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065-350-026
' Y ' < Frank Strosnider lot 65 SDOLM/galla 47 Glen-Dod Dr., 2 contr: Phil Moore, Magali Permit #3�95-7724,E(util-, 65-35-26 E- ermit #379 MRI Issud 6#3 5-77P E ti 65-35-26 Perm 7#4913-77P(gas piping) MH �/cotr: Lloyd7R't"4'-Rb-Vdtr�I- ' il 65-35- 26 � | ^ cootr: Sierra Mobile Service, Paradise | Permit #2474-78B(uew awning over deck � | & uaroort/DH) ' . , | � � } IVA LVIA � Frank Strosnider 47 Glemod Dr., lot 65, SD ;l contr: '.Phil- Moore, Magali Permit #L�3 95-77R,E(.util., ELEC.) PAC --- T STRUCTURE'- TION TEST is 65-35-26 Permit #379 MHI Contr: Pa se Modular Concepts I s s ii! d. & q//cam 65-35-26 Permi #4913-77P(gas Piping) mH 65 ;,,35-26 :1 c tr : -. �I Vi Lloyd R:'=R6berts-IKa9ZL -- - -- ,:t ermit #5079-77B(ue.w deck/MH) 4. co 65-35-26 ntr: Sierra Mobile Service, Paradise `s. Permit new #3474- 78B &car ort/MH -78B(new over deck i Y -i 6 .i. ? 3474-78B PERMIT NO. PERMIT EXPIRES e la Za Frank Strosnider OWNER CONTR. Sierra Mobile Home Serv., Paradise LOCATION (A.P. 65=35-26 47 Glenwood Dr., lot 65, SDO#2, Magalia l 5 E Ilk } !Y '' r� �c t� it tl "I f. l i� r j Temp. Power Pole i` Called PG&E Temp. Elea Serv. Called PG&E Temp. Gas Serv. / Called PG&E / JOB VFINALED COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS BUILDING INSPECTION RECORD Reinf 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 UTILIT ES Elec_ Service Elec. Pedestal Water Piping Sewer Gas Piping OB16EHOME INSTALLATION - - - - - - - - - - - - - - Support Elec. Continuity Water Piping Drainage Gas Piping DAT REMARKS OR CORRECTIONS co f, �, . 7g-, A-� 0 (NOTE: An entry must be made on this form each time you visit the job site.) 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 i Roof Sheathing Water Piping Piers Roofing Sewer Garage Fdn. Vents Fixtures Footings StemwaI I Garage Vents Insulation Water Htr. Heaters Slab Carport p Footings Prov. for physically handica ed Conformance of ex. structure Appliances Gas Piping &Test Temp. Slab I Final Sanitation Patio I FIREPL'A Final Footings I Footing I ELECTRICAL Reinf 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 UTILIT ES Elec_ Service Elec. Pedestal Water Piping Sewer Gas Piping OB16EHOME INSTALLATION - - - - - - - - - - - - - - Support Elec. Continuity Water Piping Drainage Gas Piping DAT REMARKS OR CORRECTIONS co f, �, . 7g-, A-� 0 (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 Tel ephone:.5344541 APPLICATION AND PERMIT AA authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. X Date Signatr of Permit e•�oor Agent ' Receipt No. 7 9 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 Ok PUBLIC WORKS By Date wilding permit expires Date lo— 2- 7�i' BUILDING Owner ii SQ. FT. OCC. BUILDING VALUA ION 6_3. Mailing Address Telephone No. Contractor Mailing Address Fireplace Total Valuation 0 telephone ^No. � Permit Fee Building Address Plan Checking Fee&/or Penalty Permit Fee PLUMBING No.1 @ FEE L d�0 PERMIT FILING FEE $3.00 Each Trap 1.50 Repair drainage or vent piping 1.50 A. P. No & S3 4- Zoning a Planning Water piping 1.50 Each gas water heater or vent 1.50 Fe do � Dept. Fire Zone Use Permit Gas piping system 1 - 5 outlets 1.50 EQA Parking Plans ParcelEach Declaration I Parcel Map 1 60' R/W Improve nts additional outlet .30 Building sewer 5.00 Bld Redd Parcel A ro of Plans ApproVal Lawn sprinkler system 2.00 NEWr171A TI ON ❑ 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 Others ❑ Main service EA. ADD'L 100 AMP 2.50 " t _ err OVER 600V Main service 100 AMP OR LESS 25.00 EA. ADD'L 100 AMP 1.00 Main service// NEW CONS.OR AODNST LBLDGS.CCUP. & (DWELING 1 20sgft ACC 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 of1,c�i4i►�� � NEW RESID, BRANCH CIR T NEW CO ID BRANCH CIRCUITS 12.50ea NEW CONSTR POWER APPARATUS &, NON-RESID. (SINGLE OUTLET CIR. Ex. OCCUD(OUTLETS OR FIXTIIRES I 5B L�; FIXED APPLNS. OR Ex. Occup. (ourLETs (RESID) EAJ 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 License No. tf Classification Misc. Wiring 6.25 ❑ 1 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. ❑I certify that in the performance of the work for which this permit is issued I shall not employ any person in any manner so as to become subject to the Workmen's Compensation Laws of California. @ MECHANICAL No. FEE PERMIT FILING FEE $3.00 Heating Cooling Ventilation Hood 2.00 Permit Fee $ $ I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby Land Development Fee $ TOTAL PERMIT FEE $ J c / d authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. X Date Signatr of Permit e•�oor Agent ' Receipt No. 7 9 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 Ok PUBLIC WORKS By Date wilding permit expires Date lo— 2- 7�i' M FkRMIT NO. ' 5079a477.B— f ! PERMIT EXPIRES -OWNER Frank & Marguerita Sterosnider CONTR. Lloyd R. Roberts, Magalia LOCATION (A.P. 65-35-26 47 Glenwood Dr., lot 65, SDO#2, Magalia e Temp. Power Pole Called PG&E Temp. Elec. Serv. Called PG&E mp. Gas Serv. Called PG&E SOB ,JJ FINALED / (Date) (Signature) Setback Forms Main Bldg. Footings StemwaI l Slab Piers .Garage Footings Stemwa I I Slab Carport Footings Slab Patio Footings Masonry Walls Reinf. Steel COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS BUILDING INSPECTION RECORD BUILDING BUILDING (Cont'd) PLUMBING Firewall Soil PIPIn Parapets 1st Floor Restroom Finish 2nd Floor Windows 3rd Floor Siding To out Roof Sheathing Water Piping Roofing Sewer Fdn. Vents Fixtures Garage Vents Water Htr. Insulation Heaters Prov. for physically handica ed Conformance of ex. structure Appliances Gas Piping &Test Temp. Gas Final Sanitation FIREPLACE Final Footing EL Throat Rough Final Fixtures FIRE SPRINKLERS Motors TRICAL 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 MOBILEWOME 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.) 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 nuriiberfor the following location: Owner —� - Owner's Address Mobilehome Mfg.' Model Year d Insignia No. Serial No. It is hereby certified for occupancy at the above described location and may be occupied. Director of Public Works Date By THIS CERTIFICATE IS VOID WHEN MOBILEHOME IS RELOCATED PERMIT NO. 3595-77f,E PERMIT EXPIRES Frank Strosnider OWNER CONTR. Phil Moore, Magalia LOCATION (A.P. 65-35-26. 47 .Glenwood Dr.,lot 65, SDOIP2, Magalia Temp. Power Pole Called PG&E Temp. Elec. Serv. Called PG&E Temp. Gas Serv. Called PG&E JOB / p, FINALED ( y (Date) (Signatur COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS ' BUILDING INSPECTION RECORD BUILDING BUILDING (Cont'd) PLUMBING wall S Piping Para ets 1 Floor kMnFI . Restro m Finish 2n loor s Window 3rd or l Siding To out Slab Roof Sheathno Water PI in Piers Roofing Sewer Garage Fdn. Vents Fixtures Footin s Stemwall Garage Vents Insulation Water Htr. Heaters Slab Carport p Footings V Prov. for physically handica ed Conformance of ex. structure V Appliances Gas Piping &Test Temp. Gas Slab A Final Sanitation Patio FI PL CE Final Footin s Footina LECTRI L Masonry Walls Throat Rou h Reinf. Steel Final Fixtures Bond Bea F E SPRINKLERS Motors Framing Test Water Htr. Stucco Final Sub anel Mesh MECHANICAL Prot. Scr ch Heatin [tGrdV.Fallit wn Cool g . Pole /Finish Duas L&Aderground terior Lath V tllation ennanent Door Closer Inal inal MOBILEHOME UTILITIES ---------- ------Elec. ServiceElec. Pedestal %00%x-- I-VtW /S -7P Water Piping — V3 —7 '7 Sewer Gas Piping '1 E OME INSTALLATION - - - - - - - - - - - - SupportElec. Continuity •_ j' . . Water Piping Drainage Gas Piping DATE REMARKS OR CORRECTIONS f U (NOTE: An entry must be made on this form each time you visit the job site.) 9. Electrical A . Is service large enoiiglk to provide adequar_e amperage to`mbbi cliome (must equal rating of mobilehome caitli J ::i'1ClL'!:Ulll of. 100 6mp) and other faciliti.t!s on lot, i.e., water pumps, gara ,e, cabana, etc.? Yes✓ No B. Is them proper clearances around panels? Yes rNo_ C. Is power supply cord or, feeder assembly properly fused? Yes 1.1�No_ T). Is continuity test satisfactory as per;the following procedure? Yes_Z-No 1. De -energize electrical wiring syste:ri of the mobilehome at the pedestal. 2. Make sure that tlhe 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 load of a test instrument to the mobilehome grounding conductor and Pi'y ' GlJ jJ 1�' the oLhe 'lead to each rlIUU1.LC11U11LC Sal )1 CUnUUI:toY, 111Cl uu ltt� Yl�ll l.rdl. 5. All nor. -current, carrying metal parts of the mobilehome (aluminum siding, gas line, water line), including fixtures and appliances, shall be tested for continuity from such equipment and the grounding conductor. 6. Upon completion of the above procedure, the power supply cord or feeder assembly conductors shad be connected to the site service equipment. A further continuity tei_ shall then be n.ade between the grounding electrode and the chassis of the Mobilehome. Upon satisfactory comphetion of theelectrical tests, the lot or site service_ equipment may be approved for energizing. .0, I,; job card •si-ned by t,ealth Department for hater and sanitation? 11. If everything olray, sign off card and tzt; services. 'riOFiTLciTOML•' DATA Manufacturer and/or Namest:yle Length C"•D Width Wil` Vehicle Serial No. State Identification No. d 1 11—J A. dell LUional Infnrnat..ion or Comments: iiU}3Ii',C IiU.tl?' IIVS`I'ALLAS']Oi� .l'NSHUPION CHECK LIST 1. Is the. mobilehome located wi'i_i required separation from lot lines and buildings and generally conform to plot plan? 1'c;�, No 2, Does the mobilehome have required clearances above ground? (Sec.5085) Yes L-�No 3. Are footin,s and supports properly sized, spaced, and braced as per approved plans? (Note possible variation at spring shackles.) (5eec. 5082 & 5083) Yes V�"No_ 4. Is the mobilehome level.? (Sec. 5088) Yes1/ /No� 5. If mor , than a single unit, are crossover connections properly installed? (Sec. 5088) Yes g7No 5. Water A. Is flexible connector of adequate size and properly installed (1/2" ID min.)? (Sec. 5566) Yes 'VINO B'. Test - Does water piping withstand working pressure or 50 lbs, air test? YesL---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. NoF. Does it have minimum 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 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 p -No B. Test OK as per following procedure? Yes ✓No 1. Open all appliance connector valves. - 2. Shut off appliance burner and pilot valves. 3. Air test with manometer to 10"-14" water column, or test with slope gauge (minimum 6oz.-maximum 8 oz.) calibrated in tenth pound increments. Test for 10 min, without drop. 4. Connect: gas meter to mobilehome with connector, turn. on gas, test connections with soapy water. C. Are all appliance vents properly installed? Yes /No Owner FkAn IG Mailing Address V7 ;�� jqU/71' Contractor Mai Iina Address Building Address L L COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS 7 County Center Drive. — Oroville, California 95965 �VV-1_77 Telephone: 534-4541 APPLICATION AND PERMIT 37-4 OSN 0& A- (, e 4r I✓u © 0 20 144 Telephone No. Telephone No. i WUO� Z A A. P. No. G ^3S Total Valuation -S :2 \D Permit Fee Zoning & Planning Plan Checking Fee &/or Penalty EA. ADD'L 100 AMP Permit Fee $ PLUMBING No.1 @ FEE PERMIT FILING FEE s I PYC. 1.50 Fire Dept. Fire Zone Water piping Use Permit EQA Parking Plans Parcel Declaration Parcel Ma P 60' R/W Improvements P Building sewer 5.00 Lawn sprinkler system 2.00 Bld�ns Recd I ' Parcel Approval Plans Approval NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER Single Family ❑ Duplex ❑ Mobil Home 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: License No. Classification ® I am exempt from the Contractors License Laws of the State of California. WORKMEN'S COMPENSATION INSURANCE I am aware of the provisions of Section3700 of the California Labor Code which requires every employer to be insured against liability for Workmen's Compensation. ❑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 pro for inspection purposes. )�-4 _J 1 C ate Signature of Permitee or Agent Receipt No. I -7 00 White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant _ BUILDING SQ. FT. I OCC. I BUILDING VALUATION Fireplace Total Valuation PERMIT FILING FEE Permit Fee 600V OR LESS 100 AMP OR LESS Plan Checking Fee &/or Penalty EA. ADD'L 100 AMP Permit Fee $ PLUMBING No.1 @ FEE PERMIT FILING FEE $3.00 Each Trap 1.50 Repair drainage or vent piping 1.50 Water piping 1.50 Each gas water heater or vent 1.50 Gas piping system 1 - 5 outlets Each additional outlet .30 Building sewer 5.00 Lawn sprinkler system 2.00 Permit Fee ELECTRICAL PERMIT FILING FEE Main service 600V OR LESS 100 AMP OR LESS Main service EA. ADD'L 100 AMP Main service OVER & O 100 AMP OR LESS Main service EA. ADD'L 100 AMP NEW CONST. ! OR ADDNS. 1 DWELLING OCCUP. &' ACC. BLDGS. NEW CONSTR. NON.RESID. (MULTI -OUTLET BRANCH CIRCUITS. NEW CONSTR. (POWER APPARATUS & $3.00 5.00 2.50 25.00 1.00 .50ea Ex. OCCUp(OUTLETS OR FIXTURES gAL@, FIXED APLN Ex. Occup.(OUTLETSP(RESID )REA) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wirina 6.25 S � FEE Permit Fee $ MECHANICAL No. @ FEE PERMIT FILING FEE $3.00 Heating Cooling Ventilation Hood 2.00 Permit 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. DI�/]C��T,O,,%R� OF PUBLIC WORKCS� BY -6-1 __ `- Da�2,t ` A b). . y permit expires Date � 7 COUNTY OF4e11T1 — DEPARTMENT OF PUBLIC WORKS 7 County Center Drive — Oroville, California 95965&e. 5965_�/J �/% Telephone: 634-4541 9c/) ! / APPLICATION AND PERMIT authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. X P1Z4LDate 4� ignature of Permite or Agent Receipt No. 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. DIRECT R OF ELIC WORKS By Date 2_111-77 permit expires Date BUILDING Owner S0. FT. OCC. BUILDING VA UATION Mailing Address Telephone No. Fireplace Cont r �( Total Valuation Mailing Address �� Permit Fee Plan Checking Fee &/or Penalty Telephone o. c Permit Fee $ Building Address PLUMBING No. @ FEE PERMIT FILING FEE $3.00 Each Trap 1.50 S --- Repair drainage or vent piping 1.50 Water piping 1.50 Each gas water heater or vent 1.50 /� / A. P. o. to — — �CP Zoning & Planning Gas piping system 1 - 5 outlets 1.50 Each additional outlet .30 F s _ Sealtaiiea Fire Dept. Fire Zone Use Permit Building sewer 5.00 EOA Parking Plans Parcel Declaration Parcel Ma P 60R/W ' Im P rovements Lawn sprinkler system 2.00 Bld ons Rec'd Parcel vol Plan proval Permit Fee $ $ NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER ❑� ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 Main service 600V OR LESS 5.00 100 AMP OR LESS Main service EA. ADO'L 100 AMP 2.50 Single Family ❑ Duplex ❑ Mobil Home ®/ Others ❑ Main service OVER 600V 25.00 100 AMP OR LESS Main service EA. ADD'L 100 AMP 1.00 NEW CONST DWELING OR ADONS. ( ACCLBLDGS,CCUP. @) 2¢sgft NEW CONSTR. MULTI.OUTLET NON.RESID. ( BRANCH CIRCUITS) 2.50ea NEW CONSTPOWER APPARATUS & NON- R. RESID. (SINGLE OUTLET CIR. CONTRACTORS LICENSE LAW I am licensed under the provisions of Chapter 9, Div. 3, of the State of California Business & Professions Code under the name style of: Ex. Occup(OUTLETS OR FIXTURES) 2@51009 FIXED APP LNS, OR Ex. Occup.(OUTLETS (RESID,) EA) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 License No Classification G 11 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. F1I certify that in the performance of the work for which this permitis 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 61 t�G TOTAL PERMIT FEE $ ,70 authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. X P1Z4LDate 4� ignature of Permite or Agent Receipt No. 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. DIRECT R OF ELIC WORKS By Date 2_111-77 permit expires Date MOBILEHOME INSTALLATION SHEET 1. Oome r' s 2. Installer's name: —y- 3. 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? ----------------------- Amps 6. What is the mobilehome site service rating? --------------------- / C Amps 7. What is the mobilehome site circuit breaker rating? Amps 8. Is there any other electric load to be served by the mobilehome site service? ----------------------------------=----------------- Yes / / No /(if (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 /-4 11. What is the gas pipe length from meter or tank to the mobilehome?- 12. obilehome? 12. Whatwis the mobilehome gas demand? -•-------------------------- BTU) (This information not required if pipe length'less than .6 ft. on natura gas or less than 50 ft. on NLr .'M0BIL;t,00,;' SUPPORT DATA 'Year ,Aetup Model No. 2 2 ile,home Mfr. Mob Width, (ft.) Length gth (f t:.) Expando Size ft.x ft. (DrAw support-details,..below) On;all mobilehames manufactured after October 7, 1973, furnish manufacturer's installation manual and structural setup sheets (if not on file with the County of Butte). Center.,,- .Support. Locations Center Support .Footing Sizes' (in.) x n .) in J (ft) (in.) (in.) —3n.) Fft.) (in.) �ix n.) (in.) S in le I *If center piers are otherthan draun above; ,draw in locations, spacing, and dimensions. Footings (check a 1. Wood either :pressure treated: :fdn. grade. V Z. Concrete pad. 3. Other,.specify Supports (check o T?111 - Concrete block 2. Concrete piers 3. Steel pier.'s 7 4. Other, specify Typical Support vl;�X? Footing Size � in. ) ( iii. Max. Pier Spacing (f (in 1 Max. ! ) Overhang tin. ( BUTTE COUNTY BUILDING DEPARTMENT APPROVED IM, FJ g ;.«.i: VLWM `4 DATE c.a.�,/..w `, � ..� �r.�...n•��n,d,..e..e«.�..n-•.r.m..n..� permit � �Struc. Test Req, A:p vo . Emm . i',z,.�r s yr- do Ys leo COUNTY OF BUTTE,. — DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Uroville, California 95965 Telephone: 534-4541 APPLICATION AND PERMIT Owner Fir) I(-- T S N10 Mai I i ng Address Telephone No. Contractor I' ° 0--e- Mai I i ng --eMailing Address — /off— %2T A—G A t- M' �e�p� /hone ay 9 . Building Address 47 - �q Uf N uJ do �• - us- s 0 r34 Single Family ❑ Duplex ❑ Mobil Home E� Others ❑ CONTRACTORS LICENSE LAW I am licensed under the provisions of Chapter 9, Div. 3, of the State of Ca 'or �a B nesProfessions Code under the name style of: License No. 1;-1; Classification _ BUILDING SQ. FT. OCC. I BUILDING VALUATION Fireplace Total Valuation Permit Fee _ Plan Checking Fee &/or Penalty Permit Fee PLUMBING PERMIT FILING FEE Each Trap Repair drainage or vent piping Water piping Each gas water heater or vent Gas piping system 1 - 5 outlets Each additional outlet Building sewer Lawn sprinkler system Permit Fee r�v� A. P. No. �— 3vc—p2 �-P - Zoning & Planning F Main service Fire Dept. Fire Zone Use Permit EQA Parking Plans Parcel Declaration Parcel Ma p 60' R/W Improvements p BI .CP'I,cons Recd �/ �� �� Poriee pprovol P16rrf Approval NEW ❑ ADDITION ❑ UTILITIES OTHER ❑ Single Family ❑ Duplex ❑ Mobil Home E� Others ❑ CONTRACTORS LICENSE LAW I am licensed under the provisions of Chapter 9, Div. 3, of the State of Ca 'or �a B nesProfessions Code under the name style of: License No. 1;-1; Classification _ BUILDING SQ. FT. OCC. I BUILDING VALUATION Fireplace Total Valuation Permit Fee _ Plan Checking Fee &/or Penalty Permit Fee PLUMBING PERMIT FILING FEE Each Trap Repair drainage or vent piping Water piping Each gas water heater or vent Gas piping system 1 - 5 outlets Each additional outlet Building sewer Lawn sprinkler system Permit Fee ELECTRICAL PERMIT FILING FEE Main service 600V OR LESS 100 AMP OR LESS Main service EA. ADD'L 100 AMP Main service OVER 600V 100 AMP OR LESS Main service EA. ADD'L 100 AMP NEW CONST. ( OR ADDNS. DWELLING OC CUP.& ACC. BLDGS. NEW CONSTR. NON.RESID. (MULTI.OUTLET BRANCH CIRCUITS NEW CONSTR. NON.RESI D. POWER APPARATUS & (SINGLE OUTLET CIR. SJ7 Q® M10610 $3.00 5.00 2.50 25.00 1.00 2.50ea Ex. OCCUp(OUTLETS OR FIXTURESoT BAL @ is Ex. Occup. ( FIXED APP LNS. OR OUTLETS (RESID.) EA) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 6.25 ❑ I am exempt from the Contractors License Laws of the State of California. Permit Fee MECHANICAL WORKMEN'S COMPENSATION INSURANCE 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 Work - '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. 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 uppn the abo - ntione property for inspection purposes. X Date ignoture oferm/itee or A�g7ent Receipt No. 1(e y k / White-D.P.W. – Yellow -Assessor – Pink -Inspector – Goldenrod -Applicant Cooling $ & " $ ,— @ FEE $3.00 Ventilation Hood 1 2.00 Permit Fee $ $ eye - TOTAL PERMIT FEE $ trp 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. DIREC OWPB C WORKS By Date g permit expires Date �4�—� ,.COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS 7 County Center Drive ., — Oroville, California 95965 Telgphone: 534-4541 APPLICATION AND PERMIT Atl authorize representatives of the County of Butte to enter upon the above-mentioned propty fo spe i pu oses. Date ign re of Permiit��ee or Agent Receipt No. i /0y6113' 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 aid. DIRECTOR OF PU LIC WORKS By Date /—is ' =7 B ding permit expires Date BUILDING 1 91 1P Owner SQ. FT. OCC. BUILDING VALUATION ZO tuctll(0995— Mailing Address Telephone No. Fireplace Contra t Total Valuation Mailin r s GENERAL 14 Permit Fee Plan Checking Fee &/or Penalty ep one ,,..L Building AddGALjA, CA 959591 Permit Fee $ PLUMBING No. @ FEE PERMIT FILING FEE $3.00 Q Each Trap 1.50 Repair drainage or vent piping 1.50 Water piping 1.50 Each gas water heater or vent 1.50 A. P. No.�-^ Zoning & Planning Gas piping system 1 - 5 outlets 1.50 Each additional outlet .30 FV on I FireDept- FireZone Use Permit Building sewer 5.00 EQA Parking Plans Parcel Declaration Parcel Ma P 60' R/W ImprovementsLawn sprinkler system 2.00 Bld Ions ReParcel A royal PI Approval Permit Fee $ $ NEW ADDITION ❑ UTILITIES ❑ OTHER ❑ ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 Main service 1000 AMP ORV OR LE LESS5.00 Main service EA. ADD'L too AMP 2.50 Single Family ❑ Duplex ❑ Mobil Home Others ❑ Main service OVER s 25.00 V AMP OR LESS O Main service EA. ADD'L too AMP 1.00 10'Q U4 NEW CONST. ODWELING R ADDNS. ( ACCLBL GS COUP. &) 2¢sgft NEW CONSTR. MULTI -OUTLET NON-RESID. ( BRANCH CIRCUITS) 2.50ea NEW CONSTR. (POWER APPARATUS & NON-RESID. SINGLE OUTLET CIR. CONTRACTORS LICENSE LAW I am licensed under the provisions of Chapter 9, Div. 3, of the State of Californi Bul s essions Code under the name style of - %r Ill".ENER4�y 000- CONUACTOR Ex. Occup(OUTLETS OR FIXTURES) @2r-104 Ex. Occup. FIXED APPLNS. OR P•(0UTLETS (RESID.) EA) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 License o. P 0' $ox 70�lassification 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 w %h requires every employer to be insured against liability for W men's Compensation. I have placed on file with the County of Butte a certificate of Workmen's Compensation Insurance. ❑I certify that in the performance of the work for which this permit is issued I shall not employ any person in any manner so as to become subject to the Workmen's Compensation Laws of California. MECHANICAL No. @ FEE PERMIT FILING FEE $3.00 Heating Cooling Ventilation Hood 2.00 Permit Fee $ $ I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby TOTAL PERMIT FEE $ authorize representatives of the County of Butte to enter upon the above-mentioned propty fo spe i pu oses. Date ign re of Permiit��ee or Agent Receipt No. i /0y6113' 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 aid. DIRECTOR OF PU LIC WORKS By Date /—is ' =7 B ding permit expires Date i •r.- ""a, -- .�',{i.,at.0 "!a ,v •.i: '�T. "1.•:-46��f`� '�i•"�1 i!`. "f:♦.i': "-w1^',C`k,. •.:Y'�'?;.Y-'u`,�,'. ,rntw��r`..,�„•'"��`.tf `s i'Yn?.�'.�:1�4,.{t�fr p•%r` � �n•'•i `�ie:++'.i...t.,,�ti�,. •♦2''i''•c`;�� „t '�'. a "'.�„ �• •:a. •t., } • Nvl; r •,,,__:. :!='`� . r� ''C•'� ,r� =� '.r�i'!�' +ir .o•1y •� �' ,y�:'a •�`;r:tL.j�{.r��jt,' rtJ"FT 'J<y' !`fj'•, = sD:• M'i 't�T•.+`�r }+j,,r.. •�w,',�: .1a�yLia�!+ t •� r., •f n� • ,''•t �j��j(. 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