HomeMy WebLinkAbout066-440-0064 t S
AVID HERCHKORN
Washo Ct. ,'lot 68, Indian Mead.
contr: Charles Hancock, Para
Permit# 207-75P, (util.,)
a ELEC. aS��00
GAS
SUPPORT STRUCTURE REQ
OONTR: Shasta Trailer Sales, c ico
\Permit# 262�-75MHI
Issued "j, o� —7 S_ &
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bontr: Paradise'Nugent Gas
Permit #2613 s piping for'. °
#207-7.5).
66-44-6; �= 1
Permit #1538-76B(newcovered rch/MH)
-� 66-44-6
Permit #1-77B,E(new prjvate garage/MH)
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AVID HERCHKORN
Washo Ct. ,'lot 68, Indian Mead.
contr: Charles Hancock, Para
Permit# 207-75P, (util.,)
a ELEC. aS��00
GAS
SUPPORT STRUCTURE REQ
OONTR: Shasta Trailer Sales, c ico
\Permit# 262�-75MHI
Issued "j, o� —7 S_ &
-l�
.''.
bontr: Paradise'Nugent Gas
Permit #2613 s piping for'. °
#207-7.5).
66-44-6; �= 1
Permit #1538-76B(newcovered rch/MH)
-� 66-44-6
Permit #1-77B,E(new prjvate garage/MH)
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_ PERMIT NO. 1-77B�E
PERMIT EXPIRES
OWNER David Herchkorn
CONTR. owner
LOCATION (A.P. 66-44-6
19 Washo Ct., lot 68, I.M.#3, Magalia
Temp .Power Pole
Called PG&E
Te p. Elec. Serv.
Called PG&E
Temp. Gas Serv.
Called PG&E
JOB
FINALED
t
Setback
Forms
Main Bldg.
Footings
Stemwal I
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.
BQILD.ING BUILDING (Cont'd) PLUMBING
f.
J, -L— Firewall
Soil Piping
Parapets
1st Floor
Restroom Finish
2nd Floor
Windows
3rd Floor
Siding
To out
Roof Sheathing
Water Piping
Roofing
Sewer
Fdn. Vents
Fixtures
Garage Vents
Insulation
Water Htr.
Heaters
Prov. for phy
handicaedsically
Conformance of ex.
structure
Appliances
Gas Pipinq & Test
Temp. Gas
Final 2
Sanitation
FIREPLACE
Final
ver
Footin
E
Mesh
MECHANICAL
Scratch
Heating
Brown
Cooling
Finish
Ducts
Interior Lath
Ventilation
Door Closer
Final
DATE
REMARKS OR CORRECTIONS
ELECTRICAL
Fixtures
Motors
Water Htr.
Subpanels
Grd. Fault Prot.
Service
Temp. Pole
Underground f
Permanent
Final — / q ------)
5f i4t� A,-a� X
7t� C -z- relc
(NOTE: An entry must be made on this form each time you visit the job site.)
V COUNTY OF BUTTE — DEPAR4ENT OF PUBLIC WORKS
7 County Center Drive OroviJle, California 95965
Telephone: 534-4541
APPLICATION AND PERMIT
1-77
authorize representatives of the County of Butte to enter upon the
above -men ' ned property for inspection purposes.
r
X
Signature of P rmitee or Ag nt
Receipt No. /-)_ I % `y so)
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
�y
By n<y`� Date��%l
Building permit expires Date i T/ze
BUILDING
Owner AU
SQ. FT. OCC. BUILDING VALUATION
O.o
Mai I i ng Address / J N S
.tri,. l�.caLe- lJLi� 99r
Telephone No.
96 6-.- 21� a
Fireplace
Contractor
Total Valuation
Mailing Address A/ a
Permit Fee ®V
Plan Checking Fee &/or Penalty
Telephone No.
Permit Fee $ .0.0.0
ati Joe
Building Address Wdr S fid G7
PLUMBING No.1 @ FEE
PERMIT FILING FEE $3.00
G fi L .0
Each Trap 1.50
Repair drainage or vent piping 1.50
Water piping 1.50
A loco
Each gas water heater or vent 1.50
A. P. No. (o ` e/41 —Zoning
8 Planning
Gas piping system 1 - 5 outlets 1.50
Each additional outlet .30
F s
FireDept.
Fire Zone
Use Permit
Building sewer 5.00
EQA
Parking
Plans
Parcel'
De laratioh
Parcel Map
60R/W
Im P rovement
Lawn sprinkler system 2.00
Bldg. Plans Recd I
✓ Parcel Approval I
Plans royal
Permit Fee $
$
NEW [0 ADDITION ❑ UTILITIES ❑ OTHER ❑
ELECTRICAL No. @ FEE
PERMIT FILING FEE J$3.00 �y,b0
Main service i°o°o AMP V OR LE
Main5.00
Main service EA. ADD -L too AMP 2.50
Single Family ❑ Duplex ❑ Mobil Home ® Others ❑
Main service R 600V
1OOOEAMP OR LESS 25.00
Main service EA. ADD'L too AMP 1.00
i✓��a
I �A r79 <9 C.-
NEW CONST. DWELLING OC
OR ADDNS. ACC. BLDGS. 22sq ft F D
NEW CONSTR. MULTI.OUTLET
NON.RESID. ( BRANCH CIRCUITS) 2.50ea
NEWCONSTR. 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
St le of:
Y
Ex. Occup(OUTLETS OR FIXTURES) @251'09
FIXED APPLNS. OR
Ex. Occup. 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 $ /2,49
$ (v�
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.
ITX I certify that in the performance of the work for which this
4� 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 -men ' ned property for inspection purposes.
r
X
Signature of P rmitee or Ag nt
Receipt No. /-)_ I % `y so)
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
�y
By n<y`� Date��%l
Building permit expires Date i T/ze
F ILE 1
OWNER C Z' is r A , AP NO.
At time of permit application, the applicant was advised the.fellowing data or information
must be submitted prior to permit processing and/or issuance:
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. Fees of $
6. Letter of signature authorization.
7,. Sanitation approval.
8k. Planning approval
9. Workmen's Compensation Insurance Certificate.
10. Contractors license information.
ll. Parcel declaration.
12. Access declaration.
13. Aunt Minnie information.
.14. Deed of access.
15. Deed of parcel creation.
16. Parcel map.
17. Pre -inspection request for
18. Other
By LX J�-u Date %Z r �r 7
Bldg. Inspector
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When permit is issued,.process as follows:
ai 1. Mail to owner.
2. Mail to contractor.
3. .Deliver with inspection.
4. Telephone
5. Other
and hold for pickup.
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During plan checking process, the following data or information must be submitted prior to
permit issuance:
1. Index permit for items numbered above.
2: Applicant advised by telephone we need
3. Send letter to applicant. We need
4. Pre -inspection for NOT verified. (Index)
5. Other
Additional Processing or Notes:
MH Util.
PERMIT NO. 207-7 5P. E
P
E
M
MH UTIL.
,-PERMIT NO.
2
PERMIT EXPIRES `^ 3 - 76
JOWNER David Herchko'rn
'CONTR.— rhqrlp-q Han nn Pqrad-l-se
LOCATION (A.P. 66-44-06
Washo Ct., lot 68, Indian Meadows, Maga.
ir
Temp. Power Pole
Called PG&E
Temp. Elec. Serv.
Called PG&E
Temp. Gas Serv.
JCalled PG&E
B FINALE
(D
n�_ gLIC WORKS
ia 95965 f
MOBILEHOME•INSTALLATION INSPECTION CHECK. LIST
1. Is the mobilehome located with equired 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 N
3. Are footings and supports properly sized, spaced, and braced as pe proved plans? (Note
possible variation at spring shackles.).(Sec. 5082 & 5083) Yes No
4. Is.the mobilehome level? (Sec. 5088) Yes' No
5. If more han a single unit, are crossover connections properly installed? .(Sec: 5088)
Yeso z
6. Water :
A. Is flex connector of:adequate size and properly installed (1/2" ID"min.)? (Sec. 5566)
Yes
B. Test - Does water piping withstand working pressure or 50 lbs: air test? YesZ__�o-
�r
C. 'Backflow - If coach is not
��irnia approved, does atation have, low device
and' ressure-relief valve? Yes ` No .'
• via ..
7. Wastes and Drains ?^.
A. Is connection made with Schedule 40 DWV and have flex connectors 'at each,end? YesyN
B. Does it have. ;minimum 4" .per foot ' slcoe and is • it properly supported? -.-Yes r/No
C. Are any leaks detected in drainage system, after running'3- ons of water. through ,each
..
fixture including washing machine standpipe. .Yes No Al"
i - -4
D. If coach is not State of California a ro -moron have required 'trap* and vent?
Yes _ t y
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 mobileho a gas. line -'inlet without reductions other than the mobilehome,-' -
connector. Yes
B.. Test OK as per f�fool""lowing 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 podnd increments. Test for 10 min. without
drop. :
4. Connect gas meter to mobilehome with connector, t n on gas, test connections with
soapy water.
C. -Are all appliance vents properly installed? Yes No-
a. Electrical
A. Is service large enough to*•p'rIvide 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 , �� �-�,,,�5
B. Is there proper clearances around panels?' Yes•1/� d'�
C. Is power supply cord or feeder assembly properly fused? Yes
D. Is continuity test satisfactory as per the following procedure? Yes ✓ No
1. De -energize electrical wiring system of the mobilehome at the pedestal.
2. Make sure that the power supply cord or feeder assembly conductors, including neutral
conductor, have been disconnected.
3. Switch all breakers and switches in.the mobilehome to the "on" position.
4. Connect one lead of a test.instrument to the mobilehome grounding conductor and
apply the other lead to each mobilehome supply conductor, including neutral.
5. All non-current, carrying metal parts of the mobilehome (aluminum siding, gas, line,
water line), including fixtures and appliances, shall be tested for continuity from
such equipment and the grounding conductor.
6. Upon completion of the above procedure.' the power supply cord or feeder assembly
conductors shall be connected.to.the site service equipment. A further continuity
test shall then be made between the grounding electrode and-the.chassis of the
mobilehome. Upon satisfactory completion of the.electrital tests, the lot or site
service equipment may be approved for energizing.
10. Is job card signed by Health Department for water and sanitation?
11 If everything okay, sign -off card and tag services,
MOBILEHOME DATA
t
Manufacturer and/or Namest le -/CZ -e. �z .
Y
Length Width4 ,0 -, 2 fi—/ /1
04 i376
Vehicle Serial No.
State Identification No.
Additional Information or Comments:
Ei
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
Garage 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
FI EPLACE
Final
Footings
Footing
ECTRICAL
Masonry Walls
Throat
Rough
Reinf. Steel
Final
Fixtures
Bond Beam
FIRE SPRINKLERS
Motors
Framing
Test
Water Htr.
Stucco
Final
Subpanels
Mesh
MECHANICAL
Grd. Fault Prot.
Scratch
Heating
Se a W.. e
Brown
Cooling
Temp. Pole
Finish
Ducts
Underground
Interior Lath
Ventilation
Permane t
Door Closer
Final
Final
DATE REMARKS OR CORRECTIONS
kJ 6(s /9 ,7� 4;,1.,
a
COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS % �`,�~
7 County Center Drive - Orovi Ile, California 95965 llllJJ lJ
Tel epliorie: 534-4541
APPLICATION AND PERMIT 40
autnonze representatives of the County of i3utte to enter upon the
above-mentiryted property foyjinspection purposes.
Date
/ /iN
nature of Permitee or Agent
Receo. 33��
White. — 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 P LIC WORKS %1
By Date 6—l=d`�
permit expires Date C� ��d� /�
BUILDING
Owner
SQ. FT. OCC. BUILDING VALUATION
Mailing Address
Telephone No.
Fireplace
Contractor
Total Valuation
Mailing AddressPermit
Fee
Plan Checking Fee&/or Penalty
2.2
Telephone No
d c�7
Permit Fee
Building Address
PLUMBING No.1 @ FEE
PERMIT FILING FEE J$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
A. P. No. — —D r/i
Zoning &Planning
Gas piping system 1 - 5 outlets 1.50
Each additional outlet .30
Fesmrf
S'soitaxi.on
Fire Dept.
Fire Zone
Use Permit
Building sewer 5.00
EQA
Parking
Plans
I Parcel
Declaration
Parcel Ma P
60' R/W
ImprovementsLawn
sprinkler system 2.00
Bldg. Plans Recd
Parcel A oval
Pla pproval
Permit Fee $
$
NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER ,�
ELECTRICAL No. @ FEE
PERMIT FILING FEE $3.00
Main service incl. 1 meter
Additional meters, each 1.00
-
Single Family ❑ Duplex ❑ Mobil Home ladOthers ❑
Sub -panel (t2 or less) (more than 12)
Range, Cook -top or Oven 1.00
Water Heater or Space Heater 1.00
Light fixtures b0 P25
Receps., switches & fix outlets
CONTRACTORS LICENSE LAW
I am licensed under the provisions of Chapter 9, Div. 3, of the
State of Cal' or is Busi ess & Professions Code under the name
style of:
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 lv //_ssification
Misc. wiring
❑ 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 Wor men's Compensation.
y 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
i
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TOTAL PERMIT FEE
$ dfi
autnonze representatives of the County of i3utte to enter upon the
above-mentiryted property foyjinspection purposes.
Date
/ /iN
nature of Permitee or Agent
Receo. 33��
White. — 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 P LIC WORKS %1
By Date 6—l=d`�
permit expires Date C� ��d� /�
COUNTY OF BUTTE — DEPARTMENT OFPUBLIC WOR
7 County Center Drive — Oroville, California 95965
Telephone: 534-4541
APPLICATION AND PERMIT
09 _ F7 5-
BUILD114G
OwnerG O
SQ. FT. OCC. BUILDING VALUATION
Mai I i ng Address
Telephone No.
$
OU
Fireplace
Contractor
Total Valuation
Mailing Address Sy W A y
Permit Fee
Plan Checking Fee &/or Penalty
A IP
Telephone Na. 7
Permit Fee $
Building Address
PLUMBING No.1 @
FEE
PERMIT FILING FEE $9.00
d
_S
Each Trap 1.50
Repair drainage or vent piping ,1.50_
Water piping i=�
570,06
Each gas water heater or vent 1-30
A. P. No. _ —
T /
Za"'n9
Gas piping system 1 - 5 outlets 1.50
Each additional outlet .30
FoefSant
n Fire Dept.
Fire Zone
Use Permit
Building sewer a.Qa
/C) 10
EQA
Parking arcel
Plans Declaration
Parcel Ma
60' R/W
Im Improvements
P
Lawn sprinkler system 2.00
Bldg. Plt�Rec'd
ParceIApproval
PI pproval
Permit Fee $
NEW ❑ ADDITION ❑ UTILITIES OTHER ❑
ELECTRICAL No. @
FEE
PERMIT FILING FEE $3.00
3,00
Main service incl. 1 meter
a CJ
Additional meters, each
1.00
Sub -panel (12 or less) (more than 12)
Single Family ❑ Duplex ❑ Mobil Home 04 Others ❑
Range, Cook -top or Oven 1.00
l
Water Heater or Space Heater 1.00
Light fixturesbald 1Q
Receps., switches & fix outlets
CONTRACTORS LICENSE LAW
I am licensed under the provisions of Chapter 9, Div. 3, of the
State of Califor 'a Business & Prof i . Code under t e name
style of:
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
s;
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
$
$ Z Q O
$
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.
�rcertify 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
authorize representatives of the County of Butte to enter upon the
above-mentioned property for inspectjgn purposes.
Signature of Perm
Receipt .W
P.W
White -D.. - Yell
ink -Inspector — Goldenrod -Applicant
TOTAL PERMIT FEE is 00
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 0 UBLIC WORKS
By Date &,' j
B ding permit expires Date....................3:r� C
.......�.
C)V♦G
J
COUNTY OF BUTTE — DEPA-RTMENT OF PUBLIC WORKS (,,?
7 County Center Drive — Oroville, California 95965
61,5
Tel eplione: 5344541
APPLICATION AND PERMIT
i/
"Asi ncfure of Permitee or Agent ✓
1 �BY riate '7�
Receipt No. � ,H� J
White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant ilding permit expir Date S' .00% 75
BUILDING
Owner
SQ. FT. OCC. BUILDING VALUATION
Mailing Address
Telephone No.
Fireplace
Contractor a C�� /�Q
Total Valuation
Mai I i ng Address - 6'
Permit Fee
PI an Checking Fee &/or Penalty
le hone No.
Asa
'Permit Fee
Building Address
PLUMBING No.1 @ FEE
b
PERMIT FILING FEE $3.00J1
ae741
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. o. — QG
Zoning & Planning
Gas piping system 1 - 5 outlets
Each additional outlet .30
Fees
W.C.
Sanitation
Fire Dept.
Fire Zone
Use Permit
Building sewer 5.00
EQA
Parking
Plans
I Parcel
Declaration
Parcel Ma P
60' R/W
provements
Improvements
Lawn sprinkler system 2.00
Bldg. Plans Recd
Parcel Approval
Plans Approval
Permit Fee
NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER
ELECTRICAL No. @ FEE
PERMIT FILING FEE $3.00
Main service incl. 1 meter
Additional meters, each 1.00
Sub -panel (12 or less) (mora than 12)
—
Single Family ❑ Duplex ❑ Mobil Home Others ❑
Range, Cook -top or Oven 1.00
'r! / /2'/,—D -. �S
Water Heater or Space Heater 1.00
Light fixtures y 2
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 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. pC�� Classification
Misc. wiring
❑ 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.
]&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 1 shall not employ an
P p y y 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
authorize representatives of the County of Butte to enter upon the
above-mentioned property for ins ection purposes.
/
" , / Dat �� ✓��
TOTAL PERMIT FEE
$ ,3
This permit is hereby issued under the applicable provisions of
the Butte County Code and/or resolutions to do work indicated
abo for which fees have been paid.
n DIRECTOR PUBLIC WORKS
"Asi ncfure of Permitee or Agent ✓
1 �BY riate '7�
Receipt No. � ,H� J
White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant ilding permit expir Date S' .00% 75
COUNTY OF BUTTE - Department of Public Works
7 County Center Drive, Orovi;lle, California
PHONE 534-4541
Leneth
T 6 8 tl vl Y3 0,1 v t,o. E -W c 9 e l?w
MOBILEHOME INSTALLATION
INFORMATION
Lot Facilities
Mobilehome Data
1.
Plot plan dimensioned, location of mobile
1.
I
Utility
and ut * lity connections?
Manufacturer 670 I'll -Al °�Z•%li AA 6-e Zyc'
Connertinn.-,
Yes ✓ No
20'
2.
Electrical. service equipment ampacity,2 o 0
b
Insignia Control No. 844•
min
Circuit breaker ampacity �Ii`��®�
in
rt
- M rt
w N
-
Conduit size l ��,��
K
F 51,;. K
FL
Power supply cord�("Vs.)
Receptacle --� Ampaeity
rrt
a. n
3.
Gas: Naturals hVG j/
Mobilehome connector' size
H
m
Capacity.
4.
Drain inlet size'
4.
Drain connector: describe•on reverse side
5.
Water riser.size^
5.
Water connector: describe on'reverse side
6.
Are utility connections located outside
6.
Designed loads:
the rear .1/3 of the mobilehome:Saithin
m M
Roof _live_ load_Q sf.
(D
.
.,
Wind load 15 sf.
E
w.
`�.
If not,- show dimensions. above.
(only for nobilehomes manufactured after
7.
Is the mobilehome.clear of septic tank,October
7, 1973)
leach fields and located putside public
7.
Manufacturer's installation instructions?
utility easements? Yes ✓ No
Yes . No
8.
Do you propose to do other .work ori the
8.
Will the mobile home be installed on .a
property other than the mobilehome
separate support structure.
Length =
installation which will require a permit y.
Yes No
T 6 8 tl vl Y3 0,1 v t,o. E -W c 9 e l?w
MOBILEHOME INSTALLATION
INFORMATION
Lot Facilities
Mobilehome Data
1.
Plot plan dimensioned, location of mobile
1.
Length y 3 Width_
and ut * lity connections?
Manufacturer 670 I'll -Al °�Z•%li AA 6-e Zyc'
Yes ✓ No
Vehicle Serial No.
2.
Electrical. service equipment ampacity,2 o 0
Insignia Control No. 844•
Circuit breaker ampacity �Ii`��®�
Feeder .assembly am acity ?do
Permanent Wiring Connection i/
Conduit size l ��,��
Ampacity
Power supply cord�("Vs.)
Receptacle --� Ampaeity
3.
Gas inlet size.
3.
Gas: Naturals hVG j/
Mobilehome connector' size
Gas -riser size
Capacity.
4.
Drain inlet size'
4.
Drain connector: describe•on reverse side
5.
Water riser.size^
5.
Water connector: describe on'reverse side
6.
Are utility connections located outside
6.
Designed loads:
the rear .1/3 of the mobilehome:Saithin
Roof _live_ load_Q sf.
4 feet of the left wall? Yes ; No
Wind load 15 sf.
If not,- show dimensions. above.
(only for nobilehomes manufactured after
7.
Is the mobilehome.clear of septic tank,October
7, 1973)
leach fields and located putside public
7.
Manufacturer's installation instructions?
utility easements? Yes ✓ No
Yes . No
8.
Do you propose to do other .work ori the
8.
Will the mobile home be installed on .a
property other than the mobilehome
separate support structure.
installation which will require a permit y.
Yes No
Yes 7 No
If. so, specify
*For plans and specifications of support system, see other side.
LOAD BEARING
SUPPORTS .
ADDITIONAL C%Di"'_iTS
Drain Connector, Describe_ —
".
/ Water Connector, Describer %4. �ag _�?rj'z_e
LOAD BEARING SUPPORT AND 200TING INFORMATION
Pier Spacing Used
Maximum Pier Load d0
Column Maximum Column Load (multi -units only)
Supports _!!�60na .#
Soil Bearing Capacity,
Footing Dimension Uscd
r��eC TYPE OF, PIER. USED
vy Steel Concrete Concrete Block
x� Other
TYPE OF FOOTING MAT --IAL U;ED
Pressure Treated Wood
Concrete
Redwood (Grade)
Other Approved Type
a
BUTTE COUNTY
000,
--" BUILDING DEPARTMENT
APPROVED
r
PERMIT NO,
1538-76B
4 PERMIT EXPIRES
OWNER David Herchkorn
CONTR. owner
6-
LOCATION (A.P. 66-44 )
Lot'68,,Washo Ct., Indian MEadows, Magalia
L ty.
� x
1s
4' S
Temp..Power Pole
Called PG&
Temp. FE I ec. rv.
Called G&E
Temp. s Serv.
C led PG&E
,B P
INALED
(Date)
(Signature)
Setback �?
Forms
Main Bldg.
Footings
Stemwal I
Slab
Piers
Garage
Footings
Stemwal I
Slab
Carport
Footings
Slab
Patio
Footings
Masonry Walls
Reinf. Steel
Bond Beam
Framing
Stucco
Mesh
Scratch
Brown
Finish
Interior Lath
Door Closer
DATE
COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS
BUILDING INSPECTION RECORD
BUILDING I BUILDING (Cont'd)
Firewall
Parapets
Restroom Finish
Windows
Siding
Roof Sheathing
Roofing
Fdn. Vents
Garage Vents
Prov. for physically
handicapped
Conformance of ex.
structure
Final
FIREPLACE
Footing
Throat
Final
FIRE SPRINKLERS
Final
MECHANICAL
Heating
Cool ino
Final
REMARKS OR CORRECTIONS
PLUMBING
Soil Piping
1st Floor
2nd Floor
3rd Floor
Topout
Water Piping
Sewer
Fixtures
Water Htr.
Heaters
Appliances
Gas/Piping & Test
emD. Gas
Final
Motors
Grd. Fault Prot.
Service
Temp. Pole
Underground
Permanent
Final
(NOTE: An entry must be made on this form each time you visit the job site.)
ELECTRICAL
9
COUNTY OF BUTTE d -DEPARTMENT OF PUBLIC WORKS
7 County Centev Drive., iroviIle, California 95965
Telephone: 534-4541
APPLICATION AND PERMIT
•- .a.I+Ic.�c.r•cau- vi u1. IJUUIRy UI OULLQ W IVIL"I UPUII Intl
above-mentioned property for inspection purposes.
Date —25 4
Signature off�Permitee or A ent
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.
DIRECT -QR OF PUBLIC WORKS
Building permit expires Date
BUILDING
Owner <Jt l� ��
_
SQ. FT. OCC. BUILDING VALUATION
fl f10
Mailing Address Ge, "t,r
w
45;q Arv S e' L!r
Telephone No.
Fireplace
Contractor -J-(,,VTotaI
Valuation 0
Mailing Address U�t2i (A e,,,
U
Permit Fee —
Telephone,—No.
Plan Checking Fee &/or Penalty
Permit Fee
Building Address t,
PLUMBING No. -c'@ FEE
PERMIT FILING FEE $3.00
Each Trap 1.50
1
Repair drainage or vent piping 1.50
Water piping 1.50
Each gas water heater or vent 1.50
A. P. No. _ _ –(� —0
Zoning & Planning
Gas piping system 1 - 5 outlets 1.50
Each additional outlet .30
F
FireDept.
FireZone
Use Permit
Building sewer 5.00
EQA
Parking
Plans
Parcel
Declaration
Parcel Map_60'
R/W
Im prov ents
Lawn sprinkler system 2.00
Bldg. Plan ec'd
I Parcel pprovaI
Plan kIApproval
Permit Fee $
NEW'E ADDITION ❑ UTILITIES ❑ OTHER ❑
ELECTRICAL No. @ FEE
PERMIT FILING FEE $3.00
2Main
V OR LES
service 100 AMP ORS
SLESS 5.00
Main service EA. ADD•L too AMP 2.50
Single Family ❑ Duplex ❑ Mobil Home Others ❑
OVER Main service 1100 AMP OR LESS 25.00
Main service EA. ADD'L too AMP 1.00
NEW
OR ADDNST ( ADWECC. BLDGSCCUP. &) 2¢Sgft
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
le
St Of:
Y
Ex. Occup(OUTLETS OR FIXTURES)50 @254!
BAL0104
FIXED APPLNS. OR
Ex. Occup.(OUTLETS (RESID.) EA) 2.00
Temporary service 10.00
Mobile Home Facilities 15.00
License No.Classification
Misc. Wiring 6.25
'k ,;K1 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 $
$
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
$
•- .a.I+Ic.�c.r•cau- vi u1. IJUUIRy UI OULLQ W IVIL"I UPUII Intl
above-mentioned property for inspection purposes.
Date —25 4
Signature off�Permitee or A ent
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.
DIRECT -QR OF PUBLIC WORKS
Building permit expires Date
U
�a
LL: �
C.')
�- c LAJ 2=
c cn p
a' W E
ej -' i I::,' r of plans ne MUST ht
KeR' on the job at all times and it is unlawful to
chane,,.,s or alterations on same without
awe!- -1 permisson from the Department of Public
Works, °County of 136tte.
CD ��� b+ ®,
NOTE:—All Materials & Workmanship Shall Be in
Accordance with Reconni7e.A Good Prnc+ices ani`
of a quality Prescril.)e.. for +he Specified use in. the
Uniform Building, Plumbing '& Machanica! Codes and
-the National Electrical Code.
`�'"- �. = ' �� c :; it , � i �-=:�=�• `�..
The rr��
. Setback shall. be 5 ft. fro
.
the side property line and 50 ft. from, lac=r A4 • t_*.. ► S��.y � �
the centerllre the road, oermitjtincf
a maximum - f a 2 ft. ea%oe overh,�:ng, '.
r:
J
z