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HomeMy WebLinkAbout065-020-01065-02-10 George Davidson E/SCoutol nc Rd., 4/10 mi.N.of 14-"� Coutolenc #emetery Rd., lot 10, Ma #Pga Permit 40-78P,E(ut' ,MH) Elm . ' 2'' 3® X GAS / SUPPORT SRUCTUr REQ, COMPACTION TEST E2. �. d 6 Permit� �#37`.- 79'=78MHI I s std'" /" a 0 ���' co or anora Awnings, Chico Permit #1913-79B(gew -21 awnings/MH) 0 . � a i 65-02-10 George Davidson E/SCoutol nc Rd., 4/10 mi.N.of 14-"� Coutolenc #emetery Rd., lot 10, Ma #Pga Permit 40-78P,E(ut' ,MH) Elm . ' 2'' 3® X GAS / SUPPORT SRUCTUr REQ, COMPACTION TEST E2. �. d 6 Permit� �#37`.- 79'=78MHI I s std'" /" a 0 ���' co or anora Awnings, Chico Permit #1913-79B(gew -21 awnings/MH) 0 �Iw. r _ _ _ , - 4 y! 7 1913-79A --1, PER1111T NO. .. i { PERMIT EXPIRES i. t ~OWNER George Davidson t ''`CONTR. Panorama Awnings, Chico ( LOCATION (A.P. 65-02-10 �. E/S Coutolenc Rd., app.4/10 mi.N.of Hupp Coutolenc Rd., Magalia Temp. Power P.6le Called PG&E Temp. Elgc. Serv. Calrled PG&E Tem�4Gas Serv. ,Called PG&E JOB FINALED (Date) (Signature A Mesh MECHANICAL Grd. Fault Prot. Scratch Heating Service Brown I Cooling Temp. Pole rinlsn K COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS ° BUILDING INSPECTMN RECORD Underground BUILDING BUILDING (Cont'd) PLUMBING Setback a -3 'Z Firewall Soil Piping Forms Parapets 1st Floor Main Bldg. Restroom Finish 2nd Floor Footings Windows 3rd Floor Stemwall Siding _ To out Slab Roof Sheathing Water Piping Piers Roofing Sewer Garage Fdn. Vents Fixtures Footings StemwaI l Garage Vents Insulation Water Htr. Heaters Slab Carport Footings Prov. for ph sically handicaped Conformance of ex. structure Appliances Gas Piping &Test Temp. Gas Slab Final Sanitation Patio FIREPLACE Final Footings Footing ELECTRICAL Masonry Walls Throat Rough Reinf. Steel Final Fixtures Bond Beam FIRE SPRINKLERS Motors Framing Test Water Htr. Mesh MECHANICAL Grd. Fault Prot. Scratch Heating Service Brown I Cooling Temp. Pole rinlsn I Ducts Underground Interior Lath Ventilation Permanent Door Closer Final Final MOBILEHOME UTILITIES ------------------ Elec_ Service Elec. Pedestal Water Piping Sewer Gas Piping MOBILEHOME INSTALLATION - - - - - - - • - - - - - - Support Elec. Continuity Water Piping Drainage Gas Piping DATE REMARKS OR CORRECTIONS -� _7I rT S r147 �V G 0 � ,a, LVG0*,\e. IN TE: An entry must be made on this form each time you visit the job site.) 701 � V • COUNTY OF BUTTE -4 DEPARTMENT OF PUBLIC WORKS • s 7 County Center Drive - Oroville, California 95965 Teleph7ne: 5364541 APPLICATION AND PERMIT IAlAgdi ;12 / autnorize representatives or the county or tsutte to enter upon the above-mentioned property for inspection purposes. X % IZVL—a-• Date 4 —L% --7q Signat4e of Permitee or Agent Receipt No. $�? White-D.P.W. - Yellow -Assessor - Pink -Inspector - Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR UBLIC WORKS By Date r Building permit expires Date �--�— BUILDING Owner M(z, ft, -)t> N,&s . C.. DhVib sol') SQ. FT. OCC. BUILDING VALUATION Mailing Address 4 MILE '&GOJI- C,mv IElLEw4 G NJ! FZ1w, S 1 N1 A-V %� I A- Telephone No. ••—� ContractorQ �(LAvy.Apt- -Ar%,t ,I i Pk Cn-3 Mailing Address I TS (0 C, C.OM&tGlZLIAA• AVE— Fireplace Total Valuation C—A—t LO t (�� �F', q Sgi2-{6 TeleRhone No. .3 YC7 1 Permit Fee 1/1 Uy Building Address►.&&RSD Plan Checking Fee&/or Penalty Permit Fee C S e „^ ssr.,c •� y/o PLUMBING No. @ FEE r ) 7 , ,ad PU PERMIT FILING FEE $3.00 Each Trao 1.50 Repair drainage or vent piping 1.50 A. P. No. 2. - 1 O eo rJ�(3 Doing & Planning Water piping 1.50 Each gas water heater or vent 1.50 F s Sa t 'on Fire Dept. Fire Zone Use Permit Gas piping system 1 - 5 outlets 1.50 EQA Parking Parcel Plans Declaration Parcel Map 60' R/W Improvements Each additional outlet .30 Building sewer 5.00 Bldg. P . -n-. Recd J Parce Ap roval Plans Approval Lawn sprinkler system 2.00 NEW ADDITION ❑ UTILITIES ❑ OTHER ❑ permit Fee $ ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 Main service 100 AMP OR00V OR LESS5.00 Single Family ❑ Duplex ❑ Mobil Home Others ❑ Main service EA. ADO'L 100 AMP 2.50 Main service OVER 600V 25.00 100 AMP OR LESS Main service EA. ADD'L 100 AMP 1.00 NEW CONST. ( DWELLING OCCUP. 4') 2¢sgft OR ADDNS, ACC. BLDGS, 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: i�ON0tkA-mA- A -_-J n1 I r-►C,r3 NEW CONSTR. ( BRANCH CIR T `BRANCH CIRCUITS) 12.50ea ..NON--RES-ID. NEW CONSTR (POWER APPARATUS .&, NON•RESID. SINGLE OUTLET CIR. EX. OCCUR{OUTLETS OR FIXTIIPES BAL@10Q Ex. Occup ( FIXED APPLNS, OR • OUTLETS (RESID,) EA 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 345'783 License No. Classification e--� 1 Misc. Wiring 6.25 ❑ I am exempt from the Contractors License Laws of the State of California. Permit Fee $ $ MECHANICAL No. @ FEE WORKMEN'S COMPENSATION INSURANCE 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. E]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. PERMIT FILING FEE $3.00 Heating Cooling Ventilation Hood 2.00 Permit Fee $ $ 1 certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby Land Development Fee $ TOTAL PERMIT FEE $ autnorize representatives or the county or tsutte to enter upon the above-mentioned property for inspection purposes. X % IZVL—a-• Date 4 —L% --7q Signat4e of Permitee or Agent Receipt No. $�? White-D.P.W. - Yellow -Assessor - Pink -Inspector - Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR UBLIC WORKS By Date r Building permit expires Date �--�— BUTTE COUM DEPARTMFNTOF PUBLIC WORKS 'SPECIAL FIiS.P3:t,''I(?N R3:POR1' - Owner: � I V) - A.T. #_ U Address:_, Date of Inspection V v Tenant:------ Inspector Building Location: Type of Inspection requested: i. pouring / ! 2. Financing 3. Change,of Occupancy to l 4. Other (specify)_ &X/-e&j Pregeut use. cf buildinz.: A. Sanitation 1�0113i11P� 1. Vater closet: 2. Lavatory - 3. Bathtub or Shower' - 4., Kitchen. sink: S. Hot and cold vater to fixtures: 6. Heating fa.<:iilties: 7, 'Natural Light aid ventilation: 8. Romn and space requirement's: 4. Bedroam wiruota or door for second exit: 10. Infestation of insects, vermin, or. 11. Connection to sewage disposal.: 12. Connect—lon to nater supply: 13. Rubbish and garbage facilities: 14. C omen t s: B. Structural 1. 'Lars and footings: 2. Floor cons t:ruction: 3. Wall constriction: 4. Ceiling and roof construction: 5. F ,rc.places:ti._ C. Electrical. i . Servicc: -nd 2. Receptacles:_ 3. Fus� 4. Cammnnt s: D. P1_umb ing yy 2. h ca -ter _ 3. Cas `-.-eating ve.nt;s. 4.-mments and E. Other 1. Maintenance and repair: 2. Fire hazards: 3. Safety hazards: 4. Weather protection: 5. Underfloor and attic ventilation: 6. Comments: F. Commercial Buildings 1. Roof covering: 2. Distance t -o property lines: 3 Physically handicapped: 4. Restroom floors and walls: 5. Exits:_ - 6. Improvements: _ 7. 7. on inn : 8. Comments: G. Field Problems or Violations 1. Problem or :Tio_atio k CA cQmplet.e description):�� ASL I .� � A Al_ '-� �--" 2. What actions Oken (give complete description): 3. What action recommended: 7-7A. Information only - / / B. Hold for ten. (10.) days, then wrire letter. XC. Write letter, 77D.. Other. _ �4 �/ Y- i (� ' ,4•�,) , irue.c, ��-C •, �8. Wim^-�'-� /ill 'AC -L 'PERMIT NO. 6400-78P,E ' PERMIT EXPIRES George Davidson OWNER - i CONTR. owner { LOCATION (A.P. 65 -w -in ) Hop? E/S Coutolenc Rd., 4/10mi.N.oficoutolenc Cemetery Rd., lot 10, Magalia Temp. Po% Called Temp. Ele 4' Called Temp. Ga! iCalled JOB + FINALED 1 rte. i LA4 6L" ko IIIIN7� -ter, COUNTY OF BUTTE —' DEPARTMENT OF PUBLIC WORKS r BUILDING INSPECTION RECORD w BUILDING BUILDING (Cont'd) PLUMBING S back / Fire II t -Soi PI in . Fo s r Para e s 1sFloor •t' Win Bldg., Restroo Finlsh ;` 2nd loor - - otin s Windows 3rd Ovor . StLvwall Siding To out Slab _ Roof Sheathiha Water PI In t Piers Roofing Sewer 7. Garage Fdn. Vents Fixtures Footin s Garage Vents Water Htr. Stemwa l l Insulation Heaters Slab Prov. for Physically Appliances ` `handica ed Carport Conformance of ex. Gas Pipin &Test Footings structure Temp. Gas - ' Slab Final Sanitation + Patio F REPL CE Final Footings' ;' Footing r LECTRI L ' Masonry Walls ;� Throat Rou h Relnf. Stee ,/ Final J, Fixtures ' Bond Bea IRE SPRINKLER _ Motors 7 "- Framin Test Water Htr. Stucco Final Subpanell Mesh MECHANICAL '•' Grd. F ult Prot. Scra h Heatind Servl e t B n Cool i g T mp. Pole F ish Ducti rider round In rlor Lath Ve lation Permanent oor Closer N F al inal MOBILEHOMEU ILITIES ------------•-----EI c_ Ser ice 2_f �' dec. Pedestal Water Piping ( %j Sewer 1--.TO • -7 Gas Piping AAOBILEHOME INSTALLATION Support Elec. Continuity Water Piping Drainage Gas Piping r---►�1 . ' DATE —/ REMAR S OR C/ORRECTIO d kik t • • 't T 4VA 69 (NOTE: An.entry must be made on this form each time you visit the job site.) _. /a4 clq A �� zg-meq S PP �- i a 9. Electrical F' A. Is service large enough to provide adequ.Ate amperage -to mobilehome (must equal rating of mobilehome with a minimum of 100 amp) and other facilities on lot; i.e., water pumps, garage, cabana, etc.? Yes No V B. Is there proper clearances around panel'O Yes_,8L No C. Is power supply cord or feeder assembly properly fused? Yes No D. Is continuity test satisfactory as per the following. procedure? Yes No 1. De -energize electrical wiring system 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 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 completion of the above procedure, the power supply cord or feeder assembly conductors shall be connected to -the site service equipment. A further continuity test shall then be made between thetgroundirig electrode and the chassis of the mobilehome. Upon satisfactory completion of the electrical tests, the lot or site service equipment may be approved for energizing. 10. Is job.card signed by Health Department for water and'sanitation? 11. If everything okay, sign off card and tag services. MOBILEHOME DATA Manufacturer and/or Namestyle d Length Width v2V Vehicle Serial No. 4f3S — %� SN A Fri V6 )c. �J3SJ State Identificatidn No. � 5 71V A �2 Additional Information or Comments: D� .J aw � Oe C �Xe jVpp 91ae-44 )K; 16 r MOBILEHOME INSTALLATION INSPECTION CHECK LIST 1. Is the mobilehome located with required separation from lot lines and buildings and generally conform to plot plan? Yes „ No y'cU a &7 if, - 2. Does the mobilehome have required clearances above ground? (Sec.5085) Yes No 3. Are footings and supports properly sized, spaced, and braced as per approved plans? (Note possible variation at spring shackles.) (Sec. 5082 & 5083) Yes No 4. Is the mobilehome level? (Sec. 5088) Yes_X No 5. If more than a single unit, are crossover connections properly installed? (Sec. 5088) Yes -)Q -No 6. Water A. Is flexible connector of adequate size and properly installed (1/2" ID min.)? (Sec. 5566) Yes—)L No B. Test - Does water piping withstand working pressure or 50 lbs. air test? Yes No -4 C. Backflow - If coach is not State of California approved, does station have backflow device and pressure -relief valve? Yes_ No _ Na. 7. Wastes and Drains A. Is connection made with Schedule 40 DWV and have flex connectors at each end? Yesx— No B. Does it have minimum V per foot slope and is it properly supported? Yesx, No C. Are any leaks detected in drainage system after running 3 -gallons of water through each fixture including washing machine standpipe?..Yes No D. 'If coach is not State of California approved, does station have required trap and vent? Yes— No A/A 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 a's 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? Yes No_ COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 7 COUNTY CENTER DRIVE OROVILLE, CALIF. - 534-4541 r j + 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 72797$ for the following location: a/s Gmtolene Ra. 4/10 mi. N. of Hupp-Coatolene Celneter� Rd., Lot 10. blaMlic Owner GeOl'R© DnVidMn Owner's Address P.0- Box 831, Unaalia_ 1 CA. 95954 Mobilehome Mfg. Rauf n & $ro8dModel`#404 Year 1978 r Insignia No. CAL 085731 & 32Serial"No. IB CA SNB 81453-61 It is hereby certified for occupancy at the above described location and may be occupied.*' i Direcof Public Works -� Date April 12, 1979 THIS CERTIFICATE IS VOID WHEN MOBILEHOME IS RELOCATED L White - Owner, Yellow - Installer, Pink - D.P.W. i COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 695 dleander Avenue, Chico — Phone 343-4211, Ext. 70 7 County Center Drive, Oroville — Phone 534-4541 Skyway and Elliott Road, Paradise — Phone 877-3435 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, or need additional explanation, please contact this office immediately. Inspector Date 0 m COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 695 Oleander Avenue, Chico - Phone 343-4211, Ext. 70 7 Cougty Center Drive, Oroville — Phone 534-4541 Skyway and Elliott Road, Paradise — Phone 877-3435 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, or need additional explanation, please contact this office immediately. Inspector — Date Q COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS 7 014nty Center Drive — Oroville, California 95965 � —2J Telephone: 534-4541 % APPLICATION AND PERMIT AA Iy,� Code which requires every employer to be insured against liability for Workmen's Compensation. ❑I have placed on file with the County of Butte a certificate of Workmen's Compensation Insurance. certify that in the performance of the work for which this permit is issued I shall not employ any person in any manner so as to become subject to the Workmen's Compensation Laws of California. I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above -me tioned property for inspection purposes. v /M )IVL�L Date ' � 7Z Signt re of Permitee or Agent Receipt No. .19-677,19— White-D.P.W. 19-677,19White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant Cooling Ventilation Hood 1 1 2.00 Permit Fee $ $ Land Development Fee $ TOTAL PERMIT FEE $ JI1171 s This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated abov r which fees have been paid. E A OF PUBLIC WORKS Date 0 6 Building permit expires Date � `74 � _ BUILDING Owner /rvi J3��s 3J SO. FT. OCC. BUILDING VALUATION Mai I i ng Address a e 6:3 i Telephone No, ?73._�3J),� Contractor Mailing Address Fireplace Total Valuation Telephone No. Permit Fee �. �• � Building Address Zl L al2v ,6: AW = /j15 Plan Checking Fee &/orPenalty Permit Fee AJ PLUMBING No.1 @ FEE _ _ PERMIT FILING FEE $3.00 Each TraD 1.50 J�,,j ,L/J-RJ v j�'a �� i3L'� j �'�'y' % Repair drainage or vent piping 1.50 � A. P. No. Zoning & Planning Water piping 1.50 Each gas water heater or vent 1.50 FI W� S Fire Dept. Fire Zone Use Permit Gas piping system 1 - 5 outlets 1.50 EOA Parking Plans Parcel Declaration Parcel Ma p 60' R/W Improvements p Each additional outlet .30 Building sewer 5.00 Bldg. P .:-ns Recd I Parcel ARproval I Plans Approval Lawn sprinkler system 2.00 NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER EJpermit Fee $ :1 ` L."o p .1114, ��t>O —17 ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 Main service 100 OR LESS 100 OROR LESS 5.00 Single Family ❑ Duplex ❑ Mobil Home ® Others ❑ Main service EA. ADD'L 100 AMP 2.50 Main service OVER 100 AMPP OR LESS O 25.00 Main service EA. ADD'L 100 AMP 1.00 NEW CONST. DWELLING OCCUP. Y1 OR ADONS. ACC. BLDGS. I 2�sgft CONTRACTORS LICENSE LAW I am licensed under the provisions of Chapter 9, Div. 3, of the State of California Business & Professions Code under the name style of: NEW CONSTR.MULTI.OUTL T NON-RESID ( BRANCH CIRCUITS 2.50ea NEW CONSTR. (POWER APPARATUS 9� NON.RESID. `SINGLE OUTLET CIR. Ex. Occuo(OUTLETS OR FIXTIIRES 250 g L 109 Ex. Occup.(FIXED (RESIS. ORD,) EA OUT OUTLETS(RE) 2.001 Tem orary service 10.00 Mob le Home Facilities 15.00 M i s .Wiring 6.25 License No. Classification Oam exempt from the Contractors License Laws of the State of California. Permit Fee $ MECHANICAL No. @ F_EE WORKMEN'S COMPENSATION INSURANCE 1 am aware o1 the provisions of Section3700 of the California Labor PERMIT FILING FEE J $3.00 Heating Code which requires every employer to be insured against liability for Workmen's Compensation. ❑I have placed on file with the County of Butte a certificate of Workmen's Compensation Insurance. certify that in the performance of the work for which this permit is issued I shall not employ any person in any manner so as to become subject to the Workmen's Compensation Laws of California. I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above -me tioned property for inspection purposes. v /M )IVL�L Date ' � 7Z Signt re of Permitee or Agent Receipt No. .19-677,19— White-D.P.W. 19-677,19White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant Cooling Ventilation Hood 1 1 2.00 Permit Fee $ $ Land Development Fee $ TOTAL PERMIT FEE $ JI1171 s This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated abov r which fees have been paid. E A OF PUBLIC WORKS Date 0 6 Building permit expires Date � `74 � _ MOB ILE110ME SUPPORT DATA If other than single wide, MQbilehome Mfr. UTA / �. e furnish Setup Model No. 5 -� 233 7 Year /017) WidthA(ft.) Box Length�o (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 spec' 'ed. co; q �G� 1 Footings (check one) . SinglEa / 1 1. Wood either pressure treated or r foundation grade. (ft.)(i :) I (in. (in.) 11 + I I I I 0 2. Other (specify) Center sup location o (ft.)#in.) (ft.(in.) (ftj)(in.) (fj.)j (in.) Center suppo footing size (in.) x3 (in.) (in.) (in.) (in.) IAM w3a, 1 R (in')I (in.) (, N S *If center piers are other than drawn above, draw in locations, spacing, and dimensions. Supports (check one) N -T." Concrete block. 0 2. Other (specify) Tagalong or Expando, show support details. /J -- Typical Support in.) (in.) Footing Size -- Max. .Pier Spacing (ft.)(in.) -- Max. Overhang (ft.)(in.) IBUTTF: COUNTY 1UI10ING DEPARTMEN1. APPROVED 4 BUTTE COUNTY DEPARTMENT OF PUBLIC WORKS 7 County Center Drive, Oroville, CA. PHONE: 534-4541 MOBILEHOME INSTALLATION SHEET 1. Owner's name: e An j aa r- // 2. Installer's name: s C.,/`/0J 76�,," V L PA d,/ 3. Is the site currently under permit? Yes 4,"/ No (If yes, furnish permit number ) OR Is the site an existing site? Yes /1// 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 ) (This information not required if pipe length less than 6 ft. on natural gas or less than 50 ft. on LPG.) U I �y Amps 5.- What is the mobilehome electrical rating? --- --- -- --- 6. What is the mobilehome site service rating? -------- Amps Amps �� ? 7. What is the mobilehome site circuit breaker rating? ----p ---- Amps 8. Is there any other electric load to be served by the mobilehome site service?-�----------------------------------------------- Yes / / No (If yes, identify the load and size: ,, -y Al _ Lv�// (Load) 2 5 -- /S (Amps) 9. What is the mobilehome site gas pipe size? ---------------------- (in.) 10. What is the type of gas service? ----------------------------- Natural / / LPG 44 11. What is the gas pipe length from meter or tank to the mobilehome? A<430 /(ft.) 12. What is the mobilehome gas demand?. ------------=----------------= (BTU) (This information not required if pipe length less than 6 ft. on natural gas or less than 50 ft. on LPG.) c YI h �§ Q�.._ 1 s.ej td - ,_ 7 L ti - t1i I I- { 1 ' i 1 r 1 ficptidns MUST be ' r s uRl ul r The '. Setksaok sh �1' die.. .C= ro _ - +. '+ s�si� -`1e'r� o '� ' avrF to ;`.. aicPe, property` Pirie d f $r -.4.- sam -h,out , centerlix( ;�; _t ,. I e wit1 erl j in - ', -of eavei pgrtre;nt �of!Public ea ri °}} i..., ; .mf� al� Ark eaernen'f •`r. 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S �p yt rt t l y,1 ���vc,�„.. t !`„ y '•'W1 s �",5��ird��'i S '�, yw ._ �+.�tk��l S �'•M1 '7zi '., J _ �1��� `idi n'6� -t"n� �i� 4 'r' r S1� W � h _��r`t'� {� �x � •�f NsS��lc -04;����k �i��1�\S>���• \F -4 ry��yf,t ty t. t +rs (/ MY .�'.. „�, �• z,.'"t"R'� +''�4L 'F�•Sty�'�}1.. yh!! 6r - ti zi - � , .. r.�„ 4Y' rd tr �1 � a t S t� `r _ xl •T tzi �,t� �- 4y sy<gIN 51 Z. x )u3 jM z s} r yj? y c z... I a �yra V74dt'" r g SF TV n{n AIM.,4rh '�. . :" }� �a7z*✓v`�v3 ,,^ ��`."�,f�t- r e�JF F �,D �9Wa�i t 'Al try �Tmvl� i S ' i 1 "'x�i t. �i:r�`•_ � - :.,�... ... .:�ft��-`t. .... •i���td7u_;�&?'i._..-.,.Std_,uxi�.,V,. MOB ILF,HOME.SUPPORT DATA , a I If other --than single wide, y� Mobilehome Mfr. KAA C)ZA4.'L Apc2I furnish Setup Model No. �U� Year Width D y : (ft.) Box Length �U (ft.),-'- - - .(SHOW 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). All center supports measured from front of mobilehome unless otherwise specified. Single O D .2 x3 0 (ft.)(in;) (in.) (in.) Center.support Center support locations* footing sizes (in.) ID XS01 % (ft.)(in.) (in.) (in.) .ekk (in.) (in.) (ft.)(in.) (in.) (in.) 0 1 x :1 .(ft.) (in.) (in.) (in.): *If center piers are other than drawn above, draw in --locations, spacing, and dimensions. Footings (check one) Pr 1. Wood either pressure treated or foundation grade. 0 2. Other (specify) Supports .(check one) L .Concrete block. 2 Other (specify) o( --Tagalong or Expando, show support details. Zx3o -- Typical Support n.) (in:) Footing Size. -- Max. Pier.Spacing (ft.)(in.) - Max. Overhan (ft )(in. BUTT COUNTY ,B/ �a 7�4 BUILDING D EPARTMEN', APPROVED %a- I 1. Owner's name: 2. Installer's name: BUTTE COUNTY DEPARTMENT OF PUBLIC WORKS 7 County Center Drive, Oroville, CA. PHONE: 534-4541. MOBILEHOME INSTALLATION SHEET o� J J _3_3 - JC 6 PJ 0,6d /o(% S)9 3. Is the site currently under permit? Yes No (Ii yes, furnish permit number � � ) %e ) 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 f -S._ No / / (If no, clarify ) ( ) 5. What is the mobilehome electrical rating? ----------------------- O a Amps �-9 6. What is the mobilehome site service rating? --------------------- 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 load and size: (Load) (Amps) 9. What is the mobilehome site gas pipe size? ---------------------- (in.) 10. What is the type of gas service? ----------------------------- Natural / / LPG 11. What is the gas pipe length from meter or tank to the mobilehome? (ft.) 12. :What is the mobilehome gas demand? ------------------------------ \'� (BTU) (This information not required if pipe length less -than 6 ft. on natural gas or less than 50 ft. on LPG.) ,+. COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS 7 County Center Drive. Oroville, California 95965 Telephone: 534-4541 (S APPLICATION AND PERMIT r / autnorize representatives or the county or tsutte to enter upon the above -me tioned property for Lrispection pr oses. /jw Date CJL,-/7v Signaof Permitee or Agent Receipt No. �e.%/:�7' White-D.P.W. - Yellow -Assessor - Pink -Inspector - Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated abo or which fees have been paid. DIR �OROF ELIC WORKS B Date 1i d Building permit expires Date �l BUILDING OwnerSQ. FT. OCC. BUILDING VALUATION Mai I i ng Address 9,31 y� Telephone No. Contractor Mailing Address Fireplace Total Valuation Telephone No. Permit Fee Building Address ,r S eOZW7-Z,6X)QG 06V "9/�® M i Planng Fee &/orPenalty Permit Permit Fee �i -eD>U 71,07,12—AJ16 ee; , 2 PLUMBING No.1 @ FEE PERMIT FILING FEE $3.00 00 Each Trap 1.50 �l" Z07 -1t'> /`YI/�'X/•;7Ly .,,J5D?�Cs�Tr epair drainage or vent piping 1.50 — A. P. No. G S _0� —/U 7�9 g-' Zoning & PI ning Water piping "4'� /.0,06 Each gas water heater or vent 1.50 F i tion Fire Dept. Fire Zone Use Permit. Gas piping system 1 - 5 outlets �9' /0-60 EQA Parking Plans Parcel Declaration Parc ap 60' R/W Improv ents Each additional outlet .30 Building sewer 5.00 Jv, p(> �� �� Bldg. PIi�Rec'd Parcel Approval Plans pproval Lawn sprinkler system 2.00 NEW ❑ ADDITION ❑ UTILITIES OTHER ❑ Permit Fee $ 331C0 $ 33 1W ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 , pv Main service 600V OR LESS 5•00 OO 100 AMP OR LESS Single Family ❑ Duplex ❑ Mobil Home Others ❑ Main service EA. ADD'L 100 AMP 2.50 Main service OVER 25.00 100 AMPP OR LESS O Main service EA. ADD'L 100 AMP 1.00 NEW OR ADDNST � ACCLBLDGSLINGO.( Y1 20sgft 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: TLET NEW CONSTR. BRANCH CIRCUITS) NON-RESID � BRANCH CIRCUITS/ 2.50ea NEW CONSTR POWER APPARATUS 8 NON.RESID. SINGLE OUTLET CIR. Ex. Occup (OUTLETS OR FIXTIIRESS X25 FIXED APP LNS, OR Ex. Occup.�OUTLETS (RESID,) EA) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 S QV License No. Classification Misc. Wiring 6.25 NX4vez& pomP am exempt from the Contractors License Laws of the State of California. Permit Fee $ X 67' 6e MECHANICAL No. @ 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. certify that in the performance of the work for which this 6z319ermit is issued I shall not employ any person in any manner so as to become subject to the Workmen's Compensation Laws of California. I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby PERMIT FILING FEE $3.00 Heating Cooling Ventilation Hood 2.00 Permit Fee $ Land Development Fee �,� $ $ TOTAL PERMIT FEE $ Ire/�� autnorize representatives or the county or tsutte to enter upon the above -me tioned property for Lrispection pr oses. /jw Date CJL,-/7v Signaof Permitee or Agent Receipt No. �e.%/:�7' White-D.P.W. - Yellow -Assessor - Pink -Inspector - Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated abo or which fees have been paid. DIR �OROF ELIC WORKS B Date 1i d Building permit expires Date �l