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HomeMy WebLinkAbout065-172-002rI i ette A. Swan 120 R ewood Dr., lot 355 Fir Haven _.� Sub, 'Ma a Permit #56-76P,E(util?.,MH)R E LEC . GAS / S SUPPO T STRUCTURE• COMPACTION TEST REQ, • /U 65-17 2 Contr : Par Gas permit #5949-76P as piping) MH 65-12-2' Permit # 5r -761,,H? Issu ` F_ __ - — .65-172-2 . ? Permit #2603-77B(re-install awning & install 2 d cks /MH) o F 65=172-2 Per X5276-77B',E(new,,pri-vate'.garage) A �1� f { t � l �1� i i PERMIT NO. 5276-73B,E PERMIT EXPIRES0�� V� OWNER Gillette Swan CONTR. owner LOCATION (A.P. 65-172-2 ) 120 Rosewood Dr., Magalia Lm u P ii t' Temp. Power Pole Called PG&E Temp. Elec. Serv. Called PG&E Temp. Gas Serv. Called PG&E �7 /FINAL ED ' 12— (Date) —(Date) (Signatu COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS mean "cL BUILDING INSPECTION RECORD Grd. Fault Prot. BUI BUILDING (Cont'd) PLUMBING Setbacky Firewall Soil Piping Forms Parapets . list Floor Main Bldg. - Restroom Finish 2nd Floor Footings Windows 3rd Floor StemwalI Siding To out Slab Roof Sheathing Water Piping Piers Roofing Sewer Garage Fdn. Vents Fixtures Footings Stemwal I Garage Vents Insulation Water Htr. Heaters Slab Carport Footings Prov. for phslcally handicapped Conformance of ex. structure Appliances Gas PipingTest Temp. Gas Slab Final -17 Sanitation Patio FIRE ACE Final Footings Footing ELECTRICAL Masonry Walls Throat Rough ' Relnf. Steel Final Fixtures Bond Beam FIRE SPRINKLERS Motors Framing 1 7 ' Test Water Ht, - mean MECHANICAL Grd. Fault Prot. Scratch Heating Service Brown Cooling Temp. Pole Finish Ducts Underground Interior Lath Ventilation Permanent Door Closer Final Final MOBILEHOME UTILITIES ------------------ Elec. ServiceElec. Pedestal Water Piping Sewer Gas Piping =E ME INSTALLAT SON - - - - - - - - - - - - - - Support Elec. Continuity Water Piping Drainage Gas Piping DATE REMARKS OR CORRECTIONS (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 Dries ' — Oroville, California 95965 " Telephone: 534-4541 APPLICATION AND PERMIT �4��76 -77 Arl ;11_1� Date Ay^ / f ,..'Z7 Signature of Permitee or Agent Receipt No. White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTO0 PUBLIC WORKS BY Date Aa --f P— 77 1916filding permit expires Date / � - f ? -7 P BUILDING IF Owner-,-- J✓ SQ. FT. OCC. BUILDING VALUATION .51✓4) Mailing Address Z d �OSe L000d .-r R�vACI A T le hone No. ��� ®Zs' Fireplace Contractor Total Valuation Mailing Address Permit Fee Plan Checking Fee &/or Penalty Telephone No. Permit Fee Building AddressPLUMBING Z C7 IC O S e f.tl o dcl l7 �. No. @ FEE 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 A. P. No ., -6,5"— 7 a - aGas Zoning &Planning piping system 1 - 5 outlets 1.50 Each additional outlet .30 F JIKW. .J Sokion I FireDept. FireZone Use Permit Building sewer 5.00 EQA I Plans Parking Declare ion Parcel Map 60' R/W Improvements Lawn sprinkler system 2.00 Bldg. Plans Recd I Parcel A rovaltans Approval Permit Fee NEW Eit ADDITION ❑ UTILITIES ❑ OTHER ❑ ELECTRICAL No.1 @ FEE PERMIT FILING FEE J$3.00 CO OR Main service io00o AMP 0RSLESS 5.00 Main service EA. ADD'L too AMP 2.50 Single Family ❑ Duplex ❑ Mobil Home ❑ Others ;0J Main service OVER 600V 00 AMP OR LESS 25.00 Main service EA. ADD•L 100 AMP 1.00 IOATG 4 rp G NEW CONS. DWELING O�Jb OR ADDNST ( ACCLBLDGS.. &) 2(tsgft o NEW CONSTR.MULTI.OUTLET NON-RESID. ( BRANCH CIRCUITS)2.50ea 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: Ex. Occup(OUTLETS OR FIXTURES) BAL@1 00 Ex. Occup.(OUTLETS ((RES(D IKEA) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 License No. Classification Misc. Wiring 6.25 I am exempt from the Contractors License Laws of the State of California. Permit Fee s 13.4t el Is7-a 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. 19 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 authorize representatives of the County of Butte to enter upon the above-mentinneri nrnnprtu fnr incnontinn r.��mr, TOTAL PERMIT FEE is This permit is hereby issued under the applicable provisions of Date Ay^ / f ,..'Z7 Signature of Permitee or Agent Receipt No. White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTO0 PUBLIC WORKS BY Date Aa --f P— 77 1916filding permit expires Date / � - f ? -7 P PERMIT NO. 2603-77B PERMIT EXPIRES OWNER Gillett Swan . CONTR. owner LOCATION (A.P. 65-172-2 d 120 Rosewood Dr., lot 355, Firhaven Sub, MagalL Temp. Power Pole Called PG&E Temp. Elea, Serv. Called PG&E emp. Gas Serv. Called PG&E JOB FINALED (Date) _ (Signature) Setback Forms Main BI Footi Piers Garage Footings Stemwa I I Slab Carport Footings Slab Patio Footings Masonry Walls COUNTY OF,BUTTE — DEPARTMENT OF PUBLIC WORKS BUILDING INSPECTION RECORD BUILDING BUILDING (Cont'd) PLUMBING 1 Firewall Soil Piping y Parapets 1st Floor Restroom Finish 2nd Floor Windows 3rd Floor Siding To out Roof Sheathing Water Piping Roofing Sewer Fdn. Vents Fixtures Garage Vents Water Htr. Insulation Heaters Prov. for physically handicapped Conformance of ex. structure Appliances Gas PipingTest Temp. Gas Final — % Sanitation FIR LACE Final Footing ELECTRICAL Reinf. Steel Final Fixtures Bond Beam FIRE SPRINKLERS Motors Framing Test Water Htr. Stucco Final Subpanels Mesh MECHANICAL Grd. Fault Prot. Scratch Heatina 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 MOBILEHOME INSTALLATION - - - - - - - - - - - - - - Support Elec. Continuity Water Piping Drainage Gas Piping DATE REMARKS OR CORRECTIONS (NOTE: An entry must be made on this form each time you visit the job site.) V/ COUNTY O: BUTTE- — DEPARTMENT OF PUBLIC WORKS 7 County Center Drive — Oroville, California 95965 Telephone: 534-4541 �i6 _ �%7 APPLICA�fION AND PERMIT /4/ .. . ,cc ,ctncaenlat ves UI the Bounty OI Butte to enter upon the above-mentioned property for inspection purposes. x,/ '�� Date V _...� / Signature of Permitee or Agent Receipt No. /ff12//QW_O 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 haveb n id. DIRECTOR F P BLIC WORKS BY Date 6 7 7 �L_�� BA/ding permit expires Date � BUILDING Owner ' /�' SQ. FT. OCC. BUILDING VALU TION �5 Mailing AddressD.S Vel e hone No. Fireplace Contractor ZTotal Valuation &I C7 Mai I i ng Address Permit Fee p Plan Checking Fee &/or Penalty Telephone No. Permit Fee $ O DI Building Address £�� PLUMBING No. @ FEE PERMIT FILING FEE $3.00 Each Trap 1.50 Repair drainage or vent piping 1.50 '� /Vd, `— %/1 f/��✓ (/ Water piping 1.50 Each gas water heater or vent 1.50 ` A. P. / Zoning & Planning Gas piping system 1 - 5 outlets 1.50 Each additional outlet .30 F s Sa 1 on Fire Dept. Fire Zone Use Permit Building sewer 5.00 EQA Parkin Plans Declaration I Parcel Map 1 60' R/W I Improvements Lawn sprinkler system H-2—.00 Bldg. ans Rec'd Parcel AppLo—va= Plans Approval Permit Fee $ NEW ® ADDITION ❑ UTILITIES ❑ OTHER ELECTRICAL No. @ FEE PERMIT FILING FEE J$3.00 Main service 100 AMP OROR LESS5.00 Main service EA. ADD'L too AMP 2.50 Single Family ❑ Duplex ❑ Mobil Home Others ❑ Main service OVER 600V 100 AMP OR LESS 25.00 Main service EA. ADD'L 100 AMP 1.00 NEW CONST. DWELLING OCCUP. & OR ADDNS. ( ACC. BLDGS. ) 20sgft NEW CONSTR. MULTI -OUTLET NON.RESID. BRANCH CIRCUITS) 2.50ea 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: Ex. Oc011p(OUTLETS OR FIXTURES) BALni Ex. Occup. ( OUTTS PIRESID )REA) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 License No. Classification Misc. Wiring 6.25 I am exempt from the Contractors License Laws of the State of California. Permit Fee $ WORKMEN'S COMPENSATION INSURANCE t 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. oeI certify that in the performance of the work for which this 14 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 @ FEEPERMIT FILING FEE J$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 $ e� .. . ,cc ,ctncaenlat ves UI the Bounty OI Butte to enter upon the above-mentioned property for inspection purposes. x,/ '�� Date V _...� / Signature of Permitee or Agent Receipt No. /ff12//QW_O 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 haveb n id. DIRECTOR F P BLIC WORKS BY Date 6 7 7 �L_�� BA/ding permit expires Date � 4� PERMIT NO. 5641-76 -P,E PERMIT EXPIRES Zo OWNER Gillette A. Swan CONTR. owner w LOCATION (A.P. 65-172-2 i 120 Rosewood Dr., Magalia 6fe - 1 i 0 .. 1 •r i 3, /—// r P e E Serv. G&E JJ��nerv.G&E// lame) 'MOBli,l?IiUMJs INS'1'ALLAT1.ON 1T:SPFCTIbN CHECK LIST 1. Is the mobilehome located x required separation from lot lines and buildings and generall.y conform to plot plan?conform ys No 2, noes the mobilehome have required clearances above ground? (Sec.5085) Yes No 3. Are footin�,s and supports properly sized, spaced, and braced yer approved plans?(Note possible variation at spring shackles.) (Sec. 5082 & 5083) YeNo, 4. Is the mobilehome level.? (Sec. 5088) Yes No 5. If m re than a single unit, are crossover connections properly installed? (Sec. 5088) Yes No 5, Water A. Is1 xi_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? Ye\ No C. Backfl:ow - If coach is not S of California approved, does station have backflow device and pressure -relief valve? Y s 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>L 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 coachi_s o State of California approved, does station have required trap and vent? Yes No 8, C las Piping and Gas Vents 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 reducions other than the mobilehome connector. Yes No B. Test OK as per following procedure? YeNo 1. Open all appliance connector valves. e 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 9. Electrical A Is service large en.oiigl. to provide ;-_idequ;it_e amperage to mobilcliome. (must equal rating of mobilehome with a :,;inri u -um of 100 amp) and other facilitL;is-o'lot, i.e., water pumps, ..rake, cabana, ct'c.: Yesi No B. Is there. proper clearances around panels? Yes No C. Is'power supply cord or feeder assembly properly fused? Yesy No_ D. Is continuity test satisfactory as per the following procedure? Ye s\6 No_ 1. Ile -energize electrical wiring, system of the mobilehome at the pe estal. 2. Make sure that the power supply cord or feeder assembly conductors, including neutral conductor, have been disconnected. 3. Swi.t•_ch all breakers and switches in the mobilehome to the -"on" position. 4. Connect one 1c,.. -id of a test instrument to the niobilehbme grounding conductor.,and apply the oL or 1.uala %u Gaui1 Ttiuui.Lciwuie supply COituuCtor, itiCliiultig neuLrai. 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 te;;t shall then be n.ade between the agrounding electrode and the' chassis of the mobilehome. UDOTI satisfactory completion of theelectrical tests, the lot or site service equipment mai' be approved for energizing. Is job card si.-ned by ilealth Department for water and sanitation? 1.1.. If evorything okay, sign off card and ta; services. MOBTL.Ei10ML_DATA Manufacturer and/car Namestyle Length � f Width�� Vehicle Serial No. i`�('P, State Identificatl.on No. 32170 A.delitional Informar..ion or Comments: C/I County of Butte DEPARTMENT OF PUBLIC WORKS 695 Oleander Ave., Chico — 343-4211, Ext. 70 7 County Center Dr., Oroville — 534-4541 Skyway and Elliott Rd., Paradise — 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. Date.............................. Inspector.......................................................... Do Not Remove This Tog (400-4) 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-.� for the following location:— Owner ocation: Owner Owner's Address- Mobilehome Mfg Model Year Insignia No. 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 Setback f Forms Main Bldg. Footings StemwaI I Slab Piers Footings Stemwa I I Slab Footings Slab Patio •Footings Masonry Walls Reinf. Steel COUNTY OF BUTTE — DEPARTMENT -OE PUBLIC WORKS BUILDING INSPECTION RECORD BUILDING BUILDING (Cont'd) PLUMBING Firewall Soil Piping Parapets i 1st Floor Restroom Finis ,' 2nd Floor Windows i 3rd Floor biaing i o ou[ Roof Sheathing Water Piping Roofing Sewer 0 2,7 Fdn. Vents Fixtures Garage'Vents Water Htr. Insulation Heaters Prov. for physically handica ed Conformance of ex. structure Appliances Gas Piping &Test I TemD. Gas FIREPLAQfE Final Footing Throat Rou Final Fixtu FIRE SPRIN LERS Motoi G 0 Stucco Final Subpanels Mesh MECHA ICAL Grd. Fault Prot. Scratch Heating Service Brown Cooling Temp. Pole Finish Ducts Underground Interior Lath Ventilation Permanent Door Closer Final Final DATE 4 REMARKS OR CORRECTIONS 0 CA If of, JzaLk kn. 7.Z --J 6"/.LA/ (NOTE: An entry must be made on this form each time you visit the job site.) �-PVC a 7 KI -- COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 7 County Center Dri\k1 — Srovi lie, California 95965 Telephone: 534-4541 APPLICATION AND PERMIT authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. �d Date , 7, Signature of Permitee or Agent Receipt No. � - 3 „'Z �s 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 WIBLIC WORKS BY— (ding permit expires Date BUILDING Owner ..1/ Sit% SQ. FT. OCC. BUILDING VALUATION Mailing Address o Telephone No. G y`y Fireplace Contractor n Total Valuation Mailing Address Permit Fee Plan Checking Fee &/or Penalty Telephone No. Permit Fee Building Address PLUMBING No. @ FEE PERMIT FILING FEE $3.00 00 � Each Trap 1.50 Repair drainage or vent piping 1.50 Water piping `. �CI�I.C5lt1Qs 910 Each gas water heater or vent 1.50 A. P. o. —� 2 T ",Lon ning Gas piping system 1 - 5 outlets 1.50 Each additional outlet .30 Building sewer -5-96- ,QQ Fees I W. S ion Fire Dept. FireZone Use Pen -nit EQA Parking Plans Parcel Declaration Parcel Ma P 60' R/W ImprovementsLawn sprinkler system 2.00 Plans Recd Parcel Ap oval Pla Approval Permit Fee $ �` NEW ❑ ADDITION ❑ UTILITIES OTHER ❑ ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 O Main service V OR LE 100 AMP ORSLESS 5.00 5;C Main service EA. ADD'L 100 AMP 2.50 6 Main service OVER 600V 100 AMP OR LESS 25.00 • - �wyt Sing �t1l11 •lex ❑ Mobil Home Others ❑ Main service/ EA. ADD'L 100 AMP 1.00 �M :4 W V SQQ ' NEW DWELING &) 22sq ft OR ADDNS. ( ACC• BLDGSO.CCUP. 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)50 @250 109 Ex. Occup.FIXED APP LNS. OR OUTLETS (RESID.) EA) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 ,.fop License No. Classification Misc. Wiring 6.25 s ® I am exempt from the Contractors License Laws of the State of California. Permit Fee $ $ ,Z 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. im I certify that in the performance of the work for which this P ermit 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 $`7' ✓ authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. �d Date , 7, Signature of Permitee or Agent Receipt No. � - 3 „'Z �s 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 WIBLIC WORKS BY— (ding permit expires Date IFA COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS 7 County Center Drive — -�)roviIle, California 95965 Telephone: 534-4541 APPLICATION AND PERMIT 59- 9-76 `J BUILDING Owner LL c 7T5r- SQ. FT. OCC. BUILDING VALUATION Mailing Address Telephone No. Fireplace Contractor eke (3,43 , Total Valuation Mailing Address �• �x �.3g o Permit Fee Plan Checking Fee&/or Penalty /(' 0 ele one Permit Fee $ Building Address PLUMBING No.1 @ FEE PERMIT FILING FEE $3.00 n nn o /2ose-c�© ciaooe_ ' Each Trap 1.50 ����✓✓ Repair drainage or vent piping 1.50 X 6,355 4LV7N Water piping 1.50 Each gas water heater or vent 1.50 P. No. ��- %%� ^%Z ' Zoning & Planning Gas piping system 1 - 5 outlets 4 -5e - Each Each additional outlet .30 F Cys SeRi� Fire Dept. FireZone Use Permit Building sewer 5.00 EQA Parking Plans Declaration I Parcel Map 60' R/W Improvements Lawn sprinkler system 2.00 Parcel Approval Plans Approval Permit Fee $ 1-3- $ / -- NEW ❑ � ApDITION ❑ UTILITIES ❑ OTHER ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 r Main service 600V OR LESS 100 AMP OR LESS 5.00 Main service EA. ADD -L 100 AMP 2.50 Single Family ❑ Duplex ❑ Mobil Home Others ❑ Main service OVER 600V100 AMP OR LESS 25.00 Main service EA. ADD'L 100 AMP 1.00 NEW CONST. DWELLING OCCUP. & OR ADDNS. ACC. BLDGS. ) 20sq tt NEW CONSTR. MULTI -OUTLET NON.R ESID. BRANCH CIRCUITS) 2.50ea NEW CONSTR. (POWER APPARATUS & NON -R ESID. 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) BAL21 og Ex. Occup.FIXED APPLNS. OR (OUTLETS (RESID.) EA) 2•00 Temporary service 10.00 Mobile Home Facilities 15.00 License No. Classification Misc. Wiring 6.25 I am exempt from the Contractors License Laws of the State of California. Permit Fee $ $ 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 Compen ation Laws of California. JAI.DJ912, Q 0 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 MECHANICAL No. @ FEE PERMIT FILING FEE $3.00 Heating Cooling Ventilation Hood 2.00 Permit Fee $ $ TOTAL PERMIT FEE ] _ authorize representatives of the C unty of utte to enter upon the above -menti ned property f r insp cti oses. Date ze �U SignatureofP IV erml ee or Agent Receipt No. 1 `/ % 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. D CTOR OF PUBLIC WORKS By.9 DateK% V .`'0 M3 P1 9 permit expires Date /0/Z�k COUNTY OF BUTTE — n 13EP�RtMENT OF PUBLIC WORKS .a� 7 County Center Dive OroviIIe, Calif ornia95965 Telephone: 534-4541 ��� APPLICATION AND PERMIT auulunce represeniarlves of the County of Butte to enter upon the above-mentioned property for inspection purposes. Date v e Signature of Permitee or Agent Receipt No. / 3 a ? 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 OF PUBLIC WORKS By 7 Date /� C Bm,• permit expires Date BUILDING Owner SQ. FT. OCC. BUILDING VALUATION nn Mailing Address K 7 /V 6 - Telephone No. �� �' • 5 Fireplace Contractor Total Valuation Mailing Address Permit Fee Plan Checking Fee &/or Penalty Telephone No. Permit Fee Building Address i�,� �•- �J�aO- ' PLUMBING No. @ FEE PERMIT FILING FEE $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 A. P. No. l4•S —/-I Zoning & Planning Gas piping system 1 - 5 outlets 1.50 Each additional outlet .30 F *-C�.- &er� Fire Dept. Fire Zone Use Permit Building sewer 5.00 EQA Parking I Plans Parcel Declaration Parcel Ma P 60' R/W Im rovents P m Lawn sprinkler system 2.00 Bldg. Fj'il s Rec'd Parcel A proval Plans proval Permit Fee $ s NEW ❑ ADDITION ❑ UTI ITIES ❑ OTHER ELECTRICAL No.1 @ FEE . PERMIT FILING FEE $3.00 .�'Main service 600v OR LESS 100 AMP OP, LESS 5.00 Main service EA. ADD'L 100 AMP 2.50 OVR Main service 10 EAMP OR LESS 25.00 Single Family ❑ Duplex ❑ Mobil Home Others ❑ Main service EA. ADD'L 100 AMP 1.00 NEW LING OR ADDNST ( ACCLBL GS. OCCUP. &) 2¢Sq ft NFW CONSTR. MULTI.OUTLET NON•RESID. ( BRANCH CIRCUITS) 2.50ea NEW CONSTR. (POWER APPARATUS6j NON•RESID. SINGLE OUTLET CIR. CONTRACTORS LICENSE LAW I am licensed under the provisions of Chapter 9, Div. 3, of the State of California Business & Professions Code under the name style of: Ex. Occup(OUTLETS OR FIXTURES) @@1 BAL@1 Ex. Occup. ( FIXED APPLNS. OR OUTLETS (RESID.) EA) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 License No. Classification Misc. Wiring 6.25 �( I am exempt from the Contractors License Laws of the State of California. Permit Fee 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 em p employ y person in any manner so as to become subto an subject to the Workmen's Compensation Laws of California. MECHANICAL No.1 @ FEEPERMIT FILING FEE J$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 3 v TOTALPERMIT FEE o auulunce represeniarlves of the County of Butte to enter upon the above-mentioned property for inspection purposes. Date v e Signature of Permitee or Agent Receipt No. / 3 a ? 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 OF PUBLIC WORKS By 7 Date /� C Bm,• permit expires Date 1. Owner's name: 2. Installer's na BUTTE COUNTY DEPARTMENT OF PUBLIC WORKS 7 County Center Drive, Oroville, CA. PHONE: 534-4541 3. Is the site currently under permit?. Yes/ No % 77 (If yes, furnish permit number 5��0 %� ) 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 12. What is the mobilehome gas demand? ------------------------------ (This information not required if pipe length less than 6 ft, on natural gas or less than 50 ft. on LPG.) `Y, .i!r' (BTU) 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? --------------------- V -100 fps 7. What is the mobilehome site circuit breaker rating? ------------- 1 0 U 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/ q" 11. What is'the gas pipe length from meter.or tank to the mobilehome? (ft.) 12. What is the mobilehome gas demand? ------------------------------ (This information not required if pipe length less than 6 ft, on natural gas or less than 50 ft. on LPG.) `Y, .i!r' (BTU) 'Algol." MOBILEHOME SUPPORT DATA Mobilehome Mfr. it04 - ��� Setup Model No. Year I % Width .(ft.) Length(p(/ (ft.) Expando Size ft.x 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). - Sin le -a Footings -(check. -one) Wood either pressure treated or Center Center Support fdn. grade. Support- Footing Sizes Locations (in.) 2. Concrete pad. 3. Other,:specify in. —- Supports (check one) Concrete block !L - .� x 2. Concrete piers — / / 3. Steel piers 4. Other, specify Typical: Support , all Y7; Footing Size � ,.,L x I 1 in. in {-. ) • (in.) (in.) Pier ! Spacing x t (in.) (in.)Max. - Overhang in.) *If center piers are other than drawn above, draw in locations, spacing, and dimensions. BUTTE COUNTY BUILDING DEPARTMENT APPROVED