HomeMy WebLinkAbout065-320-024O
i
George Silva 0/A40ft-
1419 X243 Goldcone Dr., lot 69, PP, #l, Magalia
Permit 1=78P,E(uti ,MH)
'ELEC
GAS
r'
SUPPORf STRUCTURE REQ. �jiUn
COPACTION 75T REQ.
65-32-2
('Ontr: McMIllan ki-, Paradise
Ermit #33 7-78MHI
ssued ila& 4
xr
,t,65=32-24
Permit #3929;-8'OB(new covered deck/MH)AZIM
contri Roy Anderson, Magalia
Permit #5,2-80$ ne��arage)
[ a
913 4/oY/65-32-24
ontr, Roy Anderson, Magalia
ermit #3389-81B(new deck & awning/MH)
a
PERMIT NO.
3389-81B
PERMIT EXPIRES_/G�.
OWNER
George Silva
CONTR.
Roy.Anderson, Magalia
ASSESSOR PARCEL
65-32-24
LOCATION .14799
Goldcone Dr . , lot 69 , PP#1,
Magalia
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Temp. Power Pole
Called PG&E
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Temp. Elec. Service
.i
Called PG&E
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Temp. Gas Service
t
Cal led PG&E
JOB FINALED (Date)
Signature
J = OK
0 = Nbt OK
= Not Applicable MOBILEHOMES
= Not Ready ,
MISCELLANEOUS
Date
MOBILEHOME UTILITIES (Plans) OK except q's.
1. Zoning Requirements–Setbacks=EasementsZo
Date
DECM, COVERS, CARPORTS, ETC. (Plans) OK except N's
'ng Requireme ts– etb c –Easements
2. Soils; Special MH Support–Sketch
F tings S' D –Spacing–Connectors
3. Sewer; Location–Test–Fall-C/0–Concrete
DeEKS; Girders and/or Joists–Decking–Bracing–Stairs–Rails
4. Water; Lacatioq–Test–Easement Needed (Sketch)
Awn.; _Posts–Beams–Rftrs—Cvnnec.–Shthg.–Rfg..–Bracing
5. Electricity; Location–Clearances–Grnd.–/ / Amp–Concrete
5. Alum. Awn.; Columns–Connections–Splice–Decal–Enclosures
6. Gas; Location–Test–Wrap:/ /"L"ft./ /"Nat.or/ /"L"ft./ /"LPG
7. Utility Clearance
6. Carports; Windows–Doors
7. Elec.
Card -BI
Date Card -BI Date
Card -BI "C, Date 1 I Card -BI Date
Card -BI
Date Card -BI Date
Card -BI
L Date 9 YLt Car&Bl" Date
Date
MOBILEHOME INSTALLATION (Plans) OK except #'s
1, Zoning Requirements–Setbacks–Easements
Date
POOLS (Plans) OK except N's
1. Setbacks–Easements
2. Footings; Size–Spacing–Marriage Line
2. Soils; Compaction–Structure Stability
3. Gas; MH Test–Demand–Valve–Connector 1!
3. Pool Structure; Steel–Connections–Thickness–Dead Men–Lining
4. Electricity; MH Test–Crossovers–Breakers–Clearances
4. Elec.; Receptacles and Lighting; Distances–GFI
5. Drain; MH Test–Fall–Flex Connector
5. Elec.; Pool Lighting; 15 volts–GFI
6. Water; MH Test–Regulator–Connector
6. Elec.; Enclosures; Conduit Entries–Terminals–Listed
7. Water and Sewer Connected–C/0 to Grade–HD Approval {
7, Elec.; Bonding; Metal w/5'–Circulating Equipment–Heater
8. Gas and Electricity Tagged
9. Exits; Insp.–Sketch
8, Elec.; Grounding; Equip. w/5'–Circulating Equip. -Pool Lghtg.
Boxes–Enclosures–Panel boards–Ins. to Main in Conduit
10. Cert. of Occupancy
9. Health Department Approval
10. Plumb; Cir. Test–Water Supply Test
Card B-1
Date Card -BI Date
Card -BI
Date Card -BI Date
Card B-1
Date Card -BI Date
Card -BI
Date Card -BI Date
J = OK
0 = Not OK
- = Not Applicable RESIDENTIAL (Single and Duplex)
* = Not Ready
Date UNDERFLOOR. (Plans) OK except N's
1. Zoning requirements -Setbacks -Easements
2. Ftg., Main; Soils-Steel-Elec. Grnd.- / /" Ftg. Dept
3. Ftg., Garage; Soils -Steel- / /" Ftg. Depth
4. Ftg., Porches & Decks; Soils -Steel- / /" Ftg. Depth
5. Stemwalls, Main; Steel-Blockouts-Wrapped-Slab
6. Stemwalls, Garage; Steel-Blockouts-Wrapped-Slab
7. Piers -Fireplace Ftg.-Steel
8. D.W.V.: Fall -Fittings -Test -2 way C/O -Sewer Test
9. Gas Pipe; Size -Anchors
10. Water Pipe; Test -Anchors -Regulator -Service Test
11. Electric; Underground
12. Plenums & Ducts; Clearance -Material -Support -Ins.
13. Girders -Sills -Anchor B61ts-Joists-Vents-Cripples
Card -BI
FRAMING (Continued)
Date Card -BI Date
Card -BI
Date
Date Card -BI Date
PLUMBING (Permit) OK except H's
14.
Water Ht.; Vent -Access -Combustion Air
15.
Water Pipe; Test & Anchors -Nail Protection
16.
D.W.V.; Test-Fttngs & Anchors -Nail Protection
17.
Shower Pan; Test, First Floor -Tub Access
18.
Test Tub & Shower, 2nd Floor -Tub Access
19.
Gas Pipe; Size & Anchors
55.
Shear Walls; Nailing -Bolts
Card -BI
Date Card -BI Date
Card -BI
Date Card -BI Date
Date
ELECTRICAL (Permit) OK except q's
20.
Fixture & Transformer Clearance -Ins. Protection
Date Card -BI Date
21.
Elec. Receptacles Spacing -Lights & Switches at Doors
Date Card -BI Date
22.
23.
Size Boxes & No. of Conductors -Stapled
Romex Installed Close to Edge of Studs & C.J.
24.
Equip. Ground made up w/Mech. Fasteners -Bond Gas & Water
25.
2 Appliance Circuits in Kitchen & Conductor Size
_
26.
Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga. Cu or AI
27.
28.
Range Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or AI,
Insulated Neutral ❑Yes ❑No
Service -Riser Conductors & Ground -Main Disconnect
29.
Equip. Clearances; Panels-Motors-Mech. Equip.
30.
Clothes Closet Light -Shower Light
63.
Fireplace or Stove; Clearances -Hearth
64.
Elec. Outlets at Wood Panel; Int. & Ext.
Card B -I
65.
Date Card -BI Date
Card B-1
66.
Date Card -BI Date
Date
MECHANICAL (Pertrit) OK except N's
Garage Fire Door; Swing -Landing -Closer
31.
A.C. Ducts; Insulation & Support
_
32.
33.
34.
Vent Fan; Exhaust above Insulation
Condensate Drain & Overflow; Size & Grade
Furnace -Vent; Access -Comb. Air -Return Air Vent -115V outlet
Wtr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V.-
In Garage; Above Floor-Mech. Protection
35.
Attic Access & Platform if Furnace in Attic
Plb., Elec. & Mech. Equip. Listed for Location
71.
Elec. Receptacles in Garage; (G.F.I.)-Romex Protec.
72.
Card -BI
_
Date Card -BI Date
Card -BI
Date' Card -BI Date
Date
FRAMING(Plans) OK except k's
75.
36.
Sills; Proper Material & Anchors
_
37.
38.
39.
Walls; Studs -Nailing, Spacing & Bracing -Plates -Sound
Bearing Walls over Girders & Floor Nailing
Draft Stop in Walls (rat proof)
77.
40.
Fire Stops; Furred Ceilings -Stairs -Chases -Tub
78.
41.
Header & Beam -Size & Bearing
_
42.
43.
44.
Hangers -Post Caps -Anchors -Connectors
Cing. Joist-Rftr. Ties-Purlin-Roof Brac.-Truss-Shthng.-Rfnp.
Fireplace Ties or Type A Flue -Fireplace Throat
80.
81.
45.
46.
47.
Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles
Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions
Garage Fire Protection Framing
Date
FRAMING (Continued)
48.
Property Line Firewall & Openings
49.
Ext. Doors -One 3' -Check Garage -3rd story, 2 exits
50.
Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection
51.
Plywood on Roof Overhang -Attic Vents -Rafter Outriggers
52.
Siding -Nailing -Veneer
53.
Stucco Mesh -Drip Screed-Fdn. Vents-Underflr. Access
54.
Glazing Area -Glass Protection -Skylights -Plastic
55.
Shear Walls; Nailing -Bolts
Card -BI
Date Card -BI Date
Card -BI
Date Card -BI Date
Card -BI
Date
Date Card -BI Date
FINAL (Plans) OK except N's
56. Ext. Steps -Door & Sidelight Protection -Landings
57.
Smoke Detector
58.
Furnace; Vents -Clearance -Comb. Air -Connector -
In Garage; Above Floor-Ducts-Mech. Protection
59.
Bedroom Exiting
60.
G.F.I. & Bath Fixtures & Tub Access
61.
Elec. Trim & Subpanel; Breaker Sizes -Labels
62.
Stairs & Rails
63.
Fireplace or Stove; Clearances -Hearth
64.
Elec. Outlets at Wood Panel; Int. & Ext.
65.
Kit. Fixt. & Appliance; Grnd.-Air Gap -Cooking Clearance
66.
Elec. Outlets & Receptacles at Kit. Counter
67.
Garage Fire Door; Swing -Landing -Closer
68.
A.C. Duct in Garage -Damper
69.
Wtr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V.-
In Garage; Above Floor-Mech. Protection
70.
Plb., Elec. & Mech. Equip. Listed for Location
71.
Elec. Receptacles in Garage; (G.F.I.)-Romex Protec.
72.
Insulation -Foam -Looked in Attic ❑Yes
73.
Guard Rails & Deck Construction -Post Caps
74.
Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance
Looked under Floor ❑ Yes
75.
Following instld.: Drive ❑ Yes ❑ No; Walks ❑ Yes ❑ No;
Planters ❑Yes 0 N
76.
Stucco; Brown -Finish
77.
A.C. Unit; Disconnect-Clrnces-Brkr. & Cond. Size -115V Outlet
78.
Vents Above Roof; Plbg.-Appliance-Firepl.-Clearance to Opngs.
79.
Water Well; Disconnect, Electrical, Plumbing
80.
81.
Exterior Elec. Trim; G.F.I. Receptacle -Underground
Ventilation throughout House
82.
Glass Protection
83.
Corrections from Previous Inspections
84.
Gas Test -Meters Tagged; Gas -Electric
85.
Water & Sewer Connected -C/0 to Grade -HD Approval
86.
Energy Compliance Certificate -Other Certificates
Card -BI Date Card -BI Date
Card -BI Date Card -BI Date
Card -BI Date Card -BI Date
Comments at Final:
(NOTE: An entry must be made each time youvisit jobsite)
COUNTY OF BUTTS - DEPARTMENT OF PUBLIC WORKS PERMIT NO,
7 County Center D'Ni e- Oroville,ICralifornia 95965 - Telephone 916/534-4541
APPLICATION AND PERMIT AA
ASSESSOR P RCEL '.UMBER
ZONING
BU NG PERMIT
OW ER A. V �•
TELEPHONE
SQ. FT. VALUATION
(�0CC -BUILDING
/' / 2
OWNER'S MAIL NA
G DDRESS
IS -0
CO RACTOR• NAME
I-iLSIS-7-1�2U3
TELEPHONE
C TR TOR'S MAIL G ADDRESS n _ /
/ U LaT L Efh e- 6- /`G a �
Fireplace
C NSTRUC TION LENDER
Aii
UN WN
Total Valuation $
Filing Fee
$ 10,00
LE DER'S MAILING ADDRESS
Permit Fee
$ a
ARCHITECT OR -ENGINEER
a
LICENSE NO.
Plan Check'ng Fee
$ /
Penal
$
ARCHITECT OR ENGINEER'S MAILINGADDRESS
Pipfrit fee
$ r
BUILDING ADDRESS Vt✓p L6D`i P AL
PLUMBING PERMIT
Filing Fee 10.00
Each Trap
1 2.00
Repair drainage or vent piping
5.00
Water piping
LOT NO.
�oPt
SUBDIVISION NAME PARCEL MAP
Each qas water heater or vent
5.00
Gas piping system 1 - 5 outlets
USE OF STRUCTURE
SF ❑ Duplex ❑ Mobilehome�( Other
SPECIFY
Building sewer
Lawn sprinkler system
5.00
TYPE OF WORK
New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other
Describe work:
Permit Fee
$
Contractor
ELECTRICAL PERMIT
Filing Fee 10.00
Main service 100 AMP OR01V OR LESS5.00
Main service EA. ADD'L 100 AMP
2.50
NEW CONST. ( DWELLING
OR ADDNS. ACC. BLDGSCCUP.d)
22 sq ft
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.
�i3� `
License No.6 �� Classification �_
❑ I, 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)
❑ l,. 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 CO ID R BRANCH CIRCTITS 2.50 ea
NEW CONSTR. POWER APPARATUS &I
NON-RESID. SINGLE OUTLET CIR,
50 @ 2sa
Ex. OccupOUTLETS OR FIXTURES BALCmi
Ex. Occup.(O UTLETS FIXED P(RESID IK EA. 2.00
Temporary service 10.00
Mobile Home Facilities
15.00
Misc. Wiring 7.50
Permit Fee $
Contractor
MECHANICAL PERMIT
Filing Fee 10.00
WORKMEN'S COMPENSATION INSURANCE
I 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.
I shall not employ any person in any manner so as to become subject
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.
Heating
Cooling
Hood
3.00
Ventilation
Permit Fee
$
Contractor
I certify that I have read this application and state that the above information
is correct. I agre to cply to all County Ordinances and State Laws relating
to building c ru i n and hereby authorize representatives of the Countyot
Butte to e r upon a bov tioned property for inspection purposes.
I also a to s e nify nd keep harmless the County of Butte against
all li i ies, ' dg s, cos , d expenses which may in any ay ccrue
agai t a' oun n copse a of the granting of this permit.
X Date
Signatur pplicant - Owner ❑ ContractorX Agent
An 05 A permit is required for excavations over 5'0" deep and demolition or construct-.
ion o structures over 3 stories in height.
Mobile Home Installation Fee $
TOTAL PERMIT FEE $ "
oCCUP. GROUP
,t /J=
�r�
I TYPE OF CONST,
I
IPAICILI
ID
ND
59UE
This permit is hereby issued under
sions of the Butte County Code and/or
work indicated above for which
DIRECT OF PUBLIC
By
PE IT EXPIRES Date
the applicable provi-
resolutions to do
fees have been paid.
WORKS
Date
Receipt No. �-2< '
WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT
PER(�tIT
N0. 3929-80B
PERMIT EXPIRES y�
George Silva
OWNER
CONTR.
owner
LOCATION (A.P. 65-32-24 )
i
1235 Goldcone Dr., lot 69, PP#I, Magalia
K
�y
�6
n
C
S
F
Temp. Power Pole
,,/
Called PG&E/
Temp. Elec. Serv.
Called PG&E
Temp. Gas Serv.
Called PG&E
VOB
G
FINALED
(Date)
(Signatu )
COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS
• , BUILDING INSPECTION RtCORD
BUILDING BUILDING-(Cont'd) i PLUMBING
Setba k
c
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
Stemwa I I
Garage Vents
Insulation IHeaters
Water. Htr.
Slab
Prov. for ph scally
handica e
Appliances
Carport Conformance of ex. Gas Piping& Test
Footings structure Tem . Gas
SlabFinal Sanitation
Patio FIREPLACE Final
Fixtures
FIRE SPRINK
ELECTRICAL
--v
Mesh
renai
ECHANICAL
Sub anels
Grd. Fault Prot.
Scratch
Heating
Service
Brown
Cooling
Temp. tole
Finish
Ducts
Under ound ,
Interior Lath
Ventilation
Penn nent"
Door Closer
Final
Final
MOBILEHOFXE UTILITIES -----------------
Elec. Ser ce
Elec. edestal
Water Piping
Sewer
Gas aping
NIRBILEHOME 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.)
I
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS
7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541
APPLICATION AND PERMIT
ASSSSOR PARCEL NUM ER
- — �,}
y�
Z�/c f •
BUILDING PER
OW ERS
��
LEPHONE
T �—
SQ. FT. OCC. BUIL VALUATION
O
OWNER'S MAI IN�G DRESS ,
S� �Dc,�
CONTRACTOR'y5 NAAM.E
Gy • _
ELEP
THONE
CO RACTOR'S MAILING ADDRESS
CONSTRUCTIO�J LENDER
u_(Total
UNKNOWN
Fireplace
Valuation $ ��
LENDER'S MAILING ADDRESS
Permit Fee $
ARCHITECT OR ENGINEER
LICENSE NO.
Plan Checking Fee $
Penalty $
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Permit fee $
BUILDING JA ADrss M�
PLUMBING PERMIT Filing Fee 3.00
Each Trap 2.00
Repair drainage or vent piping 2.00
-q�
In 0q- "1.,f4
Water piping
LOTNO,
9
AME
SUBDIM94�
�
PARCEL MAP
Each qas water heater or vent 2.00
Gas piping system 1 - 5 outlets
USE OF STRUCTURE
SF ❑ Duplex❑ MobilehomeX Other
SPECIFY
Building sewer
Lawn sprinkler system 2.00
TYPE OF WORK
New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation❑ Other
Describe work:
Permit Fee $
Contractor
ELECTRICAL PERMIT Filing Fee 3.00
Main service 600V OR LESS
100 AMP OR LESS 5.00
Main service/EA. ADD'L 100 AMP 2,50
NEW CONST. DWELING
OR ACDNS. `ACCLBLDGS.CCUPM 20sgft
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)
❑ 1, as the owner, am exclusively contracting with licensed contract-
ors. (Sec. 7044)
❑ I am exempt under Sec. , Business and Professions Code
for this reason
MULT [-OUT LE
NON.RESID R BRANCH CIRCTITS 2.50 ea
NEw CONSTR, ( POWER APPARATUS .&)
NON.RESID, SINGLE OUTLET CIR$)
ExOccu / 50 @25q
. P\OUTLETS OR FIXTURES BAL010C
FIXED APPLNS, OR \
EX. QCCUp.(OUTLETS (RESID.) EA.) 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.
❑ I shall not employ any person in any manner so as to become subject
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 FiIingFee 3.00
Heating
Cooling
Hood 2.00
Ventilation
permit Fee $
Contractor
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 authorize representatives of the Countyot
Butte to enter upon the above-mentioned property for inspection purposes.
1 also agree to save, indemnify and keep harmless the County of Butte against
all liabi ies, judgments, costs, and expenses which may in any way accrue
agains id County in co ,:pence of the granting of this permit.
XDate2134��iU
Signature of Applicant — Owner Contractor ElAgent❑
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
�(,,T//',66�4
TYPE OF CONST.
�V
IPARCELI
v
N
ISS 5
This permit is hereby issued under the applicable provi-
sions of the Butte County Code and/or resolutions,to do
work indicated above for which fees have been paid.
DIR OROF P BLIC WORKS
�+
By Dal.
PERMIT EXPIRES Date-�
'% O r
No. �7 � 3
WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT
5382-80B
PERMIT NO.
PERMIT EXPIRES
OWNER George Silva
CONTR. Roy Anderson, Magalia
ASSESSOR PARCEL 65-32-24
LOCATION 14799 Goldcone Dr., lot 69, PP#I ,
Magalia
Y
t
}
Temp. Power Pole
Called PG&E
Temp. Elec. Service
Called PG&E
Temp. Gas Service
Called PG/
JOB FKALEI
Signature
J OK
0 = Not OK
- = Not Applicable
= 'Not Ready
MOBILEHOMES
MISCELLANEOUS.
Date
MOBILEHOME UTILITIES (Plans) OK except q's
1. Zoning Requirements -Setbacks -Easements
Date
DECKS, COVERS, CARPORTS, ETC. (Plans) OK except k's
1. Zoning Requirements -Setbacks -Easements
2. Soils; Special MH Support -Sketch
2. Footings; Size -Depth -Spacing -Connectors
3. Sewer; Location -Test -Fall -C/0 -Concrete
3. Decks; Girders and/or Joists -Decking -Bracing -Stairs -Rails
4. Water; Location -Test -Easement Needed (Sketch)
4. Wood Awn.; Posts-Beams-Rftrs.-Connec.-Shthg.-Rfg.-Bracing
5. Electricity; Location-Clearances-Grnd.-/ / Amp -Concrete
5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures
6. Gas; Location -Test -Wrap:/ P'L"ft./ /"Nat. or/ /"L"ft./ /"LPG
6. Carports; Windows -Doors
7. Utility Clearance
7. Elec.
Card -BI
Date Card -BI Date
Card -BI
Date Card -BI Date
Card -BI
Date
Date Card -BI Date `
MOBILEHOME INSTALLATION (Plans) OK except #'s
1. Zoning Requirements -Setbacks -Easements
Card -BI
Date
Date Card -BI Date
POOLS (Plans) OK except N's
1, Setbacks -Easements
2. Footings; Size -Spacing -Marriage Line
2. Soils; Compaction -Structure Stability
3. Gas; MH Test -Demand -Valve -Connector
3. Pool Structure; Steel -Connections -Thickness -Dead Men -Lining
4. Electricity; MH Test -Crossovers -Breakers -Clearances
5. Drain; MH Test -Fall -Flex Connector
4. Elec.; Receptacles and Lighting; Distances-GFI
5. Elec.; Pool Lighting; 15 volts-GFI
6. Water; MH Test -Regulator -Connector
6. Elec.; Enclosures; Conduit Entries -Terminals -Listed
7. Water and Sewer Connected -C/0 to Grade -HD Approval
7, Elec.; Bonding; Metal w/5' -Circulating Equipment -Heater
8. Gas and Electricity Tagged
8. Elec.; Grounding; Equip. w/5' -Circulating Equip. -Pool Lghtg.
Boxes -Enclosures -Panel boards -Ins. to Main in Conduit
9. Health Department Approval
9. Exits; Insp.-Sketch
10. Cert. of Oc-.upancy
10. Plumb; Cir. Test -Water Supply Test
Card B-1
Date Card -BI Date
Card -BI
Date Card -BI Date
Card B -I
Date Card -BI Date
Card -BI
Date Card -BI Date
= OK
= Not OK
= Not Applicable RESIDENTIAL (Single and Duplex)
= Not Ready
Date
UNDERFLOOR Plans OK ex a tq's
Date
FRAMING (Continued)
1. Zo requirements- acks-Easements
48.
Property Line Firewall & Openings
2.
Ftg., Main; Soils-Steel-Elec. Grnd.- / /" Ftg. Depth
49.
Ext. Doors -One 3' -Check Garage -3rd story, 2 exits
3.
., G e; Soils -Steel- / /" Ftg. Depth
50.
Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection
4.
Ftg., Porches & Decks; Soils -Steel- / P Ftg. Depth
51.
Plywood on Roof Overhang -Attic Vents -Rafter Outriggers
5. Stemwalls, Main; Steel-Blockouts-Wrapped-Slab
52.
Siding -Nailing -Veneer
6. Ste s, Gswtfe; Steel -Bloc kouts-Wrapped-Slab
53.
Stucco Mesh -Drip Screed-Fdn. Vents-Underflr. Access
7.
8.
Piers -Fireplace Ftg.-Steel
.W.V.: Fall -Fittings -Test -2 way C/O -Sewer Test
54.
55.
Glazing Area -Glass Protection -Skylights -Plastic
Shear Walls; Nailing -Bolts
9.
G s Pipe; Size -Anchors
10.
Wat Pipe; Test -Anchors -Regulator -Service Test
11.
Electr Underground
12.
Plenums Ducts; Clearance -Material -Support -Ins.
At
13.
Girders -Si -Anchor Bolts -Joists -Vents -Cripples
Card -BI
Card -BI
C 1K
Date Card -BI Date
Date Card -BI Date
Card -BI
Date Card -BI Date
Card -BI
l.,
Date (( s - Card -BI Date
Date
FINAL (Plans) OK except q's
56. Ext. Steps -Door & Sidelight Protection -Landings
Card -BI
Date
Date Card -BI Date
PLUMBING (Permit) OK except N's
14. Water Ht.; Vent -Access -Combustion Air
57.
Smoke Detector
58.
Furnace; Vents -Clearance -Comb. Air -Connector -
In Garage; Above Floor-Ducts-Mech. Protection
15. Watpr Pipe; Test & Anchors -Nail Protection
16.
D. .V.; Test-Fttngs & Anchors -Nail Protection
59.
Bedroom Exiting
17.
Show Pan; Test, First Floor -Tub Access
60.
G.F.I. & Bath Fixtures & Tub Access
18.
Test T & Shower, 2nd Floor -Tub Access
61.
Elec. Trim & Subpanel; Breaker Sizes -Labels
19.
Gas Pipe, ize & Anchors
62.
Stairs & Rails
63.
Fireplace or Stove; Clearances -Hearth
64.
Elec. Outlets at Wood Panel; Int. & Ext.
Card -BI
Date Card -81 Date
65.
Kit. Fixt. & Appliance; Grnd.-Air Gap -Cooking Clearance
Card -BI
Date Card -BI Date
66.
67.
Elec. Outlets & Receptacles at Kit. Counter
Garage Fire Door; Swing -Landing -Closer
Date
ELECTRICAL Perrnit K except N's
68.
A.C. Duct in Garage -Damper
20.
Fixture & Transformer Clearance -Ins. Protection
69.
Wtr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V.-
In Garage; Above Floor-Mech. Protection
21.
Elec Receptacles Spacing -Lights &Switches at Doors
70.
71.
Plb., Elec. &Mech. Equip. Listed for Location
Elec. Receptacles in Garage; (G.F.I.)-Romex Protec.
22. Size xes & No. of Conductors -Stapled
23.
Romex stalled Close to Edge of Studs & C.J.
72.
Insulation -Foam -Looked in Attic ❑Yes
24.
Equip. GIVund made up w/Mech. Fasteners -Bond Gas & Water
73.
Guard Rails &Deck Construction -Post Caps
25.
2 Applianc Circuits in Kitchen &Conductor Size
74.
Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance
Looked under Floor ❑ Yes
26. Subfeed Wir Size / / ga. Cu or AI-A.C. Wire Size / / ga. Cu or At
27.
Range Circ./ ga. Cu or AI -Oven Circ. / / ga. Cu or AI,
Insulated Neut I ❑Yes ❑No
75.
Following instld.: Drive E]Yes F)No; Walks E -)Yes ❑ No;
Planters Oyes ❑No
28.
Service -Riser C nductors & Ground -Main Disconnect
76.
Stucco; Brown -Finish
29.
Equip. Clearancek- Panels-Motors-Mech. Equip.
77.
A.C. Unit; Disconnect-Clrnces-Brkr. & Cond. Size -115V Outlet
30.
Clothes Closet Li t -Shower Light
78.
Vents Above Roof; Plbg.-Appliance-Firepl.-Clearance to Opngs.
79.
Water Well; Disconnect, Electrical, Plumbing
80.
Exterior Elec. Trim; G.F.I. Receptacle -Underground
Card B -I
Card B -I
Date
Date and -BI Date
Date Card -BI Date
MECHANICAL (Permit) OK except q's
81.
Ventilation throughout House
82.
Glass Protection
83.
Corrections from Previous Inspections
84.
Gas Test -Meters Tagged; Gas -Electric
31.
A.C. Duct Insulation & Support
85.
Water & Sewer Connected -C/O to Grade -HD Approval
32.
Vent Fan; Ahaust above Insulation
86.
Energy Compliance Certificate -Other Certificates
_
33.
Condensate An & Overflow; Size & Grade
34.
Furnace -Vent; cess -Comb. Air -Return Air Vent -115V outlet
35.
Attic Access & P tform if Furnace in Attic
-N
Card -BI
Date Card -BI Date
Card -BI
Date and -BI Date
Card -BI
Date Card -BI Date
Card -BI
Date and -BI Date
Card -BI
Date Card -BI Date
Date
FRAMING Plans) OK ex pt
'
Comments
at Final:
36. Sills; Proper Materiat& A
c
37.
Walls; Studs -Nailing c & Br lates-Sound
_
38.
Bearing Walls over Girders & Floor Nailing
39.
Draft Stop in Walls (rat proof)
Fire Stops; Furred Ceilings -Stairs -Chases -Tub
_40.
41.
42.
43.
44.
Header & Beam -Size & Bearing _
Hangers -Post Caps -Anchors -Connectors
Cing. Joist-Rftr. Ties-Purlin-Roof Brac.-Truss-Shthng.-Rfnq.
Fireplace Ties or Type A Flue -Fireplace Throat
_
45.
Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles
46.
Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions
_
47.
Garage Fire Protection Framing
(NOTE: An entry must be made each time you visit jobsite)
COUNTY OF BUTTE --DEPARTMENT OF PUBLIC WORKS PE MIT NO.
7 County Center Drive - Oroville, California 95965 - Telephone 916/534 541
APPLICATIpN AND PERMIT
ASSESS 'R" PARCEL NUMBER
—�
ZONING
l/
BUILDING P
�V
I
OWN ETR
TELEPHONE
SQ. FT. OCC. BUILDING VALUATION
d
D,
OWNER'S MAI NG ADDRESSD0
CONTR TOR'S ME I /
fd 'V
ELzEPHONE
CON RAC O 'S MAILI G ADDRE
- � d T �v
CONSTRUCTION LENDER UNKN WN
Fireplace
Total Valuation is O DC)
LENDER'S MAILING ADDRESS
Permit Fee
$ U
ARCHITECT OR ENGINEER
��
LICENSE NO.
Plan Checking Fee
�
$ , C
Penalty
$
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Permit fee
$
BUILDING ADDRESS C)Jd
Z �O rn�
PLUMBING PERMIT
Filing Fee 3.00
Each Trap
2.00
Repair drainage or vent piping
2.00
Water piping
LOjP
SUBDIVISION NAME
PARCEL MAP
Each qas water heater or vent
2.00
Gas piping system 1 - 5 outlets
USE OF STRUCTUFJ# /
SF [:1Duplex❑ Mobilehome❑ Other /.' l9�*/f1*7 94
SPECIJrY
Building sewer
Lawn sprinkler system
2.00
TYPE OF WORK
New Addition❑ Remodel❑ Utilities❑ Installation Other❑
Describe work:
Permit Fee
$
Contractor
ELECTRICAL PERMIT
Filing Fee 3.00
Main service 100 AMP ORV OR LESS5.00
Main service EA. ADD'L 100 AMP
2.50
NEW CONST. DWELING
OR A.D.S. ( ACCLBLDGS.CCUP,&)
20sgft
CONTRACTORS LICENSE LAW
I declare under penalty of perjury (check one):
I am licensed under provisions Of Chapt. 9, Div. 3 of the BUSIneS$
9and Professions Code and my license is in full f ce and effect.
a 3'Classification
License No.���� �
❑ I, 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
NEWCONSTNON.
RESID R BRANCH -CIRCUITS) 2.50 ea
NEW CONSTR. POWER APPARATUS .&)
NON-RESID, SINGLE OUTLET CIR.
EX. Occup(OUTLETS OR FIXTURES �@�
BAL@10Q
FIXED APPLNS, OR \
Ex. Occup.(OUTLETS (RESID,) EA./ 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.
I shall not employ any person in any manner so as to become subject
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
FiIingFee 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 a L to co ly to all County Ordinances and State Laws relating
to building stru do a hereby authorize representatives of the Countyot
Butte to er upo the ab e -mentioned property for inspection purposes.
I also a ee to s ve, 'n m and keep harmless the County of Butte against
all li Ilities udgm s cos s, and expenses which may in any way ac rue
agai t ounty ' onse a of the granting of this permit.
�1
X Date /d �'
Siglwur�f A plicant — Owner❑ Controctor❑ Agent ❑
An emitis required for excavations over 5'0" deep and demolition or construct-
iontures o�ver/3 stories in height.
Mobile Home Installation Fee $
Land Development Fee $
TOTAL PERMIT FEE $
oc P. GROUP
_
TYPE of CONST.
V
PARCEL
PD
HD ISSUE
This permit is hereby issued under
sions of the Butte County Code and/or
work indicated above for which
DIRECT OF PUBLIC
By
PE IT EXPIRES Date
the applicable provi-
resolutions to do
'fees have been paid.
WORKS
Date /c,'� y��b
eceipt No. 7_ 3//>
WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT
VF
PERMIT NO. 11-78P;E
PERMIT EXPIRES ��� �
OWNER GEORGE SILVA
CONTR. Owner
LOCATION (A.P. 65-32-24 )
.12'35 Goldcone Dr, lot 69, PP#kl, Magalia
4
n
y
ih
Temp. Power Pole
Called PG&E
k'
t° Temp. Elec. Serv.
Called PG&E .,
Temp. Gas Serv.
Called PG&E
0B
�INALED
(Date)
(Signal )
9. Electrical
A. Is service large enough to provide adequate amperage -to mobilehome (must equal rating of
mobilehome with a minimum of 100 amp) and other facilities`on lot, i.e., water pumps,
garage, cabana, etc.? Yes_v/ No
B. Is there proper clearances around panels? Yes ✓ No
C. Is power supply'cord,or feeder assembly properly fused? Yes �� No /,'
D. Is continuity test satisfactory as per the following procedure? Yes '-/No-
1.
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 the electrical tests, the lot or site.
service equipment may be approved for energizing.
10. Is job card signed by Health Department for water and sanitation?
11. If everything okay, sign off card and tag services.
MOBILEHOME DATA
Manufacturer and. /or Namea. yle
Length Width `L
Vehicle Serial No.
State Identification No. &'c eCZ
Additional Information or Comments:
MOBILEHOME INSTALLATION INSPECTION CHECK LIST
1. Is the mobilehome located with -required separation from lot lines and buildings and generally
conform to plot plan? Yes/ No
2. Does the mobilehome have.required clearances above ground? (Sec.5085) Yes' No
3. Are footings and supports properly sized, spaced, and braced as per approved plans? (Note
possible variation at spring shackles.) .(Sec. 5082 & 5083) Yes ;",No
4. Is the mobilehome level? (Sec. 5088) Yes -V No_
5. If mo -e than a single unit, are crossover connections properly installed? (Sec. 5088)
Yes No
6. Water
A. Is flexible connector of adequate size and properly installed (1/2" ID min.)? (Sec. 5566)
Yes r� No
B. Test - Does water piping withstand working pressure or 50 lbs. air test? Yesi, No
C. Backflow - If coach is not State of California approved, does station have backflow device
and pressure -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 'k" per foot slope and is it properly supported? Yes --*'No
C. Are any leaks detected in drainage system after running 3allons of water through each
fixture including washing machine standpipe? Yes No
D. If coach is not State of California approved, does station have required trap and vent?
Yes No
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 ppocedur�? Y s_ No
1. Open all appliance' connector Valu s.
2. Shut off appliance burner and �41ot valves.
3. Air test with manometer to 1 14" water column, or test with slope gauge (minimum
6oz.-maximum 8 oz.) calibra d 'n tenth pound increments. Test for 10 min. without
drop.
4. Connect gas meter to mobi�ehome th connector, turn on gas, test connections with
soapy water.
C. Are all appliance vents properly insta�led? Yes No
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
Sidina
To out
.Slab
Roof Sheathing
Water Piping
Piers
Roofing
Sewer
Garage
Fdn. Vents
Fixtures
Footings
Stemwa l l
Garage Vents
Insulation
Water Htr.
Heaters
Slab
Carport
po
Footings
Prov. for phsically
handicaped
Conformance of ex.
structure
Appliances
Gas Piping & Test
Temp. Gas
Slab
Final
Sanitation
Patio
FIREPLACE
Final
Footings
Footing
ELECTRICAL
Masonry Walls
Throat
Rough
Relnf. Steel
Final
Fixtures
Bond Beam
FIRE SPRINKLERS
Motors
r-raming
Test
Water Htr.
Stucco
Final
Subpanels
Mesh
MECHANICAL
Gird. Fault Prot.
Scratch
Heating
Service
Brown
Cooling
Temp. Pole
Finish
Ducts
Underground
Interior Lath
Ventilation
Permanent
Door Closer
Final 14
Final
MOBILEHOME UTILITIES •-----------------
Elec_ Service j o 00
Elec. Pedestal (J
Water ng
Sewer '
Gas Piping
BI EM12ME INSTALLATION - - - - - Support,,Elec.
Water Piping f, --2 7 : 7� Draina 1.
Continuity Z
Gas Piping
DATE REMARKS OR CORRECTIONS
7 � 46 7JIFz-
S
O
'C' Q ar At a"7-- 6e T ♦ Al
i
(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, 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:
t�
Owner '-u�-� _
Owner's Address
Mobilehome Mf,, Model Year r
Insignia No Serial No. 51
It is hereby certified for occupancy at the above described location and
may be occupied.
Date
Director of Public Works
By .77
y!
THIS CERTIFICATE IS VOID WHEN MOBILEHOME IS RELOCATED
White - Owner, Yellow - Installer, Pink - D.P.W.
i
COUNTY OR BUTTE — DEPARTMENT OF PUBLIC WORKS
f• 7 County Center;Dfive - Oroville, California 95965
Telephone: 534-4541 j
APPLICATION AND PERMIT
auinorize representatives oT the county or butte io enter upon the
above-mentioned property for inspection purposes.
XDate
Signature of Permitee or Agent
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 OF PUBLIC WORKS
gy X6L===Ef1' nate-?�-?
^
Boding permit Expires Date ��?
BUILDING
Owner P
SQ. FT. OCC. BUILDING VALUATION
Mailing Address
r
Telephone No.
Contractor G )
r
Mailing Address /
o�
Fireplace
Total Valuation
Ccs '
T/p�
��'
Permit Fee
Building Address
Plan Checking Fee&/or Penalty
Permit Fee
r
6
PLUMBING No.1 @ FEE
PERMIT FILING FEE $3.00
Each TraD 1.50
Repair drainage or vent piping 1.50
n
A. P. N0. r� r�
(p
Zoning & Planning
Water piping 1.50
Each gas water heater or vent 1.50
F '
wl
Fire Dept.
Fire Zone
Use Permit
Gas piping system 1 - 5 outlets 1.50
EQA
Parking
Plans
I Parcel
Declaratiori
Parcel Map
D' R/VII
Improveme s
Each additional outlet .30
Building sewer 5-00
Bldg. i"1 ns Recd
Parcel A r'vaI I
Plans Approval
Lawn sprinkler system 2.00
NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER
permit Fee $
is
ELECTRICAL No. @ FEE
PERMIT FILING FEE $3.00
Single Family ❑ Duplex ❑ Mobil Home Q-� Others ❑
Main service 600V OR LESS
100 AMP OR LESS 5.00
Main service EA. ADD•L 100 AMP 2.50
Main service OVER 600 25.00
100 AMP OR LESS
Main service EA. ADD'L 100 AMP 1.00
NEW CONST. OR ADDNS. V ACCLBLOGS.LING CCUP. '!'� 20sgft
CONTRACTORS LICENSE LAW
1 am licensed under the provisions of Chapter 9, Div. 3, of the
State of California Business & Professions Code under the name
style of:
/ //
i'(,
NEW RES,.,CO BRANCH CIRCUITS T
NON -REBID ( BRANCH CIRCUITS 2.50ea
NEW CONSTR. (POWER APPARATUS &
NON-RESID. SINGLE OUTLET CIR.
Ex. OCCUD{OUTLETS OR FIXTIIRES g L2@50
FIXED APPLNS. OR
Ex. Occup. (RESID.) EA) 2.00
Temporary service 10.00
Mobile Home Facilities 15.00
License No. T S!S^?. %:2 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.
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
1$ 0
TOTAL
TOTAL PERMIT FEE
$ t3
auinorize representatives oT the county or butte io enter upon the
above-mentioned property for inspection purposes.
XDate
Signature of Permitee or Agent
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 OF PUBLIC WORKS
gy X6L===Ef1' nate-?�-?
^
Boding permit Expires Date ��?
BUTTE COUNTY DEPARTMENT OF PUBLIC WORKS
7 County Center Drive, Oroville,' CA.
PHONE: 534-4541
MOBILEHOME INSTALLATION SHEET
1. ' Owner's name:, . g_o 4'11'x,
2. Installer's name: MOMILLAN 140BILE .HOME SERY[GE
3. -Is the site currently under permit? Yes No
(If yes, furnish permit number i. I ) OR a
Is the s_te 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
i
clear of all setbacks and easements? Yes /li%� No
(If no, clarify )
5. What is the mobilehome electrical rating? ---------=------------- 7 0 l/ Amps
6. What is the mobilehome site service rating? -----------------=--- 2 O Amps
7. What is the mobilehome 'site circuit breaker rating? ------------- d 6:11 Amps
8. Is therE any other electric load to be'served by the mobilehome
site service? --------------------------------------------------- Yes / / No
(If yes, identify the.load and size:, (Load) (Amps)
9. What is the mobilehome site gas pipe size? ---------------------- (in.)
10. What is the type of gas service? --------------------------=-- Natural / / LPG
11. What is the gas pipe length from meter or tank to the mobilehome? (ft.)
12. What is the'mobilehome gas demand? -------- --- (BTU)
(This 'information not required if pipe length less than 6 ft. on natural gas
or less than 50 ft. on LPG.)
BUTTE COUNTY
BUILDING DEPARTMENT
MOBILEHOME SUPPORT DATA
If other than s Ingle wide, d,..
Mobilehome Mfr. �/ l furnish Setup Model No.2 yra' Year 4�p
Width -!2 (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 front of
mobilehome unless otherwise specified.
Single
Center support Center support
locations* footing sizes
(in.)
3�
(ft.)(in.) (in.) (in.)
(in.) (in.)
d
L vA,-,Z
(ft.,)(in.)
(in.) (in.)
(ft.)I (in.)
(in.) (in.)
*If center piers are other than drawn above,
draw in. -locations, spacing, and dimensions.
Footings (check one)
®Wood either
pressure treated or
foundation grade.
F41"2. Other (spec.
Supports (check one)
Concrete block.
gj�?2. 0th r (specif )
<---Tagalong or Expando,
show support details.
Typical Support
;in.) (in.) Footing Size
f -- Max. Pier Spacing
(ft.)(in.)
/ -- Max. Overhang
(ft.)(in.)
COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS
7 County Cen•fer Drive — Oroville, California 95965
Telephone: 534-4541
APPLICATION AND PERMIT
aui lul — icNicocn wu vco Ui 111CVUUntY UI Outm IU viltel UPU11 Ine
above-mentioned property for inspection purposes.
X Date / 2
Signature fPeermitee or Agent
P
Receipt No. ` "' �o `/1 -7 "
White-D.P.W. - Yellow -Assessor - Pink -Inspector - Goldenrod -Applicant
This permit is hereby issued under the applicable provisions of
the Butte County Code and/or resolutions to do work indicated
above for which fees have been paid.
DIRECTOR OFAPUBLIC WORKS
By l Date
Bu ding permit expires Date Z— ?�
BUILDING
Owner %
-Q�
SQ. FT, OCC. BUILDING VALUATION
Mailing Address 5 ��^� .0/� ��
�'
Telephone No.
'�
Fireplace
Contractor 9'-115 7-7
Total Valuation
Mailing Address
Permit Fee
Plan Checking Fee&/or Penalty
Telephone No.
Permit Fee
Building Address q
PLUMBING No. @ FEE
PERMIT FILING FEE $3.00
-e
d
Each Trap 1.50
Repair drainage or vent piping 1.50
Zoning V_erific4flpp Qpfx
Water piping
Each gas water heater or vent 1.50
A. P. No. �Z Z
fZon
Gas piping system 1'\- 5 outlets 1.50
Each additional outlet, .30
Fe
W.C. n' * n Fire Dept.
Fir eZ ne
4
Use Permit
Building sewer -Er60
EQA
Parking
Plans
arcel Parcel Ma
Declaration P
60' R/W
Im Prov nts
Lawn sprinkler system 2.00
Bldg Ia0Permit
ec'd
Parcel Approvol
Plans Approval
Fee
NEW ❑ ADDITION ❑ UTILITIES OTHER ❑
ELECTRICAL No. @ FEE
PERMIT FILING FEE $3.00
Main service 100 AMP OR00V OR LESS5.00 _
Main service EA. ADD'L 100 AMP 2.50
Family ❑ Duplex ❑ Mobil Home
Others ❑
Main service OVER 600V
100 AMP OR LESS 25.00Single
Main service EA. ADD'L 100 AMP 1.00
rr `!
500 . FIMINIMUM
NEW CONST. DWELING
OR ADDNS. ( ACCLBLDGS.CCUP. &) 22sgft
NON•RES, D R ( BRANCH CIRCUITS) 2.50ea
FOR MOBILES
NON-RESID R %SINGLE OUTLET CR.&
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@@}
FIXED ALNS.
Ex. Occup. ( OUTLETS P(RESID )REA) 2.00
Temporary service 10.00
Mobile Home Facilities 15.00 S '�
License No. Classification
Misc. Wiring 6.25
® I am exempt from the Contractors License Laws of the State of California.
Permit Fee $
$ S
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.
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.
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 it,
information is correct. I agree to comply to all County Ordinances
and State Laws relating to building construction, and hereby7,3
goo av, Ftw-
TOTAL PERMIT FEE
aui lul — icNicocn wu vco Ui 111CVUUntY UI Outm IU viltel UPU11 Ine
above-mentioned property for inspection purposes.
X Date / 2
Signature fPeermitee or Agent
P
Receipt No. ` "' �o `/1 -7 "
White-D.P.W. - Yellow -Assessor - Pink -Inspector - Goldenrod -Applicant
This permit is hereby issued under the applicable provisions of
the Butte County Code and/or resolutions to do work indicated
above for which fees have been paid.
DIRECTOR OFAPUBLIC WORKS
By l Date
Bu ding permit expires Date Z— ?�