Loading...
HomeMy WebLinkAbout066-170-02166-17-21 " Carl Gregory' 50 Lesley Ct., lot 158, CC#3, Ma alfa -- contr:Don Darby, Magalia�ZS�jJ Permit #28 8-77P.,E(util.,1 - ELEC. GAS SUPPdkT STRUCTURE REQ. -COMPACTIN TEST REQ. 66-17-21 Coritr: Earlec`Towne., Magalia Permit #4283=77MHI/Z�/�� '.. .Issued A6 - Cont J r - gym s,' % 0' 77 Is 66-17-21 ontr: Don Darby, Paradise Permit #4666=7`7B(new carport/&.covered. �Ieck%MH) t )3 PERMIT NO. 2838-77P,E PERMIT EXPIRES ` OWNER Carl Gregory CONTR. Don Darby, Magalia LOCATION (A.P. 66-17-21 ) 50 Lesley Ct., lot 158, CC#3, Magalia 4 Temp. Power Pole _ Called PG&E if Temp. Elea Serv. Called PG&E _ Temp. Gas Serv. Called PG&E JOB JOB O (Date) (Signature) T/ r COUNTY OF BUTTE — DEPARTMENT OF PUBLIC. WORKS " BUILDING INSPECTION RECORD BUILDING BUILDING (Cont'd) A PLUMBING Sehpck FI wall So Piping For Pardvets 1s Floor Mai Bldg. Rest r m Finish 2nd Ioor Fo ins Window 3rd Nor Stem all Sidin To out Slab Roof Sheat no Water PI in Piers Roofing Sewer Garage Fdn. Vents Fixtures Foot in s Stemwa I I Garage Vents Insulation Water Htr. Heaters Slabr Carport Footings physicall1k handicapped Conformance of ex. structure A Appifances Gas Piping &Test Temp. Gas Slab Final Sanitation Patio IREP CE Final Footin s Footing ECTRIC Masonry Walls Throat Rough Relnf. Steel Final Fivh1rac Mesh • Scra h B n F ish °" In rior Latl oor Closer MOBILEHOI Water Piping OBILEHOI Water Piping DATE F MECHANICAL L;oof Ing D cts entilation Final ------ ----------- Elec_ Service .--11/0 �7 Sewer ION --------Support Drainage G u REMARKS OR CORRECTIONS ,zoo Grd. FAR Prot. Servs e T mp. Pole oder round Permanent Final Elec. Pedestal 4,- Z 1 Gas Piping Elec. Continuity Gas Piping (NOTE: An entry must be made on this form each time you visit the job site.) . .. ,. •..� ':a ;;�r.¢-,aw: r -.?-•,..T .r... ;..t?;. , `�.: r�,':»c'':rF•2c'c'Y�`•`\iT DEPARTMENT'OF PUBLIC, WORKS 7 COUNTY CENTER DRIVE .-. y a, OROVILLE, CALIF.':- 534=4541 CERTIFICATE OF OCCUPANCY .. This,mobilehome, ha'-been.installed 'in accordance with the° requirements of the -California Administrative .Code, Title 25, Chapter 5, .under'. permit number 2S 3 R' -22 .for the following location Owner. C_ �.n.�L-�• L Owner's Address' Mobilehome Mfg. ,Model Year11 _ V Insignia No. Serial No'. Itis hereby certified for occupancy at the, above .descr,ibed location and may be occupied. Director of Public. Works-,;' Date L5 L5 7 % $ �—� THIS CERTIFICATE IS VOID WHEN MOBILEHOME S RELOCATED} " ). Electrical A Is service large enoilglk to provide adequate amperage to mobilchome. (must equal •rating of mobilehome kith a-.ninu-:um of 100 amp) and other faciliti"c.s on lot, i.e. , water pumps, g :race, cabana, ctc.? Yet �No_ li. Is thero proper clearances around panels? Yes ;..-"N o C.. Is owersupply✓ ' — p cord or feeder assc:mbly�properly, fused? Yes Ao D. Is continuity test satisfactory as per the following procedure? Yes No 1. De -energize electrical wiring systeu of the mobilehome at the.pedestal. 2. Plaice sure that t.1ie 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 1 -::ad of a test instrument to the mobilehome grounding conductor and, apply tile ULll.el .Ll:cl'-1 to each Rii,bllCiluuie supply CUCiuuCtoY, 1nCliii,liig neutral. 5. All nor. -current, carrying metal parts of the mobilehome (aluminum siding, gas line, .alter 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 shah. be connected to the site service equipment. A further continuity te:=;t shall then be n.ade between the grounding electrode and the chassis of the c>obilehome. Upon satisfactory completion of the electrical tests, the lot or site a` service equipment- may be approved for energizing. Isjob card si-ned by health Department for eater and sanitation? 1.1.. If evc_rything okay, sign off card and tag -services. MUF3ILi;iiU:^L DATA Manufacturer and/or Namestyle Length G y Width � Vehicle Serial No. SO State Identif icati.on 'Ivo.) .)-0_._©� _ ".dot ttional Infortiat:lon or Comments: l INS`CALLA'I IDU INSPECTION CHECK LIST 1. Is the mobilehome loc�ited wjAJi, required separation from lot lines and buildings and generally conform to plot plan? " Y('! .3 I-INo 2. Does the mobilehome have requir<<d clearances above ground? (Sec.5085) Yes ----No 3. Are footinz;s and supports properly sized, spaced, and braced as per approved plans? (Note possible variation at spring shackles.) (Sec. 5082 & 5083) Yes :,/No 4. Is the mobilehome level.? (Sec. 5088) Yes "o� 5. If more than a single unit, are crossover connections properly installed? (Sec. 5088) Yes el No 5. Water A. Is iap�:i_ble 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 �o 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 ," per fort 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 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 t --"No a • COUNTY OF &UTV . — DEPARTMENT OF PUBLIC WORKS ';7 Canty Cin"ter Drive — UroviIle, California 959656`9 —7 5965`9-7 % 'Viephonp: 534-4541 1 4 �/ APPLICATION AND PERMIT auuwnce representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. 1 XG�lin� Date 2 Signature of7Permitee or Agent Receipt NO. Z % C� 0 White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR Of' UBLIC WORKS By L saw Date r• 7-4 72 Building permit expires Date 7-4 �� BUILDING Owner C 2 C o2, Y SQ. FT. OCC. BUILDING VALUATION Mailing Address Telephone No. Fireplace Contractor G c ie L £ '19(,(J/v Total Valuafion Mailing Address 5S03S e112[`[ C' 1A) Permit Fee Plan Checking Fee &/or Penalty PA R p, 15 � I-7 7—one No. ,Permit Fee $ Building Address s' �'s[ ,C % l d V PLUMBING No. @ FEE PERMIT FILING FEE $3.00 M 4 eA L / /4 e A L Each Trap 1.50 Repair drainage or vent piping 1.50 Water piping 1.50 LIP l � �^ i7 Each gas water heater or vent 1.50 A. P. No. �j — 17— 2 Zoning &Planning Gas piping system 1 - 5 outlets 1.50 Each -additional outlet .30 F .C. I SaMtetron Fire Dept. Fire Zone Use Permit Building sewer 5.00 EQA Parking Plans I Parcel Declaration Parcel Ma P 60' R/W Improvements provements Lawn sprinkler system 2.00 Bldg. la Recd Parcel A vol Plans pprovol Permit Fee $ $ NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER.tZ ELECTRICAL No.1 @ FEE �- PERMIT FILING FEE $3.00 t !1 Main service 80000 AMP OR ORSLESS 5.00 '- Main service EA. ADD'L too AMP 2.50 Main service 1OOOEAMP OR LESS 25.00 Single Family ❑ Duplex ❑ Mobil Home Others ❑ Main service EA. ADD'L 100 AMP 1.00 NEW OR ADDNST [DWELLING ACC. BLDGS.CCUP. &) 20sq ft NEW CONSTR. MULTI.OUTLET ' NON-RESID• BRANCH CIRCUITS) 2.50ea NEW CON ST R. POWER APPARATUS & NON-RESID. (SINGLE OUTLET CIR. CONTRACTORS LICENSE LAW I am licensed under the provisions of Chapter 9, Div. 3, of the State of California Business & Professions Code under the name Ie O CIN � Ex. Occup(OUTLETs OR FIXTURES) BqLL2051C (FIXED APPLNS. ORSt Ex. Occup. OUTLETS (RESID.) EA) 2•00 10.00�A/4 Temporary service Mobile Home Facilities 15.00 G License No. 2f!E MrClassification G 1 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. FJ 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 T TAL PERMIT FEE $ 3C ' auuwnce representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. 1 XG�lin� Date 2 Signature of7Permitee or Agent Receipt NO. Z % C� 0 White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR Of' UBLIC WORKS By L saw Date r• 7-4 72 Building permit expires Date 7-4 �� MOBILEHOME SUPPORT DATA Mobilehome Mfr. �/i� �� del 13-G3D` :'„ Setup Mo No. Year `= Width (ft.) Length /�� (ft.) Expando Size ftK ft. L„ (Draw support details below) :.Ori'•all mobilehomes manufactured after October 7, 1973, furnish."manufacturer's nstk I tion , -'manual and structural setup sheets (if not .on file with tie;..Count. ofButte) . ,. Sin le - ► p Footings (check. one) -4 4!!) A/ / 1. Wood either I pressure treated or Center Center Support A fdn. grade. T i. I.- Support Footing Sizes Locations (in.) •_ iri: j din. x30 ,ft (in� (in.)(in.) zn. x (in.) (in.) �¢3 ® Ye" in. n.) . - l2x�0 (in.) (in.) p *If center piers are other than drawn above draw in locations, spacing, and dimensions. �t '-W ,f1 2. Concrete pad. T-11 3. Other,:specify :Supports (check one) 1. Concrete block 2. Concrete piers / /-3. Steel piers Other,.specify Typical Support } [/Z x j O . Footing Size in.in. � Max. Pier z i; (Lt� )' Spacing t ... ��--�Max. a• Overhang ,;F BUTTE COUNTY DEPARTMENT OF PUBLIC WORKS 7 County Center Drive, Oroville, CA. PHONE: 534-4541 MOBILEHOME INSTALLATION SHEET 1. Owner's name:. CA 9 L 2. Installer's name: yA {2 L C 9—ow N 3. Is the site currently under permit? Yes No-/ / ( If yes, furnish permit number Z 93 S %% P f ) 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? ----------------------- 200 Amps 6. What is the mobilehome site service rating? --------------------- -Z O Amps 7. What is the mobilehome site circuit breaker rating? ------------- Z p 0 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.) COUNTY OF BUTTE. — DEPARTMENT OF PUBLIC WORKS + +' 7 County Center Drive — UroviIle, California 95965 Telephone: 534-4541 APPLICATION AND PERMIT 54 . authorize representatives of the Courily of Butte to enter upon the above -me ' ned prop ty orinspe i purposes. X Dat 1 -10-7 Signature of Permitee or A;ent Receipt No. /6/7(f " ' 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 p DIRECTOR OF U LIC WORKS By Date BuAng permit expires Date C. --Z�7 BUILDING Owner r (G �, t' Gt ' SO. FT. OCC. BUILDING VALUATION r 01 Mailing Address Telephone No. Fireplace Contractor N �/Z Q Total Valuation Mai I ing Address C-� �/� Permit Fee Plan Checking Fee &/or Penalty G l "'I'"e 63 7` // v Permit Fee $ Building Address PLUMBING No. @ FEE PERMIT FILING FEE $3.00 Q 6S 6 Each Trap 1.50 0 Q l� Repair drainage or vent piping 1.50 Water piping O c)))4 19 L Each gas water heater or vent 1.50 A. P. No. , Z i — ( g Gas piping system 1 - 5 outlets 1.50 Each additional outlet .30 'F t > S on Fire Dept. Fire Zone Use Permit Building sewer .5:99 EGA Parking Plans Parcel Declaration Parce a p 60' R/W Improvements p Lawn sprinkler system 2.00 BI IQs Recd IL Parce Approval PI Approval Permit Fee $ $ NEW ❑ ADDITION ❑ UTILITIESW OTHER ❑ ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 r Main service 100 AMP OR10V OR LESS5.00 Main service EA. ADD'L 100 AMP 2.50 Q Main service OVER s O 25.00 100 AMP OR LESS Single Family ❑ Duplex ❑ Mobil Home Others ❑ Main service EA. ADD'L ioo AMP 1.00 . FT. MINIMUM NEW CONST. ( DWELLING OCCUP. & OR ADDNS. ACC. BLDGS. ) 2¢Sgft NEW CONSTR. MULTI.OUTLET NON-RESID. ( BRANCH CIRCUITS) 2.50ea FOR MOBILES NEW CONST R. (POWER APPARATUS .&) NON -RESID. SINGLE OUTLET CIR. CONTRACTORS LICENSE LAW I am licensed under the provisions of C a ter 9, Div. 3, of the State of California Bu & Profes i ns Code u r the name style of: Y Ex. Occup(OUTLETS OR FIXTURES)BAL�@1 1 Ex. Occup. FIXED APP LNS. OR ) 2.00 P•(FIXED TS (RESID.) EA Temporary service 10.00 �1 / License No.�� �.7 9' CJ � Classification �' Mobile Home Facilities 15.00 Misc. Wiring 6.25 ❑ I am exempt from the Contractors License Laws of the State of California. Permit Fee $ / $ j 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 $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 is cprrect. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby eV• etv o� TOTAL PERMIT FEE $ authorize representatives of the Courily of Butte to enter upon the above -me ' ned prop ty orinspe i purposes. X Dat 1 -10-7 Signature of Permitee or A;ent Receipt No. /6/7(f " ' 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 p DIRECTOR OF U LIC WORKS By Date BuAng permit expires Date C. --Z�7 e"d* of iqu OROVILLE, CALIFORNIA GENERAL CLAIM CLAIMANT: John Doremus ADDRESS: P.O. BOR 4121 , CITY & STATE: Chico, CA. 95927 IMPORTANT: DATE OF CLAIM: August 30, 1977 SEE INSTRUCTIONS ON REVERSE SIDE SUBMIT CLAIM TO DEPARTMENT RECEIVING GOODS OR SERVICES DATE DESCRIPTION OF CLAIM (DESCRIBE FULLY TO AVOID DELAY) AMOUNT Duplication of permits. (Mobilehome Installation Permit X64195-77 Receipt X6167948 - AP 66-17-21) Mobilehome installation permit fee --------------------------- $30.00 i TOTAL $30.00 I, the undersigned, declare under penalty of perjury that the services or articles claimed have been performed or delivered, and that this claim is true and correct.as stated. Dated this .................................. day of ............................. 19....... at................................. Calif..................................................................................... Signature of Claimant I, the undersigned, hereby certify that, to the best 'of my knowledge, the services or articles specified above have been performed or de- livered and that there is a -Budget AppropHationO or Specific Board Appjro�val0 (Checkone) for the same. Dated this ........ 30th ................ day of ....Aug.............. 1977.. at Orov. 111x....... . Calif..................................................................................... Department Head or Authorized Deputy Dept. Exp. Code ............................................ Code ................................................PAYABLE FROM...............................:..............................................I........... FUND DO NOT WRITE BELOW THIS LINE - AUDITOR'S USE ONLY VENDOR CODE DEPT. & SUB. PROJ• SUB. 0BJ. CLAIM NO. INVOICE NO. INVOICE DATE DISC. GROSS AMOUNT ENCUMB. SUB -DIST. INSTRUCTIONS to CLAIMANTS All claims against the county must be itemized, giving dates and character of service rendered or work performed, quantities, de- scription and unit prices of articles furnished or delivered. Claims must be certified by the claimant and submitted to the De- partment head for approval. Upon approval the Department head will forward claim to Coun:) Auditor for payment procedure. Do not file with the County Auditor first. Claims should be presented to off. _ .als for approval immediately upon completion of services requested or material ordered. Claims are paid every Tuesday; however, same must be approved by officials and in Auditor's office before preceeding Wednesday noon. Compliance with above will expedite payment of claim, failure to do so may May payment considerably. Remark p - 5 Date r. f a = 7 ® 8 = 9 + _ -M rrl m T r f -f rrT -+-4 H -q H-4 H -i r -H 1-H _u W W W-4 W W Remarks Date r" m m m m m i+4 #+4 t -H H--4 H -i r4+ �.0 w w 6.0 w w Remarks COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS w 7 County Centlsr Drive — Oroville, California 95965 • Telephone: 534-4541 APPLICATION AND PERMIT vrY-77 !C, i,• BUILDING Owner (Y"G.0'ev SQ. FT. OCC. BUILDING VALUATION Mailing Address Telephone No. •� Fireplace Contractor Total Valuation Mailing Ad ss ,A Permit Fee Plan Checking Fee &/or Penalty • Tee one No. Xy Permit Fee $ Building Address PLUMBING No.1 @ FEE PERMIT FILING FEE $3.00 J Each Trap 1.50 f� Repair drainage or vent piping 1.50 Water piping 1.50 L.1 Ii Each gas water heater or vent 1.50 �1 A. P. No. (p 1l % -a Zoning &Planning Gas piping system 1 - 5 outlets 1.50 . Each additional outlet .30 F W . auoR FireDept. FireZone Use Permit Building sewer 5.00 EQA Parking Plans Parcel Declaration Parcel Ma p 60' R/W Improvements p Lawn sprinkler system 2.00 `�' BldgAI24tns Rec'd Parc pproval PI Approval 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 (`7 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 ADDNS. ( ACCLBLDGS.OCCVP. &) 22sgft NEW CONSTR. MULTI.OUTLET NON.RESID. BRANCH CIRCUITS) 2.50ea NEW CONSTR. POWER APPARATUS &) NON.RESID. (SINGLE OUTLET CIR. CONTRACTORS LICENSE LAW I am licensed under the provisions of Chapter 9, Div. 3, of the State of California Business & Professions Code under the name style le of: Ex. Occup(OUTLETS OR FIXTURES) 6AL@1 Ex. Occup.( FIXED APPLNS. OR p• OUTLETS IRESID.I EA) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Cy—��L ense No. .r�0�/�(� Classification Misc. Wiring 6.25, ❑ I am exempt from the Contractors License Laws of the State of California. Permit Fee $ $ WORKMEN'S COMPENSATION INSURANCE I am aware of the provisions of Section3700 of the California Labor Code which requires every employer to be insured against liability for Workmen's Compensation. ❑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 s6 as to become subject to the Workmen's Compensation Laws of California. MECHANICAL No.1 @ FEEPERMIT FILING FEE $3.00 Heating Cooling Ventilation 42.00 Hood Permit Fee $ $ 1 certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby TOTAL PERMIT FEE $ 3 .UU IVIItc IcFIICOCIIIaU VCJ VI tIIC UUUIIIY VI Duttu LU uIlLul UpUll the above-mentioned property for inspection purposes. X Date e5f177,9 Signature ofPermitee or Agent ceipt No. / ( r -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 OF PUBLIC WORKS By Date Building permit expires Date MOBILEHOME SUPPORT DATA Mobil ehome Mf r. Vv Setup Model No. Year Width a (ft.) Length '(ft.) Ekpando"Size ft.x ft. (Draw support details below) On all mobilehomes manufactured after October 7, 1973, furnish manufacturer's installation manual and structural setup sheets (if not on file w1th'the County of Butte). inleFootings (check one) 1* Wood either pressure treated or Center Support Locations . .... .. ....... (ft) 0 -(in ) Center Support Footing Sizes (in.) x x (in.) (in.) 13 x EE7. (in. (in. ) (in.) (ft. A (in.) (in.) 41� *If center piers are other than drawn above, draw in locations, spacing, and dimensions. fdn. grade. 1; L 2. Concrete pad. 3. Other, specify Supports (check one) 1. Concrete block 2. Concrete piers 3. Steel piers 4. Other, specify Typical Support Footing Size ln� j .n.) &J,Max, Sp Pier _ Spacing I r (ft.)" Ir Max. i Overhang BUTTE COUNTY BUILDINGDEPARTMENT APPROVED �v 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: 3. Is the site currently er permit? Yes -/7/' No 7— (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 (This information not required if pipe length less than 6 ft. on natural gas or less -,,than) 50>-�f t;., --on (-,LPG.) 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;LD 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 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>-�f t;., --on (-,LPG.) j PERMIT NO. 4666-77B PERMIT EXPIRES a OWNER CARL GREGORY CONTR. Don Darby, Par. LOCATION (A.P. 66-17-21 ) 50 Lesley Ct, lot 158, CC#3, Magalia Temp. Power Pole Called PG&E Temp. Elec. Serv. Called PG&E Temp. Gas Serv. �' Called PG&E vi'i0B r FINALED (Date) (Signatur t COUNTY OF BUTTE - DEPARTMENT O.F PUBLIC WORKS BUILDING INSPECTION RECORD BUILE" o BUILDING (Cont'd) PLUMBING Setback Firewall Sol[ Piping Forms Parapets 1st Floor Main Bidcfv Ir 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 Stemwa I I Garage Vents Insulation Water Htr. Heaters Slab Carport Footings Prov. for physically handicaped Conformance of ex. structure Appliances Gas Piping & Test Temp. Gas Slab Final Sanitation Patio FIRE ACE Final Footings Footing ELECTRICAL Masonry Walls Throat Rough Reinf. Steel Final Fixtures Bond Beam FIRE SPRINKLERS Motors Framing Test Water Htr. MECHANICAL scratch Heatinq 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 MOB16EWOME INSTALLATI N ......... • .... 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.) ll '` GUUNTt� OF BUTTE — DEP4RT'MENT OF PUBLIC WORKS 7 Courity Centtjr Drive - Uroville, California 95965 1�10ea J����''']]]Telephone: 534-4541 / APPLICATION AND PERMIT ,�/ . O'y ro ertJfo PI'S ectii v� oULLVses iu cnicl uNun ulc above -menti • P p y p purposes. t X Date >2 - % ignature of Permitee or Agent Receipt No. r 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 PUBYLIC WORKS By . 4:. _ Date 9' Building permit expires Date�_�� 7T BUILDING Owner t/ L,tt -E 4` i1 �� SO. FT. OCC. BUILDING VAL1ATION S Mailing Address Telephone No. Fireplace Contractor !L ` Total Valuation 2 Mailing Address Permit Fee Plan Checking Fee &/or Penalty Tel�p3ole N ! Permit Fee $ P - Building Address PLUMBING No.1 @ FEE PERMIT FILING FEE $3.00 so Each Trap 1.50 ®7- . 4,57C ,- 3 Repair drainage or vent piping 1.50 Water piping 1.50 -X4 94 Each gas water heater or vent 1.50 A�plo / 7^ A. P. No. Zoning & Planning Gas piping system 1 - 5 outlets 1.50 Each additional outlet .30 F -lei tion FireDept- FireZone Use Permit Building sewer 5.00 EQA Parking Plans Parcel Declaration Parcel Ma P 60' R/W Im rove fits P Lawn sprinkler system 2.00 Bldg. PrTn-s-Rec'd Parcel Appr al Plan Approval Permit Fee $ $ NEW ADDITION ❑ UTILITIES ❑ OTHER ❑ ELECTRICAL No.1 @ I FEE PERMIT FILING FEE $3.00 Main service 1100V OR LESS 100 AMP OR LESS 5.00 Main service EA. ADD -L too AMP 2.50 OVR Main service 1100EAMP OR LESS 25.00 Single Family ❑ Duplex ❑ Mobil Home Others Main service EA. ADD•L 100 AMP 1.00 O �� /•'�/�! / p ` NEW OR ADDNST ( ACCLBLDGLING OCCUP. &) 22sq it NEW CONSTR. MULTI -OUTLET NON-RESID. ( BRANCH CIRCUITS) 12.50ea NEW CONSTR. (POWER APPARATUS & NON.RESID. SINGLE OUTLET CIR. CONTRACTORS LICENSE LAW I am licensed under the provisions of Chapter 9, Div. 3, of the State of California Business & Professions Code under the name style of:Ex. Ex. Occup(OUTLETS OR FIXTURES) BgL@11 Occup. (0 TLETS PRESID.IREA) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 �1 n License No., ra� % Y u Classificatiorf —❑ Misc. Wiring 6.25 I am exempt from the Contractors License Laws of the State of California. Permit Fee $ $ WORKMEN'S COMPENSATION INSURANCE 1 am aware of the provisions of Section3700 of the California Labor Code which requires every employer to be insured against liability for Workmen's Compensation. ❑I have placed on file with the County of Butte a certificate of Workmen's Compensation Insurance. I certify that in the performance of the work for which this permit is issued I shall not employ any person in any manner so as to become subject to the Workmen's Compensation Laws of California. MECHANICAL No. @ FEE PERMIT FILING FEE $3.00 Heating Cooling Ventilation Hood 2.00 Permit Fee $ $ 1 certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby TOTAL PERMIT FEE $ �' O'y ro ertJfo PI'S ectii v� oULLVses iu cnicl uNun ulc above -menti • P p y p purposes. t X Date >2 - % ignature of Permitee or Agent Receipt No. r 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 PUBYLIC WORKS By . 4:. _ Date 9' Building permit expires Date�_�� 7T