HomeMy WebLinkAbout065-173-01919
65-173-ly
D. COUNTER alfa
Tikkker Lane g ole)
Lot 374, temp power p
:j ermit #5349-78E(opment �a /
Future lot de
65-173-19
.ermit 45521-782(inst.
wtr line )
65 173-19
04
Charles U � La ,
?-e Have
lot 374 -Ni, Tikker
Sub, Magalia -Paradise
contr: George A. Santos,
elocate util.on
Permit #7533-79P,E(r
eds site/NH)
ELEC.
GAS p
SURD R STRUCTURE REQ• .COMPACTION TEST REQ.
�OwleVU1 75-173-19
Con tr: LEe's MH Ser, Paradise
Permit #641-80MHI
Issued
65-173-19
Permit #3854-80B,E(garage, decking &
cabana/MH) '
n
7
3
r
LOCATION: (,55`76 T -i kkee- L -V) , &WL:�L
CONTRACTOR:
DATE TO INSPECTOR:
TYPE OF OCCUPANCY:
........................... ..
DATE:
A.P.#:S"
ZONING:
PERMIT HISTORY: [ ]NONE [ qAs-FOLLOWS:
BUILDING INSPECTOR'S REPORT
uilding Description:
[ ] C ercial/Usage:
Residential/# of Units: Mobile Home: Yes[ o[ ]
[ ) Currently Occupied.
[ ] AbandonedNacant.
[ es [ ] No
Electric is currently : [ ] On [ ] Off S
Condition of electrical?
Natural [ ] Propane[ None[ ] Currently On[ ] Off ]
Obvious problems: 1
tion:
Plumbing working Yes[ No[ ]
Well: Yes[` No[ -�� Potable water: Yes[ No[ ]
,Obvious Sewage Problems: /L 0
escription of Damaged Area: 3 YQ Ft-
itimate valuation of Damaged Area: 14/0 p
Spector:
I
Date: /Q
:.t
CbFIBCFD DAILY INCIDENT Lod
RAINTOTAL_
PAG OF
STATION I AMBULANCE I OFFICER
REPORT/ W
MCIDBJTl Z
LOGGED
CASE NO
FIRE NO
RO. �
LOCATgN `
VEGETATION
FALSE
PUBLIC
DART
ALARM
ASSW
RP. -
STRUCTURE
IMPROVE•
MEM
AS93T
RESCUE
FitE B.I.
VEHCLE
HAZMAT
MEDICAL
OTHER
MI9C
STARTTf� CAUSE USE DAMAGE SAYE
REFUSE
HAZCDH
TIC
F
,PERMITiNO. 3854-80B,E
PERMIT EXPIRES 7/3 d
OWNER Charles V. Clemens
owner
CONTR.
LOCATION (A.P. 65-173-19 )
"a
Lot 374 Tikker Lane, FH Sub, Magalia
f.
1
5
i Temp. Pow/e-
Ca
�. lled
Temp. El c. Serv.
Call PG&E
'Temp. as Serv.
e
C I I ed P;G& E
4 A
F� ALED/I/
(Date)
(Signature)
S
�j
i
.t
COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS
BUILDING INSPECTION -RECORD
BUILDING BUILDING (Cont'd) PLUMBING
Setback 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 'fir Garage Vents Water Htr.
StemwaI l Insulation Heaters
Slab Prov. for physically Appliances
handica ed
Carport Conformance of ex. Gas Piping & Test
Footings structure Temp. Gas
Slab Final V Sanitation
Patio FIREPLACE Final
Footings Footing rELECTRICAL
Masonry Walls Throat Rou h y(z%
Reinf. Steel Final Fixtures
Bond Beam FIRE SPRINKLERS Motors
Framin j �' Test Water Htr. /
Stucco Final Subpanels
Mesh MECHANICAL Grd. Fault Pro .
Scratch Heating Service
Brown Cooling Temp. Pol
Finish Ducts Under ro nd
Interior Lath Ventilation Penman n
Door Closer Final Final $ A1'7_1
MOBILEHOME UTILITIES ------------------ Elec. Service Elec. Pedestal
Water Piping Sewer Gas Piping
OBILEHOME INSTALLATION - - - - - - - - - - - - - - Support Elec. Continuity
Water Piping Drainage Gas Piping
DATE REMARKS OR CORRECTIONS
J131 ft/ 4A411 -t ham., WA
I AA
(NOTE: An entry must be made on this form each time you visit the job site.)
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS
7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541
APPLICATION AND PERMITIrN
ERMIT 0. o
&4
ASSESSOR PARCEL NUM BE
—
Z I
NG
BUILDING PERM(T
O 1� '
1
TELEPHONE
SO. FT. OCC. BUILDING VALUATION
'
OWNER'S MAILING DRESS `/
V�3 � U e GJ - �
O
.CONTRACTOR'5NAME -
>n e r
TELEPHONE
CONTRACTOR'S MAILING ADDRESS
CONSTRUCTION LENDER,A, ,n„-
�1I� IVT n
UNKNOWN
Fireplace
Total Valuation Is
LENDER'S MAILING ADDRESS
Permit Fee
$
ARCHITECT OR ENGINEER
LICENSE NO.
Plan Checking Fee
$
Penalty
$
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Permit fee
$
B21 -DING AD SS
is r 1P
PLUMBING PERMIT
Filing Fee 3.00
Each Trap
2.00
Repair drainage or vent piping
2.00
Al I
Water piping
LOT NO.SUBDIVISION
3
NAME
r
IP6. CEL MAP
Each qas water heater or vent
2.00
Gas piping system 1 - 5 outlets
USE OF STRUCTURE
SF ❑ Duplex❑ Mobilehomek� Other
SPECIFY
Building sewer
Lawn sprinkler system
2.00
TYPE OF WORK
New ❑ AdditionQ Remodel ❑ Util'ties ❑ Inst Ilation❑ Other
Describe work: ^0
e
Permit Fee
$
Contractor
ELECTRICAL PERMIT
Filing Fee 3.00
OR
Main service 10DDD AMP ORSLESS
5.00
Main service EA. ADD'L 100 AMP
2.50
OR ADDNS. ( ACCLBLDGS.0 &
20sgftAS 3-15
CONTRACTORS LICENSE LAW
I declare under penalty of perjury (Check One):
❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Business
and Professions Code and my license is in full force and effect.
License No. Classification
RI, as the owner, or my employees with wages as their sole compen-
sation, will do the work,and the structure is not intended or offered
for sale. (Sec. 7044)
❑ I, as the owner, am exclusively contracting with licensed contract-
ors. (Sec. 7044)
❑ I am exempt under Sec. , Business and Professions Code
for this reason
NEW CONSTRNON-RESID. BRANCH CIRCUITS) MULTI-OUTLE 2,50 ea
NEW CONSTR. (POWER APPARATUS &
NON-RESID• (SINGLE OUTLET CIR.
Ex. OCcup(OUTLETS OR FIXTURES 50@255
BAL�1
FIXED APP LNS. OR
Ex. Occup. OUTLETS (RESID•) EA.) 1 2.00
Temporary service 10.00
Mobile Home Facilities
15.00
Misc. Wiring 6.25
Permit Fee $ ,
Contractor
WORKMEN'S COMPENSATION INSURANCE
1 declare under penalty of perjury (check one):
❑ The permit is for $100.00 (valuation) or less.
❑ I have placed on file with the County of Butte Building Department
a Certificate of Workmen's Compensation Insurance or a Certificate
of Consent to Self -Insure.
fV I shall not employ any person in any manner so as to become subject
1'� to the W. C. laws of California.
Notice to Applicant: If after making this statement, should you become subject
to the W. C. provisions of the Labor Code, you must forthwith comply with such
provisions or this permit shall be deemed revoked.
MECHANICAL PERMIT
Filing Fee 3.00
Heating
Cooling
Hood
2.00
Ventilation
Permit Fee
$
Contractor
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-mentioned property for inspection purposes.
I also agree to save, indemnify and keep harmless the County of Butte against
all liabilities, judgments, costs, and expenses which may in any way accrue
against said County in consequence of the granting of this permit.
pp..
X i,o Date % !� r���
Signature of Applicant — Owner❑ Contractor ❑ Agent ❑
An OSHA permit is required for excavations over 5'0" deep and demolition or construct-
ion of structures over 3 stories in height.
Mobile Home Installation Fee $
Land Development Fee $
TOTAL PERMIT FEE $ /
OCCUP. GROUP
I TYPE OF CONST,
/�
PARCEL PD
H
SSUE
This permit is hereby issued under
sions of the Butte County Code and/or
work indicated above for which
DIRECT O PUBLIC
BY
PER EXPIRES Date
the applicable provi-
resolutions to do
fees have been paid.
WORKS
Date7'�J
9
7 77 I
Receipt No.
WHITE-D.P.W.. YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT
411
ga
The best results in truss fabrication are obtained with a mechanical jig that eliminates
503. C
B -C2
—
harm-
t1 stresses caused by handling. Lacking such a 'i
jig, greater care must be exercised in hand
mg the truss or largrsr connector plates should be substituted J.O.Adams
_
J� D � A D - � e C
Co. bears no re-
sponaibility for the erection of trusses. Persons using trusses are cautioned
1
COLORADOSPRINGS�
O 2t p w K Y
to seek proles-
sional advice in rejard to erection bracing and permanent bracing. All joints must be accur-
ately cut and fit Dimensions must be
3559.
411
rusttrtD writ Lust SINGLE UNIT
ga
The best results in truss fabrication are obtained with a mechanical jig that eliminates
503. C
B -C2
—
harm-
t1 stresses caused by handling. Lacking such a 'i
jig, greater care must be exercised in hand
mg the truss or largrsr connector plates should be substituted J.O.Adams
NOTES: 72
/ _
(i/'J
J� D � A D - � e C
Co. bears no re-
sponaibility for the erection of trusses. Persons using trusses are cautioned
AI -B
COLORADOSPRINGS�
O 2t p w K Y
to seek proles-
sional advice in rejard to erection bracing and permanent bracing. All joints must be accur-
ately cut and fit Dimensions must be
3559.
COLORADO
B 1-C
verified. All plates centered unless shown otherwise.
Plates are minimum based on stresses. Fabricator may find from experience that some joints
T. C. Members shall be77
B. C. Members —
it
CUSTOMER
might require larger plates for handling.V
All continuous bracing on webs and chords to be
shall be
— X
C _C1
anchored at both ends to a suitable support (All bracing to be supplied by others.) 'All
—
t
Web Members shall be —
— {`
LOCATION
webs 2x4 unless otherwise specified.
FtUL-:
SPAN ""—w-4'—�'
L L ROOF }�
.IDd NO.
I-�4�1KE' (by J. D. Adams Co.) shall be made of 20 a galvanized
and pressed into bot'+ faces of joints. -' %' p
PITCH_L�It f i[�1 1,
D. L ROOF Y' DO NOT SCALE
_,�.
COST. I.D.
Code:
Plate Fisting:----Llt2L
SPACING �L`— II
_��
D.'L CEILING h D ✓ ENGR, BY
''�
1
SHEET _- I • OF
STL INC. _ �J 96
L. L CEILING DRAVdN BY1
I
DATE
_—
rusttrtD writ Lust SINGLE UNIT
TOP
CHORD
503. C
B -C2
FORCE
B -Cl
A -Al
3982.
C
AI -B
3559.
C
B -B1
3559.
C
B 1-C
3982.
C
BOTTOM CHORD
FORCE
C _C1
3928.
T
C1-C2
2773.
T
C2 -A
3928.
T
WEBS
- r _
I
���w wr Cly .✓
b I
i
IIV 2
1;Z x 1, 6 1O 3, �i h -`%1 -i.
2(Ca j 1L244_• .
AlO. Bl 1, X 13
3,__x7�2F� 32x�1�C23,Hx
OVER
r5A
FORCE
Al -C2
503. C
B -C2
854. T
B -Cl
854. T
B 1-C 1
503. C
- r _
I
���w wr Cly .✓
b I
i
IIV 2
1;Z x 1, 6 1O 3, �i h -`%1 -i.
2(Ca j 1L244_• .
AlO. Bl 1, X 13
3,__x7�2F� 32x�1�C23,Hx
OVER
r5A
PP
Permit 53LI-9-?*E
Count4W 11. D'.
Lot.'374.Tickkof-Lane
Mlaka: a
! 1
(install t. p.,,power pole) future lot
development''
AP: 65-173-19
�r�
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1��r Zw�lz 76
AJI
toot fkrz Airlal
7- 7,Yci
IF, 1pa.);r
<ale
4 V 4j.
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Oc
COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS
7 County Center Drive — O.Wville, California 95965
Telephone: 534-4541
4- APPLICATION AND PERMIT
Owner
Mailing Address I
Telephone Ng.
Contractor
_ BUILDING
SQ. FT. I OCC. BUILDING VALUATION
Mailing Address
Fireplace I
$
Total Valuation I
Telephone No.
Permit Fee
Plan Checking Fee&/or Penalty
Building Address
Permit Fee
PLUMBING No. @ FEE
PERMIT FILING FEE $3.00
Each Traa 1,50
Repair drainage or vent piping 1,50
A. P. No.
Zoning & Planning
Water piping 1,50
Each gas water heater or vent 1,50
Fees
W. C.
Sanitation
Fire Dept.
FireZbn
Use Permit
Gas piping system 1 - 5 outlets 1.50
EQA
Parking
Plans
Parcel
Declaration
Parcel Map
60' R/W
Improvements
Each additional outlet .30
Building sewer 5.00
Bldg. Plans Recd
Parcel Aperoval
Plans Approval
Lawn sprinkler system 2.00
NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER ❑
Permit Fee $
ELECTRICAL No.1 @ FEE
PERMIT FILING FEE J$3.00
Main service 600V OR LESS
100 AMP OR L.FSS 5.00
Single Family ❑ Duplex ❑ Mobil Home ❑ Others ❑
Main service EA. ADO'L 100 AMP 2.50
_
Main service OVER 4300V25.00
100 AMP OR LESS
Main service EA. ADD'L 100 AMP 1.00
NEW CONST. .DWELLING OCCUP, QCS ft
OR ADONS. ( k ACC. BLDGS. q
''i �r
CONTRACTORS LICIENtE LAW ?
I am licensed under the provisions�Apf Chapter 9, Div. 3, of the
State of California Business & Professions Code under the name
of:
NEW CONSTR MULTI.OUTLET
NON.RESID, BRANCH CIRCUITS) 2,50ea "
NEW CONSTR. (POWER APPARATUS B
NON.RESID, SINGLE OUTLET CIR.
Ex. OCcuo(OUTLETS OR FIXT[IRES 50fd25C
BAL i0s
FIXED ALN5.style
Ex. Occup. ( OUT ETS P(RESID )REAP 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 $
$
$
MECHANICAL No. @ FEE
WORKMEN'S COMPENSATION INSURANCE
I am aware o�f,th, provisions of Section3700 of the California Labor
Code.Which requires 'every emp}oyer to`be fnsurecAsgainst liability
for Workmen's Compensation.
❑I have placedbn file with the County of Butte a certificate of
Workmen's Compensation Insurance.
I certify that in the performance of the work"foi which`tti a
permit is issued l shali not employ any° -person in any manner
so as to become subject to the Wotkmetl':s Compensation Laws of
California.
PERMIT FILING FEE $3.00
Heating
Cooling
Ventilation
Hood 2.00
Permit Fee $
I certify that I have read'this application a4state`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-mentioned property for inspection purposes.
X date
Signature of Permitee or Agent
Receipt No.
White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant
Land Development Fee
$
TOTAL PERMIT FEE
$
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
f
�.. i. l
' `� <
=:6 59� e r o-,
X,
.� COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS
7 County Center Drive' — 0 Ville, California 95965 '
Telephone: 534-4541
n .
APPLICATION AND PERMIT �J
authorize representatives or the county or ttutte to enter upon the
above-mentioned property for inspection purposes.
J( X L Date
Signature—off 71 ?P
or Agent
Receipt No.,/ /, ry
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
Date � /9 -
Bid-fng permit expires Date
BUILDING
Owner/%
SQ. FT. OCC. BUILDING VALUATION
Mailing Address
TcnglephoNo.
Contractor r
Mailing Address U f
Fireplace
Total Valuation
Telephone No.
Permit Fee
Building Address �� `��
PlanCheckingFee&/or Penalty
Permit Fee
PLUMBING No.1 @ FEE
PERMIT FILING FEE $3.00
Each Trap
Z,
Repair drainage or vent piping 1.50
A. P. No. Zoning & Planning
Water piping 1.50 S V
Each gas water heater or vent 1.50
Fres
W.,C:'
Sani-tation'
Fire Dept.
Fire Zone Use Permit
Gas piping system 1 - 5 outlets 1.50
EQA
Parking
Plans
Parcel
Declaration
Parcel Map
60' R/W
Improvements
Each additional outlet .30
Building sewer 5.00
Bldg._P.lons,Rec:d,
Parcel Approval
Plans Approval
Lawn sprinkler system 2.00
NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER
permit Fee $ D
$ el 117
ELECTRICAL No. @ FEE
-—y7_ 7PERMIT
FILING FEE $3.00
800V OR LESS
Main service 100 AMP OR LESS 5.00
Single ' y_{�Mobil Home ❑ Others
Main service EA. ADD'L 100 AMP 2.50
!�7
Main service OVER 600V 25.00
100 AMP OR LESS
Main service EA. ADD'L 100 AMP 1.00
NEW OR ADDNST ( ACCLBLDGS.LING CCUP. 7i) 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:
NEW CONSTR. MULTI -OUTLET
NON-RESID. ( BRANCH CIRCUITS) 2.50ea
NEW CONSTR. (POWER APPARATUS &
NON-RESID. (POWER
OUTLET CIR.
250
Ex. OCCUp(OUTLETs OR FIXTIiRES BAL 10s
Ex. Occup. (OUTLETS 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 $
$
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.
01 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 the Workmen's Compensation Laws of
California.
PERMIT FILING FEE $3.00
Heating
Cooling
Ventilation
Hood 1 1 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 relatinq to buildinq construction, and hereby
Land Development Fee
$
TOTAL PERMIT FEE
$
authorize representatives or the county or ttutte to enter upon the
above-mentioned property for inspection purposes.
J( X L Date
Signature—off 71 ?P
or Agent
Receipt No.,/ /, ry
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
Date � /9 -
Bid-fng permit expires Date
COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS
- 7 County Center Drive — Oroville, California 95965 /j
Telephone:J�
534-4541 <
APPLICATION AND PERMIT
authorize representatives of the County of Butte to enter upon the
above-mentioned property for inspection purposes.
X(F
D - )�-7V
Signature off Permittees or Agent
Receipt No. z 7z- 3d 6
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.
IRECT R%OIF PUBLIC WORKS
By G Date —I/Q
—,
Be4fttg permit expf9s Dale _z_?—
BUILDING
Owner TJ ��N .�
w (�
SO. FT. OCC. BUILDING VALUATION
Mailing Address ��� z Qy �g
Telephone No.
Contractor
Mailing Address
Fireplace
Total Valuation
Telephone No.
Permit Fee
Building Address ZA?0 �g
Plan Checking Fee&/or Penalty
Permit Fee
PLUMBING No. @ FEE
PERMIT FILING FEE $3.00
Each Trap 1.50
,5—w
Repair drainage or vent piping 1.50
A. P. N — , Zoning &Planning
Water piping 1.50 J, d
Each gas water heater or vent 1.50
F`
Safl4eiivrt'
Fire Dept.
Fire Zone Use Permit
Gas piping system 1 - 5 outlets 1.50
EOA
Parking
Plans
Parcel
Declaration
Parcel Map
60' R/W
Improvements
Each additional outlet .30
Building sewer 5.00
B
Parcel Approval
Plans Approval
Lawn sprinkler system 2.00
NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER
Permit Fee $ O
.$
�• / — "
ELECTRICAL No. @ FEE
S _
PERMIT FILING FEE $3.00
Main service 8001 OR LESS
100 AMP OR LESS 5.00
Single Family ❑ Duplex ❑ Mobil Home ❑ Others JodiMain
service EA. ADD'L 100 AMP 2.50
!�
G�
Main service OVER 8001 25,00
100 AMP OR LESS
Main service EA. ADD•L 100 AMP 1.00
NEW CONST. OR ADDNS. ACCLBLDGS.LING CCUP. Y\ 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
st le of:
y
NEW CONSTR H CIR T 1
NEW.
JBRANCANCOUTLETITS/ 2.50ea
..NON
NEW CONSTR. POWER APPARATUS 8
(
NON RES,D. (POWER
OUTLET CIR.
Ex. OCCUO(OUTLETS OR FIXTURES 6 L 1
Ex. OCCU FIXED APPLNS. OR
p•�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.
❑1 have placed on file with the County of Butte a certificate of
Workmen's Compensation Insurance.
FT 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`ls 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
Land Development Fee
$
TOTAL PERMIT FEE
$ _
authorize representatives of the County of Butte to enter upon the
above-mentioned property for inspection purposes.
X(F
D - )�-7V
Signature off Permittees or Agent
Receipt No. z 7z- 3d 6
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.
IRECT R%OIF PUBLIC WORKS
By G Date —I/Q
—,
Be4fttg permit expf9s Dale _z_?—
COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS
•! 7 County Center Drive — C3roville, California 95965
Telephone: 534-4541
APPLICATION AND PERMIT
authorize representatives of the County of Butte to enter upon the
above-mentioned property for insp ction purposes.
Date "
Signatureof PQermitee or Agent
Receipt No. Z9_/ /
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 / D
BY Date
gAymmWpermit expires Date q --J,3
BUILDING
Owner ���
SO. FT. OCC. BUILDING VALUATION
Mailing Address O g
Contractor
Mailing Address
Fireplace
Total Valuation
Telephone No.
Permit Fee
Bu Iding Address r
Plan Checking Fee &/or Penalty
Permit Fee
PLUMBING No.1 @ FEE
!:♦
PERMIT FILING FEE $3.00
Each Trap 1.50
r ♦� Q,'IE'OLI JC;Z,4,
Repair drainage or vent piping 1.50
P. No �
Zoning 8 Planning
Water piping 1.50
Each gas water heater or vent 1.50
F
9arritet+ea
I FireDept.
FireZone
Use Permit
Gas piping system 1 -5 outlets 1.50
EOA
Parking
Plans
Parcel
Declaration
Parcel Map
60' R/W
Improvements
Each additional outlet .30
Building sewer 5.00
Parcel AREroval
Plans Approval
Lawn sprinkler system 2.00
NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER 0
Permit Fee $
fs
ELECTRICAL No. @ FEE
PERMIT FILING FEE $3.00
Main service 600V OR LSS
100 AMP ORELESS 5.00
r�
Single Family ❑ Duplex ❑ Mobil Home ❑ Others 0
Main service EA. ADD'L 100 AMP 2.50
G
Main service OVER s O 25.00
100 AMP OR LESS
Main service EA. ADD'L 100 AMP 1.00
NEW CONS. DWELING O
OR ADDNST ( ACCLBLDGS.CCUP. Y) 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
st le of:
Y
NEW D, MULTI.OU R T
NON.CONS BRANCH CIRCUITS) 2.50ea
RESI
NEW CONSTR. POWER APPARATUS e
NON.RESID. SINGLE OUTLET CIR,
EX. OCCUD{OUTLETS OR FIXTIIPES 50@;
Ex. OCCU FIXED APP LNS. OR
p• 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 $ ,
$ Q(
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'9r I certify that in the performance of the work for which this
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 N0.1 @ I 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
Land Development Fee
$
TOTAL PERMIT FEE
$ /
authorize representatives of the County of Butte to enter upon the
above-mentioned property for insp ction purposes.
Date "
Signatureof PQermitee or Agent
Receipt No. Z9_/ /
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 / D
BY Date
gAymmWpermit expires Date q --J,3
COUNTY OF BUTTE
Department of Public Works
7 County Center Drive
Oroville ----- 534-4541
ELECTRICAL, INFORMATION FOR DE -RATING MOBILEHOMES
Owner L - , :Z .�" �� S I -P_ yn "2 Z2 S
Location ,
Mobilehome Installation Permit No. / - A- o
FILL IN INFORMATION FOR ITEMS I THRU 10 .
Watts
f
1. Width' / x Box Length x 3 = 7_
2. 2 Kitchen Appliance.Circuits ................. = 3,000.___
3.
4.
5.
6.
7.
8.
1 Laundry Circuit ... = 1,500
Ovens ..':Y`. ........................ ... = j1V _3_j
Top ............ ...... ..
Cook Stove To ..
Hot Water Heater -�a �o e
011
Dishwasher & Disposal ...................
Clothes Dryer .. ................. ......... Ll 1vt
9. Other (specify, i.e., motors, exhaust fans.,
etc.)
7
549
Sub -total - Watts ...
First 10,000 watts @ 100% = 10,000
Remaining '-7 @ 40/0 ..........................
10. Air Conditioner �— watts @100%.. _ )
Largest Demand
Central Heat System &A I kW -watts @_ 65%.. _ /Of 9S )
TOTAL DEMAND WATTS REQUIRED.............. �3
"Demand Watts Required" }�; 230 ............. ....,. _ ���,�� AMPS
De -rate Mobilehome to .................. AMPS
BUTTE COUNTY
BUILDING DEPARTMENI.
--i �- Ss/
APPROVED
7533-79P,E
AP[";gMIT N0.
e
PERMIT EXPIRES / ^(
Charles•U. Clemns
.'OWNER
-&.CONTR. George A. Santos, Paradise
65-173-19
LOCATION (A.P. )
Lot 374, Tikker Lane,Fir Haven Sub, Magalia
•1
'7.
Y
i
1�
k
c`
'
r
4Y
f
Temp. Power Pole
Called PG&E
Temp. Elec,Serv. r Z
Called3PG&E ao2 p,
Temp. Gas Ser%
Called PG&E
JOB
'
F�INALED �-- —
V (D
' nature)
I
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
o; the California Administrative Code, Title 25, Chapter 5, under permit
number for the following location: `
Owner •+- ;'/l 3 C /fliJri4/�
Owner's Address /7 J 7�a,. /•c% — ��l.='�`� 'T /' '
Mobilehome Mfg. r -!I j l Model -�'�� �= Year
Insignia No. : '/ ,'r Ir 4 ,{ Serial No.
It is hereby certified for occupancy at the above described location and
may be occupied.
Director of Public Works
Date 2 BY.
THIS CERTIFICATE IS VOID WHEN MOBILEHOME IS RELOCATED
White - Owner, Yellow - Installer, Pink - D.P.W.
Steel
Mesh
;A
r5rqwn x C0011 0(6
F Ish Duc ' µ 2a
In Arior Lath V tilation
or Closer anal
MOBILEHOME 4ILVrIES - - - • - - - Elec. Service
Water Piping ' Sewer
BI E ME INSTALLATION Su port e2 09
Water Piping_ Ca i n 2 z
DAT REMARKS OR C CTIONS
Water Htr.
Subpanels
Grd. Fau Prn
Service
TePole
U der rouni
ennanent
nal
lec. Pedestal
Gas Piping
Elec. Continuity
Gas Piping ,p
(NOTE: An entry must be made on this form each time you visit the job site.)
PLUMBING
ICAL
•
'i-
�.. __COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS
BUILDING INSPECTION RECORD
BUILDING BUILDING (Cont'd)
S back
Fliewall
oil Apin
Fo s
ara ets
/fFRNstroom
,1st Floor
M In Bldg.
Finish
Nd Floor
ootin s
W1 ows
' 3 Floor
St
wal l
Sid16
To oa,
Slak
Roof 4eathing
Water N in
Pierk
Roofink
Sewer \
Garage
Fdn. Vehs
Fixtures \\
Footin
Stemwallk
Garage Ve is
Insulation
Water Htr. ,
Heaters
Slab
Carport
Footings
Prov. for ph y scally
handica ed
Conformance of x.
X structure
-Appliances
Gas Piping!
Temp. Gas
Slab
Final
Sanitation
Patio
FPLACE
Final
Footings
X Footino /
Steel
Mesh
;A
r5rqwn x C0011 0(6
F Ish Duc ' µ 2a
In Arior Lath V tilation
or Closer anal
MOBILEHOME 4ILVrIES - - - • - - - Elec. Service
Water Piping ' Sewer
BI E ME INSTALLATION Su port e2 09
Water Piping_ Ca i n 2 z
DAT REMARKS OR C CTIONS
Water Htr.
Subpanels
Grd. Fau Prn
Service
TePole
U der rouni
ennanent
nal
lec. Pedestal
Gas Piping
Elec. Continuity
Gas Piping ,p
(NOTE: An entry must be made on this form each time you visit the job site.)
PLUMBING
ICAL
•
1;
MOBILEHOME INSTALLATION INSPECTION CHECK LIST
V�'Is the mobilehome located with/ equired separation from lot lines and buildings and generally
conform to plot plan? Yes_ No_
ed clearances above round? Sec.5085) Yes No
�L Does the mobilehome have required $ (
Are footings and supports properly sized, spaced, and braced as per approved plans? (Note.
possible variation at spring shackles.) (Sec.'5082 & 5083) Yes L -"No_
Yes w No Is the mobilehome level. (Sec. 5088 )
If more than a single unit., are crossover connections properly installed? (Sec. 5088) .
Yes�No_
Water
A. Is flex' e connector of adequate size and properly installed (1/2" ID min.)? (Sec. 5566)
Yes_ No_
B. Test - Does water piping withstand working pressure or 50 lbs, air test? Yes
onkewIf coach is not State of California approved, does station have backflow device
ssure-relief valve? Yes_ No
/V 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 4" per foot slope and is it properly supported? Yes 1,No
C. Are'any leaks detected in drainage system after running 3 -gallons of water through each
fixture including washing machine standpipe? Yes— No l�
If�,Qc.�hl is not State of Californiaapproved, does station have required trap and vent?
Yes/% o—
7_
Gas Piping and Gas Vents
A. Connector - Is mo ilehome connected t he gas supply with an approved 3/4" minimum..
mobilehome cofinect r not more than ft, long? Note: All piping is to be at least as
large as the mobile ome gas line filet without reductions other than the mobilehome
conner4nj
Yes—
B. Test perfollowi p cedure? Yes_ No_1, peall appliance o nector valves.
2., Shut off applianc bur er and pilot valves.
3. Air test with anometer 10"-14" water column, or.test with slope gauge (minimum
6oz.-maximum oz.) calibr ted in tenth pound increments. Test for. 10 min. without
drop.
4. Connect as meter to mobilehom with connector, turn on gas, test connections with
soapy - ter.
C. Are all ppliance vents properly instal ed? Yes_ No.
A
Electrical
A. Is service large enough to provide adequate amperage -to mobilehomd•(must equal rating of
mobilehome with a minimum of 100 amp). and other -facilities on lot, i.e., water pumps,
garage, cabana, etc.? Yesi� No=
B. Is there proper clearances around panels? Yest," No_
O/z, s 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 the .grounding electrode and the chassis of the
mobilehome. Upon satisfactory completion of theelectrical tests, the lot or site
service equipment may be approved for energizing.
10. Is job card signed by Health Department for water and sanitation? NZ)
11. If everything okay, sign off card and tag services.
MOBTLEHOME DATA
Manufacturer and/or Namestyle
Length 5^2i Width_
i
Vehicle Serial No. m
State Identification No. P2,
Additional Information or Comments:
A 0.,P �G
f o o hz,,�d 1' / b o 14 Al-� A/O',c,
d A15 -t d st &1XA ,✓ ovr
srOV &W l/Jtd, "W£
v 1�IltOt ,A. 0&Jd AW
Id
CS cif -x /0, e: S /*
COUNTY OF BUTTE
DEPARTMENT OF PUBLIC WORKS •.. `r•
695 Oleander Avenue, Chico — Phone 343-4211, Ext. 70
7 County Center Drive, Oroville — Phone 534-4541
Skyway and Elliott Road, Paradise — Phone 8773435
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.
COUNTY OF BUTTE —f DEPARTMENT OF PUBLIC WORKS `
7 County Center Drive 'Ortiville, California 95965
Tel epbone: 5344541
APPLICATION AND PERMIT
. Aid
authorize representatives of the County of Butte to enter upon the
above-mentioned property for inspection rposes.
X Date
Signature of P itee or A en
Receipt No. 3 ��
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 OE PUBLIC WORKS
BY Date/ 2-- 2-(- - 7
f (ding permit expires Date Z — 2-4. — jc"O
BUILDING79
OwnerSO.
CHARLES •v; GcFMNs
FT. OCC. BUILDING VALUATION
r
Mailing Address S-3.37 IPL A uS
'
M@ 10 CS %V A , 3
Telephone No.,
Contractor ` n 6 A Sc K*Tc, s
17
Mailing Address G�CC�c %fib
Fireplace
Total Valuation
�
%J/¢/'�4,04f ,K CA s-rC P
Telephone No.
Ff -/ 212
Permit Fee
Building Address LOT% -/rJ /C n �� ��
Plan Checking Fee&/or Penalty
Permit Fee
6 4 Lin
PLUMBING No. @ FEE
PERMIT FILING FEE $3.00 i�
Each Trap 1.50
Repair drainage or vent piping 1.50
A.`PNo. �� �/,7•—
'�oning 8 Planning
Water piping 1.50
Each gas water heater or vent 1.50
Fos>
ke I Sa ion Fi.reDept.
Fire Zone
Use Permit
Gas piping system 1 - 5 outlets 1.50
EQA
Parking
Plans
Parcel
Declaration
Parcel Map
60' R/W
Improvements
Each additional outlet .30
.
Buil cr'sewer 5.00 ®.
Bldg.ans Recd
Parcel AEP1.val Plans Approval
awn sprinkler system 2.00
I;r
NEW ❑ ADDITION ❑ UTILITIES CR OTHER [:]permit
Fee $
$ Z
ELECTRICAL No. @ FEE
PERMIT FILING FEE $3.00 , cc>
Main service e001 OR LESS CiV
too AMP OR LESS 5.00 ,
Single Family Duplex Mobil Home Others
❑ P ❑ ❑
Main service EA. ADD•L too AMP 2.50 O
Main service OVER e00V 25.00
100 AMP OR LESS
Main service EA. ADD'L 100 AMP 1.00
NEW CONST. ( OR ADDNS. ACCLLLDGS.ING CCUP. Y) 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:
E?k 9 e 4 SPLx7'o S
NEW RESID,
NON-RESID
M OUTLET
NCH CIRCUITS) 2.50ea
NEW CONSTR.
NON-RESID.
(POWER APPARATUS e
SINGLE OUTLET CIR.
EX. OCCUO(OUTLETS OR FIXTIIRES 50 0 BAL21
Ex. Occup. FIXED APPLNS. OR
OUTLETS (RESID.) EAJ 2.00
Temporary service 10.00
Mobile Home Facilities 15.00 , �D
License No.,"js,fyG C Classification A Codc'd/i
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.
50 1 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
Land Development Fee
$ (�
TOTAL PERMIT FEE
$ 3 IGI
authorize representatives of the County of Butte to enter upon the
above-mentioned property for inspection rposes.
X Date
Signature of P itee or A en
Receipt No. 3 ��
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 OE PUBLIC WORKS
BY Date/ 2-- 2-(- - 7
f (ding permit expires Date Z — 2-4. — jc"O
COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS
' 7 County Center Drive~ = OEoville, California 95965 !/ _
Telephone: 534-4541
APPLICATION AND PERMIT
I am exempt from the Contractors License Laws of the State of California.
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.
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-mentioned property for inspection purposes.
X C • Old(/- Date"' d " M
Signature of Permitee or Agent
Receipt No. 747 Ga
White-D.P.W. - Yellow -Assessor - Pink -Inspector - Goldenrod -Applicant
Permit Fee $
MECHANICAL No. @
PERMIT FILING FEE $3.00
Heating
Coo I i
Ventilation
Hood 1 1 2.00
Permit Fee $
/$ - C�>�
TOTAL PERMIT FEE $
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 pp
wilding permit expires Date Z
BUILDING
Owner
SQ:'FT. OCC. BUILDING VALUAT O
Mailing Address] -832 , �J
Telephone No.
Contractor Z-� &-:- A40f l�L/?/f C S 6-A2 11166
Mailing Address L71k OPC",k-'SON PO -
Fireplace
Total Valuation
_
rL*�n1
/-j2Anl6� A qS
Telephone N
7-0' 33
Permit Fee
Building Address
Plan Checking Fee &/or Penalty
Permit Fee
QJ
PLUMBING No.1
@ FEE
PERMIT FILING FEE
$3.00
Each Trap
1.50
Repair drainage or vent piping
1.50
/�
A. P. O. 6 1 3'G�`7 — Q
Zoning 8 Planning
Water sin '
1.50
Each gas hater heater or vent
1.50
Fes I
C.
I 9anitAt)^n
Fire Dept.
Fire Zone
Use Permit
Gas piping system 1 - 5 outlets
1.50
EQA
Parking
sans
ParcelEach
Declaration
Parcel Map
60' R/W
Improv ents
additional outlet
.30
Building sewer
5.00
Bld . Plans Recd I
Parcel A roval
Plan Approval
Lawn sprinkler system
2.00
NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER
Permit Fee
$
M iQ P-0 —
ELECTRICAL No.
@ FEE
PERMIT FILING FEE
$3.00
00V OR L
Main service 100 AMP ORSLESS
5.00
Single Family ❑ Duplex ❑ Mobil Home Others ❑
Main service EA. ADD'L too AMP
2.50
Main service OVER 600V
100 AMP OR LESS
25.00
Main service EA. AOD'L 100 AMP
1.00
NEW CONST. (DWELLING OCCUP. 7i)
OR ADDNS. ACC. BLDGS. l
20sq ft
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: / f
Lis A46/3/LE14bAqc
NEW CONSTR ULTI.OUTLET
NON.R ESID (MULTI
CIRCUITS)
2.50ea
NEW CONSTR POWERAPPARATUS &
NON-RESID. SINGLE OUTLET CIR.
Ex. OCCUD(OUTLETS OR FIXTURES
g ILOJ
FIXED APPLNS. OR
Ex. Occup. OUTLETS (RESID.) EA)
2.00
Temporary service
10.00
Mobile Home Facilities
15.00
��� 97 8
License No. Classification
Misc. Wiring
6.25
I am exempt from the Contractors License Laws of the State of California.
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.
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-mentioned property for inspection purposes.
X C • Old(/- Date"' d " M
Signature of Permitee or Agent
Receipt No. 747 Ga
White-D.P.W. - Yellow -Assessor - Pink -Inspector - Goldenrod -Applicant
Permit Fee $
MECHANICAL No. @
PERMIT FILING FEE $3.00
Heating
Coo I i
Ventilation
Hood 1 1 2.00
Permit Fee $
/$ - C�>�
TOTAL PERMIT FEE $
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 pp
wilding permit expires Date Z
BUTTE COUNTY. DEPARTMENT` -OF PUBLIC WORKS
7 County Center Drive, Oroville, CA.
PHONE: 534-4541
MOBILEHOME INSTALLATION SHEET
• t
1.
Owner's name:
2.
Installer's name: G id
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 / No./
/
(If no, clarify
)
5.
What is the mobilehome electrical rating? -----------------------
oO-d 0
Amps
6..
What is the mobilehome site service rating? ---------------------
���
Amps
.7..
What is the mobilehome site circuit breaker.rating?-------------
Cood
Amps
8.
Is there any other electric load to be served by the mobilehome
site service? ---------------------- ,-----------------------------
Yes
`7737 -
NO
(I£ yes, identify the load and size:
(Load)
(Amps)
9.
What is the mobilehome site gas pipe size? ----------------------
in.
10.
What i§ 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.)
MOBILEHOME SUPPORT DATA
If other"than single wide, '/
Mobilehome Mfr. -furnish Setup Model No:- l `t' Year q-7
Width (ft.) Box Length(ft.) .Tagalong'.or Expando Size ft. x 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 of
mobilehome•unless otherwise specified.
Footings (check one)
Single 1 W od either
(ft.)(in.) (in.) (in.)
(ft.)(in.) (in.) (in.)
(ft.)( (in.)
*If center piers are other than drawn above,
draw in -locations: suacine. and dimensions.
0
pressure treated or
foundation grade.
0 2. Other (specify)
Supports (check one)
1:- Concrete block.
2: Other (specify)
Tagalong or Expando,'
show support details.
-1/px,391 -- Typical Support
(in.) (in.) Footing Size
�� �� --'Max. Pier Spacing
(ft.)(in.)
=ft.)(
Max.Overhang
BUTTE COUNTY
8UILDING DEPAUP'IEV41
APPROVED
(ft.)(in:)
(in.) (in.)
Center support
Center support
locations*
footing sizes
07 °
/ox3
(ft.)(in.)
(in.). (in.)
(ft.)(in.) (in.) (in.)
(ft.)(in.) (in.) (in.)
(ft.)( (in.)
*If center piers are other than drawn above,
draw in -locations: suacine. and dimensions.
0
pressure treated or
foundation grade.
0 2. Other (specify)
Supports (check one)
1:- Concrete block.
2: Other (specify)
Tagalong or Expando,'
show support details.
-1/px,391 -- Typical Support
(in.) (in.) Footing Size
�� �� --'Max. Pier Spacing
(ft.)(in.)
=ft.)(
Max.Overhang
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