HomeMy WebLinkAbout064-150-0300
1
64-15-3�
Anton M. Laakso
90 Essex Ct., lot 151, PP#13, Magalia
contr: Marvin R. Anderson, Paradise
4 Permit #17976P,E(u�i1.,MH)
ELEC ,
OAS
SUP RT STRUCTURE 0
COMPACTION TEST M 'Iwo
64-1
Permit #272376MHI`_
Issued
64-15-36
FPermit #295 76P(inst. gas pip.)
64-15=30
Per 't #4324-76B(new deck/MH)
Q
PERMIT NO. 4324-76B
J � v
r �' PERMIT EXPIRES
w.
OWNER Anton Laakso
CONTR. owner
` LOCATION (A.P. 64-15-30 )
90 Essex Ct., 16t 151, PP#13, Magalia
Temp. Power Pole
Called PG&E
Temp. El,yl.ec. Serv.
Cal ed PG&E
Tem .Gas Serv.
Called PG&E
JOB 3
FINALED
(Date)
(Signaturfr
'
� 3
1
Temp. Power Pole
Called PG&E
Temp. El,yl.ec. Serv.
Cal ed PG&E
Tem .Gas Serv.
Called PG&E
JOB 3
FINALED
(Date)
(Signaturfr
1
COUNTY OF.BUTTE — DEPARTMENT,OF PUBLIC WORKS.
BUILDING INSPECTION RECORD
BUILDING 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
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
Subpanels
Mesh
MECHANICAL
Grd. Fault Prot.
Scratch
Heating
Service
Brown
Cooling
Temp. Pole
Finish
Ducts
Underground
Interior Lath
Ventilation
Permanent
Door Closer
Final
Final
DATE REMARKS OR CORRECTIONS
(NOTE: An entry must be made on this.form each time you visit the job site.)
COUNTY OF BUTTE — DEPAR'TMENT OF PUBLIC WORKS
7 County Center Drive ,— OrpviIle, California 95965
Tel ephone: 534-4541
APPLICATION AND PERMIT
authorize representatives of the County of Butte to enter upon the
above-r"ntioned property fgr inspection purposes.
X G/ �� aiK V��"v Dat
Signature of
Permitee or Agent
Receipt No. / V d J os— r
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.
DIRECTOR OF PMLIC WORKS
B2il=gper=itex�pires
Date �� �'
BUILDING
Owner L �S 0 ,
SQ. FT. OCC. BUILDING VALUATION
32 O,
Mailing Address
61,0 14
'
Fireplace
Contractor N( 74—•
Total Valuation C�Q
Mailing Address
Permit Fee ^
Plan Checking Fee &/or Penalty
Telephone No.
Permit Fee $
Building Address
PLUMBING No. @ FEE
PERMIT FILING FEE $3.00
n
_ ) a
Each Trap 1.50
G N
Repair drainage or vent piping 1.50
Water piping 1.50
Each gas water heater"or vent 1.50
.,--
A. P. No. "�s �Q r
Zoning & Planning
Gas,piping system 1 - 5 outlets 1.50
Each additional outlet .30
Fe
do
Fire Dept.
Fire Zone
Use Permit
Building sewer 5.00
EQA
Parking
Plans
Parcel
Declaration
parcel Ma R/W
P
Im r
p ovements
Lawn sprinkler system 2.00
Bld tans Recd
Parcel royal
Plans proval
Permit Fee $
$
NEW ADDITION ❑ UTILITIES ❑ OTHER ❑
ELECTRICAL No.1 @ FEE
PERMIT FILING FEE J$3.00
Main service 600v OR LESS 5.00
100 AMP OR LESS
Main service EA. ADO'L 100 AMP 2.50
Single Family ❑ Duplex ❑ Mobil Home Others ❑
Main service 1100EAMP OR LESS 25.00
Main service EA. ADD•L 100 AMP 1.00
NEW CONST. DWELING
OR ADDNS. ( ACCLBLDGS.CCUP. &) 2¢sgft
'
NEW CONSTMULTI
CONSTR.
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:
Ex. Occup(OUTLETS OR FIXTURES)HL2SC
BAL�1
Ex. Occu P• FIXED APPLNS, OR
OUTLETS (RES(OREA) 2.00
Temporary service 10.00
Mobile Home Facilities 15.00
License No. 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 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.
�j 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 2.00
Permit Fee $
$
I certify that I have read this application and state that the above
information is correct. I agree to comply to all County Ordinances
and State Laws relating to building construction, and hereby
TOTAL PERMIT FEE
$ ^
authorize representatives of the County of Butte to enter upon the
above-r"ntioned property fgr inspection purposes.
X G/ �� aiK V��"v Dat
Signature of
Permitee or Agent
Receipt No. / V d J os— r
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.
DIRECTOR OF PMLIC WORKS
B2il=gper=itex�pires
Date �� �'
r a �
util.,MH 1793-76P3E
PFR. MIT NO.
i-
�
PERMIT EXPIRES '7Z�-' Z �
',OWNER Antm M. Laakso
°tCONTR. Marvin R. Anderson, Paradje
ti -LOCATION (A.P. 64-15-30
90 Essex Ct., lot 151, PP#13, Magalia
r
t;
f
r
J
.1
s
f
'A
i
Temp. Power P e
"'t
Called P E
Temp. Elec Serv. G'
Calle G&E Z
>
Temp. s Serv.
C led PG&E
J
17�.
4 NALED
COUNTY OF BUTTE — DEPARTMENT OF PUBLIC .WORKS
BUILDING INSPECTION[ RECORD
BUILDING BUILDING (Cont'd) PLUMBING
Setback- �.•
Firewall
Soil Piping
Forms
Parapets
1st Floor
Main Bldg.
Restroom FI ish
2nd Floor
Footings
Windows
3rd Floor
Stemwall
Siding
To out
Slab
Roof Sheathin
-Water Piping
Piers
Roofing
Sewer
Garage
Fdn. Vents
Fixtures
Footin s
Stemwa I I
Garage Vents
Insulation
Water Htr.
Heaters
Slab
Carport
Footings
Slab
Prov. for ph sicaliy
handica ed
Conformance of ex.
structure
Final tjjtj I I �0
Appliances
Gas PipingTest
Temp. Gas
Sanitation
Patio
_
FIREPLACE
Final %
Footings
Footing
ELECTRICAL
Reinf. Steel I Final N I Fixtures
Bond Beam I FIRE SPRINKLERS I Motors
Stucco Final Subpanels
Mesh ECHANICAL Grd. Fault Prot.
Scratch Heating Service
Brown Cooling Temp. Pole
Finish Ducts Underground'
Interior Lath Ventilation Permanent
Door Closer Final Final Q 7 (O
DATE REMARKS OR CORRECTIONS
r —
6 c-
(NOTE: An entry must be made on this form each time you visit the job site.)
\�sy.�
�,� � N
s
t,
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 requirements
of the California Administrative Code, Title 25, Chapter 5, under permit
numbm2 `1S 3-7(�9 for the following location: CIO L C•i-
Owner ✓ 4 S 0
Owner's Address 9 U C' '9S CS > 9C/
Mobilehome Mfg. 44., _ u 1 Model Year i(
Insignia No. % Serial No.
It is hereby certified for occupancy at the above described location and
may be occupied.
Director/off Public Works Cj
Date � �v B
THIS CERTIFICATE IS VOID WHEN MOBILEHOME IS RELOCATED
9. Electrical
A. Is service large enough to provide adequate amperage to mobilehome (must equal rating of
mobilehome with a minimum00 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? Ye)4, No
D. Is continuity test satisfactory as per the following procedure?
1. De -energizer ic 1 wiringg system of the mobilehome at the pedestal.
�Xot n/UTL�, evv
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 rciobilehome '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
conddc.tors. shall be connected to the site. service equipment. A further continuity
t,
test shall then be made between the grounding electrode and the chassis of the
mobilehome. Upon satisfactory completion of the electrical tests, the lot or site
service equipment may be approved for energizing.
r
L0. Is job card -signed by Health Department for water and sanitation?
11. If everything .okay, sign off card and tag services.
KOBILEHOME DATA
Kanufacturer and/or Namestyle s7S� t a C,CA,j
Length 6_0 Width 10 �7
Jehicle Serial No.��
5 tate identification No.
Additional.Informati.on or Comments:
MOBIL EHOME INSTALLATION INSPECTION CHECK LIST
1: Is the mobilehome located w`i�h required separation from lot lines and buildings and generally
conform to plot plan? .-Yes "No
2. Does the mobilehome have required clearances above ground? (Sec.5085) Ye� 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 mobilehome level? (Sec. 5088) Yes No�
5. If more t a single unit, are crossover connections properly installed? (Sec. 5088)
Yes No
6. Water '
A. Is Jjexible 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? Yesy— No
C. Backflow - coach is not State of California approved, does station have backflow devic
and press e- elief valve? Yes No
7. Wastes and brains
1 N
A. Is connection made with Schedule 40 DWV and have flex connectors at each end? Yes_.X No
B. Does it have minimum 4' per foot slope and is it properly supported? Yes -y 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 ac is not State of .California approved, does station have required trap and vent?
Yes o.
8. Gas Piping and Gas Vents
A. Connector - Is mobilehome connected to the gas supply with an approved 3/4" minimum
mobilehome connector not more than 6 ft. long? Note: All piping is to be at least as
large as the moehome 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 411 appliance vents properly installed? YesX No
ii'
COUNTY OF BUTTE — DEQ ARTMENT OF PUBLIC WORKS
7 County Center drive - Uroville, California 95965 (?6,3 ��
Telephone: 584-4541
APPLICATION AND PERMIT
authorize representatives of the County of Butte to enter upon the
above-men'oned prop erty,for ins p ¢tion purposes.
X Date
Signature of Permitee or Agent
Receipt No. 7 lose I
White-D.P.W. — YellowAssessor— 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.
DI (`TOR OF PUBLIC WORKS(,
By - `� t Date " h
permit expires Date `
BUILDING
Owner�D /C 5 b
SQ. FT. OCC. BUILDING VALUATION
Mailing Address 6) C°
[nr A L S
/
Telephone No.
Fireplace
Contractor Via., Ad C
Total Valuation
Mai I i ng Address
Permit Fee
Plan Checking Fee &/or Penalty
Telefyt7l3pC,f`Io.
Permit Fee
Building Address �-S� Er>C ',
PLUMBING No.1 @ FEE
PERMIT FILING FEE $3.00
??
J -
Each Trap 1.50
`
Repair drainage or vent piping 1.50
Water piping 1.50
Each gas water heater or vent 1.50
6 ., f c-_
A. P. No. J �.
Zoning & Planning
Gas piping system 1 - 5 outlets ri�st•Y -�
Each additional outlet .30
Fees+&O.
I Sen4o4on
Fire Dept.
Fire Zone
Use Permit
Building sewer 5.00
EQA
Parkin
PlansBldg.-P4---Rec'd
Declaration
Parcel Map
60' R/W
Improvements
Lawn sprinkler system 2.00
Parcel Approval
Plans Approval
Permit Fee $
$
NEW ❑ ADDITIONE], UTILITIES ❑ OTHER ®
ELECTRICAL No. @ FEE
PERMIT FILING FEE $3.00
AIY �Main
00V 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 600V
Main service 100 AMP OR LESS 25.00
Main serviceEA, ADD -L.100 AMP 1.00
NEW OR ADDNST %(DWELLING % ACCBLGOCCUP. &) 2(tsgft
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:
Ex. Occup(OUTLETS OR FIXTURES) BAL@1
09
AP PLNS, OR
Ex. QCCU (OUT
p•(OUTLETS (REBID.) EA) 2.00
Temporary service 10.00
Mobile Home Facilities 15.00
License No. Classification
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.
Elhave 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.
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
MECHANICAL No. @ FEE
PERMIT FILING FEE $3.00
Heating
Cooling
Ventilation
Hood 2.00
Permit Fee $
$
TOTAL PERMIT FEE
'�
� .�
authorize representatives of the County of Butte to enter upon the
above-men'oned prop erty,for ins p ¢tion purposes.
X Date
Signature of Permitee or Agent
Receipt No. 7 lose I
White-D.P.W. — YellowAssessor— 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.
DI (`TOR OF PUBLIC WORKS(,
By - `� t Date " h
permit expires Date `
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS
7 County Center Drive _,—I (Ijoville, California 95965
Telephone: 53,1-4541 _ 7/
APPLICATION AND PERMIT
au '"or ze representatives UI the County Or Butte to enter upon the
above -me tioned property f inspection purposes. ,,//
Date ' `,
��
Signature of Permitee or Agent
Receipt No. � Y (.:,S 32..
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.
DIRECTQ.R OF PUBLIC WORKS
BY v Date 2 A9��C
�?ICiwg permit expires Date 77z C�%i
BUILDIN
Owner O /11_1 14 SI)
SQ. FT. OCC. BUILDING VALUATION
Mailing Address 0 SS IC— Cf -
L 1 Ii
Telephone No.
Fireplace
Contractor W 1\1 LryL.
Total Valuation
Mailing Address
Permit Fee
Plan Checking Fee&/or Penalty
Telephone No.
Permit Fee
Building Address
PLUMBING No. @ FEE
PERMIT FILING FEE $3.00
5^ C, ki / / /
Each Trap 1.50
Repair drainage or vent piping 1.50
Water piping 1.50
Each gas water heater or vent 1.50
A. P. No. — 6 _3
Zoning &Planning
Gas piping system 1 - 5 outlets 1.50
Each additional outlet .30
F
W. .
gan4et4en
Fire Dept.
Fire Zone
Use Permit
Building sewer 5.00
EQA
Parking Parcel
Plans Declaration
Parcel Ma P
60' R/W
Im vements
Lawn sprinkler system 2.00
BIdlKt-Re '
Parcel Approval
Plans Approval
Permit Fee $
NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER
ELECTRICAL No. @ FEE
PERMIT FILING FEE $3.00
Main service 100 AMP OR1 OR LESS5.00
3 ^ G
Main service EA. ADD•L too AMP 2.50
Single Family ❑ Duplex ❑ Mobil Home Others ❑
OVR 600V
Main service tooEAMP OR LESS 25.00
Main service EA. ADD•L 100 AMP 1.00
NEW CONST. ( DWELLCCUP.
DWELLING O &
OR ADDNS. ACC. BLDGS. ) 20sq ft
NEW CONSTR. MULTI.OUTLET
NON.RESID. BRANCH CIRCUITS) '2.50ea
NEW CONSTR. (POWER APPARATUS &
NON .RESI D. 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:
Ex. Occup(OUTLETS OR FIXTURES) @251419
R
Ex. Occu FIXED APPLNS. OR
TLETS (RESID.) EA) 2.00
Temporary service 10.00
Mobile Home Facilities 15.00
License No. 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 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. @ FEE
PERMIT FILING FEE $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
3C) "
TOTAL PERMIT FEE
$ 30 ^
au '"or ze representatives UI the County Or Butte to enter upon the
above -me tioned property f inspection purposes. ,,//
Date ' `,
��
Signature of Permitee or Agent
Receipt No. � Y (.:,S 32..
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.
DIRECTQ.R OF PUBLIC WORKS
BY v Date 2 A9��C
�?ICiwg permit expires Date 77z C�%i
►%�% COUNTY OF BUTTE , ['71EPAPtTMENT OF PUBLIC WORKS
7 County Center Drive - Uroville, California 95965 492-76
Tel ephone:, 534-4541
APPLICATION AND PERMIT
authorize representatives of the County of Butte to enter upon the
above-mentioned property for inspection purposes.
X )X a daW t - rd_�Ie Date -4/14,176
Signature of Permitee or nAgent
�. �'1
Receipt No. / � L ,
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.
DIRECTOR OF/P1UBLIC WORKS
By %�--_.-tea Date tl�-Z=1�-?.�
ildina permit expires Date 77
BUILDING IF ri
Owner
SQ, FT. OCC. BUILDING VALUATION
Mailing Address
Telephone No.
Fireplace
Contractor MARVIN R. ANDERSON
Total Valuation
Mailing Address 9
Permit Fee
Feeeck
Planit
ng Fee&/or Penalty
a d- ise, Op. 95969_
Telephone No.
Permit Fee
Building Address
PLUMBING No.1 @ FEE
PERMIT FILING FEE $3.00
Each Trap 1.50
Paradise Pines
Repair drainage or vent piping 1.50
Water piping A -ea ('--
�^
D C $e y Q C� /�'a� . �.°cc.. S�'
Each gas water heater or vent 1.50
A. P. No. G% — — �„
/`� `
11L °"i g
Gas piping system 1 - 5 outlets 1.50
Each additional outlet 30
E.aeS I
W
an' o
FireDept.
FireZone
Use Pen -nit
Building sewer -(f
EQA Parking
Plans
Parcel
Declaration
Parcel Ma P
60' R/W
ImprovementsLawn
sprinkler system 2.00
Bid QI� c'd
�7- cel A
Parcel A royal
Plans pproval
Permit Fee $ a r-
$
NEW ❑ ADDITION ❑ UTILITIESO OTHER ❑
ELECTRICAL No.1 @ I FEE
PERMIT FILING FEE J$3.00 e
Main service 6001 OR LESS
100 AMP OR LESS 5.00
Main service EA. ADD•L 100 AMP 2.50
Single Family ❑ Duplex ❑ Mobil Home ® Others ❑
Main service OVER 00 AMPORLESS 25.00
Main service EA. ADD•L 100 AMP 1.00
Er—Y46" 64URe/dIESL
NEW OR ADDNST [DWELLING ACCBDGS.CCUP. &) 20sgft
NEW CONSTMULTI-OUTLET
NON-RESID R ( 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
Ie Of:
MARVIN R. ANDERSON
Ex. Occup(OUTLETS OR FIXTURES) BAL@t
FIXED APPLNS, OR
Ex. Occup.(OUTLETS (RESID.) EA) 2.00
Temporary service 10.00
Mobile Home Facilities 15.00
License No.2-7L092 Classification A & B
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.
I have placed on file with the County of Butte a certificate of
KI Workmen's Compensation Insurance.
pi certify that in the performance of the work for which this
ermit 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 @ 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
and State Laws relating to building construction, and hereby
TOTAL PERMIT FEE
$
authorize representatives of the County of Butte to enter upon the
above-mentioned property for inspection purposes.
X )X a daW t - rd_�Ie Date -4/14,176
Signature of Permitee or nAgent
�. �'1
Receipt No. / � L ,
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.
DIRECTOR OF/P1UBLIC WORKS
By %�--_.-tea Date tl�-Z=1�-?.�
ildina permit expires Date 77
i
__.BUTTE COUNTY DEPARTMENT OF PUBLIC WORKS
7 County Center Drive, Oroville,.CA. `
PHONE: 534-4541
MOBILEHOME INSTALLATION SHEET
1. Owner's name:
2.
Z .. t
Installer's name: e-l'
3.
Is the site currently under permit?- 'Yes
No
J�
(If yes, furnish permit number, JR 43 ' 7
) OR
�: 1 ,
1 !
Is the site an existing.site? f i� Yes / /
No
(If yes, furnish twoi(2) plot plans.)
4.
Will the mobil 6hom�e: be - locatedat�1east 5 ft. away from septic tank and leach fields and
clear -of all setbacks and easement's? Yes
No
(If no, clarify:
5.
What is the mobilehome electrical ra ng? --------------
---------
00 ► `
Amps
6.
What is the mobilehome site service"rating.---------------------
Amp
7.
What is the mobilehome site circuit breaker rating?
-------------
j(� � .
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)
9. What is the mobilehome site gas pipe size? ----------------------
10. What is the type of gas service? --------------=----------`---- Natural / /.
(Amps)
11. What is the gas pipe length from meter or tank to.the mobilehome? � - 1(ft.)
12. :What is the mobilehome gas demand?------------------------------� (BTU)
s
(This information not required pipe length less than 6 ft. on natural gas
or less than 50 ft. on LPG.) L
2C/ rle I p
IC
MOBILEHOME SUPPORT DATA
Mobilehome Mfr. A✓\o utue-S Setup Model No. _ Year (oO
Width ► O (ft.) Length . • � 0- (ft.) -Expaiido Size r—ft.x ft.
(Draw 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).
Sin le . .T_. Footings--(check.one)
/
A. Wood either
w pressure treated or
Center Center S port fdn:':grade.:
Support Footing izes
Locations (in. d V
/,` 2.-:C.oncrete pad.
� ...... ...
x 3..Other, specify
.��, QUA �.
in i.n.
Ej
Supports (check one)
1.1 Concrete block
(- x- 2. Concrete piers
3. Steel piers
.. .. ........ g... w
1
4 Other, specify j
O
-- - — — — _ — ... �.: 0-1--LUoma.
Q a
Z., Q
X .30
Typical Support
• la Footing Size '
x
t................. Max. Pier.•... -
.. - Spacing .. .. • .
in.
(in.) (in.) .y 1 _ g pverhang
__ } in.
*If center piers are other than drawn above,
draw in locations, spacing, and dimensions.
BUTTE COUNTY
BUILDING DEPARTMENT
71e APPROVED