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HomeMy WebLinkAbout073-180-063a . r.r.. . .� - r, � �. r ... rte. �... � � -ii.L iL — - .� r . _-. ._ � r.�...w-. � .�� � � � �- __ .i �� - . — -� . •.. - . .. - r a _..� r �. - .r � �. � _ Kenneth Braden / � n W/S N ;i York Fla d"`,"app.4 mi.S.of Oro 0rbestown Rd. Forbestown Permit #6267-79P,E(util MH) 1 ELEC. O I Ig — GAS 10 — .7 SUPPORT STRUCTURE REQ. 0 �� CON. ACTION TEST REP. /7JCi 7 18-63 Permit X6268-79 I Issued 73-18-63 Permit #4890-80B,E(new ramada & cabana/ MH) 9%/ 073-180-063 PERMIT#95-2804 .BREDEN, Keri 19053 New York Flat Rd.; Forbestow Cont; George Roofing ` Ramada/MH Reroof Cabana & �, �0 C � F � � �� 0 ir '• * •� i+����:i " 7;e�y �y";�r -•t- 7.:�'icF''+,3i'.ta�Ni4•ti�''„`�''4.-�7. r J�•t�'e�,^,••:ydz..,�,«+t""':'H►Ri"f���i'r""''""•,�r'r ;i:. COUNTY OF BUTTE -DEPARTMENT OF EVELOPMENTSERVICES-BUILDINGDIVIS N 17 .County Center Drive - Oroville, taliforilia 95965 - Telephone (916) 538-754 PERMIT NO. APPLICATION AND PERMIT 9 D , ASSESSORPARCEL UMBER rr ZONING�. ) V BUILDIN, PERMIT OWNER. /r t^ P C) Q. TELEPHONE �+ / - fS •'1° 1,.1' SO.- FT. OCC. VALUATION –OWNMS-MAIu ADDRESSCo— ._/. )Vew v yr k 04 t Forbes katjofl 9 9Nl ) �yBUnILDING IWOP ! v /CD. 0 A100 got— S.z0. -' CONTRACTOR'S NAME / nary42— R100k"JIS4?3-G� TELEPHONE -C� CONTRACTOR'S. 1:70:;ES rr`` 1974�t1 /Q �r'1%C! aYV �/1��6 ,C, Fireplace CONSTRUCTION LEND UNI(NOWN Total Valuation�=- Filing Fee ..- ^ $ 20,00 LENDER'S MAILING ADDRESS Permit Fee $+ 3+JBv ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $- . EnergyPlan Checking Fee $ w+ B ti 14L ARCHITECT OR ENGINEER'S MAILING ADDRESS , Penalty IV BUILDINGADDRESS PERMITFEE $ y'tS/vw17., PLUMBINGPERMIT Fling Fee 20.00 '.Each`lrap i' ar .. T 7.00 LOT NO. SUBDIVISIONS NAME PARCEL MAP Solar or heat pump water heater 23,00 USEOFSTRUCTURE , f SF� Duplex ❑ Mobilehome ❑ Other (CQ `M+ HCl L�hod 0,./ �'�' SPECIFY Water piping ,., 15.00 Each gas water heater or vent 15.00 Gas piping system 1 - 5,outlets 15.00 Building sewer - 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel/ ❑ Utilities ❑ Installation ❑ Other ❑ Describe Work: �(1t P-IAt Mobile Home S I GI W @20.00 PERMITFEE $ Contractor ELECTRICAL PERMIT Filing Fee 20:00 MIA 1_WW4"%Main Service 000A OR LESS ( 200A OR LESS ) 23.00 ;. ,. Main Service ( 200A TO 1000A ) 46.00 LICENSED CONTRACTOR'S DECLARATION I 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, and my license is in full force and effect. License Class-, t �' •- Gf ..� Lic.: No. � � f�j \•, 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 ownerof tip -property, or my employees with wages as their sole compensation, .. will do the wor, 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. -:.J"' �. •_:, Business„and.. Professions Code'foi-this reason ( I NEW CONST. DWELLING OCCUR S0. OR ( 8 ACC. BLDS. ) 3.5¢ Fr. NEW CNS. CONST. MULTI -OUTLET NON-RESID. ( BRANCH CIRCUITS ) @7.50 ( POWER APPARATUS ) 8 SINGLE OUTLET CIR. Ex. Occup. ( OUTLET OR FIXTURES) 20 Qa 1.00 BAL so EX. Occup. ( OUTLEEDTS RES o.) OR) 5.00 I Temporary Service 23.00 Mobile Home Facilities --20.00 Misc. Wiring 23.00 PERMITFEE $ -Contractor a -WORKERS' COMPENSATION DECLARATION w. mo I•hereby„raffirmo,.u.nderenalty,of perjury one of the following declarations: ❑ 1 have and; willllmaintain a certificate of consent to self -insure for workers' - `compensation, ps 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 J_-ri?,t MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMITFEE $ Contractor Policy Number ,,,9,fs' s .��j`(jZ (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) +~9-- -,e%tify that in the performance of the work for which this permit is issued, I shall not em to ito•bbt to p Y any p erson n an Y manner so as ecome subject worers 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 withthose provisions. t,_) ` X l/ .9 .� ' ( /moDate %�_ Signature of Appl' ant -'D 0 r`eii❑ Contractor ❑ Agent An OSHA permit is requ ed for excavations over 5'0” deep and demolition or construction of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee Is Occ CONST. TYPE TOTAL FEE $ HAZ. D. FEES IMP FLOOD CDF PARCEL PD HD ISSUE , 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. f BY p A�f Date f// �!i PERMIT EXPIRES ON %( h i (Date) Receipt No. 01-7 WHITE-D.D.S.-B.D. —CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT -„w •'^`,fir?.r %r 1 073-180-063 PERMIT#95-2804 BREDEN, Ken 19053 New York Flat Rd., Forbestown Cont; George Roofing Reroof Cabana & Ramada/MH 0 e COUNTY OF BUTTE -DEPARTMENT OFDEVELCVMENTSERVICES -BUILDING DIVIS N 7 County Center Drive - Oroville, CMifdrni 95965 - Telephone (916) 538-754 PERMIT NO. APPLICATION AND PERMIT S—aO ASSESSORPARCEL UMBER �, ZONING + ) •/ BUILDIN PERMIT OWNER re e.ki TELEPHONE 4 iix_.2aS BUILDING VALUATION OWNERS MAILING RES ADD I o& w oi^ Fla iC�, Fovbes�o�n 9S'9y1 )SQ`Fr. ^OCC.Q FJ, / / v O `o— % 10 W, u -"- 00 l40-1' CONTRACTOR'S NAME -om - oat h TELEPHONE x'33 -L3 CONTRACTORSOV ADDRESS S yl"q� ale, 40'a 0i le, (, Fireplace CONSTRUCTION LEND E UNIWOWN Total Valuation $ Filing Fee $ 20.00 LENDERS MAILING ADDRESS Permit Fee $ 37,00 ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS Penalty $ BUILDINGADDRESS PERMITFEE $ sz — p /r�/ ( .e �o'� Flgt !�/� Fa P, e -s L01�1s�i PLUMBING PERMIT Filing Fee 20.00 Each Trap 7,00 LAT NO. SUBDIVISIONS NAME PARCEL MAP Solar or heat pump water heater 23,00 Water piping 15.00 USEOFSTRUCTUI__ ,,,%%RE� SF Duplex ❑ Mobilehome ❑ Other Q`4 /1Q 1/1'tQiV j' sPECIFv Each gas water heater or vent 15.00 Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel Utilities ❑ Installation ❑ Other ❑ Describe Work: Otlei'—M4 Mobile Home J§ FdFWT @20.00 PERMITFEE g Contractor ELECTRICAL PERMIT Filina Fee 20:00 ' t Main Service OOOV OR LESS ( 2o0A OR LESS ) 23.00 Main Service ( 200A TO 1000A ) 46.00 LICENSED CONTRACTOR'S DECLARATION I 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, and my license is in full force and effect. �� �� License Class J'= Lic. No. OWNER -BUILDER DECLARATION 1 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 NEW CONST. DWELLING OCCUR \ S0. OR ADDNS. ( 8 ACC. BLDs. / 3.50 FT. NEW CONST. MULTI.OUTLET NON•RESID. ( BRANCH CIRCUITS ) @7.50 ( POWER APPARATUS ) 8 SINGLE OUTLET CIR. Ex. Occup. (OUTLET OR FIXTURES) 20 Q 1.00 �L S0 FIXED APPLNS. OR Ex. Occup. ( OUTLETS RES D.) EA) 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMITFEE S Contractor 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 insuranc carrier and policy number are: Carrier S ,*,qfe MECHANICAL PERMIT Filing 9 Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMITFEE S Contractor 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.) —0-1 certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to workers' �— compensation laws of Calif nia, and agree that if I should become subject to the wor ers' compensation rovisions of section 3700 of the Labor Code, I shall f " with Com ly "ith �se provisions. X ____ Date l t� Signature of Appf ant Owne ❑ Contractor ❑ Agent An OSHA permit is re wired for excavations over 60" deep and demolition or construction of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee Is OCC CONST. TYPE TOTAL FEE $ HAZ. I D. FEES I IMP I FLOOD I COF PARCEL PO HD ISSUE 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. f By Date PERMITEXPIRESON (Offie) Receipt No. f c� % WHITE-D.D.S.-B.D-r CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT . .- i -- - - - . - -I ---1 6267�79P,E_ � PERMIT NO. PERMIT EXPIRES o / f Kenneth Braden OWNER CONTR. owner 63 LOCATION (A.P. ) W/S New York Flat Rd., app.4 mi.S.of Oro- • t Forbestown Rd.., Forbestown . f 4 { .Y ray Temp. Power Pole .) Called PG&E Temp." Elec. Serv. t Called PG&E 'emp. Gas Serv. Called PG&E 0A.1 5i7��i JOB FIN ALED J 0- ✓SIV" i (Date) (Signature) �, COUNTY OF BUTTE — DEPARTMENT OF. PUBLIC WORKS BUILDING INSPECTION RECORD ' r. BUILDING ByILDING (Cont'd) PLUMBING ` SAack Newall S I Piping For a its IF t Floor es om Finish 2n Floor NFt indo s 3rd loor Sidin To out Roof SheXthing Water P106 Piers Roofing Sewer Garage Fdn. Vents Fixtures Footings Stemwal I Garage V ntsX Insulation Water Htr. Heaters Slab Carport Footings Prov. for physic ly handicapped Conformance of ex. structure - Appliances Gas Piping &Test Temp. Gas Slab Final - Sanitation Patio F LACE ° Final Footings Footing ECTRI L Masonry Walls Throat Rough Relnf. Steel Final Fixtures Bond Beam IRE SPRINKL Motors Framing Test Water Htr. Stucco Final Sub anel Mesh MECHANICAL Grd. Fq4It Prot. ScratA Heatint Servl B rqi& Cool g T p. Pole F ish Du s der round Inrior Lath V ntilatlon ermanent - or Closer nal MOBILEHOME UTILITIES ----------------- Elec- Service foal Elec. Pedestal Water Piping .16 .—a 5; CZ- Sewer 16 --X Gas Piping BI E OME INSTALLATION - - - - - - - - - - - - - Support Elec. Continuity Water Piping JbI b` Drainage Gas Piping DATE 10- REMARKS OR CORRECTIONS �o('D in/� ,�5/' F1 A ' /fj �� PG- /cra eo�(f (NOTE: An entry must be made on this form each time you visit the job site.) .4.%- ON ! COUNTY OF BUTTE 1 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 6-216Y' 77 for the following location: � ia/yt' IBJ /h i S t3 �' � n �' Q i`_ii .. i �,• . ! � i� � � �. , a 4 Owner Owner's Address` r7, a �l� ,i /f1 �/ /ro+C t .i %b CAI Mobilehome Mfg. Model Year / Insignia No. t -261l, '/4 -� l Serial No. / 7.r" It is hereby certified for occupancy at the above described location and may be occupied. Director ofPublicWorks Dated 30 7 y By THIS CERTIFICATE IS VOID WHEN MOBILEHOME. IS RELOCATED White - Owner, Yellow - Installer, Pink - D.P.W. � a COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS 7 County Center Drive — Oroville, California 95965 Telephone: 534-4541 APPLICATION AND PERMIT Receipt No. G w GW V White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant Building permit expires Date 6�J 11 BUILDING Owner IIIEAJA)E:Tl { Se -04D EAJ SQ. FT. OCC. BUILDING VALUATION Mai l i ng Address P-0. - 0.' SO)( 104 , FO Contractor Mailing Address Fireplace Total Valuation Telephone No. Permit Fee Building Address Cl ��� OP -4- A1 -14-r )M Planng Fee&/or Penalty Permit ee Permit Fee Pop PLUMBING No. @ FEE ET r PERMIT FILING FEE $3.00 3,,V0 Each Trap 1.50 Repair drainage or vent piping 1.50 �J-,� p� ` 3 A. P. No J f5 (O Zoning 8 Plc Ing Water piping 1.50 Q,,9O Each gas water heater or vent 1.50 F San' ion I Fire Dept. Fire Zone Use Pe it Gas piping system 1 - 5 outlets 1.50 t'f x,00 EQA Parking Plans Parcel Declaration Parce a p 60' R/W Im roveme is p Each additional outlet .30 Building sewer 5.00 Bldg. Pla Recd ParVApproval Plans Approval Lawn sprinkler system 2.00 NEW ❑ ADDITION ❑ UTILITIESPI/ OTHER ❑ Permit Fee $-00 3-3 $ 33 ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 Main service &00v OR LESS 100 AMP OR LESS 5.00 g,Oct Single Family ❑ Duplex ❑ Mobil Home Others ❑ Main service EA. ADD'L 100 AMP 2.50 Main service OVER 25.00 100 AMPP OR LESS O Main service EA. ADO'L 100 AMP 1.00 NEW CONST. DWELLING OC"p. 1i) 20sgft OR ADDNS. ACC. BLDGS. 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: NEW CONSTR. MULTI.OUTL T NON-RESID BRANCH CIRCUITS) 12.50ea , NEW CONSTR. (POWER APPARATUS & NON-RESID. SINGLE OUTLET CIR. Ex. OCCUD(OUTLETS OR FIXTIIRES a Ex. Occup. OUTLETS P(RESID )KEA) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Ofd Misc. Wiring 6.25 License No. Classification 01-1am exempt from the Contractors License Laws of the State of California. Permit Fee $ ,Slb $ MECHANICAL No. @ 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. A❑ I have placed on file with the County of Butte a certificate of W kmen'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. 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 ' authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. Xo�f� Date �' Signature of Permitee or Agent ,A/J,.>>/ PERMIT FILING FEE $3.00 Heating Cooling Ventilation Hood 2.00 Permit Fee $ Land Development Fee $ $ On TOTAL PERMIT FEE $ �� This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated abov r which fees ave been paid. OF P LIC WORKS B Date/ Receipt No. G w GW V White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant Building permit expires Date 6�J 11 COUNTY P.F,BUITE DEPARTMENT OF PUBLIC WORKS �.• 7 County Center Drive - Oroville, California 95965 / n a Telephone: 534-4541 APPLICATION AND PERMIT / authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. V&Z- Date.10-11-217 Signature of Fermitee or Agent Receipt No. *7�`' 'or7 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 abovehich fees ha a been paid. PU IC WORKS B Datezo- 2--~�� Building permit expires Date /6 -93 -,?J BUILDING Owner eEV 07-14 XP-AMAI SQ. FT. OCC. BUILDIN LU Mailing Address E Dx1 ) Q ES 04 e4 o 5 l � Contractor Mailing Address Fireplace Total Valuation Telephone No. Permit Fee Building Address S A) 5YV YoAL 7- ISD. Plan Checking Fee&/or Penalty Fee nPermit tl Pi� till S 0,4:� PD- PLUMBING No.1 @ FEE „/ Ii9p (�'� PERMIT FILING FEE $3.00 Each Trap 1.50 Repair drainage or vent piping 1.50 A. P./No. (G Zoning & Planning Water piping 1.50 Each gas water heater or vent 1.50 Jff!��F SmTr awn Fire Dept. Fire Zone Use Permit Gas. piping system 1 - 5 outlets 1.50 EQA Parking ParcelEach I Plans, Declaration I Parcel Map 60' R/W Improvements additional outlet .30 Building sewer 5.00 Bldg. PI Recd Parcel roval ans Approval Lawn sprinkler system 2.00 NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER permit Fee' $1y,111 $ ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 V OR LE Main service 100 AMP ORSLESS 5.00 ^/ Single Family ❑ Duplex ❑ Mobil Home L&_ff Others ❑ Main service EA. ADO'L 100 AMP 2.50 Main service OVER eoov 25.00 100 AMP OR LESS Main service EA. ADO'L 100 AMP 1.00 NEW CONST. DWELLING OCCUP. 4\ 2¢Sgft OR ADDNS. ` ACC. BLDGS. // 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: NEW CONSTR. -OUTLET NON•RESID, BRANCH CIRCUITS) 12.50ea NEW CONSTR. (POWER APPARATUS 8 NON-RESID. SINGLE OUTLET CIR. 250 Ex. OCCUD(OUTLETS OR FIXTI1RES) g L 1 FIXED A Ex. QCCUp. OUTTS PLINIS (RESID )REA) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 6.25 License No. Classification ell' am exempt from the Contractors License Laws of the State of California. Permit Fee $ $ MECHANICAL No. @ 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. PERMIT FILING FEE $3.00 Heating Cooling Ventilation Hood 2.00 Permit Fee $ lLa P8Ye1SPFA@ e $ 2-10 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 buildina construction, and hereby TOTAL PERMIT FEE $ authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. V&Z- Date.10-11-217 Signature of Fermitee or Agent Receipt No. *7�`' 'or7 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 abovehich fees ha a been paid. PU IC WORKS B Datezo- 2--~�� Building permit expires Date /6 -93 -,?J 0 BUTTE COUNTY DEPARTMENT OF PUBLIC WORKS 7 County .Center Drive, Oroville,. CA. PHONE: 534-4541 MOBILEHOME INSTALLATION SHEET L. Owner's name: A g J LC L ol 2.. Installer's naive: eS�2- 144 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 No (If no, clarify ) 5. What is the mobilehome electrical rating?----------------------- Amps 6. What is the mobilehome site service rating?--------------------- imps 7. What is the mobilehome site circuit breaker rating?------------- ,.��� Amps 8. Is there any other electric load to be served by the mobilehome siteservice? --------------------------------------------------- Yes No 5( (If yes, identify the load and size:. (Load) (Amps) 9. What is the mobilehome site gas pipe size. 10. What is the type of as service. - Natural / / LPG / / YP g ----------------------------- o / ll. What is the gas pipe length from meter or tank to the mobilehome? (ft.) •, 12. g ?------------------------- What�s the mobilehome as demand. ----- .4a��'--, b(BTU) 008( (This information not required, if pipe length less than 6 ft. on natural-gas or less than 50 ft. on LPG.) 0 MOB ILEHOMF; SUPPORT DATA If other than single wide,�_Year Mobilehome Mfr. furnish Setup Model No.:5'— 17 . Width__! (ft.) Box Length �C� • Tom' g �_(ft.) Tagalong or Expando Size ft. x ft. (SHOW SUPPORT DETAILS BELOW) On all mobilehomes manufactured after October 7, 1973, furnish manufacturer's installation manual and structural setup sheets (if not on file with the County of Butte). All center supports measured from front of mobilehome unless otherwise specified. Footings (check one) Single ® 1. Wood either AApressure treated ox Em foundation grade. x (ft.)('n:) (in.) (i .) El 2. Other (specify) Center sup p rt Center upport locations footin sizes Supports (check one) 4 1: Concrete block. 3. x 2. Other (specify) (ft.)(in.) (i .) (in.) <--Tagalong or Expando,' i show support details. 1 . (I -v.) (in.) Typical Support (in.) (in.) Footing Size Ad 40,- 0 (in.) (i .) -- Max. Pier Spacing (ft. (in.) r ►-___J ��' -- Max. Overhang (ft.) (in.) (in.) (in.) SUM COUNT -Y IUILDING DEPARTMENT *If center piers are other than drawn above, APPRO D draw in. -locations, spacing, and dimensions. 40,T AI i - I Materials.- workmanship- �Sholl',136n A rd -ace w1 A Re66�niz d,"Good Practicescficos O'n d cc6 "" lfied use in the , o "quaI`typrescri6eJ for Speci. OLQo8es dnd' 'Plumbing -9 Mechanic -U­fojm.Building.-' the National Electrical, Code. This set of plans and specifications MUST 136" kept on the job" at all times and it is unlawful to make any changes or alters ,Hons on some without written permission from the Department of Public Works, County of Butte. t 4 rmit will be required Setback shall be 5 ft. from the property "line ne ; "frOTM. 4 h 0 "0 1 road, permitting a ;Oxi' of the rmitting a centerline o mum of a 2 ft. eaveverhang but en irely out of all easements. E 0-0 -C 0 a E 0 -0 04- E 40- 0 C V_ 0 --0 0 0 ,rmit will be required of r the :P -0 0) — Ilation of the mobilehomes a0 E 0 0 r, A le Y C, V) Septic system and location &F -WW. dF4;n—Ciu6-ev�-4o be as per Butte County Health Dept. Re. quiremenh, BUTTE cOUNTY MPARTMENT; A r PR MOBILEHOME INSTALLATION INSPECTION CHECK LIST 1. Is the mobilehome located with -required separation from lot lines and buildings and generally, conform to plot plan? Yes �No �. 2. Does the mobilehome have required clearances above ground? (Sec.5085) Yes 414o 3, Are footings and supports properly sized, spaced, and braced as per. approved plans? (Note possible variation at spring shackles.) (Sec. 5082 & 5083) Yes •_ No 4. Is the mobilehome level? (Sec. 5088) Yes_ No (((kff more than a single unit, are crossover connections properly installed? (Sec. 5088) ' Yes No 6. Water A. Is flele connector of adequate size and properly installed (1/2" ID min.)? (Sec. 5566) Yes 61 -'No a B. Test - Does water piping withstand -working pressure or 50 lbsair test? Yes � o YLBackflow - 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 t,�No_ B. Does it have minimum -" per foot slope and is it properly supported? Yes "-"'No C. Are any leaks detected in drainage system after running 3 gallons of water through each fixture including washing machine standpipe? Yes No •/_ If coach is not State of California approved, does station have required trap and vent? Yes_ No 8. Gas.Piping and Gas Vents A. Connector - Is mobilehome connected to the gas supplyrwith 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_ Test OK as per following procedure? Yes 1. Open all appliance connector vi.lves. c , 2. Shut off appliance burner and pilot valves. 3. Air test with manometer to 10"014" water column or test with slope gauge (minimum_ ® 6oz.-maximum 8 oz.) calibrated in tenth pound increments. Test for 10 min, without drop. 4. Connect gas meter to mobilehoiqe.with connector, turn on gas, test connections with soapy water. C. Are all appliance vents properly installed? Yes— No. 9. Electrical A. Is service large enough to provide adequate amperage -to mobilehome (must equal rating of mobilehome with a minimum of 10 amp) and other facilities on lot, i.e., water pumps, garage, cabana, etc.? Yes_ No B. Is there proper clearances around panels? Yes No_ C. Is power supply cord or feeder assembly properly fused? Yes1� No _ D. Is continuity test satisfactory as per the following procedure? Ye _ No_ 1. De -energize electrical wiring system of the mobilehome at the pedestal 2. Make sure that the power supply cord or feeder assembly conductors, including neutral conductor, have been disconnected. 3. Switch all breakers and switches in the mobilehome to the "on" position. 4. Connect one lead of a test instrument'to the mobilehome grounding conductor and apply the other lead to each mobilehome supply conductor, including neutral. 5. All non-current, carrying metal parts of the mobilehome (aluminum siding, gas line, water line), including fixtures and appliances, shall be tested for continuity from such equipment and the grounding conductor. 6. Upon completion of the above procedure, the power supply cord or feeder assembly conductors shall be connected to the`site service equipment. A further continuity test shall then be made between the grounding electrode and the chassis of the mobilehome. Upon satisfactory completion of the electrical tests, the lot or site service equipment may be approved for energizing. 10. Is job card signed by Health Department for water and sanitation? 11. If everything okay, sign off card and tag services. f MOBILEHOME DATA Manufacturer and/or Namestyle Ca AL Lengthy Width I Vehicle Serial No. l State Identification No. he)14 A PIC, a <_ Additional Information or Comments: ' s e t PERMIT NO. 4$90-8OB,E' n. p ` PERMIT EXPIRES— OWNER XPIRES OWNER Kenneth Braden CONTR. owner • i ASSESSOR PARCEL73-18-63 . LOCATION W/S New York Flat Rd,,, Pa,P .'k mi.S of'Oro.Forbes.town Rd., Forbestown a�.pp s V l� t � 7� F .s 7 L i'• ° Temp. Power Pole Called PG&E Temp. Elec. Service Called PG&E i' Temp. Gas Service Called PG&E JOZD (Date) Signature J 0K 0 = Not OK - = Not Applicable RESIDENTIAL (Single and Duplex) * = Not Ready 'I Date UNDE5ELOOR Plans OK except #'s Date FRAMING (Continued) o g requirements -Setbacks -Easements 'Property Line Firewall & Openings tg., 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 -6e-'Sta. s; Width -Headroom -Rise -Run -Landing -Fire Protection 4. Ftg., Porches & Decks; Soils -Steel- / /'' Ftg. Depth lywood on Roof Overhang -Attic Vents -Rafter Outriggers 5. Stemwalls, Main; Steel-Blockouts-Wrapped-SlabV.-Ming-Nailing-Veneer 6. Stemwalls, Garage; Steel-Blockouts-Wrapped-Slab 58.--S1ucco Mesh -Drip Screed-Fdn. Vents-Underflr. Access 7. Piers -Fireplace Ftg.-Steel 8. D.W.V.: Fall -Fittings -Test -2 way C/0 -Sewer Test 54 -r -Glazing Area -Glass Protection -Skylights -Plastic -S : 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 Card -BI Dat2_WCard-BI Date Card -BI Date 0 Card -BI Date Card -BI Date Card -BI Date Card-BIDate b _ ' 0 Card -BI Date Date FIN (P s) OK except N's Card -BI Date Card -BI Date Date PLUMBING (Permit) OK except q's 14. Water Ht.; Vent -Access -Combustion Air E . Steps -Door & Sidelight Protection -Landings Smoke Detector 58. Furnace; Vents -Clearance -Comb. Air -Connector - In Garage; Above Floor-Ducts-Mech. Protection _ 15. Water Pipe; Test & Anchors -Nail Protection 16. D.W.V.; Test-Fttngs & Anchors -Nail Protection Bedroom Exiting 17. Shower Pan; Test, First Floor -Tub Access 99!GFI• & Bath Fixtures & Tub Access 18. Test Tub & Shower, 2nd Floor -Tub Access &1 -Ti c. frim & Subpanel; Breaker Sizes -Labels 19. Gas Pipe; Size & Anchors Stairs & Rails Fireplace or Stove&rlekce earth Card -BI Date Card -BI Date c. Outlets at Woodane ; Int. & Ext. 6 t. & Appliance; Grnd.-Air Gap -Cooking Clearance Card -BI Date Card -BI Date 6 . ec. Outlets & Receptacles at Kit. Counter Date ELECTRICAL Permit OK except N's 6it,� Fire Door; Swing -Landing -Closer eff-% C'Dvct in Garage -Damper xture & Transformer Clearance -Ins. Protection sQ_ wt�� r_ Lrr.�ents-Clearance-Comb. Air-Connector-P.R.V.- In Garage; Above Floor-Mech. Protection lec. Receptacles Spacing -Lights &Switches at Doors Zp Rl6,r cion & Mech. Equip. Listed for Location Size Boxes & No. of Conductors -Stapled 7A+�T cam. Receptacles in Garage; (G. F.I.)-Romex Protec. Romex Installed Close to Edge of Studs & C.J. ae-Insulation-Foam-Looked in Attic ❑Yes 2.✓Equip. Ground made up w/Mech. Fasteners -Bond Gas & Water 74ao011uard Rails & Deck Construction -Post Caps 74.-4311-n Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance Looked under Floor ❑ Yes -2.5- 2 Appliance Circuits in Kitchen & Conductor Size ` -2e' Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga. Cu or At +97- Range Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or At, Insulated Neutral ❑Yes ❑No 75. Following instl : Drive es ❑ No; Walks Enes ❑ No; Planters Yes ❑No 28. Service -Riser Conductors & Ground -Main Disconnect tucco; wn-Finish 29. Equip. Clearances; Panels-Motors-Mech. Equip. 7 nit; Disconnect-Clrnces-Brkr. & Cond. Size -115V Outlet 30. Clothes Closet Light -Shower Light 1&1." -Vents Above Roof; Plbg.-Appliance-Firepl.-Clearance to Opngs. 10r--W@4ec.Well; Disconnect, Electrical, Plumbing Card B-I�DateandBI Date Card BCard B -I Date Card -BI Date Date MECHANICAL (Permit) OK except q's 80-Rterior Elec. Trim; G.F.I. Receptacle -Underground throughout House ass Protection _ 8avOtorrect from Previous Inspections st-Meters Tagged; Gas -Electric 31. A.C. Ducts: Insulation & Support er & ewer Connected -C/O to Grade -HD Approval _ 32. Vent Fan; Exhaust above Insulation 33. Condensate Drain & Overflow; Size & Grade 8 Energy Compliance Certificate -Other Certificates 34. Furnace -Vent; Access -Comb. Air -Return Air Vent -115V outlet 35. Attic Access & Platform if Furnace in Attic Card -BI Card -BI Date _ Card -BI Date Date Card -BI Date Card -J31 DateW 744 Card -BI Date d -BI to - Card -BI Date _ Card -BI Date Card -BI Date Date FRAMIN Plans) OK except N's Comments at Final: ills; Proper Material & Anchors AW --Walls: Studs -Nailing, Spacing & Bracing -Plates -Sound i&_I aring Walls over Girders & Floor Nailing_ _ Sl)-'6raft Stop in Walls (rat proof) +10. --Fire Stops; Furred Ceilings -Stairs -Chases -Tub deader & Beam -Size & Bearing "!Hangers -Post Caps -Anchors -Connectors ng. Joist-Rftr. Ties-Purlin-Roof Brac.-Truss-Shthng.-Rfng. Fireplace Ties or Type A Flue -Fireplace Throat _ 445 -Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles Z.1t1d'rm. Windows or Exiting Doors -Sill Hgt. & Dimensions 77'Garage Fire Protection Framing (NOTE: An entry must be made each time youvisit jobsite) J = OK 0 = Not OK - = Not Applicable * = Not Ready MOBILEHOMES MISCELLANEOUS Date MOBILEHOME UTILITIES (Plans) OK except N's 1. Zoning Requirements -Setbacks -Easements Dale DECKS, COVERS, CARPORTS, ETC: (Plans) OK except H's 1. Z ning Requirements -Setbacks -Easements 2. Soils; Special MH Support -Sketch Footings; Size -Depth -Spacing -Connectors 3. Sewer; Location -Test -Fall -C/0 -Concrete 3. Decks; Girders and/or Joists -Decking -Bracing -Stairs -Rails 4. Water; Location -Test -Easement Needed (Sketch) 4. Wood Awn.; Posts-Beams-Rftrs.-Connec.-Shthg.-Rig.-Bracing 'S. Electricity; Location-Clearances-Grnd.-/ / Amp -Concrete 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Gas; Location -Test -Wrap:/ /"L"ft./ /"Nat. or/ /"L"ft./ /"LPG 6. Carports; Windows -Doors Z 7. Utility Clearance 7. Elec. ' Card -BI Date Card -BI Date Card-BIDate D Card BI Date Card -BI Date Date Card -BI Date MOBILEHOME INSTALLATION (Plans) OK except N's 1. Zoning Requirements -Setbacks -Easements Card -BI Date i Date Card -BI Date POOLS (Plans) OK 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 Dare Card -BI Date Card -BI Date Card -BI Date Card B-1 Date Card -BI Date Card -BI Date Card -BI Date RESIDENTIAL ENERGY CONSERVATION STANDARDS CONSTRUCTION COMPLIANCE CERTIFICATE THIS IS TO CERTIFY THAT ENERGY CONSERVATION REQUIREMENTS HAVE BEEN INSTALLED SIN Z,-, /-NIAN X,.YI3#JCURRENT ENERGY CONSERVATION REGULATIONS I / "(location) BU ILD ING PERMIT NO. A`6, P . NO. %j? �- 3 THE FOLLOWING HAVE BEEN INSTALLED AS PER APPROVED PLANS: (Check each item or write N/A if not applicable) INSULATION: Slab Edge Fdn. Walls r Floors Walls Ceiling/Roof Ducts Circulating Pipes .-- APPROVED HEATER APPROVED WTR.HTR.. GLAZING: Single Glazed Special (Insulated) ---- CERT. & LABELED WDS. & SLIDING DRS. !� WEATHERSTRIPPED DRS. BACK DAMPERED FANS INTERMITTENT IGNITION DEVICES — 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 (�TJV 1 2, ,,q OIeAY Signature of (please p ) Insulation Applicator rin State Contractors License No. General Contractor Owne Name , �}/�,� U /"'? a (please print) Signature of - General Contractor Owne ZLA�ate� 0 - 3- g State 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 IN A CONSPICUOUS LOCATION WITHIN THE DWELLING. COUNTY OF BUTTE- DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541 APPLICATION AND PERMIT 01114 wy_m"VIA NOW ASSESSOR PARCEL NUMBER /%3-- (8 -�Z ZONI , r FJL�N Gj BUILDING PERM 6rV TELEPHONE SO. FT. OCC. BUILDING VALUATION Vo• 0 i� OER'S MA LING ADD E S P -O. 640X l!f Felp_ &0/ of C4 7 y/ q- CONTRACTOR'S NAME. ��/ �%/"7��,/� 0 & /r li/v TELEPHONE CONTRACTOR'S MAILING ADDRESS - CONSTRUCTION LENDER• UNKNOWN Fireplace SO.pd Total ValuationI $ Q 00 LENDER'S MAILING ADDRESS Permit Fee $ Z0,00 ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ , ©a Penalty $ ARCHITECT OR ENGI EER'S MAILING ADDRESS Permit fee $ -00 FF BUILS G AD 9, 4- k T ���. ��p/�� 7 `� PLUMBING PERMIT Filing Fee 3.00 �'% �r� Each Trap 2.00 Repair drainage or vent piping 2.00 Water piping LOT NO. SUBDIVISION NAME PARCEL MAP Each qas water heater or vent 2,00 Gas piping system 1 - 5 outlets USE OF STRUCTURE SF ❑ Duplex❑ Mobilehome❑ Other E' W'�L /,�ae1 �' /��� SP CIFY Building sewer Lawn sprinkler system 2.00 TYPE OF WORK New e' Addition ❑ Remodel ❑ Utilities ❑ Installation[] Other ❑ Describe work: Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee A000 Main service 100 AMOR LESS LESS 5.00 ' Main service EA. ADD'L too AMP 2.50 NEW CONST.(DWELLING g OR ACDNS. ACC. BLDG?r,171 . 20 sq ft (3 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): ❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. L� fIcense No. Classification as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONSTR. ULTI-OUTLET 2.50 ea NON.RESID, BRANCH CIRC ITS NEW CONSTR POWER APPARATUS & NON.RESID. (SINGLE OUTLET CIR. Ex. Occup(OUTLETS OR FIXTURES 5AL@1 BAL@10¢ EX. OCCU FIXED APPLNS. OR p•(OUTLETS (RESID.) EA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 6.25 Permit Fee $ , .949 Contractor MECHANICAL PERMIT Filing Fee 3.00 WORKMEN'S COMPENSATION INSURANCE 1 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 f 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 2.00 Ventilation Permit Fee $ Contractor 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 authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against said County in consequence of the granting of this permit. w U X#,Z p y. � ,ela ` Date � � 3 � o Signature of Applicant — Owner Contractor ❑ Agent An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ Land Development Fee $ TOTAL PERMIT FEE $ l .8� occu P. GROUP ' �-3 I TYPE OF CONST. V /-Y I PARCEL v PD HD/ V i55 This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which DIRECTOR OF BLIC By PERMIT EXPIRES Date. the applicable provi- resolutions to do fees have been paid. WORKS Date C1n2_KrJ3_J1 5--Z0 Receipt No. WHITE-D.P.W., YELLOW -ASSESSOR. PINK -INSPECTOR, GOLDENROD -APPLICANT