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078-050-021
� t Dig_ DSD Risdon W. Smith ' �/7� Z �a /. ' r 6313 L'ncoln.Bly Orovil e Per t #1060-78P,E t�J ) ELEC. GAS a ., S PPORT a ji STRUC.roTUwK. E RQ _E.,Q, . ACI rmitC�TQNTEST_RE Pe1810-781FiI /VLIO b --,-- �' Issued— F ' B06 2681''`- ��-' .-w � 078-050-02.1 ,- 4,MISCELLANEOUS _. Electric Paiiel NEW ELECTRIC PANEUPGRADE`",- • 46 ODIE W4EI�179,8-1 ,• BOLANOS,-ELUIRA p ozl �M'. Ez �,A Sownawl � a�.t n , BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT 24 HOUR INSPECTION #:(530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO) OFFICE #:(530) 538-7541 FAX#: (530) 538-2140 WEBSITE: www.buttecounty.net\dds PROJECT INFORMATION Site Address: 46 ODIE WAY Owner: Permit No: B06-2681 APN: 078-050-021 BOLANOS, ROBERTO & ELVIR Issued Date: 11/20/2006 By KEJ Permit type: MISCELLANEOUS 46 ODIE WAY Subtype: Electric Panel OROVILLE, CA 95966 Expiration Date: 11/20/2007 Description: NEW ELECTRIC PANEL UPGRADI (530) 533-4253 Occupancy: Zoning: Ml Contractor Applicant: Square Footage: BOLANOS, ROBERTO & ELV Building Garage Remdl/Addn 46 ODIE WAY OROVILLE, CA 95966 Other Porch/Patio Total (530)533-4253 FEE INFORMATION Single Phase Service - Res $55.00 OFFIC COY Bldg Permit: �� (p B I Address; [ GAS By: Total Charged: $55.00 Fees Paid: $55.00 [ Balance Due: $0.00 Receipt No: B912 Electric By: _ + (�:� Date:81_ ,ON OWNER /BUILDER DECLARATION Contr,- T — y _w - .lass / Expires ~ I HEREBY AFFIRM UNDER PENALTY OF PERJURY that I am exempt from the Contractor's License / / Law for the following reason (Sec. 7031.5), Business and Professions Code: Any city or county that requires a permit to construct, alter, improve, demolish, or repair any structure prior to its issuance, I HEREBY AFFIRM UNDER PENALTY OF PERJURY that 1 am licensed under provisions of Chapter 9 also requires the applicant for such permit to file a signed statement that he or she is licensed (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license pursuant to the provisions of the Contractors License Law [Chapter 9 (commencing with Section 7000) is in full force and effect. of Division 3 of the Business and Professions Code] or that he or she is exempt therefrom and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects X 11/20/2006 the applicant to a civil penalty of not more than five hundred dollars [$500]; Contractor's Signature Date Please check one of the following: I, AS OWNER OF THE PROPERTY, OR MY EMPLOYEES WITH WAGES AS THEIR SOLE WORKERS' COMPENSATION DECLARATION COMPENSATION, WILL DO THE WORK, AND THE STRUCTURE IS NOT INTENDED OR OFFERED FOR SALE (Sec. 7044, Business and Professions Code: The Contractors License I HEREBY AFFIRM UNDER PENALTY OF PERJURY one of the following declarations: Law does not apply to an owner of the property, who builds or improves thereon, and who does the work himself or herself or through his or her own employees, provided that such improvements ❑I HAVE AND WILL MAINTAIN A CERTIFICATE OF CONSENT TO SELF -INSURE FOR are not intended or offered for sale. If, however, the building or improvement is sold within one WORKERS' COMPENSATION, as provided for by Section 3700 of the Labor Code, for the year of completion, the owner -builder will have the burden of proof that he or she did not build or performance of the work for which this permit is issued. improve for the purpose of sale.). I HAVE AND WILL MAINTAIN WORKER'S COMPENSATION INSURANCE, as required by E] 1, AS OWNER OF THE PROPERTY, AM EXCLUSIVELY CONTRACTING WITH LICENSED CONTRACTORS TO CONSTRUCT THE PROJECT (Sec. 7044, Business and Provessions Code: Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. The Contractors License Law dows not apply to an owner of the property who builds or improves My Workers' Compensation insurance carrier and policy number are; thereon, and who contracts for the projects with a contractor(s) licensed pursuant to the Contractors License Law.). Carrier: Policy Number: Exp. Date: (This section need not be completed if the permit is or one a hundred dollars ($100) or less. ❑ I AM EXEMPT under Section B. & P.C. for this reason: 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 Workers' Compensation laws of California, and agree that if I should become subject to the workers' X 11/20/2006 compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those • provisions. Owner's Signature Date X 11/20/2006 '' I hereby certify that I have read this application and slate that the above information is correct. I agree Signature Date to comply with all City and County ordinances, rules, regulations, and Slate laws relating to building WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, construction, and with any and all conditions of permit. I agree to defend, indemnify, and hold harmless Butte County, its officers, agents and employees from any and all claims and liability for personal AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE injury, including death, and property damage caused by, arising out of, or in any way connected with HUNDRED THOUSAND DOLLARS ($100,000), IN ADDITION TO THE COST OF COMPENSATION, the issuance of this permit. I hereby acknowledge that issuance of this permit does not authorize the DAMAGES AS PROVIDED FOR INSECTION 3706 OF THE LABOR CODE, INTEREST AND use or occupancy of any sidewalk, street, or subsidewalk. I hereby authorize representatives of Butte ATTORNEY'S FEES. County to enter the above mentioned property for inspection purposes. I hereby certify that I am the CONSTRUCTION LENDING AGENCY property owner or am authorized to act on the property owners behalf. 11/20/2006 1 HEREBY AFFIRM UNDER PENALTY OF PERJURY that there is a construction lending agency for Name of Permittee [SIGN] Print Date the performance of the work for which this permit is issued. (3097 civ. code) t Owner Contractor OR. Agent for Owner Agent for Contractor Lender's Address city State Zip —INSP TOR COPY COUNTY OF BUTTE BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES 7 County Center Drive • Oroville, CA • (530) 538-7541 CORRECTION NOTICE OWNER PERMIT NO. A routine inspection indicates that the following violations of Butte County Ordinances exist at the above address and should be corrected. Please call for re -inspection when correction of work is completed. If you have any questions pertaining to this matter, or need additional explanation, please contact the Building Inspector as indicated below. Date !A D' O(D Inspector REV 4/05 Phone # 5 3 X - T 61 `7 FOR RE -INSPECTION CALL: 538-7636 OR 891-2834 BUTTE COUNTY - • •r DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT 24 HOUR INSPECTION #:(530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO) OFFICE #:(530) 538-7541 FAX#: (530) 538-2140 WEBSITE: www.buttecounty.net\dds PROJECT INFORMATION Site Address: 46 ODIE WAY Owner: Permit No: B06-2681 APN: 078-050-021 BOLANOS, ROBERTO & ELVI Issued Date: 11/20/2006 By KEJ Permit type: MISCELLANEOUS 46 ODIE WAY Subtype: Electric Panel OROVILLE, CA 95966 Expiration Date: 11/20/2007 Description: NEW ELECTRIC PANEL UPGRADI (530) 533-4253 Occupancy: Zoning: MI Contractor Applicant: Square Footage: BOLANOS, ROBERTO & ELV Building Garage Remdl/Addn 46 ODIE WAY OROVILLE, CA 95966 Other Porch/Patio Total (530)533-4253 FEE INFORMATION Single Phase Service - Res $55.00 Total Charged: $55.00 Fees Paid: $55.00 Balance Due: $0.00 Receipt No: B912 LICENSED CONTRACTOR'S DECLARATION OWNER / BUILDER DECLARATION Contractor (Name) State Contractors License No. / Class / Expires I HEREBY AFFIRM UNDER PENALTY OF PERJURY that I am exempt from the Contractor's License Law for the following reason (Sec. 7031.5), Business and Professions Code: Any city or county that requires a permit to construct, alter, improve, demolish, or repair any structure prior to its issuance, also requires the applicant for such permit to file a signed statement that he or she is licensed 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 Pursuant to the provisions of the Contractor's License Law [Chapter 9 (commencing with Section 7000) is in full force and effect. of Division 3 of the Business and Professions Code) or that he or she is exempt therefrom and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects X 11/20/2006 the applicant to a civil penalty of not more than five hundred dollars ($500); PPIleas/e�check one of the following: Contractor's Signature Date (/ XI, AS OWNER OF THE PROPERTY, OR MY EMPLOYEES WITH WAGES AS THEIR SOLE l�J COMPENSATION, WILL DO THE WORK AND THE STRUCTURE IS NOT INTENDED OR WORKERS' COMPENSATION DECLARATION OFFERED FOR SALE (Sec. 7044, Business and Professions Code: The Contractor's License Law does not apply to an owner of the property, who builds or improves thereon, and who does I HEREBY AFFIRM UNDER PENALTY OF PERJURY one of the following declarations: the work himself or herself or through his or her own employees, provided that such improvements ❑I HAVE AND WILL MAINTAIN A CERTIFICATE OF CONSENT TO SELF -INSURE FOR are not intended or offered for sale. If, however, the building or improvement is sold within one WORKERS' COMPENSATION, as provided for by Section 3700 of the Labor Code, for the year of completion, the owner -builder will have the burden of proof that he or she did not build or performance of the work for which this permit is issued. improve for the purpose of sale.). HAVE AND WILL MAINTAIN WORKER'S COMPENSATION INSURANCE, ❑ I, AS OWNER OF THE PROPERTY, AM EXCLUSIVELY CONTRACTING WITH LICENSED ❑I as required by CONTRACTORS TO CONSTRUCT THE PROJECT (Sec. 7044, Business and Provessions Code: Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. The Contractor's License Law dows not apply to an owner of the property who builds or improves My Workers' Compensation insurance carrier and policy number are; thereon, and who contracts for the projects with a contractor(s) licensed pursuant to the Contractor's License Law.). Carrier: Policy Number. Exp. Date: (This section need not be competed if the permit is oror on�llars ($100) or less. ❑ I AM EXEMPT under Section B. & P.C. for this reason: CERTIFY THAT IN THE PERFORMANCE OF THE WORK FOR WHICH THIS PERMIT IS 4I1compensation 101 ASSUED, I shall not employ any person in any manner so as to become subject to the Workers' laws of California, and agree that if I should become subject to the workers' 11/20/2006 Z. compensatio rovisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions Owne s Signa u e Date X /20/2006 I hereby certify that I have read this application and state that the above information is correct. I agree to comply with all City and County ordinances, rules, regulations, and State laws relating to building Signature Date WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, construction, and with any and all conditions of permit. I agree to defend, indemnify, and hold harmless Butte County, its officers, agents and employees from any and all claims and liability for personal AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE a injury, including death, and property damage caused arising out of, in any way connected with HUNDRED THOUSAND DOLLARS 5100,000 , IN ADDITION TO THE COST OF COMPENSATION, ( ) t is the issuance of this permit. I hereby acknowledge that issuance of this permit does not authorize the a DAMAGES AS PROVIDED FOR INSECTION 3706 OF THE LABOR CODE, INTEREST AND use or occupancy of any sidewalk, street, or subsidewalk. I hereby authorize representatives of Butte ATTORNEYS FEES. Cou enter thea ve mentioned property for inspe I h reby certify that I am the o erora ut 42 d •act on the props ehalf. CONSTRUCTION LENDING AGENCY �nposes. 11/20/2006 I HEREBY AFFIRM UNDER PENALTY OF PERJURY that there is a construction lending agency for Na e I Print Date the performance of the work for which this permit is issued. (3097 civ. code) tOwner ❑ Contractor OR. Agent for Owner Agent for Contractor FILE COPY Lender's Address City State Zip Butte County Department of Development Services TIM SNELLINGS, DIRECTOR I PETE CALARCO, ASSISTANT DIRECTOR 7 County Center Drive Oroville, CA 75965 (530) 538-7601 Telephone (530) 538-7785 Fax www.buttecounty.net/dds OWNER -BUILDER INFORMATION An application for a building permit has been submitted in your name listing yourself as the builder of the property improvements specified. For your protection you should be aware that as "owner -builder" you are the responsible party of record on such a permit. Building permits are not required to be signed by property owners unless they are personally performing their own work. If your work is being performed by someone other than yourself, you may protect yourself from possible liability if that person applies for the proper permit in his or her name. Contractors are required by law to be licensed and bonded by the State of California and to have a business license from the city or county. They are also required by law to put their license number on all permits for which they apply. If you plan to do your own work, with the exception of various trades that you plan to subcontract, you should be aware of the following information for your benefit and protection: ° If you employ or otherwise engage any persons other than your immediate family, and the work (including materials and other costs) is $500 or more for the entire project and such persons are not licensed as contractors or subcontractors, then you may be an employer. ° If you are an employer, you must register with the state and federal government as an employer and you are subject to several obligations including state and federal ° income tax withholding, federal social security taxes, workers/ compensation insurance, disability insurance costs, and unemployment compensation contributions. There may be financial risks to you if you do not carry out these obligations, and these risks are especially serious with respect to workers' compensation insurance. ° For more specific information about your obligations under federal law, contact the Internal Revenue Service (and, if you wish, the U.S. Small business Administration). For more specific information about your obligations unders state law, contact the Department of Benerit Payments and the Division of Industrial Accidents. If the structure is intended for sale, property owners who are not licensed contractors are allowed to perform thier work personally or through thier own employees, without a license contractor or subcontractor, only under limited conditions. A frequent practice of unlicensed persons prefessing to be contractor is to secure an "owner -builder" building permit, erroneously implying that the property owner is providing his or her own labor and material personally. Building permits are not requir3ed to be signed by property owners unless they are performing their own work personally. Information about licensed contractors may be obtained by contacting the Contractors' State License Board's automated telephone information system at 1-800-321 PLEASE COMPLETE AND RETURN THE ENCLOSED OWNER -BUILDER VERIFICATION FORM SO THAT WE CAN CONFIRM THAT YOU ARE AWARE OF THESE MATTERS. THE BUILDING PERMIT WILL NOT BE ISSUED UNTILL THE VERIFICATION IS RETURNED. OWNER BUILDER VERIFICATION PLEASE COMPLETE THIS FORM AS REQUIRED BY THE STATE OF CALIFORNIA (SENATE BILL NO. 831 EFFECTIVE JULY 1, 1980). NO BUILDING PERMIT WILL BE ISSUED UNTIL THIS VERIFICATION IS RECEIVED. 1. I PERSONALLY PAN PROVIDE THE MAJOR LABOR AND MATERIALS FOR CONSTRUCTION OF THE PROPOSED PROPERTY IMPROVEMENT. YE R NO) 2. I (HAV /HAVE NOT) SIGNED AN APPLICATION FOR A BUILDING PERMIT FOR THE PROPOSED WORK. 3. I HAVE CONTRACTED WITH THE FOLLOWING PERSON (FIRM) TO PROVIDE THE PROPOSED CONSTRUCTION: NAME ADDRESS CITY PHONE CONTRACTORS LICENSE NO_ 4. I PLAN TO PROVIDE PORTIONS OF THE WORK, BUT I HAVE HIRED THE FOLLOWING PERSON TO COORDINATE, SUPERVISE, AND PROVIDE THE MAJOR WORK: ADDRESS CITY PHONE CONTRACTORS LICENSE NO_ 5. I WILL PROVIDE SOME OF THE WORK BUT I HAVE CONTRACTED (HIRED) THE FOLLOWING PERSONS TO PROVIDE THE WORK INDICATED: NAME ADDRESS PHONE TYPE OF WORK Description: NEW ELECTRIC PANEL UPGRADE Reference Number: B06-2681 Applicant Name: BOLAN%Zzz 0 Signature of Property Owner: Date: zl �zo, BUTTE COUNTY 'DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT APPLICATION AND SUBMITTAL REQUIREMENTS OFFICE #: (530) 538-7541 FAX #: (530) 538-2140 A FEE WILL BE REQUIRED AT TIME OF APPLICA TION Website: www.buttecounty.net/dds "PLEASE PRINT CLEARLY" — OWNER INFORMATION ast Naejkt , Na t-� M iling Address W G CityJ ; ` State State ZiPITp Phone53 L4 aE-mail Fax Date Approved: I.ic. # — O.I�LT_ CTOR Name U� , Address City \ State Zip Phone 5 Fax E-mail Date Approved: I.ic. # Class — ARCHITECT/ENGINEER Name , Address City \ ate Zip Phone 5 Fax E-mail Date Approved: State License Number — —APPLICANT INFORMATION Name Flood Zone SRA I Yes No Address Ci `--ov k \ S �5 one _ 5 Fax E-mail Date Approved: i For office use only: AP# g_ 0 - _ ©v2_1 Zoning Flood Zone SRA I Yes No Occ. Type Const. Subdivision Name Carrier Map Book Page Lot # Planner Date Approved: PERMIT NO. b C,,� BIN # PROJECT LOCATION AP# g_ 0 - _ ©v2_1 Property Addre Tqity , ross Street V WORKER'S COMPENSATION Policy Number Carrier If hiring anyone other than license contractors, a certificate of worker's compensation must be shown at the time of permit issuance. LENDING AGENCY Name Address Description or Scope of Work: COY-\ M Sq FT- Living Garage en Cov ❑ . Structure Built without Permits. ❑ Proposed Change of Occupancy (Note previous use): EXPIRATION OF APPLICATION Applications for which a permit has not been issued will expire one year after the date of application. In order to renew action on an application after expiration, a new application, plans and fee will be REQUEST FOR REFUNDS Refunds can only be made upon written request by the person who paid the fee. The request must be made prior to the expiration of the permit and no construction work has been done. Filing fees, plan check fees for work plan checked and other department costs are not refundable. Received by: Amount: Receipt #: SRA Sheriff Date) Other Total M PERM9T NO. 1060-787. E: PERMIT EXPIRES OWNER Risdon W. Smith CONTR. own r LOCATION (A.P. 36-292-42 � T Lincoln Blvd., Oroville OL Mote 10 Temp. Power Pole Called PG&E Temp. Elkfc. Serv. Calh"ed PG&E Tem .Gas Serv. Called PG&E EsI FOI ALED —7 7 (Date) (Signature) COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS BUILDING INSPECTION RECORD BUILDING A BUILDING (Cont'd) PLUMBING Setb k rewall S'*Ojl Piping Forms Pa)opets Xt Floor Main dg. Res om Finish 2n't Floor Footi s Windo 3rd Xloor Stemwa Siding To out Slab Roof Shealking Water Pip g Piers Roofing Sewer Garage Fdn. Vents Fixtures Footings Garage Vents Water Htr. Stemwa I I Insulation Heaters Slab Carport Footings Prov. for physically handicapped Conformance of ex. structure Appliances Gas Piping & Test Temp. Gas Slab Final Sanitation Patio REPL CE Final Footings Footing Jr OLECTRI&AL Reinf. Steell N I Final I N I Fixtures Bond Bea IRE SPRINKLERS I Motors Stucco Final Subpanell Mesh MECHANICAL Gird. Fa6lt Prot. Scr ch Heati ServI94 B n Coo ng T mp. Pole nish D is nder round 1 erior Lath ntilation Permanent oor Closer InalfFinal MOBILEHOME UTILITIES - - - - - - - - - - - - Elec. Service Elec . Pedestal Water Piping Sewer Gas Piping E ME INSTALLATION - - - - - - - - - - - - - - Water Piping =, 4 r� Support — Drainage U� — '� Elec. Continuity Gas Piping DATE REMARKS OR CORRECTIONS -d.�4K -a�-- 3 T 14 (NOTE: An entry must be made on this form each time you visit the job site.) V 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 fornia ministrative Code, Title 25, Chapter 5, under permit n/u�mber fo/r the following h� I � I,1V-1rq, h 1� ) ✓ d R Owner rj I kn PVINAUS Owner's Address. 6-1 //-3 Li 'VI1 Ce' h 1/ Mobilehome Mfg. ,A ad e -le Model Year Insignia No.I-S FZL, i � )C(0 1 t kl2 Serial No. It is hereby certified for occupancy at the above described location and may be occupied. Director of Public Works, Date�J� 7 By THIS CERTIFICATE IS VOID WHEN MOBILEHOME IS MLOCATED White - Owner, Yellow - Installer, Pink - D.P.W. It t 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 Californiministrative Code, Title 25, Chapter 5, under permit numberN/0-4 for the 'followine,location: Owner ^� � Owner's Address � ��`'� LI h r,, h 1rS 1,u J Mobilehome Mfg. kzyd pAA:►P Model Y Year $~ Insignia NoAr/_ 1 1 5� )( (jJ I I k I _)1 Serial No. It is hereby certified for occupancy at the above described location an`d may be occupied. Director of Public Works Date 4_S_ W By. 0, THIS CERTIFICATE IS VOID WHEN MOBILEHOME IS RELOCATED White -Owner, Yellow.- Installer, Pink - D.P.W. V COUNTY OF BUTTE :DEPARTMENT OF PUBLIC WORKS 7 COUNTY CENTER DRIVE OROVILLE, CALIF. - 534-4541 CERTIFICATE OF OCCUPANCY This mobilehome has been installed in accordance with the requirements of the California Administrative Code, Title 25, Chapter 5, under permit number IX I17' ") V for the following %location: dR Owner I R r a �`� a. / C` Owner's Address 12S/�/3 Mobilehome Mfg. Model Year t, Insignia No.1- Serial No. It is hereby certified for occupancy at the above described location and may be occupied. ;t Director off Public Works ! Date `� • -- _% Q THIS CERTIFICATE IS VOID WHEN MOBILEHOME IS RELOCATED o White - Owner, Yellow - Installer, Pink - D.P.W. MOBILEHOME INSTALLATION INSPECTION CHECK LIST 15 t 1. Is the mobilehome located with y-equired 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= 3. Are footings and supports properly sized, spaced, and braced as per approved plans? (Note possible variation at spring shackles.) (Sec. 5082 & 5083) Yes /!fo- 4. Is the mobilehome level? (Sec. 5088) Yes Z_ o_ 5. Ifmo e -than a single unit, are crossover connections properly installed? (Sec. 5088) Yes No 6. Water A. Is flex�'.ble connector of adequate size and properly installed (1/2" ID min.)? (Sec. 5566) Yes No B. Test - Does water piping withstand work' g pressure or 50 lbs. air test? Yes�No C. Backflow - If coach is not State fornia approved, does station have backflow device and pressure -relief valve? Yes o 7. Wastes and Drains , � A. Is connection made with Schedule 40 DWV and have flex connectors at each end? Yes v No— B. Does it have minimum " per foot slope and is it properly supported? Yes VNo C. Are'any leaks detected in drainage system after running 3- lions of water through each fixture inclu ing washing machine standpipe? Yes— No D. If coach i t State of California approved, does station have required trap and vent? Yes 8. Gas Piping and Gas Vents -t% 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 l=east as large as the mobille�ho a gas line inlet without reductions other than the mobilehome connector. Yes leo B. Test OK as per following procedure? Yes,— No — 1. Open all appliance connector valves. 2. Shut off appliance burner and pilot valves. 0 3. 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. Connect gas meter to mobilehome 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 190 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? Yes No_ D. Is continuity test satisfactory as per the following procedure? Yes 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 theelectrical 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. MOBILEHOME DATA Y Manufacturer and/or Namest le til Length Width State Identif-fc-ati,6n No. Additional Information or Comments: �r COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 �y Telephone: 534-4641 APPLICATION AND PERMIT auinorize representatives of the County of butte to enter upon the above-mentioned property for ins ection purposes. X - Date ignatur of`Permitee or Agent Receipt No. White-D.P.W. - Yellow -Assessor - Pink -Inspector - Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been DIRECTOR OFi'PUBLIC WORKS i Iding permit expires Date BUILDING Owner �� SQ. FT. OCC. BUILDING VALUATION Mailing Address Telephone No. 5213-1-36 Contractor Mailing Address Fireplace Total Valuation Telephone No. Permit Fee ^GO Building Addresses 5 Plan Checking Fee &/orPenalty Permit Fee r J PLUMBING No. @ FEE r �1� PERMIT FILING FEE $3.00 Each Trap 1.50 Zoning Verificatiop O Repair drainage or vent piping 1.50 /Water A. P. No.a 2 — 1 Z In piping 1.50 6.e2 Each gas water heater or vent 1.50 F SqoWn I Fire Dept. Fire Zone Use Permit Gas piping system 1 - 5 outlets 1.50 EDA Parking Plans Parcel Declaration Parcel Map 60' R/W Improvements Each additional outlet .30 Building sewer 5.00 .Q Bldg. P eed I Parcel Approval Plans Approval Lawn sprinkler system 2.00 NEW ❑ ADDITION ❑ UTILITIEStK OTHER ❑ permit Fee $ — ELECTRICAL No.1 @ FEE PERMIT FILING FEE $3.005-0 Main service 10000 AMP ORV OR SLESS 5.00 Single Family ❑ Duplex ❑ Mobil Home JZ Others ❑ Main service EA. ADD•L 100 AMP 2.50 OVER Main service OVER eoov LESS 25.00 AMP OR Main service EA. ADD•L 100 AMP 1.00 NEW OR ADDNST ACCLBL GS.CCUP. �� 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 BRANCH CIR T NON -REBID BRANCH CIRCUITS 2.5Oea NEWCONSTR POWER APPARATUS 8 NON -RESID. SINGLE OUTLET CIR. Ex. Occup(OUTLETS OR FIXTURES)B L@; 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 1100 I am exempt from the Contractors License Laws of the State of California. Permit Fee $ 61-u $ a-& IS -i 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. . j� I certify that in the performance of the work for which this Jam+ 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 $ —r TOTAL PERMIT FEE $ auinorize representatives of the County of butte to enter upon the above-mentioned property for ins ection purposes. X - Date ignatur of`Permitee or Agent Receipt No. White-D.P.W. - Yellow -Assessor - Pink -Inspector - Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been DIRECTOR OFi'PUBLIC WORKS i Iding permit expires Date this set of plans and specitications MINT oa tept on the job at all tim s and it is unlawful tc make any chi nges or alter.,;; ;ns on same without `► written permisson from the Department of Public Works, County of Butte. PC-( h 1r-&- / 0 rte /a 60 - 7 � BUTTE COUNTY BUILDING DEPARTMEN`f APPROVEE) +.r.rrr,Y�.. - �...'�..wYI�MIM..r+sw.ed'wYW.M.^+�M,M.R'M....m..MF+.Mr.s.M..Msw+f+.MF+M�i�..•�+.rwwWM,+aY.., 1 S do,� _t _ , -._ _, - , ; _ -- M�15 ft. from the The B*• Setback shall. be the -+ e t. P 'c system and I ' � ocation gide li-,e and S'3 i�. from i 1 Fes' ' Ii! i'irlg ' of the rc:uc, _ i be per I c.,tte County Health ce[�ce� „I;e rl".ui:i c,r a ` R. ea v` °"erhar,g but entirely Deptto . qu i remen ts: out of all easements. �41 All utility connections shall be , located within 4 ft. o�rtside the rear third section of the mobile home - on the left (road) side of the mobile' home. 1�ti t" J Xr'/ A per;.'. wi I be required for the installation of the mobilehome. NOTE:—All !vloterials & Workmanship Shnll Be, in Accordance . w;;'1 Rorrnn,;-FPA G - A Pr-�+;ces rind of a quolitv ". -SII, 70.zir•;T!S GSPin the Uniform Building, Nurn�iin & ,Mechanical Codes and (' the National Electrical Code. this set of plans and specitications MINT oa tept on the job at all tim s and it is unlawful tc make any chi nges or alter.,;; ;ns on same without `► written permisson from the Department of Public Works, County of Butte. PC-( h 1r-&- / 0 rte /a 60 - 7 � BUTTE COUNTY BUILDING DEPARTMEN`f APPROVEE) +.r.rrr,Y�.. - �...'�..wYI�MIM..r+sw.ed'wYW.M.^+�M,M.R'M....m..MF+.Mr.s.M..Msw+f+.MF+M�i�..•�+.rwwWM,+aY.., t�fI �V ' t I- ,- I-,- f cry* 14 •% A� �+"••,� .Y .,•, �s t ',' ; 1 - 1 '.'t_y • t, ! , !� M ryL<`., ��• tf Tf ., '`� 'z r't tr �, , . ;c• `�'R ! , ^. F , :11`. .. t:' _ '_ t:T � .� c.Y��J .�' L 1iU,! h7s�4..f�fV ux " «'. f' . f- • OFF;CIAL �� ,Q Jf .1' .1. ,.f,.`�, CERT Qg"'COMPLIANCE R' n +`� ,` r' : ?e#„t 4” : '� S�e��.:' E 11 eBabb , F,, � r y �� ` f u n Marie B L y �`� `'�� ,. i6MYf..'F !' ,la ,�lA�tr _ 4• ..t. O ebb = a ••..•.. t.t .' �' r. P . .- So x 21 2 . Palermo, CA 9596$ 3g x j � <7''?> .. .'yl let it ti' , .fes. .i. fit. •, r ^ , - ' , , t[ f. 1 ��Y~ t+►icyytttiuS74�fnLrftF.tTO/��G�.fpS" rfiyti;• Pw �k f"�it1k ` ti .ria R y ikv , •. . i. ; - A/ l RECa� D' j •;tt' ,W '`�� .i�� •1 rs 5i xr•`Ft^�.S, .• t .^� r •.i •�,. r '. .�rr `i, �`•• . sA'e, f ' Y;+ rtifica,teE: o f', Co liar` e .; r ' :, ,,��+ he ' ,�, n. , r mP is. r+e.. is'suerl<: by' -the Cot€ ,'�' . s t t,t+ti.z} �, r , f�. that the Und div elan whicia c .. .. �` . rea.ted: that below. ciom Ties w p-10rovis -' �` y� ,�� �,.,�� - �� , � • 'r. � P with a RYicable.•• i of rtk��.• st, r r t ' wi' + s, i , : :n4'. s • . r •1 t y�' .} 419# ' .F �fi. BnFt ti : Qjate� L Of +this' sat_td, t Lpn�i • ro e Inca io de of Palermo Road south µ „t, ti U v.,. , P rt5'` t n: e a s i side s arf, 'ippn7te�trs�e^cton with Ifu.se Roa.d,� Palermo r: AP 364942 41 J,r T W, bt i�tion' A�.�:' that certain crop 4 arty Yocated --in the Co inty ti ti •,�. t is; . , •, Of Scute, State of California cola ;a •� ;i :; t ` ' detecribed affi 'follows . more Parti rid;, R� 'of S.ec.— T•19R. -R4 E, ' and'�bein fdl-Ta ,= FiDBbM,� described , ,tom•.` Y Jx "' cln'j'' � tC Ahe kW corner of''the •SW4 of the SEJ, of said Sec 32 arrd Itq,IAT t t4.rrce S ° 02'• W., a.- dts,tance of 14 ft.. to the trtd t;. e point of,, ; ti t? ' -a .the:'pa�r-cel 4f lend described herein; thence from said � tx'f.b-eginning" continue S 00 02' W. a distance of 16 ft N 886 30' E, a distance of 5 73.0Ei'�ft. to a p®int; AAWt�e.nce $ 00 02'' W, a distance of 209.85 ft, to a point in the north ,•„ ��' , Re af` a' pArGel- of la�n.d described in a Deed recorded September 14-,! � ;�; ' ;9 Z t. F'Bdb;tc '. 2Oa' :f• Offi�fal Records, 'at page 3.69,• thence N 880 301 =,al pt,# �tarth 1 ine 'therabf, a distance of 10.7:'Oa ft-, 'ti + ° r::�•rt�'t'he�. �es'��J,�:ne o€_ a .'ta a point . • , ' ,x �;. •,; ,.^ parcel of land described in a Deed, recorded. ; rY' bs lr9�$ �:in`,sof",495�of'Offfci'aT Records a . ' a t V&a e• 40t; •thence ; tl on .g,'.tt�e`} gzErrdar •'line of,'said..pa:rcel of land,, t!ae foilowing, two`course's`,M_ "° J N 2g5 $5 ft to an angle • g paint therein and''.'21' Gest k` �M s c ce;;af.�630 -ft. to , the true poi nt- of begi nnt,n vane` f' certificat 9..., k �f. :o this e• ,is eonditio�ra1:npo:Y the full w , #�n�'d,�gzcT.itixs t�hich have a #� w ,. ben imposed pursuant to. Butte County Code, . dr•:48 !and. Govrnm-nt ,Codd, Suction 66499, 35 • , r r ate t' ;fi40. public health and public safety. I - . , , - , 1 - . . -'. - -., . ..--�!�t..� , . . - �, - , 1, %-.... , , . . - -.--�.,�;-�.,-..;*.*: ,i; , - .. - � -, : ,�,_- � , . . . 1. 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" . . . ...: .-,. m- - � � .:,!* -- - , . . . . ... . � ., . . .i:'. MI=LTS REGULARLY ON THE FIRST FOUR THURSDAYS OF EACH MONTH .. --..- : ,:7�'.,* � , . - - - , ,-:-,- •Wy..>,rM;�r.raau..a:r:.,y�a.3.... rr....w..— _—....u._..-�.�..._.r.............•_�.�......��...____.... ._. �... ..... _. ; 0 7 f .r• 1 COUNTY OF BUTTE M f'LAtrRIMG C OMM, ISS 10"1 tr} �, 7 County Center Drive 0rovi 11 e, CA 95065 :ate.; Novem6e, r--19, 1976. t, MIN yil f a�E Babb Box 2 i .2r{L t4\�Ir+.`� , Jf r < 1 .•Y; t r 1 '� dr xt J �1 `(4�Yf tri�r4i*r 1 t i f t _! itJ�iti�sly^nl;:f , yt tic r r .i..� 4 J <�?•� f S YlY ii Tr x� "� A{,r y�a� 11• ..iii . u t _ y rt f r ; - x, •t: _ f . r+"�?<fi �6r l�. �lr ..��rP.,F4-., •.i'. �5� M1 - 7 r a� r i tom,, � M , .,,E ,• ,J.. ,, - : , � - . • -•'•: 1 �. �E4closea ':ptease rind a copy.Wit'the Certificaye tic Comp-1iioce<i�sned,: County Subdiw.ision. Committee , = Ylifhich idrecoroe r r. {'rf ��t nr. 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S r., '-,`}.ji t �, ..i 3TTC�,, S� I . t IJ ,7. .. .. • - t7,.. is tLf '4<. t rT V r' �r �Uu �� r r'i r • r7 -j ;y, t COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS - Z County. Center Drive — Oroville, California 95965 Telephone: 534-4541 APPLICATION AND PERMIT BUILDING Owner SQ. FT. OCC. BUILDING VALUATION Mailing Address w Telephone No. r Contractor Mailing Address Fireplace Total Valuation Telephone No. Permit Fee Building Address - 4 Plan Checking Fee&/or Penalty Permit Fee PLUMBING No. @ FEE PERMIT FILING FEE $3.00 Each Trap 1.50 Repair drainage or vent piping 1.50 A. P. No.�6 — r f Zoning 8 Planning Water piping 1.50 Each gas water heater or vent 1.50 FireDept. Fire Zone Use Permit Gas piping system 1 - 5 outlets 1.50 EQA Parking Plans Parcel Declaration Parcel Map 60' R/W Improvements Each additional outlet .30 Building sewer 5.00 Bldg. Plbrr,,f .c'd Parc rovol s Approval Lawn sprinkler system 2.00 NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER Permit Fee $ $ ELECTRICAL No.1 @ I FEE PERMIT FILING FEE J$3.00 Main service 600V OR LESS 100 AMP OR LESS 5•�� Single Family ❑ 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 CONTRACTORS LICENSE LAW NEW RESID, /BRANCH CIRCUITS) NEW CO ID l BRANCH CIRCUITS) 2.5_ _Oen NEW CONSTR. fPOWER APPARATUS 6 I am licensed under the provisions of Chapter 9, Div. 3, of the NON-RESID. SINGLE OUTLET CIR. State of California Business & Professions Code under the name Ex. Occup(OUTLETS OR FIXTURES aLOIC FIXED ALISIS style of: Ex. Occup. (OUT ETS P(RESID )REA) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 . Misc. Wiring 6.25 License No. Classification I am exempt from the Contractors License Laws of the State of California. Permit Fee $ . WORKMEN'S COMPENSATION INSURANCE MECHANICAL No@PERMIT FILING FEE $3.00 I am aware of the provisions of Section3700 of the California Labor Heating Code which re uires eve em to er t be ' s d a a' t b')I•lt q ry p y o Inup e gms I' lay for Workmen's Compensation. ❑I have placed on file with the County of Butte a certificate of Workmen's Compensation Insurance. Mv I certify that in the performance of the work for which this KU 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- entioned property for ins tion purposes. X Date Signature of Permitee or gent Receipt No. Z7 ,C& W White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant Coo I i Ventilation Hood 1 2.00 Permit Fee $ $ Land DeuWnoment Ege $ -- 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 F UBLIC WORKS By Date B(ding permit expires Date MOBILEHOME SUPPORT DATA � —�c If other than single wide, Mobilehome Mfr. & grle < < furnish Setup Model No. Year(P�5 Width(ft.) Box Length_ (ft j Tagalong or Expando Sizeft. x / G7 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.. .t Footings.(check one) Single ���/(� •'% Wood either pressure treated of S, foundation grade. x (ft.)(in:) (in.) (in.) 2,._ Other (specify) Center bupport Center su ort _ locat ons^ footing izes Supports (check one) E-1. Concrete block. x 2. Other (specify) (i /.) (in.) (--Tagalong or Expando,- show support details.. (ft.)(in. (in.) (in.) x .)(in.) ��,' (in.) (in.) (ft.)I (in.) x (in.)I (in.) *If center piers are other than drawn above, draw iii locations, spacing, and dimensions. /l"2- x✓a 8 -- Typical Support (in.) (in.) Footing Size 6 " -- Max. Pier Spacing (ft.)(in.) , "F'1. -- Max, Overhang (ft.)(in.) BUTTE COUNTY . BUILDING DEPARTMENI APPROVED 1. Owner's name: 2. Installer's name: BUTTE COUNTY DEPARTMENT OF PUBLIC WORKS 7 County Center Drive, Oroville, CA. PHONE: 534-4541 ,Z MOBILEHOME INSTALLATION SHEET 1 0� 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? ----------------------- / d a Amps 6. What is the mobilehome site service rating? ------------------=-- 2 Amps 7. What is the mobilehome site circuit breaker rating? ------------- / a 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: (Amps) (Load) (Amps) 9. What is the mobilehome site gas pipe size? ---------------------- (in.) 10. What is the type of gas service? ----------------------------- Natural / / LPG /c-4- 11. What is the gas pipe length from meter or tank to the mobilehome? �� (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.)- r -�