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HomeMy WebLinkAbout079-200-076Nar"ren Y!/Zfbryoose� 2641 Brou ham I�r! 7646 ,.,__ _ T>•_S .ik6 'Oroville Permit #570-79P(util. MPi ELEC .® GAS SUPPORT TRUCTURE REQ . COMPACTION TEST REQ. ------------- contrc Loyd's Elec. Oroville Permit��714-79E( 1 c. & and light/ r-MH�, /_ �-9 y WAYNE FIELDS I1 NEW OWNER— NQ v 2641 Brougham, Oroville Contr: Earle Towne, Paradise Permit#1752 �il� r Issued �( Permit #1783-80B(new covered decks & carports/MH) 'And/ A41 J P r 4 . P&MIT NO. 1783-80B.. PERMIT EXPIRES OWNER Wayne Fields' CONTR. OGPRe� 8-12-76 LOCATION (A.P. ) 2641 Brougham Dr., lot k, Carriage Manor, Oroville P F ' 4 f 'i i Temp. Power Pol ' Called PG& -E Temp. Elec.� erv. Called PG&E Temp. Ga Serv.' Called PG&E JOB j c I ALED (Date) . 011 i (Signal e) COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS BUILDING INSPECTION RECORD uoor closer I Final Final MOBILEHOME UTILITIES ---------•-------- Elec_ Service Elec. Pedestal Water Piping Sewer Gas Piping OBILEHOME INSTALLATION - - - - - - - - - - - - - - Support Elec. Continuity Water Piping Drainage Gas Piping DATE REMARKS OR CORRECTIONS (NOTE: An entry must be made on this form each time you visit the job site.) BM.DING,,,/ BUILDING (Cont'd) PLUMBING Setback Firewall Soil Piping Forms Parapets 1st Floor Main Bldg. Restroom Finish 2nd Floor Footings Windows 3rd Floor StemwalI Siding To out Slab Roof Sheathing Water Piping Piers Roofing Sewer Garage Fdn. Vents Fixtures Footings Stemwa I I Garage Vents Insulation Water Htr. Heaters Slab Carport Footin s Prov. for phsically handica ed Conformance of ex. u A Appliances Gas Piping & Test Temp. Gas Slab flnaC2l Sanitation Patio FIREISLA6E Final Footings Footing ELECTRICAL Masonry Walls Throat Rough Reinf. Steel Final Fixtures Bond Beam FIRE SPRINKLERS Motors Framing / Test Water Htr. Stucco Final Subpanels Mesh MECHANICAL Gird. Fault Prot. Scratch Heating Service Brown Cooling Temp. Pole Finish Ducts Underground Interior Lath vpntnatinn 0........... uoor closer I Final Final MOBILEHOME UTILITIES ---------•-------- Elec_ Service Elec. Pedestal Water Piping Sewer Gas Piping OBILEHOME INSTALLATION - - - - - - - - - - - - - - Support Elec. Continuity Water Piping Drainage Gas Piping DATE REMARKS OR CORRECTIONS (NOTE: An entry must be made on this form each time you visit the job site.) COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 f Telephxne: 53 4541 APPLICATION AND PERMIT aUUIVII&V lVPIOJCIRaIIVCA UI 1110 t,UUllly UI MUtle tU enter upon ine above-mentioned property for inspection purposes. X Date Signet a of Permitee�orr Age t Receipt No. 2L v7 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 0 PUBLIC WORKS BY Date_-�y-�� B ilding permit expires Date BUILDING Owner WAYM E Ft e LD 5 SQ. FT. BUILDING ATION © �CC. //�� O W hO/�) Mailing Address &4 ) 13 )Zr_) L)6?I-� AH 10� , -•1P— O V 1 L_� /' , 9 1�;q � 157 Tel e�hoge�o. 41oN Contractor d ee_ Mailing Address Fireplace Total Valuation 1 00 Telephone No. Permit Fee 52,00 Building Address -2&41 5P_00C-� 14A M ID's , Plan Checking Fee&/or Penalty (�j.D p Permit Fee .O oC PLUMBING No.1 @ FEE PERMIT FILING FEE $3.00 Each Trap 1.50 7� 4AE �hIJDp �e0 Repair drainage or vent piping 1.50 A. P. No. �� �� / �j ��%j Tonin Planning Water piping 1.50 Each gas water heater or vent 1.50 F6d's' I Melaaftiteti'm FireDept. Fire Zone Use Permit Gas piping system 1 - 5 outlets 1.50 EQA Parking Plans Parcel Declaration Parcel Ma P 60' R/W Improvements p ovements Each additional outlet .30 ildinE ewer 5.00 Bldg. PI ns Recd Parcel A royal Plans Approvol Lawn snkler system 2.00 NEW � ADDITION ❑ UTILI[:]TIES ❑ OTHER Permit Fee $ $ ')EULS C40'12,P0I S ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 Main service 600V OR LESS 100 AMP OR LESS 5•00 Single Family ❑ Duplex ❑ Mobil Home. Others ❑ Main service EA. ADD•L 100 AMP 2.50 OVER Main service OVER e 25.00 AMP OR LESS O Main service( EA. ADD'L 100 AMP 1.00 NEW CONSTDWELLING OR ADDNS. \ ACC. LDGS.CcuP. Y) 20sgft 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 MULTI-OUTL NON.RESI D, ( BRANCH CIRCET UITS) 2.50ea NEW CONSTR. (POWER APPARATUS 8 NON.RESID. SINGLE OUTLET CIR. Ex. OCCUD(OUTLETS OR FIXTURES) Ig L2; 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 =1 am 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. Elhave placed on file with the County of Butte a certificate of 'workmen's Compensation Insurance. I certify that in the performance of the work for which this permit is issued I shall not employ any person in any manner so as to become subject to the Workmen's Compensation Laws of California. @ MECHANICAL No. FEEPERMIT FILING FEE J$3.00 Heating Cooling Ventilation Hood 2.00 Permit Fee $ $ 1 certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby Land Development Fee $ TOTAL PERMIT FEE $ t� 4� lok aUUIVII&V lVPIOJCIRaIIVCA UI 1110 t,UUllly UI MUtle tU enter upon ine above-mentioned property for inspection purposes. X Date Signet a of Permitee�orr Age t Receipt No. 2L v7 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 0 PUBLIC WORKS BY Date_-�y-�� B ilding permit expires Date 7U PERMIT NO, PERMIT EXPIRES Warren T Ambrose f 570-79P OWNER owner -CONTR. 8-21-76 LOCATION (A.P. ) 2646 Monte Vista Ave., Sp.#76, Oroville { `i _ c i 4 7 1 Temp. Power Pole Called PG&E g 1114'vemp. Elec. Serv.� Called PG&E '%d,7% Temp. Gas Serv. �z XIV Called PG&E J 0 B 4�1-0 FINALED (Date) (Signatur r. COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS BUILDING INSPECTION RECORD BUILDING BUILDING (Cont'd) PLUMBING AL back Ilkirewall So Pipin Fo s 131tapets is Floor M3Ln Bldg. Res oom Finish ISIding 2nd loor F%ptings Wind o s 3rd F1,6r Ste all \ -To out Slab Roof Shelthing Water Pi in Piers Roofing X Sewer Garage Fdn. Vents Fixtures Footings Stemwal I Garage Vents Insulation Water Htr. Heaters Slab Carport Po Footings V Prov. for phsica handica edy Conformance of ex. structure Appliances Gas Piping &Test Temp. Gas Slab A Final X Sanitation Patio F E LACE Final Footings Footing ECTRICA Masonry Walls Throat Rough Reinf. Steel Final Fixtures Bond Bea IRE SPRINKLANS Motors Stucco Final of Mesh MECHANICAL i3rqpwn Cool g X ToMp. Pole F ish Du s der round In rior Lath V ntilation ermanent or Closer anal Inal OBILEHOM54TILITIES----------•------- Elec- Service Z S -CD Elec. Pedestal Water Piping 1 �— Sewer �� Gas Piping ]MOBILEHOME INSTALLATION - - - - - - - - - • - - - - Support Elec. Continuity 4 Water Piping�j Drainage Gas Piping 01 If DATE REMARKS OR CORRECTIONS (NOTE: An entry must be made on this form each time you visit the job site.) COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 7 COUNTY CENTER DRIVE 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 51 under permit number `' `� for the following location: Owner 6— Owner's Address = ` Mobilehome Mfg Model Year Insignia No. Serial No. It is hereby certified for occupancy at the above described location and may be occupied. Director of Public Works Date By THIS CERTIFICATE IS VOID WHEN MOBILEHOME IS RELOCATED White - Owner, Yellow - Installer, Pink - D.P.W. MOBILEHOME INSTALLATION' INSPECTION CHECK LIST 1. Is the mobilehome located wit 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!/ No 3. Are footings and supports properly sized, spaced, and braced as pe approved plans?— (Note possible variation at spring shackles.) (.Sec. 5082 & 5083) Yes No 4. Is the mobilehome level? (Sec. 5088) Yes— No - 5. If mor<No an a single unit, are crossover connections properly installed? (Sec. 5088) . Yes � 6. Water , A.. Is flex' le'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? Yes 1/No Backflow - If coach is not State of California approved, does'station have backflow device and pressure -relief valve? Yes_ No— . 7. Wastes and Drains h Schedule 40 DWV and have flex connectors at each end? Yes(4) No A. Is connection made with — B. Does it have minimum 4" per foot slope and is it properly supported? Yes— No C. Are any leaks detected in drainage system after running 3 dons of water through each fixture including washing machine standpipe? .Yeses No L1 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 supply with an approved 3/4" minimum mobilehome connector not more than 6 ft long? Note: All piping is to be at least as large as the mobil ome gas line inlet.without reductions other than the mobilehome connector. Yes_ No_ B. Test OK as per following procedure? Yes _Z/No- 1. Open all appliance connector valves. 2. Shut off appliance burner and pilot valves. 3. Air'test with manometer to 10"r14" 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? Yest, No 9. Electrical A. Is service large enough to provide adequate amperage -to mobilehomd"(must equal ratin►of g< mobilehome with'a minimum of 1 amp) and other facilities on lot, i.e., water pumps, garage, cabana, etc.? Yes 1/ No_ B. Is there proper clearances around panels? Yes O No_ C. Is power supply cord or feeder assembly properly fused? Yes No_ D. Is continuity test satisfactory as per the following procedure? Yes­k.� 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. MOBILEHOME DATA Manufacturer and/or Namestyle Length �Z- Width Vehicle Serial No. 1 ZO State Identification No, Additional Information or Comments: 411 COUNTY OF BUTTE * — DEPARTMENT OF PUBLIC WORKS 7 County Cegter Drive — Oroville, California 95965 Telephone: 534-4541 APPLICATION AND PERMIT OU111U11LC It:PIC0CIIL0tIVCJ UI UIC I,UU11ty UI DUMC LU CnlCl UNUn lne above-mentioned property or inspection purposes. ie Date 7 vw Signature of Permitee or Agent Receipt No. 3(.g% / 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 ahoy or which fees have been paid. D. OF PUB IC WORKS Q�) Date `U V Building per expires Date t BUILDING ^ I ' Owner %r E T i � L (�S SQ. FT. OCC. BUILDING VAL N Mailing Address Telephone No. Contractor (12� �� (,V Mailing Address D3 t2Ct- �14 q) J5 Fireplace Total Valuation ( � T eN 7 Permit Fee Building Address ( ��_/ ��r` yZy-- Plan Checking Fee&/or Penalty Permit Fee PLUMBING No. @ FEE ' PERMIT FILING FEE $3.00 Each Trap 1.50 A `7 t Repair drainage or vent piping 1.50 A. P. NO. ^ ` OZ )¢L Zoning & Planning Water piping 1.50 Each gas water heater or vent 1.50 s on Fire Dept. Fire Zone Use Permit Gas piping system 1 - 5 outlets 1.50 EQA Parking Plans Parcel Declaration Parcel Map 60' R/W Improvemen Each additional outlet .30 Building sewer 5.00 Bldg. PI s Recd Parcel A royal PI s Approval Lawn sprinkler system 2.00 NEW '❑ ADDITION ❑ UTILITIES ❑ OTHER Permit Fee $ $ ``S7O— ELECTRICAL No. @ .1 FEE PERMIT FILING FEE $3.00 Main service 600V OR LESS 100 AMP OR LESS 5.00 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 NEW CONST. ( DWELING OR ADONS. ACCLBLDGS.CCUP. 6) 20sgft 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 &Z4pt& NEW CONS TRL /MULTI.OUTL T NON-RESID `BRANCH CIRCUITS) 12.50ea NEWCONSTR.POWER APPARATUS & NON -RESID. ` ( SINGLE OUTLET CIR. EX. OCCUD(OUTLETS OR FIXTIIRES) gAL@ Ex. Occu FIXED APP LNS, OR p• OUTLETS (RESID.) EA) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 License No. Z .. �Z— 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. 'have placed on file with the County of Butte a certificate of Workmen's Compensation Insurance. tcertify that in the performance of the work for which this permit is issued I shall not employ any person in any manner foas to become subject to the Workmen's Compensation Laws of California. MECHANICAL No. @ FEE PERMIT FILING FEE $3.00 Heating Cooling Ventilation Hood 2.00 Permit Fee $ $ 1 certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby �%7�� $ D�Z TOTAL PERMIT FEE $ OU111U11LC It:PIC0CIIL0tIVCJ UI UIC I,UU11ty UI DUMC LU CnlCl UNUn lne above-mentioned property or inspection purposes. ie Date 7 vw Signature of Permitee or Agent Receipt No. 3(.g% / 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 ahoy or which fees have been paid. D. OF PUB IC WORKS Q�) Date `U V Building per expires Date t ►. _J_ - _V „ COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS ' 7 County Center Drive — Oroville, California 95965 Q Telephone: 534-4541 APPLICATION AND PERMIT GUUIUIILC 1UPIUbCiltdi, VCS of the Luuniy of twtte to enter upon ine above-mentioned property for inspection purposes. XI""'— Date f-711-77 Signature of Permitee or Agent Receipt No.� White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. IREC OF PU LIC WORKS s Date Building permit expires Date BUILDING Owner SQ. FT. OCC. BUILDING VALUATION Mailing Address w Telephone No. Contractor �-- Mailing Address Fireplace Total Valuation Telephone No. Permit Fee Building Address 2_41� ��� Plan Checking Fee &/or Penalty Permit Fee PLUMBING No.1 @ I FEE PERMIT FILING FEE $3.00 �— Each Trap 1.50 y Repair drainage or vent piping 1.50 A. P. o. Z6ni eg Ing Water piping 1.50 fn --- Each gas water heater or vent 1.50 \Kws AW Fire Dept. Fire Zone Use Permit Gas piping system 1 - 5 outlets 1.50 EQ Parking Plans Parcel Declaration Parcel Map 60' R/W Improvements Each additional outlet .30 Building sewer 5.00 /t>.i Bldg. I ns Recd Parcel A 'rovol Plans proval Lawn sprinkler system 2.00 NEW ❑ ADDITION ❑ UTILITIES ' OTHER ❑ Permit Fee $ ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 600V OR LESS Main service 100 AMP OR LESS 5.00 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. ADD'L 100 AMP 1.00 NEW DWELING OC cup- 9\ 0Sq ft OR ADONST ( ACCLBL GS.•Z 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 of: NEW RESID,CONST[MULTI-OUTLET CII T NON-RESID, (BRANCH CIRCUITS) 12.50ea NEWC ON ST R POWER APPARATUS 8 NON - RES ID, (SINGLE OUTLET CIR. EX. OCCUD(OUTLETS OR FIXTURES 50@ BAL@1 FIXED APLNS.style Ex. Occup.(OUTLETSP(RESID)REA) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 License No. Classification Misc. Wiring 6.25 0[l 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. ❑1 have placed on file with the County of Butte a certificate of Workmen's Compensation Insurance. rI certify that in the performance of the work for which this L'-'3—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 MECHANICAL No. @ FEE PERMIT FILING FEE $3.00 Heating Cooling Ventilation Hood 2.00 Permit Fee $ Land Development Fee $ $ S'" -- TOTAL PERMIT FEE $ GUUIUIILC 1UPIUbCiltdi, VCS of the Luuniy of twtte to enter upon ine above-mentioned property for inspection purposes. XI""'— Date f-711-77 Signature of Permitee or Agent Receipt No.� White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. IREC OF PU LIC WORKS s Date Building permit expires Date COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS 7.. 7 County Center Drive — Oroville, California 95965 Telephone: 534-4541 APPLICATION AND PERMIT authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. �rVLG ! Date 3 —1 Signature of Permitee or Agent Receipt No. White-D.P.W. - Yellow -Assessor - ink -Inspector - Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated abov.efnr which fees have been paid. (D;RECTAR.OF PUBUIC WORKS 76i I d i Mng Ap r BUILDING Owner SQ. FT. OCC. BUILDING VALUATION Mai I i ng Address Telephone No. i .::_ Contractor r' Mailing Address , 0 e � Fireplace Total Valuation Telephone No. Permit Fee Building Address Plan Checking Fee&/or Penalty Permit Fee PLUMBING No.1 @ FEE 74 PERMIT FILING FEE $3.00 Each Trap 1.50 Repair drainage or vent piping 1,50 A. P.,06""' . $' -�/ �_ % % �� Z ning'8 Panning Water piping 1.50 Each gas water heater or vent 1.50 Pilkes I jp✓C. Fire Dept. Fire Zone Use Permit Gas piping system 1 - 5 outlets 1.50 EQA Parking Plans Parcel Declaration Parcel Map 60' R/W I Improvements Each additional outlet .30 Building sewer 5.00 8�.-Aeod Parael A roval Plans Approval Lawn sprinkler system 2.00 NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER Permit Fee $ ELECTRICAL No. @ FEE PERMIT FILING FEE $3,00 Sin Single Family Duplex Mobil Home 9 y ❑ P ❑ ® Others ❑ Main service 600v OR LESS 5.00 �� 100 AMP OR LE Main service EA. ADD•L 100 AMP 2.50 -•��� J / ER Main service 10 EAMP OR LESS 25.00 Main service/ EA. ADD'L 100 AMP 1.00 NEW CONST. C OR ADDNS. ACCL. SiB BLOGSCCUP) 20sq ft CONTRACTORS LICENSE LAW I am licensed under the provisions of Chapter 9, Div. 3, of the State of California Bus ss & Professions Code under the name st le of: %) ..t NEW CONST, MULTI -OUTLET N2.50ea ON.ONS BRANCH CIRCUITS) NEW CONST,. POWER APPARATUS 8 i ( NON.RESID. (POWER OUTLET CIR, 50 EX. OCcuD(OUTLETS OR FIXTIIRES @SC BAL@1 EOFIXED APPLNS. OR x. CCU- 2.00 P•(OUTLETS (RESID.) EA) Temporary service 10.00 Mobile Home Facilities 15.00 License No. 2.24 % <-Z e,10 Classification Misc. Wiring 6.25 ❑ I am exempt from the Contractors License Laws of the State of California. Permit Fee $ -D $ $ 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 -1 @ FEEPERMIT 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 Land Development Fee $ TOTAL PERMIT FEE $ authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. �rVLG ! Date 3 —1 Signature of Permitee or Agent Receipt No. White-D.P.W. - Yellow -Assessor - ink -Inspector - Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated abov.efnr which fees have been paid. (D;RECTAR.OF PUBUIC WORKS 76i I d i Mng Ap r Telephone 533-2000 North Burbank Public -Utility District 1960 Elgin Street OROVILLE, CALIFORNIA. 95965 DISTRICT APPROVAL ANDF• 28-80 VERIFICATION OF INSPECTION BUILDING SEWERS This verification form must be submitted to the Butte County Department of Public Works - Building Department prior to issuance of a building or occupancy permit, whichever is applicable. Prior to final approval by Butte County of a Building or an Occupancy Permit, a copy of this verification form, signed off. by North Burbank Public Utility District, must be submitted to Butte County. Applicant Address: 251 Rio. Vista Drive, King City, �CA 93930 F Applicant Phone No.: 408-385-6442 Property Location (s)- Carriage Manor Lot 76 Y A.P. No. (s): 008-12-0-076-0 • ' Fees Paid: • SCOR Facility Charge and NBPUD Connection fee paid in full this date. Application for service approved: ©& d o March 24, 1980 North Bur ank Public Utility District Inspection(s) made and'successful test(s) observed: Location: By: L Date: North Burbank Public Utility District release to close permit: Date: By: G BUTTE COUNTY .DEPARTMENT. OF PUBLIC WORKS 7 County Center Drive, Oroville, CA.' PHONE:.534-4541 MOBILEHOME INSTALLATION SHEET 1. Owner's name: 2. Installer's name : .;6�A k L C oV E 3. Is the site currently under permit? Yes /?P / No (If yes, furnish permit number ) OR Is the site an existing site? Yes / / No G (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? --------------------- 7 Amps 7.. What is the mobilehome site circuit breaker rating? ------------- / Amps 8. Is there any other electric load.to,be served by the mobilehome siteservice? --------------------------------------------------- Yes _� No -/X (If yes,.identify the load and size: (Load) (Amps) 9. What is the mobilehome site gas pipe size? ---------------------- (in.) 10. What is the 'type of gas service? ----------------------------- Natural / / LPG 11. What is the gas pipe length from meter or tank to the mobilehom (ft.) Z,20 PJdo (BTU). 12. What is the mobilehome gas demand. --------- --------------------- (This information not required.if pipe length less than 6 ft. on natural gas' or less than 50 ft, on LPG.,) G MOBILEHOME SUPPORT DATA '/' �� � � �"�S If other than single wide, �.� year Mobilehome Mfr. U7 furnish Setup Model No.' ZZ Width 2 4 (ft.) Box Length(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 c.^1011 mobilehome unless otherwise specified. Footings (check one) Single 1. Wood either *If center piers are.other than drawn above,.. ,�• draw in --locations, spacing, and dimensions. ' pressure treated or foundation grade. x (ft.)(in:) (in.) (in.) Ej 2. Other (specify) Center support locations* Center suppoit footing sizes Supports (check one) (in.) 1: Concrete block. 1 2. Other (specify) (ft.)(in.) (in.) (in.) ' !r -Tagalong or Expando,' show support details. (in.) (in.) Typical Support (in.) (in.) Footing Size U (ft.)(in.) (in.) (in.) = -- Max. Pier Spacing x_x Max. Overhang (ft (in.) (in.) (in.) *If center piers are.other than drawn above,.. ,�• draw in --locations, spacing, and dimensions. ' BUTTE COUNTY- DEPARTMENT OF PUBLIC WORKS , 7 County Center Drive, Oroville, CA. ' PHONE: 534-4541 MOBILEHOME INSTALLATION SHEET LZ..1 1. Owners name: I U / • 4 2. Installer's name: �62i:L�C2614 �- o .3.. Is the site currently under permit? Yet / / 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? --------------------- Amps 7.. What is the mobilehome site circuit breaker rating? ------------- Amps 8. Is there any other electric load to be served by the mobilehome site service? --------------------------------------------------- Yes No / / . (If yes, identify the load and size: (Load) (Amps) 9. What is the mobilehome site gas pipe size? ---------------------- 10. What is the'type of gas service? --=--- Natural / / LPG 11. What is the gas"pipe length from meter or tank to the mobilehome? 12. What is the mobilehome gas demand? ------------------------------ (BTU) (This information not required if pipe length less than 6 ft..on natural gas " or less than 50 ft, on LPG.) ; r , r» Z, MOBILEHOME SUPPORT DATA If other than single wide,/ ` Mobilehome Mfr.furnish Setup Model No. (7 Year Width -2 (ft.) Box Length EZ (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, pressure treated or foundation grade. (ft.)(in:) (in.) (in.) 2. Other (specify) Center support locations* Center suppoit footing sizes Supports (check one) (in.) 1: Concrete block. 2. Other (specify) (in.) (in.) 4 ---Tagalong or Expando,' show support details. (ft.)(in.) (in.) (in.) x�l� -- Typical Support. . (in. (in.) Footing Size x 3E5 (ft.)(in.) (in.) (in.) _ -- Max. Pier Spacing (ft.)(in.) x3 Max. Overhang (ft.)1 (in.) L (in.) (in.) l(ft.)(in.) BUTTP COUNTY WILDING .DEPARTMENT APPROVED 17�o- *If center piers are other than drawn above, � �� draw in -locations. spacing, and dimensions. LOT : M & Workmcinship Shall Be in. Accordance with Q"nmni�ed (aood Practices and . gym C6- qq of a quality nre�c�*t, .t `or _the Sr�erifieci. use in the Uniform Building, PlumI,inti & Machanical Codes and theNational National Electrical Code. - %s ? I loe All utility cgqlnnecti ns shall be. ` located within 4 ft..•o itside the.rear -thirdsection �f the. mobile home f on the left (rood) side of the rnohiJr t home:: 40eZI %/0—k/ h l • hl I i 3 Q Q A permit will be regdired for the 4 installation of the rsc'-'hhnmR. l I � I O i, shall be S m the { The RMS. side prop cen•Perline etbackj ft. rri the rty ling and ermitriny a maxi- f.the r ad, p but entirely _ niuiJ of a ft. ea a overhang out of all easem nts. �\ £a s 59i"'F7 10 This set of plans and specifications MUS�'vT BUTTE COUNTY . cept on the job at all times and it is unlawfd 61. make any changes or alterations-on same without .o.. -MLDING DEPARTMENT written permisson from the Department of Pnbll, Works. Countv gU1Fr�. `' �"' (� A � P P. �/ of C tJ