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HomeMy WebLinkAbout065-350-022-.� 9, ` 65-35-22 C. R. Park X5.5 Glenwood Y� , lot 69, SDO#2, Mme. Permit # 78P,E(uti .',MH) C ELEC. / & �. GAS /f & a SUPP. RT STRUCTURE REQ . Ain CQ ATO 65-35-2 _ Contr: john W. BetTtler, uba4City Permit #896-78MHI. Issued ,,z 65-35-22 Permit #2202-79B(new open deck/MH) 65-35-22 Permit #181-80B,E(new pri.detached garage/MH) 65-35-22 Permit##1018-81B (lst renewal/181- 80) garage'( rj-�--X 1st - rc fli uM2 i r� uo COUNTY OF BUTTE , D&ARTOENT OF PUBLIC WORKS 196 Memorial Way, Chico — Phone: 891-2751 7 County Center Drive, Oroville — Phone: 538-7541 747 Elliott Road, Paradise — Phone: 872-6307— CORRECTION NOTICE 61101"lle z Us 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. L (nE�2m it rot ��67-A kl &I GARAGE NAS %N�, T)oq C t-1 OA) N 61- (C F L E E= i W( t4j icia- Inspector /7-w,—. w- Date —2_4 G A"(; 9. B 69owt. AAA A Inspector /7-w,—. w- Date —2_4 4310 COUNTY OF BUT DEPARTMENT OF PUBLIC WORKS 196 Memorial Way, Chico — Phone: 891-2751 7 County Center Drive, Orovi Ile — Phone: 534-4541 Skyway and Elliott Road, Paradise — Phone: 872-2961, Ext. 57 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. I' A4 tl �Q,.t 11u J ✓h,c.c� itnc ��/ . .n Inspector { �� Date i r PERMIT NO. PERMIT EXPIRES C. R. Park OWNER CONTR. owner LOCATION (A.P. ) 55 Glenwood Hr.,lot 69,00#2, Magalia r Q� Temp. Power Pole Called PG&E Temp. Elec. Serv. Called PG&E Temp. Gas Serv. Called PG&E JOB FINALED (Date) (Signature) j r COUMTX.OF BUTTE — DEPARTMENT 6F PUBLIC WORKS BUILDING INSPECTION RECORD stucco Final Subpanels Mesh MECHANICAL Grd. Fault Prot. Scratch Heating Service Brown Cooling Temp. Pole Finish Ducts Underground Interior Lath Ventilation Permanent Door Closer Final Final MOBILEHOME UTILITIES ------------------ Elec- Service Elec. Pedestal Water Piping Sewer Gas Piping OBILEWOME INSTALLATION - - - - - - - - - - - - - - Support Elec. Continuity Water Piping Drainage Gas Piping DATE REMARKS OR CORRECTIONS I % , 5-2-9B - QV-tZnnIt hNPJL,FS AS P�2 �-� A�� V(,5 4(- 66515947faiJ- T}fAT &Att t WG hfFEARS le-otAUtf-c (SNA s6eF- As A- CA (LAG e , 8 G -G,. (NOTE: An entry must be made on this form each time you vislt the job site.) BUIL ING BUILDING (Cont'd) PLUMBING Setback S- Firewall Soil Piping t Forms Parapets 1st Floor Main Bldg. Restroom Finish 2nd Floor Footings Windows 3rd Floor StemwalI Siding To out Slab Roof Sheathing Water Piping Piers Roofing Sewer Garage Fdn. Vents Fixtures Footings Stemwal I Garage Vents Insulation Water Htr. Heaters Slab Carport po Footings Prov. for phsically handica ed Conformance of ex. structure Appliances Gas Piping &Test Temp. Gas Slab Final Sanitation Patio I FIREPLACE Final Footings Footing ELECTRICAL Masonry Walls I Throat Rough Reinf. Steel I Final Ct....a� stucco Final Subpanels Mesh MECHANICAL Grd. Fault Prot. Scratch Heating Service Brown Cooling Temp. Pole Finish Ducts Underground Interior Lath Ventilation Permanent Door Closer Final Final MOBILEHOME UTILITIES ------------------ Elec- Service Elec. Pedestal Water Piping Sewer Gas Piping OBILEWOME INSTALLATION - - - - - - - - - - - - - - Support Elec. Continuity Water Piping Drainage Gas Piping DATE REMARKS OR CORRECTIONS I % , 5-2-9B - QV-tZnnIt hNPJL,FS AS P�2 �-� A�� V(,5 4(- 66515947faiJ- T}fAT &Att t WG hfFEARS le-otAUtf-c (SNA s6eF- As A- CA (LAG e , 8 G -G,. (NOTE: An entry must be made on this form each time you vislt the job site.) COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541 APPLICATION AND PERMIT PER NO f ASSESSOR PARCEL NUMBE ZONING BUILDI G PERMIT OWNER TELEPHONE /k I7 SQ. FT. OCC. BUILDING VALUATION OWNER'S MAILING AD ESS woo oo CONTRACTOR'S NAME TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee ;Z $ MOO ARCHITECT OR ENGINEER LICENSE NO. Plan Checking ee $ Penalty $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Permit fee $ BUILDING ADDRESS PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Repair drainage or vent piping 5.00 't Water piping LOT NO. SUBDIVISION NAME PAARCEL MAP Each qas water heater or vent 5.00 Gas piping system 1 - 5 outlets USE OF STRU URE SF ❑ Duplex❑ Mobilehome❑ Other 'i SPECT � Building sewer Lawn sprinkler system 5.00 TYPE OF WORK New❑ Addition❑ RQmoI❑ Utilities❑Instal lation❑ Other Describe work: tQ-4\112AA1L1 Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 600V OR LESS 100 AMP OR LESS 5.00 Main service EA. ADD'L 100 AMP 2.50 NEW CONST. DWELLING OCCUP.al OR ADDNS. ACC. BLDGS. 2�sgft CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): ❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Business80 and Professions Code and my license is in full force and effect. License No. 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) ❑ 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 CONSTR. MULTI -OUTLET 2.50 ea NON-RESID BRANCH CIRC ITS NEW CONSTR. POWER APPARATUS &) NON-RESID. %SINGLE OUTLET CIR. @250 Ex. OCCUp OUTLETS OR FIXTURES BAL@t Ex. Occup.(OUTLETS FIXED P(RESID.)REA. 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 7.50 Permit Fee $ Contractor MECHANICAL PERMIT FiIingFee 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 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, a& expenses which may in any way accrue against said CounWinn uenc of the granting of this permit. X Date- L� — Signature o 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 $ TOTAL PERMIT FEE $ nn OCCUP. GROUP I TYPE OF CONST. PARCEL PD I No I ISSUE This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which TO F PUBLIC By PERMIT EXPIRES D Yto the applicable provi- resolutions to do fees have been paid. WORKS / Date yq ^� Receipt No. WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT 4I COUNTY OF BUTTE - Department of Public Works 7 County Center Drive, Oroville, CA. 95965 OWNER -BUILDER VERIFICATION Attention Property Owner: A Phone: 916-534-4541 An "owner -builder" building permit has been applied for in your name and bearing your signature. Please complete and return this information in the envelope provided at your, earliest opportunity to avoid unnecessary delay in processing and issuing your build- ing permit. No building permit will be issued until this verification is received. 1. I personally plan to provide the major labor and materials for construction'' of the proposed property improvement (yes or no) }/' 2. I (have/have not) signed an application for a building permit for the proposed work. 3. I have contracted with the following person (firm) to provide the proposed . construction: Name Address City Phone Contractors License No. 4. I plan to provide portions of this work, but I have hired the following person to coordinate, supervise, and provide the major work: Name Address City Phone Contractors License No. 5. I will provide some of the work but I have contracted (hired) the following persons to provide the work indicated: Name Address Phone Type of Work AI Signed: Property Owner Social Security number Date L NOTE: This Owner -Builder Verification is sent to you as required by Sections 19831 and 19832 of the California Health and Safety Code. This verification must be completed and returned to our office before we are permitted to issue the permit. Owner ' Mailing Address ELECTRICAL Permit F 22 PERMIT FILING FEE Contractoror *, Mai I ing Address W— PLUMBING No. EA. ADD•L too AMP Building Address $3.00 COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS 7 County Center Drive — Oroville, California 95965 / f(o Telephone: 534-4541 / APPLICATION AND PERMIT ( BUILDING n R d% 1 SQ. FT. I OCC. I BUILDING VALUATIO Telephone No. ?i7i � o. A. P. No.�✓ '�'a'—'� Zoning& Planning Fe W -e ar®a Fire Dept. FtiireZone Use Permit EQA I Parking Parcel Parce Ma` 60' R/W I Improvements Plans Declaration p p ovements Bldg. Plan#'f�ec'd I Parcel Xp3rovcl I Plans Approval NEW IYI ADDITION n UTILITIES n OTHER n Single Family Duplex [J Mobil Home t& Others ❑ 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: 2— Fireplace Fireplace Total Valuation ELECTRICAL Permit F 22 PERMIT FILING FEE Plan C ng Fee&/or Penalty *, Permit Fee 5.00 PLUMBING No. EA. ADD•L too AMP PERMIT FILING FEE $3.00 Each Trap 1.50 Repair drainage or vent piping 1.50 Water piping 1.50 Each gas water heater or vent 1.50 Gas piping system 1 - 5 outlets 1.50 Each additional outlet .30 Building sewer 5.00 Lawn sprinkler system 2.00 Permit Fee $ ELECTRICAL No. @ PERMIT FILING FEE $3.00 Main service i$°V OR o AMP ORSLESS 5.00 Main service EA. ADD•L too AMP 2.50 Main service OVER soot/ too AMP OR LESS 25,00 Main service EA. ADD'L 1 me 1.00 NEW CONST. OR ADDNS. DWELLING OW2�S ACC. BLDGS. q ft NEW CONSTR .nN-RFSIn_ MULTI.OUTL T BRANCH CIRCUITS) 2.50ea Ex. OCCUDIOUTLETS OR FIXT11RE EX. OCCU FIXED APPLNS. OR P• OUTLETS (RESID.) EA Temporary service Mobile Home Facilities Misc. Wiring License No. Classification I am exempt from the Contractors License Laws of the State of California. Permit Fee WORKMEN'S COMPENSATION INSURANCE MECHANICAL PERMIT FILING FEE I am aware of the provisions of Section3700 of the California Labor Heating 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 Cooling Workmen's Compensation Insurance. 2.00 10.00 15.00 6.25 $3.00 FEE 0 I certify that In the performance of the work for which this Ventilation permit is issued I shall not employ any person in any manner so as to become subject to the Workmen's Compensation Laws of Hood 2.00 California. 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 Coun of Butte to enter upon the above-mentioned property for ins ecti purposes. X 1A Date Signature of Pernfite.br gent`!��^ Receipt No. p-ouO�� White-D.P.W. — Yellow-AsAAr Pin-Inspecto — oldenrod-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 which fees h ve been paid. RE PU IC WORKS CA By ate /7� Building permit expires Date �� g S.�I.i.L.�-L41a-rt",j Yvy.!•A vuavl,.a ?rOM< Envii-ronme:cRtal Health ,Ube ect Sanita do a Clearance reT4+�'n e Plans approved koro Sewage Dispo, ,�IJ_ �.Ay Gold final c or ??nal Clearance O.K. f or Water Supply �.,...� Mater Supply,,,___v Wat e, r Supply '3leararize for bedroom mobile homey Othe v - earan:;e for addition of N ate Sauj,-�a��an ate " COUNTY OF BUTTE — DEPARTMENT OF PUIBLIC WORKS — BUILDING DIVISION ik�•.°L•,' 7 County Center Drive — Oro ville, California 95965 - Telephone 534-4541 `'fin t PERMIT APPLICATION DATA SHEET Permit No. OWNER (� ! %J1/tr� A. P. N o. Proposed Building Use Permit fee based upon:� Complete Contract Price `DPW Valuation �`Otvher (explain). Building Inspector 'l p,l,r,-4.1— Date At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance: 11 DATE RECEIVED APPROVED 1. All items have been submitted................................................................... 2. Plot plans in duplicate/triplicate............................................................... 3. Complete plans in duplicate/triplicate................................................... 4. Complete engineered plans and calcs..................................................... 5. Plans with Energy Design Compliance Statement ............................ 6. State Energy Forms No. .................... 7. Statement of Intel jor Non -Heated & AC Buildings:` .................. 8. Fees of $ .................................................. 9. �0. Letter of signature authoriz�e�.t-iion............ 4... :.......................................... (- Sanitation approval from / PfAkdLe. Health Dept.... 11. Planning approval for ............. 12. Certificate of Workmen's Compensation Insurance ........................ 13. Contractors License Information (no., name style, classification) ............................... 14. Improvements may be required. Contact Land Development Section of Dept. Public Works (see addressbelow)................................................................................................. 15. Pre -inspection for required. Pre-inspec. request to bldg. inspector (date) 16. Other / When you issue the permit, process as follows: Mail to owner Mail to contractor. Telephone and hold for pick-up at office. Deliver w/inspection. Other �/1 /� /�lz�t// Applicant A' /%/.f/ Date ,r f,�/ 7 s Copy of plans sent Health Dept.; Fire Dept., Other Date— ateDuring Duringthe plan checking process, the following data must be submitted prior to permit issuance: (For required items not checked above at time of application, circle item.) e� 1. Index permit for above Items No. s- 2. Additional items required: (Contractor, Designer, Owner) was advised of above required data by Telephone Mail Other By Date Plans checked by Date Plans approved by Date A/6-90 OTHER: r— inpvu COUNTY OF BUTTE Department of Public Works AN INSPECTOR CALLED ON I % 7 ki AND WAS UNABLE TO GAIN ADMISSION. PLEASE NOTIFY UNDERSIGNED INSPECTOR AS TO WHEN AN INSPE(;T,ION CAN BE MADE. BUILDING INSPECTOR V L - ~• 2202-79B RE5MIT NO. PERMIT EXPIRES OWNER C. R. Park ICONTR. owner -,,LOCATION (A.P. ) 55 Glenwood Dr., lot 69, SD0#2, Magalia r, ;1 x,`40 r L.� Y A S. t Temp. Power Pole Called PG&E _ Temp. Elec. Serv._ Called PG&E _ Temp. Gas Serv. _ Called '-- WOB FINALED Setback Forms Main Bldg. Footings Stemwal I Slab Piers l Gar Footings Stemwa I I Slab Carport Footings Slab Patio, Footin s MasonryWal s Relnf. S el Mesh Scratch Brown Finish Interior Latt Door Closer MOBILEHOP �v Water Piping OBILEHOI Water Piping DATE .G 4e. COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS BUILDING INSPECTION REZORD BUILD NG BUI ING (Cont'd) PLUM ING Firewall Soil Piping Parapets 1st Floor Restroom FInIsV 2nd Floor 1 Windows 3rd Floor Siding To out Roof Sheathh Water PI in Roofing Sewer Fdn. Vend I Fixtures Garage V nts Insulati Water Htr. Heaters Prov. f physically If handic ed Appliances Confor anc o ex. struct re/ Final % FIREPL E Footing Throat Final FIRE SP INKLERS Final ECHANICAL Heatin Cooling Ducts Ventilation Final - - - - - - - ---- �--Elec. Servi e Sewer DN -------------Support Drainag REMARKS OR CORRECTIONS_ Gas Piping & Vest . Temp. Gas r Sanitation Final ELECTRICAL Rough Fixtures Motors Water Htr. Sub panels/ Grd. Faull Prot. Service I ! Temp. Pole Under r (und PennaYent Final 11 Elec. destal Gas tilng EI ontinuity (NOTE: An entry must be made on this form each time you visit the job site.) ,V COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 Tel ephcre: 534-4541 APPLICATION AND PERMIT BUILDING OwnerSO. ie. FT. OCC. BUILDING VALUATION o Mailing Address s �,G�j (�-� ars4 Tel ephone No. Contractor-ei3�/� Mailing Address Fireplace Total Valuation Telephone No. Permit Fee Address Building �� `+ c---,- 45 Plan Checking Fee&/or Penalty Permit Fee PLUMBING No.1 @ FEE PERMIT FILING FEE $3.00 Each Trap 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 F9ers .�! t -C. Sa 'on Fire Dept. Fire Zone Use Permit Gas piping system 1 - 5 outlets 1.50 EQA Parking Plans Parcel Declaration Parcel Map 6 /W Improvements Each additional outlet .30 Building sewer 5.00 Bldg. ans Recd Parcel A ro 00"P s Approval Lawn sprinkler system 2.00 NEWFM ADDITION UTILITIES ❑ OTHER ❑ Permit Fee $ ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 Main service 100 AMP OR00V OR L LESS5.00 Single Family ❑ Duplex ❑ Mobil Home Others ❑ Main service EA. ADD'L 100 AMP 2.50 Main service OVER 600V 25.00 100 AMP OR LESS Main service EA. ADD'L 100 AMP 1.00 NEW OR ADDNST ( ADWECCLBLDGS.LING CCUP. s) 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 RESID. BRANCH CIR T NON-RESID, ( BRANCH CIRCUITS) 2.50ea NEW CONSTR. POWER APPARATUS 6 NON.RESID. (SINGLE OUTLET CIR, Ex. OCCUI)(OUTLETS OR FIXTIIRES B LN FIXED APPLINIS Ex. Occup.(OUTLETS ((RESID )REA) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 License No. Classification Mise. Wiring 6.25 I am exempt from the Contractors License Laws of the State of California. zki 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. 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. PERMIT FILING FEE J$3.00 Heating Cooling Ventilation Hood 2.00 Permit Fee $ $ I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to buil ing construction, and hereby Land Development Fee Is TOTAL PERMIT FEE Is authorize representatives of the C my of Butte to enter upon the above-mentioned property fo , nsp ion purposes. r� X Date q_/ - / gn ure ofto or Agent a Receipt No. R a 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. DIRECTO"F PUBLIC WORKS By Date' Building permit expires Date I I MOBILEHOME INSTALLATION INSPECTION CHECK LIST �Y Is the mobilehome located with required separation from lot lines and buildings and generally conform to. plot plan? Yes No Does the mobilehome have required clearances above ground? (Sec.5085) Yes No �Are footings and supports properly sized, spaced, and braced as per approved plans? (Note possible variation at spring shackles.) (Sec..5082 & 5083) Yes No Is the mobilehome level? (Sec. 5088),Yes4 No &K.If more than a single unit, are crossover connections properly installed? (Sec. 5088) YesNo 4—Water A. Is flexible 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 -1 No C. Backflow - If coach is not State o C I fornia approved, does,s4tation have backflow dev.ce and pressure -relief valve? Yes dLWastes and Drains A.L-/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 3 -gallons of water through each fixture including washing machine standpipe?..Yes N011C, D. If coach is o Fate of California approved, does station have required trap and vent? Yes_ No (qie—Gas Piping and Gas vents Ad—'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 XI- B.(/Te OK as per following procedure? Yes No 1 v Open all appliance connector valves. 2.d Shut off appliance burner and pilot valves. 3.4,,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. 4.6'/Connect gas meter to mobilehome with connector, turn on gas, test connections with soapy water. C..-v.'Are all appliance vents properly installed? Yes_2&,No OLElectrical A.!/Is service large enough to provide adequate amperage -to mobilehome (must equal rating of , mobilehome with a minimum of 100 ampj and other facill.ties on,_lot, i.e., water pumps, garage, cabana, etc.? Yes No B.'/Is there proper clearances around panels.? Yes`z- No C. kIs power supply cord or feeder assembly properly fused? YeV_ No D. LJ�s• continuity test satisfactory as per the following procedure? Yes No 1.,/be-energize electrical wiring system of the mobilehome at the pedestal. 2.1/ Make sure that the power supply cord or feeder assembly conductors, including neutral //conductor, have been disconnected. 3.F/Switch all breakers and switches in the mobilehome to the "on" position. 4.j//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.J/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.L/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? 11L"ff everything okay, sign off card and tag services. ` MOBILEHOME DATA �/� Manufacturer and/or Namestyle 0.4 Tl%l Length Width Vehicle Serial No. dS76 �- y4, �7r State Identification No. Additional Information or Comments: nM i COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 7 COUNTY CENTER DRIVE lo OROVILLE, CALIF. - 534-4541 CERTIFICATE OF OCCUPANCY This mobilehome has been installed in accordance with the requirements of the California Administrative Code, Title 25, Chapter 5, under permit number '"for the following location: Owner" - Owner's Address ; •'= ti Mobilehome Mfg. Model Year Y Insignia No. ; r f `7 Serial No. It is hereby certified for occupancy at the above described location and may be occupied. Director of Public Works Date Br y t_ THIS CERTIFICATE IS VOID WHEN MOBILEHOME IS RELOCATED White - Owner, Yellow - Installer, Pink - D.P.W. 6521-78P,E :q FitRMIT NO. PERMIT EXPIRES C. R. Park OWNER CONTR. owner LOCATION (A.P. 65-35-22 ) 55 Glenwood Dr., lot 69, SDO#2, Magalia 4, • ,1 e f 4 i Temp. Power Pole Called PG&E Temp. Elec. Serv. Ca1ed PG&E �' �� 6 '7� �4A Tem Gas Serv. 79 Called PG&E %/ —76 �%� lo�/YI /Fol ALED -1-7 (Date) (Signature) nal Mesh MECHANICAL Grd. Fault Prot. Scralth Heatid Servic B n Coo ng Te.40. Pole F ish D is ound I rior Lath ntllation ent oor Closer anal 21nLal Mot MOBILEHOME UTILITIES --- 6A £u - Elec. Servic ut / /5 7� Elec. Pedestal Water Piping Sewer g Gas Piping _ 71? BI E ME INSTALLATION - - - - - - - - - - - - - - Support -:2— 72r i Elec. Continuity Water Piping Drainage — Z %�': 9 / � � �% Gas Piping DATE REMARKS OR CORRECTIONS 7y b!L To 4L,/,q P�e qg& ,c o.Ap r 3 y �D`-r3'kf-- .,t%= LSD X puc2 /%/dT Dac7 rs0",3t A. Z 4_R - 07 l/- 30 -78 00 Aev4ffi 6&f2 GTiav 3 �& (NOTE: An entry must be made on this form each time you visit the job site.) COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS BUILDING INSPECTION RECORD - BUILDING BUILDING (Cont'd) "' PLUMBING Se back Fiwall A'SoN Piping For Para 'ets 1f� , 1 Floor Ma Bldg. RJVW m Finish �` 2nd loor Fo tins Windows 3rd Nor StAwall Siding To out Slab Roof Sheath)tpg Water PI In Piers Roofing Sewer Garage Fdn. Vents Fixtures Footin s Stemwa I I Garage Vents Insulation Water Htr. Heaters Slab Carport Footings Slab Prov. for physically handicappedy Conformance of ex. structure V Final A Iiances Gas PI Ing & Test Tem . Gas Sanitation Patio F EP CE - Final Footin s Footing EJ&ECTRICA Masonry Wails Throat Rou h Relnf. Steel Final Fixtures Bond Bea IRE SPRINKLE Motors nal Mesh MECHANICAL Grd. Fault Prot. Scralth Heatid Servic B n Coo ng Te.40. Pole F ish D is ound I rior Lath ntllation ent oor Closer anal 21nLal Mot MOBILEHOME UTILITIES --- 6A £u - Elec. Servic ut / /5 7� Elec. Pedestal Water Piping Sewer g Gas Piping _ 71? BI E ME INSTALLATION - - - - - - - - - - - - - - Support -:2— 72r i Elec. Continuity Water Piping Drainage — Z %�': 9 / � � �% Gas Piping DATE REMARKS OR CORRECTIONS 7y b!L To 4L,/,q P�e qg& ,c o.Ap r 3 y �D`-r3'kf-- .,t%= LSD X puc2 /%/dT Dac7 rs0",3t A. Z 4_R - 07 l/- 30 -78 00 Aev4ffi 6&f2 GTiav 3 �& (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: 534-4541 APPLICATION AND PERMIT authorize repres tives of the unty of Butte to enter upon the above-mentio ropert for " ection purposes. 7 X Date . er 1 ee o 2 7 Signaturef P``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 feeshave been aid. DIRECT UBLIC WORKS By Date//- �L ilding permit expires Date — /1—'7--P— 7P BUILDING Owner ACL f�leffS S' SQ. FT.. OCC. BUILDING VALUATION Ir Mailing Address`, 'Tel ephone No. Contractor Afh/ Mailing Address / ®y�-�"-T Fireplace Total Valuation / - ^�-�J �' Telma one No. Cn�� '3 � � Permit Fee Building Address Plan Checking Fee&/or Penalty Permit Fee PLUMBING No.1 @ FEE PERMIT FILING FEE $3.00 Each Trap 1.50 -�� Repair drainage or vent piping 1,50 A. P. No. -Z Z_ I.0a4lonning Water piping 1.50 Each gas water heater or vent 1.50 �s1:C. -eartirtativn Fire Dept. FireZone Use Permit Gas piping system 1 - 5 outlets 1.50 EQA Parking Plans ParcelEach Declaration I Parcel Map 60' R/W Improvements additional outlet .30 Building sewer 5.00 Bldg. Plans 4� Parcel rovol Planproval Lawn sprinkler system 2.00 NEW B_ ADDITION ❑ UTILITIES ❑ OTHER ❑ Permit Fee $ .$ ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 Main service 600V OR LESS 100 AMP OR LESS 5.00 Single Family ❑ Duplex ❑ Mobil Home Ea* Others ❑ Main service EA. ADD -L 100 AMP 2.50 Main service OVER 600V 25.00 100 AMP OR LESS Main service EA. ADD -L 100 AMP 1.00 NEW OR ADDNST V ADWECCLBLDGS.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 & Profess io Code under the name st le of: y °-L Z. NEW CONSTR / RANCH CIRCUITS) NON.CRESID.ONST ` BRANCH CIRCUITS) 2.50ea NEW CONSTR (POWER APPARATUS 6 NON•RESID. SINGLE OUTLET CIR, Ex. OCCUP(OUTLETS OR FIXTIjRES 50@� BAL@1 E x. QCCU 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. ❑I have placed on file with the County of Butte a certificate of Workmen's Compensation Insurance. ` 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 N0.1 @ FEE PERMIT FILING FEE J$3.00 Heating Cooling Ventilation Hood 2.00 Permit Fee $ $ I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby a opme $ OU TOTAL PERMIT FEE $ !% Oa 3 authorize repres tives of the unty of Butte to enter upon the above-mentio ropert for " ection purposes. 7 X Date . er 1 ee o 2 7 Signaturef P``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 feeshave been aid. DIRECT UBLIC WORKS By Date//- �L ilding permit expires Date — /1—'7--P— 7P COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS 7 County Center Drive — proville, California 95965 Telephone: 534-4541 APPLICATION AND PERMIT authorize representatives of the Cgipty of Butte to enter upon the above-mentioned property insp ion purposes. G x —Date//- 3 —2d ignature o Pe mitee 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 PUBLIC WORKS By / Date Bu ing permit expires Date //—�� 7� BUILDING Owner �� X SQ. FT. OCC. BUILDING VALUA N Mai I i ng Address1S j6 0AeZ #mD 7e; �� 64' 96—j12 Telepho ;; Contractor Mailing Address Fireplace Total Valuation Telephone No. Permit Fee Building Address �s"" ��g/JJw � ��� PeckingFee&/or Penalty Permit mit FFee PLUMBING No.1 @ FEE PERMIT FILING FEE J$3.00 , Op Each Trap 1.50 S D 414,17- ��, �I Repair drainage or vent piping 1.50 A. P. No. G t-. '" J D -Z M Zoning & Pl11 a . g Water piping -t-&Q jd, OV Each gas water heater or vent 1.50 Fole< S t ion Fire Dept. Fire one Use Permit Gas piping system 1 - 5 outlets _uw O, pD EQA ILAParking Parcel Plans Declaration' Parc ap 6b' R/W Improvement Each additional outlet .30 Building sewer p, rJv Bldg. s Recd Par Ap roval Plan pproval Lawn sprinkler system 2.00 NEW ❑ ADDITION ❑ UTILITIESM OTHER ❑ Permit Fee $ 33,wi$ G1 ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 ,p© Main service sooV OR LESS 100 AMP OR LESS 5.00 , 4 Single Family ❑ Duplex ❑ Mobil Home Others ❑ Main service EA. ADD'L too AMP 2.50 9j,51b Main service OVER 600V 25.00 100 AMP OR LESS Main service EA. ADD•L 100 AMP 1.00 NE W OR ADONS. ACCLBLDGS.CONST. DWELING CCUP. 'I) 22sgft 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 le of: NEW CONSTR BRANCH CIRCUITS) NON-RESID BRANCH CIRCUITS 2.50ea NEW CONSTR. POWER APPARATUS e NON-RESID.SINGLE OUTLET CIR. Ex. OCCup{OUTLETS OR FIXTURES g L2; Ex. QCCU FIXED APP LNS. OR p•(OUTLETS (RESID.) EA) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 /S—,,pa License No. Classification Misc. Wiring 6.25 I am exempt from the Contractors License Laws of the State of California. Permit Fee $ A1116-4 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. 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 information is correct. I agree to corpply to all County Ordinances and State Laws relating to buil4ipg construction, and hereby Land Development Fee �,� ao $ ,a TOTAL PERMIT FEE V --A n J $ authorize representatives of the Cgipty of Butte to enter upon the above-mentioned property insp ion purposes. G x —Date//- 3 —2d ignature o Pe mitee 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 PUBLIC WORKS By / Date Bu ing permit expires Date //—�� 7� BUTTE COUNTY DEPARTMENT OF PUBLIC HEALTH DIVISION OF ENVIRONME14TAL HEALTH 695 OLEANDER AVENUE 7 COUNTY CENTER DRIVE 747 ELLIOTT ROAD CHICO, CALIFORNIA OROVILLE; CALIFORNIA PARADISE, CALIFORNIA 343-4211, Ext. 62 ' 534-4281 r 872-2961, Ext. 58 •. r APPLICATION FOR PERMIT TO CONSTRUCT A SEWAGE DISPOSAL SYSTEM Owner's Name 6 4 la %? eti4 fz 211 _ Assessor's Parcel No. 2 Applicant's Name N�`/ tlC Phone el i t Mailing Address ��� 6 OSA �� h d Or • ��./� l�d.r �%I �� 1. Construction site e 1,°•1 W a dal %Q2 - (Street'and number or direction and distance to nearest crossroad) 2. Lot size 75-" feet x feet. acres 3. Application for new system for new building Auxiliary or secondary system 1:1 Repair of or addition to old system❑ New system to replace existing sewage disposal facilities❑ 4. Type of building to be served by proposed system: Mobile Home EN Length Width Home ❑ Number bedrooms �L. Number baths_ Other ❑ (Specify) Garbage grinder Yeso No ❑ 5. Water supply for premises: (Must be safe, potable water) Community N Private well ❑ Other Water supply for adjoining properties: Community❑ Private well -El -Other 6. SCALE PLOT FLAN TO BE FURNISHED Sketch to scale on reverse side hereof, or attach scale sketch of plot plan of the premises showing: a. Property lines. e. Show direction and approximate amount of slope. b. Location of all proposed and existing buildings, f. Source of water. � structures, driveways and parking areas. g. Water lines. c. Location of large trees, rocks, or other obstacles. h. Set back lines and easements. d. Location of any well, spring, creek or other body of i. Proposed sewage disposal system and area water on the parcel and within 100 feet of property line. for replacement. I hereby state that the information above and on the reverse side hereof or attached hereto is correct and true to the best of my knowledge. I understand that the permit must be obtained before any construction is begun either on the building or on the sewage disposal system, an that a satisfactory inspection of the system is required before the new building or dwelli may be occupied or the system backfilled, or put into use. I also understand that a safe po Ie water must be supplied to the new building or dwelling before occupancy can take pla Date 77 Signed PLANNING REVIEW Legal Parcel Yes ❑ No❑ Zoning Use Permitted Yes ❑ Comment No ❑ i By Date S4 -475R FOR OFFICE USE ONLY Water Plans Cleared Potable Water— _ Permit Issued Permit Denied Comment Date By MOBILEHOME SUPPORT DATA ^ If other than single wide,. Mobilehome Mfr. furnish Setup Model No.-'3-*X!LC-I< Year $� Width `�-ff (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 ont of mobilehome unless otherwise specified. Footings (check one) Single n�-,. Wood either pressure treated or foundation grade. (ft.)(in:) (in.) (in.) 2. Other (specify) Center support Center support locations* footing sizes Supports (check one) (in.) Concrete block. 36 y, 3p [:] 2, Other (specify) (ft.)(in.) in. in. / Tagalong or Expando, v show support,details.- (ft.)(in.) (in.) (in.) `1-x3 -- Typical Support (in.) (in.) Footing Size (in.) (in.) �� ('�� -= Max. Pier Spacing x �(ft.) O --Max. Overhang (ft.)l (in.) (in.) (in.) [ (in.) BUTTE COUNTY BUILDING DEPARTMEN? APPROVED *If center piers are other than drawn above, draw in-locations, spacing, and dimensions. BUTTE COUNTY DEPARTMENT OF PUBLIC,WORKS 7 County Center Drive, Oroville, CA. PHONE: 534-4541 MOBILEHOME INSTALLATION SHEET 1. Owner's name: 2. Installer's name: __j 3. Is the site currently under permit? Yes /�' No —1 ( If yes, furnish permit number )) OR Is the site an existing site? Yes / / No T-7 (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 IL t— No / 8. Is there any other electric load to be served by the mobilehome ) (If no, clarify service? --------------------------------------------------- (If yes, identify the load and size: ) ( 5. What is the mobilehome electrical rating? ----------------------- D �! Amps 6. What is the mobilehome site service rating? --------------------- �O Amps 7. What is the mobilehome site circuit breaker rating? ------------- is the gas pipe length from meter or tank to the mobilehome? / (ft.) Amps 8. Is there any other electric load to be served by the mobilehome Yes / / No site service? --------------------------------------------------- (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 /C.h 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.) s