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073-140-008
r. 73-14-8� CLAUDE E CLARK s�yyrr W/S Weiss Hill Rd., a �0Of SE of Oro-Rxbestown Rd., roville Permit #524-76P (tet i ,MH•) ELEC !d - GAS SUPPOR STRUC'IIHtE REQ. COMPACTION TEST REQ. -7 -14-8 Permit.#1220-76MHI ssue 73-14-8 contr: Wilson's MH Serv., Oroville Permit #636-77UHI isEued �? / / 11 '727 O M 73-14-8 Permit #3039=77B(new deck/MH) 73-14-8 Permit #7226-79B,P,E,M(ne w single family) 73-14-8 Permit # 662-79B(add open deck/SF) 03-3657 073-140-008 BRUCE, MICHAEL OROVILLE 38 WEISS HILL D, Cont: OWNER REPLACE CIRCUIT BREAKER 8�` COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541 PERMIT o. (Rev.12/96) APPLICATION AND PERMIT �3 � ASSESSOf ARCELNUMBER 073-140-008 ZONING 11 BUILDING PERMIT OWNER MTCHAM DIESSA BRUCE TELEPHONE 589-3189 SO, FT, OCC. BUILDING VALUATION . OWNER'S MAILING ADDRESS 38 WEISS B1111- RD, OROVILLE 95966 CONTRACTOR'S NAME TELEPHONE CONTRACTORS MAILING ADDRESS CONSTRUCTION LENDER [Fireplace LENDER'S MAILING ADDRESS Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. Flln Fee $ 20.00 ARCHITECT OR ENGINEERS MAILING ADDRESS Permit Fee $ Plan Checking Fee $ BUILDING ADDRESS 38 W Energy Plan Checking Fee $ $ PERMIT FEE S LOT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Fling Fee 20.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome ❑ Other SPECIFY Each Trap 7.00 - Solar or heat um water heater 23.00 Water piping 15.00 Each as water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe Work: REPLACE ELECTRIC CIRCUIT BREAR Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home I S I G W @20.00 PERMIT FEE $ ELECTRICAL PERMIT I Fling Feel 20.00 OOOVORLES Main Service 20 0A OR LESS 23.00 LICENSED CONTRACTOR'S DECLARATION 1 hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000 of Division 3 of the Business and Professions Code, ( g ) and my license is in full force and effect. License Class Lic. No. OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. • Business and Professions Code for this reason WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier Policy Number (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) 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 workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall forthwith comply with those provisions. ;, w w,� X / Date h�� f ignature of Applicant - Owner ❑ Contractor ❑ Agent An OSHA permit is required for excavations over 5'0" deep and demolition or construction . of structures over 3 stories in h ht. Main Service 200A TO 1000A 46.00NEW CONST. OWELIlNG OCCUP. SO OR ADDNS. 8 ACC. BIOS. 3.5Q FT. NEW CONST. MULTI -OUTLET NoN•RESID. @7.50 POWER APPARATUS 8 SINGLE OUTLET CIR. Ex. Occup. OUTLET OR FIXTURES SAL 9 1.50 FIXED Ex. Occup. OuT> s Ra D.°EA. 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wirina 23.00 PERMIT FEE $ 43.00 MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ Mobile Home Installation Fee $ Energy Inspection Fee $ Occ CONST. TYPE TOTAL FEE $ Li HOZ. D. FEES IMP FLOOD COF PAROEL pO MD ISSUE This permit is hereby issued under the of the Butte County Code and/or indicated ;bove for whi fee have B PERMIT EXPIRES ON applicable provisions Resolutions to do work been paid. /f Date J Date Receipt No WHITE-D.D.S.-B.D. CA A Y -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive • Oroviilllae, California 95965 •®T�elllephone (530) 538-754y, ��ERS No. (Rev.,2/96)x, _ APPLICATION AND PERMIT ��) P ASSESSOR PARCEL NUMBER 0 y 9" CXJ ZONING BUILDING PERMIT OWNER G cute TEUPNONE - SO. Fr. OCC. BUILDING VALUATION OWNERS MAILIN D S • I J - CONTRACTOR'S NAME TELEPHONE- coNrRAc-rOR'§ MAILING ADDRESS CONSTRUCTION LENDER LENDER'S MAILING ADDRESS Fireplace Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS Pian Checking Fee $ BUILDING ADDRESS s I (G Energy Plan Checking Fee $ $ PERMIT FEE $ LOT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Fling Fee 20.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome ❑ Other SPECIFY Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15.00 Each gas water heater or vent 15.00 TYPE OF WORK New ❑ Addition emodel ❑ U5lities ❑ Installation ❑ Other ❑ Describe Work: Y I- ` Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home S G W @20.00 PERMIT FEE $ ELECTRICAL PERMIT Fling Fee 20.00 Main Service 200. OR LESS 23.00 / I • _ �j'� G _s ' • / J �} s�Temporary NORM O •���_!.�� � � • � / 2,5 67! � #Vb�iAJ��• '0y4d Main Service 200A To j 900 46.00 NEW CONST. DWELLING occuP. 3.5¢so. OR ( 3 ACC. BLDS. FT. NEW Q.0N5DDNS. NO.RESID. MULTI -OUTLET �gi7.50 8 IGLE OUS PSUWER OAPPARATURET CI R. OUTLET OR FIXTURES 20 Q 1.00 Ex. OCCU eAl ,S0 FOXED APPLNS. OR Ex. Occup. OUTLETS ES10. EA 5.00 Service / 23.00 Mobile Home Facilities 20.00 Mist. Wiring 23.00 &0 PERMIT FEE $ 3 �+ MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE S Mobile Home Installation Fee $ Energy Inspection Fee $ OCC CONST. TYPE TOTAL FEE HAZ. 0. FEES IMP FLO00 CDF PARCEL I PD HD ISSUE X Date Signature of Applicant - ❑ Owner 0 Contractor ❑ Agent An OSHA permit is required for excavations over 50" deep and demolition or construction of structures over 3 stories in height. 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. By Receipt No. PERMIT EXPIRES ON WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT Date 9 ' 3039-77B . 'PERMIT NO. PERMIT EXPIRES OWNER Claude E. Clark ti CONTR. owner ILOCATION (A.P. 73-14-8 ) •W/S Reiss Hill Rd.,app.300'SE of Oro -Forbes - town Rd., Oroville s CDIAJ I { Temp [Power Pole Called PG&E Te p. Elec. Serv. Called PG&E T mp. Gas Serv. Called PG&E JOB FINALED (Date) (Signature) ' COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS • BUILDING INSPECTION RECORD Water Htr. BUILDING � BUILDING (Cont'd) PLUMBING Setback Firewall Soil Piping Forms Parapets 1st Floor Main Bldg. Restroom Finish 2nd Floor Footings Windows 3rd Floor StemwalI Siding To out Slab Roof Sheathing Water Piping Piers Roofing Sewer Garage Fdn. Vents Fixtures Footings Garage Vents Water Htr. Stemwa I I Insulation Heaters Slab Carport Footings Prov. forphysically handica ed Conformance of ex. structure Appliances Gas Piping & Test Temp. Gas Slab Final Sanitation Patio FIREPLACE Final Footings Footing ELECTRICAL Masonry Walls I Throat Rough Reinf. Steel Final Fixtures Bond Beam FIRE SPRINKLERS Motors Framing Test Water Htr. Stucco Final Subpanels Mesh MECHANICAL Gird. 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 MOBILEHOME INSTALLATION --!T - - - - - - - - - - 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.) - T OF PUBLIC WORKS COUNTY OF BUTTE — DEF'Ih-RTML I ` 7 County Center Drive„ — 6roviIle, California 95965 Telephone: 534-4541 APPLICATION AND PERMIT /Y% authorlce representatives or the County of Butte to enter upon the above-mentioned property for inspection purposes. xDate Signature of`Per rtee .(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 ABLIC WORKS By / `te(o-7�i- 7[ Bu ding permit expires Date Z �i'- 7,P BUILDING Owner (f hq Lkde leir. SQ. FT. OCC. BUILDING VALUATION da, o -o Mailing Address O 3 10 O e�6one NoU e-� O Fireplace Contractor Total Valuation Mailing Address Permit Fee Plan Checking Fee &/or Penalty Telephone No. Permit Fee Building Address w I PLUMBING No. @ FEE PERMIT FILING FEE $3.00 r O' C p— 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. N Zoning & Planning Gas piping system 1 - 5 outlets 1.50 Each additional outlet .30 Fee 11 W. S on FireDept. Fire Zone Use Permit Building sewer 5.00 EQA Parking Parcel arcel Ma Plans Declaratio P 60' R/W Improvements_Lawn sprinkler system 2.00 Bldg. Plans Recd Parcel Ap vol Pla sroval Permit Fee $ NEW 121- ADDITION ❑ UTILITIES ❑ OTHER ❑ ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 V OR LE Main service 100 AMP 0RSLESS 5.00 Main service EA. ADD•L too AMP 2.50 Single Family ❑ Duplex ❑ Mobil Home Others ❑ Main service 1100ER 600V AMP OR LESS 25.00 Main service EA. ADD•L too AMP 1.00 NEW CONST. DWELING OR ADDNS. ( ACCLBLDGS.CCUP. &) 22sgft NEW CONSTR. MULTI.OUTLET NON•RESI D. BRANCH CIRCUITS) 2.50ea NEW CONSTR. If 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: 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. 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. certify that in the performance of the work for which this permit is issued I shall not employ any person in any manner so as to become subject to the Workmen's Compensation Laws of California. MECHANICAL No.1 @ FEE PERMIT FILING FEE $3.00 Heating Cooling Ventilation Hood 2.00 Permit Fee $ $ 1 certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby TOTAL PERMIT FEE $ -- authorlce representatives or the County of Butte to enter upon the above-mentioned property for inspection purposes. xDate Signature of`Per rtee .(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 ABLIC WORKS By / `te(o-7�i- 7[ Bu ding permit expires Date Z �i'- 7,P util.,MH `-�- PERMIT NO. 524 4 i PERMIT EXPIRES Q?I_J�ZZZ. ` OWNER Claude E. =Clark CONTR. owner LOCATION (A.P. 73-14-8 3 ) 1.`W/S Weiss Hill Rd., 300' SE of Oro -Forbes ;town Rd., Oroville / o,,av- 14, T' r �f �t Temp. ower Pole j `l.S -;2c C lied PG&E Te p. Elec. Serv. Called PG&E emp. Gas Serv. { Called PG&E l'M H _ , /**A 14.1 JOB FINALED 3 ' 11 - ief S — )L. 0 — %L ((Date) (Si 10 i t t ` a util.,MH `-�- PERMIT NO. 524 4 i PERMIT EXPIRES Q?I_J�ZZZ. ` OWNER Claude E. =Clark CONTR. owner LOCATION (A.P. 73-14-8 3 ) 1.`W/S Weiss Hill Rd., 300' SE of Oro -Forbes ;town Rd., Oroville / o,,av- 14, T' r �f �t Temp. ower Pole j `l.S -;2c C lied PG&E Te p. Elec. Serv. Called PG&E emp. Gas Serv. { Called PG&E l'M H _ , /**A 14.1 JOB FINALED 3 ' 11 - ief S — )L. 0 — %L ((Date) (Si 10 i t t ,COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS BUILDING INSPECTION RECORD BUILDING BUILDING (Cont'd) PLUMBING Setback �j — I / 7G Firewall Soil Piping Forms Parapets 1st Floor Main Bldg. Restroom Finish 2nd Floor Footings Windows 3rd Floor StemwaII Siding To out Slab Roof Sheathing Water Piping I; — % > -7 Piers Roofing Sewer 3 -- /) — -% a Garage Fdn. Vents Fixtures Footings Garage Vents Water Htr. Stemwal I Slab Prov. for physically handicapped Heaters Appliances Carport Footings Conformance of ex. structure Gas Piping & T Temp. Gas Slab Final Sanitation Patio FIREPLACE Final Footings Footing Final Masonry Walls Throat Rough Reinf. Steel Final Fixtures Bond Beam FIRE SPRINKLERS Motors Framing Test Water Htr. rarer ELECTRICAL Stucco Final Subpanels Mesh MECHANICAL Grd. Fault Prot. Scratch Heating Service Brown Cooling Temp. Pole Finish Ducts Underground Interior Lath Ventilation Permanent Door Closer Final Final DATE REMARKS OR CORRECTIONS (NOTE: An entry must be made on this form each time you visit the job site.) (. 4 t t MOBILEHOME TO N INSPECTION CHECK LIST 1. Is the mobilehome located with requireT separation from lot lines and buildings and generally conform to -plot plan? Yes 4 --'No 2. Does tl.ke mobilehome have required clearances above ground? (Sec.5085) Yes4---'No 3. Are footings and supports properly sized, spaced, and braced as per approved plans? (Note possible variation at spring shackles.) (Sec. 5082 & 5083) Yes,/ --No 4. Is the mobilehome level? (Sec. 5088) YesA— 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 -io B. Test - Does water piping withstand working pressure or 50 lbs. air test? Yes -I—No— C. NoC. Backflow - If coach is not State of Californiaapproved, does station have backflow device and 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 4" per foot slope and is it properly supported? Yes,k- No C. Are any leaks detected in drainage system after running 3 -gallons of water through each fixture including washing machine standpipe? Yes No D. If coach is not State of California approved, does station have required trap and vent? Yes No p AIA 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 Flo ` B. Test OK as per following procedure? Yes t`To 1. Open all appliance connector valves. 2. Shut off appliance burner and pilot valves. 3. Air test -with manometer to 10"-14" water column, or test with slope gauge (minimum 60'z. -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? Yes I -"No i 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 1aater and sanitation? 11. If everything okay, sign off card and tag services. MOBILEHOME DATA Manufacturer and/or Namestyle %0 4"lIf tii6 A Length 60 Width iL Vehicle Serial No. State Identification No. Addditional:Infozmati_on or Comm nts: x Qr-p vzc e �f-ayHc _� ^?G Z lel S O aI 1ro 117 74, 5 e /Z7 lklit • i A 9. Electrical A. Is service large 'enough to provide adequate erage-to mobilehome (must equal rating of mobilehome with a minimum of 109 amp) and other facilities on lot, i.e.., water pumps, garage, cabana, etc,? Yes, Na B. Is there proper clearances around panels? YesNo C. Is power supply cord or feeder assembly ;properly fused? Yes No D. Is continuity test satisfactory as per the following procedure? Yes_ 1. De -energize electrical wiring systemlof 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.instrumenf to the mobilehome grounding conductor and apply the other lead'td each ra.obilehonie supply conductor, including neutral, 5. All non-current, carrying metal parte 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 1aater and sanitation? 11. If everything okay, sign off card and tag services. MOBILEHOME DATA Manufacturer and/or Namestyle %0 4"lIf tii6 A Length 60 Width iL Vehicle Serial No. State Identification No. Addditional:Infozmati_on or Comm nts: x Qr-p vzc e �f-ayHc _� ^?G Z lel S O aI 1ro 117 74, 5 e /Z7 lklit • i A COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 7 COUNTY CENTER DRIVE OROVILLE, CALIF. - 534-4541 C CERTIFICATE OF OCCUPANCY - 3 This mobilehome has been installed in accordance with the requirements -k of the California Administrative Code, Title 25, Chapter 5, under permi-tom number 1��4' %t- for the followin location: Owner Owner's Address Mobilehome Mfg/! ,,Jrsr ,iia ✓7 Model Year Insiglia No. -1—L> h— 7 :7 Serial No. /' l -3 It is hereby certified for occupancy at the above described location and may lie occupied. Director of Public Works Date 9 By- THIS yTHIS CERTIFICATE IS VOID WHEN MOBILEHOME IS RELOCATED COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Uroville, California 95965 4�� v`--, Telephone: 534-4541 APPLICATION AND PERMIT •�r•���••�•�-�� �. ...� ..�ull.y u� ouac LU QIIICI UPUII tilt:: This permit is hereby issued under the applicable provisions of above-mentioned property for inspection purposes. the Butte County Code and/or resolutions to do work, indicated ,.fy/� above for which fees have been paid. X v�Date !� DIRECTOR PUBLI(5WORKS Signature of Permitee or Agent By Date�'"� ��� Receipt No. f�<1� (� White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant wilding permit expires Date" a♦? -7 BUILDING Owner /a, C4l- C SQ. FT. OCC. BUILDING VALUATION Mailing Address T e hone No. Fireplace Contractor Total Valuation Mailing Address Permit Fee Plan Checking Fee&/or Penalty Telephone No. Permit Fee Building Address ` PLUMBING No. @ FEE PERMIT FILING FEE $3.00 Each Trap 1.50 Repair drainage or vent piping 1.50 Water piping 1.50 Each gas water heater or vent 1.50 7�� � A. P. No. / % (J Zoning & Planning Gas piping system 1 - 5 outlets 1.50 Each additional outlet .30 Fees W.C. &ata#err Fire Dept. Fire Zone Use Permit Building sewer 5.00 EQA Parkn g DePlaclare ion Parcel Map 60' R/W Improvements Lawn sprinkler system 2.00 B+dg. Pivrrs-RXMLd Parcel Approval Plans Approval Permit Fee $ $ NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 G Main service 600V OR LESS 100 AMP OR LESS 5.00 Main service EA. ADD•L 100 AMP 2.50 Single Family ❑ Duplex ❑ Mobil Home Others ❑ Main service 1100EAMP OR LESS 25.00 Main service/ EA. ADD•L 100 AMP 1.00 NEW CONST. OR ADDNS. ( ACCLBL GS WELING CCUP. &) 20sq ft NEW CONSTR. MULTI -OUTLET NON-RESID. (BRANCH CIRCUITS)2.50ea ' NEW CON5T. POWER APPARATUS &) NON.R RESID. (SINGLE OUTLET CIR. CONTRACTORS LICENSE LAW I am licensed under the provisions of Chapter 9, Div. 3, of the State of California Business & Professions Code under the name style of: 254 Ex. Occup(OUTLETS OR FIXTURES) @@I BAL 1 Ex. QCCU 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 [aram exempt from the Contractors License Laws of the State of California. Permit Fee $ WORKMEN'S COMPENSATION INSURANCE 1 am aware of the provisions of Section3700 of the California Labor Code which requires every employer to be insured against liability for Workmen's Compensation. ❑ 1 have placed on file with the County of Butte a certificate of Workmen's Compensation Insurance. I certify that in the performance of the work for which this permit is issued I shall -not employ any person in any manner so as to become subject to the Workmen's Compensation Laws of California. MECHANICAL No. @ FEE PERMIT FILING FEE $3.00 Heating Cooling Ventilation Hood 2.00 Permit Fee $ $ I certify that I have read this application and state that the above information is correct. I agree to comply to all County OrdinancesTOTAL and State Laws relating to building construction, and hereby PERMIT FEE Is — •�r•���••�•�-�� �. ...� ..�ull.y u� ouac LU QIIICI UPUII tilt:: This permit is hereby issued under the applicable provisions of above-mentioned property for inspection purposes. the Butte County Code and/or resolutions to do work, indicated ,.fy/� above for which fees have been paid. X v�Date !� DIRECTOR PUBLI(5WORKS Signature of Permitee or Agent By Date�'"� ��� Receipt No. f�<1� (� White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant wilding permit expires Date" a♦? -7 COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 7 County Center Drive — Oroville, California 95965 r77 Telephone: 534-4541 / • APPLICATION AND PERMIT authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. Date -'L _,9— 77 Signature o Permittee or Agent Receipt No. JS6ff33 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 BV Date Z—ll— % / Bilding permit expires expires Date�y'��' %� BUILDING Owner C ^C/ SQ. FT. OCC. BUILDING VALUATION Mailing Address Telephone No. Fireplace Contractor S I/ f (C Total Valuation / Mailing Address / QCI Permit Fee PI an Checki ng Fee &/or Penalty Te ephone N $ Permit Fee Building Addressi in IOU 561PERMIT PLUMBING No. @ FEE FILING FEE $3.00 00 5je5 Cie or Each Trap 1.50 Ra�rD U 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 I W. . -6aa�o Fire Dept. Fire Zone Use Permit Building sewer 5.00 EQA Parking Plans I Parcel Declar ion Parcel Ma p 60' R/W Improvements p Lawn sprinkler system 2.00 Bldg. Plans Rec'd Parcel Appr6vQr ons Approval Permit Fee $ $ ELECTRICAL No. @ FEE NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER PERMIT FILING FEE $3.00 ,. ^�'nQ 600vOR LESS Main service 100 AMP OR LESS 5•Q� ` a Main service EA. ADD -L 100 AMP 2.50 Main service OVER 600 25.00 100 AMP OR LESS Single Family ❑ Duplex ❑ Mobil Home Others ❑ Main service EA. ADO'L 100 AMP 1.00 NEW OR ADDNST ( ACCLBLDGLING OCCUP. &) 20sgft NEW CONSTR. MULTI -OUTLET NON.RESID. ( BRANCH CIRCUITS) 2.50ea NEW CONSTR (POWER APPARATUS.&J 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 nder the name style of: Ex. Occup(OUTLETS OR FIXTURES) BAL21 COI EX. OCcup.(OUT ETS ((RESID.)REA) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 6.25 License No..3al 6 7/ Classification 4L 4y ❑ I am exempt from the Contractors License Laws of the State of Cal ifomia. Permit Fee $ $ MECHANICAL No. @ 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 Wor en's Compensation Insurance. 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. 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 30 TOTAL PERMIT FEE $ authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. Date -'L _,9— 77 Signature o Permittee or Agent Receipt No. JS6ff33 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 BV Date Z—ll— % / Bilding permit expires expires Date�y'��' %� I 02jto - do This ;et of plans and specifications MUST ba ept oi f he ia6 at al', +wnps ond if is onIcAil +* r f tk-p a iy changes or cifr-r-",ans on sarne wit-houl r r iffen permission from the Department of Public orks, County of Butte. M N(M:—All\Materials & Workmanship Shal! Be A Recognized Good Practices a 4q quaff t P Oncri6od for the Specified use in I fow Ourldi ,Plumbing & Mechanical Codes a la frical Code. Aw aw Na 4/1 The Setback shall be 5 ft. from the side property 11ine and 50 it. from the BUTTE COUNTY centerline of the road, permitting a maxi- AlAcr mum of a 2 ff. eave overhang but entirely )ING DEpAOTM- out of all easements. FNT APPROVEI) %y' w BUTTE COUNTY DEPARTMENT OF PUBLIC WORKS 7 County Center Drive, Oroville, CA. PHONE: 534-4541 MOBILEHOME INSTALLATION SHEET 1. Owner's name: 2. Installer's name: ZZ—) ter!' /1?` G 3. Is the site currently under permit? Yes (If yes, furnish permit number ) OR Is the site an existing site? Yes / y/— 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 TT . No ( If- no, clarify ) 5. What is the mobilehome electrical rating? ----------------------- ��`C� fps 6. What is the mobilehome site service rating? Amps 7. What is the mobilehome site circuit breaker rating? ------------- '52 dy 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: (Load) a O (Amps) 9. What is the mobilehome.site gas pipe size? ---------------- ------- 10. What is the type of gas service? ----------------------------- Natural / / LPG 11. What is the gas pipe length from meter or tank to the mobilehome? 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.) MOBILEHOME SUPPORT DATA �2jr d8 Mobilehome Mfr. Setup Model No.,3.z L'.- o�Z Year Width :0- 0 (ft.) Length 4r4ft.) 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). 441?r>1,Sin le �, Footings (check one) r P* /- 1. Wood either Center Center Support J Supp rt Footing Sizes Locations (in.) r x J (ft) (in) (in in. (ff:� in.) x ! j 1 (ft. in.) _ �xf W . *If center piers are other than drawn above, draw in locations, spacing, and dimensions. pressure treated or fdn. grade. 11 2. Concrete pad. 3. Other, specify Supports (check one) 'y / 1. Concrete block ;�2. Concrete piers 3. Steel piers - 4. Other, specify Typical Support 1d2; Footing Size Max. Pier J Spacing .4- j— Max. - J Overhang in DUTTE C:OUN7 Y MWING nFPA PTk�r NT APPROVED 0 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 Cal' orni Administrative Code, Title 25, Chapter 5, under permit number j'z- %� for the following location: Ltd/S WE -15-5 ///z 4 ,ion " 5,E o i- O/eD �o✓Iz�Siaw v � � v�C. c3 Owner 0 1 /4 (�/ 4_�E Owner's Addressm�-- Mobilehome Mfg. � ��� �--' Model P,13 Year Insignia No. -32 SbSerial No. 4 - -c/ Itis he�by certrtld for occupancy at the above described location and may be' occupied. 4 Directv�r of Public Works Date __ ` _ �/ r�� By � A� THIS CERTIFICATE IS VOID WHEN MOBILEHOME IS RELOCATED _ n ii0}3Ii.l?liO.fli INSTALLATION INSPECTION CHECK LIST 1. Is the. mobilehomc located wi.tli r.. uired separation from lot lines and buildings and generally conform to plot plan? Yc � 2, Does the mobilehome have required clearances above ground? (Sec.5085) Yes /Ivo 3. Are foot.in,;s and supports properly.sized, spaced, and braced as per __approved plans? (Note possible variation at spring shackles.) (S�N, 2 & 5083) Ye No 4. Is the mobilehome level.? (Sec. 5088) Yes_ 5. If :morwt'an a single unit, are crossover connections properly installed? (Sec. 5088) Yes 5. Water A. Is flex' e connector of adequate size and properly installed (1/2" ID min.)? (Sec. 5566) Yes Nb B. Test —Does water piping withstand working pressure or 50 lbs, air test? Yes/-�No � kfl.ow - If coach is not State of California approved, does station have backflow device and 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. B. Does it have minimum z;" per foot slope and is it properly supported? Yes L -9-0— C. Are any leaks detected in drainage system after running 3 -gallons of water through each /fixture including washing machine standpipe? Yes No_L,---- yv coach is not State of California approved, does station have required trap and vent? Yp,s No 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 mobil,e�me gas line inlet i�ithout reductions other than the mobilehome connector. Yes[ Ncn B. Test OK as per following procedure? Yes!/ 110_ 11-'� Open all appliance connector valves. [Y. Shut off appliance burner and -pilot valves.. ". Air 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. Cor._nect: gas meter to mobilehome with connectoZturn gas, test connections with soapy water. C. Are all appliance vents properly installed? Yes r 9. Electrical A. Is service large enoliglk to provide adequar-e amperage to urobilchome. (must equal rating of V( amp) and other faciliti.cs:; on lot, i.e., water pumps, mobilehome with a -,Anh—.ui-n o� ara ,e, cabana, c fL .: Yes No_ B. Is them proper, clearances around panels? Yes � No_ C. Is power supply cord or feeder assembly properly fused? Yes'_ No_ D. Is .ontinuity test satisfactory as per the following procedure? Yes� No 1,1 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, tra.vcbeen disconnected, az's,wi.tch all breakers and switches in the'mobilehome to the "on" position. onnect one 1-nad of a test instrument to the mobilehome grounding conductor and , apply t"he oir e Lead to bac'i rillJUi.LCllUlllC Siippiy cui►�lLiCto'r, alai liiilltig treutrdi. &,�A11 nor. -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. 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 te:=;r_ .shall then be made between L.he grounding electrode and the chassis of the mobilehome. Upon satisfactory completion of the electrical tests, the lot or site service c:qui.pment maybe approved for energizing. �s job card signed by health Department for water and sanitation? �.:.. If evo ything olcay, sign off card and tag services. MOBTLEiMML_DATA Manufacturer and/or Narnest:yle Length 5 Width � O Vehicle Serial No. Li �'X— State Identification No. ���c�.. � 3 .D:YZg. A&i 'Ltional Infornat-Jon or Corrv.ents: CAL, fi,4,5 COUNTY OF BUTTE --DEPARTMENT OF PUBLIC WORKS 7 County Center Drivel — 'Uroville, California 95965 . Telephone: 534-4541 APPLICATION AND PERMIT r�•� X Date Signoturee o P ,rnitee k Agent Receipt No. L�J% White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant the Butte County Code and/or resolutions to do work indicated above for which fees have been pai DIRECTOR OF U LIC WORKS By Date X—C-' ` uilding no expires Date 7 OEIE BUILDING Owner SQ. FT. OCC. BUILDING VALUATION Mailing Address 5� Telephone No. Fireplace Contractor 04 Total Valuation Mailing Address Permit Fee Plan Checking Fee &/or Penalty Telephone No. Permit Fee Building Address PLUMBING No.1 @ FEE PERMIT FILING FEE $3.00 00 Each Trap 1.50 Repair drainage or vent piping 1.50 Water piping le, 00 Each gas water heater or vent 1.50 A. P. No. ��` —�!� g Gas piping system 1 - 5 outlets -fit} , Each additional outlet .30 F gro'C. n Fire Dept. Fire Zone Use Permit Building sewer 00 EQA Declaration I Parcel Map R/W Improvements Lawn sprinkler system 2.00 B g. Plans Recd Parcel �a60' Approval / Plans Approval Permit Fee $ NEWADDITION ❑ ❑ UTILITIES OTHER ❑ ELECTRICAL No. @ FEE PERMIT FILING FEE J$3.00 ' Main service 100 AMP ORV OR LESS5.00 Main service EA. ADD'L too AMP 2.50 Single Family ❑ Duplex ❑ Mobil Home Others ❑ Main service OVEAMP OR LESS 25.00 Main service EA. ADD•L 100 AMP 1.00 NEW CONST. (( DWELLING OCCUP. & OR ADDNS. l ACC. BLDGS. ) 2¢sgft NEW CONSTR. MULTI -OUTLET NON-RESID. ( BRANCH CIRCUITS) 12.50ea NEWC CONSTR. (POWER APPARATUS &) NON-RESID, SINGLE O TLET 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: _ 'o Ex. Occup(OUTLETS OR FIXTURES)�'� L@100 Ex. Occup. ( OUT ETS ((RESID )REA) 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. rM 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 authorize representatives of the County of Butte to enter upon the above-mentioned nronarty fnr incnartinn n,imnono TOTAL PERMIT FEE $ This permit is hereby issued under the applicable provisions of r�•� X Date Signoturee o P ,rnitee k Agent Receipt No. L�J% White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant the Butte County Code and/or resolutions to do work indicated above for which fees have been pai DIRECTOR OF U LIC WORKS By Date X—C-' ` uilding no expires Date 7 MOBILEHOME-SUPPORT DATA Mob ilehome Mfr.Setup Model No. Year Width (ft.) Length ' . (ft:)_-Expando `Size ft.x — ft. (Draw support details below) . On all mobilehomes manufactured after October 7, 1973, furnish manufacturer's installation manual and structural setup sheets ..(if. not .on file with the County of Butte) . Single Footings--(check.one) / / 1. Wood :either i pressure treated or Center Center Support :: fdn.`grade.:. Supportooting Sizes Locations (in.) 2. :Concrete pad. x 14 3. Other, 'specify in. n. in -- - — — — (check one Supports the Concrete block 1 _� • / / 2. Concrete piers (f7�in) .(in: in:)..... :..: 3. Steel piers ' Other, specify I .... ......... , �.. Typical Support x y Footing Size' x in. In.) .(in.)(in) ... .....-. .. 4 ...Max. Pier... -. p Spacing in. (ft.)(in �x�-�- (in.) (in.) _ O Max. Overhang *If center piers are other than drawn above, draw in locations, spacing, and dimensions. _ CCUN QUI SUE 7 - L®IIVG BUTTE COUNTY DEPARTMENT OF PUBLIC WORKS 7 County Center Drive, Oroville,.CA. PHONE: 534-4541 MOBILEHOME INSTALLATION SHEET 1. Owner's name: 2. Installer's name: 3. Is the site currently under permit? Yes No _L (If yes, furnish permit number �^ 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 7_;/ No / / (If no, clarify. ) 5. What is the mobilehome electrical rating? ----------------------- 5`7J Amps 6. What is the mobilehome site service rating? --------------------- Z,!2.- . 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 / !L No / / (If yes, identify the load and size: Ike „,y (Load) (Amps) 9. What is the mobilehome site gas pipe size? ---------------------- (in.) 10. What is the type of gas service? ----------------------------- Natural / / LPG 11. What is -the gas pipe length from meter or tank to the mobilehome? _�1.�Z (ft.) 12. :What is the mobilehome gas demand? -----------------=------------ (BTU) (This information not required if pipe length less than 6 ft. on natural gas or less than 50 ft. on LPG.) �All utility connections shall be located within 4 ft• outside the rear third 'ect""I 'Of on the left (road) side of the m -NO%—All Materiols & Workmanship Shall Be in home. obile Accordance with Rrcoanred Good Practices *and �1*4,, mr-r-ribc-4 for the Specified use in the %J " %q W I / . 11 achanical, Codes and v Uniform Build i nq, Plumlinq & M 40ow-', pe the Natio Electrical Code. 6 \oc-ak%0 be as, ?,e- 30 ko Stem Neal '.)G9k kAe Cour xf\ o\_Xfm INAI go IW71,elrl&Ae I 4 vo 4 The R Setback shall bj?f rom -d r af thee property line and 50 ft. from the centerline of the road, Permitting i a maximum of a 2 fteave— �19 for the ti iPOK DQ Vill be required "K gLnit V mobileboxne- a�lon of the WOO Qy 4s" X. this W of plans s MUST be kept ori the job at all fiimA and it is unlawful to Wei) make 4y changes or alterations on same, without wrt"i-n 'permisson from the Department of Public Works,1county of Butte.- XI6, 00 ;L .5 I III I 4 i I 8UTTF= COUNI BUILDING DEPARTKN71 A P P R 0 VF=:'D' 14 1 I III I 4 i I 8UTTF= COUNI BUILDING DEPARTKN71 A P P R 0 VF=:'D' i I PERMIT NO. 7226-79B,P,E,M i i .. I /h PERMIT EXPIRES Claude Clark OWNER r CONTR. owner 73-14-8 LOCATION (A.P. ) • ,s W/S Weiss Hill Rd., 500'E.of Forbestown Rd., ®roville } A ' t l • x J) Temp. Power Pole Called PG&E Temp/Elec. Serv. Called PG&E YTep.Gas Serv.��alledALED (Datelnj) (Signature) M E C H A N I C A L tlt-_-1. 7 _'- ©'Permit �derfloor Sta e ❑ Underfloor Supply Plenum: (1) One-story. (2) Clearances. (3) Combustible material. (4) Insulation and vapor barrier. (5) Access. (6) Catch receptacles and registers. (7) Fire -stopping. (8) Boots. (9) Supply ducts. (10) Gas lines and plumbing cleanouts. ® Ducts: (1) Size. (2) Materials. (3) Support. (4) Fittings. (5) Wrapping. (6) Insulation. (7) Clearances - ground, crawlspace, cleanouts, plumbing, etc. [].Combustion Air: (1) Size. ❑ Refrigerant Piping: (1) Material. (2) Support. (3) Fittings. (4) Insulation. Framing Stage ❑ Heating: (1) Approved appliances. (2) Accessibility. (3) Clearances. (4) Combustion air. ❑ Vent and Connector: (1) Approved. (2) Size. (3) Clearances. (4) Cap. (5) Termination. ❑ Ducts: (1) Materials. (2) Size. (3) Support. (4) Fittings. (5) Insulation. (6) Fire Damper. ❑ Refrigerant Piping: (1) Material. (2) Support. (3) Fittings. (4) Insulation. (5) Condensate drain. F ina Heating: (1) Accessibility. (2) Combustion air. (3) Safety controls. (4) Electrical connection. (5) Fuel shut-off. oling: (1) Accessibility. (2) Support. (3) Controls. (4) Pressure relief valves. (5) Class 2 refrigerant. 5/79 N P L U M B I N G Check List Perini + nder oor Stage D.W.V.: (1) Sizing. (2) Materials. (3) Fittings. (4) Grade & Support. (5) Cleanouts & Accessibility. (6) Clearances. (7) Rough -in Locations. (8) Wrapping. (9) Test - including "Ts". (10) Additional test not required.* ater: (1) Sizing. (2) Materials. (3) Support. (4) Test. (5) Wrapping. (6) Dissimilar metals. (7) Service regulator installed or not required.* ❑ Gas: (1) Sizing. (2) Materials. (3) Support. (4) Log Lighter. (5) Wrapping. ram Sta a To Out D.W.V.: (1) Size. (2) Vent Area & Termination. (3) Materials. (4) Fittings. (5) Grade & Support. (6) Cleanouts. (7) Traps. (8) Nail Protection. (9) Plumbing Access. (10) Toilet Clearances. (11) Shower size. (12) Shower Pan Test. (13) Vents - turns, horiz., runs, loop, wet, etc. (14) Additional 2nd floor test not required.* ❑ Water: (1) Pipe Test. (2) Mixer Valves. (3) Support. (4) Roof drains. ❑ Gas: (1) Size. (2) Materials. (3) PR Valve Drain. ❑ Water Heater: (1) Vent. (2) Location. (3). PR Valve. Drain. F inal D.W.V.: (1) Connected to sewer system. (2) Special systems. ❑ Water: (1) Water Source. (2) Shut-off. (3) Anti -siphon Valves. ❑ Gas: (1) Test. (2) Connectors. ❑ Water Heater: (1) Location. (2) Accessibility. (3) Clearances. (4) Stability. (5) 18" Garage Floor. (6) Mechanical protection. (7) Combustion Air. (8) Draft Diverter. (9) Vent Connector. (10) Vent. (11) Shut-off and connector. (12) PR Valve & Drain. ❑ Fixtures: (1) Approved. (2) Stability. (3) Clearances. (4) Trapped. (5) Connections. (6) Cross -connections. (7) Dishwasher Air Gap. 5/79 - COUNTY OF BUTTE — DEPARTMENT OF, PUBLIC WORKS BUILDING INSPECTION RECORD BUILDING BUILDING (Cont'd) PLUMBING Setback Firewall - Soil Piping Forms Parapets 1st Floord I Main Bldg. Restroom Finish 2nd Floor Footings Windows 0^ h 3rd Floor Stemwall Siding To out Slab Roof Sheathing 6 Water Piping Piers Roofing - - 6 Sewer Garage Fdn. Vents --.2-- � � Fixtures o c-- Footin s Stemwall Garage Vents Insulation 4rT— Water Htr. Heaters Q a �/ O Slab r ort Footings Prov. for ph sically handica et of ex. structure Appliances --zCar ' Gas PI in & Test .'� '! -k® e—,Conformance Temp. Gas Slab Final - PIC> Sanitation Patio FIREPLACE Final Footings Footing ELECTRICAL Masonry Walls Throat ® mss' Rough Reinf. Steel Final 4�- Fixtures Bond Beam FIRE SPRINKLERS Motors Framing Test Water Htr. Stucco Final Subpanels Mesh MECHANICAL Grd. Fault Prot. Scratch Heating Service Brown Cooling Temp. Pole Finish Ducts '-2 - Underground Interior Lath Ventilation Permanent Door Closer - Final O C4J Final 9 .. Q MOBILEHOME UTILITIES - - - - - - - - - - - - • - - - - Elec_ Service Elec. Pedestal Water Piping Sewer Gas Piping MOSILEHOME 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 7 County Center Drive- — Oraville, California 95965 Telephone: 534-4541 --7 / APPLICATION AND PERMIT 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. 1-711I_11certify 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. 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. Date Signature of Permffee or Agent Receipt No. 5 Ua &i�r, White-D.P.W. - Yellow -Assessor - Pink -Inspector - Goldenrod -Applicant Cooling Ventilation Hood 2.00 , 06 Permit Fee $ ,, ab $ Land Development Fee TOTAL PERMIT FEE 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 UBLIC WORKS By Date Building permit expires Date BUILDING Owner L �� SQ. FT. OW. BUILDING LU,Arf ION O Mailing Address d 0Z�. Telephone No. Contractor b Mailing Address Fireplace Total Valuation p (o r^o Telephone No. it FRe Building Address /Chec _ 5 S CGL O � in F e /or Penalty termirree 4 p 9172-Ae-5-M01AJ gp. �,gcr�c PLUMBING No. @ FEE D, /� ( Pi�3T �� N6 /` df�J PERMIT FILING FEE $3.00 , Ccs Each Trao 60 /-K60. -3 Repair drainage or vent piping 1.50 '� A. P. No. .� r 4g Zoni g fanning Water piping �60 �.00 Each gas water heater or vent 15D Z-06Fomes ' � S t o Fire Dept. Fire Zone Use Permit Gas piping system 1 - 5 outlets 2,00 0-6 EQA Parking Plans I Parcel Declaration Parcel ap 60' R/W Impro ments Each additional outlet .30 Building sewer 5.00 Bldg. Plans Recd Porcel royal Plans Pproval Lawn sprinkler system 2.00 NEW JEF ADDITION ❑ UTILITIES ❑ OTHER ❑ Permit Fee $ $ ELECTRICAL No. @ KEE PERMIT FILING FEE $3.00 -OD Main service 110DR LESS 000 OR OR LESS 5•00 Single Family Duplex ❑ Mobil Home ❑ Others ❑ Main service EA. ADD'L 100 AMP 2.50 Main service OVER e00V 100 AMP OR LESS 25.00 Main service EA. ADD•L 100 AMP 1.00 NEW CONST. DWELLING O OR ADDNS. ACC. BLDGS 2¢sgftpZ0,Z•O 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 MBRANCULTI-OUTL T NON-RESID � BRANCH CIRCUITS) 2.50ea NEW CONSTR. (POWER APPARATUS H NON-RESID. SINGLE OUTLET CIR. Ex. Occuo(OUTLETS OR FIXTIiRES) giP � Ex. OCcU FIXED APPLNS. OR Occup. 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 $ ?j Z,GG) WORKMEN'S COMPENSATION INSURANCE I am aware of the provisions of Section3700 of the California Labor MECHANICAL No. @ FEE PERMIT FILING FEE $3.00 �_ C -t) Heating / ��drr 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. 1-711I_11certify 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. 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. Date Signature of Permffee or Agent Receipt No. 5 Ua &i�r, White-D.P.W. - Yellow -Assessor - Pink -Inspector - Goldenrod -Applicant Cooling Ventilation Hood 2.00 , 06 Permit Fee $ ,, ab $ Land Development Fee TOTAL PERMIT FEE 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 UBLIC WORKS By Date Building permit expires Date Melvon Kasper Permit# INSULATION CERTIFICATION Number and Street City County Subdivision of Number DESCRIPTION OF INSTALLATION ROOF Material Brand Name Thickness (inches) Thermal Resistance (R Value) EXTERIOR WAL-L Material Fiberglass g .Brand Name Certainteed Thickness (inches) 3,L211 Thermal Resistance (R Value) 11 CEILING Batt or Blanket Type Fiberglass Brand Name Certainteed Thickness (inches) 611 Thermal Resistance (R Value) Loose Fill Type Brand Name Minimum Thickness (inches) Number of bags Area Covered (ft 2► Thermal Resistance (R Value) FLOOR,ELEVATED Material oBrand Name Thickness (inches) Theimal Resistance (R Value) FLOOR, SLAB Material — Brand Name Thickness finches) Thermal Resistance (R Value) Width (inches) FOUNDATION WALL Material Brand Name Thickness (inches) Thermal Resistance (R Value) HEATING SYSTEM Gas Furnace Make M - odel Description— Rated escr prion—_Rated Bonnet Capacity 19 Weight per bag Ib DECLARATION I hereby certify that the above insulation was installed in the building at the above location ir. conformance with the current regulations setting Energy Conservation Standards for new residential buildings (located in Title 24 of the California Administrative Code). Ge eras Contractor (Builder) License tJumber Signature and Title le Hawkins Insulation Co., Imo. 378407 j� Su -Contractor (Insulatlon Applicator) License Number C . % 1-10-80 Signature and Title Date CERTIFICATE REVIEWED BY Pate BIN -029 (Building Inspection Office) RES IDENT IAL ENERGY CONSERVATION STANDARDS CONSTRUCTION COMPLIANCE CERTIFICATE THIS IS TO CERTIFY THAT ENERGY CONSERVATION REQUIREMENTS HAVE BEEN INSTALLED IN CONFORMANCE WITH CURRENT ENERGY CONSERVATION REGULATIONS AT �41 r� c 1J,-11 2 d P:0, - T (location) BUILDING PERMIT NO. t4 6t--, -'7i A:P. NO. 17 k THE FOLLOWING HAVE BEEN INSTALLED AS PER APPROVED PLANS: (Check each item or write N/A if not applicable)' INSULATION: Slab Edge. 1i 64 Fdn. Walls v1,1df,L Floors p— Walls I-- Ceiling/Roof iCeiling/Roof 4� Ducts Circulating Pipes, APPROVED HEATER v APPROVED WTR'.HTR. 6 i GLAZING: Single Glazed Special (Insulated) �-- CERT. & LABELED WDS. & SLIDING. DRS. WEATHERSTRIPPED DRS. BACK DAMPERED FANS �- INTERMITTENT IGNITION DEVICES L CERT. APPLIANCES `-� \ I DECLARE THAT ALL REQUIRED ITEMS AS NOTED ABOVE HAVE BEEN INSTALLED IN ACCORDANCE WITH THE ENERGY CONSERVATION REQUIREMENTS AND AGREE'TO THE COMPLETENESS OF THIS CERTIFICATE AS SUBMITTED. Insulation Applicator Name ;- 14 - 4 -- Signature of - (please print) Insulation Applicator State Contractors License No. General Contractor/Owner Name%d�.6 r ���� ✓/� (please print) Signature of General Contractor/Owner G Date tate Contractors License No. THIS CERT IF ICATE MUST BE ON FILE WITH THE BU ILD ING DEPARTMENT PRIOR TO REQUESTING FINAL INSPECTION AND SHALL BE POSTED INA CONSPICUOUS LOCATION WITHIN THE DWELLING. PERMIT NO. 7662-79B �.2 G PERMIT EXPIRES OWNER Claude Clark CONTR.- nwnPr LOCATION (A.P. 73-14-8 � W/S Weiss Hill Rd., 500'E.of Forbestown Rd., Forbestown M ` t Temp. Power Pole Called PG&E Te �p. Elea Serv. ,�_ o Ge.✓ Called PG&E Alor�E— T mp. Gas Serv. Called PG&E JOB jel FINALED (Da m (Signature) - i COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS , BUILDING INSPECTION RECORD BUILDING BUILDING (Cont'd) PLUMBING Setback ��-f��G�,/� Firewall Soil Piping Forms Parapets 1st Floor. Main Bldg. Restroom Finish 2nd Floor k Footings Windows 3rd Floor Stemwall Siding To out Slab Roof Sheathing Water Piping Piers Roofing V Sewer i Garage Fdn. Vents Fixtures Footings 1 Stemwall Garage Vents Insulation Water Htr. Heaters t Slab Carport Footin s Prov, for ph sically handicapied Conformance of ex. structure Appliances Gas Pi in & est Tem . Gas Slab Patio Final FIREPLACE Sanitation Final Footings Footing ELECTRICAL Masonry Walls Throat Rough Reinf. Steel Final Fixtures Bond Beam FIRE SPRINKLERS Motors Framina Test ' Water Htr. Stucco Final Sub aneis Mesh MECHANICAL Grd. Fault Prot. Scratch Heating Service Brown Cooling Temp. P S le Finish Ducts X Under ro d Interior Lath Ventilation 1z NPermanent Door Closer Final Final MOBILEHOME UTILITIES ------------------ Elec. Service Elec. Pedestal Water Piping Sewer Gas Piping MOBILEUOME INSTALLATION - - - - - - - - - - - - - - Support Elec. Continuity Water Piping Drainage Gas Piping P 9 DATE REMARKS OR CORRECTIONS (NOTE: An entry must be made on this form each time you visit the job site.) COUNTY OF BUTTE - DEPAN- MENT OF PUBLIC WORKS 7 County Center Drive - AOroville, California 95965 ';: r � •• Telephone: 534-4541� • APPLICATION AND PERMIT 4/�// aU UFVIZ 17V1V0OIIIa LIVcO UI IIIC L.UUIIIY UI DUMC lU VIRUF UNUn Inn above-mentioned propertyforinspection purposes. X CL =c Date/L Signature of Per itee or Agent Receipt No.Z�� 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 wilding permit expires Date BUILDING / Owner ,LAV D(Z CLARK SQ. FT. OCC. BUILDING ,VALUATION ' Mailing Address Ory,1i 1 I KV V �; Telephone No. -?5- (o Contractor ow ou—(Z Mailing Address Fireplace Total Valuation Telephone No. Per i� Building Address Weiss 41 m� Ian Checking Fee& Or Penalty ee , c5o o' L _ , d F F6W N 1?p PLUMBING No. @ FEE PERMIT FILING FEE J$3.00 Each Trap 1.50 A) Repair drainage or vent piping 1.50 A. P. No. '? �j•- ( L4- g Zoning & Planning Water piping 1.50 Each gas water heater or vent 1.50 Fie/es I C. Sa In Fire Dept. Fire Zone Use Permit Gas piping system 1 -5 outlets 1.50 EQA rking Parcel Plans Declaration Parcel M P 60' R/W Im r p oveme s Each additional outlet .30 Building sewer 5.00 Bldg. Plans Recd Parcel A ro" Plans A royal Lawn sprinkler system 2.00 NEW ❑ ADDITION UTILITIES ❑ OTHER ❑ Permit Fee $ $ O Paw ' ELECTRICAL No. @ FEE i PERMIT FILING FEE $3.00 + Main service 600V OR LESS 100 AMR .OR LESS 5.00 Single Family UV 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. (( DWELLING OCCuP. 4 OR ADDNS, % ACC, BLDGS. 2¢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 st le of: Y NEW CONSTR. % BRAN/MULTCH NON.RESI D, 1 BRANCH CIRCUITS) 2.50ea CIRCUITS) NEWCONSTR. POWER APPARATUS 6 NON -RESID. SINGLE OUTLET CIR. Ex. OCCUp(OUTLETS OR FIXTIIRES BAL@t 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 0,'am exempt from the Contractors License' Laws of the State of Califomia. 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. 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 $' aU UFVIZ 17V1V0OIIIa LIVcO UI IIIC L.UUIIIY UI DUMC lU VIRUF UNUn Inn above-mentioned propertyforinspection purposes. X CL =c Date/L Signature of Per itee or Agent Receipt No.Z�� White-D.P.W. - Yellow -Assessor - Pink -Inspector - Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR OF PUBLIC WORKS BY Date wilding permit expires Date . .. .. ... ...... . ..... . pil Alt PTO RF �A f', I Cf 44 00, too lo' fe '0 7 ly 'It Ott i�. ira4i, �4, f®r, f 1`:Ii�!i#* -JI!I .N2 mv11 A_ T A �A f -I �$� �, "A' 3pV,0 �� I ,-� 44 ti YA"; * "t, , Olt, la lr -4 T oil 4K 14 1 1 71l`;�77 - �lit 77 Wall! OP41 o, ,W 4y v Ir I, It, A1111 �X4T' lk� --; I j,"', , :�� ''1 1, 1 �l : , . " !� , i *� I I I I , 4 i, , , [ I 4 15. 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