HomeMy WebLinkAbout064-040-008Flo %,-4- 10 4 - 8
Ah�J,4,ebster
e
75 ecester Dr., lot 109, PPYU2 Maga
c Ni,
cle: Paradise Modular iConc., ara.
Permit #5920-79P,E(util
ELEC./o. --7-
GAS
SUPPORT STRIXTURE REQ. -7-Z�
4 -08
�'14wl uP 171 -64
ntr: aradise Modular Con ts-
Pe mit#5789-79mm
ISS
zz=; Z!
R Ru bster 64-04-8
75 Leic er Dr., lot 109,VP#12�,j, ga
I a
contr: Parad's �Moddlar Conc., 'a a
64 - 04-8
u ebs te r
c
75 Lei he e r Dr �o
c tr.
P r u
a ad .1
0 n is Mod
Permit #216-80B . E :,,pri.de
64-9�.-� V-
contr: Correia-..Go'nst.
5?r-"-80B(2 open e &D3 MH
Permit U-9
pq
a
h - W -E 0%
"15ERMIT NO. 216-80B,E
PERMIT EXPIRES
;�`OWNER Ruth Webster
Para.Mod.Conc.i Paradise
CONTR.
64-04-08
LOCATION (A.P.
75 Leichester Dr., lot 109,PP#12, Magalia
Temp. Power Pole
Called,PG&E — 1;1� -
Temp. Elec. Serv. '0000'
Called PGV&,,
Temp. Gas Serv.
Ca PG&E
B L
ED
(Date)
v "'j
(Signature)
Interior Lath
COUNTY OF, BUTTE — DEPARTMENT OF PUBLIC WORKS
BUILDING INSPECTION RECORD
Permanent
qUILDING", BUILDING (Cont'd)
PLUMBING
Setback i h,
/ Firewall
Soil Piping.
Forms
Parapets
Ist Floor
Main Bldg.
Restroom Finish
2nd Floor
Footings
Windows
3rd Floor
Sternwall
Siding
Topout
Slab
Roof Sheathing
Water Piping
Piers
Roofing
Sewer
Garage
Ir Fdn. Vents
Fixtures
Footings
Stemwa I I
A-1
-Garage Vents
Insulation
Water Htr.
Heaters
Slab
Carport
Footings
Prov. for p� sically
handlcappe.1
Conformance of ex.
structure
Appliances
Gas Piping & Test
Temp. Gas
Slab
Final
Sanitation
Patio
FIREPLACE
Final
Footings
Footing
it ELECTRICAL
Masonry Walls
Throat
Rou-qh
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
MOBILEHOME UTILITIET
Elec- Service
'Elec. Pedestal
Water Piping
Sewerl
Gas Piping
)ME INSTALLATION --------------
Support
Elec. Continuity
Wate� Piping
Drainage
Gas Piping
DA
REMARKS OR CORRECTIONS
V,
7�
kXotw
1 �T ltzrj��
Lj 6 10-
&Oov- '�
FZZ� 00i -i ID Gc. po L,6 aM44-,SG� D C,
(NOTE: An entry must be madellon this f rm each time you vis1t th
0 /41:t6ob �site�
Owner
Mailing Address
COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS
7 County Center Drive - Or ville, California 95965
'o
Teleph;ne: 534-4541
APPLICATION AND PERMIT
BUILDING
SQ. FT. I BUILDING VALUAITIONJ_4�
Fireplace I I
Mai I i ng Address�,/,.� Total Valuation . �iww
Telephone blo. 1,
I I (-"/) -7 - V<11 I I Permi LF-ee.— ?I ta*
Building Address 7r ;��
A. P. No& �-/ — 0 �/ — 6 �v . 1 9
F ' I vC. I
tslees Sa ion FireDept.1 FireZone Use Permit
EQA Parking c arcel
Plans I De laration I Parcel Map 1 60' R/W I Improvements
Bldg. Plans Rec d Parcel Appro!ol 1-T Plans Approval
NEW ADDITION UTILITIES OTHER
Single Family Duplex..�_] Mobil Home 1�� Othe
VNJ
CONTRACTORS LICENSE LAW
I am licensed under the provisions of Chapter 9, Div. 3, of the
StaWIf California Business & Professions Code under the name
W
ng Fee Vor Penalty I I
PLUMBING
PERMIT FILING FEE
Each Trao
Repair drainage or vent piping -
Water piping
Each gas water heater or -vent
Gas piping system 1 - 5 outlets
Each additional outlet
Bui'lding sewer
Lawn sprinkler system
Permit Fee
ELECTRICAL
PERMIT FILING FEE
Main service 600V OR LE SS
100 AMR OR LESS
Main service EA. ADD -L 100 AMR
Main service OVER 600V
100 AMP OR LESS
Main service EA. ADD -L 100 AMP
NEW CONST. I DWELLING OQC4%/N
$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
TS)l 12.50ea
Ex. OCCUD(OUTLETS OR FIXTIIPES BAL@1
FIXED APPLNS. OR
Ex. Occup.(OUTLETS (RESID.) EAJ 2.00
Temporary service 10.00
Mobile Home Facilities 15.00
Misc. Wiring 6.25
LJ I am exempt from the Contractors License Laws of the State of California. Permit Fee
MECHANICAL
WORKMEN'S COMPENSATION INSURANCE PERMIT FILING FEE
I am aware of the provisions of Section3700 of the California Labor Heatinci
Code which requires every employer to be insured against liability
for Wor an's Compensation.
or
"Iha e placed on file with the County -of Butte a certificate of
v
W W.
orkmen'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
" th ' presentatives of the County of Butte to enter upon the
z:nr on
-b',' �er'm tie ed p ty for inspection purposes.
Date
S gncture of �'e'rmitee orUgent
Re J*No. 4 (f 0"I
White-D.P.W. — Yellow -Assessor — Pink -inspector — Golden rod-Appi i cant
$3.00
FEE
FEE
"0
Cooling I I I I
Ventilation I I � I
Hood 1 1 2.001
Permit Fee $
Land Development Fee $
TOTAL PERMIT FEE ss -Y
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.
DIRECTr)OVUBLIC WORKS 7 -
By— Date -/---Z
)ermit expires Date Z-1 7-ePI
/1
1955-80B
PERMIT NO.
PERMIT EXPIRES.
Ruth Webster
OWNER
CONTR. Correia Const.,'Paradise
LOCATION(A.P. 64-04-8
75 Leidp-ster Dr., lot 109, PP#12, Magalia
Temp. Power Pole
Called PG&E
Temp. Elec. Serv.
Called PG&E
Temp. Gas Serv.
Called PG&E
JOB
FINALED
(Da!e
(Signatulte)
COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS
BUILDING INSPECTION RECORD
BUILDING
BUILDING (Cont'd)
PLUMBING
Setback
Firewal
Soil Plpinq
Forms,--� —6
Parapeii
1st Floor
Malh Bldg.
Restro4 Finish
2nd Floor
Footings
Windowsl
3rd Floor
Stemwa I I
Sidino
Topout
Slab
Roof She4thing
Water Piping
Piers
Roofing I
Sewer
Garage
Fdn. VenA I
Fixtures
Footings
Sternwall
Garage VeAts
Insulation,
Water Htr.
Heaters
Slab
Carport
Footings
Prov. fo,r phAlcally
handica ed ]�
Conforma of ex.
structure -77 I
Appliances
Gas PIPInq & TeAl
Temp. Gas
Slab
Final -S-71F/FQ�—
Sanitation
Patio
FIREPLACE
Final
Footinas 4%— 7 —4
Final
FIRE
Test
Final
ELEORICAL
Rough
Fixtures
RS Motors
Water Htr.
Subpanels
Mesh CHANICAL Grd. Fault Prot.
Scratch Heating Service
Brown Cooling Ternp. Pole
Finish Ducts Underground
Interior Lath Ventilation —:A Permanent
Door Closer Final Final
MOBILEHOME UTILITIES ------------------- Elec- Service Elec. Pedestal
Water Piping Sewer 7 Gas�Piping
W2§ILEHOME 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 — DEPARTMENT OF PUBLIC WORKS
7 Cdbnty Center Drive - Proville, California 95965
534-4541
APPLICATION AND PERMIT
Q
BUILDING :4' L ---
Owner
SQ. FT. OCC. BUILDING VALUATION
5 &
Mailing Address
Telephone No.
Contractor
Mai I ing Address /0
Fireplace
Total Valuation
lephone No.
Permit Fee
Building Address -7 �E
��an Checking Feel/or Penalty
Permit Fee $
PLUMBING No.1 @ FEE
PERMIT FILING FEE J$3.00
Each Trao 1.50
Repair drainage or vent piping 1.50
A. P. No.
.7-1
ZA
oning & Planning
Water piping 1.50
Each gas water heater or vent 1.50
Fjp< I
%Z. Sanifflkn FireDept.1
FireZone
I Use Permit
Gas piping system 1 - 5 outlets 1.50
EQA
I Parl�,_nff
Plans
_15-arcel
I Declaration
I Parcel Map
60' R/W
Improve Tts
Each additional outlet .30
-
Building sewer 5.00
Bldg. Plo�Rec'd
ApprovalA
V
Plans Approv I
Lawn sprinkler system 2.00'
___Larcel
NEW ADDITION UTILITIES OTHER
Permit Fee $
i$
ELECTRICAL No. @ FEE
V2
PERMIT FILING FEE $3,00
600V OR LE
Main service 100 AMP ORSLESS 5.00
Single Family Duplex Mobi I Home Er Others
Main service EA. ADD -L 100 AMP 2.50
OVER 600V
Main service too AMP OR LESS 25.00
Main service EA. ADD -L 100 AMP 1.00
NEW CONST. DWELLING Occup. N)
OR ADONS. ( ACC. BLOGS. 20sq ft
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:
ao_ C-7 4'
N r�W CONSTP_ ULTI-OUTLET
NO.-RESI., (MBRANCH CIRCUITS) 12.50eal
NEW CONSTR. W R APPARATUS a I
I (PO E
NON RES D. SINGLE OUTLET CIR.
Ex. Occui)(OUTLETS OR FIXT11PES) 5BOA@L ;7)
Ex. Occup. ( FIXED A P PLNS. OR % 2.001
OUTLETS (RESIO.) EAJ
Temporary service 10.00
A_� /L9
Mobile Home Facilities 15.00
License No. Classification
2-
Misc. Wiring 6.25
I am exempt from the Contractors License Laws of the State of Cal ifornia.
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.
certify that in the performance of the work for which this
plermit 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 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 oi the County oi Butte to enter upon the
above-mentioned property for inspection purposes.
/ Al
X_ t—,� UAe,� 'r Date
Si4nature of Permitee or Agent
Receipt No. 3 31 Z-1
White-D.P.W. - Yellow -Assessor - Pink -Inspector - Golden rod-Appli cant
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
BY 91!� ""I -J2-,P �_Date dq-7-�27--PO
BOding permit expires Date — z1_ 7-9-
5920-79P,E'
PERMIT NO.
PERMIT EXPIRES. C)
Ruth Webster
OWNER
CONTR. Paradise Modular Conc., Paradise
�LOCATION (A.P. 64-04-8
75 Liecester Dr., lot.109, PP#12, Magalia
Temp Rower Pole
Ca,led PG&E
T*11 Elec., Serv.,'�;;'/
a I I e d P G & E X -L 2 -4, A!t,
;C
Temp. Gas Serv.
-
Called PG&E
OB
INALED
(Date)
(S
COUNTY OF.RUTTE DEPARTMENT OF PUBLIC WORKS
BUILDING INSPECT109 RECORD
BUILDING \ BUILDING (Cont'd) A . PLUMBING
S11back FlXwalI \oil Piping
FoAs Parakets —1 \1st Floor
MdXp Bldg. Resir m Finish �vd Floor
FXpt in gs Window f A Floor
Ste wa I I Siding Topo
Slab\ Roof SheaihJng Water hping
Piers Roofing Sewer
Garage Fdn. Vents Fixtures
Footincis\ Garage Vents Water Htr.
Sternwall Insulation Heaters
Slab Prov. for physical Appliances
Carport handicapped
Conformance of ex. Gas Pip no & Tht
Footings V structure V Temp. Gas
Slab Final Sanitation V
Patio
FAEPkA-- Final A
Footinas Footing EWtCT)kICA
Masonry Walls Throat Rough
Reinf. Stee Final Fixtures
Bond BeV N A -IRE SPRINKLEE!!N Motors
Framinq Test N Water Htr.
Stucco Final Subpanellf
Mesh/ MECHANICAL Grd. Fait Prot.
Scr ch HeatIrA Servi
Briwn CooAg Tq(hp. Pole
Finish D is ground 12,12 2
InArlor Lath VAntilation ermanent
90. r Closer - Inal �Ina I
MOBILEHOME UTI LITIES ------------------ Elec- Servic!2,—,,, Elec. Pedestal
Zter Piping Z �41s q -1 �- Sewer Gas Piping
M0616E_UOME INSTALI-8jJON ---- ----- Support Elec. Continuity
Water Piping ;7L ,ffJ Drainage Gas Piping
DATE REMARKS OR CORRECTIONS
(NOTE: An entry must be made on this form each time you visit the job site.)
I .
MOBILEHOME INSTALLATION -INSPECT N CHECK LIST
Is the mobilehome located with equired separation from lot lines and buildings and generally
conform to plot plan? Yes � �110
2. Does the mobilehome have -required clearances above ground? (Sec.5085) Yesc--,"No-
3. Are footings and supports properly sized, spaced, and braced as per approved plans? (Note
possible variation4at spring shackles.) (Sec. 5082 & 5083) Yes
4. Is t�e mobilehome level? (Sec. 5088) Yesc--'No
5. If more an a single unit, are crossover connections properly installed? (Sec. 5088)
Yes No
.6. Water
A. Is flexible connector of adequate size and properly installed (1/211 ID min.)? (Sec. .5566)
Y e s 0
B. Test Does water piping withstand working pressure or 50 lbs. air test? Yes 4�-No
Sta
C. Backflow - If coach is not sA ooifornia'approved, does station have backflow device
-and pressure -relief valve? Ye
7. Wastes and,Drains
A. Is conne ction made with Schedule 40 DWV and have flex connectors at each end? Yes 1,�No—
B. Do'es it have minimum -14" per foo.t slope and is it properly supported? Yes c,---N0
C. Are any leaks detected in drainage system after running 3 llons of water through each
fixture including washing machine standpipe? Yes_ No
D. If coach is not Sta 0 *forniaapproved, does station have required trap and vent?
Yes— No
8. Gas Piping and Gas;Vents
A. Connector Is mobilehome connec, d to the gag supply with an approved 3/4" minimum
mobilehome connector not more th n 6 ft. long? Note: All piping is to be at least as
large -as the mob�ehome ks lin inlet without reductions other than the mobilehome
connector. Yes No
B. Test OK as per T
g proc ure? 14q,� 1 No
connec r valv4/s .-T
1. Open all apoljance�! to
2. Shut off a pli nc burne and p
ff a I b rn
3. Air test ith m ometer to 10" 4'-' ater column, or test'with slope gauge (minimum
po
6oz.-max* um 8 c/aibrate in t nth pound increments. Test for 10 min. without
drop.
4. Connect gas.meter to obilehome with -connector, turn on gas, test connections with
soapy /,ater. j /
C. Are all appliance vents properly installed? Yes No.
9. Electrical
A. Is service large enough to provide adequate,amperage-to mobilehome (must equal rating of
mobilehome with a minimum of 100 amp),'and'other facilities on' lot,--i.e., water pumps,
garage, cabana, etc.? Yes J-�No
B. Is there proper clearances around panels? Yes &,-"No
C. Is power supply'cord or feeder assembly properly fused? Yes
D. Is continuity test satisfactory as per the following procedure? Yesl-__�_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.
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 procedurej 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. I
10. Is job card signed by Health Department for water and sanitation?
11. If everything okay, sign -off card and tag services.
I
MOBILEHO14E DATA r- / -F -7 5�
Manufacturer and/or Namestyle r5--01_JCW 6rlm - 0,31! -2
Lengt Width
Vehicle Serial No.
State Identification No. . J1684q
Additional Information or Comments: _F
CQUNTY 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 ements
of the California Administrative Code, Title 25, Chapters, =permit
number for the following location:
— 7 ];W. mwe_-104 ;a
Owner Lo ale
Owner's Address
Mobilehome Mfg. 4-�-'SZ—Model r"44 -,614-4,Year '79
Insignia No. /4 $?V4 4 9- y ii 5? Serial No. C-,
It is hereby certified for occupa:ncy at the above described location and
may be occupied.
Director of Public.Works
y
Date 7,
[,00� 01 -.0
THIS CERTIFICATE IS VOID WHEN MOBILEHOME IS RELOCATED
White - Owner, Yellow - Installer, Pink - D.P.W.
COUNTY OF BUTTE
DEPARTMENT OF PUBLIC WORKS
695 bleander Avenue. Chico — Phone 343-4211, Ext. 70
7 County Center Drive, Oroville Phone 534-4541
Skyway and Elliott Road, Paradise Phone 877-3435
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 cont Wthls office Immediately.
-110
5 7-efile-5 4� L j ter -d Lg � —/A J'
(120 V-1-2:
yp��Wm/' 7-3 t 1404
Inspector Date ---)Q7—//
4
COUNtYOF_BUTTE - DEPARTMENT OF PUBLIC WORK
7 County Center Drive - Oroville, California 95965
Telephone:"534-4541 5-9,�2,0-7(9
APPLICATION AND PERMIT K,
authorize representatives of the County of Butte to enter upon the
above-mentioned property for inspection purposes.
Date
n,
Signature of Permite, or A7g—e
eceipt No. 2qa!n�
White-D.P.W. Yellow-AS3essor — Pink -Inspector — Golden rod-Appl i cant
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.
DIRECTORAF PUBLIC WORKS
B v Date
R i I�l ng permit expires Date IT/ - po
BUILDI9G
Owner klE&
SO. FT. OCC. BUILDING VALUATION
Mailing Address
777,77/
Telephone No.
-1-1
Contractor
Mailing Address
Fireplace
Total Valuation
TdcLphon
Permit Fee
Building Address Z,6,r s- 572clef_
PlanChecking Fee&/orPenalty
Permit Fee
$
PLUMBING No. @ FEE
PERMIT FILING FEE $3.00
Each Trao 1.50
e
�epair drainag or vent piping 1.50
A. P. No. ddo
ng
Zonirig & fIll9i Eg
Water piping 1 1.50
Each gas water heater or vent 1.50
Fksl
WCA..
tinn FireDept.1
FireZone
I Use Pegit
Gas piping system 1 - 5 outle 1.50
ts
EQA
I Parking
P ians
Parael
Declaration _L
Parce/lap
_ _
1 60' R/W
I Improverne
-
Each additional outlet .30
Building sewer 5.00/010
Bldg. Pla ns 4W
1/ 017
I Approv
P I an s 4.�,
pproval
Lawn sprinkler system 2.00
I
___.Earcel
NEW ADDITION UTILITIES OTHER
Permit Fee $
ELECTRICAL No.1 @ FEE
PERMIT FILING FEE J$3.00 -3 &b
Main service 600V OR LESS
100 AMP OR LESS 5.00
Single Family Duplex Mobi I Home Others 0—
Main service EA. ADD -L 100 AMP 2.50
OVER 600V
Main service 100 AMP OR LESS 25.00
Main service EA. ADD -L 100 AMP 1.00
NEW CONST. DWELLING OCCUP.
OR AODNS. ( ACC. BLDGS. 20sq ft
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. (MULTI-OUTL T
NON RESID, BRANCH CIRCUITS)i 12.50ea
NEW.CONSTR. (POWER APPARATUS
NON RESID. SINGLE OUTLET CIR.
Ex. OCCUII(OUTLETS OR FIXTIIRES 580A�L" @251'00
FIXED APPLNS OR
Ex. Occup. (OUTLETS (RESI*D.) EA) 2.00
Temporary service 10.00
Mobile Home Facilities 15.00
V.
License No. _-Q?&322/ Classification
Misc. Wiring
_�.25
-4
E] I am exempt from the Contractors License Laws of the State of California.
Permit Fee $ -6p
-.6Z
MECHANICAL N0.1 @ FEE
WORKMEN'S COMPENSATION - INSURANCE
I am aware of the provisions ot Section3700 of the California Labor
Code which requires every employer to be insured against liability
for Workmen's Compensation.
rNA 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 1 1 2.001
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
$ 2AS-
TOTAL PERMIT FEE
R
authorize representatives of the County of Butte to enter upon the
above-mentioned property for inspection purposes.
Date
n,
Signature of Permite, or A7g—e
eceipt No. 2qa!n�
White-D.P.W. Yellow-AS3essor — Pink -Inspector — Golden rod-Appl i cant
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.
DIRECTORAF PUBLIC WORKS
B v Date
R i I�l ng permit expires Date IT/ - po
COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS
7 County Center Drive — Oroville, California 95965
Telephone: 534-4541
APPLICATION AN11PERMIT
BUILDING
Owner
_r
SQ. FT. Occ. BUILDING VALUATION
Mailing Address
T lephone No.
Contractor la Uf 6�1
N cag;�
—
Mailing Addres's f
iKyll 13. 3, k
Fireplace
Total Valuation
Tel hon
_y
Permit Fee
Building Address
PlanChecking Fee&/orPenalty
1
Permit Fee $
Aa CA
PLUMBING No @ FEE
PERMIT FILING FEE $3.00
Each TraD 1.50
Zo, )o
Repair drainage or vent piping 1.50
A. P. No.
116Z.1ing & Planning
Water piping 1.50
Each gas water heater or vent 1.50
44-5-1
W< qw,+�J
FireDept.
FireZone
Use Permit
Gas piping system 1 - 5 outYets 1.50
EQA
IParking
Pians-
Parcel
Declaration
I Parcel Ma
60' R/W
I lmprovern!2.��
Each additional outlet .30
Building sewer 5.00
Bldg. k.`n. Rec'd I
0'
Atoor0000val
"r
PlansfA'pep ovol
Lawn sprinkler system 2.00
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NEW ADDITION [] UTILITIES OTHER
Permit Fee $
d7l-? e-
ELECTRICAL No.1 @ FEE
PERMIT FILING FEE $3.00
600V OR LESS
Main service 100 AMP OR LESS 5.00
Single Family [J DuplexE] Mobi I Home Others E]
Main service EA. ADD -L 100 AMP 2.50
Main service OVER 600V
100 AMP OR LESS 25.00
Main service EA. ADD -L 100 AMP 1.00
NEW CONST* (DWELLING OCCUP. N
OR ADONS. ACC.BLDGS. �20sq ft
CONTRACTORS LICENSE LAW
I am licensed under the provisions of Chapter 9, Div. 3, of the
State of California usiness & Professions Code under the name
style of:
NEW CONSTR- -OUTLET
.ON.RES'.. (MULTI
CIRCUITS 12.50ea
_BRANCH
NEW.CONSTFL (POWER APPARATUS &
NON RESID. SINGLE OUTLET CIR.
@ —
Ex. OCCUD(OUTLETS OR FIXTIIRES 5BOA L 2@51004
Ex. OCCUp. ( F1 XED AIPLNS OR
OUTLETS (RESI*D.) EA) 2.00
Temporary service 10.00
Mobile Home Facilities 15.00
44
License No Classification I,
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 ot Section3700 of the California Labor
Code which requires every employer to be insured against liability
for Workmen's Compensation.
Ehave placed on file with the County of Butte a certificate of
r'workmen's Compensation Insurance.
E] 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
authorize representatives of the County of Butte to enter upon the
above-mentioned properW)for inspection purposes.
V47 Date
X Z, W 1: t�' 2 (-?// 1 /7 � ?
ignature of Per ee r Agent
Receipt No . 7
White-D.F w-A—e—or Pink -inspector Golden rod-Appli cant
MECHANICAL No. 0 FEE
T
PERMIT FILING FEE $3.00
Heating
Cooling
Ventilation
Hood �.00
Permit Fee h3e., A/tfxg-JOX,�-
Land Development Fee
I$
TOTAL PERMIT FEE
Is o 41
This permit is hereby issued under the applicable provisions of
the Butte County Code and/or resolutions to do work indicated
a bove ave bee
r which fees h t n paid.
D F PU IC WORKS
3&4 A/ 6a/ a
Bi te
- —/ 1 —,3 Ci
Building permit expires Date
BUTTE COUNTY DEPARTMENT OF PUBLIC WORKS
County C.enter Drive, Oroville, CA.
PHONE: 534-4541
MOBILEHOME INSTALLATION SHEET
1.
Owner's,name:
2.
Installer's name: /7- rd e) 1116 J-
C,
.31.
Is the site currently�under permit? - Yes
No
(If yes, furnish,permit number
OR
Is the site an existing site? Yes
No /X
(If yes, f�rnish two (2) plot plans.)*
4.
Will the mobilehome be.located at least 5 ft.
away from septic tank
and ieach
fields and
clear of all setbacks and easements? Yes
/>C/ No
(If no, clarify
5.
What is the mobilehome electrical rating? -----------------------
Amps
6.
What*is the mobilehome site service rating?
----------------------
Amps
7.
Wha t is the mobilehome site circuit breaker
rating? i ------------
Amps
8.
Is there any other electric loatd to be served
by the mobilehome-
siteservice? --------------------------------
7 ------------------
Yes
No 777
(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? ----- 1 ------------------------
(BTU)
(This information not required if pipe
length less than 6 ft. on natural
gas
or less than 50 ft. on LPG.)
BUTTE COUNt,
BUILDING DEPARTMENI
..A.PPROVPD
MOBILEHOME SUPPORT DATA
If other than�single wide
Mobilehome Mfr.- furnish Setup Model,No. 44
Year &
Width Box Length (ft.) Tagalong or Expando Size ft. x ft.
Xft.)
(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
(ft.) (in.)
(in.) (in.)
mobilehome
unless otherwise specified.
(ft.)(in.)
Max. Overhang
Footings (check one)
Single
(in.)J(in.)
1.
Wood either
13-6 � .3
A- A
pressure treated or
foundation grade.
x3Q]
(ft.)(in.)
(in.) (in.)
2.
Other (specify)
Center support
Center support
locations*
footing sizes
Supports (check one)
(in.)
Concrete block.
F 7 __7 -0 1
2;
Other (specify)
(ft.)(in.)
(in.) (in.)
<-Tagalong or Expando,
show -support details.
F/T
(ft.)(in.) (in.) (in.)
14 x,301 Typical Support
in. ) ( in Footing Size
lop 7�) fli � aliE
*If q ' enter piers are other*than drawn above,
draw in. -locations. si)acinp-. and dimensions.
(ft.) (in.)
(in.) (in.)
Max. Pier Spacing
(ft.)(in.)
Max. Overhang
(in.)
(in.)J(in.)
(f tf
13-6 � .3
lop 7�) fli � aliE
*If q ' enter piers are other*than drawn above,
draw in. -locations. si)acinp-. and dimensions.