HomeMy WebLinkAbout064-050-041Lewis C. Forbes 64-05-41
. 40 Ashville Dr., otw47, Or��h2, Maga.
contr: Marvin R. Anderson, Paradise
Permit ,# 86-77P,E(ut* .,MH) 11
ELEC. Z Z_""/�w O
GAS
SURE REQ.
COMPACTION TEST REQ..o�
6405-41
contr: Shasta Trailer Sales, Chico
Permit #3690- 7MHI
Issued �%Z g
64-05-
contr: Mari -John Conr'., Magalia M
Permit #4863-77B(new private garage),
contra ari-John MY, Magalia
Permit #6397-77B(newcpen deck/MH)
5
c
i
a. Pe}iMIT NO. 639.7-7_7--B-
PERMIT EXPIRES %/�SOO,
OWNER Lewis Forbes
CONTR. Mari -John Const., Magalia
.LOCATION (A.P. 64-05-41 �
40 Asheville, lot 47, PP#12, Magalia
i
Temp. Power Pole
Called PG&E
1 Temp. Elec. Serv.
1 Called PG&E
Tem YoGas Serv.
Called PG&E
roe
FINALED
(Date)
(Signature)
COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS
• BUILDING INSPECTION RECORD
BUILDIN91,0, BUILDING (Cont'd) PLUMBING
Setback % Firewall Soil Plpin
Forms pr
Parapets
1st Floor
Main Bldg.
Restroom Finish
2nd Floor
Footings
Windows
3rd Floor
Stemwall
Siding
To out
Slab
Roof Sheathing
Water Piping
Piers 12, ` .8, �•
Roofing
Sewer
Garage
Fdn. Vents
Fixtures
Footings
Garage Vents
Water Htr.
Stemwa l l
Insulation
Heaters
Slab
Carport
Footings
Prov. for physically .
handicaped
Conformance of ex.
structure
Appliances
Gas Piping& Test
Temp. Gas
Slab
Final
Sanitation
Patio
FIREPLACE
Final
Footings
Footing
ELECTRICAL
Bond Beam FIRE SPRINKLERS Motors
Framing Test Water Htr.
Stucco . I Final Suboanels
MECHANICAL
bcratcn
Heatina
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
MOBILEHOME INSTALLATION - - - - - - - - - - - - - -
Support
Elec. Continuity
Water Piping
Drainage
Gas Piping
DATE REMARKS OR CORRECTIONS
m
(NOTE: An entry must be made on this form each time you visit the job site.)
C41II ITY;*-DF BUTTE — DEPARTMENT OF PUBLIC WORKS '
7 County Center Drive — Oroville, California 95965
' Tel epbone: 534-4541
�'7
APPLICATION AND PERMIT kl�� ,/
Date
Signature o"/
f�P/ermitee or gent
Receipt No./ / /R�
White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant
the Butte County Code and/or resolutions to do work indicated
above for which fees have been paid.
DIRECTOR QF BLIC WORKJJS--%% �
BY Date1�e?-7 7
Building permit expires Date
BUILDING
Owner Ls•
SQ. FT. OCC. BUILDING VALUATION
Mailing Address
1/ 2
Telephone No.
Fireplace
Contractor v, Y�` .. le -
Total Valuation
Mai ling Address / t! Y
Permit Fee
Plan Checking Fee&/or Penalty
A& ' _
T e ho N//O�
/
Permit Fee $ , �-p
_
Building Addres r�
PLUMBING No. @ FEE
PERMIT FILING FEE $3.00
Each Trap 1.50
aRepair
a
i.50
drainage or vent pipingC4
r r O `/
Water piping 1.50
Each gas water heater or vent 1.50
6 —Q
A. P.LI-
Zoning & Planning
Gas piping system 1 - 5 outlets 1.50
Each additional outlet .30
r
Fes I
W. . Sa n Fire Dept.
Fire Zone
Use Permit
Building sewer 5,00
EQA
Parkingl
Plans Declara n
I
Parcel Map
60' Ri
...Improvements
Lawn sprinkler system 2.00
Bldg. Plans Rec'd Parcel Approva Plans A al
Permit Fee $
$
NEW ADDITION ❑ UTILITIES ❑ OTHER ❑
ELECTRICAL No. @ FEE
PERMIT FILING FEE $3.00
_A4Main
1 OR LES
service 100 AMP ORS
SLESS 5.00
Main service EA. ADD'L 100 AMP 2.50
Single Family ❑ Duplex ❑ Mobil Home Others ❑
OVER Main service 00 AMP OR LESS I 25.00
Main service EA. ADD'L 100 AMP 1,00
NEW CONST. DWELING
OR ADDNS. ( ACCLBLDGS.CCUP. &) 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
st Ie o
Y
Ex. Occup(OUTLETS OR FIXTURES)@%a
BAL@1
Ex. Occup. (OUT ETS P(RESID )REA) 2,00
Temporary service 10.00
Mobile Home Facilities 15.00
License No 15_9Classification Lt
J/'
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.
9 1 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 @ I FEE
PERMIT FILING FEE J$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
ing to building construction, and hereby
and State Law�tfati,,'es
authorize repre of the County of Butte to enter upon theThis
above-mentio dtv fnr insnactinn nu mnece
TOTAL PERMIT FEE
$
permit is hereby issued under the applicable provisions
of
Date
Signature o"/
f�P/ermitee or gent
Receipt No./ / /R�
White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant
the Butte County Code and/or resolutions to do work indicated
above for which fees have been paid.
DIRECTOR QF BLIC WORKJJS--%% �
BY Date1�e?-7 7
Building permit expires Date
PERMIT NO. 4863-77B
} 4
PERMIT EXPIRES
OWNER Lewis -C. Forbes
CONTR. Mari -John Const., Magalia
LOCATION (A.P. 64=05-41
40 Asheville Dr., lot 47, PP#12, Magalia
Temp. Power Pole
Called PG&E
Temp. Elea Serv.
Called PG&E
Temp. Gas Serv.
Called PG&E
SOB
FINALED
(Date)
1�
(Signatur
.
V
Finish
COUNTY. OF BUTTE — DEPARTMENT OF PUBLIC WORKS `
BUILDING INSPECTION RECORD
Underground
BUILDI G BUILDING (Cont'd)
PLUMBING
Setback
Firewall
Soil Piping
Forms
Parapets
1st Floor
Main Bldg.
Restroom Finish
2nd Floor
Footings
Windows
3rd Floor
Stemwall
Siding
To out
Slab
Roof Sheathing
Water Piping
Piers
Roofing
Sewer
Garage
Fdn. Vents
Fixtures
Footings
StemwaI l
Garage Vents
Insulation
Water Htr.
Heaters
Slab
Carport
p
Footings
Prov. for physically
handica ed
Conformance of ex.
structure
Appliances
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.
Stucco
Final Y
Subpanels
Mesh
MECHANICAL
Grd. Fault Prot.
Scratch
Heating
Service
Brown
Cooling
Temp. Pole
Finish
Ducts
Underground
Interior Lath
Ventilation
Permanent
Door Closer
Final
Final
MOBILEHOME UTILITIES ---------=--------
Elec- Service
Elec. Pedestal
Water Piping
Sewer
Gas Piping
M0016EtIOME INSTALLATION - - - - - - - - -.- - - - -
Support
Elec. Continuity
Water Piping
Drainage
Gas Piping
DATE REMARKS OR CORRECTIONS
4.
e, 4 0"
,,eov(NOTE: An entry must be made on this form 4eacfinet��fDD Sne.)
COUNTY OF BUTTE' — DEPARTMENT OF PUBLIC WORKS
7 County Center Drive. — U�oville, California 95965 / %
Telephone: 5`4-4541 //
APPLICATION AND PERMIT �/
authorize repr en t tives of the County of Butte to enter upon the
above-menti4edpert,y for inspection purposes.
Date
Signa�e or Agent
eceipt No. l ` / b Z•
White-D.P.W. — ellow-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
BY Date__`1''2 7
Bu (ding permit expires Date c/ ' 2 3 _7If
BUILDING 7F
1
Owner ,S �`
SQ. FT. OCC. BUILDING VALUATION
Mailing Address • e ��
Telephone No.
Fireplace
Contractor _• �� S
Total Valuation Z`v
Mailing Address �^
Q J Lru �� >' i
Permit Fee
Plan Checking Fee &/or Penalty
Telephone No.
Permit Fee $
Building ddress$ _ �P
PLUMBING No. @ FEE
PERMIT FILING FEE $3.00
a? •
Each Trap 1.50
42-
Repair drainage or vent piping 1.50
Water piping 1.50
Each gas water heater or vent 1.50
A. P. No.(ay—J,Zoni
ng 8 Planning
Gas piping system 1 - 5 outlets 1.50
Each additional outlet .30
/
Fees
a t
Fire Dept.
Fire Zone
Use Permit
Building sewer 5.00
EQA
Parking
Plans
Parcel
Declaration
Parcel Ma P
60' R W
Improvements
p ovements
Lawn sprinkler system 2.00
Bldg. 4iffg"Rec'd
Parcel Appro
Plans pprovol
Permit Fee $
$
NEW ADDITION ❑ UTILITIES ❑ OTHER ❑
ELECTRICAL No. @ FEE
PERMIT FILING FEE $3.00
Main service i0°V OR o AMP OR 0 LESS 5.00
Main service EA. ADD'L 100 AMP 2.50
Single Family ❑ Duplex ❑ Mobil Home ❑ Others
Main service OVER 600V 25.00
100 AMP OR LESS
Main service EA. ADD•L 100 AMP 1.00
1v_
NEW CONST. I DWELLING OCCUP. &
OR ACDNS. ACC. BLDGS. 20 sq ft
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:
Y �t - a Z! �6�+ S
Ex. Occup(OUTLETS OR FIXTURES)so @250
104
Ex. Occup.(FIXED APLNS. OR OUTLETSP(RESID.1 EA) 2•00
Temporary service 10.00
Mobile Home Facilities 15.00
/'
License No, 17.5�o Classification /q
Mise. 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.
XI 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. @ I FEEPERMIT
FILING FEE $3.00
Heating
Cooling
Ventilation
Hood 1 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 lating to building construction, and hereby
TOTAL PERMIT FEE
$
authorize repr en t tives of the County of Butte to enter upon the
above-menti4edpert,y for inspection purposes.
Date
Signa�e or Agent
eceipt No. l ` / b Z•
White-D.P.W. — ellow-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
BY Date__`1''2 7
Bu (ding permit expires Date c/ ' 2 3 _7If
I
PERMIT NO. 2862-77P,E
ti
PERMIT EXPIRES evQ
TOWNER Lewis C. Forbes
eCONTR. Marvin R. Anderson, Paradise
LOCATION (A.P. 64-05-41
40 Ashville Dr., lot 47, PP#12, Magalia
r
1
T t •
a
.y t.
t h
1
{
• R
Temp. Power Pole
Called PG&E
Temp. Elec. Serv.
Called PG&E-�iL
Temp. Gas Serv.
Called PG&E
0B T}
FINA LED
(Date)
(Signature
back
Aps
7Mn Bldg.otin se wallabiers
Garage
Footings
Stemwa I I
Slab
Carport
Footings
;Slab
Patio
Footings
isonry Wall:
Relnf. Stee
Stucco
Mesl
ScrJ
COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS
BUILDING INSPECTION RECORD
BUILDING BUILDING (Cont'd)
FI wall S I Piping
Par ets t Floor
Restr m Finish 2n Flooi
Window
Siding
Roof Shea In
Roofing
Fdn. Vents
Garage Vents
Insulation
Prov. for ph sical
handicapped
Conformance of ex.
Footin
Heatfig
Co Ing
FIRE SP
3rd loor
To out
Water PI
Sewer
Fixtures
Water Htr.
Heaters
Appliances
Gas Piping
Temp. Gas
Sanitation
Final
Fixtures
Motors
Water Htr
SubpaneA
Grd. FAR Prot.
Servile
AMR. Pole
Finish cts nder round
leferior Lath entilation Permanent
oor Closer Final Final
MOBILEHOME UTILITIES ------------------ Elec. ServiceZDy' } Elec. Pedestal _-� • )
Water Piping Sewer _ •Z„ Gas Piping
E MEINSTALLATION - - - - - - - - - - SupportElec. Continuit
Water Piping Drainage Gas Piping 17
DATE REMARKS OR CORRECTIONS
7 ~» t ,
PLUMBING
(NOTE: An entry must be made on this form each time you visit the job site.)
L
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 reqquirements
of the al' ornia dministratve Code, Title 25, a ter 5 nd'er per�;;it
numbei Q fgr,the following location: !/�.
Owner a" *4,Z4* S t.L /"oy ky{ S i
Owner's Address ri /moi
Mobilehome Mfg. /Q / / 0-mbdeI Year??
Insignia No.OSs 207 d 8C/ Serial No. R 602/
It is hereby certified for occupancy at the above described location and
may be occupied.
^� Director of Public Works �. n
Date / $y%:
i a -
THIS CERTIFICATE IS VOID WHEN /MOBILEHOME IS RELOCATED
tiOBli,i?IiUL1E •INS`CALLA'1 ER4 INSPECTION CHECK LIST
1. Is the mobilehoni,� loc;�!ted wid-cquired separation from lot lines and buildings and generally
conform to plot plan? Y,,.,- No
Doi,; thEt mr,bil.ehome have required clearances above ground? (Sec.5085) Ye#6 No
3. Are footinc;s and supports properly sized, spaced, and braced as per pproved plans? (Note
possible variation at spring shackles.) (Sec. 5 -•2 & 5083) Yes vNo
4. Is the mobilehome level.? ° Yesr� -- —
v (Sec. 5088) Nom
5. If more a single unit are crossover connections properly installed? (Sec. 5088)
Yes_
o
—.
5. 'Water
A. Is flexi e 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 not States 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? Ye No
B. Does it have minimum -1,". per foot slope and is it properly supported? Yes '
C. Are any leaks detected in drainage system alter running 3- ons of ti:ater through each
fixture including crashing machine standpipe? Yes— No
D. I.f coa is t tate of California approved, does station have required trap and vent?
Yes"Vol
8. Gas Piping and Gas Vents
A. Connector -.Is mobilehome connected to the gas supply with an approved 3/4" imum
mobilehome connector not more than 6 ft, long? Note: All piping is t� e at least as
large as the mobilehome gas line, inlet, without reductions other t tie mobilehome
connec r. Yes No
B. Test OK as r following procedure? Yes_ No
1. Open all a liance connector valves.
2. Shut off appliaE e burner and pilot v es.
3. Air test with manome� r to 10"- water column, or test with slope gauge (minimum
6oz.-maximum 8 oz.) ca. 'brat in tenth pound increments. Test for 10 min, without
drop.
4. Connect: gas meter mobilehome th connector, turn. on gas, test connections with
soapy water.
C. Are all appl' nce vents properly installed? s No
9. Electrical
A. Is service large enokigh to provide :adequate amperage to mobilo home (must equal rating of
nuibi.lehome with a. ::;inia�:um of�and other faciliti.r.s on lot, i.e., water pumps,
rate, cabana, etc.? Yes No
B. Is them proper clearances around panels? Yes_ No
C. Is power supply cord or feeder assembly properly fused? Ye No_
D. Is continuity test satisfactory as per tiie following procedure-.? Y _ No_
1. De -energize electrical wiring system of the mobilehome at the pedestal.
2. Blake sure that the power supply cord or feeder assembly conductors, including neutral
conductor, have been disconnected. e
3. Switch all breakers and switches in the mobilehome to the "on" position.
4. Connect one I-r.,ad of a test instrunent to the mobilehome grounding conductor and
apply tate oi,lier I.e:au to supply CUiiuuCtU', including neULrat.
5. All nor, -current, carrying metal parts of the mobilehome (aluminum siding, gas line,
,Tater line), including fixtures and appliances, shall be tested for continuity from
such equipment and the grounding conductor.
6. Upon c mpleticn of the above procedure, the power supply cord or feeder assembly
conductwrs' 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
i:ioi)il•ehome. Upon satisfactory completion of the electrical .tests, the lot or site
service equipment may be approved for energizing.
-0, Is job card signed by Health Department for water and sanitation?
1.:., If everything oi:ay, sign off card and tag- services.
MOBILEITO.M.L•' DATA
Manufacturer and/or Namestyle
Length— Width.
'P /
O�� V
Vehicle Serial N V 5 El
State Identification No.
4&11,'tional Information or Comments:
COUNTY OF.BUTT. — DEPARTMENT OF PUBLIC WORKS
7 County Center Drive — 'Oroville, California 95965
Telephone: 534-4541 Oe�
_-77
APPLICATION AND PERMIT
BUILDING
Owner SQ. FT. OCC. BUILDING VALUATION
Mailing Address '
Telephone No.
Contractor
Mai I i ng Address �•
aj- i
Building Address te6 ;;AYrVA,, Z
A — 7 . i 7 A - , bpi . /.
A. P
EQA
e No.
17
C-4#-oS- f +
Zoning & Planning
Sanf4aiiAn Fire Dept. Fire Zone Use Permit .
parking I Parcel Parcel Ma ' R/W I Improvements
Plans Declaration P 60 p ovements
Bldg. Plans Recd I Parcel oval I Pla*?%p-provaI
NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER M
Single Family ❑ Duplex ❑ Mobil Home Others ❑
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• f A
License No..2,9 a Z6 Classification
Fireplace
Total Valuation
Permit Fee
Plan Checking Fee &/or Penalty
Permit Fee
PLUMBING
PERMIT FILING FEE
Each Trap , .
Repair drainage or vent piping
Water piping
Each gas water heater or vent
Gas piping system 1 - 5 outlets
Each additional outlet
Building sewer
Lawn sprinkler system
Permit Fee
ELECTRICAL
PERMIT FILING FEE
Main service incl. 1 meter
Additional meters, each
Sub -panel (12 or less) (more than 12)
Range, Cook -top or Oven
Water Heater or Space Heater
Light fixtures'
Receps„ switches & fix outlets
Hood, Ex. Fan or F.A. Furn. Motor
Evap. cooler, gar. disp. or D.W.
Air conditioner or heat pump
Water pump
Mobil Home Facilities
Temp. Power Pole
Misc. wiring
❑ 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 Heating
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 Cooling
Workmen's Compensation Insurance.
❑I certify that in the performance of the work for which this Ventilation
permit ,is issued I shall not employ any person in any manner
so as to become subject to the Workmen's Compensation Laws of Hood
California.
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
authorize representatives of the County of Butte to enter upon the
above-mentioned property for inspection purposes.
X Date Z-5 ' Z2
Signature o Perm77itee or Agent
Receipt No.L��r1�
White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant
@ FEE
$3.00
1.50
1.50
1.50
1.50
'1.50
.30
5.00
2.00
@ FEE
$3.00
1.00
1.00
1.00
2U 02
1.00
1.00
5.00
• 5.00
$ $
@ J FEE
$3.00
2.00
$
' TOTAL PERMIT FEE 1$ .Ae� 10,0
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.
DIRE 0. BLIC WORKS
By 1-1 L J Date
'permit expires Date
MOBILEHOME SUPPORT DATA
Mobilehome Mfr.- "g-I('p,J:'gP-_ _ e . Setup Model No. Year 7
Width 2_ 4- .(ft.) Length _64- (ft.) Expando Size t` ft.x ft.
(Draw support details,helow)
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).
Sin le Footings (check one)
1. Wood either
A31
pressure treated or
Center Center Support fdn. grade.
Support Footing Sizes
Locations (in.) f 2. Concrete pad.
-Z,1( '� , (' / / 3. Other, specify
tin.) (iri.�•
-- -- - -- - i Supports (check one)
\ / 1. Concrete block
OX -3f
�9 - (�( 2. Concrete piers
(ft�'`(in)
3. Steel piers
I / / 4. Other, specify
Typical -Support
�- ---- -- ( Footing Size
® ( 7 Max. Pier
Spacing
M-40n.!"t .min.))y I i
Max.
Overhang
*if center piers are other than drawn above, Bv'�rG
dG'�N1FN�
raw in locations, spacing, and dimensions. �v1�O1N� DIE?AR`D
ApP
R0v
l�
BUTTE COUNTY DEPARTMENT OF PUBLIC WORKS
7 County Cente_ r Drive, Oroville, CA.
PHONE: 534-4541
MOBILEHOME INSTALLATION SHEET
1. Owne s name: "C& -)/i i -o 57
2. Installer's name: A4-91-04 �%���(��?
3. Is the site currently under permit? Yes /% No
( If yes, furnish permit numberOR
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
....iii. . 1
(If no, clarify )
5. What is the mobilehome electrical rating? ----------------------- t Amps
6. What is the mobilehome site service rating. �`'` Amps
7. What is the mobilehome site circuit ircuit breaker rating? ------------- -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: (Load) (Amps)
9. What is the mobilehome site gas pipe size? ---------------------- (in.).
10. What is the type of gas service? ----------------------------- Natural 1—/. LPG /-4
11. What is the gas pipe length from meter or tank to the mobilehome? (ft.)
12. What is�the,mobilehome gas demand? ------------------------------ (BTU)
(T•his:'-Qinformation not required if pipe length less than 6 ft. on natural gas
or less"than;-50.ft. on LPG.)
COUNTY OF 13UTTE-i — DEPARTMENT OF PUBLIC WORKS ---���
. -- 7 County Center Drive —� Uroville, California 95965 100 / ��� /
Telephone: 534-4541 �/(/, /
- APPLICATION AND PERMIT ,1'
r., v., a.n au„ va..a a .o V-1. V ul uutty lu CIIICI upull IIIc
above-mentioned property
for inspection purposes.
X �.;.ate
Signature of Permitee or Agent
Receipt No./ 17 i `•/'
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.
DIR TOR OF.PUBLIC WORKS
By Date
g permit expires Date 51--7c
BUILDING 1 11
Owner LewisC . Forbes
SQ. FT. OCC. BUILDING VALUATION
Mailing Address
Telephone No.
Fireplace
Contractor
Total Valuation
Mailing Address955 WaggonerPermitPlan
Permit Fee -
Fee&/or Penalty
Paradise, 08- 9596Q
Telephone No.
_797-9
Permit Fee
Building Address BE 2 Lot
PLUMBING No.1 @ FEEPERMIT
FILING FEE $3.00,3-
40
Each Trap 1.50
95954
Repair drainage or vent piping 1.50
Water piping 4-6181,
Zoning Verification
Each gas water heater or vent 1.50
A. P. No.�®S -�
tonin
Gas piping system 1 - 5 outlets 1.5U
Each.additional outlet .30
F&e<
alio
Fire Dept.
Fire Zone
se Permit
uilding sewer /O
EQA
Parking
Plans
Parcel
Declaration
Parcel Ma 0' R/W
P
Im prove is
Lawn sprinkler system 2.00
BI P ec'd
P App: al
Plans A ,oval
Permit Fee $ i
NEW ADDITION ❑ UTILUTILITIESOTHER ❑
a
ELECTRICAL No. FEEPERMIT
FILING FEE $3.00 3—
main service 1000V OR 0 AMP ORLESS5.00
Main service EA. ADD'L 100 AMP 2.50
Single Family ❑ Duplex ❑ Mobil Home Others ❑
Main service OVER 600v
100 AMP OR LESS 25.00
EA. ADD'L 100 AMP 1.00
Main serviceNEW
5d0 SQ. FT. MINIMUM
FeR moBILU
CONS—./
ODWELING R ADDNST ACCLBLDGS.CCUP, &) 20sgft
NEW CST R. MULTI -OUTLET
NON-ROESNID, BRANCH CIRCUITS) 2.50ea
NEW CONST. (POWER APPARATUS &
NON- R
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:.
It'iAryin R. Anderson
Ex. Occup(OUTLETS OR FIXTURES) 50 @25a
BALN/
ExOcc u FIXED APPLNS. OR
P•(OUTLETS (RESID.) EA) 2.00
Temporary service 10.00
Mobile Home Facilities 15.00
License No.264.092Misc.
Classification A R�. R
Wiring 6.25
❑ I am exempt from the Contractors License Laws of the State of California.
Permit Fee $ 2
$ IS I
WORKMEN'S COMPENSATION INSURANCE
1 am aware of the provisions of Section3700 of the California Labor
Code which requires every employer to be insured against liability
for Workmen's Compensation.
® I have placed on file with the County of Butte a certificate of
Workmen's Compensation Insurance.
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 @ I FEEPERMIT
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
&1a 92
TOTAL PERMIT FEE
$ Sb
r., v., a.n au„ va..a a .o V-1. V ul uutty lu CIIICI upull IIIc
above-mentioned property
for inspection purposes.
X �.;.ate
Signature of Permitee or Agent
Receipt No./ 17 i `•/'
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.
DIR TOR OF.PUBLIC WORKS
By Date
g permit expires Date 51--7c