HomeMy WebLinkAbout064-240-023�- ISER. Rollo
3 Hod Ct., lot 11, PP##152 magalia
con : Fuller Const., Magali.a
Per 4141-75P (util.,
EC. -9
CTA
-5-75 SUPP STRUCTUR REQ.j!L0 -
R COMPACT TEST REQ. /lJ�
64_24_23 -
CONTR: Paradise--Moi Cacept
t
Permit## 410-75VI e ls'
Issued
�. 64-24-23
Permit �k1524-76b(Ve��ck��/jT
64--z4-23
John W R�oos�
30 Hood Ct. 'tot 11, PP��15;-Magalia '
Pe it #6138-78B(newe i. arag
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I PIF - M-� ow _-- - - M--
ti*ERMIT NO. 6138-788
PERMIT EXPIRES
OWNER John W. Boggess
CONTR. owner
64-24-23
LOCATION (A.P.
30 Hood Ct., lot 11, PP#15, Magalia
Temp. Power Pole
Called PG&E
Temp.'Elec. Serv.
Called PG&E
Temp. Gas Serv.
Called PG&E
JOB
FINA.LED 'i I
(Date)(Signa ure)'
c(�
{
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS ..
BUILDING INSPECTION RECORD
Rough
BUILDING BUILDING (Cont'd)
PLUMBING
Setback —
— % w Firewall
Soil PI I
Forms
Parapets t
1st Flo6r
'Main Bldg.
Restroom Finish
2nd Flo r
Footings
Windows
3rd Floo
Stemwall
Siding
To out
Slab
Roof SheathlAh
Water PI in
Piers
Roofing
Sewer
Garage
Fdn. Vents
Fixtures
Footin s
Stemwall
Garage Vents
in 0A 01) Insulation
Water Htr.
Heaters
Slab
Carport
Po
Footings
Prov. for ph sl ally
handicaped
Conformance of Ax.
structure
Appliances
Gas Piping & T st
Temp. Gas
Slab
Final .
Sanitation
Patio
FIREPLACE
Final
Footings
Footin
E ECTRICAL
Masonry Walls
Throat
Rough
Relnf. Steel
Final
Fixtures
Bond Beam
IRE SPRINKLERS
Motors
Framina
Test
Water Htr.
Stucco
Final
Subpanels
Mesh
MECHANICAL
Grd. Fault Prot.
Scratch
Heatina
Service
Brown
Cooling
Temp. Pole
Finish
Ducts
Underground
Interior Lath
Ventilation
Permanent
Door Closer
Final
Final er
MOBILEHOME UTILITIES -------------- -
Elec_ Service
Elec. Pedestal
Water Piping
Sewer
Gas Piping
MOSILEHOME INSTALLATI N - - - - - - - - - -
Support
Elec. Continuity
Water Piping
Drainage
Gas Piping
-DATE
7,9 U�'f2£ ova e--
REMARKS OR CORRECTIONS
�ef4�FA/ Ddu/a/
��o� l�cs6T.`v� S,
(NOTE: An entry must be made on this form each time you visit the job site.)
v
COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS
7„County Center Drive - OroviIIe, California 95965 /
- Telephone: 534-4541
APPLICATION AND PERMIT C1�wnttt 101
V Receipt . W. /,.4 As 1'5
White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant Building permit expires Date _
BUILDING
Owner vhj� �, �p�G.�.�S
SQ. FT. OCC. BUILDING VALUATION
MailingAddress �pd� �Q�,�/'r ,?�
� !'/
>4 � �Y
Telephone No.
Contractor
Mailing Address
Fireplace
Total Valuation
Telephone No.
Permit Fee,Zf , L.0
Building Address (� fT'Utj,) '
P Ian Checki ng Fee &/or Penalty
Permit Fee '06
Is a T,04
PLUMBING No.1 @ FEE
PERMIT FILING FEE $3.00
Each Trap 1.50
2jP, /S' /1,7//
Repair drainage or vent piping 1.50
l
A. P. No. b V-241-oZ 3
R7-1
Zoning & Planning
Water piping 1.50
Each gas water heater or vent 1.50
F&5's 1
vv�6
S
Fire Dept.
Fire Zone
Use Permit
Gas piping system 1 - 5 outlets 1.50
EQA
Parking Parcel
Plans Declaration
Parcel Map
60' R/W
Improvements
Each additional outlet .30
Building sewer 5.00
Bldg. P ns Recd
Parcel oval
PI pproval
Lawn sprinkler system 2.00
NEW M41 ADDITION ❑ UTILITIES ❑ OTHER ❑
permit Fee $
$
ELECTRICAL No. @ FEE
PERMIT FILING FEE $3.00
Main service 10000 VAMOR
MP ORSLESS 5.00
Single Family ❑ Duplex ❑ Mobil Home Others ❑
Main service EA. ADD'L 100 AMP 2.50
tY
OVER OV
OV AMP O OR LESS
Main service 25.00
Main service EA. ADD'L 100 AMP 1.00
NEW
OR ADDNST ACCLBLDGSCCUP. 7i� 22 Sq 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:
NEW CONSTR BRANCH CIRCUITS)
NON.RESID, (MULTI BRANCH CIRCUITS) 2.50ea
NEW CON STR POWER APPARATUS B
NON-RESID. SINGLE OUTLET CIR.
Ex. OCCUD(OUTLETS OR FIXTIIRES a 1� �
FIXED APPLNS. OR
Ex. Occup. OUTLETS (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 $
$
MECHANICAL No. @ 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.
❑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.
I certify that I have read this application and state that the above
information is correct. I agree to comply to all County Ordinances
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.
Signature of Permitee
PERMIT FILING FEE J$3.00
Heating
Cooling
Ventilation
Hood 2.00
Permit Fee $
Land Development Fee
$
$
TOTAL PERMIT FEE
$ A� aand
T
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 OR OF BLIC WORKS
By Date
V Receipt . W. /,.4 As 1'5
White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant Building permit expires Date _
COUNTY OF 90TTE' — DEPARTMENT OF PUBLIC WORKS
7 County Center Drive — Oroville, California 95965
Telephone: 534,-4541
APPLICATION AND PERMIT
autnorize representatives of the County of Butte to enter upon the
above-mentioned property for inspection purposes.
a
Date
Signature o Permitee or Agent
Receipt No.
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 PUBLIC WORKS
By Date
Building permit expires Date
BUILDING
Owner
SQ. FT. OCC. BUILDING VALUATION
D
Mailing Address o GY
Telephone No.
-----••---
Fireplace
Contractor
Total Valuation
Mailing Address
Permit Fee
�p o
Plan Checking Fee &/or Penalty
Telephone No.
Permit Fee
$
7, ow
10i
Building Address
BQ
PLUMBING
No.
@
FEE
PERMIT FILING FEE $3.00
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. G —�Zoni
ng & Planning
Gas piping system 1 - 5 outlets
1.50
Each additional outlet .30
Fees
Sanitation FireDept.
FireZone
Use Permit
Building sewer 5.00
EQA
Parking
Plans
Parcel
Declaration
parcel Ma p
60' R/W
Im rovements
p
Lawn sprinkler system 2.00
Bldg. Plans Recd
Parcel Approval
Plans Approval
Permit Fee
$
$
NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER ®
ELECTRICAL
No.
@
FEE
PERMIT FILING FEE $3.00
rf,pa
Main service V OR LE
10000 AMP ORSLESS 5.00
Main service EA. ADD'L 100 AMP
2.50
Main service OVER 600V
100 AMP OR LESS 25.00
('
Single Family ❑ Duplex ❑ Mobil Home [R Others ❑
Main service EA. ADD'L 100 AMP 1.00
NEW CONST. DWELLING OCCUP. &
OR ADONS. ACC. BLDGS.
2¢sq ft
NEW CONSTR. MULTI.OUTLET
NON.(MULTI-OUTLET
BRANCH CIRCUITS) 2.50ea
(/ Q•�
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:
Ex. Occup(OUTLETS OR FIXTURES)@L�'a
BAL�1 Og
FIXED APPLNS. OR
Ex. Occup. (OUTLETS (RESID.) EA) 2.00
Temporary service 10.00
Mobile Home Facilities 15.00
License No. Classification
Misc. Wiring / 6.25
(o
I am exempt from the Contractors License Laws of the State of California.
Permit Fee
$
$ ,ZS
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.
09 I have placed on file with the County of Butte a certificate of
Workmen's Compensation Insurance.
12 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 1 1 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
TOTAL PERMIT FEE
$
autnorize representatives of the County of Butte to enter upon the
above-mentioned property for inspection purposes.
a
Date
Signature o Permitee or Agent
Receipt No.
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 PUBLIC WORKS
By Date
Building permit expires Date
PERMIT APPLICATION WORK SHEET
Permit No.
OWNER �TTo �ici`j, P A. P. No. a 1L'- 2L/�3P)
Zoning Use Proposed Approved
Not approved
Permit fee based upon: 1. Complete
2. Partial
Z�FW Valu
contract price.
contract price (explain).
At -inn (chAW)
At time of permit application, the applicant was advised
the following data
or information must be
submitted prior to permit processing and/or issuance:
Date Received
1. All items have been submitted. ------------------------------
2. Plot plans in duplicate/triplicate.-----------------------=
3. Complete plans in duplicate/triplicate.
--------------------
Complete eng}neered plans and calls. ------------------------
97 5. Fees of $�[�.- ------------------------
/6. Letter of signature authorization. --------------------------
�/ 7. Sanitation approval. ----------------------------------------
8. Planning approval for
--
9. Workmen's Compensation Insurance Certificate. ---------------
10. Contractors license information. ----------------------------
11. Parcel declaration, recorded copy. --------------------------
12. Access declaration. ---= --------------------------------
13. Aunt Minnie information. ------------------------------------
14. Deed of access, recorded copy. ------------------------------
15. Deed of parcel creation, recorded copy.
---------------------
16. Parcel map, recording data. ---------------------------------
17. Pre -inspection request for
18. Improvements - plans required & DPW approval. ---------------
19 they
By Date
Bldg. In
During plan checking process, the following data Before permit issuance,
all of the following
or information must be submitted prior to permit items must be signed or marked NA:
issuance: 1.
Zoning use
1. Index permit for items 2.
Legal parcel
above and in addition the following: 3.
Envir. Health
Plans Sent
A. Sanitation
B. Restaurant
C. Other
4.
Public Works
Plans Sent
A. Street Imp.
2. Applicant advised by Telephone
B. Drainage
Mail
C. Permits & Fees
Other
D. Other
3. Plans checked by Date 5.
Planning
4. Plans approved by' Date
A. Use Permit
B. Variance
When permit is issued, process as follows:
C. Other
1. Mail to owner. 6.
Other Agencies
Plans Sent
2. Mail to contractor.
A. Fire Dept.
Deliver with inspection.
B. Other
4.4. Telephone and hold
for pickup.
5. Other
PERMIT NO. 1524-76B
PERMIT EXPIRES —� 7 7
OWNER R. Hiser
CONTR. owner
LOCATION (A.P. 64-24-23 )
30 Hood Ct., lot 11, PP#15, Magalia
�pp
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Temp. Power Pole
Called PG&E
Temp. Elea Serv.
Called PG&E
Temp. Gas Serv.
Called PG&E
OB
����
FINALED
(Date)
(Signature
I
f�
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
Garage Vents
Water Htr.
Stemwall
Slab
Prov. for physically
handicapped
Heaters
Appliances
Carport
Footings
Conformance of ex.
structure
Gas Piping & Test
Temp. Gas
Slab
Final 7
Sanitation
Patio
FIREPLAC
Final
Footings
Footing
ELECTRICAL
Masonry Walls
Throat
Rough
Reinf. Steel
Final
Fixtures
Bond Beam
FIRE SPRINKLERS
Motors
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 —• DERA-RTMENT OF PUBLIC 0&". S
_ 7 County Center Drive Uroville, California 95965 ��� _�
Telephone: 534-4541
APPLICATION AND PERMIT �
authorize representatives of the County of Butte to enter upon the
above-mentioned property ` for inspection purposes.
X T ti tv Date
Signature of Permitee or Agent
Receipt No. 7
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.
I DIRECT OF PUBLIC WORKS
Building permit expires Date
BUILDING
Owner /2, F—f ,5—e,/j
SO. FT. OCC. BUILDIN VALUATION
Mailing Address
.4
Telephone No.
3— 0 V7L
Fireplace
Contractor
Total Valuation
Mailing Address
Permit Fee
Plan Checking Fee &/or Penalty
Telephone No.
Permit Fee $
c
J
Building Address �� c�O�, ��.
PLUMBING No. @ FEE
PERMIT FILING FEE $3.00
Each Trap 1.50
14 L if r
Repair drainage or vent piping 1.50
Water piping 1.50
Each gas water heater or vent 1.50
/ a
A. P. No. b �%'" .2 y •/� 3 -
Zoning & Planning
Gas piping system 1 - 5 outlets 1.50
Each additional outlet .30
Fe's
Fire Dept.
Fire Zone
Use Permit
Building sewer 5.00
EOA
Parking Parcel
Declaration
Parcel Ma P
60' R/W
Im rovem is
P
Lawn sprinkler system 2.00
,Plans
Bldg. PISanRecd
Parcel proval
Plans proval
Permit Fee $
NEW ADDITION ❑ UTILITIES ❑ OTHER ❑
ELECTRICAL No. @ FEE
PERMIT FILING FEE $3.00
_
Main service 110115.00
100 AMP ORSL_SS
Main service EA. ADD•L 100 AMP 2.50
Main service VER 600V
10 0 AMP OR LESS 125.00
Single Family ❑ Duplex ❑ Mobil Home fN Others ❑
Main service EA. ADD'L 100 AMP 1.00
NEW CONST. DWELING
OR ADDNS. ( ACCLBLDGS.CCUP. &) 22sgft
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
St le of:
y
Ex. Occup(OUTLETS OR FIXTURES) 109
Ex. Occu FIXED APPLNS, OR
P• OUTLETS (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 $
$
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
$ 5
authorize representatives of the County of Butte to enter upon the
above-mentioned property ` for inspection purposes.
X T ti tv Date
Signature of Permitee or Agent
Receipt No. 7
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.
I DIRECT OF PUBLIC WORKS
Building permit expires Date
�iH tutil
PERMIT NO. 4341-7 5P E
P
E
M
MH UTIL.
PERMIT NO.
PERMIT EXPIRES.
OWNER Rollo Hiser
CONTR. Fuller Conqt, Magalin
I , LOCATION (A.P. 64-24-23
30 Hood Ct., lot 11, PP#15Y Mgaalia
41
r 4
i Temp. Power Pole
Called PG&E
lamp. Elec. Sery Q Q
Called PG&E
Temp. Gas Serv.
/Called PG&E
JOB
FINALED
(Dat) V/",
(Sig at
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
Sidinq
To out
Slab
Roof Sheathing
Water Piping
Piers
Roofing
Sewer
Garage
Fdn. Vents
Fixtures
Footings
Garage Vents
Water Htr.
StemwaI I
Slab
Prov. Jo r.physi ca I I y
handicapped
Heaters
Appliances
Carport
Footings
Conformance of ex.
structure
Gas Piping & Test 2
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
Final9
DATE
REMARKS OR CORRECTIONS
Z'7 l �I
A,
qr
A�� ,oma , c,,•s_ ,�-�•�
MOBILEHOME INSTALLATION INSPECTION CHECK LIST
Is the mobilehome located with required separation from lot lines and buildings and .generally
conform to plot plan? Yes -4 No
Does the mobilehome have required clearances above ground? (Sec.5085) Ye's�� No
a.,,//Are footings and supports properly sized, spaced, and braced as pper approved plans? (Note
possible variation at spring shackles.) (Sec. 5082 & 5083) Yes4 No
4�Is the mobilehome level? (Sec. 5088) Yes4_ No
5. If, more than a single unit, are crossover connections properly installed? (Sec. 5088)
Yes No
6f Water
Is flexible connector of adequate size and properly installed (1/2" ID min.)? (Sec. 5566)
Yes ,,/ No
Test - Does water piping withstand working pressure or 50 lbs. air test? Yes No
�ackflow - If coach is not State of California.approved, does station have backflow device
and pressure -relief valve? Yes No
7. Wa es and Drains
Is connection made with Schedule 40 DWV and have flex connectors at each end? Yeses No
Does it have minimum k" ,per foot s=lope and is it properly supported? Yes No
Are any leaks detected in drainage system after ru ping 3 -gallons of water through each
. fixture including washing machine s::af%dpipe?,..Yes No
{
I14
f coach is not.,S�tate of California approved, does station have required trap and vent?
Yes No ��CC
8.G Piping and Gas Vents
j 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 mobilehome gas line inlet without reductions other than the mobilehome
connector. Yes -,K -No
P", -,<est OK as per following procedure? Yes 11.N.o
1. Open all appliance connector valves.
;Z'Shut off appliance burner and pilot valves.
/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.
Connect gas meter to mobilehome with connector, turn on gas, test connections with
/soapy water.
..Ae all appliance. vents properly installed? Yes No.
9. Electrical
✓A % Is service large enough -to provide adequate amperage -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.? Yes4 No
Is there proper clearances around panels? Ye--V-No
C. Is power supply cord or feeder assembly properly fused?. Yes X No 5:�
D. Is continuity test satisfactory as per the following procedure? Yes No
1. De -energize electrical wiring system of the mobilehome at the pedestal.
Make sure that the power supply cord or feeder assembly conductors, including neutral
c nductor, have been disconnected.
Switch all breakers and switches in the mobilehome to the "on" position.
Connect one lead of a test instrument to the mobilehome grounding conductor and
apply the other lead to each.mobilehome supply conductor, including neutral.
11 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.
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 the electrical tests, the lot or site
service equipment may be approved for energizing.
10. Is job card signed by Health Department for water and sanitation?
11. If everything okay, sign off card and tag services.
MOBILEHOME DATA
Manufacturer and/or Namestyle ' t
Length .SC� width .Z
Vehicle Serial No.
/0/"' ,
State Identification No. ./ 7-
Additional Information or Comments:
10
Z
— Co / '.? F c/
COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS
7 County Center Drive + — Orivi lie, California 95965
Telephone: 534.4541
APPLICATION AND PERMIT
authorize representatives of the County of Butte to enter upon the
above-mentioned property for inspection purposes. '7
X�� Date �S /
Signature of P rni tee or nt
Receipt No! /zl_% 3 0
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�R OF PUBLIC WORKS -
By—
ORKSBy Date
4kvAd4a9+ermit expires Date
BUILDING
Owner D /i' ,
/7
SQ. FT. OCC. BUILDING VALUATION
Mailing Address Q 11,70cr
c�
PJ
Telephone No.
Fireplace
_
Contractor IS �/�J CQ/V
Total Valuation
Mai ling AddressG/
Permit Fee
Plan Checking Fee&/or Penalty
r
Tglgp�ane
Permit Fee
Building Address
PLUMBING No.1 @ FEE
PERMIT FILING FEE $3.OG
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. (p Z
Zoning 8 Planning
Gas piping system 1 - 5 outlets 1.50
Each additional outlet .30
FireDept.
FireZone
Use Permit
Building sewer 5.00
EQA
Parking
Plans
Parcel
Declaration
Parcel Ma p
- 60' R/W
Im Movements
p
Lawn sprinkler system 2.00
BI g. Plans Rec'd
Parcel Ap oval
Plans Aproval
Permit Fee $
$
NEW ADDITION ❑ UTILITIES ❑ OTHER
ELECTRICAL No. @ FEE
PERMIT FILING FEE $3.00
'Of
P777—
Main service incl. 1 meter
Additional meters, each 1.00
Sub -panel (12 or less) (more than 12)
Single Family ❑ Duplex ❑ Mobil Home Others ❑
Range, Cook -top or Oven 1.00
Water Heater or Space Heater 1.00
Light fixturesb0 210
Receps., switches & fix outlets 20025
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:
Hood, Ex. Fan or F.A. Furn. Motor 1.00
Evap. cooler, gar, disp. or D.W. 1.00
Air conditioner or heat pump
Water pump
Mobil Home Facilities 5.00
Temp. Power Pole 5.00
License No. 7l z Classification
Misc. wiring
❑ I am exempt from the Contractors License Laws of the State of California. •
Permit Fee $
$
MECHANICAL No. @ 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 orkmen's Compensation.
I have placed on file with the County of Butte a certificate of
Workmen's Compensation Insurance.
F -1I 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.
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 relatinq to building construction, and hereby
30
TOTAL PERMIT FEE
$ ��
authorize representatives of the County of Butte to enter upon the
above-mentioned property for inspection purposes. '7
X�� Date �S /
Signature of P rni tee or nt
Receipt No! /zl_% 3 0
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�R OF PUBLIC WORKS -
By—
ORKSBy Date
4kvAd4a9+ermit expires Date
COUNTY OF BUTTE — DEPAVIVIENT OF PUBLIC WORKS -
7 County Center Drive' = O;oville, California 95965
Telephone: 534.4541
APPLICATION AND PERMIT
Owner Mr & Mrs Rollo 11,His
Mailing Address 1915 .poi cnm`
Telephone No.
Anaheim, Calif_ 92804
Contractor Fuller Construction Co.
Mailing Address p.®. Box 453
Tel hone No.
Ma alfa Ca. 95954 Mr0668
Building Address p.p. Unit 15 Lot 11
> Hood Court
ealia
A. P. No. 7' z 7 03 Zoni
F �L.2. SO ation Fire Dept. Fire Zone Use Permit
EQA Parking Parcel Parcel Ma 60' R/W Im r
yPlaanns Declaration P p ovements
Bldg. Pldns Recd Parc Approval Planspproval
NEW/ ADDITION ❑ UTILITIES ES OTHER ❑
Single Family 0 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:
License No. 289775 Classification A
I am exempt from the Contractors License Laws of the State of California.
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.
®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.
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-mmentioned property for inspection purposes. C
0 9 Je&
xJ Date / —
Signature of Permitee or Agent
Receipt No. % 7.3 ?3
White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant
_ BUILDING
SQ. FT. I OCC. I BUILDING VALUATION
Fireplace
$
Total Valuation
ELECTRICAL
Permit Fee
FEE
Plan Checking Fee &/or Penalty
X $3.00
Permit Fee
$
• PLUMBING
No. @ FEE
PERMIT FILING FEE
00
Each Trap
1.50
Repair drainage or vent piping
1.50
Water piping
1.50
Each gas water heater or vent
1.50
Gas piping system 1 - 5 outlets
1.50
Each additional outlet
.30
Building sewer
5.00 L
Lawn sprinkler system
2.00
Permit Fee
$
ELECTRICAL
No.1 @
FEE
PERMIT FILING FEE
X $3.00
,� Q
Main service incl. 1 meter
X
�, a
Additional meters, each
1.00
Sub panel (12 or less) (more than 12)
Range, Cook -top or Oven
1.00
Water Heater or Space Heater
1.00
Light fixturesbald
io
Receps., switches & fix outlets
b. IIE25
Hood, Ex. FanorF.A. Furn. Motor
1.00
Evap. cooler, gar. disp. or D.W.
1.00
Air conditioner or heat pump
Water pump
Mobil Home Facilities
/5.00
Temp. Power Pole
5.00
Misc. wirinq
Permit Fee $
MECHANICAL No. @ FEE
PERMIT FILING FEE $3.00
Heating
Cool i
Ventilation
Hood 2.00
Permit Fee $
on
0
TOTAL PERMIT FEE $ ' U
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.
DIRECTQR OF PUBLIC WORKS
By Date 7_f__
10,
443wi+d*q"ermit expires Date...... /': ,r'.�............
LOAD BEARING
SUPPORTS.
ADDITIONAL. C%L: QTS w Q
AA �, W
Drain Connector, Describe
oo0
Cie
Water4Connector, Describe 1� !� ���� C9
.4k* _
LOAD BEARING SUPPORT AND VOOTING INFOMIATION
Pier Spacing Used tG ��D. C
Maximum Pier Load v
-Cglutnn Maximum Column Load (multi -units only)
Supports
Soil Bearing Capacity. oCFv
Footing Dimension Used z. 't c 2-
3u
�...
'TYPE OF PIER. USED
- Steel Concrete Blocker
Other
t I '' r1ATV IAL USED
TYPE OF OOT N�
Pressure Treated Wood
Concrete
Redwood (Grade)
a Other.Approved Type
srOwt end
I
# COUNTY OF BUTTE - Department of Public Works
7 County Center Drive, Oroville, California
PHONE : ' 534-4541 .
LengLh
1. 1
Utility
I 20'
min-
M rr w In
51 n ro w
rt•
N m r
P ,RI, ME c,AODIJLAR CONCEPTS,. INC.
6653 SKYWAY
PARADISE, CA. 95969
PHONE: (916) 877-9541
ION Length =
MOBILEH014E INSTALLATION INFORMATION
11
Lot Facilities
Mobilehome Data
H
1.
Plot plan dimensioned, location of mobile
1.
Length ,$�� Width aO
0
and utility connections?
Manufacturer gr
cn
Yes__ No ��iP/g-
Vehicle Serial No.
2.
Electrical. service equipment am acity j±!r
Insignia Control No.
Circuit breaker ampacity co
2
der assembly ampacity I Dy Alma.
Permanent Wiring Conn ection'-n—Ve E: _-
Conduit size z R'
.
Ampacity ---1 c a .-.
Power supply cord(amps) �--
Receptacle Ampacity
3.
Gas inlet size 44 if
3.
Gas:, Natural LPG z
Mobilehome connector size �.
Gas riser size 3% cr
Capacity.
4.
Drain inlet size 3 "
4.
Drain connector: describe on reverse side.
5.
I -later ris`r size 6�
5.
Water connector: describe on'reverse side
6.
Are utility connections located outside
6.
Designed loads:
the rear 1/3 of the mobilehome within
Roof live load 2-D psf.
4 feet of the left wall? Yes No
Wind load 1-5- psf. .
If not, shoe dimensions. above.
(only for robilehomes manufactured after
7..
Is the mobilehome clear of septic tank,
October 7, 1973)'
leach fields and located outside public
7.
Manufacturer's installation instructions?
utility easements? Yes__No
Yes— No
8.
Do you propose to do other work on the
8.
Will the mobile home be installed on.a
_.
property other than the mobilehome
separate support structure?
F
installation which will require a permit !
Yes-.No-
es No p(
Yes No�_
If
If so, specify
`For plans and specifications of sunnort system.
see
other side.
ibis set of plans and specificrvtions MUST 6e t
!_ r t
60 -on the:job at_.all finies:and it is unlawful to----�_.-_-. •. L_x.___.. -J.- --...__-----.—_--_-----_---- - - I
`-� viceaXce-any choni*es or ercitions on same without
�rnnfen permission from the Department of Public n 1 ?1 nn ++ C) �-1 r.�...�1 �.t F.•... - G-J._�i.J...�_.�__
-
p.•�, �,� ��; � �' •1 � nor � l I
r
nnectiohs shall. -be
E ft. outside the rear
f. the mobile homo
I) sale of the 11114110
�v
1 /0��4
w+
j y
a
The Ww-
Setback shall be 5 # from {
the side property line and 50 ft from
the centerline of the road, permitting
a max;'mum of a 2 ft.."ve ovel?heng.
1��, rte; g � --'_.._.x.._P.Fti :;p•-.�:Ti� �-� `j: �._. 1 _ ,_ _ _ � 't � _...
51 ANOARD
CowFTY
D c al ,r --- --...-_ . r ftPpunCEi
6111 t'tt r r r ai-Pr 7.,N'A'
,E o I '
Al
BUTTE COUNTY
—_— --W9LDING DEPARTMENT
APPROVED
i((.1.I_• /•
Pk 7E;
Septic system and location
- ACH ITE
All utility i c
located within
i . to be a
Butte County Health Dept.
pper I
Re.
I
1
third sect -wo
n
the le';
quirements.
�
a
I
.
_ D
o s
'Cp
11J
\ J
; ;V —
I
J
t
I
nnectiohs shall. -be
E ft. outside the rear
f. the mobile homo
I) sale of the 11114110
�v
1 /0��4
w+
j y
a
The Ww-
Setback shall be 5 # from {
the side property line and 50 ft from
the centerline of the road, permitting
a max;'mum of a 2 ft.."ve ovel?heng.
1��, rte; g � --'_.._.x.._P.Fti :;p•-.�:Ti� �-� `j: �._. 1 _ ,_ _ _ � 't � _...
51 ANOARD
CowFTY
D c al ,r --- --...-_ . r ftPpunCEi
6111 t'tt r r r ai-Pr 7.,N'A'
,E o I '
Al
BUTTE COUNTY
—_— --W9LDING DEPARTMENT
APPROVED
i((.1.I_• /•
Pk 7E;