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064-330-038
6Zi 3 - p /J%f William R. Shankle alfa -• .-- _� 140 Citade Way, lot 236, PP�k4, Mag �i :4- contr • J. P. Bowman, Paradise Permit #2863- O,P,E(util. , ®) ELEC. _ f , SUPPORT STRUCTURE Q (MPACTION TEST REQ. 64-33-38 fillan MH,Parad' ontr• .- e ff ^ I l Perm3119-80MHI � e d o -- -- 64-33-38 William Shankle 14190 Citadel Way, lot 236,PP#4,Mag? Permit #447-8.1B new o en/dec s%MH) 2 I 0. n • _4427-81B PERMIT NO. ' PERMIT EXPIRES A 2 OWNER William Shankle CONTR. owner ASSESSOR PARCEL 64-33-m-38. LOCATION 14190 Citadel Way, lot 236,PP#4, Magalia Temp. Power Pole 1 Called PG&E Temp. Elec. Service Called PG&E Temp. Gas Service Called PG&E JOB FINALED" (Date) 73 \ Signature V = OK 0 = No't OK = Not Applicable = Not -Ready MOBILEHOMES t MISCELLANEOUS � • Date MOBILEHOME UTILITIES (Plans) OK except N's Date D ,COVERS, CARPORTS, ETC. (Plans) C .:accept N' 1. Zoning Requirements—Setbacks—Easements oning Requirements—Setbacks—Easements 2, Soils: Special MH Support—Sketch Foo ' gs; Size—Depth—Spacing—Connectors 3. Sewer; Location—Test—Fall-C/O—Concrete � 30' ecks; Girders and/or Joists—Decking—Bracing—Stairs—Rails s, 4. Water; Location—Test—Easement Needed (Sketch) 4. Wood Awn.; Posts—Beams—Rftrs.—Connec.—Shthg.-Rfg.—Bracing 5. Electricity; Location—Clearances—Grnd.—/ / Amp -Concrete 5, Alum. Awn.; Columns—Connections—Splice—Decal—Enc:us„res 6, Gas; Location—Test—Wrap:/ /"L"ft./ /"Nat. or/ L' It. /"LPG r 6. Carports; Windows—Doors •' 7. Utility Clearance _ 7. Elec. at a Card -BI Card -BI Date Card -BI _ Date _ Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date bate • MOBILEHOME INSTALLATION (Plans) OK except N's Date POOLS<(Plans) OK except N's x 1. Zoning Requirements—Setbacks—Easements 1, Setbacks—Easements 2: footings; Size—Spacing—Marriage Line Y - 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—Breakers—Clearances _ 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—Regulator—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 B. Gas and Electricity Tagged 8. Elec.; Grounding; Equip. w/5'—Circulating Equip. -Pool Lghtg. Boxes -Enclosures— Pane lboards—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 -BI Date Card -BI Date • Card -BI Date Card B-1 Date Card -B1 Date Card -BI Date Card -BI Date 4 t � s, r '1 at a x i • 3 Y - V = OK 0 = Not OK - = Not Applicable RESIDENTIAL-- (Single and Duplex) =I: = Not Ready Date UNDERFLOOR Plans OK except #'s Date FRAMING (Continued) 1. Zoning requirements -Setbacks -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; Width -Headroom -Rise -Run -Landing -Fire 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. Stemwalls, Garage; Steel-Blockouts-Wrapped-Slab 53. Stucco Mesh -Drip Screed-Fdn. Vents-Underflr. Access 7. Piers -Fireplace Ftg.-Steel 54. Glazing Area -Glass Protection -Skylights -Plastic 8. D.W.V.: Fall -Fittings -Test -2 way C/O -Sewer Test 55. Shear Walls; Nailing -Bolts 9. Gas Pipe; Size -Anchors 10. Water Pipe; Test -Anchors -Regulator -Service 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 Card -BI Date Date FINAL (Plans) OK except N's Card -BI Date Card -BI Date Date PLUMBING (Permit) OK except q's 14. Water Ht.; Vent -Access -Combustion Air 56. Ext. Steps -Door & Sidelight Protection -Landings 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. 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. 63. Stairs & Rails 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 k's 67. Garage Fire Door; Swing -Landing -Closer 68. A.C. Duct in Garage -Damper 20. Fixture & Transformer Clearance -Ins. Protection 69. Wtr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V.- In Garage; Above Floor-Mech. Protection 21. Elec. Receptacles Spacing -Lights &Switches at Doors 22. 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 F] Yes 25. 2 Appliance Circuits in Kitchen & Conductor Size 73. Guard Rails & Deck Construction -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 ❑ Yes 27. Range Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or Al, Insulated Neutral ❑Yes ED No 75. Following instld.: Drive El Yes []No; Walks El Yes El No; Planters ❑Yes ❑No 28. Service -Riser Conductors & Ground -Main Disconnect 76. Stucco; Brown -Finish 29. Equip. Clearances; Panels-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. 80. Water Well; Disconnect, Electrical, Plumbing Exterior Elec. Trim; G.F.I. Receptacle -Underground Card B -I DateCard BI Date _ 81. Ventilation throughout House Card B -I Date Card -BI Date 82. Glass Protection Date MECHANICAL (Permit) OK except q's 83. _ Corrections from Previous Inspections 84. Gas Test -Meters Tagged; Gas -Electric 31. A.C. Ducts; Insulation & Support 85. Water & Sewer Connected -C/O to Grade -HD Approval -_ 32_ Vent Fan; Exhaust above Insulation 86. Energy Compliance Certificate -Other Certificates _ 33. Condensate Drain & Overflow; Size & Grade 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 q's 36. Sills; Proper Material & Anchors - 37. 38. 39. 40. _Walls; Studs -Nailing, Spacing & Bracing -Plates -Sound Bearing Walls over Girders & Floor Nailing_ Draft Stop in Walls (rat proof) Fire Stops; Furred Ceilings -Stairs -Chases -Tub 41.- 42. 43. 44. Header & Beam -Size & Bearing _ _ Hangers -Post Caps -Anchors -Connectors__ Cing. Joist-Rftr. Ties-Purlin-Roof Brac.-Truss-Shthnq.-Rfng. Fireplace Ties or Type A Flue -Fireplace Throat 45. Attic Access: Size & Rom ex Protection -Draft Stop -Ins. Baffles 46. Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions 47. Garage Fire Protection Framing (NOTE:Anentrymust be made each time youvisit jobsite) • r - .COUNTY OF BUTTE - DEPARTMENT OF PUBLIC -WORKS - PERMIT No. `t 1 7 County Center Drive - Oroville, California 95965 - Telephone �916/534-4541 • APPLICATION ANa PERMIT.AJI ASSESSOR PARCEL. NUMBER - ZONINGp 2T - III, ' , BUILDING PERMIT OWNER TELEPHONE -SQ. FT. "OCC. BUILDING VALUATION OWNER'S MAILING !ADDRESS- - 3 -?1:5-1/L_ Llei _ CONTRACTOR'S NAME - .TELEPHONE •' - - CONTRACTOR'S MAILING ADDRESS r • f=ire�lare CO/L' RUCTION LENDER �! UNKNOWN Total Valuation $ Filing Fee $ 10.00 LENDER'S `AILING ADDRESS _ ' A Permit Fee $ 1160 — ARCHITECT OR ENGINEER - , ' , _ •,, - • - LICEN"SE NO. -� Plan Checking Fee - • $ V•'- , r Penalty. $- ARCHITECT OR ENGINEER'S MAILING ADDRESS - Permit fee $ �$ BUILDING ADDRESS- ., -h • '' ' PLUMBING.PERMIT Filing Fee 10.00 (� r (�" ��`a t C. �� Each Trap ' 2.00 Repair drainage or vent,piping 5.00 Water piping LOT NO. C73 ISUBDIVIVAME . PARCEL MAP L Each qas water heater or vent 5.00 Gas piping system 1- 5 outlets USE OF STRUCTURE SF ❑ Duplex ❑• Mobilehome� Other ` T. SPECIFY Building sewer Lawn sprinkler system 5.00 TYPE OF WORK r New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installatiori ❑ Otherltg� Describe work: /1 '` - 1 ///LLL/Vl�r�/J• __ 1 - Permit Fee $' Contractor ELECTRICAL`PERMIT Filing Fee 10.00 Main se-rvice 100 AMP OROR LESS_ 5•00 Maln servlce.EA. ADD'L 100 AMP 2.50. NEW CONST. ( DWELLING OCCUP.EI� OR.ADDNS. ACC. BLDGS. 2Q sq ft CONTRACTORS LICENSE LAW S• I declare under penalty of perjury (check one): + i' ❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license ^is in full force and effect. License No. Classification M -111,-l, 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) ❑ I, as the owner, am exclusively'contracting with licensed,contract- ors. (Sec. 7044) ❑ I am exempt under Sec. Business and Professions Code, for this reason V NEW,CONSTRI-OUTLET 2.50 ea NON-RESID BRANCH CIRCUITS) - NEWCONSTR. ( POWER APPARATUS S) NON .RESID, SINGLE OUTLET CIR. ' Ex. Occup OUTLETS OR FIXTURES BAL@1 f FIXED APPLNS. OR Ex. Occup.(ouTLETS (RESID•) EA. 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring P,. 7.50 Permit Fee- - $ . Contractor MECHANICAL PERMIT FiIingFee 10.00 WORKMEN'S COMPENSATION INSURANCE I eclare 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 o Consent to Self -Insure. • ; -• shall not'empioy 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.' Heating _' ' Cooling + t Hood 3.00 Ventilation _ Permit Fee - $ Contractor I certify that I have read this application and state that the above information is correct. 1 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. 1 also agree to save, indemnify and keep harmless the County of Butte against' all liabilities, judgmen s costs, and expenses which may in anyway accrue against said County in sequence f the granting of this permit.. X / " Date �) 1.-V. . Signature of Applicant — Owner Contractor ❑ ` 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 $ OCCUP..GROUP ; ` TYPE OF CONST. 1PA�CELI'I'D HD ISSUE This permit' is hereby. issued under sions of the Butte County Code and/or work indicated above for which r �. ; DIREC OF PUBLIC By `• PER .APIRES .Date the applicable provi- resolutions to do fees have been paid. WORKS ' Date /7 �'�'!�'•'�2--- Receipt No. S 3• ; i' WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR. GOLDENROD -APPLICANT ' - PERMIT NO. 2863-80P,E 'PERMIT EXPIRES OWNER William R.-Shankle . Bowman, Paradise i _ aCONTR. ' 64-33-38 )LOCATION (A.P. ) } 140 Citadel Way, lot 236, PP#4, Magalia - '\ Temp. Power Pole Called PG&E .T� lec. Serv. Y. Called PG&E Temp. Gas Serv. o f JOB r--7 #= FINALED � x- (Date) r (Signature) .. t COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 7 COUNTY CENTER DRIVE OROVILLE, CALIF. - 534-4541 CERTIFICATE OF OCCUPANCY This mobilehome has been installed in accordance with the requirements of the California Administrative Code; Title 25, Chapter 5, under permit number2IA;:"� for the following-locaation: ,. Owner Owner's Address z �- S- Mobilehome Mfg�yr.���/ Model �,/` YearS� Insignia No. j7` �+� •7_� `-' � '' Serial No.0`e`' It is hereby certified for occupancy at the above described location and may be occupied. _ Director'offiPubli-c VVork� Date By X� THIS CERTIFICATE IS VOID WHEN MOBILEHOME IS RELOCATED White - Owner, Yellow - Installer, Pink - D.P.W. COUNTY OF BUTTE -DEPARTMENT OF PUBLIC WORKS 695 Oleander Avenue, Chico — Phone 343-42.11, Ext;; 70 7 County Center Drive, Oroville — Phone`534-4541' Skyway and Elliott Road, Paradise — Phone 8773435 BUILDING OR PROPERTY ADDRE 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. iX Ce 20k -4e C ti Inspector Date f-yb &JOBT1111,1110ME, DqSIL'ALLATION INSPECTION CHECK L1S-T' &�Is the. mobilehome located wii- -required separation from lot lines and buildings and generally conform to plot plan? Yes)✓ No Docs the mobilehome have required clearances above ground? (Sec.5085) YesZ Poe. Are footings. and supports properly sized, spaced, and braced as,,,p�approved plans? (Note possible. variation at spring shackle's.) (Sec. 5082 & 5083) Yes No Is the mobilehome level? (Sec. 5088) Yes L, -Ifo If more /han a single unit, . are crossover connections properly installed? (Sec. 5088) Yes _4��N 0 66C Water A. Is fle "ble connector of adequate size and properly installed (1/2" ID min.)? (Sec. 5566) Yes No B. 'Test - Does water piping withstand working p'ress . ure or 50 lbs. air test? Yes1--<o<;- Backe - If coach is not State of California approved, does station have backflow device valve? Yes No and Wastes and Drains A. Is connection made with Schedule 40 DWV and -have flex* connectors at each 'end? Yes v<o B. Does it have minimum per foot slopeand. is it properly supported? Yes L�INO C. Are any leaks detected in drainage system after running 3-ga ons of water through each fixture including washing machine standpipe?' Yes No If c is.not State of California aD ,proved, does station have required trap and vent? Yes Cas 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 a . to be at least as large 'as, 'the mobilehome gas'line inlet without reductions other than the mobilehome connector. Yes No Test 6K as per following procedure? Yes No 1. Open all appliance connector valves. .2. Shut off appliance burner and pilot valves.', 3. Air test with manometer to 10"-14" water column, or test with slope gauge (minimum I 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 so;1py water. Are all appliance v A ents - pr19perly ins tall sj!!� No 9. Electrical A Is service large enotlgli to provide adequats: amperage to mobilcllome. (must equal rating of mobilehome caith a. ::;in.u':um of mp) and other faciliti.c::-; on lot, i.e., water pumps, ,,ara,ge , cabaria, et L:. ? Ycs_ZZNo_ B Is ther,-� proper clearances around panels? Yes 6,- < Is power supply cord or feeder assembly properly fused? Yes_ Nr.,_ D. Is continuity test. satisfactory as per the following procedure? Y'es No_ 1. De -energize electrical wiring systeri of the mobilehome at,- the pedestal. 2. Make sure that the power supply cord or feeder assembly conductors, including neutral conductor, have been disconnected. 3. Switch all breakers, and switches in'the mobilehome to the "on" position. 4. Connect one 1, -::id of a test instru�?ent to the mobilehome grounding conductor and appy tije of tie .Lewd %u each wol)L.LCHL)illtr Siipp.Ly CUr1,-LLi tor, lni iiulllg ileUi rdt. 5. All nor. -current, carrying metal parts of the mobilehome (aluminum siding, gas line, salter line), including fixtures and appliances, shall be tested for continuity from such equipment and the grounding conductor. b. Upon completion of: the above procedure, the power supply cord or feeder assembly conductors shall be connected to the site service equipment. A further continuity to:;t ;-,hall then be n.ade between the grounding electrode and the chassis of the nobilehome. Upon satisfactory completion of theelectrical tests, the lot or site service equipment may be approves( for energizing. t., is job card signed by tIealth Department for water and sanitation? everything olray, sign off card and t.a services. MOB1`L*Ei(O.ME DATA Manufacturer ands car .lamest:yle Length Width Vehicle Serial No. State Identification No. ".dc; ttional Information or Cornments: .700 A Xw, ,;?P,9.,4 Ad �o A Ov4cL -5�---d'+� r4 (� �s e 4s �'✓r�i�/� �f rto �/Jd 7 t'� Ire K ��O Ad u 9. Electrical A Is service large enotlgli to provide adequats: amperage to mobilcllome. (must equal rating of mobilehome caith a. ::;in.u':um of mp) and other faciliti.c::-; on lot, i.e., water pumps, ,,ara,ge , cabaria, et L:. ? Ycs_ZZNo_ B Is ther,-� proper clearances around panels? Yes 6,- < Is power supply cord or feeder assembly properly fused? Yes_ Nr.,_ D. Is continuity test. satisfactory as per the following procedure? Y'es No_ 1. De -energize electrical wiring systeri of the mobilehome at,- the pedestal. 2. Make sure that the power supply cord or feeder assembly conductors, including neutral conductor, have been disconnected. 3. Switch all breakers, and switches in'the mobilehome to the "on" position. 4. Connect one 1, -::id of a test instru�?ent to the mobilehome grounding conductor and appy tije of tie .Lewd %u each wol)L.LCHL)illtr Siipp.Ly CUr1,-LLi tor, lni iiulllg ileUi rdt. 5. All nor. -current, carrying metal parts of the mobilehome (aluminum siding, gas line, salter line), including fixtures and appliances, shall be tested for continuity from such equipment and the grounding conductor. b. Upon completion of: the above procedure, the power supply cord or feeder assembly conductors shall be connected to the site service equipment. A further continuity to:;t ;-,hall then be n.ade between the grounding electrode and the chassis of the nobilehome. Upon satisfactory completion of theelectrical tests, the lot or site service equipment may be approves( for energizing. t., is job card signed by tIealth Department for water and sanitation? everything olray, sign off card and t.a services. MOB1`L*Ei(O.ME DATA Manufacturer ands car .lamest:yle Length Width Vehicle Serial No. State Identification No. ".dc; ttional Information or Cornments: .700 A Xw, ,;?P,9.,4 Ad �o A Ov4cL -5�---d'+� r4 (� �s e 4s �'✓r�i�/� �f rto �/Jd 7 t'� Ire K ��O Ad COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS r BUILDING INSPECTION RECORD z BUILDING A BUILDING (Cont'd) PLUMBING S#4baCk Fyrewall S I Piping Fo P a ets 1 t Floor M n Bldg. Res oom Finish 2nd Floor F�Qotings Windows 3rd Noor Ste wall Sidin To out Slabx Roof Sheathing Water Pip1`6 Piers Roofing Sewer Garage Fdn. Vents Fixtures Footin ss\ StemwaII N Garage Vents `; Insulation 4 Water Htr. Heaters Slab Carport Footings handlcar ehystcai;\ Conformance of ex.: structure V Appliances Gas Pi in &Test Temp. Gas Slab 06. 1 Final A Sanitation Patio r IRE . LACE Final E Masonry Walls Throat Rough Reinf. Ste Final Fixtures Bond Be FIRE SPRINKLEhS Motors Framin Test Water Htr Stucco Final Sub an s Mesh/ MECHANICAL Gird. F ult Prot. Scrolitch Heati l ` Servile BV6wn Coo ng T mp. Pole finish D is nder round -mow — y I error Lath VGntilation Permanent oor Closer anal I MOBILEHOME UTILITIES ------------------ Water Piping _ Z41,vo 40Sewer Elec. Service , G _ p Elec. Pedestal p A Gas Pipi ✓ r MQBILEHOMEINSTA� ELATION Supporth� �_ p4W Elec. Continuity Water Piping (D ©�F0 � Drainage �_ 7An —In ep Gas Pipi g DATE REMARKS OR CORRECTIONS ox � , ` /`�_tp' I�� )LI44 Grizecae 1,bals �,C���d /�f� Sf ✓mac G/� p�� �- 30- b'o � � Gfti �✓� G�i�% �� Grr L yci"Dw-r (NOTE: An entry must be made on this form each time you vizlt the job site.) COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 bounty Center Drive - Oroville, California 95965 - Telephone 916/534-4541 APPLICATION AND PERMIT. PER T NO.,O AS ESWR PARCEL NUMBER - 1' z"G— BUILDING PERMIT N OWNER Li0. it TELEPHONE t SQ. FT. OCC. BUILDING LUATION OWNER'S MAILING ADDRESS CON RACTOR'S NAME - - TELEPHONE c ' i �U e `c�. i� CONTRACTOR'SP MA ING ADD ESS 3 1 CONSTRUCTION LENDER - UNKNOWN Fireplace Total Valuation LENDER'S MAILING ADDRESS $ Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO.. ARCHITECT OR ENGINEER'S MAILING A R SS - Plan Checking .Fee Penalty Permit fee $ $ $ BUILDING ADDRESS JZ 410 - PLUMBING PERMIT Filing Fee 3.00 Each Trap 2.00 Repair drainage or vent piping 2.00 Water piping LOT NO. SUBDIVISION NAME / �4 q7 PARCEL MAP Each qas water heater or vent 2.00 Gas piping system 1 - 5 outlets USE OF STRUCTURE SF ❑ Duplex❑ Mobilehome[ Other • SPECIFY Building sewer - Lawn sprinkler system 2.00 TF: TYPE OF WORK New❑ Addition Remodel❑ utilities Installation' ,Other.❑ Describe work: — r� �g6 �—Y u Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 3.00 Main service 100V OR LESS 100 AMP OR LESS 5.00 Main service EA. ADD'L 100 AMP 2.50 NEW CONST.DWELLING OCCUP.& OR AODNS. ( ACC. BLDGS. 22 sq 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 and Professions Code and my license is in full force -and effect. License No. �US _�-7 Classification s -�c r ❑ 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) ❑ I, 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. ULT' -OUTLET 2,50 ea NON-RESID, BRANCH CIRC ITS ,NEWCONSTR. ( POWER APPARATUS &) NON .RESID. SINGLE OUTLET CIR. / Ex. Occup( OUTLETS OR FIXTURES 50 @ � BAL00Q Ex. Occu FIXED TS (RESAPPLNS. OR p•(DUTLETS (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): y ❑ 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. ❑ I shall not employ any person in any manner so as to become subject to the W. C. laws of California. I - 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. MECHANICAL PERMIT Filing Fee 3.00 Heating (Cooling , Hood , - 2.00 Ventilation t 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 all liabilities, judgments, costs, and expenses which may in,any way accrue against said County in consequence of the granting of this permit. � %� ��s> Date c«� Signature of Appll nt — Owner ❑ Contractor 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, CCCUP. GROUP I TYPE OF CONST. PARCEL PD I HD I ISSUE This' permit is hereby issued under .;ions of the Butte County Code and/or -vork indicated• above for which DIRECTOR OF PUBLIC '3y 7.Date P IT EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS 6- Z"6- o �7 Receipt NO. ,��3 9i WHITE-D.P.W.. YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT • Q J _ COUNTY OF BUTTE - DEPARTMENT OF' PUBLIC: WORKS 4E 7 County Center Drive - Oroville, California 959E5 - Telephone 916/534-4541 APPLICATION AND PERMIT' ASSESSOR PARCEL NUMBER i ZONING • _ /C BUILDING PER owN ^ /Gt G TELEPHONE SQ. FT. OCC. BUILDING VALUATION OWN MAILING ADDRESS • ' " CONTR T 'S N E ITELEPHONE a CONTRAC R'SAI ING ADDRE/SSS�' - ii fr ��• - - - ' CONSTRUCTION LENDER g UNKNOWN 'Fireplace. LENDER'S MAILING ADDRESS � - - Total Valuation $ Permit Fee $ ARCHITECT OR ENGINEER IV19/E$ LICENSE NO. Plan Checking Fee Penalty $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Permit fee $ $ BUILDING ADDRESS t PLUMBING PERMIT Filing Fee 3.00 Each Trap' 2.00 Repair drainage or vent piping 2.00 Water piping L9 0 LOT NO. SUBDIVISION NAME p PARCEL MAP - Each qas water heater or vent 2.00 Gas piping system 1 - 5 outlets USE OF STRUCTURE SF ❑ Duplex❑ MobilehomeV Other SPECIFY Building sewer 1 0 Lawn sprinkler system 2.00 , TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities - Installation❑ Other ❑ Describe work: — 'Permit Fee $ D Contractor 416V s ELECTRICAL PERMIT Filing Fee 3.00 Main service 100 S AMP OR LESS S.00 p Main service EA. ADD'L 100'AMP 2.50 NEW LING O OR ADDNST ( ACCLBLDGS.CCUP,&) 22 sq it CONTRACTORS LICENSE LAW • I declare under penalty of perjury (Check one): IL�at I am licensed under provisions of Chapt. 9, Div. 3 of'the Business and Professions Code and my license 'is in full orce and effect. License No.�'j �4� 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) ❑ I, 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 CONSTRULT'-OUTLET 2,50 ea NON-RESID BRANCH CIRC ITS NEW CONSTR ( POWER APPARATUS &) NON -REST D. SINGLE OUTLET CIR. so @ z5a Ex, Occ Up(OUTLETS OR FIXTURES BAL@lOs FIXED APPLNS. OR Ex. Occup.(OUTLETS IRESID.) EA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 6.25 Permit'Fee + $ Contractor 1"'a WORKMEN'S COMPENSATION INSURANCE 1 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. ❑ 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. MECHANICAL PERMIT FiIingFee 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 UI Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the Countyof Butte against all Iiabilit.ies,'judgments, costs, and expenses which may in any way accrue against aid County. in consequence of the granting of this permit. X Date G _S ' d Si lure of Applicant — Owner❑ Contractor Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structuress over 3 stories in height. Mobile Home Installation Fee $ Land Development Fee $ TOTAL PERMIT :FEE $ occu P. GROUP TYPE oP CONST. PARCE PD HD SSUE ThisIpermit is hereby issued under cions of the Butte County Code and/or work indicated above for which DIRECTOR OF PU LIC ►o By 14.7- PERMIT EXPIRES' Date the applicable provi- resolutions to do fees have been: paid. WORKS ,(%mac !tel Date V ru � Receipt No. X36 -7.Z �- WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT - `+.ftfis:!set of plans and specifications MUST be tept:on the job gat all. times and it is unlawful to nak'e• any changes or alterations on same without Nritte,n', Permisson from 14e Department. of Public Wordcs, :County of Butte. NOT t'All Materials & Workmanship Shall 'Be in Accordance with. Recognized Good Practices and of a ..qualify prescribed for the Specified use in the. Unifor.m':$.uilding, Pfurnbing Mechanical Codes and .the Nal fi1onal Electrical Code. PARADISE FI;:.ILS ACTUR.M. CO "`T`10L C ',k 1 .MIT TEE NAhlE - +DATE— ADDReSS ,_EVA,"PIONS I'i1US;_ _T ONLY �IJ�„s, r`U PRIOR f RUCTUI;AL ''' , AL. Utility corin�ctions.s all) be within 4 ft:`of the mobiieh me, ei her ' 11 Ao, �.��'�n> directly behfnd or vu1i: In t 1e rear half of the*Foadside'(I, t) o the mobilehome. 0/ ° ► .o oV / o permit will 6 quireg for f '' • C ' V r i e F� of to .. e mobifehome.. h. • ,�c Q A sezoack o; ;5 ft. from the property lines and a setback of 50ft. from the road centerline shall be clear.of S ruc es or equipment except Ir ra 2 ft,- eave overhang, W(/ 0 BUTTE COUNTY BUILDING DEPARTMEM' APPROVE: S17 Av LC Sc/l-/0 �. �/ MOBILEHOME SUPPORT DATA If other than single wide, Mobilehome Mfr. C-61AiPn L, Veg 4- 'furnish Setup Model: No. OA 09 A S` Year /R g� Width d2 y (ft.) Box Length 5�- (ft.) Tagalong.or Expando Size ft, x ft. (SHOW SUPPORT DETAILS BELOW) On all mobilehomes manufactured after October 7, 1973; furnish manufacturers installation 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. Footings (check one) Single I- Wood either A t (ft.)(in:) (in.) (in.) Centrr support Center support locations* footing sizes (ft.)(in.) (in.) (in.) YD� 3 (ft.)(in.) (in.). (in.) pressure treated or foundation grade. 2. Other (specify) Supports (check one) 1: Concrete.block. 2. Other (specify) Tagalong or Expando, show support details. _I -- Typical Support .) (in.) ' Footing Size (ft.) (in.),, (iii,) (in.) -- Max. 'Pier Spacing (ft.)(in.) (ft.)l (in.) (in.)I (in.) =r t cent, -r piers axe other than drawn above,, -, iri locations, spacing, and dimension,-. (ft.)(in.) -- Max. Overhang BUTTE COUNTY DEPARTM, NT 01' PUBLIC WORKS 7 County Center Drive, Oroville, CA. PHONE: 534-4541 MOBILEHOME INSTALLATION SHEET 1. Owner's name: c. vlrx F-, h C, n 2. Installer's name: M0-� � l 0-" M o h'i ko �ArNm� lse f o 1 C e- - 3. Is the site currently under permit? Yet /!i/ No (If yes, furnish permit number ) 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 / No a (If no, clarify ) 9. What is the mobilehome site gas pipe size? ---------------------- 10. What is the type of gas service? -----------------=----------- Natu 11. What is the gas pipe length from meter or tank to the mobilehome? 12. What is the mobilehome gas demand? ------------------------------ 'in.) (This information not required if pipe length less than.6 ft. on natural gas or less than 50 ft. on LPG.) ft.) BTU) 5. What is the mobilehome electrical rating? ----------------------- O Amps 6. What is the mobilehome site service rating? --------------------- y d Amps /Sy 7.. What is the mobilehome site circuit breaker rating? ------------ =Amps 8. Is there any other electric load to be served by the mobilehome siteservice? --------------------------------------------------- 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? -----------------=----------- Natu 11. What is the gas pipe length from meter or tank to the mobilehome? 12. What is the mobilehome gas demand? ------------------------------ 'in.) (This information not required if pipe length less than.6 ft. on natural gas or less than 50 ft. on LPG.) ft.) BTU)