Loading...
HomeMy WebLinkAbout073-210-052LH 73 -21 -IN Charles Adams � � S� --R.- -�' 7�-z�1­7. ADAMS, Charles W. 31 NIS LaPorte R ,app.3/8 mi'.W.of - Binet Rd., Clipper Mills,-� Permit #3002-77P,E(welocate util.on + r7�J- I existin site/MH) g - n/s LaPorte -Rd. w. of Binet Rd.,h ipper Mill;; ELEC. 7 '�70 e9•m-- GAS (new siding) ._ P . s p SUPPOAt STRUCTURE REQ. COMPACTION TEST REQ.�- .- - - - - Sa, contr:S.O.S. Mobile Home. Serv., Marys. i ermt#2972-77MHI7/6/77 ssued %�'7 '073-210-0.52 %,•PERMIT#96-0517 REINIG, Robert - *117.7.1, LaPorte Rd. ,-X1ipper',,M' ls' '.'Cont: Krohn's Koristrustion, I Ele Ser Ch/SF', �� �.� � � � _- �e ��:� •� i ,Y s' t d f , A f 4` f •� i l 1 COUNTY OF BUTTE -DEPARTMENT OF DEVELOPMENT SERVICES-BUILDINGDIVISION 7 County Center Drive - Oroville, California 95965 - Telephone (916) 538-7541 PERMIT NO. APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER 073-210452073-210452ZONING , . 'iPi�a BUILDING PERMIT OWNER ROBERT REISWIG TELEPHONE SO. FT. OCC. BUILDING VALUATION OWNERS MAILING ADDRESS 11771 LA PORTE RD CLIPPER MILLS CONTRACTOR'S NAME gROHIV' S RONSTRUCTION TELEPHONE 675-2599 CONTRACTORS MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation Is Filing Fee $ 20.00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS Penalty $ BUILDINGADDRESS�' .A- 11771 LA PORTE RD PERMITFEE $ PLUMBINGPERMIT Filing Fee 20.00 i' CLIPPER MILLS Each Trap 7.00 LOT NO. SUBDIVISION'S NAME PARCEL MAP Solar Or heat pump water heater 23.00 Water piping 15.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome ❑ Other SPECIFY 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: CHANGE, MAIN SERVICE — Mobile Home I S I GI W 1 920.00 PERMITFEE $ Contractor ELECTRICAL PERMIT Filing Fee 20:00 Main Service EOOV OR LESS ( 2000. OR LESS ) 23.00 Main Service ( 200A TO I00000A ) 46.00 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, and my license is in U I force and effect. // /� �j License Class Lic. No. (A �V / OFIXED 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 NEW CONST. DWELLING OCCUR OR .DON ( x ) SD. FT. S LTI-ACCUTLEBUDS NEW CONST. MULTI -OUTLET NON-RESID'""O ( BRANCH CIRCUITS ) @7.50 @7. POWER APPARATUS ( & SINGLE OUTLET CIR. ) Ex. Occup. ( OUTLET OR FIXTURES) 20 @ 1.000 B.L so APPLNS. OR Ex. Occup. ( OUTLETS (RESID.) EA ) 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 3 PRE INSPECTION 123.00 PERMITFEE $ 89.00 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 insurance carrier and policy number are: Carrier MECHANICAL PERMIT Filing Fee 20.00 g Heating Cooling Hood 6.50 Ventilation PERMITFEE $ Contractor Policy Number (The above sections need not be completed if the permit is for work of a valuation A 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�l�aws of California, and agree that if I should become subject to the workers' comper�nsationprovisions of section 3700 of the Labor Code, I shall fort0with comp Y with t os provisions. X "' Date _ �o Signature of Ap;Acaint - ❑Owner �Contractor ❑ Agent An OSHA permit is required for excavatils 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 $ �7ana 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. �� By Date r!/ /' ! Js PERMITEXPIRESON `(Date) Receipt No. 1 9 'V� 5 ` WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT � 1 .-.- COUNTY OF BUTTE- DEPARTMENT OF DEVELOPMENT SERVICES- BUILDING DIVISION 7 .County Center Drive - Oroville, California 95965 - Telephone (916) 538-7541PERMIT NO. APPLICATION AND PERMIT �� `��� ASSESSOR PARCEL NUMBER 073-210-052 TP160 ZONING BUILDING PERMIT OWNER ROBERT REISFdIG TELEPHONE 8Q. Fr, OCC. BUILDING VALUATION OWNER'S MAIUNG ADDRESS 11771 LA PORTE RD CLIPPER MILLS CONTRACTOR'S NAME KROI-IN'S KONSTRUCTION TELEPHONE 675-2599 CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation Is Filing Fee $ 20.00 LENDER'S LWUNG ADDRESS Permit Fee $ ARCHITECT OR ENGINEER UCENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ - ARCHITECT OR ENGINEERS MAILING ADDRESS Penalty $ BUILDING ADDRESS 11771 LA ORTE RD PERMITFEE $ PLUMBINGPERMIT Filing Fee 20.00 ,LIPPER MILLS Each Trap 7.00 LAT NO. SUBDIVISION'S NAME PARCEL MAP Solar or heat pump water heater 23.00 Water piping 15.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome ❑ Other SPECIFY 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: CHANGE MAIN SERVICE — Mobile Home IS I GI W1 @20.00 PERMITFEE $ Contractor ELECTRICAL PERMIT Filinq Fee 20.'00 Main Service ( GO200A OAORLESS OR LESS ) 23.00 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 I force and effect. �/ License Class Lic. No. V / 0 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 OR ADDNS. ( 8 ACC. BUDS. ) SO. 3.5¢ 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 BAL .a° EX. Occup. ( OUTLETS (RES D.)EA) 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 2300 PRE INSPECTION23.00 PERMITFEE $ 89.00 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 insurance carrier and policy number are: MECHANICAL PERMIT Filing Fee 20.00 9 Heating Cooling Hood 6.50 Ventilation PERMITFEE $ Contractor ontractor 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 p i an manner so as to become subject to workers' compensation of Ca' orni , and agree that if I should become subject to the wo ers' co sation pro 'sions of section 3700 of the Labor Code, I shall f rth ith c with os rovisions. X __ __ Date 3 �� Signat e o A is t - ❑ OwnerContractor 11 Agent An HA perm) is re wired for excavaCfohs over 60" deep and demolition or construction of structures over 3 s ories in height. Mobile Home Installation Fee $ Energy Inspection Fee Is Occ CONST. TYPE TOTAL FEE $ 89.00 HAZ. I D. FEES I IMP I FLOOD CDF PARCEL PD I HD I 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. BY 2� DateJ - PERMITEXPIRESON >� (Date) Receipt No. 1/'651 WHITE-D.D.S. R.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT OWNER: uJ 1 C� DATE: _ C4 ` I? _6 ATION: A /o©& c/AE �m)44-8 A.P.#: C� % 3 D`S LOC CONTRACTOR. ' 1��� s 1"�v� T� � ZONING: pRE-INSPECTION FOR DATE TO INSPECTOR PERMPr HISTORY: [ ]NONE FOLLOWS: 1 TYPE OF OCCUPANCY: BUILDING INSPECTOR'S REPORT tg Description: [ ] Co ercial/Usage: eU# of Units: Mobile Home: Yes[ J No[ [sidentia [ ] Currently Occupied. [ ] Abandoned/Vacant. :......... [' Yes [ ] No 11 Electric is currently : [ ] On [ ] Off Condition of electrical? Natural[ J Propane[t�]�None[ ] Currently On[ ] Off[ ] Obvious problems: :ion: Plumbing working Yes[tI'No[ ] Well: Yes[�No[ J Potable water: Yes[t-"O[ J Obvious Sewage Problems: n Recommended: [ ]Issue [ Hold for:' Date: r: v �:: 'uvsels4��"h.7ln--r, -•«��i:_:vlXtta^.:3�*;,!•+,.�..M'.�+.'i."'.i. t f r.:kx'F?i.:X.. �'r+� �...-:.,,�;. • •� ' L I •• •! ~ T - — -.. ... _.___.__. -_.. _ .. _ ._. ... � r-. __ •:-� � , '` . , �i ��g�:�.�7��e.;-�:taa�R'ui-si�•7ire:,*'�;��.G%..iyy..•-Y. n.�,^.�:� •+t7•:.......:.rar:;,r_�•t.>_;ka:+�,,.s`: u,:A:srsSi% «sy :�1s ^�.'�` . }y�..�..w.d',3n.a�' b'ML. rm. r.v �,..+..: !u F � , . J. .. - .�r 't +. .. + ... x r".+�„ ` +. - I 4 .l, rru����� tri --- y .tT(�"�a"tW.���p��.�+�..'�a5�. _�.. ... ti..y rY(fa!Rf� M+�.r.' . ,1. � �rt�RAW.•i•� ' ' . �� t � a � • _ _ ... ,� �� • - - .�1 s -�. . �,, . ' - ��� _ �q . Ft yg� 1P . � • � _ . $ .: . z �'� � _. . jjjC`t - t• . S � _ � . • }k .ti III -:;�. kyr ... -a r ,i � i` '� �-.'k' �yll'j.+�� ��1��i "�` � y �Y '+�y�'r�;�j�}+��I..yy'i�'"g��gy�''s�� �R ' a 7. �!r :4;;,,k'YS +I?G tea: a .y,u,A-+N. rev'. 1 ��.Y .q�.�zY _ ,f5"�.a�ir��S §�R +„� F � w.Mxvti2C K -��.�`+7+jr11 _ LAND DEVELOPMENT BUILDING-/-ENVIRONMENTAL`*,HEALTH'-'PERMIT CLEARANCE BaiidngPermit No. OWNERS A.P. NAME: Ad nLA fn S . S arak/Zn CQL,t..fi" 1ntCn;I LyiS NUMBER: Q 7 3 In - n c -2- PRINT LAST NAME RRST COUNTY ZONING DESIGNATION: .T�, /6/0 FLOOD ZONE: �C FLOOD MAP: ¢OU 1? APPROVED: CONDITIONALLY APPROVED: RESOLVE PROBLEMS PRIOR TO APPROVAL: PARCEL CREATION BY DEEDS OR MAP DEED INFORMATION: s t�13�7Zw �✓ r DATE OF CREATION: LF / 3 " Pi`1 DEED REFERENCE: LEGAL ACCESS'PROVIDED: YES NO LEGAL ACCESS REQUIRED: COMPLIES WITH COUNTY STANDARDS /FOR DEED CREATION: YES COMMENTS/CONDITIONS:y �►'' ��i ( �u-�c"-� MAP INFORMATION: NO YES NO DATE OF RECORDING LOT = BOOK PAGE COMPLIANCE WITH OLD SUBDIVISION LOT ORDINANCE REQUIRED? _ (MAP RECORDED PRIOR TO BOOK 17 OF MAPS AT PAGE 23): YES NO . IF YES, MARK APPROPRIATE ITEM(S) BELOW: A. Construct road to B. Meet parcel size required by zone. C. Meet current E.H.D. requirements. CHECK SPECIAL CONDITIONS WHICH APPLY TO MAP: ALL FEES TO BE PAID TO THE BU/LD/NG DIVISION UNLESS OTHERWISE NOTED. _ 1. Maintain a 50 ft. building setback from centerline of road. 2. Maintain a - ft.building setback from right-of-way/centerline of 3. Maintain a 100 ft. leachfield setback from all existing wells. 4. Maintain a ft. leachfield setback from _ 5. Pay water tender fees in the amount of $ to Battalion Number of the Butte County Fire Department. _ 6. Meet the Fire Safe Regulations of Butte County and P.R.C. 4290. _ 7. Connect to a public water supply. 8. Connect to a public sewer system. _ 9. Automatic fire suppression sprinkler systems shall be installed in all residential structures in accordance with the National Fire Protection Association Standard for the installation of sprinkler systems in one and two family dwellings and mobile homes, NFPA Standard 13D, unless a pressurized community water system, with hydrants that meet Fire Department specifications, serves the parcel. _ 10. Pay T.D.D. (Thermalito Drainage District) fee in the amount of $ 11. Meet the requirements of the Department of Fish and Game for the preservation of oak trees. (See phone number below) 12. Obtain approval from the Department of Fish and Game for vegetation removal. Contact Fish & Game at 916-355-7010. `1 COUNTY, OFiBUTTE 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 o(, the California Administrative Code, Title 25, Chapter 5, under permit number-2'?_'i-_)''7% for the following location: 0 nerC /-A-4QL Frs A-Dil _- Owner's Address 6 ) FN CLI PP EX MI,44_� Mobilehome Mfg: /_ 1F/Z` /DQ/,J 1AA, , Model�� � 8e r�Year� Insignia No.COL 0 i `/ .'/— -7 Serial No. It is hereby certified for occupancy at the above described location and may be occupied. / Dfirecttoorof Public Work's Date By Y - THIS CERTIFICATE IS VOID WHEN MOBILEH'OME IS RELOCATED PERMIT NO. 3002-77P,E r PERMIT EXPIRES OWNER Gharles Adama .CONTR. owner LOCATION (A.P. 73-21-17 NIS LaPorte Rd.,app.3/8.mi.W.of Binet Rd., Clipper Mills 1 r f� t • it 4 �4{ 7` y Temp. Power Pole Called PG&E Temp. Elec. Serv. r Called PG&E Temp. Gas Serv. �� �✓ CAL 64,talledvow 7--24'22. !d J B 4 ` 7 INALED' 02 i (Dat � (Signature) COUNTY OF BUTTE — DEPARTMENT OF, PUBLIC WORKS BUILDING, INSPECTION RECORD BUILDING BUILDING (Cont'd) PLUMBING ck F wall Sok Piping >► Par ets 1s Floor Main Idg. Restr om Finish 2nd Vor Foo •n s Window 3rd Flkr Stem II Siding To out Slab Roof Shealhina Water PI in Piers Roofing Sewer Garage Fdn. Vents Fixtures Footings Stemwal I Garage Vents Insulation Water Htr. Heaters Slab Carport Footings r physical handica4 ha Conformance edofof ex. structure Appliances Gas Piping & Test Temp. Gas Slab Final X Sanitation Patio FI P ACE Final Footin s Footing E iCTRICA Masonry Wails Throat Rough Reinf. Ste Final Fixtures Bond Beafn qPRINICLF& Unrnm L MECHANICAL Grd. F It Prot. Heatin Servi Cool g T, p. Pole D s nder round h ntilation Permanent kinal Final MOBILEHOME UTILITIES Elec_ Service Elec. Pedestal Water Piping 7—/e -27&c Sewer — Gas Piping OBILEHOME INSTALLATION -,�.- - -- - - - - - - - - Support �� —'�7 �—�./ Elec. Continuity Water Piping , ��f'.77 L�Itrdv Drainage 7. e, —.7) 4-C.— Gas Piping DATE % -13-2 REMARKS OR CORRECTIONS SZV7- To 0,o(D 10.D4 /5� 3�� �i 4 PG S 5aft27- it/d 60A,-,10 (NOTE: An entry must be made on this form each time you visit the job site.) *:r yea. ,a.s 'rd .. ,P •ter;.. �..jV '),I COUNTYXF 'TT& — DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 /�� �� y - Telephone: 534-4541 (J' APPLICATION AND PERMIT 0 62 / authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. ` XA" a1 / Date 77 Signature of Permitee or Agent Receipt No. . 2 d 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 'PU IC WORKS By ate -14-77 Budding permit expires Date BUILDING Owne olf Tkt4��i SQ. FT. OCC. BUILDING VALUATION Mailing Address Telephone No. Fireplaces � Contractor �� S ��� s,Q�1 -v,, 'c fa Total Valuation Mailing Address .� �5 C�L�f ���IVI Permit Fee Plan Checking Fee &/or Penalty f r�da Telephone No. -g, -7 S Permit Fee $- Building AddressMI 4 PLUMBING No. @ FEE PERMIT FILING FEE $3.00 f WEach 04 Trap 1.50 Repair drainage or vent piping 1.50 Water piping 1.50 S Each gas water heater or vent 1.50 A. P. No. 3 .� Zoning & Planning Gas piping system 1 - 5 outlets 1.50 Each additional outlet .30 Fee W. C. eDept. FireZone Use Permit Building sewer 5.00 EQA Parking Plans Parcel Declaration Parcel Ma p 60' R/W Im rovements p Lawn sprinkler system 2.00 Bldg. Plans Recd Parcel Approval Plans Approval Permit Fee $ $ NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER i ELECTRICAL No. @ FEE. PERMIT FILING FEE $3.00 5A h,1-1, f(� &46a�V(,J�. 600V OR LESS Main service 100 AMP OR LESS 5.00 Main service EA. ADD•L 100 AMP 2.50 Single Family ❑ Duplex ❑ Mobil Home ❑ Others ❑ Main service OVER 600V 25.00 100. AMP OR LESS Main service EA. ADD'L 100 AMP 1.00 - NEW OR ADDNST ( OACCLBL GS LING CCUP. &) 20sq ft NEW CONSTR. MULTI -OUTLET NON.RESID. ( BRANCH CIRCUITS) 2.50ea NEW CONSTR. POWER APPARATUS & NON.RESID. (SINGLE OUTLET CI R. 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: Y (� f� /1/i�t.p- �%Qit'tit Ex. Occup(OUTLETS OR FIXTURES)50 @25¢ BAL@ICN EX. Occup ( FIXED APPLNS. OR \ Z.00 OUTLETS (RESID.) EAI Temporary service 10.00 Mobile Home Facilities 15.00 License No.34 9 S % Classification Misc. Wiring 6.25 ❑ I am exempt from the Contractors License Laws of the State of California. Permit Fee $ $ WORKMEN'S COMPENSATION INSURANCE 1 am aware of the provisions of Section3700 of the California Labor Code which requires every employer to be insured against liability for Workmen's Compensation. ❑ I have placed on file with the County of Butte a certificate of Workmen's Compensation Insurance. I certify that in the performance of the work for which this permit is issued I shall not employ any person in any manner so as to become subject to the Workmen's Compensation Laws of California. . MECHANICAL No. @ FEE PERMIT FILING FEE J$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 775, TOTAL PERMIT FEE$ '3d authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. ` XA" a1 / Date 77 Signature of Permitee or Agent Receipt No. . 2 d 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 'PU IC WORKS By ate -14-77 Budding permit expires Date MOBT?,'CHOME' I1OL'ALLA' IDI INSPECTION CHECK LIST rill 4• + ay � r 1. Is the mobilehome loc�itcd vd,:l] . duired separation from lot lines and buildings and generally conform to plot plan? Ycs No 2. Doet.. the mobilehome have requireid clearances above ground? (Sec.5085) Yes / No ((1.J -\Are foot.in,s and supports properly sized, spaced, and braced as pe roved plans? (Note v possible variation at spring shackles.) (Sec. 5082 & 5083) Yes _ No 4. Is the mobilehome level.? (Sec. 5088) Yeses <o 5. If mo than a single unit,•are crossover connections properly installed? (Sec. 5088) Yes No 5, Water A. Isfle :ale connector of adequate size and properly installed (1/2" ID min.)? (Sec..5566) Yes No B. Test - Does water piping withstand working pressure or 50 lbs, air test? Yeslt__No Wakflow - If coach is not State of California approved, does station have backflow device pressure -relief valve? Yes No 7. Wastes and Drains A. Is connection made with Schedule 40 DWV and have flex connectors at each end? esv No F. 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- ons of water through each fixture including washing machine standpipe? Yes No VPI -4f coach i.s not State of California approved, does station have required trap and vent? L ;�'. I' Yes 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 mobilehne gas line',inlet without reductions other than the mobilehome connector. Yes No B. Test OK as per following procedure? Yes_�do .-I-.---Open all appliance connector valves. �hut 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. 4, onnect: gas meter to mobilehome with connector, turn. on gas, test connections with soapy water. / C. Are all appliance vents properly installed? Yes V No 9. Electrical ��. Is service large eni)<<g1t to provide :ulequste umpc�rage to mobilchome (must equal rating of mobilehome-1 obi.lehome with a ::,,irtivum of 109, amp) and other faciliti.as on lot, i.e., water pumps, g :rag,e, cabana, erc."? Yes o li. Is there proper clearances around panels? Yes /Ivo C. Is power supply cord or feeder assembly properly fused? Yes_ No D. Is continuity test satisfactory as per the following procedure? Yes_ No 1. De -energize electrical wiring system of the mobilehome at the pedestal. 2. D1ake 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 Lire oti'i,uau i� each rU),CL IUIiItSi�y CuiuuCtur, including ieuLrdl. 1a.LLL 5. All 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. 6. Upon completion of: t:he above procedure, the power supply cord or feeder assembly conductors shah be connected to the site service equipment. A further continuity te::-u shall then be made between the grounding electrode and the chassis of the mobilehome. Upon satisfactory completion of theelectrical tests, the lot or site service equipment may be approved for energizing. I!, job card si ned by Health Departmeat for water and sanitation? 11.. Ii everything of ay, sign off card and t.a services. 'MOBTLE110ME DATA rlarn)facturer and/car Namest:yle 4DDIV 1/10 Length 6q Widti-r_Z2: Vehicle Serial No.rel State Identification No. CAL ,.dr;Ltional Information or Corrnr.ents: A },.-^*OUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drtve - UroviIIe, California 95965 - Telephone: 534-4541 JX, —77 APPLICATION AND PERMITM auuIU1 cv ICt/IOJC11LaUVG21 UI ulv Vuunly UI OUlle w enter Upon me above-mentioned property for inspection purposes. X�� t6 - /� "Z 114 Date Signature of Permitee or f Receipt No. White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant N 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. DIRECTOR0F)PUBLIC WORKS By Date -77 Bu ding permit expires Date _-moi'-7,f BUILDING Owner Ir es s SO. FT. OCC. BUILDING VALUATION Mailing Address bi, //a ;1 a e - I ph ne No. Fireplace Contractor Total Valuation Mailing Address Permit Fee Plan Checking Fee&/or Penalty Telephone No. A Permit Fee $ Building Address Q- PLUMBING No. @ FEE PERMIT FILING FEE $3.00 3100 O Each Trap 1.50 fin d Repair drainage or vent piping 1.50 Water piping 1.50 Each gas water heater or vent 1.50 - A. P. N �- Zoning 8 Planning Gas piping system 1 - 5 outlets 1.50 Each additional outlet 30 Fes W. Sa(ij ion Fire Dept. Fire Zone Use Permit Building sewer EOA Parking Plans Parcel Declaration Parcel Ma 60' R/W2.00 Improvements Lawn sprinkler system Bldg. Plans Recd Par pprovaI Plan proval Permit Fee $ 0-1 NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER ELECTRICAL No.1 @ FILING FEE $3.00 '6 CCt ' ( 4FEE�VPERMIT Main service 100 AMP 00V OR ORSLESS 5.00 �X( I�fl ko Main service EA. ADD'L too AMP 2.50 Single Family ❑ Duplex ❑ Mobil Home Others ❑ Main service OVER 00 AMP OR LESS 25.00 Main service/ EA. ADD'L 100 AMP 1.00 NEW CONST OR ADDNS. DWE( ACCLBLOGOCCUP, &) 22sgft NEW CONSTR. MULTI -OUTLET NON•RESID, BRANCH CIRCUITS) 12.50ea NEW CONSTR. POWER APPARATUS &) NON-RESID, (SINGLE OUTLET CIR. CONTRACTORS LICENSE LAW I am licensed under the provisions of Chapter 9, Div. 3, of the State of California Business & Professions Code under the name style of: Ex. Occup(OUTLETS OR FIXTURES)50 @25¢ 109 Ex. OCCU FIXED APPLNS, OR P• OUTLETS (RESID.) EA) 200 Temporary service 10.00 Mobile Home Facilities 15.00 ,tom License No. Classification Misc. Wiring 6.25 ,-12 1 am exempt from the Contractors License Laws of the State of California. Permit Fee $ cid $ 3 WORKMEN'S COMPENSATION INSURANCE I am aware of the provisions of Section3700 of the California Labor Code which requires every employer to be insured against liability for Workmen's Compensation. ❑I have placed on file with the County of Butte a certificate of Workmen's Compensation Insurance. I certify that in the performance of the work for which this 1_4V3 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 I&A U ;25 -OZ PERMIT F E $ ®; auuIU1 cv ICt/IOJC11LaUVG21 UI ulv Vuunly UI OUlle w enter Upon me above-mentioned property for inspection purposes. X�� t6 - /� "Z 114 Date Signature of Permitee or f Receipt No. White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant N 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. DIRECTOR0F)PUBLIC WORKS By Date -77 Bu ding permit expires Date _-moi'-7,f MOBILEHOME SUPPORT DATA Mobilehome Mfr. // k IV- Setup Model No. Q? 10'0 Year . Width,(ft.) Length .. �. y (ft.) - Expando Size �ft.x �` ft. (Draw support details below).. On all mobilehomes manufactured after October 7, 1973,.furnish manufacturer's installation manual and structural setup sheets .(if. not .on .file with the County, of Butte) . Sin le =�; i 0 ��1/ n Footings--(check.one; \` ro Wood :either . . pressure treated pre or Center Center S port fdn."grade.:: Support Foot' Sizes tocationsl n.) �.. /� 2. Concrete pad. x / / S.:Other, specify Supports (check one; 1. Concrete block �. --��.. 2. Concrete piers ft -(in (in.) 3. Steel piers. �. 4. Other, specify .... ...... Typical Support �q x3"5* Footing Size ME. in. (in.) in.) }' Max. Pier .- ... . Spacing in. .) Overhang BUTTE COUNTY *If center piers are other than drawn above, BUILDING DEPARTMENT draw in locations, spacing, and dimensions. APPROVED 1 BUTTE COUNTY DEPARM1ENT OF PUBLIC WORKS 7 County Center Drive, Oroville, CA. PHONE: 534-4541 MOBILEHOME INSTALLATION SHEET 1. Owner's name: 2. Installer's name: P 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 Wit. away from septic tank and leach fields and clear of all setbacks and easements? Yes L70 (If no, clarify _ ) 5. What is the mobilehome electrical rating? ----------------------- d D Amps 6. What is the mobilehome site service rating? --------------------- ` � D Amps 7. What is the mobilehome site circuit breaker. rating? --------•----- Amps 8. • Is there any other electric load to be se:r<.red lby the mobil.ebome site service? ----------------- ----------------- •------------------- Yes / / No (If yes, identify the load and size: (Load) (Amps) 9. What is the mobilehome site gas pipe size? ---------------------- YY— (in.) 10. What is the type of gas service? ------------------------------- Natural /* / LPG / / 11. What is the gas pipe length from, meE:er or, tank to the mobilehome? _y� (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.) e�wl�s Rd��s q,Pt� 13-zl-t7 y3�,2SiK', Sep is system c�acUoce� Butt CounHealth Dept. Rer qu+r merits. 360 v 4 h v 6A ° 0 ;4 soot. ri% All/utility Gonne :tions located. within 4 ff. outside helrear third section of the mobile home on the left (road) side of the mobile home. D 1• NOTE:—All Materials & Workmanship Shall Be iff Accordance with Recognized Good Practices and of a quality prescribed for the Specified use in the Uniform Building, Plumbing & Mechanical Codes and the National Electrical Code. ('his set of plans and spe 'Jo. MUST be kept on the job at all times fl d o 'sameaw without malhe any ch�angzs or,alterat wri' den permission from the Department of Pub- lic works, County of Butte.t A permit will a required for the installation o the mobilehome. StQT'le The . Setback shall be 5 ft. from the side property line and 50 ft. from the centerline of the road, permitting a maxi- mum of a 2 ft. eave overhang but entirely �' out of all easements. BUTTE COUNTY BUILDING DEPARTMENT APPROVED \0 t 0�0 11