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HomeMy WebLinkAbout062-200-1166220-116 JOHN BROMILOWtfx&-)v ,1f ! �NIS�B-ald Rock, E of Orb Quincy Re Co, r: Lincoln Village "" 'Ge 'ph Permit#7178-79MHI (exist si,\ e) 'r�'�l� Issued Za Jq/!'y #M1 1.1I'''9 62-20-116 Contr: Lincoln Village MH, Oro g .< PE�7203-79P(gas piping) MH EC . Ga z - w-- 9 10,001. - SUPPORT STRUC. COMPACT ION TEST Rl A 62-20-116 Permit#7671-79B(steps & landif? r 6220-116 JOHN BROMILOWtfx&-)v ,1f ! �NIS�B-ald Rock, E of Orb Quincy Re Co, r: Lincoln Village "" 'Ge 'ph Permit#7178-79MHI (exist si,\ e) 'r�'�l� Issued Za Jq/!'y #M1 1.1I'''9 62-20-116 Contr: Lincoln Village MH, Oro g .< PE�7203-79P(gas piping) MH EC . Ga z - w-- 9 10,001. - SUPPORT STRUC. COMPACT ION TEST Rl A 62-20-116 Permit#7671-79B(steps & landif? PERMIT NO. 7671-79B PERMIT EXPIRES OWNER J.H..BROMILOW - CONTR. 6K&LEy owner 4 ;LOCATION (A.P. 62-20-116 NIS Bald Rock Rd, E of Oro Quincy R i/B.C. .. r f k c• t a rile 0ga, J r Temp. Power Pole_ Called PG&E _ Temp. Elec. Serv._ Called PG&E, Temp. Gas Serv. Called PG&E JOB FINALED (Date) (Signature) COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS BUILDING INSPECTIOIJAECORD Oona tseam FIRE SPRINKLERS Motors 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 StemwaI l Garage Vents Insulation Water Htr. Heaters Slab Car ort p Footings Prov. for ph sically handica ed Conformance of ex. structure Appliances Gas Piping & Test Temp. Gas Slab Final Sanitation Patio FIREPLACE Final .Footin s Footing ELECTRICAL Masonry Walls I Throat Roucih Relnf. Steel I Finni Oona tseam FIRE SPRINKLERS Motors Framing Test Water Htr. Stucco• Final Subpanels Mesh MECHANICAL Grd. Fault Prot. Scratch Heating Service Brown Cooling Temp. Pole Finish Ducts Underground Interior Lath Ventilation Permanent Door Closer Final Final MOBILEHOME UTILITIES ------------------ Elec- Service Elec. Pedestal Water Piping Sewer Gas Piping OBILEHOME INSTALLATION - - - - - - - - - - - - - - Support Elec. Continuity Water Piping Drainage Gas Piping DATE REMARKS OR CORRECTIONS (NOTE: An entry must be made on this form each time you visit the job site.) COUNTY OF BUTTE DEF ARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 Telephone: ,54-4541 j 7 r7, 7� APPLICATION AND PERMIT / / / authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. e Signature of Permitee 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. DIRECT PUBLIC WORKS Date /—Z-- O Building permit expires Date / _Z ^P r! BUILDING Owner. �r�cJt�1'11 SQ. FT. OCC. BUILDING VALUAI-r-loN Mailing Address IQ't S-1 Ae 112 -Ta `' /+Ree 0 'l liR-G (�, Telephone No. � Contractor (0Q)/J Mailing Address Fireplace Total Valuation 3 Telephone No. Permit Fee 5.06 Building Address IVIS R AU POCK �D a OF Plan Checking Fee &/or Penalty Permit Fee y,IpO 15, ORO Qot AJC\! ED PLUMBING No. @ FEE PERMIT FILING FEE $3.00 Each Trap 1.50 Q�ICQ epair drainage or vent piping 1.50 R A. P No. Z Z� " 1p Zoning & Planning Water piping 1.50 Each gas water heater or vent 1.50 es I VC. I 44QCo4F ire Dept. FireZone Use Permit Gas piping system 1 - 5 outlets 1.50 EQA Parking Pans Parcel Declaration Parcel Map 60' R/W Improvements Each additional outlet .30 wilding sewer 5.00 Bldg ' lans Recd Parcel Approval Plans Approval Lawn sprinkler system 2.00 NEW ADDITION ❑ UTILITIES ❑ OTHER ❑ Permit Fee $ $ ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 Main service 600V OR LESS 100 AMP LESS 5.00 SinSingle Family Duplex Mobil Home Others 9 Y ❑ P ❑ ❑ -L Main service EA. ADD100 AMP 2.50 ^' � � lA 5TERS� OVER BOOV Main service 100 AMP OR LESS 25.00 Main service/ EA. ADD'L 100 AMP 1.00 NEW CONST. OR ADDNS. C ACCDWELBLDGSLING CCUP, s� 2¢sgft CONTRACTORS LICENSE LAW I am licensed under the provisions of Chapter 9, Div. 3, of the State of California Business & Professions Code under the name st le of: Y T NEW CONSTR BRANCH CIRCUITS NON.CRESID.ONST ( BRANCH CIRCUITS) 2.50ea . NEW CONSTR. /POWER APPARATUS 8 NON-RESID. (SINGLE OUTLET CIR. Ex. Occuo(OUTLETS OR FIXTIIRES g Lt@ Ex. Occu ( FIXED APPLNS. OR p•OUTLETS (RESID•) EA) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 License No. Classification Misc. Wiring 6.25 ® I am exempt from the Contractors License Laws of the State of California. Permit Fee $ $ 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. k71 I certify that in the performance of the work for which this V:7 -permit is issued I shall not employ any person in any manner so as to become subject to the Workmen's Compensation Laws of California. MECHANICAL No. @ FEE PERMIT FILING FEE $3.00 Heating Cooling Ventilation Hood 2.00 Permit Fee $ $ I certify that 1 have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby Land Development Fee $ TOTAL PERMIT FEE $ S - authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. e Signature of Permitee 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. DIRECT PUBLIC WORKS Date /—Z-- O Building permit expires Date / _Z ^P r! - , ] T t i � � • ,� T - .i •ares. ,,,,,>- �*! •_- . • .-J • tv�- ID f . ,,` L - j t t VSs A♦ -+ - .1Y 7. '.�M���� /t -••'f b'f 7 ''� i,�t 1K9s', j•_^4:,...��y '•r -•., ^ a^`• t •. J- 3. �1. ,7! Ny�a . , r r•'1 `'' i '' Y V I � N .! - � > � ,• _ y � �,�—a-'�'��r"�e�grR � � . • k y _ h � - ' � .�st.� � .Y ...,�'�"�-.2.89: •�%' r--tYY.•Y+:'S.'+". 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H`g -µ _ -- _ - - ID �: rte_ — ✓- '(' _ - _ .--. ;l�?"`k?a�si 4.r _ a= a �. y� ,..`�'{ __ • t1<'wl�P-4��a.< `��._ p #'L • WCilI1�J8 �� ��paw,n ry'• < `5��7 Sc ��' �6� 71. 41 1144 �okp i- g ... t a`S -•'+S' _ ' - - "t` -. iJ •_ ,i21: i; ./dot7 ia�EL39:v `- cd f y � — 1 . •. , ,_ �' - r�.. �1Y- � .9`a- j � .f: ..4 ^ __-moi•'' �_ �.- .. _X � „ - : �--aresse-w. A� r~ -_ . -. _ .. - .. � �..�; .a a -• ti"• ^ 7' .0 ri (;pKiO? ARE r J ��i ;'.' % l''� i XX al�'/ \ ' %;�' �' �' _ �^ <, i�;� G'' I tit • ' t rj I. INS .-'-'�.-�'r/ _�_ \I# _,�-.i �..'C�._Ii �'�. s� 1. �I1��v`_ �1�'_I- �.:�; �•=.�. � e / / � II -'Y/-t -�.6= — D ,—l— �, j� � / ' ! .I %� Ji A - - - - ' 's'y adequate b / - 3�-.J•ABo�-'�. GIPGUiVO racin , op tin'. b in. igh wit termediate rails t of64. �` ,. � pat Tod rail t be"ai.so v `j� . %� C',.&N4 'l 'ed' ot / over 9 in. apart.. G/,,�ING DE?ARTMENf - ED /z2T l uu� wIY-4 AlW � rKd 1� CvKTvil�t lv1/ , • � rte .11�: v , � - - ! - '- . r �F �`u F � 305 UrD�� •3> �.r- ARE y ��i ;'.' % l''� i XX al�'/ \ ' %;�' �' �' _ �^ <, i�;� G'' I tit • ' t rj I. INS .-'-'�.-�'r/ _�_ \I# _,�-.i �..'C�._Ii �'�. s� 1. �I1��v`_ �1�'_I- �.:�; �•=.�. � e / / � II -'Y/-t -�.6= — D ,—l— �, j� � / ' ! .I %� Ji A - - - - ' 's'y adequate b / - 3�-.J•ABo�-'�. GIPGUiVO racin , op tin'. b in. igh wit termediate rails t of64. �` ,. � pat Tod rail t be"ai.so v `j� . %� C',.&N4 'l 'ed' ot / over 9 in. apart.. G/,,�ING DE?ARTMENf - ED /z2T l uu� wIY-4 AlW � rKd 1� CvKTvil�t lv1/ , • � rte .11�: v , � - - ! - '- . r �F �`u F � 305 UrD�� •3> �.r- PERMIT NO. 7178-79MHI PERMIT EXPIRES OWNER JOHN BROMILOW CONTR. L1riCOln Village MH, OrOVllle LOCATION (A.P. 62-20-116 ) [NIS Bald Rock Rd, app 2 3/4 mi E of Oro • ,,l Quincy Rd, Oroville it ,1 i { 1 I w r i 1 Temp. Power Pole Called PG&E Temp. Elec. Serv. Called PG&E Temp. Gas Serv.Of � Called PG&E 2 ? 2 9 JOB FINALED � (Date) v (S i g nifure) 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 StemwalI Sidinq To out Slab Roof Sheathing Water Piping Piers ` Roofing " Sewer Garage Fdn. Vents Fixtures Footings Stemwa I I Garage Vents Insulation Water Htr. Heaters Slab Carport p Footings Prov. for phsically handica ed Conformance of ex. structure Appliances Gas Piping& Test Temp. Gas Slab Final Sanitation Patio FIREPLACE Final Footings Footing ELECTRI Masonry Walls _ Throat Rough Reinf. Steel Final. Fixtures Bond Beam FIRE SPRINKLE Framing Test Stucco Final Mesh MECHANICAL Scratch Heating Brown Cooling Finish Ducts Interior Lath Ventilation Door Closer Final MOBILEHOME UTILITIES ------------- -- Elec- Service — Water Piping ' ' Sewer BI E OME STALLATION - - - - - - - - - - - - - - Support Water Piping Z 777 Drainage DATE REMARKS OR CORRECTIONS Grd. Fault Prot. Service Temp. Pole Underground Permanent Final Elec. Pedestal Gas Piping Elec. Continuity Gas Piping (NOTE: An entry must be made on this form each time you visit the job site.) 9. Electrical A. Is service large.enough to provide adequate amperage -to mobilehome (must equal rating of mobilehome with. a minimum of 7;N Amp)' and ,other facilities on lot, i.e., water Pw*8, garage, cabana, etc.? Yes V No B. Is there 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? 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 C Length'!��/ Width, Vehicle Serial No. State Identification No. Additional Information or Comments: MOBILEHOME INSTALLATION INSPECTION CHEQ L1 x 1. Is the mobilehome located wit required separation from lot lines and buildings and generally conform to plot plan? Yes— No. 2. Does the mobilehome have required clearances above ground? (Sec.5085) Yes iAft 3. Are footings and supports properly sized, spaced, and braced as peplapproved plans? (Note possible variation at spring shackles.) (:%o 5082 & 5083) Yes No 4 Is the mobilehome level? Sec 5088 Yes 5. If mo than a single unit, are crossover connections properly installed? (Sec. 5088) Yes N6- 6. Water A. Is fle able connector of adequate size and properly installed (1/2" ID grin.)? (Sec. 5566) Yes No B. Test - Does water piping withstand working pressure or 50 lbs. air test? Yee No. Backflow - If coach is not State of California approved, does station have backflpw devise 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? YesaZN,� B. Does it have minimum 4" per foot slope and is it properly supported? YeWZ/No C. Are any leaks detected in drainage system after running 3- ons of water through each fixture including washing machine standpipe? Yes No 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" mingomi' mobilehome connectonot more than 6 ft. long? Note: All piping is to t4 at ledot as. large as the mobi ome gas line inlet without reductions other than the Aoil1&M& connector. Yes— No ti 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? YesNo COUNTY OF BUTTE DEPARTMENT OF PUBLIC'WORKS 695 Oleander Avenue, Chico — Phone 343-4211, Ext. 70 7 County Center Drive, Oroville — Phone 334-4541 Skyway and Elliott Road, Paradise — Phone 877-345 CORRECTION NOTICE 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. Inspector Date 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 / for the following location: r � - r Owner i .r... . •'%ay. r Owner's Address Mobilehome Mfg. Model Year Insignia No. Serial No. It is hereby certified for occupancy at the above described location and may be occupied. Director of Public Works -r- Date / % By • , . �. THIS CERTIFICATE IS VOID WHEN MOBILEHOME IS RELOCATED White - Owner, Yellow - Installer, Pink - D.P.W. COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS f 7 County Center Drive - Oroville, California 95965 Telephone: 534-4541 APPLICATION AND PERMIT 7/ ,O;P-79 I--,' authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. ie ,Rate Signature f Permitee or Agent Receipt No. -�> ve-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. D YOF PU LIC WORKS B Date Building permit expires Date _1 BUILDING ff Owner '�^ SQ. FT. OCC. BUILDING ATION Mailing Address / i �I ,, /^,�Telephoone�No. L/ 0_0LJ " Contractor / 1, ! Ll N I OL— MAal 1= Mailing Address LI �� Fireplace Total Valuation � T hoe Permit Fee Building AddressI �� �l ��ny Al �/ \ Plan Checking Fee&/or Penalty Permit Fee o?277 1LC .S PLUMBING No.1 @ FEE PERMIT FILING FEE J$3.00 Each Trap 1.50 Repair drainage or vent piping 1.50 A. P. No. o� ^ E?-� Z Zoning & Planning Water piping 1.50 Each gas water heater or vent 1.50 .Fke< th1'G. Sa ' i Fire Dept. Fire Zone Use Permit Gas piping system 1 - 5 outlets 1.50 EQA Parking Plans Parcel Declaration el ap 60' R/W Improveme Each additional outlet .30 Building sewer 5.00 Bldg. Plans ec'd Parcel royal Pla Approval Lawn sprinkler system 2.00 NEW ❑ ADDITION ❑ UTILITIES OTHER npermit Fee $ ELECTRICALNo. @ FEE PERMIT FILING FEE $3.00 00V OR L Main service 100 AMP ORSLESS 5.00 Single Family ❑ Duplex ❑ Mobil Home Others ❑ Main service EA. ADD'L 100 AMP 2.50 Main service OVER 600V 25,00 100 AMP OR LESS Main service EA. ADD'L 100 AMP 1.00 NEW // OR ADDNST V ADWECC`BLDGS.LING CCUP. S\ •2C Sq ft CONTRACTORS LICENSE LAW I am licensed under the provisions of Chapter 9, Div. 3, of the State.of California Business & Professions Code under t e name styof: I t,1, at).LJq V1, l_4y,:l &/L,4&1 L �'f'�' NEW CONSTR. MULTI.OUTL T NON-RESID BRANCH CIRCUITS) 2.50ea NEW CONSTR. (POWER APPARATUS 6 NON-RESID. SINGLE OUTLET CIR. Ex. Occup(OUTLETS OR FIXTURES) g L Ex. Occup. ( FIXED OUTLETS P(RESID )REA) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 License No. Classification C Misc. Wiring 6.25 ❑ I am exempt from the Contractors License Laws of the State of California. Permit Fee $ $ MECHANICAL No. @ FEE WORKMEN'S COMPENSATION INSURANCE 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. I certify that in the performance of the work for which this permit is issued I shall not employ any person in any manner so as to become subject to the Workmen's Compensation Laws of California. PERMIT FILING FEE $3.00 Heating Cooling Ventilation Hood 2.00 Permit Fee $ $ 1 certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby Lan e $ O TOTAL PERMIT FEE $ authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. ie ,Rate Signature f Permitee or Agent Receipt No. -�> ve-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. D YOF PU LIC WORKS B Date Building permit expires Date _1 COUNTY OF BUTTE — DEPARTMENT OF PUBLIC.WORKS9,_t� 7 County Center Drive - Oroville, California 35965" - Telephone: 534-4541 O� �APPLICATION AND PERMIT 7,_,�? authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. t X Date Signature f P77ermiteeorr Agent Receipt No. �y4p/e> 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. D E TOR OF PUBLIC WORK By �y Dale Building permit expires Date��� BUILDING Owner b1�1 % Lb L* -D SQ. FT. OCC. BUILDING VALUATION Mailing Address Telephone No. Contractor I ISI &GA 4= f�t�� Mailing Address 6"4K,14C.tu w9 Fireplace Total Valuation '0),f(LL_ (i _ 7J %u Telephone No. �ay77C1 Permit Fee Building Address IJS �� � / N��.- ' e Planng Fee&/or Penalty Permitit Fee Fee �O ©/LU- Ce /x1 e, PLUMBING No. @ FEE PERMIT FILING FEE $3.00• 3.00 Each Trap 1.50 G� Repair drainage or vent piping 1.50 / A. P. No. ��� J� Zoning & Planning Water piping 1.50 Each gas water heater or vent 1.50 F4pe' / W'C S n Fire Dept. Fire Zone Use Permit Gas piping system 1 - 5 outlets 1.50 10.00 EQA Parking Plans Parcel Declaration Parcel Map 60' R/W Improvements Each additional outlet .30 Building sewer 5.00 Bldg. Plans Re d I Parcel Approval Plans Approval Lawn sprinkler system 2.00 NEW ❑ ADDITION ❑ UTILITIES21 OTHER ❑ Permit Fee $ 6 140 ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 Main service 600V OR LESS 100 AMP OR LESS 5.00 Single Family ❑ Duplex ❑ Mobil Home Sy Others ❑ Main service EA. ADD'L 100 AMP 2.50 Main service OVER soov 25.00 100 AMP OR LESS Main service EA. ADD•L 100 AMP 1.00 NEW CONST. ( OR ADONS. ACCLLING BLOGS.CCUP. Y) 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 le of: 21 />,E a MULTI NEW coNSTR /BRANCHCIR-OUTLET NON-RESID `BRANCH CIRCUITS) 2.50ea NEW CONSTR. (POWER APPARATUS 8 NON-RESID. SINGLE OUTLET CIR. Ex. OCCUD(OUTLETs OR FIXTIIPES) g @L. , FIXED APPLNS. ORst A) 2.00 Ex. Occup. (OUTLETS (RESID.) E Temporary service 10.00 Mobile Home Facilities 15.00 License No..3 4 LX�l Classification G 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 evmployer to be insured against liability for Workmen's Compere tion. 1 have placed on file with the County of Butte a certificate of Workmen's Compensation Insurance. 1 certify that in the performance of the work for which this permit is issued I shall not employ any person in any manner so as to become subject to the Workmen's Compensation Laws of California. MECHANICAL No. @ FEE PERMIT FILING FEE $3.00 Heating Cooling Ventilation Hood 2.00 Permit Fee $ _ $ 1 certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby Land Development Fee $ TOTAL PERMIT FEE $ authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. t X Date Signature f P77ermiteeorr Agent Receipt No. �y4p/e> 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. D E TOR OF PUBLIC WORK By �y Dale Building permit expires Date��� V67• 0 Y Y�- rr 3S71tf�`C�l� r^t Jr t, �[ 1•�' , , It Ir t ILI.T11 0 --�i it y1t'7- _ S f r V67• 0 Y Y�- r BUTTE COUNTY DEPARTMENT OF PUBLIC.WORKS 7 County Center Drive, Oroville, CA. ' PHONE: 534-4541 t_ MOBILEHOME INSTALLATION SHEET 0-1 1. Owner's name: /��•, �1 1 (. l x'7 2.. Installer's name: kx4&% L; �� S 3. Is the site currently under permit? Yes / / No _S (If yes, furnish permit- number ) OR Is the site an existing site? Yes ' % No C;11 (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 elect rical,rating?--------------------- - Amps 6. What is the mobilehome site service rating? ------------------4--' Amps 7. What is the mobilehome site circuit breaker rating? ------------- 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) (Amps) 9. What is the mobilehome site gas pipe size? --------------------= 10. What is the type of gas service? -=---------------------------- Natural / / LPG / 11. What is the gas pipe length from meter*or tank to the mobilehome? 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.) , r MOBILEHOME SUPPORT DATA Fu If otiher than single wideMobilehome Mfr. ol )P furnish Se Mo ® 7 7 • �. Setup -del No. U Year Width -0 (ft.) Box Length—Z'c:t-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 A:.ft/ pressure treated or 2MEfoundation grade. (ft.)(in.) (in.) (in.) 2. Other (specify) Center support Center support locations* footing sizes Supports (check one) (in.) 1: Concrete block. F] 2: Other (specify) (ft.)(in.) in.) (in.) RX3� �%o44 (� 4 ----Tagalong or Expando,• show details. support (ft.)(in.) (in.) (in.) O -- Typical Support (in.) (in.) Footing Size (in.) (in.) � -- Max. Pier Spacing (ft.) (in.) LaJ x Max. Overhang =(in.) (ft.) (in.) (in,) (in.) (ft.) BUTTE COUNTY BUILDING DEPARTMENT A PPROVI� D *if centeriers are other than drawn above P , draw in. -locations, spacing, and dimensions. AP# 4,/;2-20 114 OWNER<< -i,L .c. , _ .Q PERMIT # MH UTIL.CLEARANCE DATE INSPECTOR �1 ELE TRIC GAS Support Str c. Compaction ITestReq. Service Size Other Load Type Pipe Size Length YES NO /YES NO /z ;Zo v w r r r�i vii! :I w r r r�i r r�i 3� COUNTY DF •BUTTE - Department of Public Works 7 County Center Drive Oroville ----- 534-4541 ELECTRICAL INFORMATION FOR DE - Owner'' ll �J "IA% A-22114 4 /7i1 1 ( in t-4-)) / LocaAkI V�rg iQ � So -,LU �g-k Rj) , O-9 /Ji i Lea 1596-r- < / 1 � ofz a Mobilehome Installation Permit No. FILL IN INFORMATION FOR ITEMS 1 THRU 10 ' Watts 1, Width 4: ' x Box Length `�^ x 3 = 2. 2 Kitchen Appliance Circuits ................. = 3,000 3. 1 Laundry Circuit ............................. = 1,500 4. Ovens =' 5. Cook Stove Top .... _ 6. Hot Water Heater _ 7: -Dishwasher & Disposal = v1 7V 0 8, Clothes Dryer ................................ _ 9. Other (specify, i.e., motors, exhaust fans, etc.) Sub -total - Watts ..... /E2 b 57y First 10,000/watts @ 100% .............................. = 10,000 Remaining watts @ 40% ......................... = 2dx1 10. Air Conditioner watts @100%.. _ ) ;7W '0 Largest Demand Central Heat System 11U00 watts @ 65%.. _ /6'1,0 ) TOTAL DEMAND WATTS REQUIRED ............. v/0? 1_� () "Demand Watts Required" + 230 ............. ............ _ �� AMPS De -rate Mobilehome to ......... O AMPS BUTTE COUNTY a,J 3UILDING DEPARTMENT APPR, OVED ;��< ��