Loading...
HomeMy WebLinkAbout072-350-001A.P. 72-35-1 KENNETH HARKER E/S Black Bart Rd., 1T mi. off Forbestown Rd. /o/af-7 Permit 3814-73P,E (utilities for MH) LEC. .ate ` s SUPPO T STAUC. /v b M COMPACTION TEST 72-35-1 — contr :,.Oaks @Lake or Dille Pe,r "-#2553-.77MHI G�a:� -71-1,77Issued"--- -`idJ`Ji 72=35-1 _cont obil ome Serv., Bangor Perm X4852-77 ,Wj)deck-open/MH) { 72-35-1 �Dermit��652=82B.(add tion/wood"frame.. aw ni--, ings)MH � 7/a7�0 �"...► II - v 4 • Y ' 1 s i - 1 N ! M a!'� PERMIT NO. '652-82B PERMIT EXPIRES-. i OWNER KENNETH HARKER CONTR. owner ASSESSOR PARCEL 72-35-1 LOCATION E/S Black Bart Rd. 11; mi off Forbes town Rd. Oroville Temp. Power Pole Called PG&E Temp. Elec. Service Called PG&E Temp. Gas Service Called PG&E JOB FI ED (Date) Signature i t J = OK - 0 = Not OK = Not Applicable * = Not Ready MOBILEHOMES MISCELLANEOUS Date MOBILEHOME UTILITIES (Plans) OK except #'s Date DECKS COVERS, CARPORTS, ETC. (Plans) OK except N's 1. Zoning Requirements—Setbacks—Easements Zon' Requirements—Setbacks—Easements 2. Soils; Special MH Support—Sketch _ ootings; Size—Depth—Spacing—Connectors 3. Sewer; Location—Test—Fall-C/0—Concrete 3.19es.ke:-9tt'tFars and/or Joists—Decking—Bracing—Stairs—Rails 4. Water; Location—Test—Easement Needed (Sketch) !17 . Wood Awn.; Posts—Beams—Rftrs.—Connec.—Shthg.—Rfg.—Bracing 5. Electricity; Location—Clearances—Grnd.—/ / Amp—Concrete 5. 4 tow-A•wn..--Columns—Connections—Splice—Decal—Enclosures 6. Gas; Location—Test—Wrap:/ /"L"ft./ /"Nat. or/ /"L"ft./ /"LPG 6s—eTrPbrs�Windows—Doors 7. Utility Clearance e, — Card -BI Date Card -BI Date Card -BI ate and -BI ate Card -BI Date Card -BI Date Card-BIpate and -BI Date Date MOBILEHOME INSTALLATION (Plans) OK except N's 1. Zoning Requirements—Setbacks—Easements Date _ POOLS (Plans) except N's 1. Setbacks—Easements 2. Footings; Size—Spacing—Marriage Line 2. Soils; Compaction—Structure Stability 3. Gas; MH Test—Demand—Valve—Connector 3. Pool Structure; Steel—Connections—Thickness—Dead Men—Lining 4. Electricity; MH Test—Crossovers—Breakers—Clearances 4, Elec.; Receptacles and Lighting; Distances—GFI 5. Drain; MH Test—Fall—Flex Connector 5. Elec.; Pool Lighting; 15 volts—GFI 6. Water; MH Test—Regulator—Connector 6. Elec.; Enclosures; Conduit Entries—Terminals—Listed 7. Water and Sewer Connected—C/0 to Grade—HD Approval 7. Elec.; Bonding; Metal w/5'—Circulating Equipment—Heater 8. Gas and Electricity Tagged 8. Elec.; Grounding; Equip. w/5'—Circulating Equip.—Pool Lghtg. Boxes—Enclosures—Panel boards—Ins. to Main in Conduit 9. Exits; Insp.—Sketch 10. Cert. of Occupancy 9. Health Department Approval 10. Plumb; Cir. Test—Water Supply Test Card B -I Date Card -BI Date Card -BI Date Card -BI Date Card B -I Date Card -BI Date Card -BI Date Card -BI Date H J = OK O = Not OK , - = Not Applicable RESIDENTIAL (Sin'gle and Duplex) * = Not Ready Date UNDERFLOOR Plans OK exce tq's Date FRAMING (Continued) 1. Zoning requirements -Setbacks -Easements 48. Property Line Firewall & Openings 2. Fig., 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 55. Shear Walls; Nailing -Bolts 9. Gas Pipe; Size -Anchors 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 t Card -BI Card -BI Card -BI Date Date Card -BI Date Date Card -BI Date Date Card -BI Date FINAL (Plans) OK except q's 56. Ext. Steps -Door & Sidelight Protection -Landings Card -BI Date Card -BI Date Card -BI Date Date Card -BI Date PLUMBING (Permit) OK except q's 14. Water Ht.; Vent -Access -Combustion Air 15. Water Pipe; Test & Anchors -Nail Protection 57. Smoke Detector 58. Furnace; Vents -Clearance -Comb. Air -Connector - In Garage; Above Floor-Ducts-Mech. 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 Card -BI Date Card -BI Date Date Card -BI Date 65. Kit. Fixt. & Appliance; Grnd.-Air Gap -Cooking Clearance 66. 67. Elec. Outlets & Receptacles at Kit. Counter Garage Fire Door; Swing -Landing -Closer Date ELECTRICAL Permit OK except q's 68. A.C. Duct in Garage -Damper 20. Fixture & Transformer Clearance -Ins. Protection 69. Wtr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V.- In Garage; Above Floor-Mech. Protection 21. Elec. Receptacles Spacing -Lights & Switches at Doors 70. 71. Pib., Elec. & Mech. Equip. Listed for Location Elec. Receptacles in Garage; (G.F.I.)-Romex Protec. 22. Size Boxes & No. of Conductors -Stapled 23. Romex Installed Close to Edge of Studs & C.J. 24. Equip. Ground made up w/Mech. Fasteners -Bond Gas & Water 72. Insulation -Foam -Looked in Attic E) Yes 73. Guard Rails & Deck Construction -Post Caps _ 25. 2 Appliance Circuits in Kitchen & Conductor Size 74. Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance Looked under Floor ❑ Yes _ 26. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga. Cu or At 27. Range Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or AI, Insulated Neutral ❑Yes ❑No 75. Following instld.: Drive ❑ Yes ❑ 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. Exterior Elec. Trim; G.F.I. Receptacle -Underground Card B -I Date Card -BI Date 81. Ventilation throughout House Card B -I Date Card -BI Date 82. Glass Protection Date MECHANICAL (Permit) OK except N's 31. A.C. Ducts; Insulation & Support 83. _ Corrections from Previous Inspections 84. Gas Test -Meters Tagged; Gas -Electric 85. Water & Sewer Connected -C/O 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) 36. OK except q's Sills; Proper Material & Anchors 37. Walls; Studs -Nailing, Spacing & Bracing -Plates -Sound _ 38. Bearing Walls over Girders & Floor Nailing _ 39. 40. Draft Stop in Walls (rat proof) Fire Stops; Furred Ceilings -Stairs -Chases -Tub 41. Header & Beam -Size & Bearing _ _ 42. 43. 44. 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 youvisit jobsite) J COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO. ` 7 County Center Drive- Oroville, California 95965 - Telephone 916/534- 41 (y APPLICATION -ANS PERMIT ASSESSO PARCE NUMBER '�2 _3 ZONING BUILDING PERMIT 0 M C, r 7,tHAell, oJ� SO. FT. OCC BUILDING VALUATION 350—� ®D O ER'S MAILIyGMDRESS /( /D2DU/LCE (� 9S�li�H/ CONTRACTOR'S NAM TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDE UNKNOWN Total Valuation Is .00 Filing Fee .$ 1 10,00 LENDER'S MAILING ADDRESS 4. Permit Fee $ ARCHITECT OR ENGINEE LICENSE NO. Plan Checking Fee $ Z�i7 Penalty $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Permit fee $ BUILDS ADDRESS 6410/ / /Z �� m�� 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 55.00 Gas piping system 1 - 5 outlets USEOF ST UCTURE SF ❑ Duplex❑ Mobilehome Other SPECIFY Building sewer Lawn sprinkler system 5.00 TYPE OF WORK New ❑ Addition Remodel ❑ Utilities ❑ Inst 11 i j; ❑ onOther ❑ Describe work: /DOD 15r64"E Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 1101 OR LESS 100 AMP OR LESS 5.00 Main service EA. ADD'L 100 AMP 2,550 NEW CONST. DWELING OR ADDNS. (ACCLBLDGS.CCUP.y� 20sgft CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): EJI 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 1, 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 NON•RESID R BRANCH CIRCT TS 2.50 ea NEw CONSTR. ( POWER APPARATUS S) NON-RESID. SINGLE OUTLET CIR, Ex. Occup OUTLETS OR FIXTURES B �@1 IXED APPLNS. OR Ex. Occup.(OUTLETS (RESID.) 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 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. Heating Cooling Hood 3,00 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 County of 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 liabiliti judgments, postp, and expenses which may in any way accrue against s Coun in co seq ence of the granting of this permit. X /g .r Y Date _ Signature of Applicant — Owner 9 Contractor ❑ Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3�o�iis in height. Mobile Home Installation Fee $ TOTAL PERMIT FEE $ OCCUP. GROUP TYPE OF CONST. PARCEL PD H 1551E This permit is hereby issued under the applicable provi- sions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR OF PUBLIC WORKS `� Q I� ByT%�� � �Q►^�'�'�'"nate 3 42C..1G3 Q --Z-- 's PERMIT EXPIRES Date ?--Z- Receipt No. 8 WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT M 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 21IR —77 for the following location: A115 st4AIN 7 1 A P tfoa' (z nE ` LAC/C BnAl_ FQea-s%IOWA/ Owner.Kil�AZIVX 77 -//-/io/Zle(=—k Owner's Address y �t// a)Sk e)&.0 L// C E Mobilehome Mfg. FO ty (i a Model <0 Y110r 7% Insignia No. -!2444 Z 7 Serial No. S'7-2 // A. It is hereby certified for occupancy at the above described location and may be occupied. Directo)of Public Works Date THIS CERTIFICATE IS VOID WHEN MOBILEHOMEIS RELOCATED rS . i r COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS 7 County Center Drive — Oroville, California 95965 Telephone: 534-4541 APPLICATION AND PERMIT aU UHJI ILC IC Zvj I tat vCS U1 LIM %,UU11ty of MUM! to enter upon lne above-mentioned property for inspection purposes. K4 Date 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 Signature of Permitee or Agent By Date Receipt No.- White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant 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.1 @ FEE PERMIT FILING FEE $2.00 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. Zoning & Planning Gas piping system 1 - 5 outlets 1.50 Each additional outlet .30 Fees W.C. Sanitation Fire Dept. Fire Zone Use Permit Building sewer 5.00 EQA Parking Plans Parcel Declaration Parcel Ma P 60' R/W Improvements P Lawn sprinkler system 2.00 Bldg. Plans Recd Parcel Approval I Plans Approval Permit Fee $ $ NEW F]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) (more than 12) Single Family ❑ Duplex ❑ Mobil Home Others ❑ Range, Cook -top or Oven 1.00 Water Heater or Space Heater 1.00 Light fixtures 20 (@10 Receps., switches & fix outlets Zola25 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. 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 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. @ FEEPERMIT 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 $ aU UHJI ILC IC Zvj I tat vCS U1 LIM %,UU11ty of MUM! to enter upon lne above-mentioned property for inspection purposes. K4 Date 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 Signature of Permitee or Agent By Date Receipt No.- White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant A COUNT? OF BUTTE — DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Uroville, California 95965 Telephone: 534-4541 APPLICATION AND PERMIT PUII IUI ILC IC)JICJCIIIGU VCS UI UIC k UUnIy UI OULU! to enter upon the above-mentioned property for inspection purposes. Date .'s- 9-7 7 Signature of Permitee 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. DIRECTOR OF PUBLIC WORKS BY__11-' �"—'� - Date Er- ,,&— /.� Bui ding permit expires Date 6-3-7 BUILDING 1 / �/ Owner /✓j�G 7 A /`BAR/{ elm SQ. FT. OCC. BUILDING VALUATION Mai I i ng Address Telephone No. Fireplace Contractor G Q�j/1C,s Q/e1y/��G Total Valuation Mailing Address C ��Q• DqM /�� Permit Fee Plan Checking Fee&/or Penalty Telephone No. 4-3 Permit Fee $ Building AddressPLUMBING No.1 @ FEE PERMIT FILING FEE $3.00 —1106 r3 49C Each Trap 1.50 �! `,/ r� C/ Repair drainage or vent piping 1.50 Water piping 1.50 Each gas water heater or vent 1.50 A. P. No. ,7 - 3,S Zoning &Planning Gas piping system 1 - 5 outlets 1.50 Each additional outlet .30 Fees W.C. 6e�Iitetrotr Fire Dept. Fire Zone Use Permit Building sewer 5.00 EQA Parking Plans Parcel a ' Declaron Parcel Ma 60' R/W p Improvements p Lawn sprinkler system 2.00 Bldg. Plans Recdi-I Parcel A oval Plan pproval Permit Fee $ NEW -1ADDITION ❑ UTILITIES ❑ 0 HER Lj ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 $ CcV OR LES Main service i°o°o AMP ORS SLESS 5.00 ' Main service EA. ADD'L too AMP 2.50 Single Family ❑ Duplex ❑ Mobil Home Rr Others ❑ Main service 1100EAMP OR LESS 25.00 Main service EA. ADD'L too AMP 1,00 NEW CONST. OR ADDNS. ( ACCLBLDGLING OCCUP. &) 20sgft NEW CONSTR MULTI.OUTLET NON- (MULTI-OUTLET 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 Y le of: z4c 04 As /a i .IIICt epo�yse, /�G 50 Ex. Occup(OUTLETS OR FIXTURES) @@ BAL@1 Ex. OCCU FIXED APPLNS. OR p• OUTLETS (RESID,) EA) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 License No. 3-3 14V &2Classification 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 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 d TOTAL PERMIT FEE $ —70 kII4 PUII IUI ILC IC)JICJCIIIGU VCS UI UIC k UUnIy UI OULU! to enter upon the above-mentioned property for inspection purposes. Date .'s- 9-7 7 Signature of Permitee 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. DIRECTOR OF PUBLIC WORKS BY__11-' �"—'� - Date Er- ,,&— /.� Bui ding permit expires Date 6-3-7 9. Electrical j\. is service large eno i i gl to provide adequate amperage to Mobilollome. (must equal rating of .1iobilellome,(Ath-a -.An.ij!1um of , amp) and other facilities on lot, i.e., water pumps, - I �W garage, cabana, ctc.-,' Yes P"No_ B is ther-� proper clearances around panels? Y e s 1/�N o C. Is power supply cord or feeder assembly properly fused? Yes D. is ontinuty test satisfactory as per the following procedure? Yes— No— iDe-energlze electrical wiring, syste,,-,l ' of the mobilehome at the. pedestal. 2 Make sure that -tile power supply cord- or feeder assembly conductors, including neutral --co-iiductor, have been disconnected. itch all breakers and switches in •the mobilehome to the "on" position: 4,;,;,'Connect ole.. -id of -.,a test instrument to the mobilehome grounding conductor and "y tie cithof lead t -.o each mo, *,e,-jojj-je Supply Cof-Iluctor, ilicludiag neuLral. apply LJI.L L A 5ZA11 nor. -currant, 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. -Upon completion of the above procedure, the power supply cord or feeder assembly .Al conductors shall be connected to the site service equipment. A further continuity tet ---1-U shall then be made between the-1grounding electrode and the chassis of the mobilehome. Upon satisfactorycompletionof the electrical tests, the lot or site., service equipment may be approved fo-r energizing. .5TW 5 t card signed by health Department for twater and sanitation? 4s card everything okay, sign off card and ta- services. MOBTLEIJOME DATA i Manufacturer'and /or Namestyle Length Vehicle Serial No. State Identification No!.'f A&I-I'Lional Information or Comments: WOO/77 Tll!�6 ZID Mm� 1, EL'tC-T- ME -Mt- F -X -M0BIi,CHLOME' INS7'ALLAT ON INSPECTION CHECK LIST = S 1. Is the. mobilehome located wi0eNo duired separation from lot lines"and buildings and generally conform to plot plan? Ye:j C/ Doe; the mr.bil.ehome have required clearances above ground? (Sec.5085) Ye No 3. Are footin,s and supports properly sized, spaced, nd braced as pe pproved plans? (Note possible varication at spring shackles.) (Sec. 5 & 5083) Yes No 4. Is the mobilehome level.? (Sec. 5088) Yes_ No - 5. If mr than a single unit, are crossover connections properly installed? (Sec. 5088) Yes No h: Water A. Is f e ble connector of adequate size and properly installed (1/2" ID min.)? (Sec. 5566) Yes Nc B. Test - Does water piping withstand working pressure or 50 lbs. air test? Yes No ackfl.ow - If coach is not State of California approved, does station have backflow device bb�� YYii�dnd pressure -relief valve? Yes No 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 z," per foot slope and is it properly supported? Yes' No !;. Are any leaks detected in drainage system after running 3-g ons of water through each fixture including washing machine standpipe"? Yes Nol oach is not State of California approved, does station have required trap and vent? es No 8-. Gas Piping and Gas Vents A. Connector - Is mobilehome connected to the gas supply with an approved 3/4" minimum mobilehome connector n t more than 6 ft, long? Note: All piping is to be at least as Large as the mobile me gas line inlet without,reductions other than the mobilehome connector. Yes No B. Tes OK as per following procedure? Yes_ Ydo Open all appliance connector valvej. `• < ?, 'hut off appliance burner and pilot valves. , 3Air test with manometer to 10"-14" water column, or test with slope gauge (minimum 6oz.-maximum 8 oz.) calibrated in tenth pound increments. Test for 10 min. without /drop. 41 Cop_nect: gas meter to mobilehome with connector, turn, on` gas, test connections with soapy water. C. Are all appliance vents properly installed? Yes /No MOBILEHOME SUPPORT DATA Mobilehome Mfr. 4! �:a! , rwd Setup Model No.' Year of 42 Width Z t.) 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).. }� Sin le Footings (check one) /A,�-1. Wood either pressure treated or Center Center Support A fdn. grade. Support Footing Sizes Locations (in.) Zj 2. Concrete pad. (�(f�}X- 3. Other, specify �f-f-J :n•1 Lox i Supports (check one) 1'. Concrete block I .7 .r- 2. Concrete piers ( 0 ( ink (in •) (in . ) 3.. Steel piers Other, specify ---u Typical S ppport 30 Footing Size X' ) (in.)(in.) i 1 , - ? �- �....� Max. Pier ----- �in.�(ln•) (ft.) Cin.) (ttaTin.) . ; ,., X� Max. - I - Overhang *If center piers are other than drawn above, draw in locations, spacing, and dimensions. BUTTE COUNTY BUILDING DEPARTKAW APPROVED BUTTE COUNTY DEPARTMENT OF PUBLIC WORKS 7 County Center Drive, Oroville, CA. PHONE: 534-4.541 MOBILEHOME INSTALLATION SHEET 1. Owners name: kcden �� /� kosqw 2. Installer's name:: 3. Is the site currently under permit? Yes / / No (If yes, furnish permit number ) 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 ///i` No / / ( If no, clarify ) 5: What is the mobilehome electrical rating? ----------------------- d -M Amps 6. What is the mobilehome site service rating? --------------------- 44740 Amps 7. What is the mobilehome site circuit breaker rating? -------- 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: %*00�' a `® (Load) _(Amps),/ 9. What is the mobilehome site gas pipe size? ----------------------d (in.) 10. What is the type of gas service? ----------------------------- Natural / / LPG / 11. What is th6 gas pipe length from meter or tank to the mobilehome? 12. What is the mobilehome gas demand? --------- --------------------- (This information not required if pipe length less than 6 ft. on natural gas or less than'50 ft. on LPG.) (ft.) (BTU) �A&W.- k� i. COUNTY OF BUTTE — DEPART WENT OF PUBLIC WORKS 7 County Center Drive — Uroville, California 95965 Telephone: 534-4541 APPLICATION AND PERMIT BUILDING Owner �VG 7 �AR�ei SO. FT.'TOG.. BUILDING VALUATION R'cMailing Address E__E — I Telephone No. Fireplace Contractor _ Total Valuation Mailinc Address 74CI0440 .DqA-0 rc Permit Fee Plan Checking Fee&/or Penalty Telephone No. Permit Fee Buit_::;g Address Q PLUMBING No. @ FEE PERMIT FILING FEE $3.00 A 4%06 0,4 Each Trap 1.50 / y U of Ad ` ae B Repair drainage or vent piping 1.50 Water piping 1.50 �-- Each gas water.heater or vent 1.50 A. P. No. Z — 3J _ Zoning & Planning Gas piping system 1 - 5 outlets 1.50 _ Each additional. outlet .30 Fees W.C.. te4rosr Fire Dept. Fire Zone Use Permit Building sewer 5.00 Parking ParcelLawn EOA Plans Declarajon Parcel Map 60' R/W Improvements sprinkler system 2.00 Bl -g. Pians Recd Parcel Aporo•.ol Plans Approval Permit Fee $ ELECTRICAL No. @ FEE NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER Liff PERMIT FILING FEE $3.00 Main service 100 AMP LESS Main service- EA. AOD'L 100 AMP 5.00 2.50 serviceOVER 600V25.00 100 At1.P OR LESS _ - - ^"-"-"-"•Main Single Family ❑" Duplex ❑y Mobil Home Others ❑ - blain service EA. AOO-L 100 AMP NEW CONST. ( DWELLING OCCUP. &J 1.00. 13&—ft CONTRACTORS LICENSE LA',N I am licensed under the provisions of Chapter 9, Div. 3, of the State of California Business &Professions Code under the name style of: License No. 3.3 / `f k2 Classification NEW CONSTR '`"''-vV Vc �� I2.50ea� - I NON .RESID, ( BRANCH CIRCUITS NEW CONSTR. /POWER APPAR'ATU5 &I I I Ex. OCcup{OUTLETS OR FIXTURES) BALPt Ex. Occup. ( OUTLETS P(RESID )REA] 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wirinq 6.25 ❑ I am exempt from the Contractors License Laws of the State of California. Permit Fee MECHANICAL WORKMEN'S COMPENSATION INSURANCE PERMIT FILING FEE. I am aware of the provisions of Section3700 of the California Labor Heating 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 u permit is issued I shall not employ any person in any manner so as to become subject to the Workmen's Compensation Laws of Cal i forni a. 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. "_14-1216407' Date -- f.7-7 7 Signature of Permi/tee or Agent Receipt No.— N'ti;te-D.P.'N. – Yellow -Assessor – Pink-!nspector – Goldenrod -Applicant Cooling Ventilation Hood Permit Fee @ $3.00 2.00 $ FEE TOTAL PERMIT_ FEE is—'7004 This permit is hereby issued under the applicable provisions of}t the Butte County Code and/or resolutions to do work indicated`* above for which fees have been paid. DIRECTOR OF PUBLIC WORKS By Date Building permit expires Date COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORK . 7 County Center Drive - Oroville, California 95965 �> Telephone: 534-4541 APPLICATION AND PERMIT — BUILDING Owner T' _ SQ. FT�"''OCY�. BUILDING VALUATION Mai l i g Address C,— ,y Telephone No. Fireplace ontractor Total Valuation Mailing Address Permit Fee Telephone No. Plan Checking Fee &/or Penalty Permit Fee _ Building Address PLUMBING No. @" FEE G % PERMIT FILING FEE $2.00 �- Each Trap 1.50 Repair drainage or vent piping 1.50 Water piping 1.50 Sz Each gas water heater or vent 1.50 A. P. No. _ ? �._` r% -as Zan ng 8 _Tanning. piping system 1 - 5 outlets 1.50 ,e -Each additional outlet .30. Fees Son FireDept. . Fire Zone Use Permit Building sewer 5,00 -� EQA Parking I Parcel Parcel Ma Plans Declaration p 60' R/W Improvements Lawn sprinkler system 2.00 Plans Recd - Parcel ApprovalPlan ' s Approval Permit Fee $ 0-71A0-71A� $ �- NEW ❑ ADDITION ® UTILITIES OTHER ❑ ELECTRICAL. No. @ - FEE PERMIT FILING FEE $3.00 - -3,- _ Main service incl. 1 meter or Additional meters, each 1.00 Single Family ❑ Duplex ❑ Mobil Home Others ❑ Sub-pancl 012 or less) (more than 12) Range. Cook -top or Oven 1.00 Water Heater or Space. Heater 1.00 Light fixtures 20 02 boI id 10 Receps., switches & fix outlets 2t1!d23 n 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 1.00 Evap. cooler, gar. disp. or D.W. 1.00 Air conditioner or heat pump Water pump ev Mobil Home Fa sties 5.00 B Temp. Power Pole 5.00 License No. 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 I shall not employ any person in any manner so as to become subject to the 4'Jorkmen's Compensation Laws of California. MECHANICAL No. @ FEE PERMIT FILING FEE 1.$3.00 Heating Cooling Ventilation Hood 2.00 Permit Fee $ S certifv 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 reoresentat vps n` tho rn„nr„ „t im , to - , TOTAL PERMIT FEE S -�- - above -mention odproperty for inspwtion purposes. v „�, uPV �� C / -Date � S gn.a:ure of Pe,riteeof Pe,riiee or A. en: Receipt No. 1 ,Z i White. -D P.4,•Pink•7nspector — 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.. DIRECTR OF PUBLIC WORKS By Date�v rillfld'ng Pcrm;# elplres Dafe �_y � f All utility connections shall be located within 4 ft. outside the rear• third section of the mobile home on the left (road) side of them. obi le home. rhis set of plans and s �+ kept on the job at all d specifications MUST b• make and it is unlawful $e an y changes or alterations on same to pt;c r� written permisson from Works, County of Butte �^'ithouf 84t sySe�-a the Department of Public to e - 64/t6 . �e es t• Re. _ ,BUTTE COUNTY BUIL DING DEPARTMEN7 r µ AP'P:R OV ED • COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORK 7 County Center Drive — Oroville, California 95965 Telephone: 534-4541 (((fff .. APPLICATION AND PERMIT uuuiu�icc icN�w niau vc� UI Ultl VU my OI tfutte i0 enter upon the above -mention property for insp tion purposes. /UA Xate Signature of Permitee or Agent Receipt No. ,& 3 !fZ-7 3. 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 Building permit expires Date/, BUILDING Owner SQ. FT. OCC. BUILDING VALUATION Mai li g Address o Telephone No. ` Fireplace �0 46z` ontractor 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 Each Trap 1.50 Repair drainage or vent piping 1.50 Water piping 1.50 .fo Each gas water heater or vent 1.50 A. P. No. — M— Zan ng 8 lanning as piping system 1 - 5 outlets 1.50 js'v Each additional outlet .30 Fees 1 &151Sion I Fire Dept. Fire Zone Use Permit Building sewer 5.00 EQA Parking Plans Parcel Declaration Parcel Ma P 60' R/W Improvements provements Lawn sprinkler system 2.00 .Plans Recd Parce Approval Plans Approval Permit Fee $ 6 -,b is s' NEW ❑ ADDITION ❑ UTILITIES OTHER ❑ ELECTRICAL No. @ FEE PERMIT FILING FEE '$3.00 7 Main service incl. 1 meter Additional meters, each 1.00 Single Family ❑ Duplex ❑ Mobil Home Others ❑ Sub -panel (12 or less) (more than 12) Range, Cook -top or Oven 1.00 Water Heater or Space Heater 1.00 Light fixtures _bal__ 010 Receps., switches & fix outlets 20(025 ba I Q 10 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 /�,z Mobil Home Fa (ties 5.00 ID Temp. Power Pole 5.00 License No. Classification Misc. wiring IVI 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 em P to an employ y person in any manner so as to become subject to the Workmen's Compensation Laws of California. 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 MECHANICAL No. @ FEE PERMIT FILING FEE $3.00 Heating Cooling Ventilation Hood 2.00 Permit Fee $ $ TOTAL PERMIT FEE is 5 uuuiu�icc icN�w niau vc� UI Ultl VU my OI tfutte i0 enter upon the above -mention property for insp tion purposes. /UA Xate Signature of Permitee or Agent Receipt No. ,& 3 !fZ-7 3. 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 Building permit expires Date/, emudj� of .• a/.�utte. 0-ROVILLE, CALIFORNIA GENERAL CLAIM CLAIMANT: ,.,Holmes Mobile Home Service ADDRESS: P.O. Box 149 ' CITY & STATE: Bangor, CA. 95914 IMPORTANT: Oct., 1977 t SEE INSTRUCTIONS . . DATE OF CLAIM: ON REVERSE SIDE SUBMIT CLAIM TO DEPARTMENT RECEIVING GOODS OR SERVICES DATE DESCRIPTION OF CLAIM (DESCRIBE FULLY TO AVOID DELAY) AMOUNT Aupin• Owner decided not to build. (Owner: Kenny Barker - Permit/#4852-7711- Receipt 169952 - AP 72-35-1) Building,permit fee ----- $6.00 Retain 173 of fee ------- 2.00 Amount of refund due ----------- $4.00 4 00 TOTAL $4 00 I, the undersigned, declare under penalty of perjury that the services or articles claimed have been performed or delivered, and that this claim is true and correct as stated. Datedthis .................................. day of ............................. 19....... at..........................:...... Calif..................................................................................... Signature of Claimant I, the undersigned, hereby certify that, to the best of my knowledge, the services or articles specified above have been performed or de. livered and that there is a Budget Appropriation ❑ or Specific Board Approval F-1 (Check one) for the same. ' Dated this 13th de of :Oct . 19 77 at Oraville Calif, ,,,,,,,,,,,,,,,,,,,,,,,,,,,,, .................................... Y ............................. ....... .............................. ........ .. .. ................ ..... ...... ......... ....... Department Head or Authorized Deputy Dept. Exp. Code Code PAYABLE FROM..................................:......................................................... FUND DO NOT WRITE BELOW THIS LINE - AUDITOR'S USE ONLY VENDOR CODE DEPT. & SUB. PROD. SUB. OBJ. CLAIM NO. INVOICE NO. INVOICE DATE DISC. GROSS AMOUNT ENCUMB. SUB -DIST. lhs_ INSTRUCTIONS to CLAIMANTS, All claims against the county must be itemized, giving dates and character of service rendered or work performed, quantities, de- scription and unit prices of articles furnished or delivered. Claims must be certified by the claimant and submitted to the De- partment head for approval. Upon approval the Department head will forward claim to County Auditor for payment procedure.. Do not file with the County Auditor first. Claims should be presented to officials for approval immediately upon completion of services requested or material ordered. Claims are paid every Tuesday; however, same must be approved by officials and in Auditor's office before preceeding Wednesday noon. Compliance with above will expedite payment of claim, failure to do so may delay payment considerably. COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS ^ 7 Cot+nty Center Drive — Oroville, California 95965 Telephone: 534-4541 / APPLICATION AND PERMIT i cta,caciila�IvcJ UI UIC %,UUIILY UI OULIC W enlef upon the above- .entioned property for inspection purposes. X Date Sign ure/of Peerrmiteeeoor 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. DIRECTOR OF PUBLIC WORKS By Date Building permit expires Date BUILDING Owner IJ lf:v SQ. FT. OCC. BUILDING VALUATION Mailing Address _ 0900 (—L( I Telephone o. Fireplace Contractor P81 LLT— �- Total Valuation t 0 Mailing Address Permit Fee 1,1100 Plan Checking Fee &/or Penalty �(L � I �- i Permit Fee $ (9100 Building Ad r -- c No. @ FEE ERMIT FILING FEE $3.00 ,pp, y©® i7 1� 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, 2x — Zoning & Planning Gas piping system 1 - 5 outlets 1.50 Each additional outlet .30 F s C. Sanitation Fire Dept. Fire Zone. Use Permit Building sewer 5.00 EQA Parking Plans Parcel Declaration Parcel M�ap 60' R/W Im rov ments PBldg. Lawn sprinkler system 2.00 P s Recd Parcel Appro Plan Approval Permit Fee $ NEW ADDITION ❑ UTILITIES ❑ OTHER ❑ ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 Main service 100 AMP ORV OR LE LESS5.00 Main service EA. ADD'L too AMP 2.50 Single Family ❑ Duplex ❑ Mobil Home N Others ❑ Main service R 600V t0 OEAMP OR LESS 25.00 Main service EA. ADD'L too AMP 1.00 lye.. ni T P, Al NEW CONST. I DWELLING OCCUP. & OR ADDNS. ACC. BLDGS. 20sq ft NEWCONSTR. MULTI -OUTLET NON .RESID. ( BRANCH CIRCUITS) 2.50ea NEW CONSTR. (POWER APPARATUS & NON-RESID. (SINGLE OUTLET CIR. CONTRACTORS LICENSE LAW I am licensed under the provisions of Chapter 9, Div. 3, of the State of California Business & Professions Code under the name style of: �h c �140ktr e$ /„ 841 Li{„ (� C�t�1/1 �I� Ex. Occup(OUTLETS OR FIXTURES) 50 BAL2j Ex. Occup.(FIXED APPLNS. OR ) OUTLETS (RESID.) EA 2.00 y� Temporary service 10.00 Mobile Home Facilities 15.00 License No.s:x-1 SClassification I 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 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 TOTALPERMIT FEE $ i cta,caciila�IvcJ UI UIC %,UUIILY UI OULIC W enlef upon the above- .entioned property for inspection purposes. X Date Sign ure/of Peerrmiteeeoor 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. DIRECTOR OF PUBLIC WORKS By Date Building permit expires Date