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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