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065-100-013
John Andriese Jr. i 13 G z Way, '11e5abla Permit-76P,E(util- S ) , ELEC. / c GAS SUPPO T ST UCTURE REQ. Z���� COMPACTION TEST Q. J 65-10- y contr:KentwocO Mob* e Homc Salc3,Chico i Permit #3584-76 Issued — '�Co 065,-100-013' y t, ;•PERMIT#95-3070 ANDRIESE, Clair. & `Johne, s 16145" Some,.Way, =Magalid . Cont; Tom Meriwether �,.". Li Gas Line/MH ., - �d0019-, 000 •. t _ ;;,'vim.—.,..+..yr••;7V'.*c+vrkr:l:l+.w-.iv�rx"+ati�`i"a""�Y3."_"." -. _._yfy,:,FPrgR �i�, t x w''���''Y• r 065-100-013`x' PERMIT#95-3070' . ' 'ANDRIESE, ,Clair ,& Jo,hn, 6145 SomeWay, Magalia -Cont; Tom Mer.iwether' ` n I E COUNTY OF BUTTE- DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISION/ 7 County Center Drive - Oroville, California 95965 - Telephone (916) 538-7541 PERMIT NO. APPLICATION AND PERMIT __3020 ASSESSOR PARCEL NUMBER 065-100-013 ZONING " T141 BUILDING PERMIT OWNER AIR & JOHN ANDRIESE 8 TEI N1984 SO. FT. OCC. BUILDING VALUATION OWNERS MAILING ADDRESS 6145 SOME WAY MAGALIA CONTRACTOR'S NAME r MERIWETHER M TELEPHONE 342-2082 CONTRACTORS MAILING ADDRESS PO SOX 6262 CHICO 95927 Fireplace CONSTRUCTION LENDER UNIOUCWN Total Valuation Is LENDER'S MAILING ADDRESS Fling Fee $ 20,00 Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS Penalty $ BUILDING ADDRESS 6145 SOMEWAY PERMITFEE $ PLUMBING PERMIT Filing Fee 20.00 Each Trap 7.00 LOT NO. SUBDIVISION'S NAME PARCEL MAP Solar or heat pump water heater 23,00 „- USEOFS.TTRUCTURE SF ❑ Duplex ❑ Mobilehome © Other SPECIFY Water piping 15.00 Each gas water heater or vent 15.00 Gas piping system 1 - 5 outlets ' *15.00 Building sewer 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilitiesl Installation ❑ Other ❑ _ Describe Work: ADD GAS LANE FOR NEW LPG SERVICE Mobile Home S G W @20.00 PERMITFEE $ 35.6( Contractor ELECTRICAL PERMIT Filina Fee 20.00 Main Service EOOV OR LESS ( 20oA OR IEss ) 23.00 Main Service ( 200A TO 1000A ) 46.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. p License Class �- Z t7 Lic. No. O OWNER -BUILDER DECLARATION I herebyaffirm under penalty of perjury that I am exempt from the Contractors License P tY p J rY p Law for the following reason: I ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale) ❑ I, as owner of the property, am exclusively contracting with licensed'' contractors to construct the project. I ❑ 1 am exempt under Sec. Business and Professions Code for this reason NEW CONST. DWELLING OCCUR so. ( BLD ) OR ADDNS. & ACC. S. 3.50 Fr.NEW CONST. MULTI -OUTLET NON-RESID. ( BRANCH CIRCUITS ) 97.50 ( POWER APPARATUS ) 8 SINGLE OUTLET CIR. Ex. Occup. ( OUTLET OR FIXTURES) 20 Q 1.00 BAL 0 .SOEx. Occup. OUTLEt-Drs (RESIDJOERA ( ) 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMITFEE $ Contractor WORKERS' COMPENSATION DECLARATION 1 hereby affirm under. penalty of perjury,.one of the following declarations: ❑ 1 have and will maintain a- certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. I ❑ 1 have and will maintain workers' compensation insurance, as required,by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number area Carrier • MECHANICAL PERMIT Filing Fee Heating Cooling Hood 6.50 Ventilation PERMITFEE $ JO Contractor Policy Number` (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) I certify that in the performance of the work for which this permit is issued, I shall not employ any person . iri'•any manner so as to become subject to workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall forthwith comply with those prgrVisions. X� Date 7t ! �1 S Signature of Applicant - ❑ Owner ❑ Contractor ❑ Agent An OSHA permit is required for excavations over 60".,deep and demolition or construction of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ Occ CONST. TYPE TOTALFEE$ HAZ. D. FEES IMP I FLOOD CDF PARCEL PD 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. BY -/ Date �t PERMITEXPIRESON (Date) Receipt No. 1023 WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT COUNTY OF BUTTE 'r BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES 1469 Humboldt Road, Chico, CA - (916) 891-2,751. 7 County Center Drive, Oroville, CA - (916) 538-7541 747 Elliott Road, Paradise, CA - (916) 872-6307 CORRECTION NOTICE I 15 CD Z> ER PERMIT NO. A routine inspection indic tes that the following violations of Butte County Ordinances exist at the above address and ould be corrected. Please notify this office when correction of work is completed. If you ha a any questions pertaining to this matter, or need additional explanation, please contactfice immediately. this 1 e!) r' f Date — `� Inspector ' REV 10/92 COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISIO C/ 7 County Center Drive - Orovilfe, Calittrnia 95965 - Telephone (916) 538-7541 _ PERMIT NO. APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER 065-100-013 ZONING T1111 BUILD G PERMIT OWNER CLAIR & JOHN ANDRIESE TELEPHONE 873-1984 SO. FT. OCC. BUILDING VALUATION OWNERS MAILING ADDRESS 6145 SOME WAY MAGALIA CONTRACTOR'S NAME TOM MERIWETHER TELEPHONE 342-2082 CONTRACTORS MAILING ADDRESS PO BOX 6262 CHICO 95927 Fireplace CONSTRUCTION LENDER UNXNOWN Total Valuation Is LENDER'S MAILING ADDRESS Fling Fee $ 20,00 Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS Energy Plan Checking Fee $ Penalty $ BUILDING ADDRESS 6145 SOME WAY PERMITFEE $ PLUMBING PERMIT Filing Fee 20.00 Each Trap 7.00 LOT NO. SUBDNISIONSNAME PARCEL MAP Solar or heat pump water heater 23.00 USE OF STRUCTURE SF ❑ Duplex ❑ Mobilehome X3 Other SPECIFY Water piping 15.00 Each gas water heater or vent 15.00 15,00 Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities XD Installation ❑ Other ❑ Describe Work: ADD GAS LINE FOR NEW LPG SERVICE Mobile Home S G W @20.00 PERMITFEE $ 35.0 Contractor ELECTRICAL PERMIT Filina Fee 20.00 Main Service 000V OR LESS ( 2..A OR LESS ) 23.00 Main Service ( 200A TO 1000A ) 46.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect.��� License Class —�� Lic. No. OWNER-BUILDER DECLARATION 1 hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ 1, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason NEW CONST. DWELLING OCCUR OR ADDNS. ( 8 ACC. BLDS. ) SO, 3.5¢ FT. NEW CONST. MULTI -OUTLET NON-RESID. ( BRANCH CIRCUITS ) 97.50 WER9 (a SIINGLE OUTLETT CSR. ) Ex. Occup. ( OUTLET OR FIXTURES ) 20 Q 1.00 BAL W Ex. Occup. oFTiErs (ALNS. OR ( ) 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMITFEE $ Contractor WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMITFEE $ Contractor Policy Number (The above sections need not be completed if the permit is for work of a valuation o/ of one hundred dollars ($100) or less.) j� 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 workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall forthwith comply with those pr isions. X _____ Date 14l '715_s— Signature of Applicant - ❑ Owner ❑ Contractor ❑ Agent An OSHA permit is required for excavations over 60" deep and demolition or construction of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee Is OCC i CONST. TYPE I TOTAL FEE $ 35.0 HA2. 1 D. FEES IMP I FLOOD COF PARCEL PD HD ISSUE This permit is hereby issued under the of the Butte County Code and/or indicated above for which fees have By PERMITEXPIRESON�/l' applicable provisions Resolutions to do work been paid. (Date) Receipt No. WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT PERMIT NO. 3218-76P,E PERMIT EXPIRES a 'OWNER John Andriese Jr. N o ' •CONTR. owner (LOCATION (A.P. 65-10-13 1 13 Some Way, DeSabla Al t • - 9 y - r z M Temp. Power Pol Called PG Temp. Elec. erv. Called G&E Temp. s Serv. _ �' C led PG&E ' I J INALED 2--, C2 �v "' (Date) ' (Signal re) t COUNTY OF BUTTE — DEPARTMENT OR PUBLIC WORKS BUILDING INSPECTION RECORD BUILDING Setback Forms main esia Footin Stemw Slab Piers Garage Footin Stemwi Slab Carport Footin Slab Patio Footin . Rel Mesh Scratch Brown Finish Interior Door CIO, BUILDING (Cont'd) Firewall Parapets Restroom Finish Windows Siding Roof Sheathing Roofing Fdn. Vents Garage Vents Insulation Prov, for ph sic riy handica edy Conformance f ex.. structure Final . FIREPLACE Footing Throat Final MECHAAICAL Heating . Cooling Ducts Ventilation Final D TE REMARIeS OR CORRECCTT,IONNS r S ae� . �• Sol[ Piping 1st Floor 2nd Floor 3rd Floor Topout Water Piping Sewer Fixtures Water Htr. Heaters Appliances Gas Piping & Temp. Gas Sanitation. Final Service -11 Temp. Pole Undergrouni Permanent Fina (NOTE: An entry must be made on this form each time you visit the job site.) PLUMBING 2� :CTRICAL A .. MOBIL EHOME INSTALLATION INSPECTION CHECK LIST L Is the mobilehome located with required separation from lot lines and buildings and generally conform to -plot plan? Yes \,d No 2. Does the mobilehome have required clearances above ground? (Sec.5085) Ye No 3. Are footings and supports properly sized, spaced, and braced as, er approved plans? (Note possible variation at spring shackles.) (Sec. 5082 & 5083) Yes No 4. Is the mobilehome level? (Sec. 5088) Yes No 5. I.f more than a single unit, are crossover connections properly installed? (Sec. 5088) YesNo 6. Water A. Is f exible connector of adequate size and properly installed (1/2" ID min.)? (Sec. 5566) YesNo B: Test - Does water piping withstand working pressure or. 50 lbs.. air test? Yes_ No C. ckflow - If coach is not State of California approved, does station have backflow device d pressure -relief valve? Yes No 7. /tastes and Drains A. Is connection made with Schedule 40 DWV and have flex connectors at each end? Yes No B. Does it have minimum 4' per foot slope and is it properly supported? YeS 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 sta ion have required trap and vent? Yes No 8. Gas P'ing and Gas Vents A. Con ctor - Is mobilehome connected to the gas supply with an approve 3/4" minimum mobile a connector not more than 6 ft. long? Note: All piping to be at least as large as t mobilehome gas line inlet without reductions other an the mobilehome connector. Ye No B. Test OK as per follob-4 1. Open all appliance 2.. Shut off appliance bu procedure? Yes_ No ector valves. and pilot valves 3. Air test with manometer to 10 4" w e column, or test with slope gauge (minimum' 6oz.-maximum 8 oz.) calibrated in enth pound increments. Test for 10 min. without drop. 4. Connect gas meter to mob' ehome with connec r, turn on gas, test connections with soapy water. C. Are all appliance v is properly installed? Yes . No w 9. Electrical A. Is service large enough to provide adequate 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 x` No B. Is there proper clearances around panels? Yes 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 de tal. 2. Make sure that the power supply cord or.feeder assembly conductors, including neutral conductor, have been disconnected. 3. Switch all breakers a;d switches in the mobilehome to the "on" position. 4. Connect one lead of a test.instrument;to the mobilehome grounding conductor and apply the oilier lead to each m.obileitorme 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 te>t shall then be made between the grounding 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 S Manufacturer and/or Namestyle Length ,-�'�=�—_ Width Vehicle Serial No. State Identification No.�o SPf z� �-2-5 -0, USO6 Additional: Information or Comments: .Ss,'°'."-0�. R(jii6i�'.els:s„v�"le",y.n;.pap3+t�4��7►e-s''S 's •y~ COUNTY OF BUTTE DEPAYNENT 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 numb;;K for the following location: Owner's Address��r-�' i `Mobilehome Mfg. Model Yeal�6 Insignia No. /l5�4� fi -4- Serial No. A�R.4CZ-- i91 It is hereby certified for occupancy at the above described location and may be occupied. Director /off Public Works Date-/ By `� 7 l” / .rt!�.•s.,�. THIS CERTIFICATE IS VOID WHEN MOBILEHOME IS RELOCATED aim F �vF r. Ed tte coun� D OF NATURAL WEALTH AND BEAUTY DAVE A. VASCO ASSESSOR !RTHOUSE OROVILLE, CALIFORNIA 95965 i COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS 7 County Center Drive _ Orville, California 95965 Telephone: 534-4541 APPLICATION AND PERMIT authorize representatives or the county of Butte to enter upon the above-mentioned property for inspection purposes. X I—L& to a 4;-2e- X D - Sig ature of Permittee or Agen Receipt No/54id/ 2 White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR 0 UBLIC WORKS BY Date %—1 F— Building permit expires Date if — 7r7 BUILDING Owner Ol ° -�v� SQ. FT. OCC. BUILDING VALUATION Mai I i ng Address Telephone No. Fireplace Contractor e>7 S a Total Valuation ... Mai ling Address Q �g �7 Permit Fee Plan Checking Fee &/orPenalty tc "7_ya,, Telephone No. t Permit Fee I Building Address ST 1 PLUMBING No. @ FEE PERMIT FILING FEE $3.00 n s4u,Izz4-n Lo a!'I !i Each Trap 1.50 Repair drainage or vent piping 1.50 Water piping 1.50 Each gas water heater or vent 1.50 /r1_ / �? A. P. No. -- CV ! J Zoning & Planning Gas piping system 1 - 5 outlets 1.50 Each additional outlet .30 Fees W.C. Fire Dept. Fire Zone Use Permit Building sewer 5.00 EQA Parking Plans I Parcel Declaration Parcel Ma P 60' R/W Im provements Lawn sprinkler system 2.00 —Bldg. Plans Rec'd Parc pprovol PI Approval Permit Fee $ $ NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 VQ .tl �e�/L M �- Main service incl. 1 meter Additional meters, each 1.00 Single Family ❑ Duplex ❑ Mobil Home Others ❑ Sub -panel (12 or less) (more than 12) Range, Cook -top or Oven 1.00 Water Heater or Space Heater 1.00 Light fixtures '60 �2 10 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: (,, e�l)�C.t� 0/Cd �f �Q � �� `�S Hood, Ex. Fan or F.A. Furn. Motor 1.00 Evap. cooler, gar. disp. or D.W. 1.00 Air conditioner or heat pump Water pump Mobil Home Facilities 5.00 Temp. Power Pole 5.00 License No._L7&_/J.3 Classification orb Misc. wiring ❑ 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. 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 $ — $ G — 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 TOTALPERMIT FEE $ J "' authorize representatives or the county of Butte to enter upon the above-mentioned property for inspection purposes. X I—L& to a 4;-2e- X D - Sig ature of Permittee or Agen Receipt No/54id/ 2 White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR 0 UBLIC WORKS BY Date %—1 F— Building permit expires Date if — 7r7 JI COUNTY OF BUTTE �— 09PAR.TMENT OF PUBLIC WORKS • 7 County Center Drtv2 •-,�Ocoville, California 95965 Telephone: 534-4541 APPLICATION AND PERMIT, epresentat)ves of the County of Butte to enter upon the ove-mentio ed property f inspectionp :ate es. Signature o/f rm(it_eepor Agent / Recei o.y Y"� te-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 indi,-ated above for which fees have been paid. DIRECTOR PUBLIC WORKS ff By ate r!,.r /,', 7 b uilding permit expires Date 6 I F-7 7 BUILDING _ Owner ©� �Y n��� / SLs J SQ. FT. OCC. BUILDING VALUATION Mai IIng Add ressGQ (oo���N Telephone No. 7 Fireplace _ Contractor W I--/ L � 'J�NN� e t2 s?' �N. Total Valuation Mailing Address Permit Fee Plan Checking Fee&/or Penalty Telephone No. Permit Fee Building Address _ So v>1 e W4` PLUMBING No. @ FEE PERMIT FILING FEE $3.00,:3 '- 4/3 Lyq S7'C)2C7 Each Trap 1.50 Repair drainage or vent piping 1.50 Water piping -f:-ci6 /p— Each gas water heater or vent 1.50 r A A. P. No. �O� - / Ci -� / 3 /-� zZ Fees W.C. S;I& oq I Fire Dept. Fire Zone Use Permit Gas piping system 1 - 5 outlets 1.50 ch additional outlet .30 Building sewer © - EQA Parking PlansRg1rl.!�� Declar tion Parcel Map1. 60' R/W Improve ents Lawn sprinkler system 2.00 !4►1 Bldg. s Recd — �P ceI Approval Plan!!IL pproval Permit Fee $ NEWADDITION ❑ ❑ UTILITIES, OTHER ❑ ELECTRICAL" No. @ FEE PERMIT FILING FEE J$3.00 3l Main service V OR LE 100 AMP ORSLESS 5.00 Ilg^ Main service EA. ADD'L 100 AMP 2.50OVR SU Single Family ❑ Duplex ❑ Mobil Home Others ❑ Main service 1 100E EAMP oR LESS 25.00 Main service EA. ADD'L 100 AMP 1.00 NEW CONST. DWELLING OccUP.& OR ADONS. ACG. BLDGS. ) 22Sgft NEWCONSTR. MULTI -OUTLET NON.R ESI DBRANCH CIRCUITS) 2.50ea NEW CONST R. (POWER APPARATUS & NON-RESID. SINGLE OUTLET CIR. CONTRACTORS LICENSE LAW I am licensed under the provisions of Chapter 9, Div. 3, of the State of California Business & Professions Code under the name of: 31Y N P . — -3/ SO Ex. Occup(OUTLETS OR FIXTURES)50 R 250BAL@1 FIXED APLNS.style Ex. Occup. (OUTLETS P(RESID )REA) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 - License No. Classification Misc. Wiring 6.253— 1 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. j 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.1 @ I 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, and State Laws relating to building construction, and hereby -Sc TOTAL PERMIT FEE $ epresentat)ves of the County of Butte to enter upon the ove-mentio ed property f inspectionp :ate es. Signature o/f rm(it_eepor Agent / Recei o.y Y"� te-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 indi,-ated above for which fees have been paid. DIRECTOR PUBLIC WORKS ff By ate r!,.r /,', 7 b uilding permit expires Date 6 I F-7 7 ^3. MOBILEHOME..,SUPPORT DATA Mobilehome Mfr. L / Nce/ Setup Model No. 7--/ Year Width 3 (ft.) Length . (ft.) --E . xpando,Size �® ft.x Z�' ft. (Draw support details below) On all mobilehomes manufactured after October 7, 1973, furnish manufacturer's installation manual and stru tural setup sheets (if not on -file with the County of Butte). ��- Single —tai Footings--(check.ont N'P' 164"l. Wood either , pressure treated of Center Center Support f.dn. grade. Support Footing Sizes Locations (in.) / 2. -Concrete pad. 3. Other, `specify . ( in. in.)Tin. — - Supports (check om Concrete block . r1 2. Concrete piers I / 3. Steel piers 4. Other, specify . _ Typical Support �- Faceting Size (ft.7 in. �Z��V (in.) (in.) .......... _ Max. Pier. Spacing x.3C�C FE TUG,. t.zn,) .n. .) ve Orhang *If center piers are other than drawn above, draw in locations, spacing, ar�ci dimensions. BUTTE COUNTY BUILDING DEPARTMENT APPROVED BUTTE COUNTY DEPARTMENT OF PUBLIC WORKS 7 County Center_Drive,Or_oville, CA. _ PHONE: 534-4541 i MOBILE,HOiLtE INSTALLATION SHEET 1. Owner's name: s es a ,, y E 2. Installer's name: k(✓jjf G)ool (0061-`P 4C4 -VLA --Ku (e 3. Is the site currently under permit? Yes / Lf No -� (If yes, furni=sh 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. set=backs and easF::nen.ts? Yes / Y( rlo (If no, clarify- 5. larify5. What is the mobilehome electrical �.-da Amps 6., What is the mobilehome site servi.r,e rating.- ----•-•___..__.._____ __ �__2c, o Amps 7. What 'is the mobilehoine site circuit breal-ler rating?. -__..._.___.._.___ _- 2o0 Amps 8. Is there any other electric lo;;►d to be sri7ed by the mobilehome site service?----�-------------- -.._.___.__;.._..___--_:-_--,____-___- Yes / I No P< - (If yes, identify the load and : i.za: (Load) 9.' 9.' What is the mobilehome site -as pipe si_ze?-_-.--_.-_.-------------- 10. What is the type of gas service? _-_....___.-..-_-_-___...._._..._ .._____ Natural/ 7 11.. What is the gas pipe length from meter or tank to glia mobi.l.elio,ne? 12. What is the mobilehome gas dErl,and? ---=---------__.__._----_.__.-_- r ) (This information not ra_quired if pipe length less than 6 ft, on natural gas or less than 50 ft on PG. N/ � 1 ' ' - ~ `-65-11-13 David Donnelley 1000' off S/S St,eiffer Rd. app. 3/4 -mi east of Skyway, Magalia Permit 4085-771E - ' -'~---�---------�------^---�------' ur ` ' . . ^ r -- ;____ __,; ____�r COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Uroville, California 95965 Telephone: 534-4541 APPLICATION AND PERMIT vOPS-7% n epres ntat(ves of the County of Butte to enter upon the above -m tioned property for inspection purposes. X (� - � i/ Date ! Signot76"a f Pe/rm_itee or Agenntt. Receipt No. /(o7 7 � 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 above for which fees have been paid. DIRECTOR OF PUBLIC WORKS BY Date Building permit expires Date BUILDING Owner ELc, SQ. FT. OCC. BUILDING VALUATION Mailing Address Telephone No. Fireplace r� Contractor(A)W�-r �jL 6 CF—, Total Valuation Mailing Address _ 0 • SA • Permit Fee Plan Checking Fee &/or Penalty 4 `7 elep no ya. /J �O Permit Fee $ Building Address / r PLUMBING No. @ FEE ^ tY t f Od,�� .[ -vbx - 4 , 2 Wh PERMIT FILING FEE J$3.00 Each Trap 1.50 Repair drainage or vent piping 1.50 Water piping 1.50 Each gas water heater or vent 1.50 Zoning & Planning Gas piping system 1 - 5 outlets 1.50 Each additional outlet .30 Fe W Sanitation Fire Dept. Fire Zone Use Permit Building sewer 5.00 EQA Parkin PlansParcel Declaration Parcel Map 60' R/W Improvements Lawn sprinkler system 2.00 Approval Plans Approval Permit Fee $ $ NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER ELECTRICAL No.1 @ FEE PERMIT FILING FEE $3.00 • Main service 1000V OR 0 AMP ORLESS5.00 5 Main service EA. ADD'L 100 AMP S 2.50 IJ^ Single Family ElDuplex ❑ Mobil Home ❑ Others 0 Main service 100 EAMP OR LESS 25.00 Main service EA. ADD•L 100 AMP 1.00 ��\(� �^ (` (' - " 4 1 c�' �-+ L' �' 'v J 7-� hi NEW OR ADDNST ( DACCLBLDGS.LING CCUP. &) 20sgft NEW CONSTR (MULTI.OUTLET '2.50ea NON•RESI D, BRANCH CIRCUITS) 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 stylOf 010 t4q!- SO F4 O Ex. Occup(OUTLETS OR FIXTURES) BAL@1 FIAPPLNS. OR Ex. Occup.(XEDOUTLETs (RESID,) EA) 2.00 Temporary service 10.00 _ Mobile Home Facilities 15.00 License No. KMisc. Classification_ Wirings- L. 6.25 Fa Vl trh.. h-2' 62• •p• ❑ I am exempt from the Contractors License Laws of the State of Califomia. Permit Fee $ b� $ 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. pI 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 $ $ 1 certify that I have read this application and state that the above information i correct. I agree to comply to all County Ordinances and State a s relating to building construction, and hereby autho 'ze TOTAL PERMIT FEE $ 3 n epres ntat(ves of the County of Butte to enter upon the above -m tioned property for inspection purposes. X (� - � i/ Date ! Signot76"a f Pe/rm_itee or Agenntt. Receipt No. /(o7 7 � 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 above for which fees have been paid. DIRECTOR OF PUBLIC WORKS BY Date Building permit expires Date