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Home My WebLink About061-340-02261-34-22 JOSEPH ASSELIN E Oro�Quincy Rd, 3 mi N Brush Creek ` Store, gush 'Creek Permit#3908-7.4P.,E(uti11, MH) 11w1f _ . 61_34=2.2_. _ Contr:`' Earl L. Wood, Orole Permit#6163-76MHI Issued //;Z 176 61-34-22 Contr: Mountain Development Company, Oro Permit#240-83B,P,E,M(convert am.de,,to single family).' iq $/11is- j 2-2 PERMIT NO. 240-83B, P,E.M PERMIT EXPIRES ' OWNER JOSEPH ASSELIN CONTR. Mountain Development Co, Oroville ASSESSOR PARCEL 61-3-47-Z2; L LOCATION EIS Orn Qiiinry Rd. 1 mi N of Rriish creek R*are, Brush Creek Temp. Power Pole Called PG&E 1 Temp. Elec. Service k Called PC 1 Temp. Gas Sei f Called PG JOB FINALE[ 0 {% Signature 1 V = Ok 0 = Not OK = Not Applicable = Not Ready_ RESIDENTIAL (Single and Duplex) •Y Date UNDERFL R Plans OK except #'s Date FRAMING Continued 44-fo'n-ing requirements -Setbacks -Easements Line Firewall & Openings 61prg-, Main; Soils-Steel-Elec. Grnd.- / tg. Depth xt. Doors -One 3' -Check Garage -3rd story, 2 exits Soils -Steel- / /" Ftg. Depth th-Headroom-Rise-Run- Land ing- Fire Protection 4. Ftg., Porches & Decks; Soils -Steel- / /" Ftg. Depth 5 wood on Roof Overhang -Attic Vents -Rafter Outriggers 5. Stemwalls, Main; Steel-Blockouts-Wrapped-Slab iding-Nailing-Veneer 6. Stemwalls, Garage; Steel-Blockouts-Wrapped-Slab _Q cr,,rr eee�ti_Drip Screed-Fdn. Vents-Underflr. Access 7. Piers -Fireplace Ftg.-Steel azing Area -Glass Protection -Skylights -Plastic *!D.W.V.: Fall -Fittings -Test -2 way C/O -Sewer Test 5 R5"roailing-Bolts _ 9. Ga Pipe; Size -Anchors *-'Water Pipe; Test -Anchors -Regulator -Service Test 11. Electric; Underground 12. PI ms & Ducts; Clearance -Material -Support -Ins. Girders -Sills -Anchor B -Joists -vents -Cripples I Dat - Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date I Date Card -BI Date Date FINA ans) OK except #'s Card -BI Date Card -BI Date Date PLUMBING (Permit) OK except N's 121. Water Ht.; Vent -Access -Combustion Air Exey ps-Door & Sidelight,Protection-Landings AV-15moke Detector 58. Furnace; Vents -Clearance -Comb. Air-Connector- In Ga ge; Above Floor -Ducts -Meth. Protection i%y-"1 ape; Test & Anchors -Nail Protection Vi!tiW.V.: Test-Fttngs & Anchors -Nail Protection 59red Exiting 17. n; Test, First Floor -Tub Access f6&.-_G.F.I. & B th Fixtures & Tub Access 18 st Tub & Shower, 2nd Floor -Tub Access a rim & Subpanel; Breaker Sizes -Labels 19 ipe; Size & Anchors tairs & Rails fireplace or Stove; Clearances -Hearth 154F.J- 01CCIL01 4.11 64:--Efet:reaSets at Wood Panel; Int. & Ext. Card -BI Date Card -BI Date . Fixt. & Appliance; Grnd.-4k-eap=Cooking Clearance Card -BI Date Card -BI Date t Kit Counter Date ELECTRICAL Permit OK except q's arage Fire Door; Swing -Landing -Closer per 20. Fixture & Transformer Clearance -Ins. Protection tr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V.- In G ; Above Floor -Meth. Protection -- — 1. __ ec. Receptacles Spacing -Lights & Switches at DoorsIb. &Mech. Equip. Listed for Location _ e Boxes & No. of Conductors -Stapled lec. es in Garage; (G.F.I.)-Romex P ec. ailed Close to Edge of Studs & C.J. -- qui and made up w/Mech. Fasteners -Bond Gas & Water 7111 -Foam -Looked in Attic Rails & Deck Construction -Post Caps ppliance Circuits in Kitchen & Conductor Size - 26. Su ire ize / ga. Cu or AI-A.C. Wire.Size / / ga. Cu or Al 74. Fdn..Vents & Crawl Hole Do mage & Wood -Earth Clearance Looked under Floor '6 es __- — / ga. Cu or AI -Oven Circ. / / ga. Cu or Al, Insulate eutral ❑Yes 0 N ervice- iser Conductors & Ground -Main Disconnect 75. Following instld.: Drive es ; Walks ❑ Yes o; Planters ❑Yes o 76 �— 2 quip. Clearances; Panels-Motors-Mech. Equip. 77.-Clrnces-Brkr. & Cond. Size -115V Outlet _-_ _- -Shower Light — . Ve%5,.- love Roof; Plbg.-Appliance-Firepl.-Clearance to Opngs. ------- -- -- 74r-Wa-ter Wou-Disconnect, Electrical, Plumbing �f Ze BI - Date 8 xteri c. Trim; G.F.I. Re ptacle-Underground g entilation thro o F Hous Card B -I Date Card -BI Date Date MECH (PermOK except Ws orrecti m Previous Inspections sit) -Meters Tagged; Gas -Electric -__ A_C. Ducts; Insulation & Support ft. r�ewer Connected -C/O to Grade -HD Approval _ 32_ Vent Fan; Exhaust above Insulation 8 ergy Compliance Certificate -Other Certificates 33. Condensate Drain _& Overflow; Size &Grade pij �4 .�.w� . �� —/6- 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 VDate Card -BI Date Card -BI Date Card-BI Card -BI Date Card -BI Date Card -BI Date Date FRAM ans) OK except q's Comments at Final: _3 Sill per Material & Anchors - 31f -Wal _ _ds -Nailing, Spacing & Bracing -Plates -Sound aring W IIs over Girders & Floor Nailing_ - top in Walls (rat proof) _10--rTIT � Slops; Furred Ceilings -Stairs -Chases -Tub _ er & Beam -Size & B_earing 2G --Post Caps -Anchors -Connectors _ 43. Cing. Joist-Rftr. Ties-Purlin-Roof Brac.-Truss-Shthng.-Rfnq. or Type A Flue -R -ire o.Zhr^at - - A ccess: Size &_Romex Protection -Draft Slop -Ins. Baffles - �- ndows oreExiting Doors -Sill Hgt. &.Dimension$ - 7 arage Fire Protection Framing (NOTE: An entry must be made each time you visit job site) J = OK 0 = Not OK = Not Applicable MOBILEHOMES * = Not Ready MISCELLANEOUS Date MOBILEHOME UTILITIES (Plans) OK except N's 1. Zoning Requirements -Setbacks -Easements Date DECKS, COVERS, CARPORTS, ETC. (Plans) OK except N's 1. Zoning Requirements -Setbacks -Easements 2. Soils; Special MH Support -Sketch 3. Sewer; Location -Test -Fall -C/0 -Concrete 2. Footings; Size -Depth -Spacing -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.-Rig.-Bracing_ 5. Electricity; Location-Clearances-Grnd.-/ / Amp -Concrete 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Gas; Location -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 Card -BI Date Card -BI Date Date Card -BI Date MOBILEHOME INSTALLATION (Plans) OK except N's 1. Zoning Requirements -Setbacks -Easements Card -BI Date Date Card -BI Date _ POOLS (Plans) OK except N's 1. Setbacks -Easements 2. Footings; Size -Spacing -Marriage Line 2. Soils; Compaction -Structure Stability 3. Gas; MH Test -Demand -Valve -Connector 3. Pool Structure; Steel -Connections -Thickness -Dead Men -Lining 4. Electricity; MH Test -Crossovers -Breakers -Clearances 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. Health Department Approval 9. Exits; Insp.-Sketch 10. Cert. of Occupancy 10. Plumb; Cir. Test -Water Supply Test Card B -I Date Card -BI Date Card -81 Date Card -BI Date Card B -I Date Card -BI Date Card -BI Date Card -BI Date COUNTY OF BUTTE - DEPARTMENT' OF PUBLIC WORKS PERMIT N2,/ 7 County Center Drive - Oroville, aalifor,iia 95965 - Telephone 916/534-4541 APPLICATION AND PERMIT ASSESSOR, ARCEL NUMBER ^�� _ �2� ZONING /I.� If BUILDING PERMIT OWNER \105EP 46SEUAI TELEPHONE SQ. FT. OCC. BUILDING VALUATION '10e)OWNER'S MAILING ADDRESS CMONTAfTOVRL-- /v[LlV W/�� I r 41- ran 17 O AC✓O\AILINGIS �•�� /J DSVrLo9 Fireplace 0r 6 —CPU. CONSTRUCTION LEN UNKNOWN Total Valuation $ ,a0 Filing Fee $ 10.00 LENDER'S MAILINt ADDRESS Permit Fee $ rQ0 ARCHITECT OR ENGINFAR LICENSE NO. Plan Checking Fee $ gg,oe) Penalty $ ARCHITECT OR EN N ER'S MAILING ADDRESS Permit fee $ , 00 B ING AD0g,E�SSS $ FN 011A10 2D. /IPP. S kf , V. PLUMBING PERMIT Filing Fee 10.00 O� �cS/� C s�EG �-/ Each Trap 2.00 , Solar Water Heater 20.00 Water piping 5.00 S,Oo LOT NO. SUBDIVISION NAME PARCEL MAP Each qas water heater or vent 5.00 Sc)o Gas piping system 1 - 5 outlet 5.00 5.00 URE USE OF STRUCTURE ,�/►� SF [0 Duplex ❑ Mobi lehome ❑ Other SPECIFY Building sewer 5.00 V ,e3 Mobile Home S G W 10.00 e TYPE OF WORK New ❑ Addition ❑ RRe,�l16mQde/7Vl E -]Utilities ❑ 11 stal lation ❑ Other Describe work: &/ er �/� — Permit Fee $ r(�p Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service sOOV OR LESS 100 AMP OR LESS 10.00 Main service EA. ADD'L 100 AMP 2.50 NEW CONSDWELLING T. OR ADDNS. ( ACC. BLDG . , % 2hQSq ft (Q 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 Profess' ns Code and y license is in full a and effect. License No. Classification El 1, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEw CONSTR ULTI.OU LET 2,50 ea NON_RESID BRANCH CIRC ITS NEW CONSTR POWER APPARATUS & NON•RESID.%SINGLE OUTLET CIR. EX. QCCUp(OUTLETS OR FIXTURES BA ®g 0Q FIXED APPLNS. OR EX. OCCUp. OUTLETS (RESID•) EA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 Permit Fee $ , Contractor MECHANICAL PERMIT F'IingFee 10.00 WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. KI 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. Heating ( 0o0 OCl LPL Cooling Z Z 6.00 Hood 3.00 �� v Ventilation permit Fee $ -off 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. I also agre to save, indemnify and keep harmless the County of Butte against all Iiabil' i judgments,.c s, d xpenses which may in any way accrue against ounty in con a en he granting of this permit. D e X Date /— 'R —1 2-� Signature of Applicant — Owner❑ Contractor ❑ Agent ❑ An OSHA permit is required fo excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories7n height. Mobile Home Installation Fee $ TOTAL PERMIT FEE $ OCCUP. GROUP I TYPE OF CONST. PARC PD Hyr 1�! ISSUE, d/ This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which DIRECT F BLIC By. PE IT EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS -� { Date y 11: x r _ �� Receipt No. S Jr� WHITE-D.P.W.• YELLOW -ASS SOR, PINK -INSPECTOR• GOLDENROD -APPLICANT Return to DPW AGRICULTURAL STATEMENT OF ACKNOWLEDGEMENT FOR RESIDENTIAL DEVELOPMENT Section 26-8.1 of the Butte County Code requires this acknowledgement .be recorded prior to issuance of a building permit. S3- 35470 The property described herein is adjacent to land or included JAN 31 1 46 PIM Ml within an area zoned for agricultural purposes, and residents of this property may be subject to inconveniences or discomfort arising F1 l•ANOR M. SEUE.R from the use of agricultural chemicals, including, but not limited to herbiciaes,�RECGRQER pesticides, and fertilizers; and from,the pursuit of agricultural operations including, F but not limited to cultivation, plowing, spraying, pruning, and harvesting which occa- sionally generate dust, smoke, noise,, and odor. Butte County has established agricul- tural zones which have as a priority use for productive agricultural purposes, and residents within said zones and on adjacent property should be prepared to accept such inconvenience or discomfort from normal, necessary farm operations. State of On this the 2l day of 0,1? Al 4 - 19 SS. before me, the undersigned Notary Public personally County of /3 7-l-&_) appeared JvSt �� C. ,qaS A.-/ 0BUTTOpplc _ SEAL ="m E LAURA LTE CASArRANpE NOTARY PUBLIC - CALIFORNIA COUrgTY My comm. expires APR 5, 1985 �ys7eacso Present A.Y. N0. known to me to be the person(s� whose name( %S subscribed to the within instrument and acknowledged that lW executed the same for the purposes therein contained. IN WITNESS WHEREOF, I hereunto set my hand and official seal. Notary Public AiIthat real property situate in the County of Butte, State of California, described as follows: All that certain real Property situate in the County of Butte, State of California, described as follows: A portion of Section 5, Township 21 'Forth, Range E F.ast,'1.0.3. & '1., more particularly described asfollo,.•:s: CO"1:1E::CI::G at the ::or :-,(-ast ccr.. __ .° the Sr�ut`:czst n_unrt>r of said Sec- tion 5; thence Sout`! 00° 20' 43" East along the East bou.nla rr of said Section 5, a distance of 1243.82 feet.- thence North 890 3.6' 34" :lest, a distance of 1620 feet to the true pcint of beginning for the parcel of land described herein;. t1i nce from :aid point of. beginnin^, South 000 20' 48" East, a distance of 310.95 feet; thence North 89" 36' 34" :gest, a distance of 810'.G feet, more or less, to a point in the center:iml of the Old Oroville-'?uincy Road, as the same existed on Aunust 1, 1967; thence Northerly along the centerline of said Old Otoville-Quincy Road, a distance of 310.95 feet, more or less, to a point that bears North 690 36' 34' neat o from the point of beginning; thence South 89° 36' 34" East, a distance of 790.0 feet, more or less, to the true point o`_ beginning. TOGr.'fI:ER '-,ITH a might of tray for road Purposes over a strip of lard 30 feet in width lying :Iortherly of and adjacent. to the 'worth line of the above described property. a /m State of On this the 2l day of 0,1? Al 4 - 19 SS. before me, the undersigned Notary Public personally County of /3 7-l-&_) appeared JvSt �� C. ,qaS A.-/ 0BUTTOpplc _ SEAL ="m E LAURA LTE CASArRANpE NOTARY PUBLIC - CALIFORNIA COUrgTY My comm. expires APR 5, 1985 �ys7eacso Present A.Y. N0. known to me to be the person(s� whose name( %S subscribed to the within instrument and acknowledged that lW executed the same for the purposes therein contained. IN WITNESS WHEREOF, I hereunto set my hand and official seal. Notary Public �l •- Y PERMIT NO. ' P E M MH UTIL. PERMIT NO. 3908-74P,E PERMIT EXPIRES OWNER __ Joseph E. Asselin �ttCONTR. LOCATION (A.P. 61-02-27 ) 300' off e/s Oro -Quincy Rd, 3 mi. N. of Brush Creek Store, Oroville Temp. Power Pole Called PG&E Temp. Elec. Serv.� Called PG&E Temp. Gas Serv. Called PG&E JOB FINALED (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. 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 Garage Vents Water Htr. StemwaII Prov. for physically Heaters Slab handicapped Appliances Carport Conformance of ex. Gas Piping & Test Footings structure Temp. Gas Slab Final Sanitation Patio FIREPLACE Final 5r Footings Footing ELECTRICAL Masonry Walls Throat Rou h Reinf. Steel Final Fixtures Bond Beam FIRE SPRINKLERS Motors Framing Test Water Htr. Stucco Final Subpanels Mesh MECHANICAL Grd. Fault Prot. Scratch Heating Service Brown Cooling Temp. Pole Finish Ducts Underground Interior Lath Ventilation Permanent Door Closer Final Final DATE REMARKS OR CORRECTIONS ez— Y�� COUNTY OF BWT�TE • — DEPARjMENT OF PUBLIC WO 7 County Center Drive — Oro`ville, California 95965 Tel ephone:`534-4541 ty APPLICATION AND PERMIT auuwrrce reNresentauves ur ttre t aunty or tsurte to enter upon ine above-mentioned property for inspection purposes. Date $i ture of Permitee or Agent Receipt No. 2 � 6 S 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 Bee /6-3- •7 T UIIding permit expires Date .................��..'.�..'.7�l BUILDING OwnerS SQ. FT. OCC. BUILDING VALUATION Mailing Address A=ACIA Ak A/ U vN CJ Telephone No. Fireplace Contractor Total Valuation Mailing Address Permit Fee Plan Checking Fee &/or Penalty Telephone No. Permit Fee $ Building Address00 r df` — d PLUMBING No. @ FEE PERMIT FILING FEE $2.00 0 G L Q Each Trap 1.50 v " e << S O E Repair drainage or vent piping 1.50 Water piping 1.50 A `e S 7% 6 P, p U Each gas water heater or vent 1.50 A. P. No. 0 Z in ° " Gas piping system 1 - 5 outlets 1.50 Each additional outlet .30 F%:ss- W. . SalfiLion Fire Dept. Fire Zone Use Permit Building sewer 5.00 Cj d EQA Parking Plans Parcel Declaration Parcel Ma P 60' R/W Im roents Pve Lawn sprinkler system 2.00 �9. Plonsf$�Cd 'Parcel proval Plans Approval Permit Fee $ $ Q( NEW ❑ ADDITION ❑ UTILITIES � OTHER ❑ ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 S,00 Main service incl. 1 meter 3. Additional meters, each 1.00 Sub -panel (12 or less) (morethanl2) Single Family ❑ Duplex ❑ Mobil Home Others ❑ Range, Cook -top or Oven 1.00 Water Heater or Space Heater 1.00 Light fixtures bal_�25o Receps., switches & fix outlets 2023 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: Hood, Ex. Fan or F.A. Furn. Motor 1.00 Evap. cooler, gar. lisp. or D.W. 1.00 Air conditioner or heat pump Water pump 0 Mobil Home Facilities 5.00 _6, 0 O Temp. Power Pole 5.00 License No. Classification Misc. wiring i 1 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. Y I certify that in the performance of the work for which this permit is issued I shall not employ any person in any manner so as to become subject to the Workmen's Compensation Laws of California. MECHANICAL No. @ FEE PERMIT FILING FEE $3.00 Heating - Cooling Ventilation Hood 2.00 Permit Fee $ $ 1 certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby TOTAL PERMIT E FE $ C auuwrrce reNresentauves ur ttre t aunty or tsurte to enter upon ine above-mentioned property for inspection purposes. Date $i ture of Permitee or Agent Receipt No. 2 � 6 S 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 Bee /6-3- •7 T UIIding permit expires Date .................��..'.�..'.7�l All Ui i I (Y connections located with' 4.ft: shall be third section outside the rear 'g` on the .left.(ro d) side of hlie h The ome� the - Setback shall home. e mobile side j the centerline be- ft .frO i nterline Y line and SO ff, � d maxj,71]m o f of the road, Permitting � 2 ft' eave o�edya�%� 1 Septet S�te f: zJ • �4irer� oon;y to b _�--- en�s Heath e as Per papt Re - N. i r �Q�lV CO D NV MOBILEHOME SUPPORT DATA Mobilehome Mfr.I Setup Model No. Year /9 Width (ft.) Length (ft.) Expando Size r----ft.x -ft.- (Draw support details below) On all mobilehomes manufactured after October 7, 1973, furnish manufacturer's installation manual and structural setup sheets�(if not on file with the County of Butte). fm Sin le Foo ins (check one) 1. Wood either pressure treated or } Center Center port 1 j fdn. grade. Support Fo ng Sizes � j Locations (in.) 12. Concrete pad. 3. Other, specify ( f t .�Tinx in .) i i -- Su orts (check one) I "'1. Concrete block 2. Concrete piers (ft) (in) 3. Steel piers 4. Other, specify 1 - /%ITypical Support x Footing Size i (yin ) (in .) f est Max. Pier -- -- x-- ve:' I / - ► s I Spacing ft. in. iri 7i—n.. ; .Max. A! Overhang - - �'ft •) *If center piers are other than drawn above, draw in locations, spacing, and dimensions. r BUTTE COUNTY BUILDING DEPARTMENT APPROVED 1. Owner's name: 2. Installer's name: BUTTE COUNTY DEPARTMENT OF PUB IC WORKS 7 County Center Drive, Orovifk,,,CA. PHONE: 534-4541 OBILEHOME INSTALLATIM 7 ro.%AMEWASM/tel 3. Is the site currently under permit? Yes / / No IV/ ,,++/-� _ate (If yes, furnish permit number!�r# 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? ------- -------- ;--- -- ps 6. What is the mobilehome site service rating?-----------------is s 7. What is the mobilehome site circuit breaker rating? ------------ 5 8. Is there any other electric load to be served by the mW ehome site service?-----------------------------------------------�` — es (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? (ft.) 12. What is the mobilehome gas demand? ------------------------------ (BTU) (This information not required if pipe length less than 6 ft. on natural gas or less than 50 ft. on LPG.) a 6163-76MHI ( PERMIT N0. }} PERMIT EXPIRES s. OWNER Joseph E. Asselin "T CONTR. Earl L. Wood, Oroville LOCATION (A.P. 61-02-27 300'off E/S Oro Quincy Rd., 3 mi.N.of Brush Cr. Store, Oroville ,1 r f• r , 1, i f t Temp. Power Pole Called PG&E Temp. Elec. Serv. /FINALED ed PG&E Gas Serv. ed PG&E ' 4"&- - (Signature) �I�,�� COUNTY OF BUTTE — DEPARTMENT OF, PUBLIC WORKS BUILDING INSPECTION RECORD BUILDING BUILDING (Cont'd) Temp. Gas Setback 6 Firewall Soil Pi ng Forms Parapets 1st Footings Restroom Finish; NFMain"Bldg. 2ndFootings Masonry Walls Windows 3rd Stemwall SidingTo out Slab Roof Sheathing Water Piping, Piers Roofing Sewer Garage Fdn. Vents Fixtures Footin s Stemwa l l Garage Vents Insulation Water Htr. Heaters Slab Carport Prov. for phy, sically handica ed Conformance of e. Appliances Gas Piping & Footings structure Temp. Gas Slab Final Sanitation Patio FIREPLACE Final Footings Footing Cooling Masonry Walls Throat Rough Reinf. Steel Final Fixtures Bond Beam FIRE SP L—Elys, Motors Stucco Final Mesh MECHANICAL Scratch Heating Brown Cooling Finish Ducts Interior Lath Ventilation Door Closer Final i eDA 416W7- REMARKS OR CORRECTIONS lAt F3^ 7-H FCVC Grd. Fault Prot. Service Temp. Pole Underground Permanent. Final hi / (NOTE: An entry must be made on this form each time you visit the job site.) PLUMBING ELECTRICAL ii0}3Ti.l l}OME DISTALLAT10N INSPECTION CHECK DIST 1. Is the mobilehome located wi.i.h required separation from lot lines and buildings and generally conform to plot plan? Ycs�No_ ?. Does the mobilehome have requir<-d clearances above ground? (Sec.5085) YesgQNo 3. Are footings and supports properly sized, spaced, and braced as p r approved plans? (Note possible varication at spring shackles.) (Sec. 5082 & 5083) Yesu�No_ r 4. Is the mobilehome level.? (Sec. 5088) Yes_X1No_ If more than a single unit, are crossover connections properly installed? (Sec. 5088) II es No y. Water A. Islexi_ble connector of adequate size and properly installed (1/2" ID min.)? (Sec. 5566) YesNc B. Test - Does water piping withstand working pressure or 50 lbs, air test? Yes No Backflow - If coach is not State of California approved, does station have backflow device and pressure -relief valve? Yes_ No T. Wastes and Drains A. Is connection made* with Schedule 40 DWV and have flex connectors at each end? Yes_X1No B. Does i.t have minimum ," per foot slope and is it properly supported? Yes No Are any leaks detected in drainage system after runnin gallons of water through each fixture including washing machine standpipe? Yes_ No_ Nkcoach is not State of California approved, es— No does station have required trap and vent? 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? YesNo_ 1. Open all appliance connector valves. ()(42. Shut off appliance burner and pilot valves. , OKAir test with manometer to 10"-14" water column, or test with slope gauge (minimum* oz. -maximum 8 oz.) calibrated in tenth pound increments. Test for 10 min. without drop. Connect: gas meter to mobilehome with connector, turn. on gas, test connections with 17 soapy water. C. Are all appliance vents properly installed? Yes &0 9. Electrical A . . Is service large enoiigli to provide adequate anip��rage to mobi'leliome (must equal rating of mobi_lehorie with a.-,Artiarum of 100 amp) and other faciliti_E!s on lot, i.e., water pumps, garage, cabana, etc.:- Yep No_ B. Is them proper. clearances around panels? Yes No C. Is power supply cord or feeder assembly properly fused? Yes $No D. Is continuity test satisfactory as per the following procedure? Y•es NO 1. De -energize electrical wiring, syste:u of the mobilehome at the pede al+ Make sure that the power supply cord or feeder assembly conductors,' including neutral conductor, have -e been disconnected. Switch all breakers and switches in the mobilehome to the "on" position. 4. onnect one lead of a test instrument to the mobilehome grounding conductor and apply tate Gt.ti,'� .Lead -to eac:ii rljobi.LeiLollle siipYly. CoridLiCtGr, iliCluGiitg iLeutrdl. �, All nor. -current, carrying metal parts of the mobilehome (aluminum siding, gas line, water. line), including fixtures and appliances, shall be tested for continuity from siK equipment and the grounding conductor. 6. Upon completio_n of the above procedure, the power supply cord or feeder assembly conductors shall be connected to the site service equipment. A further continuity te::;r_ 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. Is job card signed by health Departmeat for water and sanitation? L I.I., If everything ol:ay, sign off card and t.a; services. MOBTLE110M,.L•' DATA 427 Plaiiufacturer and/or Namest:yle ^i L0�14101—eo) Lergt Width L �l Vehicle Serial No., State Identification No. .diii_tional Infoz-nation 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 Cajjiforni dministrative Code, Title 25, Chapter_ 5,. under permit r/1 numbe�.� �� for the following location: �OO Of1— !tz, ORC)' PD 3 /n/ N of 8o�s c e Owner �Q5`vl�/�/4.SS �%� Owner's Address.5191Z%4/ Mobilehome Mfg. LA19M/A16D + Model Year I Insignia No. _ 5-C), Serial No;050-990 It is hereby certified for occupancy at the above described location and may be occupied. Director o Public Work sa Date � 2-2-26-1 BY ;V / I THIS CERTIFICATE IS VOID WHEN MOBILEWOME IS RELOCATED COUNTY OF BUTTE —" ',bEPARTMENT OF PUBLIC WORKS V 7 County Center Drive — Oroville, California 95965 Telephone: 534-4541 APPLICATION AND PERMIT 76 auulunce representativOT the ty OT Butte to enter upon the above -mention property for ' spectj In purposes. Date Signator er tee or Agent Receipt No -3-7 4-1 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 Date4/_/ � 11-12--7 White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant I l(iilding permit expires Date ' 4111=111PP, BUILDING Owner J 0� z_=_ SO. FT. OCC. BUILDING VALUATION Mailing Address Telephone No. Fireplace �� ,w� Contractor � lsls Total Valuation Mailing Address ��'� ®G///� /yGV oZ Permit Fee Plan Checking Fee &/or Penalty ley G� Telephone No. 'g-33nMWPermit Fee Building Address <:�O p�F �S orPLUMBING No.1 @ FEE PERMIT FILING FEE $3.00 /� /t j -77.z (/.0 - Each Trap 1.50 Repair drainage or vent piping 1.50 Water piping 1.50 Each gas water heater or vent 1.50 // .- Z A. P. No. [� Zoning &Planning Gas piping system 1 - 5 outlets 1.50 Each additional outlet .30 Fe W.-SaAitatiaw Fire Dept. F, re Use Permit Building sewer 5.00 EOA Parking Plans Parcel Declaration Parcel Ma Pme 60' R/W ImproveLawn sprinkler system 2.00 Bldg. Plans Recd ki Parcel provol Plan pproval Permit Fee $ NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER 4 ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 Main service 10000 AMP ORLESS5.00 Ji 7" c Main service EA. ADD'L too AMP 2.50 Single Family ❑ Duplex ❑ Mobil Home Others ❑ Main service OVER 600v 100 AMP OR LESS 25•�� Main service EA. ADD'L too AMP 1.00 NEW CO OCCUP. &) 22sgft ODWELING R ADDNST ( ACCLBLDGS. NEW CONST R. MULTI -OUTLET NO N•R ESID. BRANCH CIRCUITS) 2.50ea NEW CONSTPOWER APPARATUS &) NON.RESIR. D. (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 Sty Ie Of'_ ( �� L. Woo Ex. Occup(OUTLETS OR FIXTURES)@251 109 FIXED APP LNS, OR Ex. Occup.(OUTLETS (RESID.) EA) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 License No.Qr3LZc36,23Classification 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. �j I have placed on file with the County of Butte a certificate of �l Workmen's Compensation Insurance. I certify that in the performance of the work for which this permit is issued I shall not employ any person in any manner so as to become subject to the Workmen's Compensation Laws of California. I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby MECHANICAL No. @ FEE PERMIT FILING FEE $3.00 Heating Cooling Ventilation Hood 2.00 Permit Fee $ Aflzl At 30- -0� $ TOTAL PERMIT FEE 0,D 3 $ �� 100 auulunce representativOT the ty OT Butte to enter upon the above -mention property for ' spectj In purposes. Date Signator er tee or Agent Receipt No -3-7 4-1 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 Date4/_/ � 11-12--7 White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant I l(iilding permit expires Date �71 I HI, MR. ROW 79 M, 14 %A*rl, ell X Y OIL •�l.rrlci+ai"'e"MP1j. h �,Y..J..w�h e� goo; t 4S' SO w1S+wR, a"�' w"T�Y-lT**F�wi. 1 FMYw�"%t�^iF0. T+�4NYry }