Loading...
HomeMy WebLinkAbout064-590-023Ij 94-59-23 Ben De ppe—�% / D Seabury�Ct �"< �0.0, PP��11, Magaliscontra Marv' R. nerson, Paradise Per*12T-77P,E(ut.;MH) ELE GASSUPCTURE REQ._�,�•— ` C01�1CTION TEST REQ. � �� ht-A as��64 59 23 _ cShas'a�ler Sales',�Chico + • "Permit #3693= '7MHI x Issued ' �r3 64-59-23 } Permit #r-:�-P gas, line) Cal. Ga Par.. �/�7 �� P� -�/ �/` + ! - 64-59-23 t) ^ -. contr''��1532a78g'(ab1re Home ,Serv..,Ehi -Perms dd deck & QMH) awning w + z 'PERMIT NQS` 15��-ZRB PERMIT EXPIRES OWNER B. Deppe CONTR. Panorama Mobile Home Serv., Chico [-OCATION (A.P. 64-59-23 ) 40 Seabury Ct., lot 99, PP#11, Magalia 7 f i, I 9 4. k s } Temp. Power Pole j; Called PG&E Temp. Elec. Serv. Called PG&E Temp. Gas Serv. %galled PG&E OB FINALED (Date) (Signature 1 COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS BUILDING INSPECTION RECORD BUILDING BUILDING (Cont'd) PLUMBING s ,S etback —Y Z Firewall Soil Piping Forms Parapets 1st Floor Main Bldg. Restroom Finish 2nd Floor i Footings Windows 3rd Floor Stemwall Siding To out Slab Roof Sheathing Water Piping Piers Roofing Sewer Garage Fdn. Vents Fixtures i Footings Stemwall Garage Vents Insulation Water Htr. Heaters Slab Carport ! Footings Prov. for phslcally handica e. Conformance of ex. structure Appliances Gas Piping & Test Temp. Gas Slab Final Sanitation Patio FIREP E C Final Footinas Masonry Walls Throat Rou h Reinf. Steel Final Fixtures Bond Beam FIRE SPRINKLERS Motors ELECTRICAL srucco Final Subpanels Mesh MECHANICAL Gird. Fault Prot. Scratch Heating Service Brown Cooling Temp. Pole Finish Ducts Underground Interior Lath Ventilation Permanent Door Closer Final Final MOBILEHOME UTILITIES ------------------ Elec_ Service Elec. Pedestal ' Water Piping Sewer Gas Piping E OME INSTALLATION - - - - - - - - - - - - - - Support Elec. Continuity Water Piping Drainage Gas Piping DATE REMARKS OR CORRECTIONS i(NOTE: An entry must be made on this form each time you visit the job site.) COUNTY OF BUTTE -- DEPARTMENT OF PUBLIC WORKS 7 County Center Drive,,' , Oroville, California 95965 Telephone: 534-4541 APPLICATION AND PERMIT I)�" •..r•••+••••••,— . w vvunay v� uuiic — cntcl uyvn uIV above-mentioned property for inspection purposes. X X 2S9;A!= ?— ate 4-3--) LS Signature o ermitee or Agent Receipt No. / Z M" White-D.P.W. - Yellow -Assessor - Pink -Inspector - Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR OF P LIC WORKS �/_ -7,P BY Date B ding permit expires Date `%6 -77 M Im BUILDING Owner SQ. FT. OCC. BUILDING VALUATION Mailing Address el - Telephone No. Contractor Mailing Address[r �rG/� /�l/�� Fireplace Total Valuation �� /�( ��(/ Lam- �J✓� Telephone No _ Permit Fee Building Address �/ 7 �LOL�� Plan Checking Fee &/or Penalty Permit Fee PLUMBING No.1 @ FEE zd PERMIT FILING FEE $3.00 Each Trap 1.50 Al Repair drainage or vent piping 1.50 A. P. Zoning & Planning Water piping 1.50 Each gas water heater or vent 1.50 F s W S ion Fire Dept. Fire Zone Use Permit Gas piping system 1 - 5 outlets 1.50 EOA Parking Parcel Ps s Declaration Parcel Map 60' R/W Improv ents Each additional outlet .30 Building sewer 5.00 B Bldg. Plans Recd Parcel A rovol Plans Approval Lawn sprinkler system 2.00 NEW ADDITION UTIIeITIES ❑ OTHER ❑ Permit Fee $ ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 Sin Single Family Duplex Mobil Home Others 9 Y ❑ P ❑ ❑ Main service 600V OR LESS t00 AMP OR Less 5.00 Main service EA. ADDtoo AMP 2.50 Main service OVER 600V 25.00 100 AMP OR LESS Main service/ EA. ADD'L 100 AMP 1.00 NEW CONST.OR ADDNS. C ACCDWELBLDGS.LING CCUP. Y� 22sgft 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: ?Aijoe*m,6' M. F}• =2if�l NEW CONSTR. MULTI -OU L T NEW CO ID (MULTI-OUTLET BRANCH CIRCUITS/ 12.50ea NEW CONSTR POWER APPARATUS B NON -RESID. SINGLE OUTLET CIR. EX. OCCUD(OUTLETS OR FI XTI1RES B,qL� Ex. Occu FIXED APPLNS. OR P•(OUTLETS (RESID.) EA) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 k License No.134S-7$3 Classification Misc. Wiring 6.25 ❑ I am exempt from the Contractors License Laws of the State of California. Permit Fee $ $ WORKMEN'S COMPENSATION INSURANCE 1 am aware of the provisions of Section3700 of the California Labor Code which requires every employer to be insured against liability for Workmen's Compensation. I have placed on file with the County of Butte a certificate of Workmen's Compensation Insurance. ❑I certify that in the performance of the work for which this permit is issued I shall not employ any person in any manner so as to become subject to the Workmen's Compensation Laws of California. MECHANICAL No @ FEEPERMIT 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 �_ A •..r•••+••••••,— . w vvunay v� uuiic — cntcl uyvn uIV above-mentioned property for inspection purposes. X X 2S9;A!= ?— ate 4-3--) LS Signature o ermitee or Agent Receipt No. / Z M" White-D.P.W. - Yellow -Assessor - Pink -Inspector - Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR OF P LIC WORKS �/_ -7,P BY Date B ding permit expires Date `%6 -77 M Im t f -4 PERMIT NO. 2$09-77P,E PERMIT EXPIRES OWNER Ben Deppe z CONTR. Marvin R. Ander6on, Paradise LOCATION (A.P. 64-59-23 -r 40 Seabury Ct.� lot 99, PP#11, Magalia t. A �. � 1 A. 41\ of � t 9 a, empppt,6 P. I eu,-.+, J. ° .0 t+' .,Called PG&E' emp.. Elec. Sery C 1.1 d;.P6&•E r .. L - 1� Tem e 47 V, Call ed E. • . i� _ /.JOB i r (:Sign 4Wej 4V Ii;qo 4^ poor closer rFinal Final MOBILEHOME UTILITIES -----`Elec- Service '7-1 �!) �/¢ Elec. Pedestal XQ Water Piping - ( g''7 -% W Sewer? --t 7 Gas Piping E ME IN TAL ATION -- y - - - - - - - - - - Support) Elec. Continuity Water Piping 't Drainage Gas Piping 313 17 k DATE REMARKS OR CORRECTIONS /7d- 9_%�_ k� L/YK 'r'0_0_J (NOTE: An entry must be made on this form each time you visit the job site.) COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS BUILDING INSPECTION, RECORD BUILDING BUILDING (Cont'd) A PLUMBING Se ack F ewall All PipingJ FoAp Parqpets Nt Floor Ma Bldg. Rest om Finish 2n Floor Fo tins Windo 3rd kloor Ste all Siding To out Slab Roof Shea in Water Pi I Piers Roofing Sewer Garage Fdn. Vents Fixtures Footin s Stemwal I Garage Vents Insulation Water Htr. Heaters Slab Carport Footings Prov. for physical handica ed Conformance of ex. y structure Appliances Gas Piping & Test Temp. Gas Slab Final A. Sanitation Patio REP ACE Final Footin s Footing E ECTRIC L Masonry Walls Throat Rough Reinf. Stee Final Fixtures Bond Bea FIRE SPRINKLEFk Motors Framina Test Water Htr. Stucco Final Sub ane) Mesh/ MECHANICAL Grd. F It Prot. Scr tch HeatIA Servl wn Coo ng T mp. Pole finish nat. X ' poor closer rFinal Final MOBILEHOME UTILITIES -----`Elec- Service '7-1 �!) �/¢ Elec. Pedestal XQ Water Piping - ( g''7 -% W Sewer? --t 7 Gas Piping E ME IN TAL ATION -- y - - - - - - - - - - Support) Elec. Continuity Water Piping 't Drainage Gas Piping 313 17 k DATE REMARKS OR CORRECTIONS /7d- 9_%�_ k� L/YK 'r'0_0_J (NOTE: An entry must be made on this form each time you visit the job site.) ti0t3Ti,l?.IiO:ll� INSTALLXTION ZNSPECTION CHECK LIST 1. Is the. mobilehome loc;�!ted w'1.h•required separation from'lot lines and buildings and generally conform to plot plan? Ycc3 No ?.Dods the mobilehome have. required clearances above ground? (Sec.5085) YeNo 3. Are footln;",s and supports properly sized, spaced, and braced as r approved plans? (Note possible variation at spring shackles.) (Sec. 5082 & 5083) Yes fNo_ 4. Is the mobilehome level.? (Sec. 5088) Yes " No - 5. If m re than a single unit, are crossover connections properly installed? (Sec. 5088) I'esNo 5, Water A. Is f e i_ble connector of adequate size and properly installed (1/2" ID min.)? (Sec. 5566) Yes No B. Test - Does water piping withstand working pressure or 50 lbs, air test? Yes_\,,(No_ C. Backflow - If coach is n tate of California approved, does station have backflow device and pressure -relief valve? es 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__XNo �T C. Are any leaks detected in drainage system after running 3 -gallons of water through each fixture including washing machine standpipe? Yes_ No X D. If coach i.s t State of California approved, does station have required trap and vent? Yes No 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 mobilehome gas line inlet without reductions other than the mobilehome connector. Yes No B. Test OK as per following procedure? Yes No 1. Open all appliance connector valves. 2. Shut off appliance burner and pilot valves. :3. Air test with manometer to 10"-14" water column, or test with slope gauge (minimum 6oz.-maximum 8 oz.) calibrated in tenth pound increments. Test for 10 min, without drop. 4. Connect gas meter, to mobilehome with connector, turnon gas, test connections with soapy water. C. Are all appliance vents properly installed? Yes No a, F4ectrical Is service large ero<<glk to provide adcquar_e amperage to mobilehome (must equal rating of mobi_lehotne with a. ::;inh-um o 100 amp) anal other faciliti_cis on lot, i.e., water pumps, garage, cabana, etc.? Yes No DIs then^ proper clearances around panels? Yes_ No _ Is power supply cord or feeder assembly properly fused? Yes No_ Is continuity test satisfactory as per the following procedure? YeXds No 1. De -energize electrical wiring system of the mobilehome at the ptal a 2. Make sure that C.lcle power supply cord or feeder assembly conductors, including neutral conductor, have been disconnected. 3. Switch all breaker:, and switches in the mobilehome to the "on" position. 4. Connect one l�s:.ad of a test instrunPnt to the mobilehome grounding conductor and dpi}' tate ULu.�3i: .L au -' e' a ClIUU1.LC-IL lC Sii t CUnuL!CtUr, including YLE�1LYa1. 5. All nor. -current, carrying metal parts of the mobilehome (aluminum siding, gas line, water line), including fixtures and appliances, shall be tested for continuity from such equipment' and the grounding conductor. 6. Upon completion of: the above procedure, the power supply cord or feeder assembly conductors shall be connected to the site service equipment. A further continuity to u shall then be made between the ,grounding electrode and the chassis of the m.obilehome. UDOTI sat i_sfactory.completion of the electrical tests, the lot or site service equipment may be approved for energizing. ;_v;I,, job card signed by health Department for water and sanitation? �.:.. If evc_xything okay, sign off card and t.a services. 'MOBILLiiO!'�tL•' DATA Manufacturer and/car Namestyle Length Vehicle Serial Width No. State Identification No. t,dClLtional Infornat.-JOn or Comments: a, , �" Q,%� X�*" COUNTY OF BUTTE DEPAR1MENT 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 l�orni Administrative Code, Title 25, Chapter 51 under permit number il win for the fog location: Owner Owner's Address Mobilehome Mfg. i rt q Model Year - 77 -Insignia No. 0/4 S 7 G L55-7 - 1 ' Serial No. It is hereby certified for occupancy at the above described location and may be occupied. Director of Public Works Date 3 7 By THIS CERTIFICATE IS VOID WHEN MOBILEHOME IS RELOCATED White - Owner, Yellow - Installer, Pink - D.P.W. 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 number 1 for the following location: Owner Owner's Address l Mobilehome Mfg. r Model Year Insignia No. J Serial No. It is hereby certified for occupancy at the above described location and may be occupied. Director of Public Works Date By THIS CERTIFICATE IS VOID WHEN MOBILEHOME IS RELOCATED wnite - owner, renow - instaner, rinK - u.r.w. COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS 7 County Center Drive Uroville, California 95965 e Telephone: 534-4541 � RI) �� APPLICATION AND PERMIT .. A, authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. X hx.,.�7r7-- Signature of Permitee or Agent Receipt No. 17- White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR OF UBLIC WORKS BY E Date 6-L-3-77 Boding permit expires Date 6 _27 -7F BUILDING OwnerMr. Ben Dee SQ. FT. OCC. BUILDING VAL ATION Mailing Address Telephone No. Fireplace Contractor Marvin R Anderson Total Valuation Mailing Address 955 Waggoner Rd. Permit Fee Plan Checking Fee&/or Penalty Telephone No. Building Address PP 1-1 Lot 919 Permit Fee PLUMBING No. @ FEE PERMIT FILING FEE $3.00 0 Seabury Court Each Trap 1.50 agalia, Ca. 95969 Repair drainage or vent piping 1.50 Water piping 4-50' �0 Q�nYpyY-�rjaatioA 91t1g Each gas water heater or vent 1.50 A. P: No. (P Ste/ - 07 �� /Zo Gas piping system 1 - 5 outlets 1.50 Each additional outlet .30 FeeeigW2� S ion FireDept. FI re Zone Use Permit Building sewer 0 '- EQA Parking Plans Parcel11 DeclarationAwk . 7 R/W Im roveme is P Lawn sprinkler system 2.00 BI lan aalJs Permit Fee $3- NEW ® ADDITION ❑ UTI LITIES OTHER ❑ ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 3 Main service 100 AMP ORV OR LE LESS5.00 Main service EA. ADD'L too AMP 2.50 Iz- Single Family ❑ Duplex ❑ Mobil Home ❑X Others ❑ Main service 1OOOER 600V AMP OR LESS 25.00 Main service EA, ADD•L too AMP 1,00 500 SQ. FT. MINIMUM CONST. DWELLING OC cup- &) 20Sgft OR ACDNS. ACC. SLOGS. NEW NEW ( NON-RESIESID. BRANCH CIRCUITS) 2.50ea D, FOR MOBILES NEW CONSTR /POWER APPARATUS & NON-RESID. \SINGLE OUTLET CIR. CONTRACTORS LICENSE LAW I am licensed under the provisions of Chapter 9, Div. 3, of the State of California Business & Professions Code under the name style of: Marvi In R And Prsnn Ex. Occup(OUTLETS OR FIXTURES)@� BAL@1 FIXED APPLNS. OR Ex. Occu p•(OUTLETS (RESID.) EA) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 ^- ( License N..__2,74Q92 Classification A & B Misc. Wiring 6.25 ❑ I am exempt from the Contractors License Laws of the State of California. Permit Fee $1 $ 71-T WORKMEN'S COMPENSATION INSURANCE 1 am aware of the provisions of Section3700 of the California Labcr Code which requires every employer to be insured against liability for Workmen's Compensation. ® I have placed on file with the County of Butte a certificate of Workmen's Compensation Insurance. I certify that in the performance of the work for which this permit is issued I shall not employ any person in any manner so as to become subject to the Workmen's Compensation Laws of California. MECHANICAL No. @ FEE PERMIT FILING FEE $3.00 Heating Cooling Ventilation Hood 2.00 Permit Fee I certify that I have read this application and state that the above' information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby s� - TOTAL PERMIT FEE $ 73 authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. X hx.,.�7r7-- Signature of Permitee or Agent Receipt No. 17- White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR OF UBLIC WORKS BY E Date 6-L-3-77 Boding permit expires Date 6 _27 -7F .- ..� 'COUNTY OF BUTTE — - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive — Oroville, California 95965 Telephone: 534-4541 "-7 APPLICATION AND PERMIT iill� •ter•.. �........,.vv •„r vv —y v� Uuaac av cI1lG1 upull lila above-mentioned property for inspection purposes. X ,L>Q %I' `�'�-� Date /— Signature of Permitee /or Agent Receipt No. /G G J/ 6r / White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DTE OF PUBLIC WORKS BY G Date Building permit expires Date �� BUILDING Owner &-t, ,y SQ. FT. OCC. BUILDING VALUATION Mailing Address Telephone No. Fireplace Contractor % C9 F} g Total Valuation Mailing Address o Permit Fee Plan Checking Fee&/or Penalty Tyel �e,N ,, J� Y�S g Permit Fee Building Address PLUMBING No.1 @ I FEE PERMIT FILING FEE 1$3.00138 �1 Each Trap 1.50 Repair drainage or vent piping 1.50 Water piping 1.50 Each gas water heater or vent 1.50 c, A. P. No. / Zoning & Planning -Gas piping system 1 - 5 outlets 1.50/600 Each additional outlet .30 Fee W. (!5' Sa tion Fire Dept. Fire Zone Use Permit Building sewer 5.00 EQA Parkn g Declaration Parcel Map 60' R/W Improvements Lawn sprinkler systemPla2.00 Bldg. Plans Ftc'd Parcel Approval Plans Approval Permit Fee $ 1305 NEW ❑ ADDITION ❑ UTILITIES ® OTHER ❑ ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 1 - •,/�J as r...,..�t „C�..✓C LEV ORSS Main service 100 AMP 5.00 ©0 w X7 Main service EA, ADD'L 100 AMP 2.50 Single Family ❑ Duplex ❑ Mobil Home Others ❑ OIER 600V Main service 00_AMP OR LESS 25.00 Main service EA. ADD'L 100 AMP 1.00 NEW CONST. LING OR ADDNS. ( DWEACCLBLDGS.CCUP. &) 2¢sq ft NEW CONSTR. MULTI.OUTLET NON•RESID. BRANCH CIRCUITS) 2.50ea NEW CONST. POWER APPARATUS & NON • R RESID. (SINGLE OUTLET CIR. CONTRACTORS LICENSE LAW I am licensed under the provisions of Chapter 9, Div. 3, of the State of California Business & Professions Code under the name style of: Ex. Occup(OUTLETS OR FIXTURES) BAL@ I Oq Ex. Occup.FIXED APPLNS, OR (OUTLETS (RFIXED EA) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 License No. -2 Classification__ � 3 U Misc. Wiring 6.25 ❑ I am exempt from the Contractors License Laws of the State of California. Permit Fee $ $ WORKMEN'S COMPENSATION INSURANCE I am aware of the provisions of Section3700 of the California Labor Code which requires every employer to be insured against liability for Workmen's Compensation. 2_I'have placed on file with the County of Butte a certificate of Workmen's Compensation Insurance. I certify that in the performance of the work for which this permit is issued I shall not employ any person in any manner so as to become subject to the Workmen's Compensation Laws of California. MECHANICAL No. @ FEE PERMIT FILING FEE $3.00 Heating Cooling Ventilation Hood 2.00 Permit Fee $ $ I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby TOTAL PERMIT FEE Is J •ter•.. �........,.vv •„r vv —y v� Uuaac av cI1lG1 upull lila above-mentioned property for inspection purposes. X ,L>Q %I' `�'�-� Date /— Signature of Permitee /or Agent Receipt No. /G G J/ 6r / White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DTE OF PUBLIC WORKS BY G Date Building permit expires Date �� COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS •' 7 County Center Drive — .Oroville, California 95965 Telephone: 534-4541 APPLICATION AND PERMIT i ,393 7 7 ' BUILDING ^ Owner 06 C—k SQ. FT. OCC. BUILDING VALUATION Mailing Address Telephone No.' Fireplace Contractor . Total Valuation Mailing Address c • - Permit Fee Plan Checking Fee &/or Penalty Gy Telephone No. Z. Permit Fee Buildipp AddressI/A PLUMBING No. ' @ FEE PERMIT FILING FEE $3.00 LA 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. m .J — 3 Zoning & Planning Gas piping system 1 - 5 outlets 1.50 , Each additional outlet .30 F s � Fire Dept. Fire Zone Use Permit Building sewer ► 5.00 EQA Parking Plans ParcelLawn Declaration Parcel Map 60' R/W Improvements sprinkler system 2.00 Bldg. Plans Recd P a r c e FfpprovaI Plans roval Permit Fee $ $ NEW ❑ADDITION ❑ UTILITIES ❑ OTHER ,�J ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 Main service incl. 1 meter Additional meters, each 1.00 Sub -panel (12 or less) (morethan12)' _ Single Family ❑ Duplex ❑ Mobil Home Others ❑ Range, Cook -top or Oven 1.00 Water Heater or Space Heater 1.00 Light fixturesy0 010 Receps„ switches & fix outlets 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 ti -`�/�! E it .� Hood, Ex. Fan or F.A. Furn. Motor 1.00 Evap.cooler, gar. disp.orD.W." 1.00 Air conditioner or heat pump Water pump Mobil Home Facilities 5.00 Temp. Power Pole 5.00 License No. Classification Misc. wiring ❑ I am exempt from the Contractors License Laws of the State of California. Permit Fee $ $ WORKMEN'S COMPENSATION INSURANCE I am aware of the provisions of Section3700 of the California Labor Code which requires every employer to be insured against liability for Workmen's Compensation. 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 1 1 2.00 Permit Fee $ $ I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby % ` TOTAL PERMIT FEE $ autnonze representatives OT the county OT tsutte to enter upon the above-mentioned property for inspection purposes. X Date Signature of Permite or Agent Receipt No. White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant This permit is hereby issued 'under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR OF P BLIC WORKS By ��{,( o Date +`7 permit expires Date �1: � ` �. � ' •a / MOBILEHOME SUPPORT DATA Mobilehome Mfr.�I , �� f" e Setup Model No.z7"3� Year ~ Width 24- (ft.) Length to (ft.) Expando Size ft.x -Y ft. (Draw support details below) On all mobilehomes manufactured after October 7, 1973, furnish manufacturer's installation manual and structural setup sheets (if not on file with the County of Butte). S r Center Support Local imy Cf t-. -(-3.n- (f 0 n (ft) (in) Center Support Footing Sizes (in.) ,, 7 _x->2-qI I �in.) m3w 3' 0'i ` 3 01 (in in.) t u E ( -in.�(�in.) fin ) (in) e Footings (check one) t1 1. Wood either pressure treated or fdn. grade. r -56x_4 o: �— i q7 - i 0 x 3v *If center piers are other than rawn above, draw in locations, spacing, an dimensions. Loi=0 3D 2. Concrete pad. 3. Other, specify Supports (check one) 1/ 1. Concrete block 2. Concrete piers 3. Steel piers 4. Other, specify x -7 J Footing S izeort - i i... Max. Pier Spacing (f t) firi.) Max - - Q ] Overhang (iii._) BUTTE COUNTY BUILDING DEPARTMENT APPROVED BUTTE COUNTY DEPARTMENT OF PUBLIC WORKS 7 County Center Drive, Oroville, CA. PHONE: 534-454.1 MOBILEHOME INSTALLATION SHEET 1. Owner's name: 2. Installer's name: 3. Is the site currently under permit? Yes No (If yes, furnish permit number 2d02— %) 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 (If no, clarify ) 5. What is the mobilehome electrical rating? ----------------------- Amps 6. What is the mobilehome site service rating? --------------------- Z 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? --------------------------------------------------- Yes / / No (If yes, identify the loadwand size: (Load) (Amps) 9. What is the mobilehome site gas'pipe size? ---------------------- - -= (in.)", 10. What is the type of gas service? ----------------------------- Natural- LPG 11. What is the gas pipe length from meter or tank to the mobilehome?,. 12. What is the mobilehome gas demand? --------------------------=;=-- 6 -(BTU) (This information not required if pipe length less than 6 ft. on natural gas or ile'ss ithaii =5,01 W. on LPG.) t '0r=,t tiv �il,lC�.