Loading...
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_ & -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) r -AAAA I i 0 Y a J. J 4 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_ & -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) r -AAAA I i •UYrJ 0 Y •UYrJ Y •UYrJ 4 .. �� j ,� '1--- ; _% � � � 1 - - -- - . r--- - , � _ _ _ _ i _ 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 maaammamamammmamamaaaamamaamaaamammaaaaaaaanmaaaaaaa,maaaammaaaaammamamammmamammammamaamammammammc 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. amaaaaaaoaaooaaaaaasaaaaaaaaaaaaaaaaaeeooaaaaaaaaaaaaoeoaa--ao=aaa=oa=aaoaoaaeaoaaaea=_aaoaeaaca: 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 ZL 0C 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