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061-520-002
9 61-52-02 =linton Buck (p o a - Q .Z CLINTON BUCK N/SiBbomer Lookout Rd., app.3 mi. 762 Bloomer Hill Rd,Berry Creek from Se�ry Creek Station Rd., Oro. ermit361-89A(Agricultural. BldR�_.Exemn_.. `-contr: Ra Hunt, Oroville farm equip sty tractor, log splitter Permits #1955•-79P,E(utJ1 ,MH) farm truck) _ 900A.me AW GAS fe _/S_7!j _ y SUPPORT STRUCTURE RE'Q, COMPACTION TEST REQ. Contr : Chic6 Mobile H[c�e JV Permit##38O9-80MHI &magas. n. D ' Issued -o?� A�� f Conti-iW st Coast Trailer Sales Per' er #4045-80B(transfer 3809-80 i / 4 T Chico MH Ser) 1 COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 COUNTY CENTER DRIVE - OROVILLE CA1,_1FORNIA 95965 - TELEPHONE: (916) 538-7541 AGRICULTURAL BUILDING EXEMPTION PERMIT ER IT Agricultural building is defined as follows: Agricultural building is a structure designed and constructed to house farm implements, hay, grain, poultry, livestock, or other horticulutral products. This structure shall not be a place of human habitation or a place of employment where agricultural products are processed, treated, or packaged, nor shall it be a place used by the public. ASSESSOR PARCEL N� 0� ZONING OWNER PHONE NO. OWNER2S, ADD SS ` // ^� O 1, '( LOCATION OF BUILDING USE OF BUILDING p /Z, z c, s = �6EL. 2 SIZE OF STRUCTURE 4- 36 o_ X _ SQ. FT. TYPE OF CONSTRUCTION: WOOD FRAME _)(--STEEL- CONCRETE OTHER (Specify) TYPE OF SIDING T-/// � R OF CO ING �` FLOOR TYPE C G!n C YeT ESTIMATED COUgF CONSTRUCTION $C�'� AG Buildings shall comply with the building front, side, and rear yard requirements of the applicable County Ordinances as follows: C / L Ci �� �� FRONT SIDES REAR AG Buildings shall be a minimum of five (5) feet from any septic tank or leach fields. AG Buildings less than 1000 sq. ft. in floor area shall be located a minimum of 6 feet from a residence, 10 feet from a mobilehome, and 23 feet from a commercial building. AG Buildings greater than 1000 sq. ft. in floor area shall be located a minimum of 23 feet from a residence and a mobilehome, and 40 feet from a commercial building. I declare under penalty of perjury that the building will be used as stated above and the proposed use conforms with the AG Building definition. If any change in use or occupancy of the building is made, I will contact the Department of Public Works and will obtain any necessary permits, inspections, and approvals to comply with the requirements in effect at that time and before occupancy. Date Permit Fee - $25.00 Receipt No. Signature of Owner The above described AG Building is exempt from a building permit. White - DPW, Yellow - Assessor, Pink - B. I., Goldenrod - Applicant FLOOD RCEL P.D. ROOFING ISSUE Director of Public Works i By Dat �It% r► V � z M COUNTY OF BUTTE - DEPARTMENT W PUBLICRWORKS - BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE,,C. LWRNIA 95965 - TELEPHONE: 916/536-7541 , PERMIT APPLICATION DATA SHEET `� Permit No.% OWNER C .� %/%T��i�//}� �JU��f� A. P. No. Proposed Building Use Building Inspector , Date At ti of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance: DATE RECEIVED APPROVED 1. All items have been submitted . .................. 2. Plot plans in duplicate/triplicate, signed by preparer of plans........ = 3. Complete plans in duplicate/triplicate, signed by preparer of plans .. 4. Complete engineered plans and calcs, with wet signature on plans 5. Energy Design Compliance and supporting documentation ......... 6. Statement of Intent for Non -Heated and AC Buildings .............. 7. Engineered truss details and layout in duplicate (required prior to plan check) 8. Mobilehome installation data including manufacturer's installation instructions....................................................... 9. Fees of $ .......................... 10. Chico Urban Area fees paid ........................................ 11. Park fees paid ..................................................... 12. School District fees paid ................. 13. Sanitation approval from Health Department ... 14. City of Chico plumbing permit ..................................... . 15. Plot'plan and business license approval from City of (see City for other requirements) 16. Planning approval for (A) Use: (B)' Parking: ......... 17. Improvements may be required. 18. Driveway permit (construction approval required prior to occupancy) ..'. 19. Pre -Inspection for required .... Pre-inspec. request to Building Inspector (Date) 20. Contractor's license information (No., Name Style, Classification) ....... 21. Certificate of Workmans Compensation Insurance .................... 22. Owner -Builder Verification (Given to owner ❑, Mail to owner ❑) ........ 23. Recorded copy of Agricultural Acknowledgment Statement ............ 24. Letter of signature authorization ..................................... 25. 26. When you issue the permit, process as follows: Mail to owner. Mail to contractor. Telephone and hold for pickup at office. Deliver w/inspector. Other -Z— /k//ky C R 6ElC `// G Applicant 4��� /�,7 2-4121/ Date Copy of plans sent Health Dept., Fire Dept., Other Date The following data must be submitted prior to permit issuance: (Circle new item not checked above). 1. Index permit for above items No. 2. Additional items required: Contractor, designer, owner, was advised of above required data by_phone_-nail counter by date Contractor, designer, owner, was advised of above required data by—phone —mal l—counter by date Plans checked by Date Plans approved by Date Sets of plans on hold in File cabinet AP folder Copy—DPW COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 7 COUNTY CENTER DRIVE OROVILLE, CALIF. - 534-4541 CERTIFICATE OE _OCCUPANCY This mobilehome has been installed in accordance with the requirements of the alifornia Administrative Code, Title 25, Chapter 5, under permit number4 for the following location:/y-s l.noxor.r i jej,> :3 oft / Ffwdi S %?3-?/0&_/' Owner 0 l.-f 1v 4Q A! i�c Owner's Addressjl? Mobilehome Mf Cs7L� S'�' Model -1 Year Insignia No. 1 Serial No. S� It is hereby cei7tified for occupancy at the above described location and may be occupied. Directo-'af Pu`:blic 1:orks� Date By / THIS CERTIFICATE IS VOID WHEN MOBILEHOME IS RELOCATED White - Owner, Yellow - Installer, Pink - D.P.W. Tsu PERMIT NO. 1955-79P,E /f( PERMIT EXPIRES OWNER Clinton Buck 'CONTR. Ron Hunt, Oroville 62-07-401 ` t LOCATION (A.P. ) NIS Bloomer Lookout Rd.,app.3 mi.from Berry Creek Station Rd., Oroville . � r 4 74 Ir Temp. Power Pole ti Called PG Temp. lecServ./� Call//e fPG&E Temp. c' as Serv. ...a!!!iled PG&E s µ r .0 ALED(Da10~aa�`v (Signature) l l COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS BU WING INSPECTION RECORD BUILDING BUILDING (Cont'd) PLUMBING Sett@ck Fi wall Al Piping Form Para ets t Floor Main Idg. Restrol9m Finish 2nN Floor Foo'n s Window 3rd loor StemAe II - Siding To out Slab Roof SheaNng Water PipNpg Piers Roofing Sewer Garage Fdn. Vents Fixtures Footings Garage Vents Water Htr. Stemwal I Insulation Heaters Slab Prov. for phsical Appliances handica Carport edConformance of ex. Gas Piping & Test Footings structure V Temp. Gas Slab Final A Sanitation Patio RE ACE Final Footings Footing ECTRI L . Masonry Walls Throat Rou h Reinf. Steel Final Fixtures Bond Bea IRE SPRINKLE Motors Framing Test Water Htr Stucco Final Sub an Mesh MECHANICAL Gird. F ult Prot. Scralth HeatIA Servile BrqLn Coo ng T mp. Pole F ish D is finder round In rior Lath ntilation Permanent LoCloser anal inaI L MOBILEHOME UTILITIES ----------•--- Elec. Service Elec. Pedestal Water PipingSewer Gas Piping BI E OMEINS ALLA ON --------------Support —( _ (,�� Elec. Continuity ein —��✓ !dater Piping Drainage m.( Gas Piping _ LATE REMARKS OR CORRECTIONS _R�o `V" I&b otic.-. .� � �1�. - � �' •���j-/� (NOTE: An entry must be made on this form each time you visit the job site.) J � COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 695 Oleander Avenue, Chico — Phone 343-4211, Ext. 70 7 County Center Drive, Oroville — Phone 534-4541 Skyway and Elliott Road, Paradise — Phone 877-3435 CORRECTION NOTICE �c-c cl BUILDING OR PROPERTY ADDRESS A routine inspection indicates that the following violations of County Ordinance exist at the above address and should be corrected. Please notify this office." when correction of work is completed. If you have any question pertaining to this matter, or need additional explanation, please contact this office immediately. 10 X- Y�w Inspector Date_ -COUNTY OF -BUTTE DEPARTMENT OF PUBLIC WORKS 695 Oleander Avenue, Chico — Phone 343-4211, Ext. 70 7 County Center Drive, Oroville — Phone 534-4541 Skyway and Elliott Road, Paradise — Phone 877-3435 a� CORRECTION NOTICE e' Quv BUILDING OR PROPERTY ADDRESS A routine inspection indicates that the following violations•of County Ordinance exist at the above address and should be corrected. Please notify this office when correction of work is completed. If you have any question pertaining to this matter, or need additional explanatiori, please contact this office immadiatply- Inspector ... A-17ate � •� � � U COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 695 Oleander Avenue, Chico — Phone 343-4211, Ext. 70 7 County Center Drive, Oroville — Phone 534-4541 Skyway and Elliott Road, Paradise — Phone 877-3435 CORRECTION NOTICE L , A/ i b ��-/ ,�iCt C,./t BUILDING OR PROPERTY ADDRESS A routine Inspection Indicates that the following violations of County Ordinance exist at the above address and should be corrected. Please notify this office when correction of work is completed. -If you have any question pertaining to this matter, or need additional explanation, please contact this �office immediately. ? ���y' t♦s , PInspector � 11J, Date "',r�•-�' ��✓ .�' COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 695 Oleander Avenue; Chico — Phone 343-4211, Ext. 70 7 County Center Drive, Oroville — Phone 534-4541 Skyway and Elliott Road, Paradise — Phone 877-3435 CORRECTION NOTICE �' � � �c..t Tc�•tt `amu ��� BUILDING OR PROPERTY ADDRESS A routine Inspection Indicates that the following violations of County Ordinance exist at the above address and should be corrected. Please notify this office when correction of work is completed. If you have any question pertaining to this matter, or need additional explanation, please contact this office immediately. c -W 4 Inspector �JOJJ / ' y�y!� Date 0 �-`, � � A i 9. .Electrical A. Is service large.enough to provide adequate amperage -to mobilehome (must equa rating of mobilehome with a minimumfof 100 a )rand other facilities on lot, i.e., water pU'Iws, garage,. cabana, etc.?, Yes o I B. Is there proper clearances around panels? Yes o_ C. Is power supply cord or feeder assembly properly fused? Ye�_ ) D. Is continuity test satisfactory as per the following procedure? Ye5n=/No 1`;�De-energize electrical wiring system of the mobilehome at the pedestal. j___*�Make.sure that the power supply cord or feeder assembly conductors, including neutral conductor, have been disconnected. Switch all breakers and switches in the mobilehome to the "on" position. ae-'Connect one lead of a test instrument to the mobilehome grounding conductor and apply the other lead to each mobilehome supply conductor, including neutral. A11 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. �,_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 theelectrical 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 WA( iSa _��tILS Z 2' Length to Width �---- Vehicle Serial No. f-1%% ! State Identification No. Additional Information or Comments: MOBILEHOME INSTALLATION INSPECTION CHECK LIST 1. Is the moNilehome located with re -ired separation from lot lines and buildings and generally conform to plot plan? Yes_ 2. Does the mobilehome have required clearances above ground? (Sec.5085) Yes 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 5-- more than a single unit, are crossover connections properly installed? (Sec. 5088) Yes No 6. Water A. Is flexible connector of adequate size and properly installed (1/2".ID min.)? (Sec. 5566) Yes— B. Test - Does water piping withstand working pressure or 50 lbs. air test? Yesrc�o -- 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— No /B B. Does it have minimum k" per foot slope and is it properly supported? Yes— No Are any leaks detected in drainage system after running 3 -gallons of water through each v fixture including washing machine standpipe? Yes— No— 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 'lehome as line inlet without reductions other'than the mobilehome connector. es No_��L B. Test OK as per following procedure? Yes—moo 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 drops 4. Connect gas meter to mobilehome with connector, turn on gas, test connections with soapy water. , C. Are all appliance vents properly installed? Ye No — h 9. Electrical A. Is service large enough to provide adequate amperage -to mobileaome (must equal rating of mobilehome with a minimum of l inp) and other facilities on lot, i.e., wate%_•pu` rrf,s, garage,. cabana, etc.? Yes_ No_ B. Is there proper clearances around panels? Yes-2No C. Is power supply cord or feeder assembly properly fused? 'Yes _'�av No_ D. Is continuity test -satisfactory asper 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 theelectrical 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��{'sS2� Length Width l '� Vehicle Serial No. 2f, / � 4 S 9 Sate Identification No. Ll Additional Information or Comments: E "'• MOBILEHOME 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 s 2. Does the mobilehome have required clearances above ground? (Sec.5085) Yes 3. Are footings and supports properly sized, spaced, and braced as per pproved plans? (Note possible variation at spring shackles,) (Sec. 5082 & 5083) Yes o 4. Is the mobilehome level? (Sec. 5088) Yes_ No_ 5. If more ,khan a single unit, are crossover connections properly installed? (Sec. 5088) Ye sou/ N o 6. Water A. Is flee -e connector of adequate size and properly installed (1/2" ID min.)? (Sec. 5566) Yes. 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_ 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 4" per foot slope and is it properly supported? Yes moo_ C. Are any leaks detected in drainage system after running 3 -gallons of water through each fixture includ=ing washing machine standpipe? Yes_ Nom 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 connec�Mom of more than 6 ft. long? Note: All piping is to be at"least as large as the mobie gas line inlet without reductions ether than the mobilehome connector, Yes__ / B. Test OK as per following procedure? Yes e No 1, Open all applianceconnector 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 ilk COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO. 7 County Center Drive - Oroville, California 95965 - Telephone 9164 41 !� APPLICATION AND PERMIT ASSES OR PARCEL NUMB ZO ING — - BUILDING PER OWNt TELEPHONE SQ. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS C NTRACT�S NA� ' ^, a TELEPHONE CONTRACTOR'S MAILING ADDRESS Esl� I w-6-C1r_��an '�6 "lea CONSTRUCTION LENDER UNKN wy, F/ Fireplace LENDER'S MAILING ADDRESS Total Valuation $ Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee ,$ Penalty $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Permit fee $ Bul DI G ADDR ss 4� N U f` PLUMBING PERMIT Filing Fee 3.00 ` Each Trap 2.00 Repair drainage or vent piping 2.00 Water piping LOT NO. SUBDIVISION NAME PARCEL MAP Each qas water heater or vent 2.00 Gas piping system 1 - 5 outlets USE OF STRUCTURE SF ❑ Duplex ❑ Mobi lehome E!r-' Other SPECIFY Building sewer Lawn sprinkler system 2.00 TYPE OF WORK New❑ Addition El RemodelUtilities❑ Instal tion C Other Describe work: S�Ir ®� Q,irm&L Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 3.00 Main service 10Ov OR LESS 100 AMP OR LESS 5.00 Main service EA. ADD'L 100 AMP 2.50 NEW CONST. DWELLING OCCUP.& OR ADDNS. ACC. BLDGS. 22 sq ft CONTRACTORS LICENSE LAW I declare der penalty of perjury (check one): I am licensed under provisions of Chapt. 9, Div.3 of the Business and Professions CQ,de and �,L,Ly license is in full force and effect. License No. Classification Z ❑ 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 NON -CON TR BRANCH CIRCTITS 2.50 ea NEW CONSTR. (POWER APPARATUS &) NON-RESID. (SINGLE OUTLET CIR. / EX. OCCUp( OUTLETS OR FIXTURES 50@� BAL@10T FIXED APPLES. OR Ex. OCcup•(OUTLETS (RESID,) EAT 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):' E] be permit is for $100.00 (valuation) or less. EK II 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. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against aid Count con of a granting of th6peit. �(This ate Signature of Applicant — Owne Contractor Age An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures er 3 stories in h ight.% Mobile Home Installation Fee $ L n loo u�i$ l�,a'v TOTAL PERMIT FE � �� OCCUP. GROUP I TYPE OF CONST. PARCEL PD MD 95UE permit is hereby issued under the applicable provi- sions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR O UBLIC WORKS m BY Date PERMIT EXPIRES Date - Receipt No. % �.�8 d�J 0,00 WHITE-D.P.W., ELLOW-ASSESSOR, PINK -INSPECT GOLDENROD -APPLICANT Co�✓ v�s� X30 oa res �� pay ��a ay lam- a?_g� August 4, 1980 To Whom It May Concern.: We hereby authorize the transfer of MHI Permit # 380980 to West Coast Trailer Sales, Inc. Chico MobileHome Service JeDoremus JH llb COUNTY OF BUTTE - DEPARTME4T OF PUBLIC WORKS 7 County Center Drive — Oroville, California 95965 • ,. � Telephone: 534-4541 APPLICATION AND PERMIT -I+ vvu I y v uuaw w a„LUI uNun uIc above-meAtior�roperty for inspection purposes. X Date Signature f P-Mit7eeor AgenRe ipt No. 13 White-D.P.W. – ellow-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. DIRECTO OF PUBLIC WORKS BY Date 7—,2,q A_ ' Bt ding permit expires Date 7-2-1-'-"Y` BUILDING Owner SQ. FT. OCC. BUILDING VAL Mailing Address Telephone Na-. Contractor - Mailing Address - Fireplace Total Valuation T e hone No. Permit Fee Building Address N .S'Blf�d/VJ©KO�J Plan Checking Fee&/or Penalty Permit Fee 14Pjp./ii�Ir.1 C�fZ. PLUMBING No.1 @ FEE ��/ STA -W061 F -D, PERMIT FILING FEE $3.00 Each Trap 1.50 /� ' /�, 09ROVI Repair drainage or vent piping 1.50 A. P. No. ��% �-f Zoni'rig'> Plonning Water piping 1.50 Each gas water heater or vent 1.50 F s. -Seffi t Ton Fire Dept. Fire Zone Use Permit as piping system 1 -5 outlets X39 ,2::w EQA Parking Plans Parcel Declaration I Parcel Map 1 60' R/W I Improvements Each additional outlet .30 Building sewer 5.00 Bldg. Plan ec'd cel A Parroval / Plans Approval Lawn sprinkler system 2.00 NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER ©� Permit Fee $ is /V#/ ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 Single Family [J Duplex Duplex ❑ Mobil Home ® Others Main service 600V OR LESS 100 AMP LESS 5.00 Main service EA. ADD -L too AMP 2.50 Main service OVER II..V 00 AMP OR LESS 25.00 Main service EA. ADD'L 100 AMP 1.00 NEW CONST. IWELING OR ADDNS. (ACCLBLDGSCCUP. 7i) 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 RESID, ( BRANCH CIR T NON-RESID ` BRANCH CIRCUITS) 2.50ea NEW CONSTR. POWER APPARATUS B NON.RESID, SINGLE OUTLET CIR. Ex. Occup{OUTLETS OR FIXTIIRES 5 L� Ex. QCCU // FIXED APPLNS, OR p• 1 OUTLETS (RESID,) EA) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 License No. ` !�- 6 Je Classification C'j Misc. Wiring 6.259 ❑ 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. ElI 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.1 @ FEEPERMIT FILING FEE J$3.00 Heating Cooling Ventilation 4:200 Hood 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 U e p Is Qy OQ TOTAL PERMIT FEE $ -I+ vvu I y v uuaw w a„LUI uNun uIc above-meAtior�roperty for inspection purposes. X Date Signature f P-Mit7eeor AgenRe ipt No. 13 White-D.P.W. – ellow-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. DIRECTO OF PUBLIC WORKS BY Date 7—,2,q A_ ' Bt ding permit expires Date 7-2-1-'-"Y` MOB ILEHOME SUPPORT DATA _ If other than single wide,- Mobilehome Mfr. furnish Setup Model No. Year)973 Width _(ft.) Box Length�Q(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 ® 1. Wood either pressure treated o foundation grade.: (ft.)(in:) (•in.) in. El 2. Other (specify) Center support Center support locations -ti footing sizes Supports (check one) (in.) MI, Concrete.block. 2. Other (specify) .(in.) (in.) 0 (ft.)(in.) �• (in.) (in.) 4 -Tagalong or Expando, show support details. J -- Typical Support in.) 'Footing Size mal, 6 dite -ID .>Ie (in.) (in.) -- Max. Pier Spacing P g 6-Pf'lt,41/ - (ft.)� (in.) (in.) 11 . *If enter piers are other than drawn above,. draw in -locations, spacing, and dimensions. O -- Max. Overhang BUTTE COUNTY DEPARTMENT OF PUBLIC WORKS 7 County Center Drive, Oroville, CA. PHONE: 534-4541 MOBILEHOME INSTALLATION SHEET c 1. Owner's name: 2. Installer's name: 14A -Co JA&D-1 k dAdl.� 3. Is the site currently under permit? Yes / / No ( If yes, furnish permit 'number Rss1 ' ) OR Is the site an existing site? Yes /l,/� 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? ----------------------- YO Amps 6. What is the mobilehome site service rating? --------------------- Off) Amps 7. What is the mobilehome site circuit breaker rating? ------------- I? Amps 8. Is there any other electric load to be served by the mobilehome siteservice? --------------------------------------------------- Yes / / No / / (If yes, identify the load and size: (Load) ps) 9. What is the mobilehome site gas pipe size? ---------------------- (i ) 10. What is the type of gas service? ----------------------------- Natural / / LPG / 11. What is the gas pipe length from meter or tank a mobilehome? '(ft.) 12. :What is the mob (T s information not required if pipe length less than 6.ft. on natural gas r less than 50 ft. on LPG.) � � �O �?��� �S lle 2 �� Ve BUTTE COUNTY/ T BUILDING DEPARTMEN APPROVED (BTU) COUNTY OF BUTTE - DEPARYMENT'OF PUBLIC WORKS 7 County Center Drive — Oroville, California 95965 Telephone: 534-4541 APPLICATION AND PERMIT A�5 6 Owner Mailing Address Contractor Jew Mai I i ng Address Building Address A. P. No. 6 Q— O 7 — F -W,G FireDept. I Fire Zone I Parking] Parcel s EQA Plans Declaration P 1 ap Telephone No. Telephone No. OF Zoning & KI-5 Use Permit Improvements _J1141.—Plans Recd I Parcel ApproJ61 I [/Plans Approval NEW ❑ ADDITION ❑ UTILITIES ® OTHER ❑ Single Family ❑ Duplex ❑ Mobil Home Others ❑ 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: License Nolag� I Classification (-� -Af/ z_ ❑ I am exempt from the Contractors License Laws of the State of California. 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. J� I 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. I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. Date _ 117 Signature o ermitee or Agent Receipt No. %�Il 7 P�V White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant _ BUILDING SO. FT. I OCC. I BUILDING VAL ATION Fireplace Total Valuation Permit Fee Plan Checking Fee &/or Penalty Permit Fee PLUMBING PERMIT FILING FEE Each TraD Repair drainage or vent piping Water piping Each gas water heater or vent Gas piping system 1 - 5 outlets Each additional outlet Building sewer Lawn sprinkler system Permit Fee ELECTRICAL PERMIT FILING FEE Main service 600V OR LESS 100 AMP OR LESS Main service EA. ADD'L too AMP Main service OVER e00v too AMP OR LESS Main service EA. ADD'L 100 AMP NEW CONST. ! DWELLING OCCUP. S $3.00 1.50 1.50 1.50 1.50 1.50 .30 5.00 2.00 $3.00 5.00 2.50 25.00 1.00 FEE i', d FEE Da 6 0 it D Ex. OCCUD(OUTLETS OR FIXTIiRESB 0 1 0@1 BAL'5 FIXED ALNS Ex. Occup.(OUTLETSP(RESID.)REA) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 ��^p Misc. Wiring 6.25 Permit Fee $ a - MECHANICAL No. @ 1 FEE PERMIT FILING FEE J$3.001 Heating Coo I i Ventilation Hood 1 1 2.00 Permit Fee $ $ Land Development Fee $ rap TOTAL PERMIT FEE $b 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. E T OF PUBLIC WORKS Date% �//J 7 Building permit expires Date �/ Je ld�"� a. Septic system and location of- bell d- o be as per Butte County Health Det. e- quirements. All utiiity connections shall be located within 4 ft. outside the reo section ood) s de of th e home, an thlefte m06110on home. O fley"�c . NOTE:—All Materials & Workmanship Shall Be in Accordance with Recognized Good Practices and of a quality prescribed for the Specified use in the Uniform Busilding, Plumbing & Mechanical Codes and the National Electrical Code. This set of, •r 4 Iept on fSe job at all times and it is unlawful :-•. R'=ke any changes or alterations on same withe,-: wrif,hon permission from the Department of Pta lic Works, County of Butte. Alp °- 7 -f � 1 M /µ The OW Setback shall be Jr ft. from the side property line and 50 ft, froi , the centerline of the road, permifring a maxi- mum of a 2 ft. eave overhang but entirely ' out .of ,all easements. it will be required ion of the mobi!c' V t j tqss - -7 9 BUTTE COUNTY UILDING DEPARTMEN APPROVE(