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HomeMy WebLinkAbout062-750-034- t . - r. • 4.1- -owl'- - William J. Grogan �. ' N l�pp. -1500 .,off �S./S•-.Bald Rock -Rd.,,@ 1 v4r Berry Creek Boys Ranch #� Permit 8.2-76P,E(ut'1.,MH) t GAS �T' �/x. j�C�✓ .N SUPPOR STRUCTURE REQ, v' COMPACTION TEST REQ. • s HA_ _ LELEE�C. # 6-7.8 E(uti1.,MH) / �Y STRUCTURE REQ, AJCION TEST HQ. 4P contra WilsonMH Serv., Oroville Permit #3686-7 MiiI f sued o2ZZ'� Permit #4338-79B(new o),, deck/MH)OW 1 Cal Ic CN raft% Lo r Mm M M M m PERMIT NO. 346-78P,E ' PERMIT EXPIRES OWNER William Grogan. ti CONTR. oner LOCATION (A.P. 62-21-111 App.13.00'off S/S Bald Rock Rd.,@ Boys Rar�ch Rd. , Berry Creek • i�v Y 1 1 f t .. Al J I Temp. Power Pole Called PG&E Temp. EleJ. Serv. Calle A PG&E 7� � t , ailed PG&ED /'7 A JOB / (Date) i (Signatunff Se Fo in s Stem all Slab Piers irate Footings Stemwa I I Slab Slab Patio Footinc Masonry Wa Reinf. Sti Bond Bea Mesh COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS BUILDING INSPECTION WECORD ��-• BUILDING A BUILDING (Cont'd) PLUMBING Rest om Finish Windo Siding Roof Shea in Roofing Fdn. Vents Garage Vents Insulation Prov. for physical handicapped Conformance of ex. IIREP ACE Footing Throat Final FIRE SPRINKLEI Test Final MECHANICAL Heats o Sbil Piping t Floor 2n Floor 3rd Noor To out Water Pipkg Sewer Fixtures Water Htr. Heaters Appliances Gas Ploino & Test Temp. Gas Sanitation Final ECTRI L Fixtun Motors Gird. Fafilt Prot. Servl T mp. Pole F nish D is finderground I rior Lath entilation Permanent oor Closer Final Final MOBILEHOME UTILITIES ------------------ Elec_ Service2O0 s,= Elec. Pedestal Water Piping S , "3 er l Gas Piping 1 E INSTALL TIO - - - - - - - - - - - - - - Support Elec. Continuity Water Piping Drainage Gas Piping DATE �"`---'�"'� REMARKS OR CORRECTIONS _ :3 - �174 • �" �/ CJS r, OTE. try must be made on thiii for each time yo visit the jo site.) MOBILEHOME INSTALLATION INSPECTION CHECK LIST 1. Is the mobilehome located w't equired 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) Y� No 3. Are footings and supports properly sized,, spaced, and braced asp per approved plans? (Note possible variation at spring shackles.) �(Sec. 5082 & 5083) Yes!No 4. Is the mobilehome level? (Sec. 5088) Yes'! No 5. If m�y� than a single unit, are crossover connections properly installed? (Sec. 5088) Yes (� No r 6. Water A. Is ? e ible connector of adequate size and properly installed (1/2" ID min.)? (Sec. 5566) Yes_ No B. Test - Does water piping withstand working pressure or 50 lbs. air test? Yes_ No C. Backflow - If coach is n tat of California approved, does station have backflow device and pressure -relief val Ye 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 C'. Are -any leaks detected in drainage system after running 32WIons of water through each fixture including washing machin standpipe? Yes No �v D. If coach is not State of is 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 connect not more than 6 ft, long? Note: All piping is to be at least as large as the moehome gas line irilet.without reductions other than the mobilehome connector. Yes_ No B. Test OK as per following procedure? Yes_" No_ 1. Open all appliance connector valves. 2. Shut off appliance burner and pilot valves. 3. Air test with manometer to 10"-14" water column, or test with slope gauge (minimum 6oz.-maximum 8 oz.) calibrated in tenth pound increments. Test for 10 min, without drop 4. Connect gas meter to mobilehome with connector, turn on gas, test connections with soapy water. C. Are all appliance vents properly installed? Yes No _ 2r 9. Electrical / A. Is service large enough to provide adequate amperage -to mobilehome (must equal rating of mobilehome with a minimum o0 amp) and other facilities on lot, i.e., wate pumps, garage, cabana, etc.? Yes/No -4 B. Is there proper clearances around panels? Yes L40 p�ils power supply cord.or feeder assembly properly fused? Ye _ No D. Is continuity test satisfactory as per the following procedure? Yes tl- O 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. S. All non-current, carrying metal parts of the mobilehome (aluminum siding, gas line, water line), including fixtures and appliances, shall be tested for continuity from such equipment and the grounding conductor. 6. Upon completion of the above procedure, the power supply cord or feeder assembly conductors shall be connected to the site service equipment. A further continuity test shall then be made between the grounding electrode and the chassis of the mobilehome. Upon satisfactory completion of the electrical tests, the lot or site service equipment may be approved for energizing. 10. Is job card signed by Health Department for water and sanitation? 11. If everything okay, sign off card and tag services. 4 MOBILEHOME DATA Manufacturer and/or Namestyle �— Length, Width Vehicle Serial No. State Identification No. Additional Information 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 California_ Administrative Code, Title 25, Chapter 5, under permit number -'iZZv for the following location:/ Owner U[�-^�'-IC.ttL/Yl• ��/-�7/.�/��'' Owner's Address Mobilehome Mfg. -�,-���}�-'�x Model �'��` s� Year4� Insignia No. `� ` / Serial No,4- r.i It is hereby certified for occupancy at the above described location and may be occupied. 49 Director of,,P�uublliic/Works Date �� �" B�` y � THIS CERTIFICATE IS VOID WHEN MOBILEHOME IS RELOCATED White - Owner, Yellow - Installer, Pink - D.P.W. COUNTY OF BUTTE — DEPARTMLNT OF PUBLIC"WORKS 7 County Center Drive — Orovi Ile, California 95965 Telephone: 534-4541 APPLICATION AND PERMIT _.._.._ .ay v. uual a. av cnac� uNvn mc, above-mentioned property for inspection purposes. X Date! /23178 Signature of P 6itee or Ag t Receipt No. _ Y4 � � 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. DIREC R OF P BLIC WORKS By --/-%, ,. Date . /'_T/ —W permit expires Date 1-31-7 BUILDING Owner , SQ. FT. OCC. BUILDING VALUATION Mailing Address Telephone No. Fireplace p Contractor T.% Total Valuation Mailing Address Permit Fee Plan Checking Fee&/or Penalty • Telephone No. Permit Fee Building Address - f PLUMBING No.1 @ FEE PERMIT FILING FEE $3.00 Each Trap 1.50 Repair drainage or vent piping 1.50 pga►�!@rificaiion Only Water piping 1,50 O Each gas water heater or vent 1.50 A. P. No. ._ .._ r Zoni Gas piping system 1 - 5 outlets 1.50 OQ Each additional outlet .30 F S7t�ionJ'FireD,feppt. Fire Zone Use Permit Building sewer 5.00 (� EQA Parkin PlansBldg. Declare ion wa cel a 60' R/W Improvements Lawn sprinkler system 2.00 offs Recd P rc proval Plans Approval Permit Fee 3, DO 123 NEW ❑ ADDITION ❑ UTILITIES OTHER [_]ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 Main service 110V OR L 100 AMP ORSLESS 5.00 J Main service EA. ADD'L 100 AMP 2.50 Single Family ❑ Duplex ❑ Mobil Home Rr Others ❑ OVR 600V Main service 100E EAMP OR LESS 25.00 Main service EA. ADD'L 100 AMP 1.00 NEW CONST.DWELLING OCCUP. & OR ADDNS. ( ACC. BLDGS. •) 20sgft NEW CONSTR MULTI -OUTLET NON-RESID. BRANCH CIRCUITS)2.50ea 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) �@1 BAL@1 Ex. Occup. 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 $ $ 2 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. 'have placed on file with the County of Butte a certificate of ❑ Workmen's Compensation Insurance. I certify that in the performance of the work for which this permit is issued I shall not employ any person in any manner © so as to become subject to the Workmen's Compensation Laws of California. MECHANICAL No. @ FEE PERMIT FILING FEE $3.00 Heating Cooling t Ventilation Hood 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 n TOTAL PERMIT FE _.._.._ .ay v. uual a. av cnac� uNvn mc, above-mentioned property for inspection purposes. X Date! /23178 Signature of P 6itee or Ag t Receipt No. _ Y4 � � 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. DIREC R OF P BLIC WORKS By --/-%, ,. Date . /'_T/ —W permit expires Date 1-31-7 gle TY cid 01rr loll6181xi 6161 E N dr ; bvv S)IaoM Anand do Ana �o A.wnoo ' ^A gle TY cid 01rr loll6181xi 6161 E N dr ; bvv S)IaoM Anand do Ana �o A.wnoo COUNTY- OF .JTTE — DEPARTMENT OF PUBLIC WORKS /; 7 County Center Drive - 5 e, California 95965 1 I Telephone: 534-434-45441 (� VZ ' APPLICATION AND PERMIT BUILDING Owner W 1 L L A AM J. G R OG A N SO. FT. OCC. BUILDING VALUATION Mai I i ng Address 59437 N. HAROLD FORT BRAG CA, Telephone No. Contractor WILSON MORWE HOME SERVICE Mailing Address 7985 RAILROAD AVE Fireplace Total Valuation O R O V I L L E, CA. 95965 �e�e�,I 7 *48 Permit Fee Building Address l b Cho d �' 1 Plan Checking Fee &/or Penalty Permit Fee Y240PLUMBING No. @ FEE V PERMIT FILING FEE J$3.00 Each Trap 1.50 Repair drainage or vent piping 1.50 A. P. NO. _ , Zon-ing &Planning Water piping 1.50 Each gas water heater or vent 1.50 Fps I %Le 3arri-tatfvrr I Fire Dept. Fire Zone Use Permit Gas piping system 1 -5 outlets 1.50 EOA Parking Plans Parcel Declaration Parcel Map 60' R/W Improvement Each additional outlet .30 Building sewer 5.00 �� Bldg. Plans RecdParcel royal pla s proval Lawn sprinkler system 2.00 NEW ADDITION ❑ UTILITIES ❑ OTHER ❑ Permit Fee $ MH I /� A1,3 V -78 ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 Single Family ❑ Duplex ❑ Mobil Home Others ❑ Main service 600V OR LESS 100 AMP OR LESS 5•D� Main service EA. ADD'L 100 AMP 2.50 Main service OVER 600V 25.00 100 AMP OR LESS Main service( EA. AOD'L 100 AMP 1.00 OR ADDNS. ACCNEW CONST. GS.LING Ccup- 41 2¢sgft C 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: WILSON MOBILE HOME SERVICE NEW CONSTR. BRANCH CIR T NON-RESID BRANCH CIRCUITS) 2.50ea NEW CONSTR. POWER APPARATUS 9 NON-RESID,SINGLE OUTLET CIR, Ex. Occur) {OUTLETS OR FIXTURES 5 �� Ex. OCCU (/ FIXED APPLNS. OR P• 1 OUTLETS (RESID.) EA) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 216 License No. 321671 C61 7 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 fiie with the County of Butte a certificate of Workmen's Compensation Insurance. ❑I certify that in the performance of the work for which this permit is issued I shall not employ any person in any manner so as to become subject to the Workmen's Compensation Laws of California. MECHANICAL No @ FEEPERMIT ; FILING FEE $3.00 Heating Cooling Ventilation Hood 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 L .- $ t�J'QZ TOTAL PE PERMIT FEE authorize representatives of the County of t3utte to enter upon the above-mentioned property for inspection purposes. Date 3 ignature o ermitee or Agent Receipt No. OS— 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 hay aid. DIRECTO OF UBLIC WORKS gy Date �'s Z7— 7 �11ng permit expires Date BUTTE COUNTY DEPARTMENT OF PUBLIC WORKS 7 County Center Drive, Oroville,-CA. PHONE: 534-4541 P MOBILEHOME INSTALLATION SHEET WILLAtM J. GROGAN 1. Owner's name: WILSON MOBILE NOME SERVICE 2. Installer's name: 3. Is the site currently under permit? Yes / X / No (If yes, furnish permit number ) OR Is the site an existing site? Yes / / No /X / (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./ x/ No (If no, clarify ) ( 5.' What is the mobilehome electrical" rating? ----------------------- 100 APs 4e& -0K/ Amps ' 6. What is the mobilehome site service rating? .------��%�-� 7. What is the mobilehome site circuit breaker rating? ------------- - �DO 'Amps 8. Is there any other electric load to be served by the mobilehome site service? --------------------------------------------------- Yes/ No (If yes, identify the load and size: WAFER PUMP(Load) 20 (Amps) u 9. What is the mobilehome site gas pipe size? ----------- -- (in.) 10. What is the type of gas service? ----------------------------' Natural / / LPG /x / 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 1e681�than)50 'ft. ,on LPG.) ,i K i MOBILEHOME SUPPORT DATA If other than single wide, Mob ilehome Mfr. (,wAmp in N wnmE SU I LDEF&rnish Setup Model No. 2Ti Year 1977 ,Width I (ft.) Box Length 5r, _ r' (ft.) Tagalong or Expando Size ft. x 12 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. /�' Single op A n /I ( .)(in:) (in.) (in.) Center pport Center su ort locati ns* footing s zes �� p (in.) (s a 0 (ft.)(in ) (in. (in.)' k to ... J^ (in.) (in.) (ft.) (/n.) I (in.X (in.) / I x v ft.)l (in.) (in.)1 (in. *If center piers are other than drawn above, draw in. -locations, spacing, and dimensions. Footings (check one) 1. Wood either pressure treated or foundation grade. 2. Other (specify) Supports (check one) n 1: Concrete block. 2. Other (specify) Tagalong or Expando, show support details.. Typical Support Footing Size TRIPLE PAD FORE AND AFT THE WHEELS -- Max. Pier Spacing (ft.)(in.) -- Max. Overhang (ft.) (in.) BUTTE COUNTY BUILDING DEPARTMENT APPROVED %a- 1 4338-79B PER -MIT NO. PERMIT EXPIRES, Wy ` William. Grogan OWNER CONTR. owner a 62-21-111 ' ( LOCATION (A.P. ) App.1500'off SIS Bald Rock Rd., @ Berry Creek Boys Ranch Rd., Berry Creek . .S le �_ rn- L1��� i Y Y ,. Temp. Power Pole Called PG&E Temp. Elec. Serv. .4 Called PG&E ' .! Temp. Gas Serv. Called PG&E JOB + F FINALED (Date) • _ 1. - �Y (Signature) • I I (NOTE: An entry must be made on this form each time you visit the job site.) COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS BUILDING INSPECTWN RECORD f BUILDING BUILDING (Cont'd) PLUMBING Setback • Firewall Soil Piping Forms Parapets 1st Floor Main Bldg. Restroom Finish - 2nd Floor . Footings Windows 3rd Floor StemwalI Siding To out Slab Roof Sheathing Water Piping Piers Roofing Sewer Garage Fdn. Vents Fixtures Footings Stemwal I Garage Vents Insulation Water Htr. Heaters Slab Carport Footings Prov. for physically handicaped Conformance of ex. structure Appliances Gas PipingTest Temp. Gas Slab Final Sanitation Patio FIREPLACE Final Footings Footing ELECTRICAL Masonry Walls Throat Rough Reinf. Steel Final Fixtures Bond Beam FIRE SPRINKLERS Motors Framing Test Water Htr. Stucco Final Subpanels Mesh I 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 MR816EHOM� E INSTALLATION - - - - - - - - - - - - - - Support Elec. Continuity Water Piping Drainage Gas Piping DATE REMARKS OR CORRECTIONS 9 ro (NOTE: An entry must be made on this form each time you visit the job site.) COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS 7 County Center Drive — Oroville, California 95965 Telephone: 534-4541 APPLICATIONAND PERMIT .yy�'3� 79i autnonze represeniatives or ine county or tlutte to enter upon me above-mentioned property for inspection purposes. X Date / y Y, Signature of Permitee or Agent Receipt No. _a5_233 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. DIRECTO OF PUBLIC WORKS �1 By / Date ruilding permit expires Date BUILDING Owner � t' �als 4 {/i-y+7� - SQ. FT. OCC. BUILDING VALUATION o Mailing Addres/0" Telephone No. Contractor Mailing Address Fireplace Total Valuation Telephone No. Permit Fee �O Building Address bb/ Plan Checking Fee&/or Penalty Permit Fee Q Q 10' • Qin PLUMBING No.1 @ FEE {� 4� PERMIT FILING FEE $3.00 Each Trap 1.50 Repair drainage or vent piping 1.50 A. P. No.�je pZ --• oZ o) ening &Planning Water piping 1.50 Each gas water heater or vent 1.50 F� I Vie Sa t Fire Dept. Fire Zone Use Permit Gas piping system 1 - 5 outlets 1.50 EQA Parking Plans Parcel Declaration Parcel Map 60' R/W Improvements Each additional outlet .30 Building sewer 5.00 Bldg. ec'd I 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 800V OR LESS 100 AMP OR LESS 5.00 Single Family ❑ Duplex ❑ Mobil Home 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 OR ADDNST V ADWELCC. BLDGS.LING CCUP. 22Sgft CONTRACTORS LICENSE LAW I am licensed under the provisions of Chapter 9, Div. 3, of the State of California Business & Professions Code under the name style of: NEW coNSTR BRANCH CIR T NON.RESID. ( BRANCH CIRCUITS) 12.50eal NEW CONSTR. POWER APPARATUS &) NON.RESID. SINGLE OUTLET CIR. Ex. OCCUD(OUTLETS OR FIXTIIRES g :14 FIXED APPLNS. OR Ex. Occup.(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 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. MECHANICAL No. @ FEE PERMIT FILING FEE $3.00 Heating Cooling' Ventilation Hood 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 Land Development Fee $ TOTAL PERMIT FEE $ C autnonze represeniatives or ine county or tlutte to enter upon me above-mentioned property for inspection purposes. X Date / y Y, Signature of Permitee or Agent Receipt No. _a5_233 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. DIRECTO OF PUBLIC WORKS �1 By / Date ruilding permit expires Date I I 1ff PERMIT NO. 582-76P PERMIT EXPIRES ;17� OWNER William J. Grogan owner CONTR. e::�'-I'LOCATION (A.P. 69 . —91-111 App. 15001 off.S/S Bald Rook Rd., @ Berry Creek Boys Ranch 7 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 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. Stemwall Slab Prov. for physically handicapped Heaters Appliances Carport Footings Conformance of ex. structure 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 Framing Test Water Htr. aiacco r-inai Sub anels 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 s (NOTE: An entry must be made on this form each time you visit the job site.) COUNTY OF BUTTE _ DEPARTMENT OF PUBLIC WORK: 7 County Center Drive — Uroville, California 95965 Telephone: 534-4541 APPLICATION ARID PERMIT authorize representatives of the County of t3utte to enter upon the above-mentioned property for inspection purposes. ' � Date S/ 7f : 4: Signature of Perrvie or Agent IV Receipt No. t/ 3 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 fuildi'ng permit expires Date BUILDIN Owner (.!%�Gecc..._•SQ. _ FT. OCC. BUILDING VALUATIPW Mai I ing Address 1, Loo; ` '702— Telephone No. 26 f —111 7J 6 Fireplace Contractor Total Valuation Mailing Address Permit Fee Plan Checking Fee &/or Penalty Telephone No. Permit Fee $ Building Address ro X f S 6i7 ° a FF S, �$ PLUMBING No. @ FEE PERMIT FILING FEE $3.00 d 17 p C k d r4, ! -e r - C re eb Each Trap 1.50 Repair drainage or vent piping 1.50 Water piping 0 f O.OV, Each gas water heater or vent A. P. No.Gas _ �! ` A ZL piping system 1 - 5 outlets 2�i0 ,p Each additional outlet .30 F f• n Fire Dept. Fire Zone Use Permit Building sewer 5;N 10,0o EQA Parking Parcel'FTarcel Declaration a P 60' R/W Im provements Lawn sprinkler system 2.00 /�P�lans Bldg. Plans Recd Parcel Approval Plans Approval Permit Fee $ 33,0C) $ .3?FO NEW ADDITION UTILITIES OaOTHER 0 ELECTRICAL No.1 @ FEE PERMIT FILING FEE 3.00 3-00 Main service 600V OR LESS 5.00 100 AMP OR LESS SiO Main service EA. ADD•L 100 AMP 2.50 �s Single Family Duplex Mobil Home VC -1 Others ❑ Main service OVER 100 AMP oR LESS 25.00 Main service EA. ADD -L 100 AMP 1.00 OR ADONSNEW T [DWELLING ACC. BLDGOCCUP. &) 22sgft NEW CONSTR. MULTI -OUTLET NON-RESID. ( BRANCH CIRCUITS) '2.50ea 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)50 @250 BAL@104 Ex. Occu FIXED APPLNS. OR P• OUTLETS (RESID.) EA) 2:00 Temporary service 10.00 Mobile Home Facilities 5.00 S 00 - License No. Classification Misc. Wiring 6.25 © I am exempt from the Contractors License Laws of the State of California. ' Permit Fee $ .7$-J—b $ o�s SO 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. EJ 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. MECHANICAL No.1 @ FEE PERMIT FILING FEE $3.00 Heating Cooling Ventilation H Hood 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 E FE $ O 51 authorize representatives of the County of t3utte to enter upon the above-mentioned property for inspection purposes. ' � Date S/ 7f : 4: Signature of Perrvie or Agent IV Receipt No. t/ 3 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 fuildi'ng permit expires Date 1 NOTE:—All Mroo*rv�ls t, Wor rnanship Shall Be in ' Accords",e i�n� r --n.0 P -Rices and Of a (�l!r.�:$+s rlreac^ ��n�! ,�lr `�� Cnp,!- 'Pr i I.1Se In the Uniformnce & Machanical Codes and the National Electrical Code. lid Phis $St of plans a s NtU-�1 bd <ept on tae For.) at a!! times and it is unlawful to maka any cJ: n9ss or : lt-:�rytiuns rnn;.r Nviti out _. z wrf'S�n parniiscon .from ilie Depwriment ;,# Works, County of Butte. �. 32'9. -73 9k permit will be required "for the installation of the mobilehome. Zt.. . IVB Ire ' II utilit Y connections c.lons shall be orated `within 4 ft. outside the rear thiel section of the mobile home i '!"� . on the left (road) side of th "'` .; ;r home. e rnobi le BUTTE COUN1 Y BUILDING DEPARTMENT APPROVED 40 s 141114rk7-117 '7e5 Thi Setback shall be 5 ft. from the side property line and 5o ft. from the centerline of the road. permitting a maximum of a 2 ft. eave averhnn' q. Septic system and location e - i rt to be as per Butte County Health, Dept. Re qu i rements. 6 `3yy AA //A,?&L v . 51 ny- zlib �1 Unitorm building, humaing & Nachanic Codes an O-82 ACRES � the National Electrical Code. - All utility ' connections shall Cie v N located within 4 ft. outside the rear s - - a th.rd section of the mobile home 30 NON- ExcwStvE I I on the left (road) side of the mobile` EASEMEN r fort RD oRov11 hE' gUINcY t�wY ` home. 8 UTILITY PURP05E$ " ChLE t I" - 5o' MADRONE N89°12`'Se"E 328.SLAKE this tet of plans and specific tions MUST tsar f Kept'on'the job at eN times and it is unlawf to 0' F}vfr.DtNG 1 t L Icharges e a o�c make any chznr s or alterations n sam.. Wit ut ETBAC I ' = i written parmisson from the Depa tment of Pubfis w Works, County of Butte. 15ALD ROCK Rn PARCEL .2 a I �� o c' - ., VILL I TO O Ro E I u 1.11 ACRES (° _ _ _15-5I d o of �Mf _ I= 1 "' N Septic system and location Wil_ � "zoo co ^ M _ ti� . ' - cV t to be as per I I The iWg. Setback shall be 5 ft. Trc the f - Butte County. Health Dept. Re -h i� :r, • a quirements, fi S m o side property line and 50 ft. fron o 2 N89•094�E 219. ( '—� N (centerline tf the road, permittinga mdi r M `� I num of a 2 ff.' etive overhang but a tirk �O'ut of all easements. _ AWS a N F I N 7H;S MAP . .� _e . :' •\ .�'M N \ ' S0� j�t11LDIN� o � � rpt DEEDED FZ/w PARCEL 1 I 3 • �a r CC! �KT 'SET BACK M 466�t7 W :� �\ � 0.55 ACRE$ i o o o p z n o N I I C 1 10 - - —j— u�, \ 38 �7'Crn1 coLn I I l o \ o ►v 46 s2'So"w $ I v1c1NITY Mho z \ / 5-70 7- Z _ z '22-0-06 tj ' \� N89.09'49"E 329.56'(M) N89•47'f6"►I✓ 32�.741CD) - - 5EE 0ETA IL"C"� , � 40.98 (M ) 13ASIS OF BEARING \� THE 13A9S OF BEARING OF THIS SURVEY 1S ZHE CALIro IIIA COORVINATE v 1466 O.R. 173 c SYSTEM ' ZONE Sh BETWEEN U.S,C & G.S. STATIONS "BALD ROCK'S AND M "BLOOMEI,� TAKEN A-5 NsG° 00'sz''w, -•s FD, 3/4" 1.P. L.S. 372a j1 33Q al CR) —a �-� 330.81 r GC►.GI (R) -�� �-- L EG EN D NOV06`4a"F- 1323.23'(R) • _ SET 3/q" l.a? L.$, 3625 �: _ g FR As No-r� J O j'7. DET ERM1NfiD ONLY N M - MEASURED PATi� Lo R AEC OFD AS PER 48 O.R, • 4 666.59' Nr -D. SE. COR. SE C. 34 zN e9* 00 �E 1333,tb (N 1" REeAR - .RC.F, 9092 MAF' OF A POR. or Y