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' AP 66-22-18 - -- -
Ed Queer
915 Andover Dr., �Magal iii
-(LQt� 147, PPCC 4), 1�4
CONTIC Feather River Coiistr.,Mgalia
Permit_4642;75,P,E1(util.%MH) -
ELEC'.-f ";7
GAS4P4i e , ,
SUPPORT STRUCTURE REQ.'''
COMPACTION TEST°REQ .. -�
J.- 66-22
CONTR:,.Rr"edisd' Modular ConaEpts
' ,Permit :,##8.18-:76MHI
,Issued oZ`�-�
,,,,.,66-.22-18
'CONTR: FeatherRiver Const: aga is
Permit.#1390-76B(slab.-only pri.gge
,
66-22-18
Permit #3558-76B,E(new private garage 1
& 2_covered decks)
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PERMIT NO. 4642-75 P,E
P
E
9
M
,MH UTIL.
',,PERMIT NO.
PERMIT EXPIRES
"OWNER Ed Queer
coNTR. Feather River Constr., Magalia
66-22-18
,-,,~OCATION (A.P. )
k
915 Andover Dr., Magalia
(Lot 147, PPCC 4)
s
r
1 ;.3
j>
o a
7 -
:J
crf
l�
Temp. Power Pole
Called PG&E
Jtmp- Elec. Serv.
Called PG&E ��
Temp. Ga Serv.
Ca ed PG&E
INALED
(Date)
(Signa ure)
•f
r
�
COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS
BUILDING INSPECTION RECORD
Grd. Fault Prot.•
BUILDING BUILDING (Cont'd)
Heating
PLUMBING
Setback
Firewall
Soil Piping
Finish
.Forms
Parapets
1st Floor
Ventilation
Main Bldg.
Restroom Finish
2nd Floor
Final /'J'���ZI_
Footings
Windows
3rd Floor
Stemwall
Siding
To out
Slab
Roof Sheatfiing
Water Piping
Piers
Roofing
Sewer
Garage
Fdn. Vents
Fixtures
Footings
Gara a Vents
Water Htr.
Stemwall
Slab
Prov. for phy Cally
handicap d
Heaters
Appliances
Carport
Footings
ContpAance of ex.
- structure
Gas Pioina
Temp. Gas
& Tes
Slab
Final
Sanitati
Patio
FIREPLACE
Final
• Footings
Footing
ELECTRICAL
Masonry Walls
Throat
Rough
Reinf. Steel
Final
Fixtures
Bond Beam
FIR`k SPRINKLERS
Motors
Framino
Test
Water Htr_
Mesh
MEC "ICAL
Grd. Fault Prot.•
Scratch
Heating
Service -�
Brown
Cooling
Temp. Pole
Finish
Ducts
Underground
Interior Lat
Ventilation
Permanent-----
ermane `
Door
Door Closev
Final /'J'���ZI_
DATE REMARKS OR CORRECTION'S
001,
A -12
P /\/-o C) t`'Ac� 1i'�� G s D. �� 9 C `
laoeo- le- Uh f S (� �'r2 r (' d%h/7`f ✓1 S o c
o
` COUNTY OF BUTTE
DEPARTMENT OF PUBLIC WORKS 7 COUNTY CENTER DRIVE
OROVILLE, CALIF. - 534-4541
CERTIFICATE OF OCCUPANCY
This mobilehome has been installed in accordance with the requirements
of the California Administrative Code, Title 25, Chapter 5, under permit
number >��' for the following location:
Owner"= 9
Owner's Address;
Mobilehome Mfg - Model — Year
Insignia No. Serial No.
f_
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. 1390' 76B
PERMIT EXPIRES.
OWNER Ed Queer
t
CONTR. Feather River Const., Magalia
LOCATION (A.P. 66-22-18 )
915 Andover Dr., lot 147, PK04, Magalia
Temp. Power Pole
Called PG&E
Temp. Elec. Serv.
Called PG&E
Temp. Gas Serv.
Called PG&E
JOB
FINALED
A (Date)
(Signature)
COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS
BUILDING INSPECTION RECORD
BUILDING BUILDING (Cont'd) PLUMBING
Setback
Firewall
Soil Piping
Forms
Parapets
1st Floor
Main Bldg.
Restroom Finish
2nd Floor
Footings
Windows
3rd Floor
Stemwall
Sidinq
To out
Slab
Roof Sheathing
Water Piping
Piers
Roofing
Sewer
Garage
Fdn. Vents
Fixtures
Footings
Garacie Vents
Water Htr.
Stemwall
Slab
Prov. for physically
handicapped
Heaters
Appliances
Carport
Footings
Conformance of ex.
structure
Gas Piping & Test
Temp. Gas
Slab
Final
Sanitation
Patio
FIREPLACE
Final
Footings
Footing
ELECTRICAL
Masonry Walls
Throat
Rou h
Reinf. Steel
Final
Fixtures
Bond Beam
FIRE SPRINKLERS
Motors
Framing
Test
Water Htr.
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
DATE % REMARKS OR CORRECTIONS
M4"< /F"' S/2 %76,9A
(NOTE: An entry must be made on this form each time you visi"t the job site.)
9. Electrical i
A. Is service large enough to provide adequate amperage -to mobilehome (must equal rating of
mobilehome with a minimum of 100 amp) and`other facilities on lot, 'i.e., water pumps,
garage, cabana, etc.? Yes No
B. Is there proper clearances around panels? Yes No
C. Is power supply cord or feeder assembly properly fused?, "Yes No
D. Is continuity test satisfactory as per the following proced re? Yes o
1. De -energize electrical wiring system of the mobilehome at the pe estal.
2. Make sure that the power supply cord or 'feeder assembly conductors, including neutral
conductor, have been disconnected.
3. Switch all breakers and switches in the mobilehome, to the "on" position.
4. Connect one lead of a test.instrument to the mobilehome grounding conductor and
apply the other lead to each mobilehome supply conductor, including neutral. '
5. All non-current., carrying metal parts of the mobilehome (aluminum siding, gas line,
water line), in fixtures and appliances, shall be tested for continuity from
such equipment and the grounding conductor.
6. Upon completion of the above procedure, the power supply cord or feeder.assembly
conductors. shall be connected to the.site service equipment. A further continuity
test shall then'be made between the grounding electrode and the chassis of the
mobilehome. Upon satisfactory completion of the electrical tests, the lot or site
service equipment may be approved for energizing.
10. Is.job card signed by Health Department for water and sanitation?
11. If everything okay, sign off card and tag services.
MOB ILEHOME DATA
Manufacturer and/or Namestyle C(
Length 1 Width
Vehicle Serial No. S)q- (o ff q S�
State Identification No. .2-26 Y V C Y7
Additional, Information or Comments: c
MOBILEHOME INSTALLATION INSPECTION CHECK LIST
1. Is the mobilehome located with required separation from lot lines and buildings and generally
conform to plot plan? Yes No
2. Does the mobilehome have required clearances above ground? (Sec.5085) Yes" '. No
3. Are footings and supports properly sized, spaced, and bracedas er approved plans? (Note
possible variation at spring shackles.) (Sec. 5082 & 5083) Yes No
4. Is the mobilehome level? (Sec. 5088)Yes
No+
5. If more than a single unit, are crosso er connections properly installed? (Sec. 5088)
YesNo
6. Water
A. Is flexible connector of adequate size and properly installed (1/2" ID min.)? (Sec. 5566)
Yes A No
B. Test - Does water piping withstand working pressure or 50 lbs. air test? Ye No
C. Backflow ?ins coach is not State of California approved, does station have backflow device
and pressr lief valve? Yes No
7. Wastes and Dr
A. Is connection made with Schedule 40 DWV and have flex connectors at each end? Ye QC No
B. Does it have minimum '" per foot slope and is it properly supported? Yes No
C. Are any leaks detected in drainage system after runnin 3 -gallons of water through each
fixture including washing machine standpipe? Yes No
D. If coach is t State of California approved, does station have required trap and vent?
Yes No
8. Gas Piping and Gas Vents
A. ConnectorVobilehom
om connected to the ga's supply with an approved 3/4" minimum
mobilehomeo more than 6 ft. long? Note: All piping is to be at least as
large as tgas line inlet without reductions other than the mobilehome
connector.B. Test OK asg procedure? YesNo
1.Open aconnector valves.
2. Shut off appyian\e burner and pilot valves.
3. Air test w'th mano eter to 10"-14" water column, or. test with slope gauge (minimum
6oz.-max' um 8 oz.) alibrated in tenth pound increments. Test for 10 min. without
drop.
4. Connec gas meter to mo ilehome with connector, turn on gas, test connections with
soapy %ter.
C. Are all appliance vents propertX installed? Yes No
V
COUNTY OF BUTTE — " DEPARTIVIENT OF PUBLIC WORKS
�. 7 County Center Drive : Oroville, California 95965
Telephone: 534,4541
APPLICATION AND PERMIT lr---
aUU IUIIcc IVPIV0UnLGLIVVa UI the t UUIItY UI MUIIC tU enter upon ine
above-mentioned property for inspection purposes.
X Date
Signature of Permitee or Agent
Receipt No.
White-D.P.W. - Yellow -Assessor - Pink -Inspector - Goldenrod -Applicant
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.
DIRECTPR OF PUBLIC WORKS
By Date
Building permit expires Date �' 7 ' /
BUILDING
Owner Eo (.lt._
SQ. FT. OCC. BUILDING VALUATION
Sc L
Mailing Address
Telephone No.
-
Fireplace
n
Contractor e✓4-i, k -14(f ,L)eX- S
Total Valuation 6 ^
Mai lingAddress PX /a f}�,
Permit Fee
Plan Checking Fee&/or Penalty
� �
Telephone No.
Permit Fee z—
Building Address
PLUMBING No. @ FEE
PERMIT FILING FEE $3.00
/►
9115-/`d 2 V U c,& C'
Each Trap 1.50
a C y 1.
Repair drainage or vent piping 1.50
Water piping 1.50
Each gas water heater or vent 1.50
A. P. No. b -�` - �•
Zoning &Planning
Gas piping system 1 - 5 outlets 1.50
Each additional outlet .30
F
W.
ani Fire Dept.
Fire Zone
Use Permit
Building sewer 5.00
EQA
Parking
Plans
Parcel
Declaration
Parc a P
60' R/W
Improvements
p ovements
Lawn sprinkler system 2.00
Bldg. Plans Recd
Par pproval
Plan proval
Permit Fee
NEW--0ADDITION ❑ UTILITIES ❑ OTHER Im
ELECTRICAL No. @ FEE
PERMIT FILING FEE $3.00
L 4 Q n /) L
Main service 101V OR 100 AMP ORLESS5.00
Main service EA. ADD -L 100 AMP 2.50
Single Family ❑ Duplex ❑ Mobil Home ❑ Others
Main service OVER 600V
100 AMP OR LESS 25.00
Main service EA. ADD'L 100 AMP 1.00
///''���,F7{
Q�(J ^�
NEW CONST. DWELLING OCCUP. &
OR ADDNS. ACC. BLOGS. 20sgft
NEW CONSTR. MULTI -OUTLET
NON.R ESI D. BRANCH CIRCUITS! 2.50ea
NEW CON(PO
NON•RESWER APPARATUS &
I D. 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: l /�
Ex. Occup(OUTLETS OR FIXTURES) BAL
@;,
EX. OccU FIXED APP LNS. OR
P•(OUTLETS (RESID.) EA). 2.00
Temporary service 10.00
Mobile Home Facilities 15.00
�� 3 ,
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
t 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.
ElI 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
Cal ifornia.
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
$ --z
aUU IUIIcc IVPIV0UnLGLIVVa UI the t UUIItY UI MUIIC tU enter upon ine
above-mentioned property for inspection purposes.
X Date
Signature of Permitee or Agent
Receipt No.
White-D.P.W. - Yellow -Assessor - Pink -Inspector - Goldenrod -Applicant
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.
DIRECTPR OF PUBLIC WORKS
By Date
Building permit expires Date �' 7 ' /
Y I COUNTY OF BUTTE — 6EPAf3iMENT OF PUBLIC WORKS ///yyy �J/
7 County Center Drive - Oroville, California 95965 / y / /�,
Tel ephone: 534-4541 (/ Q ((((((///
APPLICATION AND PERMIT
BUILDING
SQ. FT. OCC. I BUILDING VALUATION
Fireplace
Total Valuation
Permit Fee
Plan Checking Fee&/or Penalty
Permit Fee
PLUMBIiNG
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 incl. 1 meter
Additional meters, each
Sub -panel 02 or less) (more than 1:
Range, Cook -top or Oven
Water Heater or Space Heater
Owner
_ Mailing Address
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-
Hood, Ex. Fan or F.A. Furn. Motor
Telephone No.
Contractor �� D / S� /�'%n �uLae . 1�6
a ce-p
Mailing Address
Temp. Power Pole
Telephone No.
Building Address �%%�/7`/���0 C.wiz:
r«7
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 Wo�rkerr—s Compensation.
have placed on file with the County of Butte a certificate of
Workmen's Compensation Insurance.
❑I certify that in the performance of the work for which this
permit ,is issued I shall not employ any person in any manner
so as to become subject to the Workmen's Compensation Laws of
California.
MECHANICAL
PERMIT FILING FEE
A. P. No.
Zoning & Planning
Fe64Vli;e!
Fire Dept.,
Fire Zone
Permit Fee.
Use Permit
EQA
Parking
Plans
Parcel
-Declaration
Parcel Ma 60' R/W
P
lmrovemen
p
Bldg.4L.Ks Recd
Parcel A royal
Plans pproval
NEW ❑ ADDITION ❑ UTILITIES ❑
OTHER
h tT2 V 7 5 -
Single Family ❑ Duplex ❑ Mobil Home fff
Others ❑
BUILDING
SQ. FT. OCC. I BUILDING VALUATION
Fireplace
Total Valuation
Permit Fee
Plan Checking Fee&/or Penalty
Permit Fee
PLUMBIiNG
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 incl. 1 meter
Additional meters, each
Sub -panel 02 or less) (more than 1:
Range, Cook -top or Oven
I certify that I have read this application and state that the above
information is correct. I agree to comply to all County Ordinances
and State Laws relating to building construction, and hereby
authorize representatives of the County of Butte to enter upon the
above-mentioned property for inspection purposes.
X s Date z 7
Signature of Permit or Agent
Receipt No. I L/a -71 1
White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant
@ FEE
$3.00
1.50
1.50
1.50
1.50,
1.50
.30
5.00
2.00
14 in 1.36 a"+J
TOTAL PERMIT FEE $ -4d 1 alp
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 P LIC WORKS
By Date
wilding permit expires Date _ Z'26 '7 7
Water Heater or Space Heater
Light fixtures
Receps., switches & fix outlets
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-
Hood, Ex. Fan or F.A. Furn. Motor
Evap. cooler, gar. d i sp. or D.W.
Air conditioner_ or heat pump
Water pump
Mobil Home Facilities
Temp. Power Pole
License No. Classification /
Misc. wiring
❑ 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 Wo�rkerr—s Compensation.
have placed on file with the County of Butte a certificate of
Workmen's Compensation Insurance.
❑I certify that in the performance of the work for which this
permit ,is issued I shall not employ any person in any manner
so as to become subject to the Workmen's Compensation Laws of
California.
MECHANICAL
PERMIT FILING FEE
Heating
Cooling
Ventilation
Hood
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 County of Butte to enter upon the
above-mentioned property for inspection purposes.
X s Date z 7
Signature of Permit or Agent
Receipt No. I L/a -71 1
White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant
@ FEE
$3.00
1.50
1.50
1.50
1.50,
1.50
.30
5.00
2.00
14 in 1.36 a"+J
TOTAL PERMIT FEE $ -4d 1 alp
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 P LIC WORKS
By Date
wilding permit expires Date _ Z'26 '7 7
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS
7 County Center Drive, — Oroville, California 95965
Telephone: 534-4541
APPLICATION AND PERMIT
I certify that I have read this application and state that the above
information is correct. 1 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. nn
x ``�- Date �— �_/S�
Signature of Permitee or Agent
R
Receipt No.
White-D.P.W. —' Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant
TOTAL PERMIT FEE is
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
ByL�'— Date �..�
�si'ding permit expires Date ���
BUILDING
Ownerc� v ��
G.
SQ. FT. OCC. BUILDING VALUATION
Mailing Address
Telephone No.
L,o
Fireplace
Contractor
Total Valuation
Mailing Address f%� 0 �� A 1A
Permit Fee'
Plan Checking Fee &/or Penalty
Telephone No.
L o
Permit Fee
Building Address
PLUMBING
No. @
FEE
PERMIT FILING FEE
$3.00
Each Trap
1.50
Repair drainage or vent piping
1.50
Water piping
1.50 /O, elZ
1:0 1914- 191,7
Each gas water heater or vent
1.50
A. P. No. Q�—Idol
�^ /—^I
`a"`
Gas piping system 1 - 5 outlets
1.50
Each additional outlet .30
F
S on
FireDept.
FireZone
Use Permit
Building sewer
5..00.1,4
. Un
EQA
Parking
Plans
Parcel
Declaration
T a
p
60' R/W
improve ents
p
Lawn sprinkler system
2.00
r�
13 s Rec'd
Parcel Approval
Plans pproval
Permit Fee
$
NEW ❑ ADDITION ❑ UTILITIES B_ OTHER ❑
ELECTRICAL
No. @
FEE
PERMIT FILING FEE
$3.00
PV
Main service incl. 1 mete&&P4'
51ev
Additional meters, each
1.00
Sub -panel (12 or less) (more than 12)
Single Family ❑ Duplex ❑ Mobil Home . Others ❑
Range, Cook -top or Oven -
1.00
Water Heater or Space Heater
1.00
Light fixtures
0 (d2
bal 010
Receps., switches & fix outlets
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:
eZ,_
Hood, Ex. Fan or F.A. Furn. Motor
1.00
Evap, cooler, gar. disp. or D.W. 1.00
Air conditioner or heat pump
Water pump
Mobil Home Facilities 5.00
Temp. Power Pole
5.00
License No. Classification
Misc. wiring
..,
❑ I am exempt from the Contractors License Laws of the State of California.
Permit Fee
$
MECHANICAL
No. @
FEE
WORKMEN'S COMPENSATION INSURANCE
1 am aware of the provisions of Section3700 of the California Labor
Code which requires every employer to be insured against liability
for Workmen's Compensation.
f I have placed on file with the County of Butte a certificate of
1� 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 $
I certify that I have read this application and state that the above
information is correct. 1 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. nn
x ``�- Date �— �_/S�
Signature of Permitee or Agent
R
Receipt No.
White-D.P.W. —' Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant
TOTAL PERMIT FEE is
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
ByL�'— Date �..�
�si'ding permit expires Date ���
a
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MOBILEHOME SUPPORT DATA
Mobilehome Mfr. 0L_1 r1 e277 Setup Model No. �! Z `1 Year /f74
Width _-L (ft.) Length . (ft.) --Expando Size ft.x ft.
(Draw Supp rt 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) .-
i ew
Sin le . �'� Footings-(check.one)
/W1. Wood -either
A Ipressure treated or
Center Center Support fdn.:grade.:
Support Footing Sizes
Locations (in.) ...... „2. -Concrete pad.
�� � �
3. -Other, -specify
't.)k1n'. in. in.
--- - - - — - - - c
Supports check on) ( e'
a / _l Concrete block
C / / 2. Concrete piers
3. Steel piers
.. ........
4. Other, specify :1
.... ........ fx3�
I CW Typical Support
Footing Size
(in.) (in.)
Max. Pier .
�n. Spacing
75
M .)
x34 ® fed—
(in.) Max.
Overhang
^If center piers are other than drawn above,
draw in locations, spacing, and dimensions.
BUTTE COUNTY
BUILDING DEPARTMENT
APPROVED
BUTTE COUNTY DEPARTMENT OF PUBLIC WORKS
7 County Center Drive, Oroville,.CA.
PHONE: 534-4541
MOBILEHOME INSTALLATION SHEET
1. Owner's name: ,C"�j W /�� /�is e 2 !c
2. Installer's name:�g_,�,g
3. Is the site currently under permit? Y//eLL//s /!iY No
(If yes, furnish permit number 7b2 `/ 7 S ) 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 /�i/' No
(If no, clarify )
5. What is the mobilehome electrical rating? ----------------------- d O Amps
6. What is the mobilehome site service rating? --------------------- a D 0 Amps
7. What is the mobilehome site circuit breaker rating? ------------- .2 06 Amps
8. Is there any other electric load to be served by the mobilehome
siteservice? ---------------------------------------------------
(If yes, identify the load and size:
(Load)
Yes T-1 No /!--/-
S)
9. What is the mobilehome site gas pipe size? -L ------ �% `T� (in.)
CPO I -PI
10. What is the type of as service. --- -- Natural
yP g �---------- --- -- ----- / LPG
re. w
11. What is the gas pipe length from meter or tank to the mobilehome?
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.)
a�
PERMIT
NO. 3558-76B,'E
PERMIT EXPIRES
Ed Queer
OWNER
CONTR.
owner
LOCATION (A.P. .66-22-18 j
915 Andover Dr., Lot 147, PPCC 4, Magalia
,Y
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tix
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ole
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&E
Serv_
&E
/Gas
erv.&E
COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS
BUILDING INSPECTION RECORD"
BUILDING
BUILDING (Cont'd)
PLUMBING
Setback
Firewall
Soll Piping
Forms
Parapets
1st Floor
Main Bldg.
Restroom Finish Y�
2nd Floor
Footings
Windows
3rd Floor
Stemwall
•• - Siding
To out
Slab
Roof Sheathing, rWater
Piping
Piers
Roofing /
Sewer
Garage /
Fdn. Vents
Fixtures
Footings
StemwaI 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
IRE ACE
Final
Footings
Footing
ELECTRICAL
Masonry Walls
Throat
Rough
Relnf. Steel
Final
Fixtures
Bond Beam
FIRE-5,PRINKLEW
Motors
Framina W7 7 Z7st
Water Htr.
Stucco
Final
Subpanels
Mesh
MECHA-4lbAL
Grd. Fault Prot.
Scratch
Heating
Service
Brown
Cooling
Temp. Pole
Finish
Ducts
Underground
Interior Lath
Ventilation
Penman t
Door Closer
Final
Final
DATE REMARKS OR CORRECTIONS
o e-0 6���
(NOTE: An entry must be made on this form each time you visit the job site.)
J.
COUNTY OF BUTTE .0EPAR`TMEENT OF PUBLIC WORKS
•- ' 7 County Center Drive -" Uroville, California 95965 43
Telephone: 534-4541
APPLICATION AND PERMIT A �.�--
BUILDING
Owner cf QU
SQ. FT. OCC. BUILDING VA UATION
Fats. Z-4
Mailing Address vl. i' ���•
'-f d O a�vt (n a
L .
Telephone No.
.7
pZ y
Fireplace
Contractor �yL,
Total Valuation Z �1
Mailing Address ,
Permit Fee —
Plan Checking Fee&/or Penalty
Telephone No.
Permit Fee $
Building AddressPLUING
� � on–'_
PLUMINGNo. /@ FEE
MPERMIT
FILING FEE x$3.00
�^ D
hCi 'i i ^ Pr C °
Each Trap 1.50
Repair drainage or vent piping 1.50
-
Water piping 1.50
Each gas water heater or vent 1.50
r
A. P. No. _ �.� _
`L
Zoning &Planning
Gas piping system 1 - 5 outlets 1.50
Each additional outlet 30
F
�ire
Dept. Fire Zone
Use Permit
Building sewer 5.00
EQA
I Parkin
Declaratio��n7--
Pa XM'IP 60' R/W
Improvemen
Lawn sprinkler system 2.00
B
Parcel Approval
Plans Approval
Permit Fee $
NEW ADDITION ❑ UTILITIES ❑ OTHER ❑
ELECTRICAL No. @ FEE
PERMIT FILING FEE $3.00
Main service 8000V OR 0 AMP ORLESS5.00
Main service EA. ADD'L too AMP 2.50
Single Family ❑ Duplex ❑ Mobil Home ❑ Others
Main service OVERAMP OR LESS 25.00
Main service EA. ADD'L too AMP 1.00
NEW DWEOC&) 22syft
OR ADDNST ( ACCLBL G ,
NON.RESID NEWCONSTR ( BRANCH CIRCUITS)2.50ea
NEW CONSTPOWER APPARATUS &)
NON_RESIR D. (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) BAL@;
Oq
Ex. Occup.(OUTLETSPRESID)REA) 2.00
Temporary service 10.00
Mobile Home Facilities 15.00
License No. Classification
Misc.-Wiring 6.25
®I am exempt from the Contractors License Laws of the State of California.
Permit Fee - $
$ t12 IC�
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.
1:1 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 No.1 @ FEEPERMIT
FILING FEE J$3.00
Heating
Cooling
Ventilation
Hood 2.00
Permit Fee $
$
1 certify that I have read this application and state that the above
information is correct. I agree to comply to all County Ordinances
and State Laws relating to building construction, and hereby
authorize representatives of the County of Butte to enter upon the
above-mentinnpri nrnnprty fnr inc-tinn .
TOTAL PERMIT FEE
$ 0
This permit hereby
P y issued under the applicable provisions
of
X Date 1 02h
Signature of Permitee or Ag t
Receipt No.
White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant
the Butte County Code and/or resolutions to do work indicated
above for which fees have been paid.
DIRECTOR 0 UBLIC WORKS
BY Date % `7, -_7 (o
Bd'61ding permit expires Date--?
7., .,.•-
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Se
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to
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tQ 'pe quii a for the
f it r.�;�xiio�
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to b i' �:►' r
Thi Blij. Sefback AA 1 e;6 5'f f frotn
fhe,sil:rgpeciy4l'nte bad $0:ft: from'. F �'' f►r?`t,i� -,��,, �;
", the ceniVrline of thae,hoad,; petmiftinq, t7' Set; acv Ghali #ae
`a'rnra�timumfi,�rn►e-ov�rhan�.- side prop�► y 'Iini� bred ft, fcorr�`
'y' : i..,•.y •1 `t �.� ' i ,. .. thc3 Ct1'itAflfR@ 'f �i@
y, 'maklmum of , a '� fte�+�' over�6ng ' .. }
- ' • NOS' '-.•.�.�tSltr �rr; r .. OV V i/' c.► ` ` r f .. •
Aocarr%;• e _ t�- t#t srajs or maps ip Shall Be.. �e f
r Rc�c�ni�:d' food
' b a►�ri•f•i .
Prod • 'a
Oni•Po x► Qii� }sem-r,�irt3.i� str ,'alae. Snecified use in e
f +e Ia�iortal IeCtri + 'fig ' wtaclianioal Code, -� $U � COUNTY`,"
p,�, BUILDINGr L
sm �, nr+Ust bf .DEPARTMENT ,
:her job 'at'all t+r► srsd• It is untawfut_to'' r• ' ";
A%4 any chance or 'att atibns on � AP
!` .� t „�.�
HfLtt iom Sumo wil. bu
wr Perrfty f f'�e Depart " df y
1Ato�; County i4 iso, Pu61it
-:fhia setr of •pie�n�.s `.MU.Sr�•
,���� �i 1 �'� •s-�ym,•.. u .....+.+..�.. -.., ,.r:oy.-„^ J
t of ,grc#ar>F� 'with
"IRb n6d. , Good . i�rpctices acrd m n TM�es ancf tt is } �.
Erni Earl }pyre ikteat #or: 31 p "�ss'in, the �vFi# os arIrat�ons caq s�trre.i !
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