HomeMy WebLinkAbout069-130-023777
coq-/3-�3 A.P.
IDGE PROPERTIES, INC.
511 Si eaf Dr.,, Oro.(Lot 16 #k1)
Permit 2839- (Util;�for
ELEC . �f °
__GAS
SUPPORT S t RU RE
1 COMPACTION TEST RE6.
r.THUR ''BENSHOOF
Silverlea DR., lot 169, KR#1,
v ille
coritr : John W. Beut�er ," Yuba Cit -
Permit ##707-76, I v�n� dor as"�%
Issued --/ Y-
5
COMB `Donald W. Williams, Sacto.
i Permi? ##826-76Binstall 2 new
r awn ngs/MH) i4e.
-
rermit #1322-76B(open_deck/MH3o�y(ra
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MH Util. 2839-75P E
PERMIT N0.
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�'MH UTIL.
PERMIT NO.
PERMIT EXPIRES —
OWNER Oro—Ridge Properties, Inc.
;CONTR. Owner
`i
LOCATION (A.P. 34-62-23 )
s. 511 Silverleaf Dr., Lot 169, K01, Oro.
ter
t
f.
t
1
fi
�R
Temp. Power Pole
Called PG&E
Temp. Elec. Serv.
Called PG&E
Temp. Gas Serv.
Called PG&E
JOB
FINALED
(Date)
(Signature)
� c��z�–moi/•
i
COUNTY OF BUTTE — DEPARTMENT' OF -PUBLIC WORKS
i BUILDING INSPECTION RECORD
BUILDING
BUILDING (Cont'd)
PLUMBING
Setback - Z -2
Firewall
Soil Piping
Forms
Parapets
1st Floor
Main Bldg.
Restroom Finish
2nd Floor
Footings
Windows
3rd Floor
Stemwall
Sidina
To out
Slab
Roof Sheathing
Water Piping- i
Piers
Roofing
Sewer
Garage
Fdn. Vents
Fixtures
Footings
Gara a 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 7-4 75
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
— I
COUNTY OF BUTTE — DEPARTMENT OF PUBLIC
P 7 County Center Drive — Oroville, California 95965
Telephone: 534-4541
APPLICATION AND PERMIT
�afn/-n9- �s
auuicc �ctllcJcntau vca VI LIM %JUUIILy UI OULLU N U11MI UIJU11 Me
above mentionped/property for inspection purposes.
X //4� - Date I C
Signature of Per itee or Agent
Receipt No. /.33�r�i3
White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant
This permit is hereby issued under the applicable provisions of h
the Butte County Code and/or resolutions to do work indicated
above for which fees have been paid.
DIRECTOR OF PUBLIC WORKS
By � . nate en—yt-, - 77
��ilding permit expires Date ................." "°..
BUILDING
Owner O?4 — ��/t7G� PT�O.�
SQ. FT. OCC. BUILDING VALUATION
Mailing Address_,1!70 Z -- je- �L�i4F pig.
Telephone No.
��'`�/'�L
Fireplace
Contractor �G
Total Valuation
Mailing Address
Permit Fee
Plan Checking Fee &/or Penalty
Telephone No.
Permit Fee
$
Building Address
PLUMBING
No.1
@
FEE
PERMIT FILING FEE $2.00
Q�
•_ ���
Each Trap 1.50
0 S
Repair drainage or vent piping
1.50
Water piping 1.50
Each gas water heater or vent 1.50
A. P. No.
g
Gas piping system 1 - 5 outlets
1.50
/
Each additional outlet .30
F s
���/
VUGC.Mh?rn
Fire Dept.
Fire Zone
Use Permit
Building sewer 5.00
,®Q
EQA
Parking Parcel
Plans Declaration
Parcel Ma P
60' R/W
Im rovements
P
Lawn sprinkler system 2.00
)Q.1�� Plans Recd
Parcel roval
Plans Approval
Permit Fee
$
3�$60
3 G
NEW ❑ ADDITION ❑ UTI LITIESM OTHER ❑
ELECTRICAL
No.1
@
FEE
PERMIT FILING FEE 1 $3.00
3,6Q
Main service incl. 1 meter
3.00
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
-800 SQ i C�j 01p `
Water Heater or Space Heater
1.00
Light fixtures 20 2
ba1h110
Receps., switches & fix outlets 010
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. FanorF.A. Furn. Motor
—b
-al
1.00
Evap. cooler, gar. disp. or D.W. 1.00
Air conditioner or heat pump
Water pump
Mobil Home Facilities 5.00
sip
Temp. Power Pole 5.00
Lice a No. Classification
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 Workmen's Compensation.
❑ I ha placed on file with the County of Butte a certificate of
W men'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
$ Q®
auuicc �ctllcJcntau vca VI LIM %JUUIILy UI OULLU N U11MI UIJU11 Me
above mentionped/property for inspection purposes.
X //4� - Date I C
Signature of Per itee or Agent
Receipt No. /.33�r�i3
White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant
This permit is hereby issued under the applicable provisions of h
the Butte County Code and/or resolutions to do work indicated
above for which fees have been paid.
DIRECTOR OF PUBLIC WORKS
By � . nate en—yt-, - 77
��ilding permit expires Date ................." "°..
NOTE:—All Materials A Workmanship Shall Be in i LOT 1639
Accordance with Recn, Orlized Good Practices and
of a quality prescrik+Pd for the Specified use in •the • UNIT 1
Uniform Building, Plumbing & Machanical Codes and Ga-2�3
the National' Electrical Code..
1 his set of plans. Mt3S bt
sept on the job at all times and il is unlawful to
-make any changes or alterations oi same without .
written permisson from the Depa ment of Pubnc
Wofia, County of Butte.
ni �SE_W_�G
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The 04 Setback shall be 5 ft. from
the side property line and 50 ft. from
the centerline of the road, permitting
a maximum of a 2 ft, eave overhang,
BUTTE COUNTY
BUILDING.. DEPARTM ENI
APPROVED
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_/_�/_O_TE --
.-Z-7 T% L %T Y _ G -o CA T/ c) NS q ?E .
The 04 Setback shall be 5 ft. from
the side property line and 50 ft. from
the centerline of the road, permitting
a maximum of a 2 ft, eave overhang,
BUTTE COUNTY
BUILDING.. DEPARTM ENI
APPROVED
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J. R- EN'TERPRISE-S, INC
3455 VICTOR SL, SANA CLAW, CA. PIC(40B)2494444
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MOBILEHOME AWNINGS
POST TO CONC.
® PIER
POST TOSLAB
e CONN-
POST� SAFETY
o aFa.
REGISTERED PROFESSIONAL ENGINEERSCALIFOR
OREGON NE
IASCE
ENTER PRISE S
I.ATTACHED L.L= 10 PS.F. sc 74108-1
_
SIAItE
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MEMBER~ CSPE ICADA
NSE BG
.. BUTTE COUNTY
8•UILDIt4. DEPARTMENT
- AppQnv�n
BUTTE COUNTY DEPARTMENT OF PUBLIC WORKS
7 County Center Drive; Oroville,.GA.
PHONE: 534-4541
MOBILEHOME INSTALLATION SHEET
1. Owner's name: JR1:Hu( R 6EA)5 •# E% o F'
2. Installer's name:
3. Is the site currently under permit? Yes / No
( If yes, furnish permit number O;2 9;3,!Z_ Zj:F ) OR
Is the site an existing.site? Yes / / No / 7_jam
(If yes, furnish two (2) plot plans.)
4. Will the mobilehome be located at least 5 ft. away from septic tank and leach fields and
clear of all setbacks and easements? Yes /!// No
(If no, clarify )
5. What is the mobilehome electrical rating? ----------------------- ✓ Amps
6. What is the mobilehome site service rating? _____________________ O Amps
7. What is the mobilehome site circuit breaker rating? ------------- % o O Amps
8. Is there any other electric load to be served by the mobilehome
site service? --=------------------------ Yes/
(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.)
0000 • i
MOBILEHOME SUPPORT DATA
Mobilehome Mfr. o c �A G�
7� C R � � Setup Model No • Year /?7�
Width 0` y (ft.) Length (ft:) Expando 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 with the County of Butte).
In.) :Ee) in.
ft. in.) ..
All -
(in.) (in.) MOverhang
*If center piers are other than drawn above,
draw in locations, spacing, and dimensions.
BUTTE cdU" -_,
�liCD/lVr t5
F-PARrM�
App .. Nr
R C VD
S.in le . -
Footings -(check.one)
T-1. Wood :either
a
pressure treated or
Center
Center Support
Support
Footing Sizes
'L.2
Locations
(in.)
::Concrete pad.
3. Other, -specify
zn.
in. in.
.41
Supports (check one
�1. Concrete block
r !�'`�
AV(in
2. Concrete piers
..
:..
3. Steel piers
-
4. Other, specify -I
..� ...............
ex
�akFooting
Typical Support
Size
0- —
...�.
..
Max, Pier.
Spacing .:-j... .... • . ._ .
In.) :Ee) in.
ft. in.) ..
All -
(in.) (in.) MOverhang
*If center piers are other than drawn above,
draw in locations, spacing, and dimensions.
BUTTE cdU" -_,
�liCD/lVr t5
F-PARrM�
App .. Nr
R C VD
; 826-76B
��-''F.�ER'MIT N0.
PERMIT EXPIRES.'��//
WNER Arthur Benshoof
:oNTR. Donald W. Williams, Sacta t
'aOCATION (A.P. 2A 34-62-23
"511 Silverleaf Dr., lot 169, KR#1, Oro.
F
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` Temp. Power Pole
j Called PG&E
Temp. Elec. Serv.
Called PG&E
Temp. Gas Serv.
Called PG&E
JOB
FINALED
(Date)
(Signature)
.�{'
Ll
4
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC
WORKS
BUILDING INSPECTION -RECORD
BUILDING
BU I LDING `(Cont'd)
PLUMBING
Setback ,
Firewall
Soil Piping
Forms
Parapets
1st Floor
Main Bldg.
Restroom Finish-
2nd Floor
Footings %
Windows
3rd Floor r
Stemwall
Siding
To out
Slab
Roof Sheathing
Water Piping
Piers
Roofing
Sewer
-Garage
Fdn. Vents
Fixtures
Footings
Garage Vents
Water Htr.
Stemwal I
Prov. for physically
Heaters
Slab
handicapped
Appliances
Carport
Conformance of ex.
�Gas Piping & Test
Footings
structure
Temp. Gas
Slab
Final
Sanitation
Patio
FIREPLACE
Final
Footings
Footing
ELECTRICAL
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
Service
Brown
Cooling
Temp. Pole
Finish
Ducts
Underground
Interior Lath
Ventilation
Permanent
Door Closer
Final
Final
DATE
REM/ARKS OR CORRECTIONS
- 3a -7C,
-;I;, .0)c �00f i
jl r - e
S- /3-7)7--, XP Ana
Nb
MA)s, i eFT'
a/771
:5-- /7- 77
>•- =:, (NOTE: An entry must be made on this form each time you visit the job site.)-
COUNTY OF BUTTE — D'EPART'MENT OF PUBLIC WORKS
7 County Center Drive — Oroville, California 95965
Telephone: 53 4541
APPLICATION AND PERMIT
authori a representatives of the Co of Butte to enter upon the
ab m ntioned pr y f r inspe n purposes.
Date y
Signature of Permitee or Agent
Receipt No. z!M/ 6 /
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 PY&IC WORKS
eyDate 7--2C, r 72A
B ding permit expires Date 2-- -z-e, — 7.z
BUILDING
Owner
SQ. FT. OCC. BUILDING VALUATION
Mailing Address 17
Telephone No.
Fireplace
r i
Contractor �. �,(/
Total Valuation
Mailing Address
Permit Fee
Plan Checking Fee &/or Penalty
l
Telephone No.
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
rC1,64 jL / 1
Each gas water heater or vent 1.50
A. P. No. .3G -� (p an. ��'�
Zoning & Planning
Gas piping system 1 - 5 outlets 1.50
Each additional outlet .30
r8artiie4ieFl-
Fire Dept.
Fire Zone
Use Permit
Building sewer 5.00
EQA
Parking
Plans
Parcel
Declaration
Parcel Ma P
60' R/W
Im r
p ovements
Lawn sprinkler system 2.00
Bldg. IP ons Rec'd
Parcel pproval
Plans pproval
Permit Fee
NEW MA ADDITION ❑ UTILITIES ❑ OTHER ❑
ELECTRICAL No. @ FEE
PERMIT FILING FEE $3.00
Main service 100 AMP OR00V OR L LESS5.00
Main service EA. ADO'L 100 AMP 2.50
Main service 1100EAMR OR LESS 25.00
Single Family ❑ Duplex ❑ Mobil Home Others ❑
Main service EA. ADD'L too AMP 1.00
C
NEW CONST. DWELLING OCCUP. &
OR ADDNS. ( ACC, BLDGS. ) 22sgft
NEW CONSTR. MULTI -OUTLET
NON- (RESID, BRANCH CIRCUITS) 2.50ea
NEW CONSTPOWER APPARATUS &
R.
NON RES,D. (SINGLE OUTLET CIR.
CONTRACTORS LICENSE LAW
I am licensed under the provisions of Chapter 9, Div. 3, of the
State of California Business & Professio s Code under the name
Ie V
style
Ex. Occup(OUTLETS OR FIXTURES BAL@t
EX. QCCU FIXED APPLNS. OR
p• ( OUTLETS (RESID,) EA) 2.00
Temporary service 10.00
Mobile Home Facilities 15.00
j
License No. ?%�!�/ �- Classification CL
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
W en's Compensation.
1 have placed on file with the County of Butte a certificate of
jWorkmen's Compensation Insurance.
I certify that in the performance of the work for which this
permit is issued I shall not employ any person in any manner
so as to become subject to the Workmen's Compensation Laws of
California.
MECHANICAL No. @ FEE
PERMIT FILING FEE $3.00
Heating
Cooling
Ventilation
Hood 2.00
Permit Fee $
$
I certify that I have read this application and state that the above
information is correct. I agree to comply to all County Ordinances
and State Laws relating to building construction, and hereby
TOTAL PERMIT FEE
$ —
authori a representatives of the Co of Butte to enter upon the
ab m ntioned pr y f r inspe n purposes.
Date y
Signature of Permitee or Agent
Receipt No. z!M/ 6 /
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 PY&IC WORKS
eyDate 7--2C, r 72A
B ding permit expires Date 2-- -z-e, — 7.z
PERMT No. 1322-76B
PERMIT EXPIRES��
OWNER Arthur Benshoof
CONTR. owner
LOCATION (A.P. 34-62-23)
511 Silverleaf Dr., lot 169, 0#1, Oroville
Temp. Power Pole
Called PG&E
Temp. Elec. Serv.
Called PG&E
Temp. Gas Serv.
Called PG&E
FINALED �v
(Date)
(Sign ure)
COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS
BUILDING INSPECT%ON RECORD
BUILDING
BUILDING (Cont'd)
Setback a --%,
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 Pi in
' 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 &
Temp. Gas
Slab
Final
Sanitation
Patio
FIREPLACE
Final
Footinas
Foofino
Bond Beam
Framing �Q
Stucco
Mesh
Scratch
Brown
Finish
Interior Lath
Door Closer
DATE
E SPRINKLEF
MECHANICAL
Heating
Cooling
Ducts
Ventilation
Final
REMARKS OR CORRECTIONS
Rough
Fixtures
Motors
Water Htr.
Subpanels
Grd. Fault Pr
Service
Temp. Pole
Under rouni
Permanent
Final
(NOTE: An entry must be made on this form each time you visit the job site.)
PLUMBING '
ELE
- III )
COUNTY OF BUTTE — DEPAFJTMENT OF PUBLIC WORKS
7 County Center Drive — Aville, California 95965
Tel ephope: 534-4541
APPLICATION AND PERMIT
authorize representatives of the County of Butte to enter upon the
above-mentioned property for inspection purposes.
Date/122,11,1,
igna re o `eerm tee or nt
Receipt No. 7
White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant
This permit is hereby issued under the applicable provisions of
the Butte County Code and/or resolutions to do work indicated
above for which fees have been
DIRECTOR OF U LIC WORKS
By Date
I'll
llding permit expires Date
BUILDING
Owner
SQ. FT. OCC. BUILDING VALUATION
Mailing Address
Telephone No.
Fireplace
Contractor
Total Valuation
Mailing Address
Permit Fee
Plan Checking Fee &/or Penalty
Telephone No.
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
Each gas water heater or vent 1.50
/ d"
A. P. No. (p d
Zoning & Planning
Gas piping system 1 - 5 outlets 1.50
Each additional outlet .30
s 1
Lre�3anitier+
FireDept.
FireZone
Use Permit
Building sewer 5.00
EQA
Parking
Plans
Parcel
Declaration
Parcel Ma P
60' R/W
Improvements
Lawn sprinkler system 2.00
Bldg. ons Recd
PaTeeF'Approval
Plans pproval
Permit Fee $
$
NEW ADDITION ❑ UTILITIES ❑ OTHER
ELECTRICAL No.1 @ FEE
PERMIT FILING FEE J$3.00
Main service 600V OR LESS 5.00
100 AMP OR LESS
Main service EA. ADD'L 100 AMP 2.50
Single Family ❑ Duplex ❑ Mobil Home Others ❑
OVER 600V
Main service 100 AMP OR LESS 25.00
Main service EA. ADD'L 100 AMP 1.00
A;a_
NEW LING
OR ADDNST ( ACCLBLDGS. OCCUP. &) 20sgft
NEW CONSTR. MULTI -OUTLET
NON-RESID. ( BRANCH CIRCUITS)2.50ea
NEW CONST. POWER APPARATUS &
NON- R
RESID. SINGLE OUTLET CIR.
CONTRACTORS LICENSE LAW
I am licensed under the provisions of Chapter 9, Div. 3, of the
State of California Business & Professions Code under the name
st le of:
Y
Ex. Occup(OUTLETS OR FIXTURES) BAL�
Ex. Occu FIXED APPLNS. OR
P• 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 $
$
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.
0certify 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
$
authorize representatives of the County of Butte to enter upon the
above-mentioned property for inspection purposes.
Date/122,11,1,
igna re o `eerm tee or nt
Receipt No. 7
White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant
This permit is hereby issued under the applicable provisions of
the Butte County Code and/or resolutions to do work indicated
above for which fees have been
DIRECTOR OF U LIC WORKS
By Date
I'll
llding permit expires Date
70 -7
9. Electrical-
A.
lectricalA. Is service large enough to provide adequate amperage to mobilE ome (must equal rating of
mobilehome with a minimum of 100 amp) and other facilities on lot, i.e., water pumps,
garage, cabana, etc.? Yes 4---N-o-
B. Is there proper clearances around panels? Yes `moo
C. Is power supply cord or feeder assembly properly fused? Yeses No_
D. Is continuity test satisfactory as per the following procedure? Yes _4 -'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 nlobileil6me 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 theelectrical 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
Manufacturer and/or Namestyle QOIWela
Length �0 Width
Vehicle Serial No.
State Identification No. -)—/ )._I 0 *� 2,1 ;
Additional.Informati.on or Comments:
i
�� �•� ts-. r riSGG� /ri yid /-�y� J P
lJ4 s�v�
4�
A
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 t. -
2. Does the mobilehome have required clearances above ground? (Sec.5085) Yes No
3. Are footings 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 #'—No
5. I.f more than a single unit, are crossover connections properly installed? (Sec. 5088)
Yes I-- No
6. Water
A. Is flexible connector of adequate size and properly installed (1/2" ID min.)? (Sec. 5566)
Yes 4`:�No
B. Test - Does water piping withstand working pressure or 50 lbs. air test? Yes4-- No
C. Backflow - If coach is not State of California approved, does station have backflow device
and pressure -relief valve? Yes— No IN /I ,
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 k" per foot slope and is it properly supported? Yes 4 ---No
Are any leaks detected in drainage system after running 3 -gallons of water through each
fixture including washing machine standpipe? Yes No v
D. If coach is not State of California approved, does station have required trap and vent?
Yes No /2,A/ ,4
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 L No
B. Test OK as per following procedure? Yes 4 --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 xdith slope gauge (minimum
6oz.-maximum 8 oz.) calibrated in tenth pound increments. Test for 10 -min, without)
drop.
r
4. Connect gas meter to mobilehome with connector, turn on gas, test connections with
soapy water. ,
C. Are all appliance vents properly installed? Yes 1-flo.
COUNTY OF BUTTE — —DEP+9TMENT OF PUBLIC WORDS
7 County Center Drive - Oroville, California 95965
Telephone: 534-4541(] �-
APPLICATION AND PERMIT
authorize representatives of the County of Butte to enter upon the
above-mentioned ,property,"for inspection purposes.
X� �-`,f '; / J�c.f/ Dater!
Signatur of Permi tee or Agent
Receipt No. �`f •� �- 4T,.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 - 2(,
Bui`14�rlg permit expires Date Z - % - 77
BUILDING
Owner 0.1
SO. FT. OCC. BUILDING VALUATION
Mailing Address ,j c.14,447N E 612,
Telephone No.
k (E,Fireplace
Contractor 0 44 7"
Total Valuation
Mailing Address AV7;Z JIM 5 T C, rr Ido
Permit Fee
Plan Checking Fee &/or Penalty
n �� �
Telephone No.
_ V
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
Each gas water heater or vent 1.50
A. P. No.Gas
"- -
Zoning & Planning
piping system 1 - 5 outlets 1.50
Each additional outlet .30
Fees
WWC.
I Sanivuui-®n
FireDept.
Fire Zone
Use Permit
Building sewer 5.00
EQA
Parking
Plans
Parcel
Declaration
Parcel Ma P
60' R/W
Imp rovements
P
Lawn sprinkler system 2.00
1,
Bldg. i ns Recd
Parcel A P'roval I
PI ans4Ap royal
Permit Fee $
NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER Q
ELECTRICAL No. @ FEE
PERMIT FILING FEE $3.00
,,I 7 ,[ A) 'T ZL` /�
600V OR L
Main service 100 AMP ORSLESS 5.00
Main service EA. ADD'L too AMP 2.50
Single Family ❑ Duplex ❑ Mobil Home ® Others ❑
Main service OVER soot/
100 AMP OR LESS 25.00
Main service EA. ADD'L 100 AMP 1.00
NEW CONS. DWELING OOR ADONST ( ACCLBLDGS.CCUP. ) 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:
�Et<7 L C-
50
Ex. Occup(OUTLETS OR FIXTURES) BAL@1
EX. OCcu FIXED APPLES. OR
P•(OUTLETS (RESID.) EA) 2•00
Temporary service 10.00
Mobile Home Facilities 15.00
p /
License No,� n 1' 76 � Classification � �-
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. A
®-1 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
T /
C.00
TOTAL PERMIT FEE
$ 3 C(
authorize representatives of the County of Butte to enter upon the
above-mentioned ,property,"for inspection purposes.
X� �-`,f '; / J�c.f/ Dater!
Signatur of Permi tee or Agent
Receipt No. �`f •� �- 4T,.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 - 2(,
Bui`14�rlg permit expires Date Z - % - 77
COUNTY OF BUTTE — VEPARTMENT OF PUBLIC WORKS
7 County Center Drive — Uroville, California 95965
Telephone: 534-4541 �6
APPLICATI6N AND PERMIT
above -mention d, oper or Inspection purposes.
X Date 76
Signature o TOermitee or///Agent
Receipt No. _ zz/,;R (I.
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 PYINLIC WORKS
BY Date
Bu' ing permit expires Date
BUILDING
Owner 245995qU
SQ. FT. OCC. BUILDING VALUATION
Mailing Address SW
Telephone No.
Fireplace
Contractor _ 44 IJ 13,G
Total Valuation
Mailing Address -2 Q/957 -07"T•' IeO .
Permit Fee
Plan Checking Fee&/or Penalty
Telephone No.
— 341V
Permit Fee $
Building Ldress S
PLUMBING No. @ FEE
PERMIT FILING FEE $3.00
Each Trap 1.50
•
Repair drainage or vent piping 1.50
Water piping 1.50
Each gas water heater or vent 1.50
A. P. No.r�
Zoning $Planning
Gas piping system 1 - 5 outlets 1.50
Each additional outlet .30
FeVJ
W,
&a**&a-
Fire Dept.
Fire Zone
Use Permit
Building sewer 5,00
EQA
arking
Plans
Parcel
Declaration
Parcel Ma p
60' R/W
Improvements
Lawn sprinkler system 2.00
Bldg. Plans Rec'd
Parcel 4proval
Plans pproval
Permit Fee $
$
NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER fo
ELECTRICAL No.1 @ FEE
PERMIT FILING FEE J$3.00
7—'LL Q 7— 6 /10
Main service 6000V OR
AMP LESSLESS 5.00
Main service 'FA. ADD -L too AMP 2.50
Single Family ❑ Duplex ❑ Mobil Home Others ❑
Main service OVER 00 AMP OR LESS 25.00
Main service EA• ADD'L 100 AMP 1.00
NEW CONST.
ODWELING R ADONS. ( ACCLBLDGS.CCUP• &) 20sgft
NEW CONSTR. MULTI -OUTLET
NON.RESID• BRANCH CIRCUITS) 2.50ea
NEW C0N5TR. 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:FIXED
I9J&—UT L 1 r
Ex. Occup(OUTLETS OR FIXTURES) BAL@1
Ex. Occup. (FIXEDAPPLNS. OR
IRESIDJ EA) 2.00
Temporary service 10.00
Mobile Home Facilities 15.00
�/
License No.2g1- / f0� _� `
Classification
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.
Q_,1._ 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 @ FEE
PERMIT FILING FEE $3.00
Heating
Cooling
Ventilation
Hood2.00
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 /��,/{(�� ting to building construction, and hereby
rh.,rl �o s
O.Oc
TOTAL PERMIT FEE
$ 3Q OE
above -mention d, oper or Inspection purposes.
X Date 76
Signature o TOermitee or///Agent
Receipt No. _ zz/,;R (I.
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 PYINLIC WORKS
BY Date
Bu' ing permit expires Date