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Home My WebLink About072-310-04872-31--2-- Anthony Palomba NtS 'Ponde-rd§a-Wdy,'A00. WO N.of I:um-pki-' Rd. Permit #3289-80P,E0-1. MH) ELEC. GAS SUPPORT STRUCREQ. COMPACTION TEST REQ. Pe` t #3211-81P,E(util.,NH-replaces 163289-80)., rAd ELEC. GAS q- 7 4,, Z SUPPORT STRUCTURE 'REQ. COMPACTION TEST REQ.% d 72 -02 FIssu/ll/ ontrbile-Home—Sex------< ermit#364;(05) lmHi I ffololul IN RVA RVIA 02 o PERMIT NO. 3289-80P,E PERMIT EXPIRES Anthony Palomba '� OWNER CONTR. owner f i LOCATION (A.P. 77-31-2 ) NlS Ponderosa Way, app.400'W.of Lumpkin Rd. t t 1 Temp. Power Pole • Called PG&E Temp. Elea Serv. Called PG&E Temp. Gas Serv. Called PG&E JOB FINALED (Date) (Signature) COUNTY OF BUTTE — DEPARTMENT GIF PUBLIC WORKS BUILDING INSPECTION RECORD BUILDING BUILDING (Cont'd) PLUMBING Se ck . rewall Soil Pioina rorfqs Pakapets 1st loor Ma Bldg. Res oom Finish i 2nd X,oor F ' tins WindAts 3rd FI or Ste wall Siding To out Slab Roof She hing Water Pi in Piers Roofing Sewer Garage Fdn. Vents Fixtures 1 Footinos Stemwa I I Garage Vents Insulation Water Htr. Heaters Slab Carport Po Footings V Prov. for physica handica ed Conformance of ex. structure V, Appliances Gas Piping & Test/ Temp. Gas Slab A Final Sanitation Patio REP •ACE Final Footings Footing ELECTRIC k Masonry Walls Throat Rou h Reinf. Steel Final Fixtures Bond Bea IRE qPRINKLER& Motors \ Stucco I Final I Sub an ,s \ Mesh MECHANICAL Grd. , ult Prot. Scr , ch Heatin Serv' e B wn I Cooli g mp. Pole I erior Lath V tilation Permanent oor Closer nal Ilinal MOBILEHOME UTILITIES ------------------- Elec- Service Elec. Pedestal Water Piping Sewer Gas Piping M2116EHOME INSTALLATI N - - - - - - - - - - - - - - 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 - DE-PARtMENT OF PUBLIC WORKS 1 7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541 APPLICATION AND PERMIT ASSESSO PARCEL RI LI'B� , oN N S, BUILDING PERMI OW ER 0 TELEPHONE SQ. FT. OCC. BUILDING VAKATION ATION OWNER'S MAILING S,DLO Ik ADD ESS CONTRACTOR'S NAME TELEPHONE CONTRACTOR'S MAILING ADDRESS CONSTRUCTION LENDER UN K O Fireplace Total Valuation $ LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Penalty $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Permit fee $ BUILDI G AD GESS O PLUMBING PERMIT Filing Fee 3.00 J Each Trap 2.00 Repair drainage or vent piping 2.00 Water piping f7 t LOT NO. SUBDIVISION NAME PARCEL MAP Each qas water heater or vent 2.00 Gas piping system 1 - 5 outlets USE OF STRUCTURE SF ❑ Duplex ❑ Mobi lehome e Other SPECIFY Building sewer I J6 no Lawn sprinkler system 2.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities Installation ❑ Other ❑ Describe work: — Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 3.00 Main service 1000V OR 0 AMP ORLESS5.00 Main service EA. ADD'L 100 AMP 2.50 NEW CONST. DWELLING OCCUP.& OR ADONS. ACC. SLOGS. 20 sq it CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): ❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. License No. Classification\OUTLETS [� I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEw CONSTRMULTI-OUTLET NON-RESID, BRANCH CIRC ITS 2.50 ea NEW CONSTR POWER APPARATUS &) NON.RESID, (SINGLE OUTLET CIR, Ex. OCcup(OUTLETS OR FIXTURES 50@25gt BAL�toz Ex. Occup./FIXED APPLES. OR (RESID,) EA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 h2tDO Misc. Wiring 6,25 y t Q o Permit Fee $ Contractor WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. MECHANICAL PERMIT Filing Fee 3.00 Heating Cooling Hood 2.00 Ventilation Permit Fee $ Contractor 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 Countyot Butte to enter upon the above-mentioned property for inspection purposes. 1 also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue agains C unty in c c of th granting of this p rmit. X Date �� %q �j Signature of Applic n — Owner Contractor ElAgen ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ Land Development Fee $ s TOTAL PERMIT FEE $ OCCUP, GROUP I TYPE or CONST. P;7L �/ PD ND y ISSUE 111- This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which DIRECTOR OF PUBLIC By P MIT EXPIRES Date the applicable provi- resolutions to do fees have been. paid. WORKS Date 6 ��J�V Receipt No. � C?,S% WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT x COUNTY -OF BUTTE DEPARTMENT OF PUBLIC WORKS ' 7 COUNTY CENTER DRIVE OROVILLE, CALIF. - 534-4541 CERTIFICATE OF OCCUPANCY This mobilehome has been installed in accordance with the requirements of the California Administrative Code, Title 25, Chapter 5, under permit number -'iQ' Y "4�/ for the following location: Ay,/ -S ulA / A PA 410 a ` 4•t1 14 447!}i AV a L4f�! Owner A,,r1/7t O!tlsf RoLAsfa Aaq- / Owner's Address Mobilehome Mfg. aLi Model Year i Insignia No. �.347.3Serial No. S '-6-*5 74- It bIt is hereby certified for occupancy at the above described location and may be occupied. Director of Public Works Date ` l3- % gyTHIS CERTIFICATE IS VOID WHEN MOBILEHOME IS RELOCATED White - Owner, Yellow - Installer, Pink - D.P.W. e Signature , 0AV . t OT. . 311-81P,E PERMIT EXPIRES�H47 OWNER-_ Anthony Palomba 1 CONTR. owner i ASSESSOR PARCEL 72-31-2 J LOCATION NIS Ponderosa Way,app.400'W.of i Lumpkin Rd., Oroville s k i Temp. Power Pole k Called PG&E Temp. Elec. Service �. Called PG&E Temp. Gas Service 7� 1 JOB FI"L�D (Date) J Signature , L J = OK ' 0 = Not OK = Not Applicable 'MO B I LEHOM ES * ='Not Ready MISCELLANEOUS, Date MOBIL E UTILITIES (Plans) OK except q's Date DECKS, COVERS, CARPORTS, ETC. (Plans) OK except k's Zo�equirements—Setbacks—Easements 1. Zoning Requirements—Setbacks—Easements oils_-,_64wial MH Support—Sketch 2. Footings; Size—Depth—Spacing—Connectors er; Location—Test—Fall-C/O—Concrete 3. Decks; Girders and/or Joists—Decking—Bracing—Stairs—Rails 4. , Locatio — ement N4(Sketch) 4, Wood Awn.; Posts—Beams—Rftrs.—Connec.—Shthg.—Rfg.—Bracing .,Electricity; Location—Clearance —G Amp—Concrete 5. Alum. Awn.; Columns—Connections—Splice—Decal—Enclosures as; L tiorrTest—Wrap:/ /"L"ft./ LPG 6. Carports; Windows—Doors tility Clearance 7. Elec. Card -BI �to ^ Card -BI Date Card -BI Date Card -BI Date Card-BI64 _ f Card -BI Date Card -BI Date Card -BI Date Date W06 'O E INS ALL TION (Plans) OK except k's Date POOLS (Plans) OK except N's ng Requirements—Setbacks—Easements 1. Setbacks—Easements Foo 's; Size—Spacing—Marriage Line 2. Soils; Compaction—Structure Stability as' H Test—Demand—Valve—Connector 3. Pool Structure; Steel—Connections—Thickness—Dead Men—Lining le icily; MH Test—Crossovers—Breakers—Clearances 4, Elec.; Receptacles and Lighting; Distances—GFI r ' , MH Test—Fall—Flex Connector 5. Elec.; Pool Lighting; 15 volts—GFI a -; MH Test—Regulator—Connector 6. Elec.; Enclosures; Conduit Entries—Terminals—Listed Wat nd Sewer Connected—C/O to Grade—HD Approval •. 7. Elec.; Bonding; Metal w/5'—Circulating Equipment—Heater as and Electricity Tagged 8. Elec.; Grounding; Equip. w/5'—Circulating Equip.—Pool Lghtg. Boxes—Enclosures—Panel boards—Ins. to Main in Conduit 9. Ex�lnsp.;,g� lQoOfert. of Occupancy 9. Health Department Approval 10. Plumb; Cir. Test—Water Supply Test �. Card B - VQ, _ Card -BI Date Card -BI Date Card -BI Date Card B -I Date Card -BI Date Card -BI Date Card -BI Date J = OK 0 = Not OK - = Not Applicable RESIDENTIAL (Single and Duplex) � Not Ready Date UNDERFLOOR Plans OK exce t#'s Date FRAMING (Continued) 1. Zoning requirements -Setbacks -Easements 48. Property Line Firewall & Openings 2. Ftg., Main; Soils-Steel-Elec. Grnd.- / /" Ftg. Depth 49. Ext. Doors -One 3' -Check Garage -3rd story, 2 exits 3. Ftg., Garage; Soils -Steel- / /" Ftg. Depth 50. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 4. Ftg., Porches & Decks; Soils -Steel- / /'' Ftg. Depth 51. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers 5. Stemwalls, Main; Steel-Blockouts-Wrapped-Slab 52. Siding -Nailing -Veneer 6. Stemwalls, Garage; Steel-Blockouts-Wrapped-Slab 53. Stucco Mesh -Drip Screed-Fdn. Vents-Underflr. Access 7. Piers -Fireplace Ftg.-Steel 54. Glazing Area -Glass Protection -Skylights -Plastic 8. D.W.V.: Fall -Fittings -Test -2 way C/O -Sewer Test 9. Gas Pipe; Size -Anchors 55. Shear Walls; Nailing -Bolts 10. Water Pipe; Test -Anchors -Regulator -Service Test 11. Electric; Underground 12. Plenums & Ducts; Clearance -Material -Support -Ins. 13. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Card -BI Date Date Card -BI Date Date Card -BI Date FINAL (Plans) OK except N's 56. Ext. Steps -Door & Sidelight Protection -Landings Card -BI Date Date Card -BI Date PLUMBING (Permit) OK except q's 14. Water Ht.; Vent -Access -Combustion Air 57. 58. Smoke Detector Furnace; Vents -Clearance -Comb. Air -Connector - In Garage; Above Floor-Ducts-Mech. Protection 15. Water Pipe; Test & Anchors -Nail Protection 16. D.W.V.; Test-Fttngs & Anchors -Nail Protection 59. Bedroom Exiting 17. Shower Pan; Test, First Floor -Tub Access • 60. G.F.I. & Bath Fixtures & Tub Access 18. Test Tub & Shower, 2nd Floor -Tub Access 61. Elec. Trim & Subpanel; Breaker Sizes -Labels 19. Gas Pipe; Size & Anchors 62. Stairs & Rails _ 63. Fireplace or Stove; Clearances -Hearth 64. Elec. Outlets at Wood Panel; Int. & Ext. Card -BI Date Card -BI Date 65. Kit. Fixt. & Appliance; Grnd.-Air Gap -Cooking Clearance Card -BI Date Card -BI Date 66. Elec. Outlets & Receptacles at Kit. Counter Date ELECTRICAL Permit OK except q's 67. Garage Fire Door; Swing -Landing -Closer 68. A.C. Duct in Garage -Damper 20. 21. Fixture & Transformer Clearance -Ins. Protection Elec. Receptacles Spacing -Lights &Switches at Doors 69. Wtr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V.- In Garage; Above Floor-Mech. Protection 22. 23. Size Boxes & No. of Conductors -Stapled Romex Installed Close to Edge of Studs & C.J. 70. Plb., Elec. & Mech. Equip. Listed for Location 71. Elec. Receptacles in Garage; (G.F.I.)-Romex Protec. 24. Equip. Ground made up w/Mech. Fasteners -Bond Gas &Water 72. Insulation -Foam -Looked in Attic EJ Yes 25. 2 Appliance Circuits in Kitchen & Conductor Size 73. Guard Rails &Deck Construction -Post Caps - 26. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga. Cu or At 74. Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance Looked under Floor ❑ Yes 27. Range Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or At, Insulated Neutral ❑Yes 0 N 75, Following instld.: Drive ❑ Yes E) No; Walks ❑ Yes [)No; Planters ❑Yes []No 28. Service -Riser Conductors & Ground -Main Disconnect 76. Stucco; Brown -Finish 29. Equip. Clearances; Panels-Motors-Mech. Equip. 77. A.C. Unit; Disconnect-Clrnces-Brkr. & Cond. Size -115V Outlet 30. Clothes Closet Light -Shower Light 78. Vents Above Roof; Plbg.-Appliance-Firepl.-Clearance to Opngs. 79. Water Well; Disconnect, Electrical, Plumbing 80. 81. 82. 83. Exterior Elec. Trim; G.F.I. Receptacle -Underground Ventilation throughout House Glass Protection Corrections from Previous Inspections Card B -I Date Card -BI Date Card B -I Date Date Card -BI Date MECHANICAL (Permit) OK except q's 84. as Test -Meters Tagged; Gas -Electric _ 31. A.C. Ducts; Insulation & Support 85. Water & Sewer Connected -C/0 to Grade -HD Approval _ 32. Vent Fan; Exhaust above Insulation 86, Energy Compliance Certificate -Other Certificates _ 33. Condensate Drain & Overflow; Size & Grade 34. Furnace -Vent; Access -Comb. Air -Return Air Vent -115V outlet 35. Attic Access & Platform if Furnace in Attic Card -BI _ _Date - Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Comments at Final: Date FRAMING(Plans) OK except q's 36. Sills; Proper Material & Anchors _ 37. Walls; Studs -Nailing, Spacing & Bracing -Plates -Sound 38. 39. Bearing Walls over Girders & Floor Nailing _ Draft Stop in Walls (rat proof) 40. Fire Stops; Furred Ceilings -Stairs -Chases -Tub _ _41. 42. 43. 44. Header & Beam -Size & Bearing Hangers -Post Caps -Anchors -Connectors_ Cing. Joist-Rftr. Ties-Purlin-Roof Brac.-Truss-Shthng.-Rfng. Fireplace Ties or Type A Flue -Fireplace Throat _ 45. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 46. Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions 47. Garage Fire Protection Framing (NOTE: An entry must be made each time you visit jobsite) COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 196 Memorial Way, Chico — Phone: 891-2751 7 County Center Drive, Oroville — Phone: 534-4541 Skyway and Elliott Road, Paradise — Phone: 872-2961, Ext. 57 CORRECTION NOTICE BUILDING OR PROPERTY ADDRESS A routine inspection indicates that the following violations of County Ordinance exist at the above address and should be corrected. Please notify this office when correction of work is completed. If you have any question pertaining to this matter, or need additional explanation, please contact this office immediately. Inspector <-'" / �,�� Date COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 196 Memorial Way, Chico — Phone: 891-2751 7 County Center Drive, Orovi Ile — Phone: 534-4541 Skyway and Elliott Road, Paradise — Phone: 872-2961, Ext. 57 CORRECTION NOTICE PA,6m (3A- '�blybk,&034- udd BUILDING OR PROPERTY ADDRESS A routine inspection indicates that the following violations of County Ordinance exist at the above address and should be corrected. Please notify this office when correction of work is completed. If you have any question pertaining to this atter, or need additional explanation, please contact this office immediately. .4a S suA4 YX94VA, TO LV—OWA.�ZC-7 r"� Ca�uNO MUM74/� 1 1. - E COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 196 Memorial Way, Chico — Phone: 891-2751 7 County Center Drive, OroviIle— Phone: 534-4541 Skyway and Elliott Road, Paradise — Phone: 872-2961, Ext. 57 CORRECTION NOTICE 1 n.r i BUILDING OR PROPERTY ADDRESS A routine inspection indicates that the following violations of County Ordinance exist at the above address and should be corrected. Please notify this office when correction of work is completed. If you have any question pertaining to this matter, or need additional explanation, please contact( this office immediately. CJ r L C, 0' 7/' s tc10l- %7z-A.-41�fi_ r i 3� CDil Inspector lJt (.��7�/ {`�� Date COUNTY -05, BUTTE - DEPARTMENT OF PUBLIC WORKS PER I NO. 7 County Center Drive - Oroville, California 95965 -' Telephone 916/534-45 _ APPLICATION AND PERMIT ASSESSORP �.s� EL NUMBERzONING 72 - 3 `—OZ 'T'/llt __Z_ BUILDING PERMIT O WNE ,,/'� / TELEPHONE /'�cc'C' <a C-,9 S0. FT. OCC. BUILDING VALUATION O ESR''S MAILING � AD DR SS -J Z S G+ l[ V P ,, � 0�` - CONTRA TOR'$ NAME L p r(' a c�- O TELEPHONE CONTRACTOR'S (LING ADDRESS -� - rr� Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ Filing Fee $ 10.00 LENDER'S MAILING ADDRESS �— Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ to.00 Penalty $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Permit fee $ ZO- ,;,,(j BUILDING ADDRESS ,�F �/ c' a /PG'V S Q C% PLUMBING PERMIT Filing Fee 10.00 ( % *,Each �' Trap 2.00 Repair drainage or vent piping 5.00 Water piping LOT NO. SUBDIVISION NAMEPARCEL MAP Each qas water heater or vent 5.00 Gas piping system 1 - 5 outlets USE OF STRUCTURE SF ❑ Duplex ❑ MobilehomeR Other SPECIFY Building sewer Lawn sprinkler system 5.00 TYPE OF WORK New ❑ Addition ❑ Remo I ❑ Utilities t I tallation k Other ❑ Describe work: �� d� Penult Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service DOOV OR LESS 100 AMP OR LESS 5.00 Main service EA. ADD'L, 100 AMP 2,50 NEW CONS. DWELING OR ADDNST ( ACCLBLDGS.CCUP B1 22 sq it CONTRACTORS LICENSE LAW 1 declare under penalty of perjury (check one): I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. License No. 3�j to � I• Classification � -- �„ P ❑ I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NNEW O R BRANCH CIRCTITS 2.50 ea NEW CONSTR. (POWER APPARATUS NON-RESID. %SINGLE OUTLET CIR, 6I sDa@2150 Ex. Occup OU OR FIXTURES gqL 01 1 IXEDTs Ex. Occup.(OUT ETSP(RESID )R EA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 7.50 Permit Fee $ Contractor MECHANICAL PERMIT Filing Fee 10.00 WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ i have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of C nsent to Self -Insure. shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Heating Cooling Hood 3.00 Ventilation Penult Fee S Contractor 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 Countyot Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against Cc my in onsequenc of the granting of this permit. 9 _ p j:__� Date i Signature of Applicant f Owner ❑ Contractor M_ Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories ii^n height. Mobile Home Installation Fee $ 0. CP& TOTAL PERMIT FEE $ OCCUP. GROUP I TYPE OF CONST, PARCEL PD I ND I IV ,V// This permit is hereby issued under sions of the But County Code and/or work indicated above for which DIRECTOR PUBLIC By PERIlliff EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS Date /0 7' Receipt No. 2��'Olo WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT BUTTE COUNTY DEPARTMENT OF PUBLIC WORKS 7 County Center Drive, Oroville, CA. PHONE: 534-4541 MOBILEHOME INSTALLATION SHEET 1. Owner's name: GU.-�L�"`� '��,Z�•-/ 2. Installer's name: 3. Is the site currently under permit? YeS No (If yes, furnish permit number ) ?mac e�c� i • 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? ----------------------- / O cJ Amps .6. What is the mobilehome site service rating? ---------- Amps 7.. What is the mobilehome site circuit breaker rating? ------------- Amps 8. Is there any other electric load to be served by the mobilehome siteservice? --------------------------------------------------- Yes No (If yes, identify the load and size: jitJ (Load) (Amps) 9. What is the mobilehome site gas pipe size? ---------------------- .3/ /. (in.) 10. What is the type of gas service? ----------------------------- Natural 7 7 LPG 44 11. What is the gas pipe length from meter or tank to the mobime? 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.) r, MOBILEHOME SUPPORT DATA If other than single wide,- Mobilehome Mfr. 1 furnish Setup Model No. C 6-7 Year Width��-(ft.) Box Length �)Q (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 A A pressure treated or � x foundation grade. L ( ft .) (in: ) (in.) (in.) D 2. Other: ( specify) Center support locations* Center support footing sizes i Supports (check one) (in.) 1: Concrete block. .2i Other. ( specify) (in.) (in.) 4 ---Tagalong or Expando,' show support details. (ft.)(in.) (in.) (in.) x U-- Typical Support (in.) (in.) Footing Size (in.) (in.) a -- Max. Pier Spacing Max. Overhang (ft.) (in.) (in.) (in.) *If center piers are other than drawn above, draw in -locations, spacing, and dimensions. ,5&q0 -g1 BUTTE COUNTY BUILDING DEPARTMENT A 0n� y d�' /?� COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKSPERMIT NO.�/ 7 County Center Drive - Oroville, California 95966-'Tc-lephone 916/534-4541 APPLICATION AND PERMIT u� ASSESS PA=c,3l^MOER� Z Z"G S� Lj' BU DING PERMITk---" OWNER TELEPHONE o 0 -o2a SQ. FT. OCC.1 BUILDING VALUATION OWNER'S MAILING ADD SS S` Seo C0 v P AV,, If CONTRACTOR'S NAME Q%Gv`i1.�2 Y' TELEPHONE CONTRACTOR'S MAILING ADDRESS ^— Fireplace Total Valuation ' Is CONSTRUCTION LENDER UNKNOWN Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER �/ " " � � `� -Penalty LICENSE NO. Plan Checking Fee $(y� $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Permit fee $ /0.00 BUILDING ADDRESS A/ -5 d L'vo Sa �X, PLUMBING PERMIT Filing Fee 10.00 n /F Each Trap 2.00 Repair drainage or vent piping 5.00 Water piping O, d LOT NO. SUBDIVISION NAME PARCEL MAP Each qas water heater or vent 5.00 Gas piping system 1 - 5 outlets USE OF STRUCTURE SF ❑ Duplex❑ MobilehomeQ-'-Other SPECIFY Building sewer'. 00 Lawn sprinkler system 5.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities Installation[] Other ❑ Describe work: r �� Permit Fee $ 0 00 Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service OOOV OR OR L 100 AMP OR LESS 5.00 6.00 6 Main service EA. ADD'L 100 AMP 2;50 NEW CONST. (DWELLING OCCUP.py) OR ADDNS. ACC. BLDGS. _ 22 sq ft CONTRACTORS LICENSE LAW I declare under penalty of perjury (check One): ❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. License No. Classification I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONSTR I.OUTLET 2.50 ea NON•RESID BRANCH CIRCUIT NEW CONSTR ( POWER APPARATUS 61 NON -RESID. SINGLE OUTLET CIR. / SO @ 25t Ex. Occup OUTLETS OR FIXTURES BALP1 FIXED APPLNS. OR EX. Occup.(OUTLETS (RESID,) EA. 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Sac) Misc. Wiring 7.50 dac c UCS Permit Fee $ Contractor MECHANICAL PERMIT Filing Fee 10.00 WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00.(valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. 1 shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shal I be deemed revoked. Heating Cooling Hood 3.00 Ventilation Permit Fee S Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue agai t said ounty in eq ence the granting of this ermit. X Date Z i Signature Of A nt - Owner g PP � Contractor ❑ Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structuresovoveerr 33%stogriessin height. Mobile Home Installation Fee $ TOTAL PERMIT FEE $ Occup. CROUP TYPE OF CONST. I I PARC PD HD ISSUE �/ This permit is hereby issued under Bions of the Butte County Code and/or work indicated above for which DIREC R/OFBLIC � BY PERMIT EXPIRES Dater�(�lT� the applicable provi- resolutions to do , fees have been aid. P WORKS Date Receipt No. WHITE-D.P.W.• YELLOW -ASSESSOR, PINK -INSPECTOR. GOLDENROD -APPLICANT