HomeMy WebLinkAbout064-270-026M
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64-27-26 7�7
A. W. Charbonneau.
4j1?41W PondercEa Way, lot 52, PP#15, MagalL
Permit #6 4 -76,P,E(util.,MH)
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Permit #6809-76MHI
Issued 9
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64-27-26 j
Permit #4425-79B,P,E(new pri.det.
garage)
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64-27-26
Permit#4174-80B(lst renewal/4425-
1 79( pri garage 1=0144 WOW
__64 7-27
ontr: Hile-on',9' Mobile --Home Set
ermit#4689 80
Issued
64-27-6
Permit#458-82B(2-ad renewal4425-79
Rn 141-Y
ZEMO*I�L' BARE Y 64-27-26
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6177 Ponde -sa
Maga I ia
Permit#1465-84B(,ftew open deck/MH)
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6 6,
-27-26
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Contr : Fre d-,,-,.00'ox j7_1 15
�erm_��943-84B(new open deck/MN)
PERMIT NO.' .1465-84B
PERMIT EXPIRES
OWNER EMIL EMBREY
CONTR. owner
ASSESSOR PARCEL 64-21-26
LOCATION 6177 Ponderosa, Magalia
Temp. Power Pole
Called PG&E
Temp. Elec. Servi
Called PG&E
Temp. Gas Servici
CalledPG&E
JOB FINALED (Date)
SIgnature
V = OK
0 = Not OK
– = Not Applicable MOBILEHOMES
* = Not Ready
MISCELLANEOUS
Date
MOBILEHOME UTILITIES (Plans) OK except #'s
Date
DECK,"wCOVERS, CARPORTS, ETC. (Plans) OK except #'s
1. Zoning Requirements–Setbacks–Easements
41'_Zoning Requirements–Setbacks�Easements
2. Soils; Special MH Support–Sketch
if,400tings; Size–Depth–Spacing–Connectors
3. Sewer; Location–Test–Fall-C/0–Concrete
f—Dwe'rs; Girders and/or Joists–Decking–Bracing–Stairs–Rails
4. Water; Local i on–Test– Easement Needed (Sketch)
4, Wood Awn.; Posts–Beams–Rftrs.–Connec.–Shthg.–Rfg.–Bracing
5. Electricity; Location–Clearances–Grnd.–/ Amp–Concrete
5. Alum. Awn.; Column�–Connections–Splice–Decal–Enclosures
6. Gas; Location–Test–Wrap: / /"L"ft./ /"Nat.or/ /"L"ft./ LPG
6. Carports; Windows–Doors
7. Utility Clearance
7. Elec.
Card -BI
Date Card -81 Date
Card-Bll�e
Date Card -Bl Date
Card -Bl
Date Card -Bl Date
Card -Bl
� Date Card -BI Date
Date
MOBiLEHOME INSTALLATION (Plans) OK except #'s
1. Zoning Req u ire ments–Setbac ks– Easements
Date
POOLS (Plans) OK except #'s
1, Setbacks– Easements
2. Footings; Size–Spacing–Marriage Line
2. Soils; Compaction–Structure Stability
3. Gas; MH Test–Demand–Valve–Connector
3. Pool Structure; Steel–Connections–Thickness–Dead Men–Lining
4. Electricity; MH Test–C rossovers– Brea kers–C I eara nces
4. Elec.; Receptacles and Lighting; Distances–GFI
5. Drain; MH Test–Fall–Flex Connector
5. Elec.; Pool Lighting; 15 volts–GFI
6. Water; MH Test– Regu I ator–Con nec tor
6. Elec.; Enclosures; Conduit Entries–Terminals–Listed
7. Water and Sewer Connected–C/0 to Grade–HD Approval
7. Elec.; Bonding; Metal w/5'–Circulating Equipment–Heater
8. Gas and Electricity Tagged
8. Elec.; Grounding; Equip. w/5'–Circulating Equip.–Pool Lghig.
Boxes–Enc losures–Panel boards– Ins. to Main in Conduit
9. Exits; Insp.–Sketch
10. Cert. of Occupancy
9. Health Department Approval
10. Plumb; Cir. Test–Water Supply Test
Card B-1
Date Card -131 Date
Card -131
Date Card -Bl Date
Card B-1
Date Card -Bl Date
Card -Bl
Date Card -BI Date
= OK
= Not OK
= Not Applicable RESIDENTIAL (Sin6l,e and Duplex)
= Not Ready
Date
UNDERFLOOR (Plans) OK except #'s
Date
FRAMING (Continued)
1. Zoning req u i rements-Setbacks- Easements
2. Ftg., Main; Soils-Steel-Elec. Grnd.- / /" Ftg. Depth
48.
49.
Property Line Firewall & Openings
Ext. Doors -One 3' -Check Garage -3rd story, 2 exits
3.
Ftg., Garage; Soils -Steel- / /" Ftg. Depth
50.
Stairs; Width -Headroom -R ise-Run-Landing-F ire Protection
4.
Ftg., Porches & Decks; Soils -Steel- / /" Ftg. Depth
51.
Plywood on Roof Overhang -Attic Vents -Rafter Outriggers
5.
Stemwalls, Main; Steel-Blockouts-Wrapped-Slab
52.
Siding -Nailing -Veneer
6. Sternwalls, Garage; Steel -B lockouts -Wrapped -S lab
7. Piers -Fireplace Ftg.-Steel
53.
54.
Stucco Mesh -Drip Screed-Fdn. Vents-Underfir. Access
Glazing Area -Glass Protection-Skyl ights- P last ic
8. D.W.V.: Fall -Fittings -Test -2 way C/0 -Sewer Test
55.
Shear Walls; Nailing -Bolts
9. Gas Pipe; Size -Anchors
10.
Water Pipe; Test-Anchors-Regu lator-Sery ice Test
11 .
Electric; Underground
12.
Plenums & Ducts; C learance-Materi al -Support- Ins.
13 .
Girders -Sills -Anchor Bolts -Joists -Vents -Cripples
Card -BI
Date Card -BI Date
Card -BI
Card -BI
Date Card -BI Date
Date Card -BI Date
Card -BI
Date Card -BI Date
Date
FINAL (Plans) OK excep #'s
56. Ext. Steps -Door & Sidelight Protection -Landings
Card -BI
Date
Date Card -BI Date
PLUMBING (Permit) OK except #'s
14. Water Ht.; Vent- Access -Combustion Air
57.
58.
Smoke Detector
Furnace; Vents -Clearance -Comb. Air -Connector -
In Garage; Above Floor-Ducts-Mech. Protection
15. Water Pipe; Test & Anchors -Nail Protection
16.
DXV.; Test-Fttngs & Anchors -Nail Protection
59.
Bedroom Exiting
17.
Shower Pan; Test, First Floor -Tub Access
60.
61.
G.F.I. & Bath Fixtures & Tub Access
Elec. Trim & Subpanel; Breaker Sizes -Labels
18. Test Tub & Shower, 2nd Floor -Tub Access
19.
Gas Pipe; Size & Anchors
62.
Stairs & Rails
63.
Fireplace or Stove; Clearances -Hearth
64.
Elec. Outlets at Wood Panel; Int. & Ext.
Card -BI
Date Card -BI Date
65.
Kit. Fixt. & Appliance; Grnd.-Air Gap -Cooking Clearance
Card -BI
Date Card -BI Date
66.
Elec. Outlets & Receptacles at Kit. Counter
Date
ELECTRICAL (Permit) OK except #'s
67.
Garage Fire Door; Swing-Landi ng -C loser
68.
A.C. Duct in Garage -Damper
20.
Fixture & Transformer Clearance -Ins. Protection
69.
Wtr. Htr.; Vents -C leara nce-Comb. Air-Connector-P.R.V.-
In Garage; Above Floor-Mech. Protection
21.
22.
Elec. Receptacles Spacing -Lights & Switches at Doors
Size Boxes & No. of Conductors -Stapled
70.
Plb., Elec. & Mech. Equip. Listed for Location
71.
Elec. Receptacles in Garage; (G.F.I.)-Romex Protec.
23. Romex Installed Close to Edge of Studs & C.J.
24.
Equip. Ground made up w/Mech. Fasteners -Bond Gas & Water
72.
Insulation -Foam -Looked in Attic [] Yes
25.
2 Appliance Circuits in Kitchen & Conductor Size
73.
Guard Rails & Deck Construct ion -Post Caps
26.
Subfeed Wire Size ga. Cu or AI-A.C. Wire Size ga. Cu or At
74.
Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance
Looked under Floor E) Yes
27.
Range Circ. / / ga. Cu or Al -Oven Circ. ga. Cu or At,
Insulated Neutral E]Yes ONo
75.
Following instid.: Drive 0 Yes (-)No; Walks 0 Yes El No;
Planters E]Yes []No
28.
Service -Riser Conductors & Ground -Main Disconnect
76.
Stucco; Brown -Finish
29.
Equip. Clearances; Pane I s-Motors-Mech. Equip.
77.
A.C. Unit; Disconnect-Clrnces-Brkr. & Cond. Size -115V Outlet
30.
Clothes Closet Light -Shower Light
78.
Vents Above Roof; Plbg.-Appliance-Firepl.-Clearance to Opngs.
79.
' Water Well; Disconnect, Electrical, Plumbing
80.
Exterior Elec. Trim; G.F.I. Receptacle -Underground
Card B -I
Date Card -BI Date
81.
82.
Ventilation throughout House
Glass Protection
Card B -I Date Card -BI Date
Date
MECHANICAL (Permit) OK except #'s
83.
Corrections from Previous Inspections
84.
Gas Test -Meters Tagged; Gas -Electric
31.
A.C. Ducts; Insulation & Support
85.
Water & Sewer Connected -C/0 to Grade -HD Approval
32.
33.
Vent Fan; Exhaust above Insulation
Condensate Drain & Overflow; Size & Grade
86.
Energy Compliance Certificate -Other Certificates
34.
Furnace -Vent; Access -Comb. Air -Return Air Vent -115V outlet
35.
Attic Access & Platform if Furnace in Attic
Card -BI
Date Card -BI Date
Card -BI
Date Card -BI Date
Card -BI
Date Card -BI Date
Card -BI
Date Card -BI Date
Card -BI
Date Card -BI Date
Comments at Final:
Date FRAMING(Plans) OK except #'s
36.
Sills; Proper Material & Anchors
37.
Walls; Studs -Nailing, Spacing & Bracing -Plates -Sound
38.
Bearing Walls over Girders & Floor Nailing
39.
Draft Stop in Walls (rat proof)
40.
Fire Stops; Furred Ceilings -Stairs -Chases -Tub
41.
42.
Header & Beam -Size & Bearing
Hangers -Post Caps -Anchors -Connectors
43.
44.
Cing. Joist-Rftr. Ties-Purlin- Roof Brac.-Truss-Shthrip.-Rfrig.
Fireplace Ties �r -Type A �iue-Vireplace Throat
45.
Attic Access; Size & Romex Protect i on- Draft Stop -Ins. Baffles
46.
Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions
47.
Garage Fire Protection Framing
(NOTE: An entry must be made each time you visit job site)
PERMIT NO. 1943-84B
PERMIT EXPIRES
OWNER EMIL EMBREY
CONTR.. Fred Cox, Paradise
ASSESSOR PARCEL 64-27-26
LOCATION 6177 Ponderosa, Magalia
Temp. Power Pole
Called PG&E
Ternii. Elec. Service
Called PG&E
Temp. Gas Service
CalledPG&E
JOB FINALED (Date)
Signature
V = OK
0 = Not OK
= Not Applicable MOBILEHOMES MISCELLANEOUS
= Not Ready
Date
MOBILEHOME UTILITIES (Plans) OK except #'s
Date
DECKS, COVERS, CARPORTS, ETC. (Plans) OK except #'s
1. Zoning Requirements -Setbacks -Easements
2. Soils; Special MH Support -Sketch
44.' Zoning Requirements -Setbacks -.Easements
&,�gptings; Size -Depth -Spacing -Connectors
3. Sewer; Location -Test -Fall -C/0 -Concrete
bo*"becks; Girders and/or Joists -Decking -Bracing -Stairs -Rails
4. Water; Local i on- Te st- Easement Needed (Sketch)
4. Wood Awn.; Posts-Beams-Rftrs.-Connec.-Shthg.-Rfg.-Bracing
5. Electricity; Location-Clearances-Grnd.-/ Amp -Concrete
5. Alum. Awn.; Column�-Connections-Splice-Decal-Enclosures
6. Gas; Location -Test -Wrap: / /"L"ft./ /"Nat.or/ /"L"ft./ LPG
6. Carports; Windows -Doors
7. Uti I ity Clearance
7. Elec.
Card -Bl
Date Card -131 Date
Card -134k,
Date -?-/Qr-nf_Card-BI Date
Card -13 1
Date Card -131 Date
Card -BI
Date Card -BI Date
Date
MOBILEHOME INSTALLATION (Plans) OK except #'s
1. Zoning Req u i rements-Setbac: ks- Easements
-Date
PCOLS (Plans) OK except #'s
1. Setbacks -Easements
2. Footings; Size -Spacing -Marriage Line
2. Soils; Compaction -Structure Stability
3. Gas; MH Test -Demand -Valve -Connector
3. Pool Structure; Steel -Connections -Thickness -Dead Men -Lining
4. Electricity; MH Test -Crossovers- Brea kers-C I eara nces
4. Elec.; Receptacles and Lighting; Distances-GFI
5. Drain; MH Test -Fall -Flex Connector
5. Elec.; Pool Lighting; 15 volts-GFI
6. Water; MH Test- Regu lator-Connector
6. Elec.; Enclosures; Conduit Entries -Terminals -Listed
7. Water and Sewer Connected -C/0 to Grade -HD Approval
7. Elec.; Bonding; Metal w/5' -Circulating Equipment -Heater
8. Gas and Electricity Tagged
8. Elec.; Grounding; Equip. w/5' -Circulating Equip .-Pool Lghig.
Boxes -Enc I osures- Pane I boards- Ins. to Main in Conduit
9. Exits; Insp.-Sketch
10. Cart. of Occupancy
9. Health Department Approval
10. Plumb; Cir. Test -Water Supply Test
1 Card -BI
Date Card -BI Date
Card B -I Date Card -BI Date
Card B -I
Date Card -131 Date 11
Card -BI
Date Card -BI Date
it = OK
0 = Not OK
- = Not Applicable RESIDENTIAL'(Sin6le and
= Not Ready
Duplex)
Date
UNDERIFLOOR (Plans) OK except #'s
Date
FRAMING (Continued)
1. Zoning req u ire ments-Setbac ks- Easements
48.
Property Line Firewall & Openings
2.
Ftg., Main; Soils-Steel-Elec. Grnd.- / /" Ftg. Depth
49.
Ext. Doors -One 3' -Check Garage -3rd story, 2 exits
3.
Ftg., Garage; Soils -Steel- / /" Ftg. Depth
50.
Stairs; W idth-Headroom-R i se -Run- Land i ng -F ire Protection
4. Ftg., Porches & Decks; Soils -Steel- / /" Ftg. Depth
5. Sternwalls, Main; Steel-Blockouts-Wrapped-Slab
51.
52.
Plywood on Roof Overhang -Attic Vents -Rafter Outriggers
Siding -Nailing -Veneer
6. Sternwalls, Garage; Steel-Blockouts-Wrapped-Slab
7. Piers -Fireplace Ftg.-Steel
53.
54.
Stucco Mesh -Drip Screed-Fdn. Vents-Underfir. Access
Glazing Area -Glass Protect ion -Sky I ights-P last ic
8. D.W.V.: Fall -Fittings -Test -2 way C/0 -Sewer Test
55.
Shear Walls; Nai I ing-Bolts
9. Gas Pipe; Size -Anchors
10.
Water Pipe; Test-Anchors-Regulator-Sery ice Test
11.
Electric; Underground
12.
Plenums & Ducts; Clearance -Material -Support -ins.
13.
Girders -Sills -Anchor Bolts -Joists -Vents -Cripples
Card -BI
Date Card -BI Date
Card -BI
Date Card -BI Date
Card -BI
Date Card -BI Date
Card -BI
Date
Date Card -BI Date
FINAL (Plans) OK except #'s
Card -BI Date Card -BI Date
Date
PLUMBING (Permit) OK except #'s
14. Water Ht.; Vent- Access -Combust ion Air
56.
Ext. Steps -Door & Sidelight Protection -Landings
57.
58.
Smoke Detector
Furnace; Vents -C leara nce-C omb. Air -Connector -
In Garage; Above Floor-Ducts-Mech. Protection
15. Water Pipe; Test & Anchors -Nail Protection
16.
D.W.V.; Test-Fttngs & Anchors -Nail Protection
59.
Bedroom Exiting
17.
Shower Pan; Test, First Floor -Tub Access
60.
G.F.I. & Bath Fixtures & Tub Access
18.
Test Tub & Shower, 2nd Floor -Tub Access
61.
Elec. Trim & Subpanel; Breaker Sizes -Labels
19.
Gas Pipe; Size & Anchors
62.
Stairs & Rails
63.
Fireplace or Stove; Clearances -Hearth
64.
Elec. Outlets at Wood Panel; Int. & Ext.
Card -BI
Date Card -BI Date
65.
Kit. Fixt. & Appliance; Grnd.-Air Gap -Cooking Clearance
Card -BI
Date Card -BI Date
66.
Elec. Outlets & Receptacles at Kit. Counter
Date
ELECTRICAL (Permit) OK except #'s
67.
Garage Fire Door; Swi ng -Land I ng -C loser
68.
A.C. Duct in Garage -Damper
20.
Fixture & Transformer Clearance -ins. Protection
69.
Wtr. Htr.; Vents -C learance-Comb. Air-Connector-P.R.V.-
In Garage; Above Floor-Mech. Protection
21.
Elec. Receptacles Spacing -Lights & Switches at Doors
70.
Plb., Elec. & Mach. Equip. Listed for Location
22.
Size Boxes & No. of Conductors -Stapled
71.
Elec. Receptacles in Garage; (G.F.I.)-Romex Protec.
23. Romex Installed Close to Edge of Studs & C.J.
24.
Equip. Ground made up w/Mech. Fasteners -Bond Gas & Water
72.
73.
Insulation -Foam -Looked in Attic E] Yes
Guard Rails & Deck Construct ion -Post Caps
25. 2 Appliance Circuits in Kitchen & Conductor Size
26.
Subfeed Wire Size ga. Cu or AI-A.C. Wire Size ga. Cu or Al
74.
Fdn. Vents & C rawl Hole Door -Drainage & Wood -Earth Clearance
Looked under Floor E) Yes
27.
Range Circ. ga. Cu or Al -Oven Circ. ga. Cu or A 1,
Insulated Neutral OYes E)No
75.
Following instld.: Drive E] Yes E] No; Walks El Yes El No:
Planters Dyes [:]No
28.
Service -Riser Conductors & Ground -Main Disconnect
76.
Stucco; Brown -Finish
29.
Equip. Clearances; Pane Is-Motors-Mech. Equip.
77.
A. -C. Unit; Disconnect-Clrnces-Brkr. & Cord. Size -115V Outlet
30.
Clothes Closet Light -Shower Light
78.
Vents Above Roof; Plbg.-Appliance-Firepi.-Clearance to Opngs.
79.
Water Well; Disconnect, Electrical, Plumbing
80.
Exterior Elec. Trim; G.F.I. Receptacle -Underground
Card B -I
Date Card -BI Date
81.
82.
Ventilation throughout House
Glass Protection
Card B -I
Date
Date Card -BI Date
MECHANICAL (Permit) OK except #'s
31. A.C. Ducts; Insulation & Support
83.
Corrections from Previous Inspections
84.
Gas Test -Meters Tagged; Gas -Electric
85.
Water & Sewer Connected -C/O to Grade -HO Approval
32.
33.
Vent Fan; Exhaust above Insulation
Condensate Drain & Overflow; Size & Grade
86.
Energy Compliance Certificate -Other Certificates
34.
35.
Furnace -Vent; Access -Comb. Air -Return Air Vent -115V outlet
Attic Access & Platform if Furnace in Attic
Card -BI
Date Card -BI Date
Card -BI
Date Card -BI Date
Card -BI
Date Card -BI Date
Card -BI
Date Card -61 Date
Card -BI
Date Card -BI Date
Date
FRAMING(Plans) OK except #'s
Comments at Final:
36.
Sills; Proper Material & Anchors
37.
Walls; Studs -Nailing, Spacing & Bracing -Plates -Sound
38.
Bearing Walls over Girders & Floor Nailing
39 .
Draft Stop in Walls (rat proof)
40.
Fire Stops; Furred Ceilings -Stairs -Chases -Tub
41.
Header & Beam -Size & Bearing
42.
Hangers -Post Caps -Anchors -Connectors
43.
CIng. Joist-Rftr. Ties-Purlin- Roof Brac.-Truss-Shthng.-Rfng.
44. Fireplace Ties or Type A FIue-Fire�1_ace_Thrcat
45.
Attic Access; Size & Romex Protect i on -Draft Stop -Ins. Baffles
46 .
47.
Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions
Garage Fire Protection Framing
(NOTE: An entry must be made each time youvisit jobsite)
COUNTY OF BUTTE - DEPARTMENTiOF PUBLIC WORKS PERMIT NO.
7 County Center Drive - Oroville, C.21ifornio,05965 - Telephone 916/534--4541
7
APPLICATION AND PERMIT . I
/UMBER ZONING"
ASSESS�;,qe�5� __Z6
BUILDING PERMIT
OWNER L.P_�O
SQ. FT. OCC., BUI�91NG
VALUATIOV 1
OWN�:R'SMAILINGebR S
C N TOR'S NAME ELEPHONE
I �Jl e- ny- 1077-M7
C'b TRACTOR'S_MAULING' A RESS Z
,19 .5V? b &42glai c 0�
IC7 6;+10
Fireplace
CONSTRUCTION LENDER
UNKNOWN
Total Valuation $
Filing Fee
$ 10.00
LENDER'S MAILING ADDRESS
Permit Fee
$ /<_1 &6
ARCHITECT OR ENGINEER
SE NO.
Plan Checking Fee
$
Penalty
$
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Permit fee
$
BUILDING ADDRESS
/10b&1FZ)
PLUMBING PERMIT
FilingFee 10.00
Each Trap
2.00
Solar Water Heater
20.00
A7",4LJA
water piping
5.00
LOT NO. SUBDIVISION NAME
1
F;ARCEL MAP'
Each qas water heater or vent
5.00
Gas piping system - 5 outlets
5.00
USE OF STRUCTURE
SF [:1 DuplexE] Mobilehome�g Other SPECIFY
-1
Building sewer
5.00
Mobile Home T—sF—GFW. I
110-00ea
TYPE OF WORK
New n Addition [:] Remodel[:] Utilities[:] InstallationEl OtherW
Describe work: &Pmoy >1E:1ae 1.
Permit Fee
$
Contractor
ELECTRICAL PERMIT
Fil i ng Fee 10.00
600V OR LESS
Main service 100 AMP OR LESS
10.00
Main service EA. ADD -L 100 AMP
2.50
NEW CONST. DWELLING OCCUP.&)
OR ADDNS. ( ACC. BLDGS.
21/20sq ft
CONTRACTORS LICENSE LAW
I declare under penalty of perjury (check one):
I am licensed under provisions of Chapt. 9, Div. 3 of the Business
IV— and Professions Code and my license is in full force and effect.
License No.:?- 00f I -Classification
F] 1, as the owner, or my employees with wages as their sole compen-
sation, will do the work,and the structure is not intended or offered
for sale. (Sec. 7044)
El 1, as the owner, am exclusively contracting with licensed contrac't-
ors. (Sec. 7044)
I am exempt under Sec.—, Business and Professions Code
for this reason
NEW CONSTI;I(MULTI-.UTL.T
N . N. R E.,S, , BRANCH CIRCUITS) 2.50 ea,
NEW CONSTR. I POWER APP RATUS &'
N 0 N - R E S I D. %SINGLE OUTLET CIR.
0@500
Ex. Occup(OUTLETS OR FIXTURES .2ALG 300
X. OCCUP. FIXED APPLINIS OR
E OUT -LETS (RESI'D.) EA.) 2.00
Temporary service 10.00
Mobile Home Facilities 15.00
Misc. Wiring 15.00
Permit Fee $
Contractor
WORKMEN'S COMPENSATION INSURANCE
I declare under penalty of perjury (check one):
The permit is for $100.00 (valuation) or less.
I have placed on file with the County of Butte Building Department
a Certificate of Workmen's Compensation Insurance or a Certificate
of Consent to Self-Inswe.
I shall not employ any person in any manner so as to become subject
to the W. C. laws of California.
Notice to Applicant: If after making this statement, should you become subject
to the W. C. provisions of the Labor Code, you must forthwith comply with such
provisions or this permit shall be deemed revoked.
MECHA ICAL PERMIT
Fi I ing Fee 10.00
Heating
Cooling
Hood
3.00
Ventilation
Permit Fee
$
Contractor
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 Countyot
Butte to enter upon the above-mentioned property for inspection purposes.
I also agree to'save, indemnify and keep harmless the County of Butte against
all liabili ies, judgmenjs,-costs, and expenses which may in any way accrue
agains id Cqr(ty,,i�c Fr6equence of the granting of this permit.
L�e
X Date
Signature of Applicant Owner El Contractor EJ Agent
An OSHA permit is required for excavations over 5'0" deep and demolition or construct-
ion of structures over 3 stories in height.
Mobile Home Installation Fee $
TOTAL PERMIT FEE CX—)
17_L�lf
OCCUP. GROUP
I TYP 1�011T,
I I
PA;,FL
t7T__1ss
17
This permit is hereby issued under
sions of the Butte County Code and/or
work indicated above for which
DIRECTOR F BLIC
By- 4 07A .
PERMIT EXPIRES Date-
the applicable provi-
resolutions to do
fees have been paid.
WORKS
Date -7-114LI
Receipt No... 18&15�
WHITE-D.P.W.. YELLOW -ASSESSOR. PINK -INSPECTOR, GOLDEN ROD-APPL I CANT
COUNTY OF BUTTE - DEPARTMENT bF PUBLIC WORKS PERMIT NO.
7 County Center Drive - Oroville, CaliforRia 95965 - Telephone 916/534--4541
APPLICATiO'N'ANID' PERMIT ;� ^A
ASSESSOR PARCJEL.1JUMBER
ZONING
BUILDING PERMIT
OW ER
E;P�3.!N
S�e
L
SQ. FT. OCC. BUILDING VALUATIMI
OWNER
,�,�AILING ADORES
177 A) 0- S& AmAu
CONTRACTOR'S N7, I TELEPHONE
CONTRACTOR'S MAILING ADDRESS
Fireplace
CONSTRUCTION LENDER
UNKNOWN
Total Valuation
Filing Fee
$ 10.00
LENDER'S MAILING ADDRESS
Permit Fee
$
ARCHITECT OR ENGINEER
LICENSE NO.
Plan Checking Fee
$
Penalty
$
ARCHITEC I T OR ENGINEER'S MAILING AOD7SS
::q
Permit fee
$
BUILDING ADDRESS
7 -7
PLUMBING PERMIT
FilingFee 10.00
Each Trap
2.00
Solar Water Heater
20-00
Water piping
5.00
_—TsUBDIVISION NAME MAP
LOT NO. PARCEL
Each qas water heater or vent
5.00
Gas piping system I - 5 outlets
5.00
USE OF STRUCTURE
SFE1 DupIexF1 SPECIFY
Building sewer
5.00
Mobile Home I S I G JW I
10.00ea
TYPE OF WORK
NewEl Addition [:1 R emode I [-] Uti I ities [J Installation[] Other
Describe work:
Permit Fee
$
Contractor
ELECTRICAL PERMIT
FilingFee 10.00
Main service 600V OR LESS
100 AMP OR LESS
10.00
Main service EA. ADO'L 100 AMP
2.50
NEW CONST. ( DWELLING OCCUP.&)
OR A.DNS. ACC.BLDGS.
2'/20sqft
CONTRACTORS LICENSE LAW
I declare under penalty of perjury (check one):
I am licensed under provisions of Chapt. 9, Div. 3 of the Bus I ness
and Professions Code and my license is in full force and effect.
License No. Classification
1, as the owner, or my employees with *wages as their sole compen-
sation, will do the work,and the structure is not intended or offered
for sale. (Sec. 7044)
El 1, as the owner, am exclusively contracting with licensed contract-
ors. (Sec. 7044)
Fl I am exempt under Sec.—, Business and Professions Code
for this reason
NE W CO NSTFI.(MULTI-OUTLET 2.50 ea
NO N -RE S.. BRANCH CIRCUITS)
NEW.CONSTR. ( POWER APPARATUS &'I
NON RESID. SINGLE OUTLET CIR. / I
Ex. OCCUP(OUTLETS OR FIXTURES .20 @ 50C
AL@ 30
FIXED APPLNS OR
Ex. Occup. OUTLETS (RESI*D.) EA.) 2.00
Temporary service
10.00
Mobile Home Facilities 15.00
Misc. Wiring 15.00'
Permit Fee $
Contractor
MECHANICAL PERMIT
Fi I ing Fee 10.00
WORKMEN'S COMPENSATION INSURANCE
I declare under penalty of perjury (check one):
The permit is for $100.00 (valuation) or less.
1 have placed on file with the County of Butte Building Department
a Certificate of Workmen's Compensation Insurance or a Certificate
of Consent to Self-In1ure.
I shall not employ any person in any manner so as to become subject
to the W. C. laws of California.
Notice to Applicant: If after making this statement, should you become subject
to the W. C. provisions of the Labor Code, you must forthwith comply with such
provisions or this permit shall be deemed revoked.
Heating
Cooling
Hood
3.00
Ventilation
Permit Fee
$
Contractor
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 Countyot
Butte to enter upon the above-mentioned property for inspection purposes.
1 also agree to save, indemnify and keep harmless the County of Butte against
all liabilities, judgments costs, and expenses which may in any way accrue
again ai Co sequ ce of t.he granting of this permit.
X & Date W46 2�?4&
Signature 0 f Applicant - 0740er Contractor' 0 Agent F1
An OSHA permit is required f6or e/cAtions over 5'0" deep and demolition or construct-
ion of structures over 3 stories in height.
Mobile Home Installation Fee $
TOTAL PERMIT FEE $
OCCUP. GROUP
I TYPE OF CONST.
I
IPARCELI
PD
I 11P
ISSUE
This permit is hereby issued under
sions of the Butte County Code and/or
work indicated above for which
DIRECT F PUBLIC
BY
PE R)IWEXPIRES Date
the applicable provi-
resolutions to do
fees have been paid.
WORKS
Date f —
J? —,P3
Receipt NO. 617e2
WHITE-O.P.W.. YELLOW -ASSESSOR, PINK -INSPECTOR. GOLDENROD-APPL I CANT
!M
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 ements
of the California Administrative Code, Title 25, Chapter 5, permit
number V6 -J —Ufor the following location:
Owner A
Owner's Address
Mobilehome Mfg. Model YearF�L—
Insignia No. —Serial No.
It is hereby certified for occupancy at the above descriDid o�ation and
may be occupied.
Director of PubliclWorks.
Date By
THIS CERTIFICATE IS VOID WHEN MOBILEHOME IS RELOCATED
White - Owner, Yellow - Installer, Pink - D.P.W.
COUNTY OF BUTTE
DEPARTMENT OF PUBLIC WORKS
695.0leander Avenue, Chico — Phone 343-4211, Ext. 70
7 County Center Drive, Oroville Phone 534-4541
Skyway and Elliott Road, Paradise Phone 877-3435
1 F
BUILDING OR PROPERTY ADDR
A routine Inspection indicates that the following violations of County Ordinance
exist at the above address and should be corrected. Please notify this office
when correction of work Is completed. If you have any question pertaining to this
matter, or need additional explanation, please contact this office Immediately.
X-C-e�a"" iem-11VG z?0"ec#
-5z-� ,
-"a - X 6 a \,j
aelL �e, 5 .7
Inspector- 9 -
COUNTY OF BUTTE DEPARTMEN-r OF PUBLIC WORKS fib
BUILDING INSPECTION RECORD
BUILDING BUILDING (Cont'd) PLUMBING
Setback
Firewall
Soil Piping
Forms
Parapets
Ist Floor
Main Bldg.
Restroom Finish
2nd Floor
Footings
Windows
3rd Floor
Stemwa I I
S , Iding
Topout
Slab
Roof Sheathing
Water Piping
Piers
Roofing
Sewer
Garage
Fdn. Vents
Fixtures
Footings
Stemwa I I
Garage Vents
Insulation
Water Htr.
Heaters
Slab
Carport
Footings
Prov. for p sically
handicappa�
Conformance of ex.
structure
Appliances
Gas Piping Test
Temp. Gas
Slab
Final
Sanitation
Patio
FIREPLACE
Final
Footings F
Masonry Walls T
Reinf. Steel F
F
FIRE
MECHANICAL
Brown.
Coolina
Finish
Ducts
Interior Lath
Ventilation
Door Closer
Final
MOBILEHOME UTILITIES ------------------
Elec- Service
Water Piping
Sewer
MS2BILEtIOML1M§J&L&1 MON --- ---------- Support A .4 4- 7
Water Piping Drainage V/ -u04,4 —
DATE
REMARKS OR CORRECTIONS
M
ELECTR
Rou-qh
Fixtures
Motors
Water Htr.
Subpanels
Grd. Fault Prot.
Service
Temp. Pole
Underaround
Final,
Elec. Pedestal
Gas Piping
Elec. Continui
Gas Piping
(NOTE: An entry must be made on this form each time you vislt the job site.)
9., Electrical
A. Is service large enough to provide adequate amperage -to mobile'homd'(must equal rating of
mobilehome with a'minimum 100 amp) and o�her' faci . 1 ities on lo't, 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? Ye4 No
D. Is continuity test satisfactory as per the following procedure? Yes No
the pe*dstal.
1. De -energize electrical wiring system of the mobilehome-at
2.' Make sure that the power supply cord or feeder ass . embly 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 mobilehome 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 completi . on 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 theelectrical 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
Length- ' Width.
Vehicle Serial No.
State Identification No.
Additional Information or Comments:
MOBILEHOME INSTALLATIOWINSPECTION CHECK LIST
1.- Is the mobilehome located with 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
S)C-
3. Are footings and supports properly sized, spaced, and braced as -approved plans? (Note
possible variation at spring shackles.) (Sec. 5082 & 5083) Yes___]"No
4. Is the mobilehome level? (Sec. 5088),,Yes$No
5. If ruore than a single unit, are crossover connections properly installed? (Sec. 5088)
Yes No
6.. Water
A. Is tl�xible connector of adequate size and properly installed (1/2" ID min.)? (Sec. .5566)
Y e s_�/�N o�__
B. Test - Does water piping withstand working pressure or 50 lbs. air test? Yes
C. Backflow - If coach is no ' t te of California approved, does station have backflow device
and pressure -relief val '2
ve. No
7. Wastes and Drains - I
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? Yesl No
C. Are any leaksdetected in drainage system after runnink .33-plIons of water through each
fixture including washing machine standpipe? Yes_ No-�Sl/l
D. If coach is not State of Californiaapproved, does stati/on have required trap and vent?
Yes— No
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 mQbiClehome gas line inlet without reductions other than the mobilehome
connector. -Yes No
B. Test OK as per following procedure? Ye No
1. open all appliance connector valve S.
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 all appliance vents properly installed? Ye)�', No.
CK
PVRMIT NO. 4689-80MHI e:Kistinq site
PERMIT EXPIRES
OWNE�R ARLD CHARRONNEAU
CONTR. Hilton's Mobile Home Ser, Mag.
LOCATION (A.P. 64-27-26
480 Ponderosa Way,lot 52,PP#15, Magalia
Temp. Power Pole
Called PG&E -
Temp. Elec. Serv.,
Called PG&E
Temp. Gas Serv.
. Called PG&E
JOB
FINALED
(Date)
(Signature)
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS
7 County Center Drive - Oroville, California 05965 - Telephone 916/534-4541
. A. `! APPLICATION AND PERMIT /1, //
P(MT
r N
A 7/'/
A
IJ
ASSESSJ PARCE IUMBER
�t— c
77-2 A
ZONING
1
V'F1 F V'r
4�� PEI�M�Xr'
pip I I
/,*j, *? I& c
OWNER,,� p
TEUEPi�ONE
I
SO. FT. ON. V BUILDING VALUATION
V
OWN�LR'S MAIL I AD ESS
e Ala
CO 1:7rOR�l NA
/yo e
P 40
Iff-H
6,A�31R'SMA12
CON CTION LE14DER
1/1 # 4t-
I
UNKNOWN
Fireplace
Total Valuation $
—
LENCrER'S MAILING ADDRESS
Permit Fee
$
ARCHITECT OR ENGINEER
LICENSE NO.
Plan Checking Fee
$
Penalty
$
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Permit fee
$
BUILDING ADDRESS
WV4
PLUMBING PERMIT
FilingFee 3.00
Each Trap
2.00
Repair drainage or vent piping
2.00
Water piping
LOT NO.
-;1
VISION NAME
1
PARCEL MAP
Each qas water heater or vent
2.00
Gas piping system 1 - 5 outlets
USE OF STRUCTURE
SF F� DupIexFJ Mobilehomeg?'O*'Other SPECIFY
Building sewer
Lawn sprinkler system
2.00
TYPE OF WORK
NewF] Addition 0 RemodelEl Uti litiesEl Installation &,*'Other
Describe work:
Permit Fee
$
Contractor
ELECTRICAL PERMIT
FilingFee 3.00
main service 600V OR LESS
100 AMP OR LESS
5.00
Main service EA. ADD -L 100 AMP
2.50
NEW CONST. ( DWELLING OCCUP,&)
OR ACONS. ACC.BLDGS.
20 sq ft
CONTRACTORS LICENSE LAW
I declare er penalty of perjury (check one):
EAII�l 'am licensed under provisions of Chapt. 9, Div. 3 of the Busines S
and Professions Cod a d my license is in full force and effect.
License No.12SZ� ?/ -Classification /7— JU
El 1, as the owner, or my employees with wages as their sole compen-
sation, will do the work,and the structure is not intended or offered
for sale. (Sec. 7044)
1, as the owner, am exclusively contracting with licensed contract-
ors. (Sec. 7044)
I am exempt under Sec.—, Business and Professions Code
for this reason
NEW CONSTR. ( MULTC111UTLET
NO .RES,., RA. . C'RC, ITSL_
2.50 ea
NEW_CONSTR. (POWER APPARATUS &I
NON RESID. SINGLE OUTLET CIR. I
Ex. OCCUP(OUTLETS OR FIXTURES 50 @ 250
IBAL@110�
FIXED APPLNS. OR I
Ex. Occup.(OUTLETS (RESIO.) EAJ 2.00
Temporary service 10.00
Mobile Home Facilities 15.00
Misc. Wiring 6.25
Permit Fee $
Contractor
WORKMEN'S COMPENSATION INSURANCE
1 declare under penalty of perjury (check one):
F� The permit is for $100.00 (valuation) or less.
Y4--I-rhave placed on file with the County of Butte Building Department
a Certificate of Workmen's Compensation Insurance or a Certificate
of Consent to Self -Insure.
I shall not employ any person in any manner so as to become subject
to the W. C. laws of California.
Notice to Applicant: If after making this statement, should you become subject
to the W. C. provisions of the Labor Code, you must forthwith comply with such
provisions or this permit shal I be deemed revoked.
MECHANICAL PERMIT
Fi I ing Fee 3.00
Heating
Cooling
—
Hood
2.00
Ventilation
Permit Fee
$
Contractor
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 ot
Butte to enter upon the above-mentioned property for inspection purposes.
I also agree to save, indemnify and keep harmless the County of Butte against
all liabilities, judgments, costs, and expenses which may in any way accrue
I oun y in prisequei
against aid C t ice of the granting of this permit.
Date jr:
1001"
Signature licant OwnerEl Contractor rg7f. Agent
An OSHA Is re
p yiuired for excavations over 5'0'' deep and demolition or construct-
ion of stru ver s Ories in height.
Mobile Home Installation Fee $ d
Land Development Fee $
TOTAL PERMIT FEE $ 0
occuP. GROUP
I TYPE OF CONST.
I
IPARCELI
PD
I H
ISSUE
This permit is hereby issued under
sions of the Butte County Code and/or
work indicated above for which
DIRECTOR OF BLIC
By- A I. —
PERMIT EXPIRES Date—
the applicable provi
resolutions to do
fees have been paid.
WORKS
-
Date
vlaFnv
�1
Receipt NO. C/
WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR. GOLDENROD-APPL I CANT
BUTTE COU14TY DEPARTMENT OF PUBLIC WORKS
7 County Center Drive, Oroville, CA.
PHONE: 534-4541
..MOBILEHOME INSTALLATION SHEET
1. owner's name:
2. Installer's name: Z':�j o 17 7- I -If t" -e
3. Is the site currently under permit? Yeh No7Z;7r-
0i
(If yes, furnish permit number C-�
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
(If no, clarify
5. What -is the mobilehome electrical rating? --------------------- 0 0 Amps
6. W . hat is the mobilehome site service rating? --------------------- JOQ Amps
7.. What is'the mobilehome site circuit breaker rating? ---------
-200, Amps
8. Is there any other electric load to be served by the mobilehome
site serv'ice? -------------------- 4�_ az t<: -14 --------------
'9 Yes No
(If yes, identify the load and size: (Load) (Amps)
9. What is the mobilehome site gas pipe size? -------------------
10. What is the type of gas service? ------------------------------ Natural 77 LPG -F2 7-7
11. What is the gas pipe length from meter or tank to the mobilehome?
12. What is the mobilehome gas demand? --------------------------- 7�- (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
If otfier-than single wide
,st 1.63 4
Mobilehome Mfr. Q 4Z_ furnish Setup Model No. Year
Width (ft.) Box Length.l(n (ft.) Tagalong or Expando Size ft. k ft.
(SHOW SUPPORT DETAILS BELOW)
On all mobilehomes manufactured after Oc ' tober 7, 1973,, furn ish manufacturer's instaillation
manual and structural setup sheets (if not on file with'the County of Butte).
All center supports measured from front of
mobilehome'unless otherwise specified.
Footin", (check one)
Single
ra-11 Wood i-ither
%
(f t. ) (in. )
Center support
locations*
I Dw- F. I
(f t.) (in.)
IW- D I
(ft. 5 (in.)
(in.)
MCI 0 0 -
pressure treated or
foundation grade.
2.. Other' (specify)
(in.) (in.)
Center support Support�s'(check one)
footing sizes
.(in.) Concrete' block.
2 Other' (specify)
pLi-3 (51
.(in;) (in.).
I Qv.,701
(in.) (in.)
4--7-Tagalong or Expando,'
show support -details.
ik F_
��X ::0 Typical Support
(in. (in.) Footing Size
low
(in.) (in.) Max.. Pier Spacing
T7
,2727q I -- Max. Overhang
(in.)l (".) I ' . - -
*If center piers are other than drawn above,
_--draw-in-locations.-spacing, and dimensions.
PERMIT NO.
PERMIT EXPIRES a
�WNER Arlo Charbonneau
owner
CONTR.
'LOCATION (A.P. 64-27-26
(7 7
-4K Ponderosa Way, lot 52, PP#15, Magalia
J�ct)?2;
4./,, (/ V�
Temp. Power Pole
Called PG&E
Temp. Elec. Serv.
Called PG&E
Temp. Gas Serv.
Called PG&E
COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS
BUILDING INSPECTIQN RECORD
BUILDING
BUILDING (Cont'd)
PLUMBING
Setback
Firewall
1ping A/0 ;11-cs,
Forms -7?'
Parapets
;iWiFloor -F2
Main Bldg.
Restroom Finish
2nd Floor
Footings
Windows
3rd Floor
Stemwal I
Siding
Topout
Slab
Roof Sheathing oet
Water Pipinj
Piers
Garage
Roofing -�q-9-2-M---Sewer
Fdn. Vents
Fixtures
Footings
Garage Vents
Water Htr.
Stemwal I I-,
Insulation
Heaters
Slab
Carport
Footings
Slab
Prov. for p� sically
handicappel
Conformance of ex.
structure
Final
Appliances
Gas Piping & Test
Temp. Gas
Sanitation
Patio
FIREPLACE
Final
Footings
Footina
ELECTRICAL
Masonry Walls
Throat
Rough
ReInf. Steel
Final
Fixtures 1-9-4 W
Bond Beam
FIRE SPRINKLERS
Motors
Framing
Test
Water Htr.
Stucco
Final
r,
Subpan Is
Mesh
MECHANICAL
Grd. Fault Prot.
Scratch
Heating
Service
Brown
Cooling
Temp. Pole
Finish
Ducts
Underground ('Or% OU i -T F' 42 %"rk--
Interior Lath
Ventilation
Permanent
Door Closer
Final
Final
MOBILEI-16ME UTILITIES ------------------
Elec. Service
Elec. Pedestal
Water Piping
Sewer
Gas Piping
WOUILEHRME INSTALLATION --------------
Support
Elec. Continuity
Water Piping
Drainage
Gas Piping
DATE REMARKS OR CORRECTIONS
-,,z 1,9,:Fezre,-,r rr 15;-AA1
A -7 - 9\1 > Al C-4 C', -
0 1, 4�
Xk/V
(NOTE: An entry must be made on this form each time you visit the job site.)
t4C(rdltY OF BUTTE
DEPARTMENT OF PUBLIC WOI3KS
196 Memorial Way, Chico — Phone: 891-2751
7 County Center Drive, Orovi Ile — Phone: 534-4541
Skyway and Elliott Road, Paradise — Phone: 872-2961, Ext. 57
CORRECTION NOTICE
BUILDING OR PROPERTY ADDRESS
A routine inspection indicates that the following violations of County Ordinance
exist at the above address and should be corrected. Please notify this office
when correction of work is completed. If you have any question pertaining to this
matter, need additional explanation, 'please contact this office immediately.
1 41
14
Inspector —Date—
COUNTY OF BUTTE, - DEPARTMENT OF PUBLIC WORKS PERMIT N%a-
E
7 County Center D�ilve - Oroville, California 95965 - Telephone 916/534-4541
APPLICATION AND PERMIT AA
ASSESSOR PARCEL NUMBER
I,- (1-a -7 f.2,e(a�
'ZONING
/Au DING PERMIT
OWNER
Ap-t-in Z30 vin an U
TELEPHONE
F77-QV9T
SQ.FT. )DC'ZI,. BUILDING VALUATION
O7W;ERy7IL1 G AE
�CbNTRACTOR*S-NAMF- 0
A% % . & . - -11,
�r ELEPHONE
-
CC71NTRACTOR'S MAILING ADDRESS
Fireplace
CONSTRUCTION LENDER
Aik.1,14
UNKNOWN
I
Total Valuation $
Filing Fee
$ 10.00
LENDER'S MAILING ADDRESS
Permit Fee
$
ARCHITECT OR ENGINEER
SE NO.
Plan Checking'Flee
$
Penalty
$
ARCHITECT TM ENGINEER'S MAILING ADDRESS
Permit fee
$
BUILDING ADDRESS .
PLUMBING PERMIT
FilingFee 10.00
Each Trap
2.00
Repair drainage or vent piping
5.00
Water p I iping
LOT NO.
SUBDIVISION NAME
olx—
PARCEL MAP
Each qas water heater or vent
5.00
Gas piping system 1 - 5 outlets
USE OF STRUC URE,
SFO Duplexn MobilehomeE] Other
JJPECI FY C.Z
Building sewer
Lawn sprinkler system
5.00
TYPE OF WORK
New n Addition EJ R emode I [I Utilities InstallationEl Other�(
Describe work:
C_� �0_411_4 U_J --7 9,
Permit Fee
$
Contractor
ELECTRICAL PERMIT
Fi I ing Fee 10.00
Main service 6011 OR LESS
100 AMP OR LESS
5.00
Main service EA. ADD -L 100 AMP
2.50
NEW CONST. (DWELLING OCCUP.8J)
OR ADDNS. ACC.BLDGS.
20 sq it
CONTRACTORS LICENSE LAW
rider penalty of perjury (check one):
I am licensed under provisions of Chapt. 9, Div. 3 of the Business
and Professions Code and my license is in full force and e ffect.
License No. Classification
1, as the owner, or my employees with wages as their sole compen-
sation, will do the work,and the structure is no�Jntended or offered
for sale. (Sec. 7044) "1' �
El 1, as the owner, am exclusively contracting with licensed contract-
ors. (Sec. 7044)
I am exempt under Sec.—, Business and Professions Code
for this reason
NEW CONSTIRL(MULTI-OUTLIET
NON- RES.. BRA. CH CIRCUITS) 2.50 ea
NEW.CONSTR. (POWER APPARATUS &I
NON RESID. SINGLE OUTLET CIR. 1
50 @ 250
Ex. Occup(OOTLETS OR FIXTURES 1BAL@100
FIXED APPLNS.,,?)R
Ex. Occup.(OUTLETS (RES.1 EA.) 2.00
Temporary service 10.00
Mobile Home Facilities 15.00
Misc. Wiring 7.50
Permit Fee $
Contractor
MECHANICAL PERMIT
Fi I ing Fee 10.00
WORKMEN'S COMPENSATION INSURANCE
rider penalty of perjury (check one):
F-] The permit is for $100.00 (valuation) or less.
E] I have placed on file with the County of Butte Building Department
a Certificate of Workmen's Compensation Insurance or a Certificate
of Consent to Self -insure.
lwr I shall not employ any person in any manner so as to become subject
YN to the W. C. laws of California.
Notice to Applicant: If after making this statement, should you become subject
to the.W. C. provisions of the Labor Code, you must forthwith comply with such
provisions or this permit shall be deemed revoked.
Heating
Cooling
Hood
3.00
Venti lation
Permit Fee
Contractor
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.
I also agree to save, indemnify and keep harmless the County of Butte against
al Iiabi ities, judgments, costs, and expenses w hich may in any way accrue
—agains aid 9bunty in co'D"qu ce of the granting of this permit.
r
X Id z2&`Y7Ax9r Date Ai, i Z &,J ?,r2
Signature of Applicant — OwnerX Contractor Agent F1
An OSHA permit is required for excavations over 5'0" deep and demolition or construct-
ion of structures over 3 stories in height.
Mobile Home Installation Fee $
TOTAL PERMIT FEE $ c�_
OCCUP. GROUP
TYPE OF CONST,
IPARCELI
P
This permit is hereby issued under
-sions of the Butte County Code and/or
work indicated above for which
DIRECTOR OF PUBLIC
I
By. n 1,
PERMIT EXPIRES Date - F760
the applicable provi-
resolutions to do'
fees have been paid.
WORKS
Da e !i;;?:
7,
P'.
Receipt No. 1,20
WHITE-D.P.W.. YELL4TW-ASSESSOR. PINK -INSPECTOR, GOLDENROD-APPL I CANT
D ENT OF
COUNTY OF BUTTE -'m
7 County Center Drive - Oroville, Califor4iia 9.59U -
PUBLIC WORKS
Telephone 916/534-4541
APPLICATION AND PERMIT
PERMIT PO
W -2
ASSESSO. �PCJEL NUMBER
� _2_4
2 7
ZONI
BUILDING PERM!T
OWNER
TELEPHONE
9�9
SQ. FT. OCC. BUILDIN�r�LUATION
NEIT'SMAILING4
0 :LT �RE oxq
.,0 A4'r
CONT ACTOR'S NAME
ITELEPHONE
CONTRACT&QA'�`MAIL16ADDRESS
CONSTRUCTION LENDER
,/W"Wh�,
KNOWN
Fireplace
Total Valuation $
LENDER'S MAILING ADDRESS
Permit Fee fl�
$ /56,06
ARCHITECT OR ENGINEER
d1,041'r,
NSE NO.
Plan Checking F ee
$
Penalty
$
—
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Permit fee
$
BUILDING ADDRESS
PLUMBING PERMIT
Fi ing Fee 3.00
)AEC.,
Each Trap
2.00
Repair drainage or vent piping
2.00
Water piping
LOT NO.
SUBDIVISION NAME
A0
PARCEL MAP
Each qas water heater or vent
2.00
Gas piping system 1 - 5 outlets
USE OF STRUCTUR
SFEJ DuplexM Mobilehome[:] Other'��-.
SPEC, "14
Building sewer
Lawn sprinkler system
2.00
TYPE OF WORK
NewW Addition[:] Re Ddel[:] utilities instalZaon, Other
Describe work: Z4:�_f4 A 0�a�_
5ermit Fee
$
Contractor
9 ELECTRICAL PERMIT
Filing Fee 3.00
main service 600V OR LESS
100 AMP OR LESS
5.00
Main service EA. ADD -L 100 AMP
2.50
NEW CONST. ( DWELLING OCCUPM
OR ADDNS. ACC.BLDGS.
120sqft
CONTRACTORS LICENSE LAW
I declare under penalty of perjury (check one):
El I am licensed under provisions of Chapt. 9, Div. 3 of the ness
751
and Professions Code and my license is in full force and effect.
License No. Classification
I, as the owner. or my employees with wages as their sole compen_
sation, will do the work,and the structure is not intended or offered
for sale. (Sec. 7044)
El 1, as the owner, am exclusively contracting with licensed contract-
ors. (Sec. 7044)
I am exempt under Sec.—, Business and Professions Code
for this reason
NEW CONSTR ( MULTI*OUTL ET
NON.R.S'.. R A C. C", CUIT.) 12.50 ea
NEW_CONSTR. (POWER APPARATUS.&)
NON-RESID. SINGLE OUTLET CIR
Ex. Occup(OUTLETS OR FIXTURES 50 @ 25t
IBAL@ICC
(FIXED APPLNS. OR
Ex. Occup. OUTLETS (RESID.) EA.) 2.00
Temporary service 10.00
Mobile Home Facilities 15.00
Misc. Wiring 6.25
Permit Fee
$
Contractor
WORKMEN'S COMPENSATION INSURANCE
I declare under penalty of perjury (check one):
The permit is for $100.00 (valuation) or less.
I have placed on file with the County of Butte Building Department
a Certificate of Workmen's Compensation Insurance or a Certificate
of Consent to Self -Insure.
1 shall not employ any person in any manner so as to become subject
to the W. C. laws of California.
Notice to Applicant: If after making this statement, should you become subject
to the.W. C. provisions of the Labor Code, you must forthwith comply with such
provisions or this permit shal I be deemed revoked.
MECHANICAL PERMIT
Filing Fee 3.00
Heating
Cooling
Hood
2.00
Ventilation
Permit Fee
$
Contractor
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 Countyot
Butte to enter upon the above-mentioned property for inspection purposes.
I also agree to save, indemnify and keep harmless the County of Butte against
all liabilities, judgments, costs, and expenses which may in any way accrue
against saidCounty i onse ence of the granting of this permit.
- - — _E.� 01 — K 'e;k A
X Ale� ' — Date
Signature of Applicant — Owner 2� Contractor E] Agent
An OSHA permit is required for excavations over 5'0" deep and demolition or construct-
ion of structures over 3 stories in height.
Mobile Home Installation Fee $
Land Development Fee $
TOTAL PERMIT FEE $ N Z)
occuP. GROUP
I TYPE OF CONST.
F IPARCELI
PO
I NO
I IS.IJE
This permit is hereby issued under
sions of the Butte County Code and/or
work indicated above for which
RE T R OF PUBLIC
By A4
PERMIT EXPIRT§'z5:a ir S—/o
the applicable provi-
resolutions to do
fees have been paid.
WORKS
Receipt No. �T
WHITE-D.P.W.. YELL -OW -ASSESSOR, PINK -INSPECTOR. GOLDENROD-APPL I CANT
COUNTY OF BUTTE — bEPARTIVIENT OF PUBLIC WORKS
7 County Center Drive Orovil-le,�California 95965
Tele0hone: 534-4541
APPLICATION AND PERMIT
authorize representatives of the County of Butte to enter upon the
above-mentioned operty for inspection purposes.
A
7 ate
rSV&�_re of Permitee or Agent
/ '-7,407
White-D.P.W. - Yellow-Asse55or — 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 ka F F9JBLIC WORKS
By Dates_/6:_2e_
Building permit expires Date k_J
BUILDING :r
Owner
A
S F T
SQ. F T. OCC. BUILDING VALUATION
Mai I i ng Address
I&Lephone N
rrepl
Contractor
Mailing Address
ace
F i c
Total Valuation
Telephone No.
Permit Fee
Building Address �Ko P12- 0 S
PlanChecking Fee&/orPenalty
Permit ee $ 12 too
-L-
_7 17, fl, J&- Pgg:&1+_L 114-
No. @
PLUMBING FEE
PERMIT FILING FEE $3.00 _71-0—M
Each TraD 1.50 f,,S-V
Repair drainage or vent piping 1.50
A. P. No. -7 - 21�
ZonUlllanning
Water piping 1.50 /15-0
Each gas water heater or vent 1.50 -V
F 61107�
W&K a Tiatioln JFi re Dept.
I FireZone
Use Permit
,S
Gas piping system 1 - 5 outlets 1. 50 0
EQA
Par -in-g
I Plans
I - Parcel
LDeclaration
Parcel Map
I
-
60' R/W
I
Improvements
Each additional outlet .30
Building sewer 5.00
B_1dg_.__PIo_nVR"ec'd
Parcel AEEroval I
'i ":-
^.Appr. .1
Plan val
Lawn sprinkler system 2.00
NEW UTILITIES OTHER
Permit Fee $ /,?..Oo
$777oc
ELECTRICAL No.1 @ FEE
PERMIT FILING FEE $3.00
600V OR LESS
Main service 100 AMP OR L =SS 5.00
r
Single Family Duplex Mobil HomeE] Others
Main service EA. ADD -L 100 AMP 2.50
PEI, Pc 4'4 PA -4 C
Main service OVER 600V
100 AMP OR LESS 25.00
Main service EA. ADD -L 100 AMP 1.00
NEW CONST D W CLLING OCr&
OR ADDNS. ACC.BLDGS. a_ �20sq 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 CONSTP_ 11 U I L. -h- I
NO..RES'D. CIRCUITS)l 12.50ea
-BRANCH
NEW.CONSTR. (POWER APPARATUS &I
NON RESID. SINGLE OUTLET CIR. A
Ex. OCCUD(OUTLETS OR FIXTIIRES, 5BOA@L 2@51'
FIXED APPLINIS OR
Ex. Occup.(OUTLETS (RES(D.) 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 $ 15-30
/I; -L30
MECHANICAL No. @ FEE
WORKMEN'S COMPENSATION INSURANCE
1 am aware of the provisions ot 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
Wo rkmen'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
Cal i forni a.
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
Land Development Fee
$
TOTAL PERMIT FEE
$66IN
authorize representatives of the County of Butte to enter upon the
above-mentioned operty for inspection purposes.
A
7 ate
rSV&�_re of Permitee or Agent
/ '-7,407
White-D.P.W. - Yellow-Asse55or — 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 ka F F9JBLIC WORKS
By Dates_/6:_2e_
Building permit expires Date k_J
COUNTY OF BUTTE
DEPARTMENT OF PUBLIC WORKS 7 COUNTY CENTER DRIVE
OROVILLS, CALIF. - 534-4541
CERTIFICATE OF OCCUPANCY
This mobilehome has been installed in accordance with the =ement.s
of the California Administrative Code, Title 25, Chapter 5, permit
number for the following location:
1A (/ (," /-./.0
7_
Owner A--�,-- L4
Owner's Address aq P%/ d,- V- 0 0 m/A
Mobilehome Mfg. P-Z�ee7--"1v4P t4— Model Year 7 e -
Insignia No. 2 3 !F 1�� R Serial No. 'F/ 3
It is hereby certified for occupancy at the above described location and
may be occupied.
Director of P6blic Works
a
Date— T By <59& -Coll
THIS CERTIFICATE IS VOID WHEN MOBILEHOME IS RELOCATED
CQUNTY-OF BUTTE — DEPARTMENT OF PUBLIC WORKS
BUILDING INSPECTION RECORD
BUILDING
BUILDING (Cont'd)
PLUMBING
Setback '7 ;7 da-J�-
Newall
ASoil Piping
Forms
Par et
Jr/ 1st Floor
�ain Bldg.
Restr orn Finish
2nd Floor
Footings
WindowA
3rd Floor
�temwaii
Sidina
Topout e -------
b
Roof Shea Ing
Water Piping 7- - ef "7 1 -
Pi
Roofing
Sewer 2- - 2- -7 (a
Garage
Fdn. Vents
Fixtures -----------
FooOws
Stemwa
Garage Vents Z—
I nsulation
Water Htr.
Heaters
Slab
Carport
Footings
Prov. for physica y
handicapped
Conformance of ex.
Appliances
Gas Piping & Test 7
Temp. Gas 4 - 7 7
Slab
Final
Sanitation
Patio
FIR ACE
Final
Footings
Footing
ELECTRICAL
Masonry Walls.:
Throat
Rough /I.
Reipf. Steel'
Final
Fixtures
Bond Beam
FIRE JPRINK&-RS
Motors
Framing
Test
Water Htr.
Stucco
Final
Subpanels
Mesh
MECHANICAL
Grd. Fault Prot. 77
Scratch
Heatina
Service 1:7--- '7 e- ,14,1—
Brown
Cooling
Temp. Pole
Finish
Ducts
Underground
Interior Lath
Ventllau6n
Permanent JZ- Y v 42-P,
Door Closer
Final /
Final /,?- - A -7/- dCA4-
DATE REMARKS OR CORRECTIONS
A;, d UTf'-/77,o,7 -7—e FIA -14,L
dP— -7
0 0 A,., p
0 or) .A r-
e4.,i C.
L04 7-.4 V- C- a R Y,:? 6 1---
44.
A0004 1
oo AA C,
Y-77 h411464�,
(NOTE: An entry must be made on this form each time you visit the job site.)
--t
I
'M0BTk-f--'H0M.E,' INSI'ALLATION, INSPECTION CHECK LIST
Is the. mobilehomt� located 1,7if-h required separation from lot lines and buildings and genera.11%
conform to plot plan? Y�e.,3 t,��'No
D -)es the inobfl.e�home have required clearances above ground? (Sec.5085) Yes &,�No
L
3. Are footin,;s and supports properly sized, spa�ed, and braced as per approved plans? (Note
possible variation at spring shackl'e�s.) (Sec. 5082 & 5083) Yes i-�No'
4. Is the mobilehome level.? (Sec. 5088) Yes 1, -*No
5. If more tha gle unit, are crossover connections properly installed? (Sec. 5088)
Yes- No ;XIA
S. Water
A. Is flex.3'ble connector of adequate size and properly installed (1/2" ID min.)? (Sec. 5566)
Yes
No
B. Test -,Does*water piping withstand working press - ure or 50 lbs. air test? Yes/--�o
C. Backflow - If co not State of California approved, does station have backflow device
I
JV
i f p
and pressure -re valve? 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 4.- No—
C'. Are any leaks detected in drainage system after running 3 -gallons of water through each
f ixLure including washing machine standpipe? Yes_ No
D. If coach is A State of CaliforniaaD
Yes — N 0�—v 9 proved, does station have required trap and vent?
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 mot��ehome gas line inlet without reductions other than the mobilehome
connector. Yes No
B. Test OK as per fol - lowing procedure? Yes k---�Tqo
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 all appliance vents properly installed? Yes-Je—/No
9. Electrical
j�. is service ej-!.00git to provide adeqUZA-C! amperage to lilubilchome (must cqual rating of
mobilelionie (vitit i -.:iinh,lum of 100 amp) an,,l other faciliti-Eis an lot, i.e. , water pumps,
,—ra,-,e, cabani,.t, etc.7 Ycs_jZNo
B . Is ther--� proper clearances around panels? Yes-- 4.- -No
C. Is power supply cord or feeder assembly properly fused? Yes --"I\lo—
D. is continuity test satisfactory as per the following procedure? Yes_-Ie-l�o
1. De -energize electrical wiring, systenii of the mobilehome at the pedestal.
2. Make sure that t1he power supply cord or feeder assembly conductors, -including neutral
conductor, haVE� been disconnected.
3. Switch all breakers, and s�iitches in the mobilehome to the "on" position.
4. Connect one lc -,ad of a test ins�rument to the mobilehome grounding conductor and
cor1dLjcto-i:, iiiclLiding neuLral.
y luau L.0 a
app L L e otijer 0UL-)-L.LkZ:L10111H- tiLl JJLy
5. All non-current, carrying metal parts of the mobilehome (aluminum siding, gas line,
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
conductors shall be connected to the site ser -vice cquipment. A further continuity
te.:-L ,-,hall then be made between L.he grounding electrode and the chassis of the
111.0bilehome. Upon s'd---L-isfactory completion of the e-ectrical tests, the lot or site
service equipment may be approved for energizing.
1,; job card si-ned by fle-alth Departmeat for-urater and sanit, tion?
services.
if everything olay, sign off card and ta,,
-MOBJ*LEi'!Ott!L DATA
Manufacturer and/or Namestyle
I
Length— & I/ Width
f
Vehicle Serial No.
State Identificat.ton No, 3
P�de-', Ltional Infor-,nat-Jon. or Corw.ents:
PEhMIT NO. 6342-76P,E
PERMIT EXPIRES
OWNER A. W. Charbonneau
CONTR. owner
LOCATION (A.P. 64-27-2-6
480 Ponderosa Way, lot 52', PP#15, Magal'ia
Temp. Power Pole
Called PG&E
Towii�. Elec. Serv. L 3 c/ — -74-
Called PG&E
Temp. Gas Serv.
Called�,PG&E
�OB
-77
I-- J
FINALED
(Datej
(Signa—ture)
,-I- - � i
COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS
7 County'Center Drive — Oroville, California 95965
Telephone:, 534-4541
APPLICATION AND PERMIT
lclafo ?_16
U j, � !�V!�OVI.LQLIVeS 01 LHe �_,oumy oi mite W enter upon the
ab�ve-�entioned property for inspection purposes.
X _a - - �14��Date
Y_ —
Signature of Permitee or Agent
Receipt No. -7
White-D.P.W. Yellow -Assessor - Pink -Inspector - Goldenrod-Appli cant
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
DIRECTOR OF ?U�BIC WORKS
e 1 7- - 7-4
Building permit expires Date 2�4 7
BUILDING
Owner 1'3 Al Al e A e,
SQ. FT. BUILDING �ALUATION
_-OCC.
Mailing Address P6 ki d IV .4 y
0 '0
Tel ephon e No.
Fireplace
Contractor Oil
Total Valuation
Mai I ing Address LJ IL) t-
Permit Fee
Plan Checking Fee &/or Penalty
Telephone No.
Permit Fee $
Building Address Aft
Fes- V --,y 0
PLUMBING No.1 @ FEE
PERMIT FILING FEE $3.00
1-7
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.
Zoning & Planning
Gas piping system 1 - 5 outlets 1.50
Each additional outlet .30
Fjp�,
SEpk�ireDept.
FireZone
. Use Permit
Building sewer 5.00
EQA
Parking
Plans
Parcel
I Declaration I
Parcel Map 60' R/W
I
Improvements
Lawn sprinkler system 2.00
I
Bldg. Plan/gecd I
Parce$-9p�pm.1
PI ans Approval
Permit Fee $
NEW ADDITION UTILITIES OTHER []
ELECTRICAL No.1 @ FE E
PERMIT FILING FEE J$3.00
—
4 4-77c, A/ JC .9
Main service 1111 11 LESS
100 AMP OR LESS 5.00
Main service EA. ADO'L 100 AMP 2.50
Single Family E] Duplex EJ Mobi I Home Others
Main servic OVER 600V
e 100 AMP OR LESS 25.00
Main service EA. ADD -L 100 AMP 1.00
NEW CONST. ( DWELLING CCUP.
.11 AD.11S. ACC.BLDGS. 20sq ft
NEW CONSTP_ -OUTLET
N.N.RES'.. ( MULTI
BRANCH CIRCUITS) 2.50ea
Nt�w 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) rBOA@L 2r-
@ 104
(FIXED APPLNS OR
Ex. Occup. OUTLETS (RESI*D.) EA) 2.00
Temporary service 10.00
Mobile Home Facilities 15.00
License No. Classification
Misc. Wiring 6.25
1 am exempt from the contractors License Laws of the State of Cal ifornia.
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 2.001
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
4" Y 7—n
epe
TOTAL PERMIT FEE
U j, � !�V!�OVI.LQLIVeS 01 LHe �_,oumy oi mite W enter upon the
ab�ve-�entioned property for inspection purposes.
X _a - - �14��Date
Y_ —
Signature of Permitee or Agent
Receipt No. -7
White-D.P.W. Yellow -Assessor - Pink -Inspector - Goldenrod-Appli cant
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
DIRECTOR OF ?U�BIC WORKS
e 1 7- - 7-4
Building permit expires Date 2�4 7
MOBILEHOME SUPPORT DATA
Mobilehome Mfr. Setup Model ar
Width 12- (ft.) Length' (ft.) Ekpando-Size ft.x 2— ft.
2 ft
(Draw support details below)
on all mobilehomes manufactured after October 71, 1973, furnis %ct wre- s installation
Lis
manual and structural setup sheets. (if not,on,file with.the unty of Butte).
t
J J
, Footings-(check.dne)
1. Wood.either
pressure treated or
fdn-.,'grade.
Ll 2. Concrete pad.
3. Other,:specify
*If center piers are other than drawn above,
draw in locations, spacing, and dimensions.
Supports (check one)
1. Concrete block
2. Concrete piers
3. Steel piers
4. Other, specify
Typical Support
Footing Size
Max. Pier
Spacing
Max.
'Overhang
BUTTE COUNTY
BUILDING DEPAprMr--NT
4PPROVED
BUTTE COUNTY DEPARTMENT OF PUBLIC WORKS
7 County Center Drive, Oroville, CA.
PHONE: 534-4541 -
MOBILEHOME INSTALLATION SHEET
1.
1. owner's nxne:.
2. Installer's name:
3. Is the site currently under permit? Yes No
(If yes, furnish permit number ta 3 -f OR
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 Vq -No
(If'no, clarify
5. What is the mobilehome electrical rating? ------------------ 7__ Amps
6. What is the mobilehome site service rating? --------- a ------------ - 0 Amps
7. What is the mobilehome site circuit breaker rating? ---------
Amps�
8. Is there any other electric load to be served by the mobilehome
site service? ---------------------------------------------------
(If yes, identify the load and size: (Load)
k I
9. What is the mobilehome site gas pipe size? ----------------------
Yes No /X/
(Amps)
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? ------------------------------
(This info�rmation not required ifpipe length less than 6'ft. on natural 'gas
or less -than 50 ft. on LPG.)
(BTU)
k,
-/ �
MH Mm. amum �--r DATE
SUPPORT CWACTIOV
'A.P. I STPJJC. TEST REQ.
—Iio KLM.,_ GAS YES 140 YES 190
rh
C4
COUNTY OF BUTTE — D'EPARTMENT OF PUBLIC KS
7 County Center Drive — Oroville, California 95965
Telephone: 534-4541
APPLICATION AND PERMIT
y ul Llic
above mentioned for inspection purpo;�S.'
X —V-49- k1 t e C/ —7
Signature of Permitee or Agent
/-S—/—/ zi z ---
Receipt No. 7
White-D.P.W. — Yellow-Assesso.- — Pink -Inspector — Goldenrod-Appli cant
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 Oil UBLIC WORKS
By Date
building permit expires Date
BUILDING
Owner A;l L q v Bo AIA.1 a /; 41
SQ. FT. Occ. BUILDING VALUATION
I -
Mailing Address PVAlel, ->-S 0 "14 y
,q �kl
,?Ion
�e 4/1
Fi replace
_
Contractor
Total Valuation
6*
Mai I ing Address
Permit Fee
PlanChecking Fee&/orPenalty
Telephone No. —
Permit Fee $
Building Address 4/yo P0.1i 06�09 WA y
PLUMBING No.1 @ FEE
PERMIT FILING FEE $3.00
R i" 4e, 7
Each Trap 1.50
Repair drainage or vent piping 1.50
Water piping 1--m
Veriftealrion Only
gas water heater or vent 1.50
A. P. No. 7 nn i
-Each
Gas piping system 1 - 5 outlets XW
—E*e"dditional outlet .30
F ek's I
VJ/
S tion
FireDept. e
I Fire Zo4 Use Permit
Building sewer
EQA
Parking
Plans I'Declaration
Pa"rcel
I 5Vj�lffa�l
60' R/W
Improvemen
Lawn sprinkler system 2.00
13]d,. Pl. r 4_,"d
P!o'r9crl p p la I
P I. n 6ep _r-�'-
Permit Fee $ _23,00
$
NEW E] ADDITION UTILITIES OTHER
ELECTRICAL No.1 @ FEE
PERMIT FILING FEE J$3.00
Main service 600V OR LESS
100 AMP OR LESS 5.00_
Main service EA. ADD -L 100 AMP 2.50
Single Family Duplex Mo Others
bi I Home
OVER 600V
Main service 100 AMP OR LESS 25.00
Main service EA. ADD -L 100 AMP 1.00
Em SQ, FT. MINIMUM
NEW CONST I DWELLING OCCUP.
OR ADDNS. % ACC.BLDGS. 21
NEW CES'STR -OUTLET
No... '. (MULTI C
BRANCH CIR UITS) 2.50ea
FOR MOBILES
NEW CONSTR ( POWER APPARATi
NON-RESIO. -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) 50 @ 250
BAL @ 109
F I - XED Al I
Ex. Occup. 0 iTLETS (RESIDO) EA) 2.00
Temporary service 10.00
Mobile Home Facilities 15.
License No. Classification
Misc. Wiring 6.25
—911'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.
I have placed on file with the County of Butte a certificate of
Workmen's Compensation Insurance.
EDI�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 S ! tate Laws relating to building construction, and hereby
MECHANICAL No. @ FEE
"
PERMIT FILING FEE $3.00
Heating
Cooling
Ventilation
Hood 2.00
Permit Fee $
$ T_
TOTAL PERMIT FEE
$
y ul Llic
above mentioned for inspection purpo;�S.'
X —V-49- k1 t e C/ —7
Signature of Permitee or Agent
/-S—/—/ zi z ---
Receipt No. 7
White-D.P.W. — Yellow-Assesso.- — Pink -Inspector — Goldenrod-Appli cant
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 Oil UBLIC WORKS
By Date
building permit expires Date
fhis set of plans and specificPtiori"L. MUST -b
xept on the job at all times and it is -unlawful to
ixt make any changes or alterations on same without
written p�avmis�,:-,n froni the Department of Publir
Works, Cou7ity of Buitp_
4. 1
o -r As. P P 5;z
am )r Ivo, / 5-
10 1
S C 19 4 F -..— YAO 0 = I I _.
A
241 x 01.
���_Zoldh6lla_
X
VD
0 A14ero5ct W-4 Q2
of
4
NOTE:—All Maferials & Workmanship Shall Be ih
P I f. , A
--Accord-cmce with-.P�eco.gnizeJ,-G-o-od--rqc- icq�_a
pplrf PAy FSqCzoJ\)QNR1"'
of a quality, prescrbcd 'I*o',r .11 -1110 -specified use in, f
hanical Cod
UrOorm Building. Plurnbin4 NAec es a
+66 National Elccfrical Coc!Q- X� F% C-14 ! D F%
Flc� L
r.L'
N
QTJO-ToCS CoA)A1EC_r1&A1
f*20,1 AJT
eel rA<
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7
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Amp
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UvL_1-T/KS
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41 L A 19044C 6ACIvO CovOvITS
-9 ag - Po vr� a I 6\0 A 16r:
cc -rJ
O -V
0 0
_J t� I tot—
V7 % A.
r A setback of 5 ft. from the
4r
A/
property lines and a setback
of 50ft.'from the road
cent -dine shall be clear of
STrUcTures or equipment excepT
for a. 2 ft.. eave ov*erh"Lah gi
PARADISE PINES P.O.A.
ARCHITECTURAL CONTROL COMMITTEE
+E bk-ld M,,4 ha k-- /,,o " a ea, Li
T . — - I— - IL ;' S-2— 1
OACT P S7 LOT
D�TE r itz-L-_7 t-
4PROVED BY--- R
A�DRESS_�iZ60 Q CQ rZ-j -1 A tJA
&,-.-A L I A LE4
ENT ONLY
A:)PROVAL FOR LOT DEVE
LE-EVATIONS N�UST BE Sli2ilAITTED PRIO�
TjTO STRUCTURAL APPRZOVAL.
ft C
A429
COUNTY 14 sh P, 0
BlJ1Lb1N(J,DF_PARTMEN1
4- - I
APPROVPr)
b ,
65�
41 #J#
P
,fAf-
A
NOTE:—All Materials & Workmanship Sh,,h Be in
Accordance with Recognized Good Practices aod
of a qualify prescribed for the Specified use in the
Uniform Building, Plumbing & Mechanical Codes and
the.Nafional Electrical Code.
r
I . - F -or ,
IhIS set ot plans mxt_��s MU -51 m
Kept on the job at all times and it is unlawful to
make any changes or alterations on same without
written permisson from the Department of Publit
Works#, CountY Of Butt*'
N 9 -1' AZ-
1JTJLJ-T?f-:'4_� C(-VtJrC-f,)*d
f -'o 1" T
4
10
114v
'2 z
0 lip
/7/
A7
Septic system and location (3,f btlild-
h1--stut—N-put to be as per
Butte County Health Dept. Re-
quirements.
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411
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At�
Id6ated Wi hin 4 t. ou d
h V c
t�i the
third section of the
o
e F�n �e
on the left (road) side t elrnqb�
home.
#714 PAD
UNTY
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BUILDING D
65
PROVED
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