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Home My WebLink About064-050-00564-05-5 Roland Holt TMagalia 15 Ashville Dr., lot 3L, PP#12, contr: Paradise Modular Corcepts, Para. Permit #4563-79B,E(util. MH) ELEC. /0-1f- q GAS 4a - --7 q & e ii— SUPP 'T STRUCTUR� REQ. CT�O�\JNT REQ. t4-05-05 0/1 Contr: Cal GAs, Paradise pErmit#6064-79P(gas line) MH 64-05-05 '�QYAI/Parad'ile Modular Concepts Permit #5079-79MHI zo 1 Wad 64-05-5 tIssued Dr. Roland Holt 0 cconty: Sierra Mobile Serv., Paridise P p rm:j ermit #6792-79B(new deck/MH) LIT' �I-i i F k ' ,P610'IT NO. 6792-79B PERMIT EXPIRES a OWNER Dr. Roland Holt CONTR. Siprra Mahilp Sprij-, Paradise 64-05-5 LOCATION (A.P. 15 Ashville Dr., lot 31, PP#i2, Magalia Tem . p..Po,;, /Pole— CalledfPG&E Temp. Elec. Serv. Called PG&E Temp. Gas Serv. alled PG&E JOB FINALED (Date) )a (Sigta—tu-re) Setback Forms Main Bldg. Footings Stemwall Slab Piers Garage Footings Stemwa I I Slab Carport Footings Slab Patio F961W Masonry ails Reinf. Steel COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS -BUILDING INSPECTI'O'N RECORD BUILDING RUILDING (Cont'd) PLUM NG Firewall Soil Piping Parapets 1st Floor Restroom Finish 2nd Floor Finish Windows 3rd Floor Interior Lath Siding Topout Roof Sheathina Water Piping Roofing Sewer Fdn. Vents Fixtures Garage Vents Insulation Water Htr. Heaters Prov. for p� sically handicappel Conformance of ex. structure Appliances Gas Piping & Test Tem . Gas Final 4L-7,e::f_' Sanitation FIREPLACE Final Footing ELECTAICAL < Throat Rnnnh I - Motors mesn MECHANICAL Gird. 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 IME INSTALLALION -------------- 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 — DEPARTU�NT OF PUBLIC WORKS 7 County Center Drive — Oroville, California 95965 Telephone: 5i4-4541 APPLICATION AND PERMIT 6 -/-7 �. ?a -2 4� AA IVA authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. Date/—/— :;z Sig��re of Permitee or Agent Receipt KO. 42 'e> Z 2 2: 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 Bvo��57A Date ,,/*ilding permit expires Date ZI BUILDING 79C V1 Owner A01 - SQ. F T. OCC. BUILDING VALUAT16N Mailing Address 0,-. A& Telephone No. Contractor4&,,_�. Mailing Address Fireplace Total Valuation DT e I�Pho n _: No 5-7,0 Permit Fee Building Address L5 I.,., le,,,_ !r Plan Checking Fee &/or Penalty Permit Fee $ PLUMBING No. @ FEE PERMIT FILING FEE $3.00 Each TraD 1.50 &teo7 4PA0__1 Repair drainage or vent piping 1.50 F A. P. No. W/ tnz ning & Planning water piping 1.�Q- Each gas water heater or vent 50 Fbe� Sa Fi re Dept. re 1 Fi Zone Use Permit Gas piping system 1 - 5 outlet 1.50 EQA Parking Plans P ir cel Declaration Parcel Map 1 60, -Inip rovemeni Each additional outlet 1_�' .30 Building sewer 5.00- B I d g. P fenn7IR e c d Plans i_�' al Approv Lawn sprinklerwlstem 2.00 NEW ADDITION UTILITIESE] OTHER Permit Fee $ $ 54" .4, ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 600V OR LE Main service 100 AMP ORSLESS 5.00 Single FamilyE] Duplex E] Mobi I Home Others Main service EA. ADD*L 100 AMP 2.50 Main service OVER 600V 1 00 AMP OR LESs 25.00 Main service EA. ADD -L 100 AMP NEW CONST - (DWELLING OC cup, 51) OR ADDNS. ACC.BLDGS. 0sqft 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 CONSTP_ -OUTLET NON.RES'O. (MULTI BRANCH CIRCUIT.01 12.50ea NEW CONSTR. (POWER APPARATUS 8 NON.RESID. SINGLE OUTLET�CIR. , ;. 50 @ 250 Ex. Occuo(OUTLETS OR,�;4_XTIIRES BAL@1 Ex. ( R�LFNSS,.D 0 R 2.001 OCCUp. ( 1IXE1 TAV OUTLE E A) Temporary servic ?Z 10.00 Mobile Home Fatilities 15.00 License No. .1:71al.144 Classification Z 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. have placed on file with the County of Butte a certificate of IN IAI� orkmen's Compensation Insurance. F� 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 Nw @ FEE PERMIT FILING FEE $3.00 C 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. Date/—/— :;z Sig��re of Permitee or Agent Receipt KO. 42 'e> Z 2 2: 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 Bvo��57A Date ,,/*ilding permit expires Date ZI PNMIT NO. 4563-79P,E PERMIT EXPIRES Roland Holt ,'bVVNER CONTR. Paradise Modular Conc.. Paradise 64-05-5 -,,,LOCATION (A.P. 15 AShville Dr., lot 31, PP#12, Maigalia 4" V emp. Power Pole 41- C C alled PG&E Temp. Elec. Serv. C C alled PG&E za 1-7 Temp. Gas Se Called PG&E JOB FINALED (Signature) COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS 'BUILDING INSPECTION'RECORD BUILDING BUILDING (Cont'd) PLUMBING A X aVIDaCK Flqewall -Spil Piping F&Cms PaNpets \st Floor Lkin Bldg. ResOVom Finish 2?(d Floor kotings Windo 3rdNf, loor St%mwa i i -Sidina Topout\11, --slak Roof Shea4bing Water Pl�'Jng Piers Roofing Sewer Garage Fdn. Vents Fixtures Footinsx Stemwall\ Garage Vents Insulation Water Htr. Heatpr-q Slab X Carport Footings Prov. for physica handicapped Conformance of ex. structure Appliances Gas Piping & Tes�k, Temp. Gas Slab Final Sanitation Patio 041REkACE Final Footings Footing Ek(ECTR!�Al- Masonry Walls Throat Rough Relnf. Steel/ Final Fixtures. Bond Beae IFIRE SPRINKLE�$ Motors Framing Test 4 Water Htr. Stucco F Final S6bpanelv Mesh MECHANICAL N Grd. Fa4t Prnf rz Servici q\HeatiA N Cooeng TeAp. Pole I sh nish D ts derground LBn ror I erlor Lath )tentilation ermanent 21 oor Closer Inal 1 na I MOBILEHOM-E UTILITIESI ----------------- Elec. Service 14 -XJ/ Elec. Pedestal Water Piping Sewer -9�& t 'h 17 -*1 Gas Piping N21316EUOME INSTO&LA41ON ---------- I ---- Support ��, L, 1, Elec.Continuity Y!7/1d;!0,6 WaterPiping P m R Drainage ,� / U/ 7 &/ , K, -V I Gas Piping V I DA TE -R�MARKS OR COR ECTIONS N, CC> 04- r q (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.with required separation from lot lines and buildings and generally conform to plot pldn?' Yes— No - 2. Does the mobilehome have required clearances above ground?.(Sec.5085) Yes No 3. Are footings and supports properly sized, spaced, and braced as per approved plans? (Note possible variation at spring shackles.) (Sec. 5082 & 5083) Yes No 4. Is� the mobil'ehome level? (Sec. 5088) Yes— No 5. If more than a single unit, are crossover.connections properly installed? (Sec. 5088) Yes No .6. Water A. Is flexible connector of adequate size and properly installed (1/2" ID min.)? (Sec. .5566) Yes— No B. Test Does water piping withstand working pressure or 50 lbs. air test? Yes— No I C. Backflow - If coach is not State of California approved, does station have backflow device and pressure -relief valve? Yes— No - 7. Wastes and Drains A. Is connection made with Schedule 40 DWV and have flex connectors at each end? Yes No B. Does it have minimum k" per foot slope and is it properly supported? Yes No - C. Are any leaks detected in drainage system after running 3 -gallons of Water through each fixture including washing machine standpipe? Yes No D. If coach is not State of Californiaap.proved, 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 3/41' minimum mobilehome connector not more than 6 ft. long? Note: All piping is to be at least as large as the mobilehome gas line inlet 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. 9. Electrical -4, -*'.- * - A. Is service large enough to provide adequateiamperage-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— 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 mobildhome 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. LO. Is job card signed by Health Department for water and sanitation? Ll. If everything okay, sign off card and tag services. 40BILEHOME DATA qanufacturer and/or Namestyle �ength Width Vehicle Serial No. 3tate Identification No. kdditional Information or Comments: I COUNTY OF BUTTE 'I" - DEPARTMENT OF PUBLIC WORKS 7 COUNTY CENTER DRIVE OROVILLE, CALIF. - 534-4541 CERTIFICATE OF OCCUPANCY This mobilehome has been installed in accordance with the =ement.s of the California Administrative Code, Title 25, Chapter 5, permit number 4' 29- 79- for the following location: �—A 11-1 "4 C".1 ri I Owner //. 1 IN71—' Owner's Address SAU, Mobilehome Mfg. A F -NA Model Year 7 5' Insignia No. 0A (3 D 9 1 , 7c:f 9' Serial No. It is hereby certified for occupancy at the above described location and may be occupied. Date Director of Public Works I y THIS CERTIFICATE IS VOID WHEN,MOBILEHOME IS RELOCATEEZ�S.,) White - Owner, Yellow - Installer, Pink - D.P.W. COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 Telephone: �34-4541 APPLICATION AND PERMIT ��.60--2�/ . A auillUrILU ruprubviltutivub Ul tilt: tvurity Ul outtu IV untur Upun Ine above-mentioned property for inspection purposes. -47 Date Signa7lure of'lelrrnitee or Agent '2,g n c) Receipt No. .w White-D.F. . - Yellow-A7ai,6 -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 OEPUBLIC WORKS By Building permit expires Date BUILDING M Owner SQ. FT. -_ OCC. BUILDING VALUATION Mai I ing Address Telephone No. Contractor PA4 Mailing Address 3-3 SX KWA Fireplace Total Valuation C Tele h N Permit Fee Building Address PlanChecking Fee&/orPenalty Permit Fee PLUMBING No. @ FEE PERMIT FILING FEE $3.00 Each TraD 1.50 OWT f -Z LOT -2 Repair drainage or vent piping 1.50 A. P. -No.. 6 4t- oning & Water piping 1.50 00 Each gas water heater or vent 1.50 4 FFes I WK P; Eationj Fire Dept. I FireZone Use Permit Gas piping system 1 - 5 outlets 1.50, EQA I Parki_�g Pl4ps I Parce! Declaration I Parce I p 60' R/W Improvemen Each additional outlet .30 Building sewer 5.00 100 Bldg. Kns Rec'd Pa.rc��r, a n s Lpfr000v�*a I Lawn sprinkler system 2.00 NEWE] ADDITION UTILITIESM OTHERE] Permit Fee $ S?,60 ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 7?,CO Main service 600V OR LE SS 0 5,C0 100 AMP OR LESS 5.0 Single Family Duplex Mobi I Home Others El Main service EA. ADD -L 100 AMP 2.50 Z50 OVER 600V Main service 100 AMP OR LESS 25.00 Main service EA. ADD -L 100 AMP 1.00 NEW CONST. ( DWELLING OC cup- �20sq ft OR ADONS. 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 NEW CONSTR. (MULTI -OUTLET NON-RESID, BRANCH CIRCUITS) 12.50ea NEW.CONSTR. (POWER APPARATUS 6 11 NON RESID. SINGLE OUTLET CIR. A Ex. Occuo(OUTLETS OR FIXTI1PES1 50 @ 250 BAL@1 FIXED APPLNS. OR % Ex. Occup.(OUTLETS (RESID.) EAJ 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 e,00 License No. - ;-�Zg/T 714(- Classification Misc. Wiring 6.25 I am exempt from the Contractors License Laws of the State of California. Permit Fee $ -2,25 0 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. ; 1_< 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 N0.1 @ FEE PERMIT FILING FEE J$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 $ 00 TOTAL PERMIT FEE auillUrILU ruprubviltutivub Ul tilt: tvurity Ul outtu IV untur Upun Ine above-mentioned property for inspection purposes. -47 Date Signa7lure of'lelrrnitee or Agent '2,g n c) Receipt No. .w White-D.F. . - Yellow-A7ai,6 -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 OEPUBLIC WORKS By Building permit expires Date 11 COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 t,`Tdle'phdnd�. 534-4541 . . 1 4 1 � APPLICATION AND PERMIT &do �1-2 (? q BUILDING Owner elyi e SO. FT. Occ. BUILDING VALUATION Mai I i ng Address Telephone No. Contractor (2�_Q Mai I ing Address V0 0 Fi repl ace Total Valuation Teqephone NI, q- Permit Fee Building Address Plan Checking Fee &/or Penalty Permit Fee $ 66 PLUMBING No. @ FEE PERMIT FILING FEE $3.00 Each TraD 1.50 Repair drainage or vent piping 1.50 A. P. No. 6 cl- 0 0 S r -;r& illanning Zo Water piping 1.50 Each gas water heater or vent 1.50 FeWT WJQ� 994W49n FireDept. FireZone Use Permit Gas piping system 1 - 5 outlets 1 .4 -6a. - EQA I Pa irking Plans Parcel Deciarati on Parcel Map I -_ 1 60' R/W I Improvements Each additional outlet .30 Building se er 5.00 Bldg. 'Plans Rec'd F Parcel Approval 7 Plans Approval Lawn sprinkler system 2.00 NEW ADDITION UTILITIESE] OTHER Permit Fee $ 1,$ ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 Single Family Duplex Mobi I Home 10 Others Main service 600V OR LESSE:SS 5.00 100 AMP OR L 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. OR ADDNS. ( ACC.BLDGS. 120 sq f t 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: 0yv-, - LAIAIII-v NEW CONSTP_ -OUTLET NO.."ES'., (MULTI BRANCH CIRCUITS) 12.50ea NEW.CONSTF;L (POWER A ARATUS.&, NON RESID. SINGLE OUPTLET CIR I I Ex. OCCUO(OUTLETS OR FIXT11RES 50 @ :100i IBAL FIXED APPLNS OR Ex. Occup.(OUTLETS (RESI'D.) EA) 2.00 Temporary service 10.00 t Mobile Home Facilities 15.00 License No. 4 Ila J?X 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 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. 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. MECHANIC . AL NO] FEE PERMIT FILING FEE J$3.00 Heating Cooling Ventilation — Hood 2.00 Permit Fee $ s, 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 $ authurize F5,Krensenidtives of the County or Butte to enter upon trie above- I ��roperty for i ection purposes. 4 —Da 5.W.t-U,rW.f tee or AgAk Receipt NO. 9!2�_ White-D.P.W. - Yellow-Asse.sor - 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. By D�I�CTOR OF PUBLIC WORKS Dath�t erM(aBuilding p Xpires Date Z COUNTY OF BUTTE — DIfPARTMENT OF PUBLIC WORpt 7 County Center Drive - Oroville, California 95965 Telephone' 534-4541 . () 40�9 2y APPLICATION AND PERMIT autnorize representatives oT ine uounty OT tsuxie to enter upon ine above -m floned erty for inspection purposes. n , " . . Datq4Z,i� — 2! �!- tee or Agent 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. ;�FIZE2Q2g�R 0 IC WORKS UBL Date Receipt No. 1 --,7 :7�� - t, — White-D.P.W. Pink -inspector - Goldenrod-Appli cant Building permit expires Date 16-11 (300 BUILDING Owner SQ. I= f-. OCC. BUILDING VALUATION I Mailing Address 1p T lephone No. F Contractor !J ress Mai I ing Add 7- 1 Fireplace Total Valuation 4o. ITelephoneL -IF 922 S Permit Fee Building Address /x AS:& (L PlanChecking Fee&/orPenalty Permit Fee $ CA PLUMBING No. @ FEE PERMIT FILING FEE $3.00 Each Trao 1.50 42 ZZI: , Repair drainage or vent piping 1.50 - A. P. No. 4c#_ 1AN— —O%S' Zon ng & anning— Water piping 1.50 Each gas water heater or vent 1.50 F,,1�_VhCJ4jjj �'ireDept.l FireZone Use Permit Gas piping system 1 - 5 outlets 1.50 EQA Parking Plans Parcel I Declaration Parcel Map 6 ��Q R/W Improvements Each additional outlet .30 Building sewer 5.00 Bldg. Plans Rec'd AAreyo'a"I� Plan k%wpop�raval Lawn sprinkler system 2.00 __Larcel NEW �DDITID)N [] UTILITIES 0 OTHER Er_ Permit Fee $ &aez 1n4irT,1//,1t6'71 &5-4 a-22 ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 OOV OR LE Main service 1600 AMP ORSLSESS 5.00 — Single Family El Duplex Mobi I Home .21 Others Main service EA . ADD'L 100 AMP 2.50 OVER Main service 100 AM6P000VR LESS 25.00 Main service EA. ADD -L 100 AMP 1.00 NEW CONST. DWELLING OCCUP. 511 OR ADDNS. ( 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: 4,14 a C2 L14 NE W CONST R (MULTI -OUTLET 12.50ea No N-RESID, BRANCH CIRCUITS)l NEW CONSTR. (POWER APPARATUS &' NON-RESID. SINGLE OUTLET CIR. A Ex. Occur)(OUTLETS OR FIXTIIRESI 50 @ — __BAL FIXED APPLNS. 0 Ex. Occup. (OUTLETS (RESID.) EA) 2.00 Temporary service 10.00 V- Mobile Home Facilities 15.00 License No,_�" 7)!�k Classifica tion Misc. Wiring 6.25 ...... I am exempt from the Contractors License Laws of the State of California. Permit Fee $ MECHANICAL No. 0 FEE i 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. �I have placed on tile with the County of Butte a certificate of Workmen's Compensation Insurance. certify that in the performance of the work for which this 0 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. 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 PERMIT FILING FEE $3.00 Heating Cooling Ventilation Hood 2.001 Permit Fee Adde. &zP_.1fi Land Development Fee $ 2,�i a $ TOTAL PERMIT FEE autnorize representatives oT ine uounty OT tsuxie to enter upon ine above -m floned erty for inspection purposes. n , " . . Datq4Z,i� — 2! �!- tee or Agent 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. ;�FIZE2Q2g�R 0 IC WORKS UBL Date Receipt No. 1 --,7 :7�� - t, — White-D.P.W. Pink -inspector - Goldenrod-Appli cant Building permit expires Date 16-11 (300 1. Owner's name: 2. Installer's na BUTMCOUNT'� DEPARTM I ENT OF -PUBLIC WORKS 7 County Center Drive, Oroville, CA. PHONE: 534-4541 MOBILEHOME INSTALLATION SHEET 3. Is the site currently under permit? Yes No /X/ (If yes, furnish permit number 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 T-1 6 (If no', clarify --------------------------------------------------- Yes No (If yes, identify the load and size: 5. What is the mobilehome electrical rating? ----------------------- 9. Amps 6. What is the mobilehome site service rating? --------------------- 01Z3- Amps What is the mobilehome site circuit breaker rating? ------------- LPG "ps 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. --Vh-At is the mobilehome site gas pipe size? ---------------------- --3/ in. 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? ------------------------------ JBTU) I - t- ^ (This information not re'quired if pipe length less than 6 fti on natural gas or less thafi 50 ft. on LPG.) - 11-171 n MOBILEHOME SUPPORT DATA If other than'single wide, 1(obilehme Ztlok4p furnish 19etup--Model No. Year 71? Width_- _�gi� (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. flace 61 V/&t Single gee 71 V 491 A A 11, , /-i - I (f i7) —(in. Center support loca�ions* (f t 1) (in.) :.- -1 __ 1� (ft Xin.) (ft.) Oin. (in.) (in.) Center support footing sizes (in.) 1136 . 3�1 (in.) (in.) 116 , 3 (in.) (in.) (in.) (in.) Footings (check one) ER --l'. Wood either pressure treated or foundation grade. 2. Other (specify) Supports (check one) ff'-1.; Concrete block. [D 2. Other (specify) ragalong or Expando,' show support details. 42 x',3J I -- Typical Support in.) (in.) Footing Size 1,6- C -- Max. Pier Spacing (ft.)(in.) Max. Overhang (ft.)(in.) 8UTT& couj�� IVILDING DEPA,�TM EN7. A PPROVED "SO4.7 *If c' enter piers are -other than drawn above, draw in-4ocations, spac-ing. and dimension 6. M