HomeMy WebLinkAbout064-040-023-S jr
64-04-23
Robert -Pe6rson
(,Iy--'*@ Bridgep, rt Cir. , lot 98, PP#12,
Magalia
contr: J. T. McGregor, Aara
Permit #701- MP,E(uti
ELEC
GAS
SOPPORT STRUCTURF,�, REQJ. VA -,4D
COMPACTION' TEST R;EQ I
el -00'- 4:�4
Contr-: -S-OS- DM Chico
P]Ermi�`�4
*1374-79MHI
IsZed'
-4-'�--64-04-23
----------
-------------------- 1
on ierra Mobile Serv., Par
Permit #1555-79B(new deck/MH)
64-04-23
OWNER
;ff PLE N
1, 461�4B idgeport,--.lot-.q8,,,_pp#L2
. --Ma-ga,
Contr: Mari.John Const
Maga1ia
Permit#3432-82B(inst�ll slab & walk und
er existing carport
CZ)
I - I
PERMIT NO. 3432�-82B'
PERMIT EXPIRES zm
OWNER R. PLEBAN
CONTR. Mari -John Const., M�galia
ASSESSOR PARCEL 64-05=23
LOCATION 14614 Bridgeport, lot 98, PP#12
Magalia
Temp. Power Pole
4
Called PG&E
I i Temp. Elec. Service
Called PG&E
Temp. Gas Service
CalledPG&E
JOB FINALED (Date)
Signature
OK
0 = Not OK
- = Not Applicable MOBILEHOMES MISCELLANEOUS
= Not Ready
Da te
MOBILEHOME UTILITIES (Plans) OK except #'s
1. Zoning Requirements -Setbacks -Easements
Date
DECKS, COVERS, CARPORTS, ETC. (Plans) OK except #'s
1. Zoning Requ i rements-Setbacks- Easements
2. Soils; Special MH Support -Sketch
2. Footings; Size -Depth -Spacing -Connectors
3. Sewer; Location -Test -Fall -C/0 -Concrete
3. Decks; Girders and/or Joists -Decking -Bracing -Stairs -Rails
4. Water; Location -Test -Easement Needed (Sketch)
4. Wood Awn.; Posts- Beams-Rftrs.-Connec.-Shthg.- R fg.-Brac i ng
5. Electricity; Location-Clearances-Grnd.-/ / Amp -Concrete
5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures
6. Gas; Location -Test -Wrap: / /'.'L"ft./ Nat. or/ /"L"ft./ LPG
--.---
6. Carports; Windows -Doors
7. Utility Clearance
7. Elec.
Card -BI
Date Card -BI Date
Card -BI
Date Card -BI Date
Card -BI
Date
Date card -B -I Date
MOBILEHOME INSTALLATION (Plans) OK except #'s
1. Zoning Requirements -Setbacks -Easements
Card -BI
Date
Date Card -131 Date
POOLS (Plans) OK except #'s
1. Setbacks -Easements
2. Footings; Size -Spacing -Marriage Line
2. Soils: Compaction -Structure Stability
3. Gas; MH Test -Demand -Valve -Connector
3. Pool Structure; Steel -Connections -Thickness -Dead Men -Lining
4. Electricity; MH Test -Crossovers -Breakers -Clearances
4. Elec.; Receptacles and Lighting; Distances-GFI
5. Drain; MH Test -Fall -Flex Connector
5. Elec.; Pool Lighting; 15 volts-GFI
6. Water; MH Test -Regulator -Connector
6. Elec.: Enclosures; Conduit Entries -Terminals -Listed
7. Water and Sewer Connected -C/0 to Grade -HD Approval
7. Elec.; Bonding; Metal w/5' -Circulating Equipment -Heater
8. Gas and Electricity Tagged
8. Elec.; Grounding; Equip. w/5' -Circulating Equip. -Pool Lghig.
Boxes- Enc I osures- Pane I boards- Ins. to Main in Conduit
9. Exits; Insp.-Sketch
10. Cert. of Occupancy
9. Health Department Approval
10. Plumb; Cir. Test -Water Supply Test
Card B -I
Date Card -BI Date
Card -BI
Date Card -BI Date
Card B -I
Date Card -BI Date
Card -BI
Date Card -BI Date
%/ = OK
0 = Not OK
- = Not Appl icable
* = Not Ready RESIDENTIAL (Sih'gle and Duplex)
Date
UNDR!fLOOR
(Plans) OK except#'s
Date FRAMING (Cont*n,,Pd
1VZoning
requi'rements-Setbacks-Easements
4r.--Prop��ine
Firewall & Openings
2.
Fjg., Main; Soils-Steel-Elec.-Grnd.- Ftg. Depth
494re�.
Doors -One 3' -Check Garage -3rd story, 2 exits
V.-,Ftg.,
Garage; Soils -Steel- Ftg. Depth
Heaciroom-R ise-Run-Land i ng -F ire Protection
'u "' _'
4.
Ftg., Porches & Decks; Soils -Steel- Ftg. Depth
5Z,�I�YAPW
on Roof Overhang -Attic Vents -Rafter Outriggers
5,
mwalls, Main; Steel-Blockouts-Wrapped-Slab
5
iding-Nailing-Veneer
Sternwalls, Garage; Steel-Blockouts-Wrap�6d-Slab
53:
Vtucco Mesh -Drip Screed-Fdn. Vents-UnderfIr. Access
7.
Piers -Fireplace Ftg.-Steel
54.
NI azing Area -Glass Protection -Skylights -Plastic
8.
D.W.V.: Fall -Fittings -Test -2 way,C/0-Sewer Test
55.
SNar Walls; Nailing -Bolts
9. Gas Pipe; Size -Anchors
10.
Water Pipe; Test-Anchors-Regu lator-Sery ice Test
11.
Electric; Underground
12.
13.
Plenums & Ducts; Clearance -Material -Support -Ins.
Girders -Sills -Anchor Bolts -Joists -Vents -Cripples,
Q
Card -BI K4
Card -B/' V
-DatUXZS,,�R Card -BI Date
Dat4'�' Card -B I Date
Card -Bl,
Date Card -BI Date
Card -B I
Date 7101 77 Card -BI Date
Date Fl�
(Plans) OK except #'s
Card -BI Date ' to Card -BI Date
Date
PLUMBING (Permit) OK except #'s
14. Water Ht.; Vent- Access -Combust ion Air
15. Water Pipe; Test & Anchors -Nail Protection
5V Ext. Steps -Door & Sidelight Protection -Landings
5Z_.&Rveic%�,etector
58. u learance-Comb. Air -Connector -
In Garage; Above Floor-Ducts-Mech. Protection
16.
D.W.V.: Test-Fttngs & Anchors- Nail Protection
5&___0_h`0�g__
___17.
Shower Pan; Test, First Floor -Tub Access
_aQ__CZ-A_&-Beth-Fixtures
_aL_Z46_+"m_&_8Tj6paneI;
& Tub Access
Breaker Sizes -Labels
18. Test Tub ower, 2nd Floor -Tub Access
Gas Pipe; Si & Anchors
Stove; Clearances -Hearth
Wood Panel: Int. & Ext.
Card -BI
Date Card -BI Date
�.p�plance; Grnd.-Air Gap -Cooking Clearance
Card -BI
Date Card -BI Date
_.fi6_.&4ee-enTMM
& Receptacles at Kit. Counter
Date
1
ELECTRICAL (Permit) OK except
"-6;1.
ea.mv. F TT765r; Swing -Land ing-C loser
_ad__A_C_.D"et-hT-Garage-Damper
20.
Fixture & Transformer Clearance -Ins. Protection
4,22.
i 16i
Wtr,=__Vaato-CIearance-Comb. Air-Connector-P.R.V.-
In Garage; Above Floor-Mech. Protection
21.
Elec. R eptacles Spacing -Lights & Switches at Doors
Z4-
e E7c& M �&c h. Equip. Listed for Location
Faleev Receptn"s in Garage; (G.F.I.)-Romex Protec.
22. Size BoxXs & 'No. of Conductors -Stapled
23. Romex InsXalled Close to Edge of Studs & C.J.
24.
Equip. Gro nd made up w/Mech. Fasteners -Bond Gas & Water
on- Foam- Looked in Attic 0 Yes
s�eck Construct ion -Post Caps
25. 2 Applianc(A ircuits in Kitchen & Conductor Size
26.
Subfeed Wir S ze ga. Cu or A]-A.C. Wire Size ga. Cu or Al
74.
--Looked
Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance
under Floor _7[TYes
27.
Range Circ. ga. Cu or Al -Oven Circ. ga. Cu or Al,
Insulated Ne�ral E]Yes E]No
75.
Following inAq,,��Drive [3 Yes
Planters 01es , E) No jQkItTo; Walks El Yes tnTo;
28.
Service-Ris s & Ground -Main Disconnect
co- Brown -Finish
29.
Equip. Clea Is-Motors-Mech. Equip.
A���connect-Clrnces-Brkr.
I
& Cond. Size -115V Outlet
30.
Clothes Closet Light -Shower Light
-q&. --7e-7__A'F-
n s ove Roof; Plbg.-Appliance-Firepi.-Clearance to Opngs.
-il�aterWll;
Disconnect, Electrical, Plumbing
Card B -I
Date Card -BI Date
-Date
__8Q_-E*teiitr-EIec. Trim; G.F.I. Receptacle -Underground
84,Vm-lation throughout House
Card B -I
Card -BI
'�'�Proection
ctons from Previous Inspections
t®rres
Date
MECHANICAL (Permit) OK except #'s
Gas Test -Meters Tagged; Gas -Electric
31.
A.C. Ducts; Insulation & Support
85."A�er
H
& Sewer Connected -C/O to Grade- D Approval
33.
Ve. Fan; Exhaust above Insulation
Con nsate Drain & Overflow; Size & Grade
86.
Energy Compliance Certificate -Other Certificates
34.
Furn e-Ve t; Access -Comb. Air -Return Air Vent -115V outlet
--35.-Attic-
ccess &-Platform if -Furnace in Attic
�A�- -
Card -BI
A4 oc
Card -Bl'
Date, �O Card -BI Date
\.Date-/ Card -Bl Date
Card -BI
Car -E�17__
_____D_at_e
__._
_'__C_ardBI__ -Date
Dat_e_____' -a-r _d6 Date
Card -BI
Date Card -BI Date
Date
FRAMI
-1 �2(plans) OK except #'s
Comments at Final:
, Proper Material & Anchors
38 ---
W11
al�lCs; Studs -Nailing, Spacing & Bracing -Plates -Sound
&eerM§7MIIs over Girders & Floor Nailing
(rat proof)
t t ops Fur
top ; Furred Ceilings -Stairs -Chases -Tub
45
43.
-*r.--rTre-Pra-ce__T,6-s
--2M
& Beam
Heaid_e�r-Size & Bearing
-c '-s
r -Pos-t ap , -Anchors-Con-nec-tors
CIng. Joist-Rftr. Ties-Purlin -Roof Brac.-Truss-Shthng.-Rfnq.
or Type A Flue -Fireplace Throat
Size & Romex Protection -Draft Stop -Ins. Baffles
rm. ';V��
or r
= xiting Doors -Sill Hgt. & Dimensions
�'5age Fire Protection Framing
(NOTE: Anentrymust be made each time youvisit jobsite)
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS,
7 County Center Drive - Or�ville, California.,95965 - Telephone 916/534-4541
1
APPLICATION AND PERMIT
PERMIT NO.
ASSESSOR PARCEL NUaER
L Q- 04 -
IL a
BUILDING PERMITff/ V/
OWNER
R. Pleban
TELEPHONE
SQ.FT. OCC. BUILDING VALUATION
OWNER'S MAILING ADDRESS
CONTRACTOR'S NAME
Mari -John Const.
NXXX
TELEP HONE
3_
87 -111J08
(a 17L
CONTRACTOR' "S"FA-ATILING ADDRESS
-P-0. Box 759, Magalia, Ca. 95954
Fireplace
CONSTRUCTION LENDER
NONE
rNANOWN
Total Valuation $
-0
-X6(4-
I
Filing Fee
$ 10.00
LENDER'S MAILING ADDRESS
Permit Fee
ARCHITECT OR ENGINEER
LICENSE NO.
Plan Checking Fee
$
Penalty
$
ARCHITECT OR ENGINEER's MAILING ADDRESS
Permit fee
$ 'I;—
BUILDING ADDRESS
14614 Bridgeport
PLUMBING PERMIT
FilingFee 10.00
Magalis-�, Ca. 95 1 954
Each Trap
1 2.00
—
Repair drainage or vent piping
5.00
Water piping
LOT NO.
SUBDIVISION NAME
RIP
L MAP
Each qas water heater or vent
5.00
Gas piping system 1 - 5 outlets
USE OF STRUCTURE
SF El DuplexF] Mobilehor�eF_l Other garage
SPECI FY
Building sewer
Lawn sprinkler system
5.00
TYPE OF WORK
NewF1 AdditionEl Remode 10 UtilitiesE:l Instaliatior,E] Other n
Descri.be work: alteration
a4A4 ba/ 41eIA-,
Permit Fee
$
Contractor
ELECTRICAL PERMIT
Fi ing Fee 10.00
Main service 1100V OR LESS
100 AMP OR LESS
5.00
oe .4
Main service EA. ADD -L 100 A MP
2.50
-
NEW CONST. I DWELLING 0
OR ADDNS. % ACC. BLDG SYA, 11)
20 sq it
7 1
CG(NTRACTORS LICENSE LAW
I declare under penalty of perjury (check one):
121 1 am licensed under provisions of Chapt. 9, Div. 3 of the Business
and Professions Code and my license is in full force and effect.
License Noi_3305% Classification B
El 1, as the owner, or my employees with wages as their sole compen-
sation, will do the work,and the structure is not intended or offered
for sale. (Sec. 7044)
I, as the owner, am exclusively contracting with licensed contract-
ors. (Sec. 7044) -
I am exempt under Sec.—, Business and Professions Code
for this reason
N E W_C__0_N__5_TR_(= T I - 0 U T L� E T
No N.RESID, BRA NCH CIRCUITS) 2.50 ea
NEW.CONSTFL (POWER APPARATUS.&)
NON RESID. SINGLE OUTLET CIR
Ex. OCCUP(OUTLETS OR FIXTURES 50 @ 251
BAL01100_
( OF IUX E D AP LNS. OR
Ex. Occup. TLE T -S P(RESID.) EA.) 2.00
Temporary iervice 10.00
Mobile Home Facilities 15.00
Misc. Wiring 7.50
I
Permit Fee $
Contractor
MECHANICAL PERMIT
Fi I ing Fee 10.00
WORKMEN'S COMPENSATION INSURANCE
I declare under penalty of perjury (check one):
F-1 The permit is for $100-00 (valuation) or less.
rA I 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.
F-1 I shall not employ any person in any manner so as to become subject
to the W. C. laws of California.
Notice to Applicant: If after making this statement, should you become subject
to the W. C. provisions of the Labor Code, you must forthwith comply with such
provisions or this permit shall be deemed revoked.
Heating
Cooling
Hood
3.00
Ventilation
Permit Fee
S
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 County of
Butte to enter upon the above-mentioned property for inspection purposes.
a fa and e�)harmless the County of Butte against
Is r t , n ich may in any way accrue
s� e!_�
a '19 tj e e. en
ag ai aid of this permit.
X Date 11-18-82
Signature of Applicant - Owner El Contractor M Agent
An OSHA permit is ryuired for excc tions over 5'0" deep and demolition or construct-
ion of structures over stories in heiWo-t
Mobile Home Installation Fee $
TOTAL PERMIT FEE $
OCCUI]ROUP
'I
I TYIF OXTT*
V
PA7L
-7p-
ISSUE
This permit is hereby issued under
sions of the Butte County Code and/or
work indicated above for which
DiRECTO,"F PUBLIC
Bv Z.-
PEPdkE�PIRES' Date-
the applicable provi7
resolutions to do
fees have been paid.
WORKS
Date 2_
Receipt No.— k:2 2-91
WHITE-D.P.W., YELL!!��l :E----P-cT0-I, .01.E.R..-.PPLI CANT
eCOUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS - BUILDING DIVISION
7 COUNTY CENTER DRIVE - OROVILLE, CkbkAIA 95965 - TELEPHONE: 916/534-4541
PERMIT APPLICATION DATASHEET
OWNER Permit No.
A. P. N o. 0
Proposed Building Use aA
V-1 6,'
Permit Fee Based Upon: Complete Contract Price —DPW Valuation
Other (Explain)
Building Inspector Date- 019 kL-
At ' time of permit application, I was advised the following data must be submitted prior to permit processing
E AP
and/or issuance: DATE RECEIV _D JPROVED
1. All items have been submitted . . . ... . . . . . . .
2 Plot plans in duplicate/t ' I* t . . . .
Ica e . . . .
omplete plans in licat /triplicate. /Z/%
D r'
C omplete engineered p ans and calcs . . . . . . . . . .
5. Plans with Energy Design Compliance Statement.
6. State Energy Forms No.
17 Statement of Int for Non -Heated and AC Buildings.
8. Fees of $ 0�0 . . . . . . . . . . -a 9�*`2_— (7,&----j
Letter of signature authorization. . . . ... . .
10 Sanitation approval from 0 A .1 Health Dept. . . /Val /C19-
11. Planning approval for (A) Use: — (B) Parking:-
-12. Certificate of Workmen's Compensation Insurance . . . . . .
13. Contractor's License Information (no., name.style, classif.)
14. Owner -Builder Verification (Given to owner[], Mai I to owner
15. Improvements may be required . . . . . .. . . . . . .
16. Mobilehome Installation Data. . . . .
7 re- nspec o Pre-Inspec. request to (Date)
P I t' n for Required. 'Buil ing In:Wtor
Z Vy 'v
Other- 9)AAf
L/
When you issue the permit, process as follows: Mai I to owner. Mai I to ccntractor.
Telephone and hold for pickup at Z-0-6 i c e. Deliver w/inspec;or.
Other
Appi
Date /11"
Copy of plans sent —Health Dept., —Fire Dept., �_Other' — Date
During the plan checking process, the following data must be submitted prior to permit issuance;
(For required items not checked above att.4 pplication, circle item.)
1. Index permit for above Items No. Va
2. Additional items required: 'Y N
,.E;o tract r esig
Plans checked by - !
Plans approved by'�.
Other
Copy—DPW
jOwner) was advised of above required data by
1�, I i, By
—Maill —Other
ate A 14ZHep.
Date
Date
To: Building Department
From: Environmental Health
Subject:. Sanitation Clearance
Owner
Location AP#
PA a 5 '. -
Plans approved for: Sewage Disposal Water Supply
Hold final'�for: Water Supply
Final Clearance O.K. for: Water Supply
Clearance for bedroom mobile home. Other
Clearance for."addition of ('6v�
Note" CmQUA \xck 61"fo-1
itarian
C6 �2 WU Ux-v'^
Date
155 5-79B
P
EAUT NO.
PERMIT EXPIRES
OWNER Robert'Peterson
CONTR. Sierra Mobile Service,Paradise
64-04-23
LOCATION (A.P.
50 Bridgeport Circle, Lot 98, PP12,Magalia
QC
Tamp, Power Palo --
Called PQAE
Tomp. Rica. loiv.
Called PG&E
Tornp. Gn eery.
Called PG&E
JOB
FINALED
COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS
BUILDING INSPECTION RECORD
BUILDING BUILDING (Cont'd) PLUMBING
Setback Firewall Sol[ Piping
Forms Parapet let Floor
Main Bldg. Restroorn Finish 2nd Floor
Footings Windows 3rd Floor
Vents
n
Sewer
lily Appi
ex. lose
FI
. age
car closer I Final I Final
MOBILIH .................. Elsa. Ssrvlco Elea. Pedestal
DATE REMARKS OR CORRECTIONS
/76'
(NOTE,, An entry must be made on this form each time you visit the job 31te.)
COUNTY OF BUTTE. — DEPARTMENT OF PUBLIC WORKS'
7 County Center Drive - --i3iroville, California 95965
Telep;ohe: 534-4541 16�5 6
APPLICATION AND PERMIT A
"uL Puf &V 1VF1vac;11LaL1vva ul L11c; %1vullLy Ul DULM LU CIILUI YIJUFI Lilt!
abov - enti ci rt for inspection purposes.
X
m
S. of Permitee or Agent
Receipt No
White-D.P.W. - Yellow -Assessor - Pink -inspector - Goldenrod-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 Date q- -3--2,9
Building permit expires Date
A
BUILDING 7r!
Owner
SO. FT. OCC. BUILDING V4LUATION
Mailing Address
AV
Contractor
Mai I ing Address
Fireplace
Total Valuation
FLelephone
No.
Permit Fee
Building Address
Plan Checking Fee &/or Penalty
Permit Fee $
$
,3
No. FEE
PLUMBING @
PERMIT FILING FEE $3.00
Each Trarl .1-11,50
Repair drainage or vent piping 1.50
'A. P.-ko. 6
Zoriwf� P(anning
Water piping ��* 1.50
Each gas water he ��r vent 1.50
F I
W-
Sa
F i re Dept.
Fi re Zone
Use Permit
Gas piping sts,*dn�l - 5 outlets 1.50
EQ
I Parking
Plans
P a rt e, I
Declaration
Improv5pents
Each a nal outlet .30
59!!50�
-
�B�7ing sewer 5.00
BIT9.'1&-yRec'd
Parcel Appromar I
PlantAooroval
Lawn sprinkler system �OO
NEW ADDITION UTICITIES OTHER
Permit Fee $
is
ELECTRICAL No. @ FEE
PERMIT FILING FEE $3.00
600V OR LESS
Main service 100 AMP OR LESS
Single Family Duplex Mobi I Home Others
Main service EA. ADD -L 100 AMR =50
Main service OVER 600V
100 AMP OR LESS 25.00
Main servIce EA. ADD -L 100 Amp/ 1.00
NEW CONST DWELLING OCC
OR ADDNS. * ( ACC. BLOGS. X* 120sq 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 ame
style
NE W CO NSTR. (MULTI-O��ET
No N -RES'., BRANCH IR CUITS) 12.50ea
NEW CONSTR. POWE PARATUS a
NON-RESID. GNGL� 4TLET CIR. ,
Ex. OccuD(O�Tl_ XTIIRES 50 @ 251
I OR BAL@1
Frr P�L!Ns OR
Ex. Occup. 1 51,0.) EA) 2.001
I mporaryXervice 10.00
Mobile ome Facilities 15.00
License No.-;�?A:� -74 Classification
Mi . Wiring 6.25
E] I am exempt f rom the Contractors L i cerise Laws of the State of Cal i forn I a.
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.
21, 1 have placed on file with the County of Butte a certificate of
Workmen's Compensation Insurance.
r-1 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 $
Heating
Cooling
Ven!L#"`6_n-
Hood J 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 -re-I.ating -to. building construction, and hereby
Land Development Fee
1$
TOTAL PERMIT FEE
1$ .5-10
"uL Puf &V 1VF1vac;11LaL1vva ul L11c; %1vullLy Ul DULM LU CIILUI YIJUFI Lilt!
abov - enti ci rt for inspection purposes.
X
m
S. of Permitee or Agent
Receipt No
White-D.P.W. - Yellow -Assessor - Pink -inspector - Goldenrod-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 Date q- -3--2,9
Building permit expires Date
A
7 -79P,E
01.
-PERMftT NO.
PERMIT EXPIRES
Robert Peterson
�t,OWNER
J. T. McGregor,
Paradise.
CONTR.
i� LOCATION (A.P. 64-04-23
50 Bridgeport Cir.f
lot 98', PP#12;:'�Magalia
4
Temp.'Power Pole
Called PG&E
Temp� Elec. Serv.
L fz 'V)
Called PG&E
Temp. Gas Serv.
Called PG&E
IV
JOB
A.
FINALED
(Signature V
x ures—
BVondBea 06IRE SPRINKLEFik Motors
on
Fram
min
Framin
il�__ Test Water Htr.
St c
ucc
u co
M M co Final SubpanelK
es MECHANICAL Grd. FdIt Prot-
Scr Itch Heatlnj( Servigif
B wn Coolig T/mp. Pole
nish Duy4s nder round
r
/ lor
I erior Lath P=rmanent
d oor Clos t
or Closer J&Inal Winal
MOBILEHOME UTILITIES ----------- Elec. Service 7 Elec. Pedestal
Water Piping _2 '� Sewer ��4 -!)/ Gas Piping
XMUMMLM�M ----- : ----------- Support - 7 a 07J . OG Elec. Continuity J.0/ 0,�&
Wat er Pipin:,W6/') Drainage Gas Piping
DATE REMARKS OR CORRECTIONS
e7- Al �!o
JjLJA
V
(NOTE: An entry must be made on this* form each time you'visit the job site.)
COUNTY OF BUTTE — DEPARTIVIE"N' t OF* PUBLIC WORKS
BUILDING INSPECT'ION'R'ECORD
BUILDING BUILDING (Cont'd)
PLUMBING
ck
FiNwall
Ski Piping
For
Paraltets
ixt loor
NSet
Mainldg.
Restro, m Finish
2n loor
0
Foo s
Windows\
3rd hoor
S S tem I I
Siding
Topout
Slab
Roof Sheath)Qg
Water PIPAQ
Piers
Roofing
Sewer
Garage
Fdn. Vents
Fixtures
Footings
Stemwa I I
Garage Vents
Insulation
Water Htr.
Heaters
Slab
Carport
Footings
Slab
Prov. for p�jslcallj\
e
Conformance of ex.
A structure
Fl�al A
Appliances N
Gas P ping & Test )k/
Temp. Gas A
Sanitation
Patio
FIJ(EPkCE
Final
Footings
Footing
VECTRICA%,
Masonry Walls
Throat
Rough
Reinf. Stee
Final
CA . &
x ures—
BVondBea 06IRE SPRINKLEFik Motors
on
Fram
min
Framin
il�__ Test Water Htr.
St c
ucc
u co
M M co Final SubpanelK
es MECHANICAL Grd. FdIt Prot-
Scr Itch Heatlnj( Servigif
B wn Coolig T/mp. Pole
nish Duy4s nder round
r
/ lor
I erior Lath P=rmanent
d oor Clos t
or Closer J&Inal Winal
MOBILEHOME UTILITIES ----------- Elec. Service 7 Elec. Pedestal
Water Piping _2 '� Sewer ��4 -!)/ Gas Piping
XMUMMLM�M ----- : ----------- Support - 7 a 07J . OG Elec. Continuity J.0/ 0,�&
Wat er Pipin:,W6/') Drainage Gas Piping
DATE REMARKS OR CORRECTIONS
e7- Al �!o
JjLJA
V
(NOTE: An entry must be made on this* form each time you'visit the job site.)
MOBILEHOME INSTALLATION,INSPECTION.CHECK LIST
Is the mobilehome located''Uh required -separation from lot lines and buil,dings and generally
conform to plot plan? Yesm No
2. Does the mobilehome have required clearances above,ground? (Sec.5085) Ye No
3'. Are footings,and supports properly sized, s I paced . , and braced as er approved plans? (Note
possible variation at spring shackles.) (Sec. 5082 5083� YeYNo
4.- Is the mobilehome level? (Sec. 5088) Yes No
5. If ore 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 mln.)? (Sec. .5566)
Yes\,(_No
B.' Test-- Does water piping withstand working pressure or 50 lbs. air test?.Ye-4- No
C. Backflow - If coa is t State of ornia approved, does station have backflow device
c 1
and pressure -relief Ive? Yes NO
7. -Wastes and Drains
A. 'Is connection m de with Schedule 40 DWV and have flex connectors at each end? Ye No
s
B. Does it have minimum per foot slope and is it properly su 0,
pported? Yes YN —
C. Are any leaks detected in drainage system after runnin!,X3- allons of water through each
fixture including washing machine standpipe?,Yes No
D. If coach State of Californiaap.proved, does station have required trap and vent?
Yes— No�
8. Gas Piping and!Gj: �ent
A. Connector - _ Mehome connected the gas supply with an approved 3/4" minimum
mobilehome,connec or not more than ft. long? Note: All piping is to be at least as
large as the mob * il home gas line i* et without reductions other than the mobilehome
connector. Yes— 0.
11 0 i e
c
r valves.
B: Test OK as per fol.lo ing proce re? Yes No
l.. Open all appliand connec
2. Shut off,appliance\burn* and pilot valves.
,3. Air test with'mano
Vtr to 10"-14" water column', or test with slope gauge ' (minimum
6oz.-maximum 8 oz al ibrated in tenth pound increments. Test for 10 min. without
drop.
4. Connect gas
-soapy water.
C. Are all applia
met to bilehome with connector, turn on gas, test connections with
e vents pro rly installed? Yes No.
9. Electrical
A. Is service large enough to provide adeqvate ampe ' rage -to mobilehome (must equal rating of
mobilehome with'a minimum of 100 amp) andlother facilities on lot, i.e., water pumps,
garage, cabana, etc.? Y As No
B. Is there proper clearances around panels? Ye's— No
C.. Is power supply cord or feeder assembly properly fused? Yes-- 0—
D. Is continuity test satisfactory as per the -following procedure? Yes YNO
1. De -energize electrical wiring system of the mobilehome at the pedesta,7.-
2. Make sure that the power supply cord or feeder assembly conductors, including neutral
I conductor, have been discoxinected.*
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. I
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
Lengt Width
Vehicle Serial No. 210'
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 =ements
of the California Administrative Code, Title 25, Chapter 5, permit
number - 2 for the followi�g.location:
�ru U111 -�l / d ( A-1(11 t
Owner
Owner's Address
Mob ilehome Mfg. Model Year 7�
Insignia No. (*/ �- 11 (, : Serial No.
It is hereby certified for occupancy at the above described location and
may be occupied.
Director of Public Works
Date -3 By'
THIS CERTIFICATE IS VOID WHEN MOBILEHOME IS RELOCATED
White - Owner, Yellow - Installer, Pink - D.P.W.
. I
COUNTY OF BUTTE —DEPARTIVIENTLF PUBLIC WGRKS
7 County Center Drive - Oroville, California 95965
Telephone: 534-4541
APPLICATION AND PERMIT
/Sj�/ -1-2 9
, 1A_ I
authorize representatives of the County of Butte to enter upon the
above-mentioned property for inspection purposes.
X C 2VP
.,��Signotureof P�ermitee �ar��
Receipt No. /2 9- 3 r.V
White-D.P.W. - Yellow-ASSeS5or - Pink-/n.pector - Goldenrod-Appli cant
This permit is hereby issued under the applicable provisions of
the Butt Co t C d and/or resolutions to do work indicated
ab��vor whulcnlhyfee�s heave been paid.
- L__WRfifCXbR OF PUBLIC WORKS
MMM" WeRrOMENZA01J, A a -
V
Building permit expires Date
BUILDING U7
Owner
SQ. FT. OCC. BUILDING VALUATION
Mailing Address
Telephone No.
Contractor 0 �?A,s L111 16" -e
Mailing Address 1-2-tj Le,%4�_TtT4,19
Fireplace
Total Valuation
q S-9,Ul
qelephone No.
a.,? 7--7(Jlv
Permit Fee
Building Address ac) Q -i T,
Plan Checking Fee &/or Penalty
Permit Fee $
G I
PLUMBING No. @ FEE
PERMIT FILING FEE $3.00
Each TraD 1.50
POP
Repair drainage or vent piping 1.50
P. No. 6 Zoning & PlInning
Water piping 1.50
Each gas water heater or vent 1.50
FeXJ W.-&
I
FireDept.
FireZone Use Permit
Gas piping system 1 - 5 outlets 1.50
EQA Parking
I Pians
Parcel
Declaration]
Parcel Map
I 60' R/W I
Improveme
Each additional outlet .30
Build ng sewer 5.00
Bldg. PNir Rec'd
_ParceLofp�royol
Plans4cpproyal
Lawn sprinkler system
NEW ADDITION UTILITIES OTHER
Permit Fee $
ELECTRICAL No. @ FEE
PERMIT FILING FEE $3.00
600V OR LE SS
Main service 100 AMR OR LESS 5.00
Single Family Duplex Mobil Home Others
Main service EA. ADD -L 100 AMP 2.50
70 1
Main service OVER 600V
100 AMP OR LESS 25.00
Main service EA. ADD -L 100 AMR I 1.00
NEW CONST, I DWELLING OC CUP- 'I) �20sq ft
OR ADDNS. % ACC.BLDGS.
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: 0_1V
Q -C,- � A -p- il! rA;%e--
NEW.CON STP_ (MULTI*OUTLF=T
NON RESID, .A.C. CIRCUITS) 12.50ea
NEW_CONSTR. (POWER APPARATUS 6
NON RESID. SINGLE OUTLET CIR. A
Ex. Occui)(OUTLETS OR FIXT11REA 50 @
BAL
FIXED APPLN�. OR
Ex. Occup.(OUTLETS (RESID.) EA) 2.00
Temporary service 10.00
.01,
Mobile Home Facilities 15.00
License No,7,,A�_ Classification
Misc. Wiring 6.25
I am exempt from the contractors License Laws of the State of Cal ifornia.
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.
rM-T—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 2.001
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
Lan&-m�o
Is
TOTAL PERMIT FEE
1$ e3o
authorize representatives of the County of Butte to enter upon the
above-mentioned property for inspection purposes.
X C 2VP
.,��Signotureof P�ermitee �ar��
Receipt No. /2 9- 3 r.V
White-D.P.W. - Yellow-ASSeS5or - Pink-/n.pector - Goldenrod-Appli cant
This permit is hereby issued under the applicable provisions of
the Butt Co t C d and/or resolutions to do work indicated
ab��vor whulcnlhyfee�s heave been paid.
- L__WRfifCXbR OF PUBLIC WORKS
MMM" WeRrOMENZA01J, A a -
V
Building permit expires Date
MOBILEHOME SUPPORT'DATA
If other than single wide,
Mobilehome Mf r.,Z furnish.!Setup Model No. Year -22
Width (ft.). Box Length (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)
Sir . igle' 2__,_�.'Wood either
Apressure treated c
foundation grade.
(ft.)(in.)
(in.) (in.)
2. Other (specify)
Center support
Center support
locations*
footing sizes
Supports (check one)
(in.)
F-4 Concrete block.
E] 2. Other.(specify)
(in.) (in.)
A
4—Tagalong or Expando,-
show support details
IN
(f t.) (in!)�,
(in.)* (in.)
Typical Support
(in..) Footing Size
(ft.)(in
(in.) . (in.)
Max. Pier Spacing,
Max. Overhang
(f t.)j (in.)
in. (in.
BUTTP- COUNTI
BUILDING DEPARTMENI
APPROVED
*If center piers are other than drawn above,
draw in. -locations,
spacing, and dimensions.
BUTTE COUNTY DEPARTMENT OF PUBLIC WORKS
7 County Center Drive, Oroville, CA.
PHONE: -534-4541
MOBILEHOME INSTALLATION SHEET
1. owner's name:
2. Installer's name: C—rie—gir-
3. Is the site currently under permit? Yes No
(If yes,. furnish permit numb,er -OR
Is the site an existing site? Yes No
(If yes, furnish two (2) plot plans.)
4. Will the mobilehome be located at least 5 ft. away from septic tank and leach fields and
clear of all setbacks and easements? Yes No F
(If no, clarify
5. What is the mobilehome electrical rating? ----------------------- Amps
6. What is the mobilehome site service rating? ---------- ----------- 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?
(ft.)
12.
What
is the mobilehome gas demand? -------------------- ---------
(BTU)
(This information not required if pipe 1'ength less than 6 ft. on natural
gas
or less than 50 ft. on LPG.)
COUNTY OF BUTTE —,-: DL4PARTMENT OF PUBLIC V,�ORKS
7 County Center Drive — Oroville, California 95965
Telephone: b34-4;41
APPLICATION AND PERMIT
�7jl
authorize representatives ot the County ot Butte to enter upon the
above-mentioned pr rty for inspection purposes.
Date
e
gnature of Per�mite; or V nt
Receipt No. / / :�_p
White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod-Appli cant
This permit is hereby issued under the applicable provisions of
the Butte County Code and/or resolutions to do work indicated
above which fees have been paid.
/n DiAEcAroi2vOF PUBLIC WORKS
B
BUILDING
Owner (Z e> 0 EIZ:7 P r::7- C, 1z_ _S 0 jq
SQ. F T. OCC. BUILDING VALLMION
Mailing Address 76' 13 A 14 i P. C1 (z -
Z A F A i4,L. I r I
Telephone No.
-
Contractor ZY '7 AA YL iz 6 en,
Mai I Ing Address 131 1 14 rituo kaiz. PiL.,
Fireplace
Total Valuation
P A 1-2 Y4 P i.5
Telephone No.
Permit Fee
Building Address
PlanChecking Fee&/orPenalty
Permit Fee $
$
13, )z 1 0 67 iF_ 6 ItT C.- I ir L
PLUMBING No. @ FEE
PERMIT FILING FEE $3.00 &C)
Each TraD 1.50
t��j,g
Repair drainage or vent piping 1.50
A. P. No. 9; Y 7 V- 2 3
QT I
Zoning & Planning
Water piping 4-�.
I
Each gas water heater or v'ent 1.50
.
SaMFVe-s
I orill
FireDept.1
FireZone
I Use Permit
Gas piping system 1 - 5 outlets 1.50
E QA
—
Par0_ng
Plans
Parce!
I Declaration
I Parcel Map
60' R/W
Improvem
I Vs I
Each additional outlet .30
Building sewer 5.0 /gp, -Do
Bldg. P)4 -n. �R..d
Parcel/ .0000,
"orovol
- -
p.Ian4Co1(P0P0`ravoI
Lawn sprinkler system 2.00
UTILITIES
NEWE] ADDITION F OTHER [:]
Permit Fee $ --13, tx�.I$
1 Cx
ELECTRICAL No. @ FEE
PERMIT FILING FEE $3.00 -3. cif -10
Main service 600V OR LESSFSS 5.00 6. aO
100 AMP OR L _
Single Family Duplex Mobil Home Eq-*" Others El
Main service EA. ADD -L 100 AMP 2.50 A. 6��
OVER 600V
Main service 100 AMP OR LESS 25.0.0
Main service EA. ADD -L 100 AMP 1.00
NEW CONST. ( DWELLING OCCUP. N'
OR ADONS. ACC.BLDGS. 120sq 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:
M 0— <S,zE6tJX_
NEW.CONSTR. (MULTI -OUTLET
NON RESID_ BRANCH CIRCUITSI J2.50ea
NEW.CONSTRL ( POWER APPARATUS.6
NON RESID. SINGLE OUTLET CIR I
Ex. Occur)(OUTLETS OR FIXTI[RES 50 @ 250
BAL@1
FIXED APPLNS OR
Ex. Occup.(OUTLETS (RESI'D.) EA) 2.001
Temporary service 10.00
Mobile Home Facilities 15.00
License No. 2-7 6 o Classification
Misc. Wiring 6.25
I am exempt f rom the contractors L i cerise Laws of the State of Cal i forn i a.
Permit Fee $
6— J_t
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.
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 1 2.001
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
$ ;26-; -,6
TOTAL PERMIT FEE
7S 75Z
authorize representatives ot the County ot Butte to enter upon the
above-mentioned pr rty for inspection purposes.
Date
e
gnature of Per�mite; or V nt
Receipt No. / / :�_p
White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod-Appli cant
This permit is hereby issued under the applicable provisions of
the Butte County Code and/or resolutions to do work indicated
above which fees have been paid.
/n DiAEcAroi2vOF PUBLIC WORKS
B