress O,
Tejephone No.
Contractor
Mailing Address
Fireplace
Total Valuation
Telephone No.
Permit Fee
Building AddressPlan
911.0 tlze
Checking Fee&/or Penalty
Permit Fee
PLUMBING No.1 @ FEE
PERMIT FILING FEE $3.00
Each Trap 1.50
100
—
Repair drainage or vent piping 1.50
A. P. No. �' ,� `� ��' 3
Z-
oning & Planning
Water piping 1.50
Each gas water heater or vent 1.50
Flee-
W. .
*arri-tst n
Fire Dept.
Fire Zone
Use Permit
Gas piping system 1 - 5 outlets 1.50
EOA
Parking
Plans
Parcel
Decla tion
Parcel Map
60' R/W
Improveme s
Each additional outlet .30
Building sewer 5.00
Bldg. PI eed
Parcel rovol
PI pproval
Lawn sprinkler system 2.00
NEW g.. ADDITION ❑ UTILITIES ❑ OTHER ❑
Permit Fee $
$
_ 2,f,00ELECTRICAL
No.1 @ FEE
PERMIT FILING FEE $3.00
Main service 100 AMP OR00V OR LESS5.00
Single Family ❑ Duplex ❑ Mobil Home Others ❑
Main service EA. ADD'L 100 AMP 2.50
Main service OVER 600V 25.00
100 AMP OR LESS
Main service EA. ADD•L 100 AMP 1.00
NEW CONST. ( OR ADDNS. ACCLLING BLDGS.CCUP. 'I)22sgft
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 MULTI.OUTLET
NON.RESI DBRANCN CIRCUITS) 2.50ea
NEW CON STR (POWER APPARATUS.a
NON -REST D. (SINGLE OUTLET CIR.
Ex. Occup(OUTLETS OR FIXTIIRES 5 L @ ,
FIXED ALNS
Ex. Occup.(OUTLETSP(REsiD)REA) 2.00
Temporary service 10.00
Mobile Home Facilities 15.00
License No. Classification
Misc. Wiring 6.25
I am exempt from the Contractors License Laws of the State of California.
Permit Fee $
$
WORKMEN'S COMPENSATION INSURANCE
1 am aware of the provisions of Section3700 of the California Labor
Code which requires every employer to be insured against liability
for Workmen's Compensation.
❑ I have placed on file with the County of Butte a certificate of
Workmen's Compensation Insurance.
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
Land Development Fee
is
r
TOTAL PERMIT FEE
$ 30 1CV
authorize representatives of the County of Butte to enter upon the
above-mentioned property for inspection purposes.
Date �-
Signature of Permitee or Ag t
Receipt No.2
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
Building permit expires Date
MOBILEHOME SUPPORT DATA
If other than single wide,
Mobilehome Mfr. // /Yl/wo/ e) furnish Setup Model No. Year
Width -(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 Wood either
AA pressure treated or
foundation grade.
x'
(ft. (in:) (in.) (in.) 0,2'. Other (specify)
Center sup ort Center sup ort
locations- footing s'zes Supports (check one)
(in.)
: Concrete block.
X Ej -2. Other (specify)
in.) yinin.)
4 ---Tagalong or Expando,
show support details.
(in.)
Support
(in.) (in.) Footing Size
1
X
(ft.)(in ) (in.) ("-n.) d -- Max. Pier Spac
(ft -)(in-)
�A �r -- Max. Overha
) n
(ft (in.) (in.) (in.) �.
(ft.)(in.) A#
r
BUTTE C:UUiv i r
BUILDING DEPARTMENT
APPROVED
*If center piers are other than drawn above,
draw in locations•, spacing, and dimensions-.
BUTTE COUNTY DEPARTMENT OF PUBLIC WORKS
r 7 County Center Drive., Oroville, CA.
PHONE: 534-4541
MOBTLEHOME INSTALLATION SHEET
1. Owner's name: n� ��9 - �d ,0�2 S �
2. Installer's name: C76�i7%
3. Is the site currently under permit? Yes TT
7 No
(If yes, furnish permit number _ ) OR
Is the site an existing site? Yes /- r/ 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 �r No
(If no, clarify )
( )
5. What is the mobilehome electrical rating? ----------------------- 1�0 Amps
6. What is the mobilehome site service rating? --------------------- G Amps
7. What is the mobilehome site circuit breaker rating? ------------- Ion Amps
8. Is there any other electric load to be served by the mobilehome
site
service? ---------------------------------------------------
Yes P /
No /yl
(If yes, identify the load and size:
(Load)
(Amps)
• d d,
9. What
is the mobilehome site gas pipe size? -----------------------/
(in.)
10. What
is the type of gas service? -----------------------------
Natural / /
LPG jj,�
11. What
is the gas pipe length from meter or tank
to the mobilehome?
®� (ft.)
12. What is the mobilehome gas demand? ------------------------------
(This information not required if pipe length less than 6 ft. on natural gas
or less than 50 ft. on LPG.)
(BTU)
J COUNTY OF BUTTE —I DEP.ARxTM�_-.NT OF PUBLIC WORKS
7 County Center Drive — Oroville, California 95965
Telephone: 534-4541
APPLICATION AND PERMIT
6-11-2f —�
AA
authorize representatives oT the County oT Butte to enter upon the
ab e -mentioned property for inspection purposes. (�
Date
ignature of Permitee or Agent
Receipt No. -
White-D.P.W. — Yellow- ssessor — 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-1VP,P_U_BLIC WORKS
BY Date
Bui Id ng permit expires Date
BUILDING
Owner a r - &J
SO. FT. OCC. BUILDING VALUATION
Mailing Address P-0- /d ?f i• = A vR
Telephone No.
Contractor
Mailing Address
Fireplace
Total Valuation
Telephone No.
Permit Fee
Building Address -- 5 q,®
Plan Checking Fee&/or Penalty
Permit Fee
RZ7f1r-% ARA CAAD POF .
PLUMBING No. @ FEE
PAVEMEA) r ®
BiG. eclvb eV•
PERMIT FILING FEE $3.00 , 00
Each Trap 1.50
J;9Aj119 Yeriffcation QnJ%J $ r i3CNS
Repair drainage or vent piping 1.50
A. P. No. 3 2_3
,LWater
& Planning
Waterpiping 1.50 70-00
Each gas water heater or vent 1.50
Regsl'
Ion FireDept.
Fire Zone
Use Permit
Gas piping system 1 - 5 outlets 1.50 ®� 0
EOA
Parking
PI ns
Parcel
Declaration
Parcel Map
60' R/W
Improvements
Each additional outlet .30
Building sewer .5.00 Qr 0 0
Bldg. Plans RecdPa
c a
Plan 14pprovaI
Lawn sprinkler system 2.00
NEW ❑ ADDITION UTILITIES g---OTHERE]
Permit Fee $ ,0d
ELECTRICAL No. @ FEE
PERMIT FILING FEE $3.00 BOO
600V OR LESS
Main service 100 AMP OR LESS 5.00 �1
.00
Single Family ❑ Duplex ❑ Mobil Home Others ❑
Main service EA. ADD'L loo AMP 2.50
Main service OVER 6 O 25.00
100 AMP OR LESS
Main Service EA. ADD•L 100 AMP 1.00
NEW CONST.( OR ADDNS. ACCLBLDGS.LING CCUP. s) 2¢sgft
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
le of:
NEW CONSTR BRANCH -OUTLET
NON.RESID, BRANCH CIRCUITS) 2.50ea
NEW CONSTR (POWER APPARATUS 6
NON.RESID. SINGLE OUTLET CIR.
Ex. OCCUp(ouTLETS OR FIXTIIRES 5 L2j
Ex. Occup. ( FIXED APPLNS. OR
p. OUTLETS (RESID.) EA) 2.00
Temporary service 10.00
Mobile Home Facilities 15.00 16,00
License No. Classification
Misc. Wiring 6.25
/y -P. 14p , o V
DdI am exempt from the Contractors License Laws of the State of California.
Permit Fee $ 1SQ
$ 79
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.
❑1 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
Land Development Fee
$ pv
TOTAL PERMIT FEE
$ S(
authorize representatives oT the County oT Butte to enter upon the
ab e -mentioned property for inspection purposes. (�
Date
ignature of Permitee or Agent
Receipt No. -
White-D.P.W. — Yellow- ssessor — 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-1VP,P_U_BLIC WORKS
BY Date
Bui Id ng permit expires Date
.PERMIT NO. 2400-79B,E
PERMIT EXPIRES
OWNER James Rogers
„' CONTR. owner
LOCATION (A.P. 62-38-23
.9/10 mi.past end of pavement on B Rd.,
Conco
i-
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I.
j.c
1{Yfi
Tt' sv'v7
*AAj
4
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a M
3
1 Temp. Power Pole
Called PG&E
Temp."Elec. Serv.
Called PG&E
Temp. Gas Serv.
I Called PG&E
JOB
FINALED
t1 (Date)
' t
(Signature)
1
Reinf.
Motors
stucco I Final ISubaanels
mesn
COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS
BUILDING INSPECTION RECORD
MECHANICAL
BUILDING BUILDING (Cont'd)
I PLUMBING
Setback
Firewall
Soil Piping
Forms
Parapets
1st Floor
Main Bldg.
Restroom Finish
2nd Floor
Footings
Windows
3rd Floor
StemwaII
Siding
To out
Slab
Roof Sheathing
Water Piping
Piers
Roofing
Sewer
Garage
Fdn. Vents
Fixtures
Footings
StemwaII
Garage Vents
Insulation _
Water Htr.
Heaters
Slab
Carport
Footings
Prov. for physically
handica ed
Conformance of ex.
structure
Appliances
Gas Piping &Test
Temp. Gas
Slab
Final
Sanitation
Patio
FIREPLACE
Final
Footings
Footing
ELECTRICAL
Reinf.
Motors
stucco I Final ISubaanels
mesn
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
BILEHOME INSTALLATION - - - - - - - - - - - - - - Support
Elec. Continuity
Water Piping
Drainage
Gas Piping
DATE'
REMARKS OR CORRECTIONS
� t
® (I''irr� i Iil.� ✓rte r A
(NOTE: An entry must be made on this form each time you visi: the job site.)
•- -- COUN-FY OFZUTTE — DEPARTMENT OF PUBLIC WORKS
7 County Center Drive — Oroville, California 95965
Telephone: 534-4541
APPLICATION AND PERMIT w /
authorize representatives of the County of Butte to enter upon the
above-mentioned property for inspection purposes.
Date -o2(0_27
Signature of Permitee or A nt
Receipt No. - :;z =5 SC3`j
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 ✓ �7 /
Building permit expires Date ��'�
BUILDING fly t
Owner
SQ. FT. OCC. BUILDING VALUATION
l03 !0 7 �
3
Mailing Address
11
Telephone No.
Contractor
Mailing Address
Fireplace
Total Valuation
Telephone No.
Permit Fee
Building AddressPlan
AWDO IF
Checking Fee&/or Penalty
Permit Fee _.
Z �.
PLUMBING No.1 @ FEE
PERMIT FILING FEE J$3.00
Each Trap 1.50
ph
Repair drainage or vent piping 1.50
A. P. No.�y,2 -r . v-4'-Z�ng & Planning
Water piping 1.50
Each gas water heater or vent 1.50
FeP91
W%< Sa tion Fire Dept.
Fire Zone Use Permit
Gas piping system 1 - 5 outlets 1.50
EQA
Parking Parcel
Plans Declaration
Parcel Maple
R/W
Improv ments
Each additional outlet .30
Building sewer 5.00
Bldg. Plans Recd
I Parcel A r of
Plan Approval
Lawn sprinkler system 2.00
NEW N ADDITION ❑ UTILITIES ❑ OTHER ❑
Permit Fee $
$
ELECTRICAL No. @ FEE
PERMIT FILING FEE $3.00 , pd
Main service soov OR LESS
100 AMP OR LESS 5.00
Single Family ❑ Duplex ❑ Mobil Home Vg Others ❑
Main service EA. ADD'L 100 AMP 2.50
1
_ G I}N
Main service OVER soov 100 25.00
AMP OR LESS
Main service// EA. ADD'L 100 AMP 1.00
NEW CONS
OR ADDNST l ACCLBLDGOC 4J 20 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 MULTI.OU IR
NON-RESID BRANCH CIRCUITS 12.50ea
NEW CONSTR. (POWER APPARATUS B
NON-RESID, SINGLE OUTLET CIR.
25
EX. OCcup(OUTLETS OR FIXTIiRESBA
FIXED APLNS
Ex. Occup.(OUTLETSP(RESID )REA) 2.00
Temporary service 10.00
Mobile Home Facilities 15.00
Liis e No. Classification
Misc. Wiring 6.25
I am exempt from the Contractors License Laws of the State of California.
Permit Fee $
WORKMEN'S COMPENSATION INSURANCE
1 am aware of the provisions of Section3700 of the California Labor
Code which requires every employer to be insured against liability
for Workmen's Compensation.
❑I have placed on file with the County of Butte a certificate of
Workmen's Compensation Insurance.
11ertify 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
Land Development Fee
$
TOTAL PERMIT FEE
$ %�
1
authorize representatives of the County of Butte to enter upon the
above-mentioned property for inspection purposes.
Date -o2(0_27
Signature of Permitee or A nt
Receipt No. - :;z =5 SC3`j
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 ✓ �7 /
Building permit expires Date ��'�
E
14 T
?` e B 00
ry �Q fF45
c7# 6-
�I
specifications MUST be 4 +'
This set of plans and sp
job at all times and it is unlawful tI
kept on the j on same withouli
.
changes or alterations
make any t t
errrission from the Department of Pu�
writrten p '�
�„c Wwks, County of Butte. The Setback shall be 5 ff. from the
side property line and 50 ft. from the
centerline of the road, permitting a maxi-
mum of a 2 ft. eave overhang but entirely
out of all easements.
—All Materials & Workmanship Shill Be ire
1��IOTE: nized Good Practices and
Accordance v/1 sc - ar the Specifiod use in the
Of a quality p & Mechanical Codes and
Uniform Building, Plumbing
the National Electrical Codd"
a
All utility connections shall 6&-
located
aelocated within 4 ft. o€dsid'e the rear
third section of the mobile home
on the left (road) side of "mobile
home.
tem and locat+on a�
peptic sys {o be
County Health Dept. Re
Butte
quirements.
A.
1 7`4��
'61�4 6;1 -74 --?00
BUTTE COUNTY
BUILDING DEPARTMENT
APPROVP:n
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