HomeMy WebLinkAbout064-250-023AP 64-25-23
\ ROSANNE MARTIN
35 Rutgers Ct., lot 181, PP#15, Maga,
1 , contr: Ray Munjar, Paradise
Permit# 131 -75 ,E(util., )
ELEC f0
GAS '
y _
SUPPORT STRUCTURE REQ.A
COMPACTION TEST REQ.A 1
64-25-23
' contr:English John MH Sales, ParadisE
Perm& #6625-76I(f6i permit #1310-75)
ftg ued a
?�1�ho'4-25-23
ntr: Mari-John onst., Magalia
�ermit #1911-77B(new deck/MH)
i
v '
64-25-23
f contr; Mari-John Const..,.Magalia
ret Permit #6398 77 .Ke
I
garage/MH) bi.de
Y/67bpr
'
J
r
a
rr�=�-=-Mmlrrmmm M =��Mm
'PEF3MIT NO. 6398=77B -
PERMIT EXPIRES
OWNER R. Martin & C. Hall
CONTR. Mari -John Const., Magalia
LOCATION (A.P. 64=25-23
35 Rutgers Ct., lot 181, PP#IS, Magalia
Temp. Power Pole
Called PG&E
Temp. Elec. Serv.
Called PG&E
Temp. Gas Serv.
Called PG&E
JOB —('7 , �/7 G
FINALED 2 J o
(Date)
(Signature
COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS
BUILDING INSPECTION RECORD
BUIL .ING
BUILDING (Cont'd)
PLUMBING
Setback 1.
Firewall
Soil Piping
Forms s
Parapets
1st Floor
Main Bldg.
Restroom Finish
2nd Floor
Footings V
Windows
3rd Floor
Stemwall
Siding
To out
Slab
Roof Sheathing
Water Piping
Piers.
Roofing
Sewer
Garage
Fdn. Vents
Fixtures
Footings
Stemwall
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
Relnf. Steel Final Fixtures
Bond Beam FIRE SPRINKLERS Motors
Framing Test I I Water Htr.
Stucco
Final
Subpanels
Mesh
MECHANICAL
Grd. Fault Prot.
Scratch
Heatino
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
OBIm L�EHOME I&I—A. II A-11 - - - - - - - - - - - - - -
Support
Elec. Continuity
Water Piping
Drainage
Gas Piping
DATE
REMARKS OR CORRECTIONS
k
(NOTE: An entry must be made on this form each time you visit the job site.)
PERMIT N0. 1911-77B a
,s
PERMIT EXPIRES
OWNER Rosanne Martin=
CONTR. Mari -John Const., Magalia
LOCATION (A.P. 64'25-23
35 Rutgers Ct., lot 181, PP#15, Magalia
i
Temp. Power Pole
Called PG&E
Temp. Elec. Serv.
Called PG&E
Temp. Gas Serv.
Called PG&E
JOB
FINALED
(Date)
(Signatur /
Setback
Forms
Main Bldg.
Footings
Stemwal I
Slab
Piers
Garage
Footings
Stemwal l
Slab
Carport
Footings
Slab
Patio
Footings
Masonry Walls
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS
BUILDING INSPECTION RECORD
BUILDINGnqj BUILDINGI(Cont'd)
PLUMBING
., Firewall
Soil Piping
Parapets
1st -Floor
Restroom Finish
2nd Floor
Windows
3rd Floor
Siding
To out
Roof Sheathing
Water Piping
Roofing
Sewer
Fdn. Vents
Fixtures
Garage Vents
Water Htr.
Insulation
Heaters
Prov. for physically
Appliances
handicap ed
,Stucco
Conformance of ex.
Gas Piping& Test
structure
Tem . Gas
Final t;-- 7 -'77
Sanitation
FIRE CE
Final
Footin
Throat
E
Relnf. Steel
Final
Fixtures
Bond Beam
FIRE SPRINKLERS
Motors
Framing
Test
Water Htr.
,Stucco
Final
Subpanels
Mesh
MECHANICAL
Grd. Fault Prot.
Scratch
Heatino
Service
Brown
Cooling
Temp. Pole
Finish
Ducts
Underground
Interior Lath
Ventilation
Permanent
Door Closer
Final
Final
;MOBILEHOMEUTILITIES------------------
Elec. Service
Elec. Pedestal
Water Piping
Sewer
Gas Piping
MOBILEHOME INSTALLATION - - - - - - - - - - - - - -
Support
Elec. Continuity
Water Piping
Drainage
Gas Piping
DATE REMARKS OR CORRECTIONS
-L�4, k kl"171
(NOTE: An entry must be made on this form each time you visit the job site.)
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS
•7- Count.7 Center Drive — Uroville, California 95965
Telephone: 5J4-4541 // t Y /
APPLICATION AND PERMIT AA llj
......., t, a...y
Date
Signature of P%ermitee ent
/eeceipt No.
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.
D:Z:::eLIC WORKS
BY / `Date
Building permit expires Date
BUILDING
Owner _ /
SQ. FT. OCC. BUILDING VALUATION
Mailing Address s�
Z 1
4 ozz—
Telephone No .
Fireplace
Contractor10'a,
Total Valuation
Mailing Address_21p Pay 9�
Permit Fee
Plan Checking Fee&/or Penalty
Z.�Q
T lephone N
Permit Fee $ , �
Building Address
cps _
PLUMBING No. @ FEE
PERMIT FILING FEE $3.00
91
Each Trap 1.50
Repair drainage or vent piping 1.50
_ D
`
Water piping 1.50
Each gas water heater or vent 1.50
— 2
A. P. No �J
Zoning & Planning
Gas piping system 1 - 5 outlets 1.50
Each additional outlet .30
F ekesl
W. C.
Sat Ion
Fire Dept.
Fire Zone
Use Permit
Building sewer 5.00
EQA
Parking
Plans
Parcel
Declara;ion
Parcel Ma P
60' R/W
Im roveme is
P//�
Lawn sprinkler system 2.00
Bldg. Plans Recd Parcel Approval
Plans'...
Permit Fee $
$
NEW ®, ADDITION ❑ UTILITIES ❑ OTHER ❑
ELECTRICAL No.1 @ I FEE
PERMIT FILING FEE J$3.001
Main service 600V OR LESS 5.00
100 AMP OR LESS
Main service EA. ADD'L 100 AMP 2.50
Single Family ❑ Duplex ❑ Mobil Home EL Others
OVER Main service 00 AMP OR LESS 25.00
Main service EA. ADD•L 100 AMP 1.00
' V 1 Q Q
�\ (/ JC.
NEW CONST.DWELLING OCCUP. &
OR ADDNS. ( ACC. BLDGS. ) 20sgft
NEW CONSTR. MULTI -OUTLET
NON-RESID. (BRANCH CIRCUITS) 2.50ea
NEW CONST R. 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
Ex. Occup. FIXED APPLNS. OR
P•(OUTLETS (RESID.) EA) 2.00
Temporary service 10.00
Mobile Home Facilities 15.00
•�
License N 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.
XIhave placed on file with the County of Butte a certificate of
Workmen's Compensation Insurance.
I to an certify that in the performance of the work for which this
ermit is issued I shall not em
P employ y 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 ting to building construction, and hereby
authorize re pre t Ives of the County of Butte to enter upon the
above-montio H crfa. fn. ..�I.... ..
MECHANICAL No. @ FEE
PERMIT FILING FEE $3.00
Heating
Cooling
Ventilation
Hood 2.00
Permit Fee $
$
TOTAL PERMIT FEE
$ 2 --�
This permit is hereby issued under the applicable provisions
of
......., t, a...y
Date
Signature of P%ermitee ent
/eeceipt No.
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.
D:Z:::eLIC WORKS
BY / `Date
Building permit expires Date
COUNTY OF16UTTLE DEPARTMENT OF PUBLIC WORKS
7 County Center Drive — Oroville, California 95965
Telephone' 534-4541
APPLICATION AND PERMIT
V77
aurnunce reNr enr rives or the county or tsuite to enter upon the
above -menti ed oper�ty for inspection purposes.
� 7 1 a /' O
Signature o e-rmitee or Agent
eceipt No. u00 F7
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 0 UBLIC WORKS
By Date -q-11 —7 7
BUKing permit expires Date `f -z` 71>
BUILDING
Owner Os n tie-. `
SQ. FT. OCC. BUILDING VALUATION
%® /L5-tl 0,
Mailing Address
Telephone No.
Fireplace
_
Contractor OA P_ / JO /-//VCorn f '
Total Valuation 0.
Mai I i ng Address lL•
2f o`
Permit Fee
Plan Checking Fee &/or Penalty
L I
Tale pneNo.
p
Permit Fee $
Building Address
PLUMBING No. @ FEE
PERMIT FILING FEE $3.00
1
.3 (4 / �2S C /- t
Each Trap 1.50
&7— /*
Repair drainage or vent piping 1.50
Water piping 1.50
Each gas water heater or vent 1.50
A. P. No. L/ S �3
Zoning & Planning
Z
Gas piping system 1 - 5 outlets 1.50
Each additional outlet .30
F
Vtl---.S
Ion Fire Dept.
Fire Zone
Use Permit
Building sewer 5.00
EQA
Parking
Plans
Parcel
Declaration
P rcel Ma P
60' R/W
Im r
p ovements
Lawn sprinkler system 2.00
131dg.t24ens Rec'd
arcel Approval.
Plans proval
Permit Fee $
$
NEW'K ADDITION ❑ UTILITIES ❑ OTHER ❑
ELECTRICAL No.1 @ FEE
PERMIT FILING FEE $3.00
Main service 100 AMP OR101 OR LESS5.00
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 service EA. ADD'L 100 AMP 1.00
NEW CONST.DWELLING OCCUP. &
OR ADDNS. ( ACC. SLOGS. ) 20sgft
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 /'
&:felt
Ex. Occup(OUTLETS OR FIXTURES) BgL2j
Ex. OCcu FIXED APPLES. OR
P• ( OUTLETS (RESID.) EA) 2.00
Temporary service 10.00
Mobile Home Facilities 15.00
License N 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.
❑1 have placed on file with the County of Butte a certificate of
Workmen's Compensation Insurance.
04I 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
E E2O
Hood
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 Law elating to building construction, and hereby
TOTAL PERMIT FEE
$ '-
aurnunce reNr enr rives or the county or tsuite to enter upon the
above -menti ed oper�ty for inspection purposes.
� 7 1 a /' O
Signature o e-rmitee or Agent
eceipt No. u00 F7
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 0 UBLIC WORKS
By Date -q-11 —7 7
BUKing permit expires Date `f -z` 71>
NH ''Ut i I .
PERMIT NO. 1310-75P
P
E
M
"Ji
QMH UTIL.
PERMIT NO.
Jll.
A PERMIT EXPIRES
ES
Rosanne Martin
EU Munjar Const. Magalia
,,�OCATION (A.P. 64-25-23
f1 35 Rutgers Ct., lot 181, PP#15, Magalia
J-
170
14�
Temp. Power P
Called PG
Temp. Elec. en
Called G&E
Temp. G /.Serv.
Cal d PG&E
JOEV
A7 _1z 141-6
(Date)
(Si na re)
COUNTY OF BUTTE — DEPARTMENT.OF PUBLIC WORKS
BUILDING INSPECTION RECORD
BUILDING BUILDING (Cont'd) PLUMBING
Setback 7f— - Firewall Soil Piping
Forms Parapets 1st Floor
Main Bldg. Restroom Finish 2nd Floor
Footings Windows 3rd Floor
Stemwall Sidina To out
Slab Roof Sheathing Water Pi in f
Piers Roofing Sewer
Garage Fdn. Vents Fixtures
Footings Garacie Vents Water Htr.
Stemwall Prov. for physically Heaters
Slab handicapped Appliances
Carport Conformance of ex. Gas Piping & Test
Footings structure 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 Temlf. Pole
Finish Ducts Underground
Interior Lath Ventilation Permanent
Door Closer Final Final
DATE / REMARKS OR CORRECTIONS
7-rl044""�^�4
J
e-•
COUNTY OF BUTTE DEPARTMENT OF PUBLIC
7 County Center Drive — Oroville, California 95965
Tel ephong: 534-4541
APPLICATION AND PERMIT
Owner Rosanne Marti-
Mailing
artinMaiIing Address 17971 Rose Court
Monte Sereno,milrornWelephone No.
950-30 8.354 -944 -5 -
Contractor Ray NXun3arsonstruction
Mailing Address Skyway aid Perry Rd.
Magalia, California Telephone No.
Building Address 35 Rutgers Ct.
Magalia, California 95954
A. P. No. f� ..7 z 3 �'T n�
Fe Sar>� n Fire Dept. Fire Zone Use Permit
EQA Parking Parcel Parcel Ma 60' R/W Improvements
Plans Declaration p p
Bldg. Plan�'d Par el proval ans Approval
NEW, ADDITION ❑ UTILITIES [;J OTHER ❑
Single Family E, Duplex ❑ Mobil Home 0 Others ❑
,:F� S Q F7- int ?7-- %y10
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:
Ray N. Munjar Construction
License No. 271019 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.
j( 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 building construction, and hereby
authorize representatives t e C�nnty of Butte to enter upon the
above-menWned pier for ns ction oufto' es. _
I,//
® Date A
Sign ure of Peerrmiiteee or Agent
Receipt No. J;7
White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant
_ BUILDING
SQ. FT. I OCC. I BUILDING VALUATION
Fireplace
$
Total Valuation
No.1 @ FEE
Permit Fee
$3.00
Plan Checking Fee &/or Penalty
(
Permit Fee
$
PLUMBING
No. @ FEE
PERMIT FILING FEE
$a -eq
Each Trap
1.50
Repair drainage or vent piping
1.50 f
Water piping
Each gas water heater 6r vent '
1.50
Gas piping system 1 - 5 outlets
.4...50
Each additional outlet
30
Building sewer ,
_.5.96'
Lawn sprinkler system
2.00
Permit Fee
$
ELECTRICAL
No.1 @ FEE
PERMIT FILING FEE
$3.00
Main service incl. 1 meter
(
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 fixtures
Receps., switches & fix outlets
bal(d10
205
Hood, Ex. Fan or F.A. Furn. Motor
1.00
Evap. cooler, gar. lisp. or D.W.
1.00
Air conditioner or heat pump
Water pump
Mobil Home Facilities
�-9A
Temp. Power Pole
5.00
Misc. wirinq
Permit Fee $
MECHANICAL No.1 @ FEE
PERMIT FILING FEE $3.00
Heating
Cooling
Ventilation
Hood 2.00
Permit Fee $
TOTAL PERMIT FEE 1$ 15V100
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 P.!?BLIC WORKS
By— Date 71
;d'1'1�d'ing permit expires Date.................t1.......................��
._RUTGE P5
_, v80. (7Q
pemil+ 'Y
ins+410tion
,o r
All utility `Ici°ion
located wit 4 ft. o s ship._/5'
third sectionnof theum bilehome h
0.04'
on the left (road) side of the mobile lo c) 4.7�
home,
ZG O A�J�
SGo,dE 5% .,� 0o A ale
GOM/�,4C'T/DN To MEET' 57A-;7' X�,P _
Septic system and location r ol` lamto _
Butt County Health bepas per
quirements. e
.Ur.?AWA/ BY•' G.R. Eli�.4'/1�9RD
r�
TheW. . Setback shall 'be 5 ft, fr
the side property line and 50 ft. fr
the centerline of road
lis set, of plans and -
MUST Pt on the job at all times .an� unlawful 1
"take any changes- or alterations on
written permi:,on hom fhe some
with
i . ei
Works, .Coin Of arfe►arft of Pvbll
tY Sutti..
1z r MqX _ .•
BUTTE COUNTY
BUILDING DEPARTMENTV
APPROVED
C>'i'YNE"f?S i9PF�R0VW : �' . .. .t' ' �' r. � / � 0�17TE : ti '� • _._
RAY N MUNJAK CONSTRUCTION SPECIFICATIONS DATE INV,
ENGINEERING CONTRACTOR
LIC. NO. A 271019
5248 Scot twood Rd. Poradis*, Co. 9596-9
FOR:- RGtS,4NNE
_ .. /1�dn/T..�" S;Er t'�=ft%O� �''4°•, 9�"z�.�'iJ
JOB NO [UNIT LOT ADDRESS
?6 O .4LL O0WA-1 fk
/,VCLtJ.AGE S/:
44'.0,0e-1 e-5.4. C•a�vc�Pc'r
goo , S�?,. Q i �EstF
I /yd ' 1/_0:v
am.. 20a a, -r2en 4. S/alT. �i�9�sd
L o cit 4 ACLC,4 '
41
EIGG
' PERMIT NUMBER - B 6627-76R _MHT
P
E
PERMIT EXPIRES 1: 77
OWNER Rosanne Martin
CONTR:.' English John MH Sales
LOCATION (A.P. 35 Rutgers Ct. Lot 181 PP 15 )
Magalia
{
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i.
FL e cry 4 a - / `7 - 7 �-Q`-
�Z1/7
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 C lifornia Administrative Code, Title 25, Chapter. 5, under permit
number 9102 7 — -7 for the following location:
S u% c✓'S 0".- M4Gat1 4
Ownerkin a7 n.,e_ 14fir7i,
Owner's Address ? ,_ i?,,TG P ✓• c CT A4 A G A L i�
Mobilehome Mfg. Ae IV T Model Year 7h
Insignia No. Q I Gi 7-1 7— /y 0 -7 -7 Q Serial No.6j �I 17 'p 6 J g171 13
It is hereby certified for occupancy at the above described location and
may be occupied.
Date /�!- ` % -7" -7 /L
Director of Public Works
By � -v?l'--G- .7ft . -
THIS CERTIFICATE IS VOID WHEN MOBILEHOME IS RELOCATED
4
S
,+
COUNTY OF BUTTE
i
Department of Public
Works
,.
BUILDING INSPECTION
RECORD
Zoning
Setback Z
Forms
Foundation
"I
Piers & Girders ^—
Fireplace
Rgh. Plumbing —
Bond Beam ��
Lath & Plaster
Rein. Steel
Gas Piping & Test
Found. Vents �—
sl Framing ----------
Plmg. Topout
Rough Elec. .�---
Wtr. Htr.
Furnace �—
Kitchen Vent
t° Firewall
Garage Vents
Sanitation & Water
' ELECTRIC
GAS
BUILDING
` Temporary. — %+%�'
Temporary
Cert. of Occup. 7 A
Final / / "%
— "7 f0 Final
Final :2 (fY'
t
f
DATE
REMARKS OR
CORRECTIONS
4
MO$Ti,1ai0ME' D'dS1' UN' IMI INSPECTION CHECK LIST
1. Is the mobilehome located wi.i_h required separation from lot lines and buildings and general].\
conform' to plot plan?. Yes Vo
2. Does the me?bil.ehome have required clearances above ground? (Sec.5085) Yes No
3. Are foot:i.n,s 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 V-11'No+
5. If more'tnan a single unit, are crossover connections properly installed? (Sec. 5088)
Yes t --No
5, Water
A. Is flexi_Dle connector of adequate size and properly installed (1/2" ID min.)? (Sec. 5566)
Yeso
B. Test - Does water piping withstand working pressure or 50 lbs, air test? Yes ,-- No
C. Backflow - Ifcot State of California approved, does station have backflow device
and pressure -re iefave? Yes No
7. Wastes and Drains
A. Is connection made with. Schedule 40 DWV and have flex connectors at each end? Yes No
B. Does it have minimum ," per foot slope and is it properly supported? Yes No
`
C. Are any leaks detected in drainage system after running 3- r1ons of water through each
fixture including washing machine standpipe? Yes No
D. If coach i.s�te of.California approved, does station have required trap and vent?
Yes No
8. Gas Piping and Gas Vents
A. Connector - Is mobilehore
to the gas supply with an approved 3/4" minimum
mobilehome connector no6 ft, long? Note: All piping is to be at least as
large as the mobilehomel �'thout reductions other than the mobilehome.
connector. Yes No
B. Test OK as per followi � Ye No
1. Open all applianclve .
2. Shut off applia j eilot valves.
3. Air test with I/ nometer to 10"-14" water column, or test with slope gauge (minimum
6oz.-maximum oz.) calibrated in tenth pound increments. Test for 10 min, without
drop.
4. Connect: gas°meter to mobilehome with connector, turn. on gas, test connections with
soapy water.
C. Are all appliance vents properly installed? Yes v No
9. Electrical _.
A. Is service large enoiiglk to provide adequate amperage to mobilehome (must equal rating of
mobilehome iiitii a ::;in.i:c:um of PO amp) and other facilities on lot, i.e. , water pumps,
Zara -e, cabana, etc.',' Yes :/ No
B. Is thea^. proper clearances around panels? Yest--,-No_
C. Is power supply cord or feeder assembly properly fused': Yes t ---Vo_
D. Is continuity test satisfactory as per the following procedure? Yes_ No
1. De -energize electrical wiring, syste:,i of the mobilehome at the pedestal.
2. Make sure that tiie 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 ls..:id of a test instrument to the mobilehome grounding conductor and
apply tl'�e Ulll.hl a.USu i:U cavil RiUur.�tntu e Sii t CUnuuC tor, iliia ilu lng ile�lLrdi.
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 comple.ticn of the above procedure, the power supply cord or feeder assembly
conductors shall be connected to the site service equipment. A further continuity
te;t shall then be made between the grounding electrode and the chassis of the
riobilehome. Upon satisfactory completion of the electrical tests, the lot or site
service equipment mai' ',�e approved for energizing.
is job card li-ned by health Department for water and sanitation?
1.;.. If everything okay, sign off card and t.a; services.
'NO iTLEi10:^.L•' DATA h` x 04, -0 -
Manufacturer and/car Namestyl_e hA-0—
Length 6` Width 2'
vehicle Serial No., //L�/� A � lyf2
State Identif.icat i..on No, t )Q
,1&,1; t Tonal Information or Comments:
COUNTY OF BUTTE —" DEPA47MENT OF PUBLIC WORKS
7 County Center Drive — Uroville, California 95965 _/
Telephone: 534-4541 T
APPLICATION AND PERMIT
BUILDING
OwnerRD S A N A.-' 4 Jy yT A✓ SQ. FT. OCC. BUILDING VALUATION
Mailing Address
Telephone No.
Contractor L --) Ala 6,1
Mailing Address o0 C-A+��c d.
Telephone No.
(�
Building Address_7 ,l %C u'T e S G%
ftis Lb7--i8�
/gip6,9L
A. P. N -Z J Zoning & Planning
F Sattvrr FireDept. FireZone Use Permit
EQA Parking Parcel parcel Ma 60' R/W Improvements
Plans claration p p
Bldg. Pans Recd Parc proval Plan Ap -pr oval
NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER ❑
L L.o -r1 a .v Fo ✓ /3/,o_"7
Single Family ❑ Duplex ❑ Mobil Home 0 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. 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 sarinkler system
Permit Fee
ELECTRICAL
PERMIT FILING FEE
Main service
611V OR LESS
100 AMP OR LESS
Main service
EA. ADD'L 100 AMP
Main service
OVER 600V
100 AMP OR LESS
Main service
EA. ADD•L 100 AMP
NEW CONST. (DWELLING
OR ADONS.
OCCUP. &
ACC. BLDGS.
NEW CONSTR.
NON-RESID.
(MULTI -OUTLET
1 BRANCH CIRCUITS
NEW CONSTR.
NON-RESID.
(POWER APPARATUS B
SINGLE OUTLET CIR.
$3.00
1.50
1.50
1.50
1.50
1.50
.30
5.00
2.00
$3.00
5.00
2.50
25.00
1.00
22sgft
FEE
FEE
Ex. OCCUp(OUTLETS OR FIXTURES) BAL@1
09 1
EX. OCCU FIXED APPLNS. R
p•�O
OUTLETS (RESID.I EA) 2.00
Temporary service 10.00
Mobile Home Facilities 15.00
Misc. Wirina 6.25
❑ 1 am exempt from the Contractors License Laws of the State of California. Permit Fee
WORKMEN'S COMPENSATION INSURANCE MECHANICAL
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
Workmen's Compensation Insurance.
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-mentioned property for inspection purposes.
9C� Date
Signature of .1Permitee oorgAgent
Receipt No. Tom%
White-D.P.W. — Yellow -Assessor — ink -Inspector — Goldenrod -Applicant
Cooling
Ventilation
Hood
Permit Fee
$3.00
2.00
FEE
TOTAL PERMIT FEE Is ,3tp "00
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- 1 71
Bu' ing permit expires Date
BUTTE COUNTY DEPARTMENT OF PUBLIC WORKS
7 County Center Drive, Oroville,.CA,
PHONE: 534-4541
MOBILEHOME INSTALLATION SHEET
1. Owner's name: S , ti ;p
2. Installer's name: G`�s�!'PAI 4:92Z,
3. Is the site currently under permit? Yes l/ No
(If yes, furnish permit number / 3 /O OR
Is the site an existing.site? Yes / / No
4. (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 ;T No
( If no, clarify )
5. What is the mobilehome electrical rating? ----------------------- !'7j Amp's
6. What is the mobilehome site service rating? --------------------- u --u Amps
7. What is the mobilehome site circuit breaker rat'^ut
g? ------------- 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 / / LPG
11. What is the gas pipe length from meter or tank to.the mobilehome? (ft.)
12. :What is the mobilehome gas demand? ------------------------------ (BTU)
(This information not required if pipe length less than 6 ft. on natural gas
. or less than 50 ft. on LPG.)
MOBILEHOME SUPPORT DATA
Mobilehome Mfr. ,Lim Setup Model No. Year
Width 2� y_(ft.) LengthTT (ft:) -.Expando.'Size . 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).
S,in le.. � Footings--(check.one)
Arm /e% ,1. Wood :either
pressure treated or
Center Center Support - :fdn:::grade.:'
Support Footing Sizes
Locations (in.) 2:.Concrete pad.
3. Other, specify
in.(in.) in.
_ — — — — _ _ Supports (check one)
/ Concrete block
r 2. Concrete piers
t _ �4�x6
_—
3. Steel piers
;T;::......... 4. Other, specify
41
Typical Support
%fix O
Footing Size
in. in.
t in. ........ . .
.(in.) (in.)
�.. Max. Pier.. .
Spacing
IMax
�
Overhang
.__ in .
*If center piers are other than drawn above,
draw in locations, spacing, and dimensions.
BUTTE COUNTY
BUILDING DEPARTMENT
APPROVED
0