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Home My WebLink About072-240-014r- -�---`-=-~^--'�=^ --- ---�----- ' �''--- ---'- -------------`��-- 72-24- 14 ` oauoao Carlson x ` Rd-,app.�.mi.E.of Olive Hwy, Oroville �PermlotlY%290�-77P,E(util. mH) |SUPPORT S%U�CTUREft COMPACTION TEST RBQ�� | � � �Permit #1809-78B(new private garage) ! " 72-24-14 on r: EArl Tow-ne,"'Paradise � /Issued � ' 72-24=14 > Pezmit #4180_78P(loot gas p' | iog, existing site) - | `~. � ``. -T � COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS 7 County Center Drive — Oroville, California 95965 Tel qr,hone:.534-4541 APPLICATION AND PERMIT nutnonce representatives or the Lounty or tsutte to enter upon the above-mentioned property for inspection purposes. 9 Signature of Permitee or Agent Date ' ` ' 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. .DIRECTOR OF PUBLIC WORKS By 11 Date Building permit expires Date BUILDING OwnerSQ. 1 / � rte.• '�i,:.' FT. OCC. BUILDING VALUATION ,r Mailing Address ii/ r - ., 14 '7 Telephone No. Contractor " ' ''` •'` Mailing Address Fireplace Valuation Telephone No. Permit Fee Building Address �' ' .S �`.,' , r Plan Checking Fee&/or Penalty Permit Fee }}, seri 1J PLUMBING No.1 @ FEE PERMIT FILING FEE $3.00 Each Trap 1.50 Repair drainage or vent piping 1.50 *� A. P. NO. / -' j / '. % Zonin & Planning Water piping 1.50 Each gas water heater or vent 1.50 Fees W.C. Sanitation Fire Dept. FireZone Use Permit Gas piping system 1 - 5 outlets ,1.50- //j" EQA Parking Plans Parcel Declaration Parcel Map 60' R/W Improvements Each additional outlet .30 Building sewer 5.00 Bldg. Plans Recd Parcel A royal Plans Approval Lawn sprinkler system 2.00 NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER ❑ Permit Fee $ / i'. %,� $ - " ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 Main service 600V OR LESS 100 AMP OR LESS 5.00 Single Family ❑ Duplex Mobil Homea❑ Others ❑ Main service EA. ADD'L 100 AMP 2.50 Main service OVER 600V 25.00 100 AMP OR LESS Main service EA. ADD'L 100 AMP 1.00 Al II//.- �� 0 _ NEW CONST. ( DWELLING OCCUP. 4 OR ADDNS. C ACC. BLDGS. 24;sgft 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 of: style NEW CONSTRES'.. -OUTLET NON.RESID BRANCH CIRCUITS) 12.50ea NEW CONSTR. /POWER APPARATUS a NON.RESID. `SINGLE OUTLET CIR. Ex. Occup(OUTLETS OR FIXTURES g0@254 BAL @ 10¢ Ex. QCCU FIXED APP LNS. 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 1 am aware of the provisions of Section3700 of the California Labor Code which requires every employer to be insured against liability for Workmen's Compensation. ❑I have placed on file with the County of Butte a certificate of Workmen's Compensation Insurance. I certify that in the performance of the work for which this permit is issued I shall not employ any person in any manner so.as to become subject to the Workmen's Compensation Laws of California. MECHANICAL No @ FEE PERMIT FILING FEE $3.00 Heating Cooling Ventilation Hood 1 1 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 Land Development Fee $ TOTAL PERMIT FEE $ nutnonce representatives or the Lounty or tsutte to enter upon the above-mentioned property for inspection purposes. 9 Signature of Permitee or Agent Date ' ` ' 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. .DIRECTOR OF PUBLIC WORKS By 11 Date Building permit expires Date COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 // / %%10_ Telephone: 5314541//// JV APPLICATION AND PERMIT authorize representatives of the county of Butte to enter upon the above-mentioned property for inspection purposes. ve X / � y / aYl" _ 6" D'I Date —f'9 7 Signature o�f7Permitee or Agent Receipt No. /! , White-D.P.W. - Yellow -Assessor - Pink -Inspector - Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. _D41RECTOR OF PUBLIC WORKS By 'e� Date ;7—/ —/ Cf 9913IMb permit ei0iresiate BUILDING Owner S` SQ. FT. OCC. BUILDING VALUATION Mailing Address Telephone No. Contractor Mailing Address Fireplace Total Valuation Telephone No. Permit Fee Building Address N OO' [� J Plan Checking Fee&/or Penalty Permit Fee / O `� /L d.Ji✓ C7 �i PLUMBING No. @ FEE O� PERMIT FILING FEE $3.00 Each Trap 1.50 Repair drainage or vent piping 1.50 ry�f C� Zoning & Planning Water piping 1.50 Each gas water heater or vent 1.50 s &erri•t'tti•an FI re Dept. FireZone Use Permit Gas piping system 1 - 5 outlets EQA Parking Plans I Parcel Declaration Parcel Map 60' R/W Improvements Each additional outlet .30 Building sewer 5-00 BI ec Parcel Approval Plans Approval Lawn sprinkler system 2.00 NEW ❑ ADDITION UTILITIES ❑ OTHER Permit Fee $ $ e ELECTRICAL No.1 @ FEE PERMIT FILING FEE $3.00 Main service 600V OR LESS 100 AMP OR LESS 5.00 Single Family ❑ Duplex ❑ Mobil Home Z Others ❑ Main service EA. ADD'L 100 AMP 2.50 Main service OVER 25.00 100 AMPP OR LESS O Main service EA. ADD•L 100 AMP 1.00 NEW CONST. � DWELLING OccUP, ") 20sq ft OR ADDNS. ACC• BLDGS. CONTRACTORS LICENSE LAW 1 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 NEW ES'.. MULTI.OUTL T NON-RRESIT BRANCH CIRCUITS) 2.50ea NEW CONSTR POWER APPARATUS 8 NON-RESID, SINGLE OUTLET CIR, Ex. Occuq{OUTLETS OR FIXTI1RES g L 1C4 Ex. Occup. 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. 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 Land Development Fee $ TOTAL PERMIT FEE $ QC authorize representatives of the county of Butte to enter upon the above-mentioned property for inspection purposes. ve X / � y / aYl" _ 6" D'I Date —f'9 7 Signature o�f7Permitee or Agent Receipt No. /! , White-D.P.W. - Yellow -Assessor - Pink -Inspector - Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. _D41RECTOR OF PUBLIC WORKS By 'e� Date ;7—/ —/ Cf 9913IMb permit ei0iresiate r" PERMIT N0. 2909-77PE { PERMIT _EXPIRES ti OWNER Mandas Carlson CONTR. owner LOCATION (A.P. 72-24-14 NIS pri.rd.,app.800'S.of Oro Forb.eston Rd., app.2 mi.E.of Hlive Hwy,-Oroville f } f s . S i t i t � { 1 , Ole Temp. Power Pole Called PG&E t Temp. Elec. Serv. Called PG&E 6V .. Temp. GGaS"Serv. C 141,d PG&E OB FINALED (Date) (Signature) . I N oa o \V .09 495. 09 �� O 2 O 2. 49 547,22 m Q ro EN s d m v � e W n 'ul1 Su Mesh/ \ I / MECHANICAL \ I Grd. Fa(It Prot. Heatl tvown X Coo ng T mp. Pole finish D is oder round I terlor Lath Antilation Permanent oor Closer anal Final MOBILEHOME UTILITIES - - - - - - - - - - - - - - - - - - Elec- Service V Elec. Pedestal Water Piping Sewer— Gas Piping MOBILEHOME INSTA LAT& N - - - - - - - - - - - - - - Support Elec. Continuity Water Piping (/ Drainage Gas Piping DATE ��-_ `'� a REMARKS OR CORRECTIONS '� 5 - TO� ® U OOA A00 &4.5- A10 C;O/h7 id0 SzJi�Fb& (NOTE: An entry must be made on this form each time you visit the job site.) COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS ' BUILDING INSPECTION RECORD BUILDING BUILDING (Cont'd) PLUMBING Se ack FI wall S2kI Piping Formk Para is 1 t Floor Malo Idg. RestroV Finish 2n Floor Foo 'n s Windows 3rd koor Stem II Sidina To out Slab Roof Sheath Water Pi i Piers Roofing • Sewer Garage Fdn. Vents Fixtures Footin s Garage Vents Water Htr. Stemwal I Insulation Heaters Slab Carport Footings Prov. for physically handica ed Conformance of ex. structure Appliances Gas PI in & Test Temp. Gas Slab Final Sanitation Patio F EPLA E Final Footin s Footing E ECTRICA Masonry Walls Throat Rou h Reinf. Ste Final Fixtures Bond Be IRE SPRINKLERS Motors Framing Test Water Htr. Su Mesh/ \ I / MECHANICAL \ I Grd. Fa(It Prot. Heatl tvown X Coo ng T mp. Pole finish D is oder round I terlor Lath Antilation Permanent oor Closer anal Final MOBILEHOME UTILITIES - - - - - - - - - - - - - - - - - - Elec- Service V Elec. Pedestal Water Piping Sewer— Gas Piping MOBILEHOME INSTA LAT& N - - - - - - - - - - - - - - Support Elec. Continuity Water Piping (/ Drainage Gas Piping DATE ��-_ `'� a REMARKS OR CORRECTIONS '� 5 - TO� ® U OOA A00 &4.5- A10 C;O/h7 id0 SzJi�Fb& (NOTE: An entry must be made on this form each time you visit the job site.) 9. Electrical A. Is service large enough to provide adequate amperage to mobilehome (must equal rating of mobilehome with a minimum of 100 amp) and other facilitiPT on lot, i.e., water pumps, garage, cabana, etc.? Yes4 No 1-;&9 a U, d B. Is there proper clearances around panel / s? Yes No —S /�� t C. Is power supply cord or feeder assembly properly fused? Yes_ No 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 electrical tests, the lot or site service equipment may be approved for energizing. 10. Is job card signed by Health Department for water and sanitation? . I 1 11. If everything okay, sign off card and tag services. MOBILEHOME DATA �.� Manufacturer and/or Namestyle Gig YOGr Length Width t Vehicle Serial No.��74�%Z72Y; 6 State Identification No. Additional Information or Comments: a 0 MOBILEHOME INSTALLATION INSPECTION CHECK LIST 1. Is the mobilehome located with required separation from lot lines and buildings and generally conform to plot plan? Yes No 2. Does the mobilehome have required clearances above ground? (Sec.5085) Yes,c No 3. Are footings and supports properly sized, spaced, and braced as per approved plans? (Note possible variation at spring shackles.) (Sec. 5082 & 5083) Yesy No 4. Is the mobilehome level? (Sec. 5088) Yes eV No 5. If more -than a single unit, are crossover connections properly installed? (Sec. 5088) Yes No 6. Water A. Is flexible connector of adequate size and properly installed (1/2" ID min.)? (Sec. 5566) Yes No B. Test - Does water piping withstand working pressure or 50 lbs. air test? Yes ;Y No C. Backflow - If coach is not State of California approved, does station have backflow device and pressure -relief valve? Yes_ NO -,NA --- 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 4" per foot slope and is it properly supported? Yes No C. Are any leaks detected in drainage system after running 3 -gallons of water through each fixture including washing machine standpipe? Yes No;K D. If coach is notState of California approved, does station have required trap and vent? Yes No J7%. 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 P-' No B. .Test OK as per following procedure Yes &-- No 1. Open all appliance connector vjLlves. 2. Shut off appliance burner and pilot valves. 3. Air test with manometer to 10"014" water column or test with slope gauge (minimum • 6oz.-maximum 8 oz.) calibrated in tenth pound increments. Test for 10 min. without drop. 4. Connect gas meter to mobilehome.with connector, turn on gas, test connections with soapy water. C. Are all appliance vents properly installed? Yesl No COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS . 7 County Center Drive - Oroville, California 95965 Telephone: 534-4541 APPLICATION AND PERMIT autnorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. X e�sr /41,'/�`t Date / ? 7 9> �. i Signature of-7Perrrmitee or Agent Receipt No. Z 7,F 7�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 p DIRECTOR F U LIC WORKS BY Date ?-/7- -),Op Buf(ding permit expires Date -7-17- 7 BUILDING Owner 4/1/PV5 l 0� L SQ. FT. OCC. BUILDING VALUATION Mai I i ng Address Telephone No. �1 Contractor K LF_ Mai I i ng Address C L F— G Fireplace Total Valuati on ft a o. tZon /permit Fee Building Ad ss ' I, 6C= 6 Plan Checking Fee &/orPenalty Permit Fee N!%, PLUMBING No.1 @ FEE D!= 011,rle1klll PERMIT FILING FEE J$3.00 Each Trap 1.50 00,60 U/ L. L.c9 Repair drainage or vent piping 1.50 �f //� A. P. o. t/ 72 -Z - -' ®f %' Zoning & Planning Water piping 1.50 Each gas water heater or vent 1.50 FW,C� s i/Parking gapgaUOA Fire Dept. Fire Zone Use Permit Gas piping system 1 - 5 outlets 1.50 EQA Plans Parcel Declaration Parcel Map 60' R/W I Improveme is Each additional outlet .30 Building sewer 5.00 dg. Pions Recd Parc royal P ns Approval Lawn sprinkler system 2.00 NEW ADDITION ❑ UTILITIES ❑ OTHER Permit Fee $ $ o,2 , a•7 Z ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 OR Main service 10000 AMP ORSLESS 5.00 Single Family ❑ Duplex ❑ Mobil Home Others ❑ Main service EA. ADD•L 100 AMP 2.50 Main service OVER 600V 25.00 100 AMP OR LESS Main service EA. ADD'L 100 AMP 1.00 NEW CONST. ( DWELING / OR ADONS. ACCLBLDGS.CCUP. Y\ 20sq ft 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 l / I styleO ; /1 �� A,,,a—A L7 $I (K/�//y{/�// (U�^If'/�iA \\/l �Q_ E'/1/If-t-e/ NEW CONSTR (MULTI -OUTLET NON-RESID. � BRANCH CIRCUITS) 12.50ea NEW CONSTR (POWER APPARATUS all NON.RESID. SINGLE OUTLET CIR, Ex. Occup{OUTLETS OR FI XTIIRES 5 L� EX. OCCU FIXED APP LNS. OR Occup. (RESID.) EA) 2,00 Temporary service 10.00 Mobile Home Facilities 15.00 License No. 2-/OS`"S Classification C — 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. jl 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 $ 101 $ zo ^� TOTAL PERMIT FEE autnorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. X e�sr /41,'/�`t Date / ? 7 9> �. i Signature of-7Perrrmitee or Agent Receipt No. Z 7,F 7�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 p DIRECTOR F U LIC WORKS BY Date ?-/7- -),Op Buf(ding permit expires Date -7-17- 7 - _ y COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive — Uroville, California 95965 Telephone: 534-4541 APPLICATION AND PERMIT 6 ;&"V.-7 auuw�icc IcNlcacntau vca VI LIIV I,UUllly UI DUllt7 IU U11LUI UPUn lnC above-mentioned property for inspection purposes. /+ XG�QZ�dC{ Date Signature of Permitee or Agent Receipt No. Z" q� 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 be aid. DIRECTOR mF FPUBLIC WORKS BY Date 6o Building permit expires Date BUILDING Owner drA S s SQ. FT. OCC. BUILDING VALUATION Mailing Address t � ve �O (lie TglephoNo ` Fireplace Contractor Total Valuation Mai I ing Address Permit Fee Plan Checking Fee &/or Penalty Telephone No. Permit Fee $ Building Address NIS &YdeA4512n1: PLUMBING No. @ FEE PERMIT FILING FEE $3.00 31 Q (jrLJ , Each Trap 1.50 Jre • w Repair drainage or vent piping 1.50 Water piping 1.50 �, CQV 114 Each gas water heater or vent 1.50 A. P. No. . — � �Zon' I Gas piping system 1 - 5 outlets 1.50 Each additional outlet .30 Fee tfw. S ti FireDept. Fire Zone Use Permit Building sewer 5.00 1-0.0-0 EQA Parking Parcel Plans Declarati parcel Ma 6 'R/W Im r ements p Lawn sprinkler system 2.00 Bldg. Plans Recd Parcel Approva Plan Approval Permit Fee $ $ OZ NEW ❑ ADDITION ❑ UTILITIES [0 OTHER ❑ ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 Main service 100 AMP ORV OR LE LESS5.00 I Main service EA. ADD'L 100 AMP 2.50 Single Family ❑ Duplex ❑ Mobil Home �, Others ❑ Main service OVER 1100 AMP OR LESS 25.00 Main service EA. ADD•L 100 AMP 1.00 SW SQ. FT. MIN@AUM NEW CONST. DWELING OR ADDNS. ( ACCLBLDGS.OCCUP. &\ 20 sq ft NON.RESID R. ( BRANCH CIRCUITS)) 2.50ea FOR MOBILES NEW NON-RESID R. (POWER APPARATUS OUTLET TCIR.& CONTRACTORS LICENSE LAW I am licensed under the provisions of Chapter 9, Div. 3, of the State of California Business & Professions Code under the name style le of: Ex. Occup(OUTLETS OR FIXTURES) 50 GO 25q� BAL@101 Ex. Occup.( FIXED APPLNS. OR p• ( OUTLETS (RESID.) EA) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 ,CiD License No. Classification Misc. Wiring 6.25 DIram exempt from the Contractors License Laws of the State of California. Permit Fee $ (p jd $ �p 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-1 I certify that in the performance of the work for which this 4permit 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 _[! Q TOTAL PERMIT FElf $ auuw�icc IcNlcacntau vca VI LIIV I,UUllly UI DUllt7 IU U11LUI UPUn lnC above-mentioned property for inspection purposes. /+ XG�QZ�dC{ Date Signature of Permitee or Agent Receipt No. Z" q� 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 be aid. DIRECTOR mF FPUBLIC WORKS BY Date 6o Building permit expires Date r . • ... v i .: a. 1 1. =rave vvernang Out DO irely ou, 01 all easements. p1q voaS celso-v? q Lo � - I ::/utility connections all he .acated w";iin � ft. owside the rear third scciion of the mobile home on the I:,F (road) side of the mobile iyarr1e. 6U'rTE COON i Y BUILDING DEPARTME N APPROVED MOB ILEHOME SiIPPORT DATA I'f other than single wide, -je' Mobilehome Mfr. �7 (% furnish Setup Model No. L Z -/. Year Width �� (ft.) Box Length_(ft.) Tagalong or Expando Size ft. x ft. (SHOW 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). All center supports measured from -front of mobilehome unless otherwise specified. Footings (check one) Single 1. Wood either pressure treated or A A foundation grade. x (ft.)(in.) (in.) (in.) 2. Other (specify) Center support Center support locations; footing sizes Supports (check one) (in.) 1. Concrete block. 2. Other (specify) x � (in.) (in.) <---Tagalong or Expando, show support details. (ft, (in.) (in.) (in.) Typical Support (in.) (in.) Footing Size (ft.)(in.) (in.) (in.) - S _ -- Max. Pier Spacing- .-'� -- Max. Overhang (ft.Vin.) (in.) (in.) (ft.)(in.) BUTTE COUNTY BUILDING DEPARTMENI APPROVED *If cepiers iers are other than drawn above, draw in locations, spacing, and dimensions. BUTTE COUNTY DEPARTMENT OF PUBLIC WORKS 7 County Center Drive, Oroville, CA. PHONE: 534-4541 MOBILEHOME INSTALLATION SHEET 1. Owner's name:AA.)F2U�L.�O/y � 2. Installer's name: 3. Is the site currently under permit? Yes /yl No (If yes, furnish permit number 51 7� ) OR Is the site an existing site? Yes / / No (If yes, furnish two (2) plot plans.) 4. Will the mobilehome be located at least 5 ft. away from septic tank and leach fields and clear of all setbacks and easements? Yes % / No ( If no, clarify ) 5. What is the mobilehome electrical rating? -----=----------------- % D D Amps aft 6. What is the mobilehome site service rating?------ofAmps 7.. What is the mobilehome site circuit breaker rating? ------------- X00 Amps 8. Is there any other electric load to be served by the mobilehome site service? ----------------------- ----------------------------- Yes No (If yes, identify the load and size• (Ata ( ps) 9. What is the mobilehome spite gas pipe size? ------------------- -- (i ) 10. What is the type of gas service? ------------------------20f- -- 11. What is the gas pipe length from meter or tank to the Natural / / LPG ilehome? 3 U (ft.) 12. What is the mobilehome gas demand?-----------------�----------- (This information not required if pipe length or less than 50 ft, on LPG.)., t (BTU) o?�0 9- ` PEPj11T NO. 1809'=78B' PERMIT EXPIRES OWNER Mandas Carlson CONTR. owner LOCATION (A.P. 72-24-14 � N/S pri.rd.,app.800'S.of Oro Forbestown Rd.,app.2 mi.E.of Olive Hwy, Oroville y 'r n r s fl _ y _ .y '1 - eY Temp. Power Pole Called PG&E Temp. Elec. Serv. e' PG&E Te p. Gas Serv. r Called PG&E JOB J FINALED jf (Date) f 4.4, V��/77 Z AIA4 (Signature) COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS BUILDING INSPECTIAN RECORD 4 BUILDING BUILDING (Cont'd) PLUMBING Setback Jr-' /,-� Gc.,_� Firewall Soil Piping Forms Grd. Fault Prot. Parapets 1st Floor Main Bldg. Brown Restroom Finish 2nd Floor Footings Ducts Windows 3rd Floor Stemwall Permanent Siding To out Slab MOBILEHOME UTILITIES --------------•--- Roof Sheathing Water Piping Piers Sewer Roofing Sewer Garage Elec. Continuity Fdn. Vents Fixtures Footings - StemwaII / 7 -ice Garage Vents Insulation Water Htr. Heaters Slab Carport Footings Prov. for phsically handicaped Conformance of ex. structure Appliances Gas Pf in &Test Temp. Gas Slab Final Sanitation Patio FI PLACE 4Final Footings FootingELECTRICAL Masonry Walls Throat [Rough Reinf. Steel Final I Fixtures 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 MOBILEHOME UTILITIES --------------•--- Elec- Service Elec. Pedestal Water Piping Sewer Gas Piping M 1 EHOME INSTALLATION - - - - - - - - - - - - - - Support Elec. Continuity Water Piping Drainage Gas Piping DATE REMARKS OR CORRECTIONS (NOTE: An entry must be made on this form each time you visit the job site.) .;COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS County Center Drive — Oroville, California 95965 �D?_ Telephone: 534-4541 APPLICATI'bN AND PERMIT authorize representatives of the county of Butte to enter upon the above-mentioned property for inspection purposes. X ' Date 3 Signature of Permitee o,—Agent Receipt No. / 7`4 o/, -6Q 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 havebe p 'd. DIRECTOR F P BLIC WORKS BY Date z/.15-7 Bi (ding permit expires Date _/7 BUILDING Owner SQ. FT. OCC. BUILDING VALUATION Mailing Address Telephone No. Contractor Mailing Address Fireplace Total Valuation Telephone No. Permit Fee Building Address - � 1 Plan Checking Fee &/or Penalty Permit Fee e PLUMBING No.1 @ FEE PERMIT FILING FEE $3.00 Lrtach Trap 1.50 Repair drainage or vent piping 1.50 A. P. No. ..a zoning &Planning Water piping 1.50 Each gas water heater or vent 1.50 Sa ' n FireDept. FireZone Use Permit Gas piping system 1 - 5 outlets 1.50 EQA Parking Parcel Plans Declaration Parcel Map 60' R/W I Improvements Each additional outlet .30 Building sewer 5.00 Bldg. Plon ec d I Porcel'A a Plan pprovol Lawn sprinkler system 2.00 NEW ADDITION ❑ UTILITIES ❑ OTHER ❑ Permit Fee $ $ ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 600V OR LESS Main service 100 AMP OR LESS 5.00 Single Family ❑ Duplex ❑ Mobil Home ❑ Others Main service EA. ADD'L 100 AMP 2.50 " R 600V Main service OOEAMP OR LESS 25.00 Main service/ EA. ADD'L 100 AMP 1.00 OR A.D.S. ACCNEW CONST. LBLDGS.LING CCUP. 4'\ •ZC Sq ft C 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 NEW CONSTR. /BRANCH UT LET NEW CO ID l BRANCH CIRCUITS 2.50ea NEW CONSTR (POWER APPARATUS e 11 NON.RESI D. SINGLE OUTLET CIR. Ex. OCcuo(oUTLETS OR FIXTIIRES BAL@10Q 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 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. 1:1 I have placed on file with the County of Butte a certificate of Workmen's Compensation Insurance. ®X 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 Land Development Fee $ TOTAL PERMIT FEE $ authorize representatives of the county of Butte to enter upon the above-mentioned property for inspection purposes. X ' Date 3 Signature of Permitee o,—Agent Receipt No. / 7`4 o/, -6Q 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 havebe p 'd. DIRECTOR F P BLIC WORKS BY Date z/.15-7 Bi (ding permit expires Date _/7