HomeMy WebLinkAbout059-084-013� � s
59-084-13 port.
Fay Gibb English
70:8 Manzanita St., Stirling -City
Permit. A 66-76P,E(util. ,MHt)`
ELEC. I 2ASjg�p�B
GAS
SUPPO T StRUCTURE RE
COMPACTION TEST REQ.
�//vo-76') 59-0 -13
Permit 44t4* ---76 V
Issued 700-11
59-084-13'
Fay English i
712 Manzanita , Stirling City
contr: Oran Knowles, Magalia
Perm* #5110-80ne ra ada/MH)
I
' PERMIT NO. 5180-80B
r
} PERMIT EXPIRES
t•
OWNER Fay English
Oran Knowles, Magalia
CONTR.
59-084-13 port.
c,
ASSESSOR PARCEL
r
1 LOCATION 112 Manzanita, Stirling City
CJ 1
f
n
0
J
Temp. Power Pole
Called PG&E
Temp. Elec. Service
r
Called PG&E
Temp. Gasrvice
Called PG&E
JOB FINA LED (Date) % u
Signature
i
J=OK
0 = Not OK
= Not Applicable MOBILEHOMES
* = blot Ready
MISCELLANEOUS
Date
MOBILEHOME UTILITIES (Plants) OK except a's
Date
DEC S, COVERS, CARPORTS, STC. (Plans) OK except H's
1. Zoning Requirements -Setbacks -Easements
Zoning Requqfe�Tents-Setbaclg-Eas'2i�nts
2. Soils; Special MH Support -Sketch
3. Sewer; Location -Test -Fall -C/0 -Concrete
2. ootings; S' e-Dept5--Spa&W6�Connectors
3. Decks; Girders and/or Joists -Decking -Bracing -Stairs -Rails
4. Water; Location -Test -Easement Needed (Sketch)
4, Wood Awn.; Posts-Beams-Rftrs.-Connec.-Shthg.-Rfg.-Bracing
5. Electricity; Location-Clearances-Grnd.-/ / Amp -Concrete
5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures
6. Gas; Locatiort-Test-Wrap: / /"L"ft./ /"Nat.or/ /"L"ft./ /"LPG
6. Carports; Windows -Doors
7. Utility Clearance
7. Elec.
Card -BI
Date Card -BI Date
Card -BI
Date and -BI Date
Card -BI
Date Card -BI Date
Card -BI
Date Card -BI Date
Date
MOBILEHOME INSTALLATION (Plans) OK except q's
1. Zoning Requirements -Setbacks -Easements
Date
POOLS (Plans6 OK except k's
1. Setbacks -Easements
2. Footings; Size -Spacing -Marriage Line
2. Soils; Compaction -Structure Stability
3. Gas; MH Test -Demand -Valve -Connector
4. Electricity; MH Test -Crossovers -Breakers -Clearances
3. Pool Structure; Steel -Connections -Thickness -Dead Men -Lining
4. Elec.; Receptacles and Lighting; Distances-GFI
5. Drain; MH Test -Fall -Flex Connector
5. Elec.; Pool Lighting; 15 volts-GFI
6. Water; MH Test -Regulator -Connector
6. Elec.; Enclosures; Conduit Entries -Terminals -Listed
7. Water and Sewer Connected -C/0 to Grade -HD Approval
7. Elec.; Bonding; Metal w/5' -Circulating Equipment -Heater
8. Gas and Electricity Tagged
8. Elec.; Grounding; Equip. w/5' -Circulating Equip. -Pool Lghtg.
Boxes -Enclosures -Panel boards -Ins. to Main in Conduit
9. Exits; Insp.-Sketch..
10. Cert. of Occupancy
9. Health Department Approval
10. Plumb; Cir. Test -Water Supply Test
Card B -I
Date Card -BI Date
Card -BI
Date Card -BI Date
Card B-1
Date Card -BI Date
Card -BI
Date ! Card -BI Date
= OK
= Not OK
= Not Applicable
= Not Ready RESIDENTIAL (Single and Duplex)
Date
UNDERFLOOR (Plans) OK exoept b's
Date
FRAMING (Continued)
1.
Zoning requirements -Setbacks -Easements
48.
Property Line Firewall & Openings
2.
Ftg., Main; Soils-Steel-Elec. Grnd.- / /" Ftg. Depth `'
49.
Ext. Doors -One 3' -Check Garage -3rd story, 2 exits
3.
Ftg., Garage; Soils -Steel- / /" Ftg. Depth
50.
Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection
4.
Ftg., Porches & Decks; Soils -Steel- / /'' Ftg. Depth
51.
Plywood on Roof Overhang -Attic Vents -Rafter Outriggers
5.
Stemwalls, Main; Steel -B loc kouts-Wrapped-S lab
52.
Siding -Nailing -Veneer
6.
Stemwalls, Garage; Steel-Blockouts-Wrapped-Slab
53.
Stucco Mesh -Drip Screed-Fdn. Vents-Underflr. Access
7.
Piers -Fireplace Ftg.-Steel
54.
Glazing Area -Glass Protection -Skylights -Plastic
8. O.W.V.: Fall -Fittings -Test -2 way C/0 -Sewer Test
55.
Shear Walls; Nailing -Bolts
9. Gas Pipe; Size -Anchors
10.
Water Pipe; Test -Anchors -Regulator -Service Test
11.
Electric; Underground
12.
Plenums & Ducts; Clearance -Material -Support -Ins.
13.
Girders -Sills -Anchor Bolts -Joists -Vents -Cripples
Card -BI
Card -BI
Date Card -BI Date
Date Card -BI Date
Card -BI
Date Card -BI Date
Card -BI
Date
Date Card -BI Date
FINAL (Plans) OK except N's
56. Ext. Steps -Door & Sidelight Protection -Landings
Card -BI
Date
Date Card -BI Date
PLUMBING (Permit) OK except p's
14. Water Ht.; Vent -Access -Combustion Air
57.
58.
Smoke Detector
Furnace; Vents -Clearance -Comb. Air -Connector -
In Garage; Above Floor-Ducts-Mech. Protection
15.
16.
Water Pipe; Test & Anchors -Nail Protection
D.W.V.; Test-Fttngs & Anchors -Nail Protection
59.
Bedroom Exiting
17.
Shower Pan; Test, First Floor -Tub Access
60.
G.F.I. & Bath Fixtures & Tub Access
18.
Test Tub & Shower, 2nd Floor -Tub Access
61.
Elec. Trim & Subpanel; Breaker Sizes -Labels
19.
Gas Pipe; Size & Anchors
62.
Stairs & Rails
63.
Fireplace or Stove; Clearances -Hearth
64.
Elec. Outlets at Wood Panel; Int. & Ext.
Card -BI
Date Card -BI Date
65.
Kit. Fixt. & Appliance; Grnd.-Air Gap -Cooking Clearance
Card -BI
Date Card -BI Date
66.
Elec. Outlets & Receptacles at Kit. Counter
Date
ELECTRICAL Permit OK except q's
67.
Garage Fire Door; Swing -Landing -Closer
68.
A.C. Duct in Garage -Damper
20.
Fixture & ;Transformer Clearance -Ins. Protection
69.
Wtr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V.-
In Garage; Above Floor-Mech. Protection
21.
22.
Elec. Receptacles Spacing -Lights &Switches at Doors
Size Boxes & No. of Conductors -Stapled
70.
Plb., Elec. &Mech. Equip. Listed for Location
71.
Elec. Receptacles in Garage; (G.F.I.)-Romex Protec.
23. Romex Installed Close to Edge of Studs & C.J.
24.
Equip. Ground made up w/Mech. Fasteners -Bond Gas & Water
72•
Insulation -Foam -Looked in Attic ❑ Yes
73.
Guard Rails & Deck Construction -Post Caps
25. 2 Appliance Circuits in Kitchen &Conductor Size
_
--
26.
Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga. Cu or At
74.
Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance
Looked under Floor ❑ Yes
27.
Range Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or Al,
Insulated Neutral ❑Yes [I No
75.
Following instld.: Drive ❑Yes C] No; Walks El Yes ❑ No;
Planters ❑Yes []No
28.
Service -Riser Conductors & Ground -Main Disconnect
76.
Stucco; Brown -Finish
29.
Equip. Clearances; Panels-Motors-Mech. Equip.
77.
A.C. Unit; Disconnect-Clrnces-Brkr. & Cond. Size -115V Outlet
30.
Clothes Closet Light -Shower Light
78.
Vents Above Roof; Plbg.-Appliance-Firepl.-Clearance to Opngs.
79.
Water Well; Disconnect, Electrical, Plumbing
80.
Exterior Elec. Trim; G.F.I. Receptacle -Underground
Card B -I
Date Card -BI Date
81.
Ventilation throughout House
Card B -I
Date Card -BI Date
82.
Glass Protection
Date
MECHANICAL (Permit) OK except N's
31. A.C. Ducts; Insulation & Support
83.
Corrections from Previous Inspections
84.
Gas Test -Meters Tagged; Gas -Electric
85.
Water & Sewer Connected -C/O to Grade -HD Approval
32.
Vent Fan; Exhaust above Insulation
86.
Energy Compliance Certificate -Other Certificates
_
33.
Condensate Drain & Overflow; Size & Grade
34.
Furnace -Vent; Access -Comb. Air -Return Air Vent -115V outlet
35.
Attic Access & Platform if Furnace in Attic
-
Card -BI
Date Card -BI Date
Card -BI
Date Card -BI Date
Card -BI
Date Card -BI Date
Card -BI
Date Card -BI Date
Card -BI
Date Card -BI Date
Date
FRAMING(Pians) OK except q's
Comments at Final:
36.
Sills; Proper Material & Anchors
37.
Studs -Nailing, Spacing & Bracing -Plates -Sound
_
38.
_Walls;
Bearing Walls over Girders & Floor Nailing
39.
Draft Stop in Walls (rat proof)
40.
Fire Stops; Furred Ceilings -Stairs -Chases -Tub
_
41.
42.
43.
44.
Header & Beam -Size & Bearing
Hangers -Post Caps -Anchors -Connectors
Cing. Joist-Rttr. Ties-Purlin-Roof Brac.-Truss-Shthng.-Rfng.
Fireplace Ties or Type A Flue -Fireplace Throat
45.
Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles
_
46.
47.
Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions
Garage Fire Protection Framing
(NOTE: An entry must be made each time you visit jobsite)
! �I
COUNTY OF BL;TTE - DEPARTMENT OF PUBLIC WORKS PE MIT N
7 County Center Drive - Oroville, California 95965 - T.elephone 9 6/534-4 1 O—
APPLICATION AND PERMIT AA 11)1-7
ASSESSOR ARC L • M ER
—" —1 �'
ZONING
Zr
-
UILDING P
T f
0 VpLF:R
/-'4zF3l� L i =.S"
TELEPHONE
SQ. FT. OCC. BUILDING VALUATION
Q
OWNER/S MAILING ADDRESS
CONTRACTOR'S NAME
cL/;4A- L� �w �sC--s•
TELEPHONE
�i 3� f
'
'
CONTRACTOR'S MAILING ADDRESS
CONRUCTIONLENDER
UNI OWN
Fireplace
Total Valuation $
LENDER'S MAILING ADDRESS
Permit Fee
$ g' -
ARCHITECT OR ENGINEER
LICENSE NO.
Plan Checking Fee
$
Penalty
$
ARCHITECT OR ENGINEER'S MAILING ADDRESS
=
Permit fee
$ —
BUILDING ADDRESS
PLUMBING PERMIT
Filing Fee 3.00
�yf _
7/ -'"' A
Each Trap
2.00
Repair drainage or vent piping
2.00
_�x/ffLC.i
Water piping
LOT NO.
SUBDI VISION NAME
PARCEL MAP
Each qas water heater or vent
2.00
Gas piping system 1 - 5 outlets
USE OF STRUCTURE
SF ❑ Duplex[] Mobilehome\4 Other
SPECIFY
Building sewer
Lawn sprinkler system
2.00
TYPE OF WORK
New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other,
Describe work:
LAN PIn A-
Permit Fee
$
Contractor
ELECTRICAL PERMIT
Filing Fee 3.00
Main service 600V OR LESS
100 AMP OR LESS
5.00
Main service EA. ADD'L 100 AMP
2.50
NEW CONST. DWELINGOR ADDNS. ( ACCLBLDGS.CCUP,&)
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 nd my license is in ful orce 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 CONSTR ULTI-OUTLET
NON•RESID BRANCH CIRC ITS
2.50 ea
NEW CONSTR (POWER APPARATUS 8
NON-RESID. (SINGLE OUTLET CIR.
Ex. Occup(o XTS OR FIXTURES
so@�
50 L&10Q
FIXEEDDAPP LNS. OR
Ex. Occup.(OUTLETS (RESID.) EA.)
2.00
Temporary service
10.00
Mobile Home Facilities
15.00
Misc. Wiring
6.25
Permit Fee
$
Contractor
WORKMEN'S COMPENSATION INSURANCE
1 declare under penalty of perjury (check one):
❑ The permit is for $100.00 (valuation) or less.
qI 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 3.00
Heating
Cooling
Hood
2.00
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 Countyot
Butte to enter upon the above-mentioned property for inspection purposes.
all I'L agree
it es judgments, c costs, and
andeexpenseharmless
s which may in any way of Butte against
accrue
ag t id County in cons uence of the g ing of this rmit
%� Date L 4
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.
Mobile Home Installation Fee $
Land Development Fee $
TOTAL PERMIT FEE —
oAw P./GROUP
TYPE OF CONST.
IYO/ N
PAR`
`�_
ISSUE
This permit is hereby issued under
sions of the Butte County Code and/or
work indicated above for which fees
DIRECTO OF PUBLIC
By
PrOdIT EXPIRES Date _
the applicable provi-
resolutions to do
have been paid.
WORKS
Date l2–/L*f4
0/:"/
Receipt No. �J��
WHITE-D.P.W.• YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT
PERMIT NO. 3766-76P,E
PERMIT EXPIRES -7 7
OWNER By Gibb English
CONTR. over
LOCATION (A.P. 59-084-13 port.
I
701 Mananita St., Stirling. City
I
Temp. Power Pole Z
Called PG&E
Temp. Elec. S v.
Called &E
Temp. G erv.
Called ed P
c
G
& E
Temp. v
m ' ' S
Ca I I ed P
Temp.
G Serv.
Cal d PG&E
JO
NALED 3
(Date)
C! x)32
(Signature)
COUNTY, OF BUTTE — DEPARTMENT OF PUBLIC WORKS
BUILDING INSPECTION, RECORD
BUILDING
BUILDING (Cont'd)
PLUMBING
Setback 34-
Firewall
Soil Piping
Forms
Parapets
1st Floor
Main Bldg.
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
StemwaII
.Garage Vents
Insulation
Water Htr.
Heaters
Slab
Carport
Footings
Prov. for physically
handicappe
Conformance of ex.
structure z
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
l
Framing
Test
Water Htr.
Stucco
Final
Sub anels
Mesh
MECHANIC L
Grd. Fault Prot.
Scratch
Heating
Service
Brown
Cooling
Temp. Pole
Finish
Ducts
Underground
Interior Latb
Ventilation
Permanent
Door Closeir
Final
Final Qr, 7 ^'
DATE REMARKS OR CORRECTIONS
�J
L �.
7- 3 o- >6
(NOTE: An entry must be made on this form each time you visit the job site )
(s cv
- 3- eP�� J
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 ? i6G' for the following location:
Owner
Owner's Address
Mobilehome Mfg. �%..<r..r_� I1�..,te Model' Year'
Insignia No. y 9 S 6Y Serial No. 901 H
It is hereby certified for occupancy at the above described location and
may be occupied.
Director of Public Works
Date S " 3 By V,r ,-
THIS CERTIFICATE IS VOID WHEN MOBILEHOME IS RELOCATED
' c `
MO$I;�EHOME 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. Dopes the mobilehome have required clearances above ground? (Sec.5085) Yes No
Are footings and supports prope sized, spaced, and braced as per approved plans? (Note
poss1 e v ri tion at spring hackles.) (Sec. 5082 & 5083) Yes No
Ythe mob' ehome level? (Sec. 5088) Yes No�
X6Wat
than a single unit, are crossover connections properly installed? (Sec. 5088)
No
A. Is f xible connector of adequate size and properly installed (1/2" ID min.)? (Sec. 5566)
Yes Nc
B: Test - Does water piping withstand working pressure or.50 lbs. .air test? Yes No
Kn
ckflow - If coach is not State of California approved, does station have backflow device
d 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 No
B. Does it have minimum" per foot slope and is it properly supported? Yes No
Ir ej Are ny"l.eaks d ec���ainage system after running 3 -gallons of water through each
fixture including washing machine standpipe? Yes No
D,coaNo ch is not State of .California ap
proved, does station have required trap and.ven?t?
e
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 mobil ^ehome gas line inlet without reductions other than the mobilehome
connector. YesNo
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? Yes ;'No
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.? Ye 4 No
B. Is there proper clearances around panels? Yes No
C. Is power supply cord or feeder assembly properly fused? Ye, No_
D. Is continuity test satisfactory as per the following procedure.Yes No
1. De -energize electrical wiring system of the mobilehome at the d stal.
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 rtl.obileiiome supply conductor, including neutral.
5. All non-current., carrying metal parts of the mobilehome (aluminum siding, gas line,
water line),z 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 t 's.hall 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 4Jac
Manufacturer and/or Namestyle
Length_ <r Width Z -
Vehicle Serial No.�
State Identification No.
Additional.Infoxmati_on or Comments: cvy
Y
`r.I
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS
7 County Center Drive — Uroville, California 95965
Telephone: 534-4541
APPLICATION AND PERMIT
!WFIVOUritut VUS vi ulc %.QUIIty uI Dune to enier upon the
above-mentioned property for inspection purposes.
X w A g Date �(Z.
nature off,Permitee or A e rC/ > �
/
Receipt No. 6
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 WOR-K7S f
BY Datel -24,
wilding permit expires Date 7-2-6-77
BUILDING
Owner Lt
SQ. FT. OCC. BUILDING VALUATION
Mai I i ng Address 1 SSORO O HW
®IWV y1 I I
Tele phon o.
Fireplace
Contractor
Total Valuation
Mailing Address
Permit Fee
Plan Checking Fee &/or Penalty
•
Telephone No.
Permit Fee
Building Address �r dT
PLUMBING No. @ FEE
PERMIT FILING FEE $3.00
( '-at L l t�- Ct a
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. -- Q� �+ /� (�� `�
Zoning & Planning
Gas piping system 1 - 5 outlets 1.50
Each additional outlet .30
Fees
WvC.
eSarritrrFten
Fire Dept.
Fire Zone
Use Permit
Building sewer 5.00
EQA Parking
Plans
Parcel
Declaration
Parcel Ma p
60' R/W
ImprovementsLawn
sprinkler system 2.00
Bldg. Plans Rec'd I
Parcel Approval
Plans Approval
Permit Fee $
NEW❑ ADDITION ❑ UTILITIES ❑ OTHER
ELECTRICAL No. @ FEE
PERMIT FILING FEE J$3.00
iiAJ 1�� p
Main service 1000V OR LE
0 AMP ORSLESS 5.00
Main service EA. ADD -L 100 AMP 2.50
Single Family ❑ Duplex ❑ Mobil Home Others ❑
Main service OVER 00 AMP OR LESS 25.00
Main service EA. ADD'L 100 AMP 1.00
NEW CONST. DWELLING
OR ADDNS. ( ACC. BLDGS.CCUP. &) 20sgft
NEW CONSTR. - MULTI -OUTLET
NON-RESID. ( BRANCH CIRCUITS) 12.50ea
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:
Ex. Occup(OUTLETS OR FIXTURES) BAL 21
Ex. Occup.FIXED APPLNS. OR
(OUTLETS (RESID.) EA) 2.00
Temporary service 10.00
Mobile Home Facilities 15.00
License No. Classification
Misc. Wiring 6.25
aj 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
a
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
/$
Jd C t dA 6.--2)
TOTAL PERMIT FEE
!WFIVOUritut VUS vi ulc %.QUIIty uI Dune to enier upon the
above-mentioned property for inspection purposes.
X w A g Date �(Z.
nature off,Permitee or A e rC/ > �
/
Receipt No. 6
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 WOR-K7S f
BY Datel -24,
wilding permit expires Date 7-2-6-77
J r
COUNTY OF BUTTE — DEPARTMENT OF PUBLIC W S _7�
7 County Center Drive — UroviIle, California 95965
Telephone: 534-4541
APPLICATION•AND PERMIT
authorize representatives of the County of Butte to enter upon the
above-mentioned property for inspection purposes.
X— - Date
Si ature of Permmitee 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 UBLIC WORKS
By / Date?—/ Z —96
ilding permit expires Date 77
BUILDING
Owner
SO. FT. OCC. BUILDING VALUATION
Mailing Address f-ix.Gon N. w
^^
� koV1 �L' �-Y�t�
Telephone o.
Fireplace
Contractor
Total Valuation
Mailing Address
Permit Fee
Plan Checking Fee&/or Penalty
T lep ne No.
Permit Fee
Building Address q0 M �T
PLUMBING No. @ FEE
PERMIT FILING FEE $3.00 ,
•
L i Q► i'
Each Trap 1.50
Repair drainage or vent piping 1.50
Water piping 1.50 D• oD
La-%'' u^erification O(;a
Each gas water heater or vent 1.50
A. P. No. ZO
Gas piping system 1 - 5 outlets 1.50 140. pv
Each additional outlet .30
Fees
W. C.
ion re Dept.
Fire Zone Use Permit
Building sewer 5.00 10• -b
EQA
Parking
Plans
arcel
Declaration
Parcel Ma P
60' R/W
Im prove ents
Lawn sprinkler system 2.00
L___—ermit
Bldg. Plans Recd
Parcel Ap val
PI s Approval
P Fee $ ?3
NEW ❑ ADDITION ❑ UTILITIES OTHER ❑
ELECTRICAL No. @ FEE
PERMIT FILING FEE $3.00 3
Main service .100v OR LESS 5.00 S�vV
100 AMP OR LESS
Main service EA. ADD -L 100 AMP 2.50
Single Family E] Duplex ❑ Mobil Home Others ❑
Main service OVER 1100 AMP 60OR LESS 25.00
Main service EA. ACO'L 100 AMP 1.00
NEW CONST. DWELLING OCCUP, &
OR ACDNS. ACC. BLDGS. ) 2�syft
NEW CONSTMULTI.OUTLET
R. RESIO. ( BRANCH CIRCUITS) 2.50ea
NON.
NEW CONSTPOWER APPARATUS &)
NON- R. 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:
Ex. Occup(OUTLETS OR FIXTURES)50 @250
BAL@1
Ex. Occu FIXED APP LNS. OR
P• (OUTLETS (RESID,) EA) 2.00
Temporary service 10.00
Mobile Home Facilities 15.00 IS, &D
License No. Classification
Misc. Wiring 6.25
E911'amexempt from the Contractors License Laws of the State of California.
Permit Fee $ 6
$ db
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.
r.U7�'l 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 1 1 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
/
�(� 16 6
authorize representatives of the County of Butte to enter upon the
above-mentioned property for inspection purposes.
X— - Date
Si ature of Permmitee 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 UBLIC WORKS
By / Date?—/ Z —96
ilding permit expires Date 77
a-4,
0, 21,
This set of plans and specifications MUST be
y kPa+ on the iota at ail +imes and it is unlawful to
Out
wri°iEn permission frarn the Department of Pu Dlic..
NOTE:—All Materials & Workmanship Shall Be in
Wor'ks', County of Butte.
A,�!^rfi,,-e with Recnnnized Good Practices and
of o for the Specified use in the
tlriis,.�rh Buil ina: Pleimhing & Machanical Codes and
the National Electrical Code.
.0 connections sl
lacaated r f'h-; r A ff. outside
of, the mobi
on the le f (road) side of th
home.
1 -
. from . •
The Oft.Setback shall be 5 ft. BUTTE COON
the sid' property line and 50 ft. from
thecenferline of the road, permitting `
a maximum of "a 2 ft. eave overhang. • • r
a�J"'NG DEPAENT
R M
a APPROV D
/,,�-. r
1
rp 3r••,�
`bn...�
.0 connections sl
lacaated r f'h-; r A ff. outside
of, the mobi
on the le f (road) side of th
home.
1 -
. from . •
The Oft.Setback shall be 5 ft. BUTTE COON
the sid' property line and 50 ft. from
thecenferline of the road, permitting `
a maximum of "a 2 ft. eave overhang. • • r
a�J"'NG DEPAENT
R M
a APPROV D
/,,�-. r
1
n
MOBILEHOME SUPPORT DATA r
Mobilehome Mfr.
Setup Model N4. Year_�ti
Width (ft.) Length �_�j. (ft.) Expando Size . ft..x ft.
(Draw support details below)
On all mobilehomes manufactured after October 7, 1973, furnish manufacturer's installationI
manual and structural setup sheets (if not o4file with the County of Butte).
*If/center piers are other than drawn above,
draw in locations, spacing, and dimensions.
-Footings-(check.one)
1. Wood either
pressure treated or
fdn. grade.
L 2. Concrete pad. r
/ / 3. Other,: specify
Supports (check one)
1:. Concrete block
2. Concrete piers
/TT'3.• Steel piers
/ /- 4:- Other, . specify
c( i
x
;cam Typical Support
.���f= J.Footing Size
� !r
Max. Pier --,-
Spacing
Max.
Overhang
;vZ .
BUTTE COUNTY
BUILDING DEPARTMPNT
APPROVED
h♦
" � 4
1. Owner's name:
a
BUTTE COUNTY DEPARTMENT OF PUBLIC`WORKS
7 County Center Drive, Oroville, CA.
PHONE: 534-4541
MOBILEHOME INSTALLATION SHEET
11 .� AS
S
2. Installer's name:
3. Is the site currently under permit? Yes %/ No
•(If yes, furnish permit number ) 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
'r
•(If yes, furnish permit number ) 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
(This information not required if pipe length less than 6 ft. on natural-ps
or less than 50 ft.' on' IPG.)
-, •+.-. r-� ..• t f, fit+
..i
clear
of all setbacks
and easements? Yes
No
( If no, clarify
5.
What
is the mobilehome
electrical rating? - -------------------
./� Amps
p
6.
What
is the mobilehome
site service rating?---=-------------}�
/� fps
7.
What
is the mobilehome
site circuit breaker rating?
------------- G 6 Amps
8.
Is there
load to be by
any other electric
served the
mobilehom
�------------------
site
service? --------------1---
z
------- Yes / / No
(If yes, identify
the loadassize _
(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? 1��_(ft.)
12.
What
is the mobilehome
gas demand? ------------------------------
(BTU)
(This information not required if pipe length less than 6 ft. on natural-ps
or less than 50 ft.' on' IPG.)
-, •+.-. r-� ..• t f, fit+
..i