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HomeMy WebLinkAbout065-172-003AllLeep�;. 65-172-3 1. 130 Rosewood Dr.,lot 354,Fir Haven Sub, Magalia contr: Fuller & Powers Const., Magalia Permit8 2-76P,E(utib.,MH) ELEC . 8 , a GAS SUPPO STRUCTURE REQ. COMPACTIN TEST REQ.- Afp 65-172-3 5 contr: Fuller & Powers, Magalia erm'.t #649=73B;E(rew private garage) 65-172-3 contr: Fuller & Powers, Magalia ' Permit # 80-77B(ne deck, covered/MH) - I 65-172-3 contr:Kentwood Mobile Home Serv.,Chico Permit #746-77MHh. � Issued -?/i%27 , 03-3689 COMCAST COMM, SEE ATTACHED, PARADISE Cont: WESTCOAST COMM PLACE CATV POWER SUPPLY C,OI ��i � COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive - Oroville, California 95965 - Telephone (530) 538-7541 PERMIT NO. (Rev. 12/96) APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER SEE ATTACHED ZONING BUILDING PERMIT OWNER COMCAST MMMUNICATIONS TELEPHONE SO, FT, OCC. BUILDING VALUATION OWNERS MAILING ADDRESS 4350 PELL DR SACRAm= CA 958.38 CONTRACTOR'S NAME WESTCOAST COMMUNICATIONS CI TELEPHONE 1-143-2473 CONTRACTORS MAILING ADDRESS 140 MEYERS S CONSTRUCTION LENDER LENDER'S MAILING ADDRESS Fireplace Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 ARCHITECT OR ENGINEERS MAILING ADDRESS Permit Fee $ Plan CheckingFee $ y� I 'I'TVA` .IA LOCATIONS --- SEE ATTACHED Energy Plan Checking Fee $ PERMIT FEE LOT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Filing Fee 20.00 SF ❑ Duplex ❑ Mobilehome ❑ Other SPECIFY Each ach Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15.00 Each gas water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe Work: PLACE 19 CATV POWER SUPPLIES Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home S I G FW 920.00 PERMIT FEE $ ELECTRICAL PERMIT Fling Fee 20.00 OOOVORLESS Main Service ?DDA OR LESS 19 23.00 437.00 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.//� ry License Class `' — I Lic. No. `7L E ! 1 L OWNER -BUILDER DECLARATION I herebyaffirm under penalty of perjury that I am exempt from the Contractors License P nY P 1 rY p 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. ❑ I, 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 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 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 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.) ❑ 1 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' pompensa ' provisions of section 3700 of the Labor Code, I shall forth 1 h om ith se provisions. X Date 0 Signature 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. Main Service 200A TO IDDDA 46.00 NEW CONST. OWEWNG OCCUP. s0 OR ADDNS. ( & ACC. BLDS. 3.5¢FT. NON -RES DT M .T.IoUTLETITS @7.50 POWER APPARATus 8 SINGLE OVILtT CIR. Ex. Occup. OUTLET ORFDCTURES BAL@':50 Ex. Occup. FU(ED APPLNs. OR OUTLETS REslo. EA 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE S MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ Mobile Home Installation Fee $ Energy Inspection Fee $ occ coNsr. rrPE TOTAL FEE $ 437.00 "AZ D. FEES IMP FLOOD COF PARCEL PD HD ssU 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. ate PERMIT EXPIRES O p� Dete Receipt No. Ic WHITE-D.D.S.-B.D. NARY -ASSESS PLO-IRSPECTOR GOLDENROD -APPLICANT r , r .; E PERMIT NO. 6892-76P • PERMIT EXPIRES OWNER LEE HAUK CONTR. Fuller & Powers Const. Co LOCATION (A.P. 65-172-3 ) 130 Rosewood Dr, Fir Haven lot 354 Magalia Temp. Power Pole walled PG&E Temp. Serv. pec 3 491:2 Cat'Ied PG&E Temp Gas Serv. Called PG&E' " JOBS �y S FINALED Q / (Date) (Signature) 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 51 under permit number i for the following location: Owner Owner's Address Mobilehome Mfg. Model Years Insignia No.z,- %�� Serial No./�I LL - 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 stucco COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS BUILDING INSPECTION RECORD y r Mesh BUILDING BUILDING (Cont'd) Grd. Fault Prot. PLUMBING Setback Firewall Soil Piping Cooling Forms Parapets 1st Floor Underground oZ 6 Main Bldg. Restroom Finish 2nd Floor Door Closer Footings Windows 3rd Floor Stemwall Siding To out Slab Roof Sheathing Water Pi iri Piers Roofing Sewer — — Garage Fdn. Vents Fixtures Footings Stemwall Garage Vents Insulation Water Htr. Heaters Slab Carport Footings Prov. for physically handica ed Conformance of ex. structure A liances Gas Piping &Test _ -� > C Temp. Gas Slab Final Sanitation Patio FIREPLACE Final Footings Footing ELECTRICAL Masonry Walls Throat Rough Reinf. Steel Final Fixtures Bond Beam FIRE SPRINKLERS Motors Framina Test Water Htr_ stucco Final Subpanels Mesh MECHANICAL Grd. Fault Prot. Scratch Heating Service �i G Brown Cooling Temp. Pole Finish Ducts Underground oZ 6 Interior Lath Ventilation Permanent Door Closer Final Final DATE REMARKS OR CORRECTIONS Alf - (NOTE: An entry must be made on this form each time you visit the job site.) • � �_?_27 �C V`� `�. �' t/-�. � id'S�(.✓i Pmt. /� � C BSL A- 6�L/ �/ �.-�-t �LJ . lam- ! 7 -Z . - �-�,�.,,' �- � ��_z - � � � s � ,..,,,,� Flo � � .. ` � c • � � � i 4 t 4 O 1.10131','?,HOME' INS'FALLA' F.11J INSPECTION CHECK DIST 1. Is the mobileh.omc located wi.l_h required separation from lot lines and buildings and generally conform to plot. plan? yc!,, No ?. Does the mc)bil.ehome have requir<-cl clearances above ground? (Sec.'5085) Yes No 3. Are foot:in,s 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) Yc*L No 5. If han a single unit, are crossover connections properly installed? (Sec. 5088) Yes o 5. Water A.' Is flexible connector of adequate size and properly installed (1/2" ID min.)? (Sec. 5566) Yes) No X B. .Test - Does water piping withstand working pressure or 50 lbs, air test? Yes No C. B ow - If coach is not State of California approved, does station hav-e backflow device ensure -relief valve? Yes 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)(,7 No / 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. I/Ach is not State of California approved, does station have required trap and vent? 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? YesX 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, turn. on gas, test connections with soapy water. C. Are all appliance vents properly installed? Yes x' No 6. Upon completion of the above procedure, the power supply cord or feeder assembly conductors shat) 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 clobilehome. Upon satisfactory completion of thee]_ectrical tests, the lot or site service equipment may be approved for energizing. Is job card si-ned by health Department for water and sanitation? 1.1.. If everything okay, sign off card and to services. MOBILEi.OML_ DATA Manufacturer and/or Namest:yle __ - t� Length Width 4 Cd r KX Y / � �L ✓ Vehicle Serial No. � �C� / (9�Z- 30c,2 6 State Identification No A.det i t ional Information or Comments: 9. Electrical A Is service large enougli to provide adequar_e amperage t4. mobiloliome. (must equal ratingeof mobilehome ivitk a :;;inh-um of 100 amp) and. other faciliti_Eis on lot, i.e., water pumps, ,aaraoe, cabana, et c.? Yes No� 1; Is there proper clearances around panels? YesX.No_ C. Is power supply cord or feeder as.embly properly fused? YesX No� D. Is continuity test satisfactory as per the following procedure? Yes 5d No+ 1. De. -energize electrical wiring, systerl 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 Inad of a test instrument to the mobilehome grounding conductor and 1 r tare U:...1 Al — e—,— rl�UU—--oyfll_' sllp i'1.i 1 y conut_ictor, including neutral. apply 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 shat) 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 clobilehome. Upon satisfactory completion of thee]_ectrical tests, the lot or site service equipment may be approved for energizing. Is job card si-ned by health Department for water and sanitation? 1.1.. If everything okay, sign off card and to services. MOBILEi.OML_ DATA Manufacturer and/or Namest:yle __ - t� Length Width 4 Cd r KX Y / � �L ✓ Vehicle Serial No. � �C� / (9�Z- 30c,2 6 State Identification No A.det i t ional Information or Comments: —^–� is COUNTY OF BUTTE — 'DEPA'RTMENT OF PUBLIC WORKS 7 County Center Drive _,— Oroville, California 95965 % Telephone: 534-4541 APPLICATION AND PERMIT ([Al J 0001, X Date -3,c,19Z� Signature of Vermitee or Agent Receipt No. I S-5— 9 q 3 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. DIRECTOR � OF PUBLIC WORKS By _7 Date Ig permit expires Date - /,��M BUILDING Owner Lee H.uk SQ. FT. OCC. BUILDING VALUATION Mai I i ng Address Telephone No. Fireplace Contractor Fuller & Powers Construction Co. Total Valuation Mai I i ng Address P.O. 4'53 Permit Fee Plan Checking Fee &/or Penalty Magalia, Ca. 95954 �{ $`}3hab8 Permit Fee Building Address z PLUMBING No.1 @ FEE FILING FEE X $3.00 3, p0 30 Rosewood 0r,PERMIT Each Trap 1.50 Repair drainage or vent piping 1.50 ' on"req a Ificin Only Water piping 74C 1�-�i, p C O� Each gas water heater or vent 1.50 A. P. N/� Gas piping system 1 - 5 outlets 1.50 Each additional outlet .30 F s S i ion Fire Dept. Fire Zone Use Permit Building sewer &M EQA Parking Plans Parcelp Declaration p+ 60' R/W Improvements Lawn sprinkler system 2.00 Bldg. Plans Recd Parcel Approvol Plans Approval Permit Fee $ --a.a® is 6 NEW El ADDITIONELECTRICAL ❑ UTILITIES OTHER ❑ No. @ FEE PERMIT FILING FEE X $3.00 3.00 Main service 1600V OR 00 AMP ORSLESS 5.00 r00 Main service EA, ADD'L foo AMP 2.50 ,,5-0 Single Family ❑ Duplex ❑ Mobil Home Dd Others ❑ Main service OVER 600V 100 AMP OR LESS 25.00 Main service EA. ADD•L 100 AMP 1.00 $Q. T MINIMUM NEW & T(c_�W OR ADDNSACC. LDGS.cup- 20s q ft NEW CONSTR. (MULTI -OUTLET NON-RESID, BRANCH CIRCUITS 2.50ea LES NEW CON5TPOWER APPARATUS & NON.R. RESID. (SINGLE OUTLET CIR. CONTRACTORS LICENSE LAW I am licensed under the provisions of Chapter 9, Div. 3, of the State of California Business & Professions Code under the name S uAer & Powers Construction Co. Ex. Occup(OUTLETS OR FIXTURES) BqL@251 Ex. Occup.(ou LETS (PRESID )READ 2,00 Temporary service 10.00 Mobile Home Facilities 15.00 /5;08 License No. 2162$ 3 Classification A Misc. Wiring 6.25 ❑ I am exempt from the Contractors License Laws of the State of California. Permit Fee $ oZSgO $ oZs 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.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 aboveG( 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 "r -no above-mentinnerf nrnnarty fnr incncrtinn n �2✓tL •. ,..,"� �� v1.5•dC TOTAL PERMIT FEE $ 7,71 This permit is hereby issued under the applicable provisions of 0001, X Date -3,c,19Z� Signature of Vermitee or Agent Receipt No. I S-5— 9 q 3 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. DIRECTOR � OF PUBLIC WORKS By _7 Date Ig permit expires Date - /,��M COUNTY OF Ef(J:rTEn ., DEPARTMENT OF PUBLIC WORKS 7 County Center Drive — Uroville, California 95965 + ' Telephol4e: 534-4541 APPLICATION'AND PERMIT 'oNicov"Luli VUS UI LIC %,OUVILY UI DUlle iu enter upon me above-mentioned property for inspection purposes. Date / Signature of Permiteeee or Agent 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 OFUU LIC WORKS BY Date :I— 1; ilding permit expires Date -3-2-7 BUILDING Owner Ing c-(4 SQ. FT. OCC. BUILDING VALUATION Mailing Address Telephone No. Fireplace Contractor �`1 a0 1 Total Valuation Mailing Address c �% 6o Permit Fee Plan Checking Fee&/or Penalty 17 Telephone hone No. 3 ��qyi Permit Fee $ Building Address 3Rc��C,(_JOd PLUMBING No.1 @ FEE PERMIT FILING FEE J$3.00 1-0 Lit 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. o. >� % � Zoning &Planning Gas piping system 1 - 5 outlets 1.50 Each additional outlet .30 F es . A!' saa+ rtfoft� Fire Dept. Fire Zone Use Permit Building sewer 5.00 EQA Parking Plans Parcel Decla tion parcel Ma P 60' R/W Im rovemen.ts P Lawn sprinkler system 2.00 Bldg. Plans Recd Parcel A vat Plans pproval Permit Fee $ $ NEW ❑ DITION ❑ UTILITIES ❑ OTHER ELECTRICAL No.1 @ FEE PERMIT FILING FEE J$3.00 7 Main service e10v 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 1100 AMP OR LESS 25.00 Main service EA. ADD'L 100 AMP 1.00 NEW OR ADDNST ( ACCLBLDGS.LING 0 CCUP. &) 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 Californi Busine s & Prof ssi ns C de under the na a style of:p ��*�, `; 7� Ex. Occup (OUTLETS OR FIXTURES) BAL@ Ex. Occup. (FIXEDASP(RESID.IREA) 2•�0 Temporary service 10.00 Mobile Home Facilities 15.00 License No._2�J—� Classification G �� 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. ❑Xhave 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 $ U $ 3v — 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 $ 3U 'oNicov"Luli VUS UI LIC %,OUVILY UI DUlle iu enter upon me above-mentioned property for inspection purposes. Date / Signature of Permiteeee or Agent 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 OFUU LIC WORKS BY Date :I— 1; ilding permit expires Date -3-2-7 ZZ61 aj 44AOQ 4*110nd dO -Adoo 0 MNnoo PERMIT NO. 649-77B,E PERMIT EXPIRES OWNER Lee Hauk CONTR. Fuller & Powers Const.,Magalia LOCATION (A.P. 65-172-3 130 Rosewood Dr., lot 354, FirHaven Sub, Magalia V, ti c , 4 a' i Temp. Power Pole Called PG&E Temp. Elec., Serv. 3 Called -PG&E mp. Serv. /Toe alled PG&E FINALED ! �� (Date) (Signature) Setback Forms Main Bldg. Footings Stemwal I Slab Piers Garage Footings Stemwa I I Slab Carport Footings Slab Patio Footinas Bond Brown Finish Interior Lath Door Closer MOBILEHOME Water Piping a 0S16EU ME Water Piping s DATE COUNTY, OF BUTTE — DEPARTMENT OF PUBLIC WORKS BUILDING INSPECTION RECORD BUILDING BUILDING (Cont'd) PLU 7 "7 Firewall - - Soil Piping Parapets 1st Floor Restroom Finish 2nd Floor Windows?� % 3rd Floor Siding — To out Roof Sheathina Water Piping Roofing — Sewer Fdn. Vents Fixtures % Garage Vents Water Htr. Insulation Heaters Prov. for phsicall Appliances handica e. Conformance of ex. _ Gas Piping &Test structure Temp. Gas Final Sanitation FIR15PLIACE Final s>* Footing ELECTRIdAL Throat Rough Final Fixtures — - G FIRE SPRINK ERS Motors Test Water Htr. Final Sub aneIs G MECHANI AL Grd. Fault Prot. Heating Service Cooling Temp. Pole Ducts Under round Ventilation Penn nen Final Fina 'IES ................ Elec. Service Elec. Pedestal Sewer Gas Piping LLATI N --------------Support Elec. Continuity Drainage Gas Piping \pp REMARKS OR CORRECTIONS (NOTE: An entry must be made on this form each time you visit the job site.) M PERMIT NO. 880-77B J N PERMIT EXPIRES • OWNER Lee Hauk CONTR. Fuller & Powers, Magalia LOCATION (A.P: 65-172-3 ) 130 Rosewood Dr., lot 354, Fir Haven Sub,Magalia, A Temp. Power Pole Called PG&E _ Temp. Elec. Serv._ Called PG&E _ Temp. Gas Serv. _ Called PG&E JOB FINALED (Date) i (Signat e) te J MORTUARY Mimeo No. 52 Setback Forms Main Bldg. Footings Stemwal I Piers Garage Footings Stemwal I Slab Carport Footings Slab Patio Footinas COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS BUILDING INSPECTION RECORD BUILDING BUILDING (Cont'd) PL --, .> / I Firewall Soil Pipin Restroom Finish Windows Sldin Roof Sheathing Roofing r Fdn. Vents Garage Vents Insulation Prov. for physically handica ed Conformance of ex. structure Final — — i FI EPLACE Footing Throat Final FIRE SP 1INKLERS list Floor 2nd Floor 3rd Floor Topout Water Piping Sewer Fixtures Water Htr. Heaters Appliances Gas Piping & Test Temp. Gas Sanitation Final EL fixtures ING Mesh MECHAbi CAL Grd. Fault Prot. Scratch Heating Service Brown Cooling Temp. Pole Finish Ducts Underground Interior Lath Ventilation Permanent Door Closer Final Final MOBILEHOME UTILITIE------------------ Elec. Service Elec. Pedestal Water Piping Sewer Gas Piping MQ816EUgME INSTALLATI - - - - - - - - - - - - - - Support Elec. Continuity Water Piping Drainage Gas Piping DATE I REMARKS OR CORRECtMhS (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 -- Uroville, California 95965PPcO �/ Telephone: 534-4541 r 7 APPLICATION AND PERMIT A t,,� ouulvl lcc IcIJIWZ1UIIlaLIVVb UI LIIU LVUnIy UI DUlle IU enlef UPUn the above -menti d property spection purposes. X G GtDate 2 2 ' 21 Signature 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 OF UBLIC WORKS BY Date.3-2 — 7 yam_ B i (ding permit expires Date 3— L— BUILDING Owner - SQ. FT. OCC BUILDING VALUATION 3 l ' Mailing Address Telephone No. Fireplace Contractor &I L t, Total Valuation f Z Mailing Address Or ab7 © 4 Permit Fee `7— Plan Checking Fee &/or Penalty ` Te lephone No. Permit Fee $ Building Addres PLUMBING No.1 @ FEE PERMIT FILING FEE $3.00 3 e - &J 0 0 , k Each Trap 1.50 mor 3,zv /y L' Repair drainage or vent piping 1.50 Water piping 1.50 (tel Each gas water heater or vent 1.50 A. P. No. % 7� Zoning 8 Planning Gas piping system 1 - 5 outlets 1.50 Each additional outlet .30 . Fe VAC. Fire Dept. FireZone Use Permit Building sewer 5.00 EQA Parking Parcel Plans Declaration arcel Ma P 60' R/W Im r p ovements Lawn sprinkler system 2.00 Bldg. Rlwes Rec'd Parcel Approval PI pproval Permit Fee $ $ NEW ADDITION ❑ UTILITIES ❑ OTHER ❑ ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 e,c i(f 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 Mr Others ❑ OVER Main service 1100 AMP OR LESS 25.00 Main service/ EA. ADD'L 100 AMP 1.00 NEW CONST. OR ADDNS. \ DACCLBLDGS.LING CCUP. &) 22 sq ft 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 st le of: Y BAL@@2541 Ex. Occup(OUTLETS OR FIXTURES)@ Ex. Occu FIXED APPLNS. OR P• OUTLETS (RESID.) EA) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 2/� License No. ,sem— 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. @ FEE 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 TOTAL PERMIT FEE $ ouulvl lcc IcIJIWZ1UIIlaLIVVb UI LIIU LVUnIy UI DUlle IU enlef UPUn the above -menti d property spection purposes. X G GtDate 2 2 ' 21 Signature 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 OF UBLIC WORKS BY Date.3-2 — 7 yam_ B i (ding permit expires Date 3— L— COUNTY OF B19TTE LL— DEPA;AMENT- OF PUBLIC WORKS ° 7 County Center Drive -- Orovi`lie, California 95965 / Telephone: 534-4541 /� g 77 APPLICATION AND PERMIT�— BUILDING Owner SQ. FT. OCC. BUILDING VALUATION �C) Mailing Address Telephone No. Fireplace Contractor l.d �� 0 w 5 Total Valuation Q O Mailing Address Q - 14 Permit Fee Plan Checking Fee &/or Penalty j � � Telephone No. b.' •7— Permit Fee $ C2 Building Addr ss PLUMBING No. @ FEE PERMIT FILING FEE $3.00 130 12 WN ui 0 0 10 A Each Trap 1.50 �I* 7 Repair drainage or vent piping 1.50 $ Water piping 1.50 :ZJd Q1 p4 L I Each gas water heater or vent 1.50 A. P. No.^1 — S / Zoning & Planning Gas piping system 1 - 5 outlets 1.50 Each additional outlet .30 Fe VJZ 1 i ' Fire Dept. Fire Zone Use Permit Building sewer 5.00 EQA Parking P ans Parcel Declaration Parcel Ma P 60' R/W Improvements P Lawn sprinkler system 2.00 Bldgi.pfons Recd uparcel Approval P s Approval Permit Fee $ NEW ADDITION ❑ UTILITIES ❑ OTHER ❑ ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 V OR Main service 100 AMP ORSLESS 5.00 Main service EA. ADD'L 100 AMP 2.50 Single Family ❑ Duplex ❑ Mobil Home ❑ Others/ OVER 600V Main service 100 AMP OR LESS 25.00 Main service EA. ADD•L 100 AMP 1.00 �1 �� „ • NEW CONSDWELING OR ADDNST ( ACCLBLDGO C P�&) 22sq it • �, — NON.RES NEWCONI0 STR. ( 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 SZ le of: Y Ex. Occup(OUTLETS OR FIXTURES)@2C BAL�1 Ex. OCCU FIXED APP LNS. OR P•(OUTLETS (RESID.) EA) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 License No., 2 2 Classification Misc. Wiring 6.25 ❑ I am exempt from the Contractors License Laws of the State of California. Permit Fee $ / 5 — $ $ 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. @ 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 authorize representatives of the County of Butte to enter upon the above-mentiSwgd property_ter)inspection purposes. X� Date IV ignatur of Permitee or Agent Receipt No. 1 •5-� b 5-& White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant TOTAL PERMIT FEE is 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 id. DIRECTOR 0 P BLIC WORKS By Date's `f - 7 7 ilding permit expires Date 'Z—/"(-7 BUTTE COUNTY DEPARTMENT OF PUBLIC WORKS 7 County Center Drive, Oroville,_ CA. PHONE: 534-4541 MOBILEHOMLE•INSTALLATION SHEET ' 1. Owner's name: C�(P 2. Installer's name: �) a 3. Is the site currently under permit? Yes No � � � � �(If yes, furnish permit number � OR Is the site an existing site? Yes / / No ` :(If yes, furnish two (2) plot plans.) 4. Will the mobilehome be located at least 5 ft. away from septic tank and leach fields and clear -of all setbacks and easements? Yes ice- No (If no, clarify ) S. What is the mobilehome electrical rating? ------------------------ l O APs �d ' 6. What is the;mobilehome site service rating? -----•---------------- Amps ` 7. What is the,mobilehome site circuit breaker rating?-------------- �1 fps 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? ______________________ 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? ------------------------------- (This information not required if pipe length less than 6 ft, on natural gas or less than 50 ft- on LPG.) MOBILEHOME SUPPORTe- DATA Mobilehome Mfr. _- 2 =�--- - ° Setup Model No. Year, Width (ft.) Length (ft;)_ `Expando Size l� ft.x ft. (Draw support deta%ls-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). Single Footings— (check. one / 1. Wood 'either pressure treated or i Center Center Support fdn, grade.:: Support Footing Sizes, Locations (in.) ..... /, ,2. Concrete pad. �3- x5a 3.`'.Other,specify in. in. kin.). Supports (check one / 1. Concrete block 2. Concrete piers �t �_7 in 3. Steel piers / 4. Other, specify I Typical Support Footing Size in. in. n21 ) — — — -- _ a Max. Pier. �} Spacing in .) 'n'•> (in'.) (in.) _ Max. Overhang *If center piers are other than drawn above, draw in locations, spacing, aid dimensions. BUTTE COUNTY BUILDING DEPARTMENT APPROVED,