HomeMy WebLinkAbout079-200-070Wa ren T. Ambrose 665 Coach Drive ./ O
Oroville
Permit 564- 79P (ut it " {
�'
GAS
SUPPORT STRUCfi*URE REQ. NO
r0l�PAN TEST REQ. All) Loyd's Elec.Oroville #1708-79E(elec & yardTight ..-
NEWS 2
CLARENCE KEDDY
5665 Coach Drjiiv Oroville �
—contr �Kentw; d MH; Chico
Perm it#5,7=8'6-80MHI
I s ssuue� —
S d_
Permit #62-81B(new carport/MH)
Permig #1178�
7'
3
564-79P
PERMIT NO.
PERMIT EXPIRES
!a
Warren T. Ambrose
OWNER
CONTR.
owner
8-12-70
LOCATION
(A.P. )
j
2646 Monte Vista Ave., Sp.#70, Oroville
}
1P
v
a
s
8
.
� r
t
Temp. Power Pole
Called PG&E
!
Temp.'Elec. Serv.
Called PG&E
`
Temp. Gas Serv.
Called PG&E
I
JOB
FINALED
�
(Date) �
(Signa e) I
r
Fix
nal
Mesh MECHANICAL N Grd. Fa t Prot.
Scra h I HeatIA Servic
BrqAn I Coo nq T p. Pole
i-ffnisn D is Vnderground
I rior Lath ntilation Permanent
oor Closer (nal anal
MOBILEHOME UTILITIES ------------------ Elec. Service3 '�d Elec. Pedestal
Water Piping "'; f 911th Sewer , Q Gas Piping
MRS16EHOME INSTALLATION - - - - - - - - - - - - - - Support Elec. Continuity
Water Piping Drainage Gas Piping
DATE REMARKS OR CORRECTIONS
J
(NOTE: An entry must be made on this form each time you visit the job site.)
COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS
BUILDING INSPECTION RECORD
BUILDING BUILDING (Cont'd)
PLUMBING
etback
FI wall
koll Piping
kirrtes
Para is
N4st Floor
in Bldg.
Restro Finish
I2
\d Floor
otin s
Windows
3r Floor
St wall
Sidin
To out
Slab
Roof Sheathin
Water PI 'n
Piers
Roofing
Sewer
Garage
Fdn. Vents
Fixtures
Footin s
Stemwal I
Garage Vents
Insulation
Water Htr.
Heaters
SlabProv.
Carport
p
Footings
for physically
handica ed
Conformance of ex.
structure
Appliances
Gas Piping &Test
Temp. Gas
Slab
Final
Sanitation
Patio
IREPLA E
Final
Footings
Footing
ECTRI L
Fix
nal
Mesh MECHANICAL N Grd. Fa t Prot.
Scra h I HeatIA Servic
BrqAn I Coo nq T p. Pole
i-ffnisn D is Vnderground
I rior Lath ntilation Permanent
oor Closer (nal anal
MOBILEHOME UTILITIES ------------------ Elec. Service3 '�d Elec. Pedestal
Water Piping "'; f 911th Sewer , Q Gas Piping
MRS16EHOME INSTALLATION - - - - - - - - - - - - - - Support Elec. Continuity
Water Piping Drainage Gas Piping
DATE REMARKS OR CORRECTIONS
J
(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 requiremeli�is
of the California Administrative Code, Title 25, Chapter 5, under permit
number %,.74 `� /for the following location:
Owner `� t• a <.
G"
Owner's Address
Mobilehome Mfg. odel Year � n10
Insignia No. 4- Serial No.
It is hereby certified for occupancy at the above described location and
may be occupied.
Director of Public Works
Date ,%f '.�% C� By, -11.1"
...C.--t.
THIS CERTIFICATE IS VOID WHEN MOBILEHOME IS RELOCATED
White - Owner, Yellow - Installer, Pink - D.P.W.
Owner t
Mailing Address
Contractor
Mai I ing Address
COUNTY OF BUTTE - DEPARTMENT,OF PUBLIC WORKS
7 County Center Drive — Oroville, California 95965 _
Telephone: 534-4541
APPLICATION AND PERMIT /
V�
f Telephone No.
rel �� 5 ??-1F,
Telephone No
Building Address�jl��
Zoni g Planning
`,F-usNa.l VI Fire Dept. Fire Zone Use Permit
EQA Parking Parcel Parcel Ma 60' R/W Im rovements
Plans Declaration p p
Bldg. P`14. Recd
Parcel
oval
PERMIT FILING FEE
PlanNs"SApproval
NEW ❑
ADDITION ❑
UTILITIE-319
OTHER ❑
OVER 600V
100 AMP OR LESS
Main service
EA. ADD'L 100 AMP
NEW CONST. (
OR ADDNS.
Single Family ❑
NEW CONSTR.
NON.RESID.
(MULTI.OUTL T
BRANCH CIRCUITS
Duplex ❑
Mobil HOMNO
Others ❑
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:
License No. Classification
_ BUILDING `-1 -
SQ. FT. I OCC. I BUILDING VALUATI01
Fireplace
Total Valuation
Permit Fee
Plan Checking Fee &/or Penalty
Permit Fee
PLUMBING
PERMIT FILING FEE
Each Trap
Repair drainage or vent piping-
-Water piping
Each gas water heater or vent
Gas piping system 1 - 5 outlets
Each additional outlet
Building sewer
Lawn sprinkler system
Permit Fee
w ,
ELECTRICAL
PERMIT FILING FEE
Main service
600V OR LESS
100 AMP OR LESS
Main service
EA. ADO'L loo AMP
Main service
OVER 600V
100 AMP OR LESS
Main service
EA. ADD'L 100 AMP
NEW CONST. (
OR ADDNS.
DWELLING OCCUP. !
ACC. BLDGS.
NEW CONSTR.
NON.RESID.
(MULTI.OUTL T
BRANCH CIRCUITS
$3.00
5.00
2.50
25.00
1.00
)2 sq ft
Ex. OCCUQ(OUTLETS OR FIXTIIRES
w ,
@ FEE
2.00
$3.00 -�-
1.50
1.50
1.50
1.50
1.50 -:
.30
5.00 (j f
2.00
$3.00
5.00
2.50
25.00
1.00
)2 sq ft
Ex. OCCUQ(OUTLETS OR FIXTIIRES
IBL @1
FIXED APLNS.
Ex. Occup. ( OUTLETS P(RESID )REA)
2.00
Temporary service
10.00
Mobile Home Facilities
15.00
Misc. Wiring
6.25
I am exempt from the Contractors License Laws of the State of Cal ifomia. Permit Fee $
WORKMEN'S COMPENSATION INSURANCE MECHANICAL No.1 @PERMIT FILING FEE $3.00
1 am aware of the provisions of Section3700 of the California Labor Heating
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.
r7,r I certify that in the performance of the work for which this
4==61 -permit is issued I shall not employ any person in any manner
so as to become subject to the Workmen's Compensation Laws of
California.
I certify that I have read this application and state that the above
information is correct. I agree to comply to all County Ordinances
and State Laws relating to building construction, and hereby
authorize representatives of the County of Butte to enter upon the
above-mentioned property for inspection purposes.
X '
Date
Signature of/(Permitee or Agent
Receipt No.
White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant
Coolin
Ventilation
Hood 1 1 2.00
Permit Fee $ $
Land Development Fee $
TOTAL PERMIT FEE
This permit is hereby issued under the applicable provisions of
the Butte County Code and/or resolutions to do work indicated
above for which fees have been paid.
D ECOn OF PU LIC WORKS
v allll.4 0
Date
Building permit expires Date
COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS
..T 7 County Center Drive — 5 le, California 95965
- Telephone: 534-434-4541
APPLICATION AND PERMIT /
auutuncc M"vbentauves of trte L,uunry uI outte to enter upon the
above-mentioned property for inspection purposes.
Date
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.
DIRECTOR OF PUBLIC WORKS
By92A'ae" kd e_ J Date A"_27- 79'
Building permit expires Date _0—x7 '
BUILDING
Owner
SQ. FT. OCC. BUILDING VALUATION
Mailing Address
Telephone No. r�
Z� J
Contractor
c) 0Fireplace
Mailing Address t
Total Valuation
�.,,,et
Telephone No.
Permit Fee
Building Address26 Yf%'
!�
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. Z-70
y�lag
Water piping 1.50
Each gas water heater or vent 1.50
F$09'
VJ2
&arritoron I Fire Dept.
Fire Zone
Use Permit
Gas piping system 1 - 5 outlets 1.50
EQA
Parking
Plans
I Parcel
Declaration
Parcel Map
60' R/W
Improvements
Each additional outlet .30
Building sewer 5.00
BJ g_111a - d
I Parcel Approval
Plans Approval
Lawn sprinkler system 2.00
NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER
Permit Fee $
$
A L•i'
ELECTRICAL No.1 @ FEE
PERMIT FILING FEE $3.00
Main service 100 AMP ORV OR SLESS 5.00 �--�
Single Family ❑ Duplex ❑ Mobil Home � Others ❑
Main service EA. ADD'L 100 AMP 2.50
-- r "•� /
Main service OVER P O 25.00
100 AMP OR LESS
Main service EA. ADD'L 100 AMP 1,00
NEW CONST. OR ADDNS. ( DWELING ACCLBLDGS.CCUP. B) 22sgft
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:
f7
.r.-
TL
NEW CONSTR BRANCH CIR T
NON.CRESID.ONST ( BRANCH CIRCUITS) 2.50ea
NEW CONST. (POWER APPARATUS 8
NON- R
RESID. SINGLE OUTLET CIR.
250
Ex. Occuo(OUTLETS OR FIXTIIRES 5 L
�24
Ex. Occup. ( OUT ETS IXEDP(RESID )LNSREA) 2.00
Temporary service 10.00
Mobile Home Facilities 15.00 �s
License No. �ODI��✓ Classification d--l�
Misc. Wiring 6.25
❑ I am exempt from the Contractors License Laws of the State of California.
Permit Fee $
$
WORKMEN'S COMPENSATION INSURANCE
I am aware of the provisions of Section3700 of the California Labor
Code which requires every employer to be insured against liability
forWor men's Compensation.
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 N0.1 @ FEE
PERMIT 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
$
auutuncc M"vbentauves of trte L,uunry uI outte to enter upon the
above-mentioned property for inspection purposes.
Date
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.
DIRECTOR OF PUBLIC WORKS
By92A'ae" kd e_ J Date A"_27- 79'
Building permit expires Date _0—x7 '
COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS
County Center Drive — Oroville, California 95965
` Telephone: 534-4541��Y
y-C)� &�-L4p APPLICATION AND PERMIT
authorize representatives of the County of Butte to enter upon the
above-mentioned property for inspection purposes.
X natg l 1 t( V
l J
Si gr&turf q��rrnyle�p�gent
Receipt No.
White-D.P.W. — Yell o - sensor — Pink -Inspector — Golden. rod -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.
DIREC R OF PUBLIC WORKS
BYDate
Building permit expires Date S —F
BUILDING ,pN!CC,00
OwnerC ��
�
SQ. FT. OCC. BUILDING VALUATION
Mailing Address
Telephone No.
Contractor keo Ila
Mailing Address Po Al,
Fireplace
C
Telephone No.
Permit Fee
Building Address L6r U
_�_Z
Plan Checking Fee or Penal
Permit Fee
U� c5J
PLUMBING No.1 @ I FEE
PERMIT FILING FEE J$3.00
Each Trap 1.50
Repair drainage or vent piping 1.50
A. P. No. 8 — 7v
Zoning & Planning
Water piping 1.50
Each gas water heater or vent 1.50
s
W
Fire Dept.
FireZone
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. Plans R c d
Parcel A ro al
Plans Approval
Lawn sprinkler system 2.00
NEW ❑ ADDITION ❑ UTILITIE OTHER
Permit Fee $
$
} � S_� 4-7 G%
ELECTRICAL No. @ FEE
PERMIT FILING FEE $3.00
Single Family Duplex Mobil Home Others
9 Y ❑ P ❑ ❑
Main service 600V OR LESS
100 AMP OR LESS 5.00
Main service EA. ADD'L too AMP 2.50
ER 600V
Main service 10 0 AMP OR LESS 25.00
Main service EA. ADD'L 100 AMP 1.00
NEW LING O
OR ADDNST ACCLBLDGS.CCUP. 4\ 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 J , � n/ �• n
/✓`�// ,�1 L(�G \\lf^1'���• /J^
NEW CONSTR
NEW CO ID (MULTI-OUTL T BRANCH CIRCUITS) 12.50ea
NEW CONSTR. POWER APPARATUS 6
NON -RES ID. SINGLE OUTLET CIR.
Ex. Occup{OUTLETS OR FIXTURES g L
FIXED APPLNS. OR
EX. OCCUy. ( S (RESID,) EA) 2.00
service
Temporary service 10.00
Mobile Home Facilities 15.00
License NO"__271/S3 Classification
Misc. Wiring 6.25
❑ I am exempt from the Contractors License Laws of the State of California.
Permit Fee $
$
WORKMEN'S COMPENSATION INSURANCE
I am aware of the provisions of Section3700 of the California Labor
Code which requires every employer to be insured against liability
for Wor en's Compensation.
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 N0.1 @ 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
Land Development Fee
$
TOTAL PERMIT FEE
$
authorize representatives of the County of Butte to enter upon the
above-mentioned property for inspection purposes.
X natg l 1 t( V
l J
Si gr&turf q��rrnyle�p�gent
Receipt No.
White-D.P.W. — Yell o - sensor — Pink -Inspector — Golden. rod -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.
DIREC R OF PUBLIC WORKS
BYDate
Building permit expires Date S —F
- , , COUNTY OF BUTTE — DEPARTMENT OF PU,BLICr WORKS — BUILDING DIVISION _
14, -1
'7 County..C;e-m4-r Drive — 0roville, California 95965 — Telephone: 534,-4541
OWNER `�CLihE
Proposed Building Use
Permit fee based upon:
PERMIT APPLICATION DATA SHEET
r
Compfete Contract Price
Other (explain)
Permit No.
A.P. No. g'/a `7
DPW Valuation
Building Inspector Date
At time of permit application, I was advised the following data must be submitted prior to permit processing and/or
issuance: DATE RECEIVED APPROVED
1.
2.
3.
4.
5.
6.
14.
15.
16.
All items have been submitted...................................................................
Plot plans in duplicate/triplicate...............................................................
Complete plans in duplicate/triplicate...................................................
Complete engineered plans and calcs.....................................................
Plans with Energy Design Compliance Statement ............................
State Energy Forms No. ....................
Statement of Intent fo&NZn-Heated& AC Buildings ...................
Fees of $ /71----'" b
Letter of signature authorization.............................................................
Sanitation approval from Health Dept....
Planning approval for .............
Certificate of Workmen's Compensation Insurance ........................
Contractors License Information (no., name style,
classification) ..................:............
Improvements may be required. Contact Land
Development Section of Dept. Public Works (see
addressbelow)..................................................................................................
Pre -inspection for required. Pre.inspec. request to
bldg. -inspector
(date)
Other
When/you issue the permit_ -process as follows: Mail to owner Mail to contractor.
an old or pickup at r office. Deliver w/inspection.
Other
Applicant ( . _7X1 i - �'`t�c�yZ,,'h'`. �.` Date I/ / % 9 A rJ
Copy of plans sent Health Dept., Nie Dept., Other Date—
During
ateDuring the plan checking process, the following data must be submitted prior to permit issuance:
(For required items not checked above at time of application, circle item.)
1. Index permit for above Items No.
2. Additional items required:
(Contractor, Designer, Owner) was advised of above required data by Telephone
30
Mail
Other
Date
Plans checked byt N1WDate
Plans approved b Date ///2-,5/
OTHER:
Copy/DPW
I
. Telephone ' is
533.2000
North Burbank Public Utility District
1960 EWn Street
0R0VILL'E, CALIFORNIA 95965
t4:
` v
3
DISTRICT APPROVAL AND
VERIFICATION OF INSPECTION
,.,;
..
' • 237=80,! , , NY,}���,�1k
BUILDING SEWERS
This verification form must be submitted to the Butte County Department of `"r '
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 '� c9
copy of' this verification form, signed off by North Burbank Public Utility District,
must be submitted to Butte County..
WARREN AMB iii °S3_ FOR M. & 11RS • KEDDY
Applicant:
i f♦
5660 Cl. e sr ;fix: ,.ve. , ��rc�tr i? le
Applicant Address: •,ra:
y %.11 ryF..tl .(.•.
Applicant Phone No.:±`
X Orovx11e, CA
566_ Coach 'lI:':�.��(a
Property Location (s):
s ,u
( arri.sge Manor Subdivision, Lot 70
• i.�1./J .1.. 1. "'lj ��.T��S ...,E ,,,: I f 4 l .'� lOf`•
A. P. No. (s):
ALL FEES PAID TN ADVANCE
Fees Paid: f,,,�y zyy tit
Application for service approved: .J_:.�i:4 _,'��/ + ram• tii r!°•�t'i
~'`-�
North Burbank
t ,
October ?4 �1�bPublic Utility District
Inspection(s) made and successful tests) observed:
Location: Date:
•'4. ,r .,fir. i4f sr;.
i 04i
2
North Burbank Public Utility District release to close permit: .,,,,,a�,•,a �:
bit •i'!.SCy, ),,i;��,
Date: By:
_ _. •. vMOBILEHOME INSTALLATION INSPECTION CHECK LIST
1.' Is the mobilehome located with required separation from lot lines and buildings and generally
conform to plot plan? Yeso_
2. Does the mobilehome have required clearances above ground? (Sec.5085) Yes /No
3. Are footings and supports properly sized, spaced, and braced as pex approved plans? (Note
possible variation at spring-shacklese) (Sec. 5082 & 5083) Yeso_
4. Is the mobilehome level? (Sec'.•5088) Yes No
5. If mor than a single unit, are crossover connections properly installed? (Sec.'5088) .
Yes / No
6., Water
A. Is f xible 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 lb's, air test? Yes_ZNo_
C. Backflow - If coach•is not State of California 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_Z No_
B. Does/it have minimum 4" per foot slope and is it properly supported? Yes_ZNo
C. Are any leaks detected in drainage system after running,3- allons of water through each
fixture including washing machine standpipe? .Yes_ No
C,
D. If c ch is not State of California approved, does station.have required trap and vent?
Yes No
8. Gas Pipi g 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? YesNo
. 1. Open all -appliance connector valves.
2. Shtit off appliance burner and pilot valves.
3. A,ir 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 mobile;iome (must equal's"ating of
mobilehome with a minimum of 0 amp) and other facilities on-Tot,'_i.e., water pumps.,
garage, cabana, etc.? Yeso_
B. Is there proper clearances around panels? Yes1 o_ t.
C. Is power supply cord or feeder assembly properly fused? Yes__'1_/No_
D. Is continuity test satisfactory as per the following procedure? Yes 1No_
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 Width Z
Vehicle Serial No.
State Identification No. Z_P 67 q_ � 5
Additional Information or Comments:
BUTTE COUNTY DEPARTMENT OF PUBLIC WORKS
7 County Center Drive, Oroville, CA.
PHONE: • 534-4541
d.
.
MOBII,EHOMEINSTALLATION SHEET
,
1.
Owner's name:
2.
Installer's name: l�P,�17� f�%'�� t /4;0 -f
3.
Is the site currently under permit? Yesf"L!/ No.
~`(
'Se
(If yes, furnish permit number 7 ) OR
Is the site an existing site? Yes / / No
JI
(If yes, furnish two (2) plot plans.)
Will the mobilehome be located at least 5 ft, away from septic tank`and leach fields and ;
clear of -all setbacks and easements? Yes'v , No,=
}
(If no, clarify
)
a 5.
What is the mobilehome electrical rating? --------------------=--
lG CU Amps
What is the mobilehome site service rating? ----------- ----------
L' Amps
T.
What is the mobilehome site circuit breaker rating? ----Amps_
;
8..
Is there any other electric load to be served by the mobilehome
site service? 7-7 ---- 7 ---------------------------- --------- ----
Yes _� No 4�
(If yes, identify the load and size: (Load)
(Amps)
9.
What is the mobilehome site gas pipe size? -----------------:-----
• 10.
What is the type of gasservice?----------------------------- Natufral
�/ 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 .fb.•
natural gas'
'
or less than 50 ft.'on LPG.)
.ori
{
§ � ,sem--:st I �f .^ ,'i,•.
MOBILEHOME SUPPORT -IATA
If other than single wide,
Mobilehome Mfr._(-Z�c11/� furnish Setup .Model No. ? �` < Year
Width Z _(ft.) Box Length
(ft:)_Tagal;otTg;*-or-
(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
A3 U .
pressure treated or
ME
,43
�1 v
foundation grade.
,
(ft.)'(in..)
(in.)"(in.)
a 2. Other (specify)
Center support
Center support
locations*
footing sizes
Supports (check one)
(in.)
f: Concrete block.
2. Other (specify)
(in:) (in.)
4 ----Tagalong or Expando ,
` show support details..
(in.) (in.)
3X30
Z x30j
--'Typical Support,
in. ` in:)
Footing° Size
�c7 fG�
x c-
t.-) (in.)
(in.) (in.)
�' --
Max. Pier Spacing
(f..)i.in.)
'
---:' :-- -°
--
Max, Overhang
(in.)
(ft-1in.
(in.) (in.)
LAn
I
o MIN5
(ft.)(in.)
,��
796
BUTTE COUNTY
BUILDING
DE?ARTMDn
APPROVE/_
*ff
�3
Fsnter piers
are other than drawn above,.
'ArnrA An...a ni of 4eAv%a OT 01.3.,h e►..1 .ta...�,,.. t...�
±
:r�''�af t i
a
QCT 30 P.5.
Lot_..ts- o �o
�Q� t• �L� n� o �--+c LoL � � �l s .
:•�
_ 111„ II mi,
1 �
DOI It
3 :C_`'�%i-t[ e.
' - - ,..:,;:;: if �J � • � ,.�:•
Z41 ° 3c,> X30
--._.- . _ � .. �� �-J :,.,:.-- =-----�:-,,.+•�.. s � _�z-:._��T_—�_�: -- � - � i-- STT
_ � T
OoTD-�-L VAn IDIS
P,L, A, r; Wa 163 24 2 Fz.k-
PLAN PID. 140; 24x52 - 2 FZK
PLAN r0. 540; 24x52 - 2 FZK
L�oonLat ln, LbA--NVOQ-I� d, .
W
BUTTE COUNT'.
_ - BUILDINS.-DEPARTMEW
'APPROVED.. 3
4 O
e4c& & .Workmonship Shall Be in
ne 1 RnIn vl*"Ied C`4 Practices and ,
of a CltialitV prP,ec,46P ( for +he Specified use in the
Uniform. Building, Plumhinq & Machanical Codes. and
the National Electrical Code.
The f}g. Sett
side property
centerline of t
mum of a 2.ft.
out of all eas
0, 70
55, U
ins
Utility I Gonne tions shall be
I
located within 4f,. outside the rear
I . thid sectioir of. t e mobile home
I on he left (rioad) si a of the mobile
l -ho e.
F.
W I l.-CC41 rIO l
I i. -
I I -
0
0 I d
1 I
permit wig 6e required for.the: I
I installation of the mobilehome. I
I I
-
I: I
Ic ck.shalll be 5 ft. from the I
( ne an Wf t.. from the i
id road, rmifting a maxi- -
e ave ov rhang but entirely �a S
Bi ants.
(his set of plans and specihceftm MUSTf�DA17
xept on the job at all times and it is, unlawft FM,- F J
make any changes or alterations on same without
written permisson from the Department of. v.�};I�•
Works. County of- ft, off-,
tSU f l COUNTY
3UILDING DEPARTMENT
A PPpOVE i
D
62-81B
PERMIT NO.
PERMIT EXPIRES
OWNER Clarence Keddy
CONTR. owner
ASSESSOR PARCEL 8-12-70
LOCATION 5665 Coach Dr.,.Oroville
Temp. Power Pole
e
Called PG&E
Temp. Elec. Service
Called PG&E
Temp. Gas Servic
CalledP &E
JOB INALED (Date)
Signature
e4'
J = OK
0 = . Not OK
— = Not Applicable
= Not Ready '
MOBILEHOMES 4 MISCELLANEOUS -
Date
MOBILEHOME UTILITIES (Plans) OK except N's
Date
DECK OVERS, CARPORTS, ETC. (Plans) OK except b's
1. Zoning Requirements—Setbacks—Easements
Zo ' g Requirements—Setbacks—Easement S = O/,:f
2. Soils; Special MH Support—Sketch
ootings; Size—Depth—Spacing—Connectors -/ �0
3. Sewer; Location—Test—Fall-C/0—Concrete
3. Decks; Girders and/or Joists—Decking—Bracing—Stairs—Rails
4. Water; Location—Test—Easement Needed (Sketch)
4. Wood Awn.; Posts—Beams—Rftrs.—Connec.—Shthg.—Rfg.—Bracing
5. Electricity; Location—Clearances—Grnd.—/ / Amp—Concrete
6., Alum. Awn.; Columns—Connections—Splice—Decal—Enclosures
6. Gas; Location—Test—Wrap:/ /"L"ft./ /"Nat. or/ /"L"ft./ /"LPG
arports; Windows—Doors
7. Utility Clearance
7. Elec.
Card -BI
Date Card -BI Date
Card -BI
Date %/ '';/� Card -BI Date
Card -BI
Date
Date Card -BI Date
MOBILEHOME INSTALLATION (Plans) OK except N's
1, Zoning Requirements—Setbacks—Easements
Card -BI
Date
Date " Card -BI Date
POOLS (Plans) OK except N's
1. Setbacks—Easements
2. Footings; Size—Spacing—Marriage Line
2. Soils; Compaction—Structure Stability
3. Gas; MH Test—Demand—Valve—Connector
4. Electricity; MH Test—Crossovers—Breakers—Clearances
3. Pool Structure; Steel—Connections—Thickness—Dead Men—Lining
4. Elec.; Receptacles and Lighting; Distances—GFI
5. Drain; MH Test—Fall—Flex Connector
5. Elec.; Pool Lighting; 15 volts—GFI
6. Water; MH Test—Regulator—Connector
6. Elec.; Enclosures; Conduit Entries—Terminals—Listed
7. Water and Sewer Connected—C/O to Grade—HD Approval
7. Elec.; Bonding; Metal w/5'—Circulating Equipment—Heater
8. Gas and Electricity Tagged
8. Elec.; Grounding; Equip. w/5'—Circulating Equip.—Pool Lghtg.
Boxes—Enclosures—Panel boards—Ins. to Main in Conduit
9. Exits; Insp.—Sketch
10. Cert. of Occupancy
9. Health Department Approval
10. Plumb; Cir. Test—Water Supply Test
11
Card B -I
1
Date Card -BI Date
Card -BI-
Date Card -BI Date
Card B-1
Date Card -BI Date
Card -BI
Date Card -BI Date
t
0
= OK
= Not OK
= Not Applicable
= Not Ready RESIDENTIAL.(Sing)e and Duplex)
Date
UNDERFLOOR Plans OK except #'s
Date
FRAMING (Continued)
1. Zoning requirements -Setbacks -Easements
48.
Property Line Firewall & Openings
2.
Ftg., Main; Soils-Steel-Elec. Grnd.- / /" Ftg. Depth
49.
Ext. Doors -One 3' -Check Garage -3rd story, 2 exits
3.
Ftg., Garage; Soils -Steel- / /" Ftg. Depth
50.
Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection
4.
Ftg., Porches & Decks; Soils -Steel- / /" Ftg. Depth
51.
Plywood on Roof Overhang -Attic Vents -Rafter Outriggers
5. Stemwalls, Main; Steel-Blockouts-Wrapped-Slab
52.
Siding -Nailing -Veneer
6. Stemwalls, Garage; Steel-Blockouts-Wrapped-Slab
53.
Stucco Mesh -Drip Screed-Fdn. Vents-Underflr. Access
7.
Piers -Fireplace Ftg.-Steel
54.
Glazing Area -Glass Protection -Skylights -Plastic
8.
D.W.V.: Fall -Fittings -Test -2 way C/O -Sewer Test
55.
Shear Walls; Nailing -Bolts
9. Gas Pipe; Size -Anchors
10.
Water Pipe; Test -Anchors -Regulator -Service Test
11.
Electric; Underground
12.
Plenums & Ducts; Clearance -Material -Support -Ins.
13.
Girders -Sills -Anchor Bolts -Joists -Vents -Cripples
Card -BI
Date Card -BI Date
Card -BI
Date Card -BI Date
Card -BI
Date Card -BI Date
Card -BI
Date Card -BI Date
Date
FINAL (Plans) OK except q's
56. Ext. Steps -Door & Sidelight Protection -Landings
Card -BI
Date
Date Card -BI Date
PLUMBING (Permit) OK except q's
57.
Smoke Detector
14.
Water Ht.; Vent -Access -Combustion Air
58.
Furnace; Vents -Clearance -Comb. Air -Connector -
In Garage; Above Floor-Ducts-Mech. Protection
15. Water Pipe; Test & Anchors -Nail Protection
16.
D.W.V.; Test-Fttngs & Anchors -Nail Protection
59.
Bedroom Exiting
17.
Shower Pan; Test, First Floor -Tub Access
60.
G.F.I. & Bath Fixtures & Tub Access
18.
Test Tub & Shower, 2nd Floor -Tub Access
61.
Elec. Trim & Subpanel; Breaker Sizes -Labels
19.
Gas Pipe; Size & Anchors
62.
Stairs & Rails
63.
Fireplace or Stove; Clearances -Hearth
64.
Elec. Outlets at Wood Panel; Int. & Ext.
Card -BI
Date Card -BI Date
_
65.
Kit. Fixt. & Appliance; Grnd.-Air Gap -Cooking Clearance
Card -BI
Date Card -BI Date
66.
Elec. Outlets & Receptacles at Kit. Counter
Date
ELECTRICAL Permit OK except #'s
67.
Garage Fire Door; Swing -Landing -Closer
68.
A.C. Duct in Garage -Damper
20.
Fixture & Transformer Clearance -Ins. Protection
69.
Wtr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V.-
In Garage; Above Floor-Mech. Protection
21.
Elec. Receptacles Spacing -Lights &Switches at Doors
70.
Plb., Elec. & Mech. Equip. Listed for Location
22.
Size Boxes & No. of Conductors -Stapled
71.
Elec. Receptacles in Garage; (G.F.I.)-Romex Protec.
23. Romex Installed Close to Edge of Studs & C.J.
24.
Equip. Ground made up w/Mech. Fasteners -Bond Gas &Water
72.
Insulation -Foam -Looked in Attic ❑Yes
25.
2 Appliance Circuits in Kitchen & Conductor Size
73.
Guard Rails &Deck Construction -Post Caps
26.
Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga. Cu or Al
74.
Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance
Looked under Floor ❑ Yes
27.
Range Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or At,
Insulated Neutral ❑Yes ❑No
75.
Following instld.: Drive ❑ Yes [-]No; Walks ❑ Yes ❑ No;
Planters ❑Yes ❑No
28.
Service -Riser Conductors & Ground -Main Disconnect
76.
Stucco; Brown -Finish
29.
Equip. Clearances; Panels-Motors-Mech. Equip.
77,
A.C. Unit; Disconnect-Clrnces-Brkr. & Cond. Size -115V Outlet
30.
Clothes Closet Light -Shower Light
78.
Vents Above Roof; Plbg.-Appliance-Firepl.-Clearance to Opngs.
79.
Water Well; Disconnect, Electrical, Plumbing
80.
Exterior Elec. Trim; G.F.I. Receptacle -Underground
Card B -I
Date Card BI Date
81.
Ventilation throughout House
Card B -I
Date Card -BI Date
82.
Glass Protection
Date
MECHANICAL (Perrr,it) OK except N's
83.
Corrections from Previous Inspections
84.
Gas Test -Meters Tagged; Gas -Electric
31.
A.C. Ducts; Insulation & Support
85.
Water & Sewer Connected -C/O to Grade -HD Approval
32.
Vent Fan; Exhaust above Insulation
86.
Energy Compliance Certificate -Other Certificates
33.
Condensate Drain & Overflow; Size & Grade
34.
35.
Furnace -Vent; Access -Comb. Air -Return Air Vent -115V outlet
Attic Access & Platform if Furnace in Attic
Card -BI
Date Card -BI Date
Card -BI
_Date Card -BI Date
Card -BI
Card -BI
Date Card -BI Date
Date Card -BI Date
Card -BI Date Card -BI Date
Date
FRAMING(Plans) OK except q's
36, Sills; Proper Material & Anchors
Comments
at Final:
_
37. Walls; Studs -Nailing, Spacing & Bracing -Plates -Sound
_
38.
Bearing Walls over Girders & Floor Nailing
39.
Draft Stop in Walls (rat proof)
40.
Fire Stops; Furred Ceilings -Stairs -Chases -Tub
_41.
42.
43.
44.
Header & Beam -Size & Bearing
Hangers -Past Caps -Anchors -Connectors
Cing. Joist-Rftr. Ties-Purlin-Roof Brac.-Truss-Shthnp.-Ring.
Fireplace Ties or Type A Flue -Fireplace Throat
45.
Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles
46.
Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions
47.
_
Garage Fire Protection Framing
(NOTE: Anentrymust be made each time youvisit jobsite)
d COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO.
7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541 -- /
' APPLICATION AND PERMIT
ASSESSOR PARCEL NJBAR ZONING
BUILDING PERMI
OW TELEPHONE
SO. FT. OCC. BUILDING VALUATION
I ZEN
OWN M ILING DRESS
Iv
CONTRA OR'S NAME
TELEPHONE
'
CONTRACTOR'S MAILING ADDRESS
Fireplace
CONSTRUCTION LENDER
UNKNOWN
Total Valuation Is
Filing Fee
$ 10.00
LENDER'S MAILING ADDRESS
Permit Fee
$
ARCHITECT OR ENGINEERLICENSE
NO.
Plan Checking Fee
$ D
Penalty
$
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Permit fee
$
BUILDING ADDRESSr C111
PLUMBING PERMIT9
Filin Fee 10.00
Each Trap
2.00
Repair drainage or vent piping
5.0011 -
.00MV
MVI
Water piping
LOT NO.
SUBDIVISION NAME
-
PARCEL MAP
Each qas water heater Or vent
5,00
Gas piping system 1 - 5 outlets
USE OF
SF ❑ Duplex ❑ mot ilehome Other
SPECIFY
Building sewer
Lawn sprinkler. system
5.00
TYPE OF WORK
New F1 Addition eRemo I❑ Utilities Installation[] Other❑
Describe work:
Permit Fee
$
Contractor
ELECTRICAL PERMIT
Filing Fee 10.00
Main service 1110V OR LESS
100 AMP OR LESS
5.00
.-
Main service EA. ADD'L 100 AMP
2.50
NEW CONST. (DWELLING OCCUP.81
OR ADONS. \ ACC. BLDGS.
22 sq It
CONTRACTORS LICENSE LAW
I declare under penalty of perjury (check one):NEW
❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Business
and Professions Code and my license is in full force and effect.
•
License No. Classification
I, as the owner, or my employees with wages as their sole compen-
sation, will do the work,and the structure is not intended or offered
for sale. (Sec. 7044)
❑ I, as the owner, am exclusively contracting with licensed contract-
ors. (Sec. 7044)
❑ I am exempt under Sec. Business and Professions Code
-for this reason
NEW CONSTR "OUTLET 2,50 ea
NON-RESID BRANCH CIRC TS
CONSTNON-RESID. \R /.POWESINGLE OUTLET CIR, R APPARATUS 6
sD @ 2s¢
Ex. Occup OUTLETS OR FIXTURES BAL@1
EX. OCCup.�O UTLETS FIXED P(RESID )RE A. 2.00
Temporary service 10.00
Mobile Home Facilities 15.00
Misc. Wiring 7.50
Permit Fee $
Contractor
MECHANICAL PERMIT
Filing Fee 10.00
WORKMEN'S COMPENSATION INSURANCE
I declare under penalty of perjury (check one):
❑ The permit is for $100.00 (valuation) or less.
❑ 1 have placed on file with the County of Butte Building Department
a Certificate of Workmen's Compensation Insurance or a Certificate
of Consent to Self -Insure.
I shall not employ any person in any manner so as to become subject
to the W. C. laws of California.
Notice to Applicant: If after making this statement, should you become subject
to the W. C. provisions of the Labor Code, you must forthwith comply with such
provisions or this permit shall be deemed revoked.
Heating
Cooling
Hood
3.00
Ventilation
permit Fee
$
Contractor
I certify that I have read this application and state that the above information
is correct. I agree to comply to all County Ordinances and State Laws relating
to building construction, and hereby authorize representatives of the County of
Butte to enter upon the above-mentioned property for inspection purposes.
I also agree to save, indemnify and keep harmless the County of Butte against
all liabilities, judgments, costs, and expenses which may in any way accrue
agalns i'ai � ounty in consequence of th granting of this permit.
X� `P Date /— � —7)
Signature of 'Applicant — Owner C actor ❑ Agent ❑
An OSHA permit is required for excavati over'5'0" deep and demolition or construct-
ion of structures over 3 stories in height.
Mobile Home Installation Fee $
TOTAL PERMIT FEE $
OCCUP. GROUP
M-
I TYPE OF CONST.
_V—A /
V
I
JP�RCrLl
�/
PD
MD
ISS/UE
This permit is hereby issued under
sions of the Butte County Code and/or
work indicated 'above for which
DIRE R OF P BLIC
By
PERMIT EXPIRES Date
the applicable provi-
resolutions to do
fees have been paid.
WORKS
Date
-� G
Receipt No.' !),,i
WNIT!-D.P.W., YELLOW-ASSlSSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT
NOT
Accordance N
�f a quality I
Uniform Buildi
the National
AWNINGS & 'ALLIED PRODUCTS CO.
1926 B Aubum Blvd. - SecromentoTICAs958116plans and specifications MUST be
ii Shall BePh9ns (916) 925.27670 on the job at all times and it is unlawful to
p _ m(4^ any chanqes or alterations on some without '
anizea voou Practices and —� o ,-;tta Y „�, ,;, , ; ,�-,,. , , �,, r�eP^^ent o$ public
u ,.
4~ } P neie use in a �a. -� �- -1 -t n 11-
lumbing a WIL
ica
rh
3
m
5' E4SEA4c vT
ol
FRONT
S,
MOBILEHOME
A setback of 5 ft. from the
property I nes and a setback
of 50ft. f >m the road
centerline shall be clear of
structures or equipment except
for a 2 ft. aave overhang.
REAR
ASGc �&AJT
Typical Plot Plan Ndt To Scale
PARK NAME A- ADDRESS
Contractor License #275162-C61
CONTRACTOR DONALD W. WILLIAMS, 1926 Auburn Blvd., Sacto, Ca 95/815
OWNER ,� ADDRESS in Park _!v C1S si/
I hereby.authorize the action of the awning and/or carport shown
on the accompanying plans at the above address.
SIGNED
Owner and/or Manager —
+ BUTTE COUNTY
BUILDING DEPARTMENT'
�"t�1L " �Sa ;r � ►1�'._ f
_Z- A C P R O...Y E D,4,
.._r. r L<lgfn./enan •firADred/ .7 w rro"
v�w aye dC S p� d' Pr
B P. •n' JP p /?S" '7o ".060.
+f' a3? n �• i?• p 9.7: n 7 S/ JGd"
o �' r ..a'0aA ,} ��-•�,CLQ. ,zs r� . o.,a3'_ t ;P M" .bq t !" rP
!
L
�A _.L
orc•D
Al JO. COLUMN
Mow A (�• S' 30 i75" ,r0" AWN
3004 n'36 A/,,,+• •�
rY� a A�ia ING HANGER
Jee Waco /Di rPxi� !JO' !�': 00' !JO' 3k / •".� rso* : W04 u56 4/,- 332
PLAN
Y rU %P F FASCIA SO/KC
rn•/so ,'';asaA ENo FLrc.A
Space or o/hrrofe •nfan/or jooru only, /2DELn •any 606, TB A/y>r 606/ r6 A/ten-. 606 T6 A./,r
afcepr io/ce r yen .Iowa, " _.e 4or - 3004 N96 'Ah,m
w.1n no on>rvro y(Sro c— ' Sp c< pros �.
>rornony • End Infervor • E.d Oren•�o
n$ Rnnae �, •o �JL�MN BRAE/fET '/r• l.�" SMSG
Jpon Spon spur frtd rpon plc. aro/n 606.1 TG 4/ym •6"C Slay.
.n y da!`ned a0o.e r}ne fT fe ra✓nY ••sneer •p 00'
�•p' pl oo,/<home ,•D :0,I.0', !.G:�L',/O' o.CO"
' � w: 3 36d- Saf39J C •SQ /.5g; !SO',•Y.'
h}•q1 fd Jp/Ke oE-
'9
Sea Sac"
'..III—
L ( c
6SMS 96: bSM586Y
Min. t 9i
ATTACHED AWNING M 0 r.
• a as 1 Ger :o .LT .l.• i. •e ,.
_MJ eo r•oY ArEa A- / SP/.ce Ac>vn•re 2
3AtS )E
!b, fMe
B 7bfo/' JL:c7- DSjENERAL IJOTES
Lhsyynn - V,v /oae•rO
JECT A Wind /Opd• IOpSr' ✓A#!f ./0af.
MOBILEHOME ACCESSORY BUILDING OR STRUCTURE -
HEALTH AND SAFETY CODE, DIVISION 13, PART 2
APPROVED
SUBJECT TO CORRECTIONS NOTED
royal does no! av;hcrize or coprove any omission or
W'i n from require nen% of applicable State laws and
State of Califcrnio
Department of Housing and Community Development
DIVISION OF CODES AND STANDARDS
`-� r i
DA
2 2 1979
(signature)
NO. Z
Plan Approval Expires_ MAY 2 2 1981
0
r, r
•
t. Awn,ry moy oe en< w.1n
rrodi/y rortaoroeAe frpncporony
2.nf ,-fn ./cws Aaorry 392•c3/
r/o u% pen+ m 1nn/o✓s pro d d o o.•n:r�
rvcn one porA v agye/ on +g.
Cowmn .rhea 7J' ,
•,
ro erteAared .-r.ar fan ,e,.Ni f.on ono
.rhra3
6
nor •0.4
n:f.�+4 •'agywnwrf of o coboro
T Ea a.,n..y roro
•,.
--. �
•
con. >. ue
Rt rs ScAe
.rr•vcfure _non
ff>arnad Mer•a 4u
's• •• 2 it sMJ•f'ee
I
f.o< , I '
..owe
on zgn.wrad •danf:r,cofon
r A/umnum d fyn o�oinwf.3
-q •9 1P �T
Eo<fn orKnoG
..`.
a<cv0.' 9 r< A/uin. ASSoc /97, fpctl
afar
�+•S � _ �
- � 11
'
0-6.a nut r
w•fn a of / ey,/d•
Sorafy n
crooy<rs 9
ma:r
•
:—DEM S<Ae •
• y _
�
# I
i L
� B We/oed n✓r y'B
4
C0AkF7WaC7-/01V NOTES
y fw•r-Cdr /< -.n oed
fnlv
yne rr <eaeSLryn m.P'-50OM
or JCBO Sooro.rd .yye •
- I � J, 5
f Art Nco/
2 Ce•.rrore Sro/note a Sfrynyfn
e •n.n ..Q y. -cd c. m ....e
6 9"•/6'
c/ 23
.,•.n^9 : /' o< o/yn••n,rm
'
`ee -'c•: _ !�I"
ClArw AwC— ORr>:�
_ < Known Stee: Ponta
ce
rNr 90.+ n,aad an Po.nfad •o.Yn
.
SAfe>. Srue
ST<a; Y•m� lad endna/ An,fh
_uee
f36 S/r</
_lee •o.-hnarr ro!. oe
,M1 2,432 o/�<n. syn or ,ym P/ofed.
V'11 7-1 2 p
3 SMS - eat m fo/ rcrawa SMJ
-OL:RMN
fpr roof para/ Inn// hera �"do
<
SC w/EGuLE
vur Nyf'f�'S/of
red no/e
6�fnc/w tea
IMoo . 3o- "u �•
rr+ached ro ed ...n1
,'
�--,
CARi� ANCNOP. NOTES
"9
^
�
IIII II
Ev. cncno. r c,• oe
er AB. Cl- CI
-/-
j
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PERMIT NO. q�
PERMIT EXPIRES
Clarence Keddy
OWNER
owner
CONTR.
ASSESSOR PARCEL 8-12-70
LOCATION 5665 Coach Dr., lot 70,
Carriage Manor, OroviI]e
.r
r
Temp. Power Pole_
Called PG&E _
Temp. Elec. Service
Called PG&E_
Temp. Gas Service _
Cal led PG&,E
JOB VKD (Date)
Signature -
J = OK
O = Not OK
- = Not Applicable
* = Not Ready
MOBILEHOMES
MISCELLANEOUS
Date
MOBILEHOME UTILITIES (Plans) OK except N's
Date
DECK COVERS, CARPORTS, ETC. (P. ns) OK except #'s
1. Zoning Requirements -Setbacks -Easements
Zoning Requirements -Setbacks -Easements
2. Soils; Special MH Support -Sketch
t Footings; Size -Depth -Spacing -C s
3. Sewer; Location -Test -Fall -C/0 -Concrete
3. Decks; Girders and/or Joists -Decking -Bracing -Stairs -Rails
4. Water; Location -Test -Easement Needed (Sketch)
4. Wood Awn.; Posts-Beams-Rftrs.-Connec.-Shthg.-Rig.-Bracing
5. Electricity; Location-Clearances-Grnd.-/ / Amp -Concrete
rium. Awn.; Colu*nfs--Conntyieris-Spl�-De -&PAAaences
6. Gas; LocatiorrTest-Wrap:/ /"L"ft./ /"Nat. or/ /"L"ft./ /"LPG
6. Carports; Windows -Doors
7. Utility Clearance
7. Elec.
Card -BI
Date Card -BI Date
BI
"_.Date.#Card-BI Date
Card -BI
Date
Date Card -BI Date
MOBILEHOME INSTALLATION (Plans) OK except It's
1. Zoning Requirements -Setbacks -Easements
Card -BI
Date
Date J Card -BI Date
POOLS (Plans) OK except #'s
1. Setbacks -Easements
2. Footings; Size -Spacing -Marriage Line
2. Soils; Compaction -Structure Stability
3. Gas; MH Test -Demand -Valve -Connector
3. Pool Structure; Steel -Connections -Thickness -Dead Men -Lining
4. Electricity; MH Test -Crossovers -Breakers -Clearances
4, Elec.; Receptacles and Lighting; Distances-GFI
5. Drain; MH Test -Fall -Flex Connector
5. Elec.; Pool Lighting; 15 volts-GFI
6. Water; MH Test -Regulator -Connector
6. Elec.; Enclosures; Conduit Entries -Terminals -Listed
7. Water and Sewer Connected -C/O to Grade -HD Approval
7. Elec.; Bonding; Metal w/5' -Circulating Equipment -Heater
8. Gas and Electricity Tagged
8. Elec.; Grounding; Equip.w/5'-Circulating Equip. -Pool Lghtg.
Boxes -Enclosures -Panel boards -Ins. to Main in Conduit
9. Exits; Insp.-Sketch
10. Cert. of Occupancy
9. Health Department Approval
10. Plumb; Cir. Test -Water Supply Test
Card -BI
Date Card -BI Date
Card B-1 Date Card -BI Date
Card B-1
Date Card -BI Date
Card -BI
Date Card -BI Date
F.
J OK
O = Not OK
- = Not Applicable RESIDENTIAL'(Single and Duplex)
= Not Ready
Date UNDERFLOOR (Plans) OK except #'s
1. Zoning requirements -Setbacks -Easements
2. Ftg., Main; Soils-Steel-Elec. Grnd.- / /" Ftg.
3. Ftg., Garage; Soils -Steel- / /" Ftg. Depth
4. Ftg., Porches & Decks; Soils -Steel- / /" Ftg. 1
5. Stemwalls, Main; Steel-Blockouts-Wrapped-Slab
6. Stemwalls, Garage; Steel-Blockouts-Wrapped-Slab
7. Piers -Fireplace Ftg.-Steel
8. D.W.V.: Fall -Fittings -Test -2 way C/O -Sewer Test
9. Gas Pipe; Size -Anchors
10. Water Pipe; Test -Anchors -Regulator -Service Test
11. Electric; Underground
12. Plenums & Ducts; Clearance -Material -Support -Ins.
13. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples
Card -BI Date Card -BI Date
Card -BI Date Card -BI Date
Date PLUMBING (Permit) OK except p's
14. Water Ht.; Vent -Access -Combustion Air
15. Water Pipe; Test & Anchors -Nail Protection
16. D.W.V.; Test-Fttngs & Anchors -Nail Protection
17. Shower Pan; Test, First Floor -Tub Access
18. Test Tub & Shower, 2nd Floor -Tub Access
19. Gas Pipe; Size & Anchors
Date
FRAMING (Continued)
48.
Property Line Firewall & Openings
Elec. Outlets at Wood Panel; Int. & Ext.
49.
Ext. Doors -One 3' -Check Garage -3rd story, 2 exits
Date Card -BI Date
50.
Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection
Kit. Fixt. & Appliance; Grnd.-Air Gap -Cooking Clearance
51.
Plywood on Roof Overhang -Attic Vents -Rafter Outriggers
Date Card -BI Date
52.
Siding -Nailing -Veneer
Elec. Outlets & Receptacles at Kit. Counter
53.
Stucco Mesh -Drip Screed-Fdn. Vents-Underflr. Access
54.
Glazing Area -Glass Protection -Skylights -Plastic
68.
55.
Shear Walls; Nailing -Bolts
20.
Fixture & Transformer Clearance -Ins. Protection
69.
Wtr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V.-
In Garage; Above Floor-Mech. Protection
21.
Elec. Receptacles Spacing -Lights & Switches at Doors
70.
Plb., Elec. &Mech. Equip. Listed for Location
Card -BI
Size Boxes & No. of Conductors -Stapled
Date Card -BI Date
Card -BI
Elec. Receptacles in Garage; (G.F.I.)-Romex Protec.
Date Card -BI Date
Card -BI
24.
Date Card -BI Date
Date
FINAL (Plans) OK except k's
56. Ext. Steps -Door & Sidelight Protection -Landings
Insulation -Foam -Looked in Attic E] Yes
57.
Smoke Detector
Guard Rails & Deck Construction -Post Caps
58.
Furnace; Vents -Clearance -Comb. Air -Connector -
In Garage; Above Floor-Ducts-Mech. Protection
2 Appliance Circuits in Kitchen & Conductor Size
59.
Bedroom Exiting
Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance
Looked under Floor ED Yes
60.
G.F.I. & Bath Fixtures & Tub Access
27.
61.
Elec. Trim & Subpanel; Breaker Sizes -Labels
62. Stairs & Rails
63. Fireplace or Stove; Clearances -Hearth
(NOTE: An entry must be made each time you visit jobsite)
I
64.
Elec. Outlets at Wood Panel; Int. & Ext.
Card -BI
Date Card -BI Date
65.
Kit. Fixt. & Appliance; Grnd.-Air Gap -Cooking Clearance
Card -BI
Date Card -BI Date
66.
Elec. Outlets & Receptacles at Kit. Counter
Date
ELECTRICAL Permit OK except q's
67.
Garage Fire Door; Swing -Landing -Closer
68.
A.C. Duct in Garage -Damper
20.
Fixture & Transformer Clearance -Ins. Protection
69.
Wtr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V.-
In Garage; Above Floor-Mech. Protection
21.
Elec. Receptacles Spacing -Lights & Switches at Doors
70.
Plb., Elec. &Mech. Equip. Listed for Location
22.
Size Boxes & No. of Conductors -Stapled
71.
Elec. Receptacles in Garage; (G.F.I.)-Romex Protec.
23. Romex Installed Close to Edge of Studs & C.J.
24.
Equip. Ground made up w/Mech. Fasteners -Bond Gas & Water
72,
Insulation -Foam -Looked in Attic E] Yes
Guard Rails & Deck Construction -Post Caps
-
25.
2 Appliance Circuits in Kitchen & Conductor Size
74.
Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance
Looked under Floor ED Yes
_ 26. Subteed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga. Cu or At
27.
Range Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or AI,
Insulated Neutral ❑Yes ❑No
75.
Following instld.: Drive ❑ Yes ❑ No; Walks ❑ Yes ❑ No;
Planters Dyes ❑No
28.
Service -Riser Conductors & Ground -Main Disconnect
76.
Stucco; Brown -Finish
29.
Equip. Clearances; Panels-Motors-Mech. Equip.
77,
A.C. Unit; Disconnect-Clrnces-Brkr. & Cond. Size -115V Outlet
30.
Clothes Closet Light -Shower Light
78.
Vents Above Roof; Plbg.-Appliance-Firepl.-Clearance to Opngs.
79.
Water Well; Disconnect, Electrical, Plumbing
80.
Exterior Elec. Trim; G.F.I. Receptacle -Underground
Card B -I
Card B -I
Date
Date Card -BI Date
Date Card -BI Date
MECHANICAL (Permit) OK except q's
31. A.C. Ducts; Insulation & Support
81.
Ventilation throughout House
82.
Glass Protection
83.
Corrections from Previous Inspections
84.
85.
86.
Gas Test -Meters Tagged; Gas -Electric
Water & Sewer Connected -C/O to Grade -HD Approval
Energy Compliance Certificate -Other Certificates
32. Vent Fan; Exhaust above Insulation
_
33.
Condensate Drain & Overflow; Size & Grade
34.
35.
Furnace -Vent; Access -Comb. Air -Return Air Vent -115V outlet
Attic Access & Platform if Furnace in Attic
-
Card -BI
Date Card -BI Date
Card -BI
_-
Date Card -BI Date
Card -BI
Date Card -BI Date
Card -BI
Date Card -BI Date
Card -BI
Date Card -BI Date
Date
FRAMING(Plans) OK except N's
36. Sills; Proper Material & Anchors
Comments at Final:
_
37.
38
39.
_Walls; Studs -Nailing, Spacing & Bracing -Plates -Sound
Bearing Walls over Girders & Floor Nailing
Draft Stop in Walls (rat proof)
40.
Fire Stops; Furred Ceilings -Stairs -Chases -Tub
41.
42.
43.
44.
Header & Beam -Size & Bearing _
Hangers -Post Caps -Anchors -Connectors
Cing. Joist-Rftr. Ties-Purlin-Roof Brac.-Truss-Shthng.-Rfng.
Fireplace Ties or Type A Flue -Fireplace Throat
45.
Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles
46.
Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions
_
47.
Garage Fire Protection Framing
(NOTE: An entry must be made each time you visit jobsite)
I
I�l'COU'NT'Y OF BUTTE -DEPARTMENT OF PUBLIC. WORKS PERMIT NO.
7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541 /
APPLICATION -ANO PERMIT
ASSESSOR PARCEL NUMBER -
Z -w
ZO,�jN/G'
Y,LIL(i��'
BUILDING PE Ffy
°We/Af�r. I r/C�D
g3/S7�
SO. FT. OCC. BUILDING VALUATION
OWNER'S J5MAI/LVry(J/'iCeKss-�,
p�/��
CONTRACTOR'S NAME •
TELEPHONE
- -
CONTRACTOR'S MAILING ADDRESS
Fireplace
CONSTRUCTION LEN R
UNKNOWN
Total Valuation $ 0,0
Filing Fee $ 10.00
LENDER'S MAILING ADDRESS
Permit Fee $ , 00
ARCHITECT OR ENGINEE 'v —i
LICENSE NO.
Plan Checking Fee $�
Penalty $
ARCHITECT OR ENGINIZERS MAILING ADDRESS
Permit fee $ `ad
BUILDING ADDRESS DR/ VC
S
PLUMBING PERMIT Filing Fee 10.00
Each Trap 2.00
Repair drainage or vent piping 5.00
Water piping
LOT NO.
7U
SUBDIVISION NAMEr , /
C����{C� %t-. � /�%�
PARCEL MAP
Each qas water heater or vent 5.00
Gas piping system 1 - 5 outlets
USE OF STRUCTURE
SF ❑ Duplex❑ Mobilehome Other
SPECIFY
Building sewer
Lawn sprinkler system 5.00
h
,--, TYPE OF WORK
New AdditionL� Remodel Utilities❑ Installation❑ Other ❑
Describe work:
Permit Fee $
Contractor
ELECTRICAL PERMIT Filing Fee 10.00
Main service 100 AMP OROOV OR LESS5.00
Main service EA. ADD'L 100 AMP 2.50
NEW CONST. DWELLING OCCUP.aJ 2�sgft
OR ADDNS. ACC, SLOGS.
CONTRACTORS LICENSE LAW
I declare under penalty of perjury (check one):
!❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Business
and Professions Code and my license is in full force and effect.
License No. Classification
I, as the owner, or my employees' with wages as their sole compen-
sation, will do the work,and the structure is not intended or offered
for sale. (Sec. 7044)
❑ I, as the owner, am exclusively contracting with licensed contract-
ors. (Sec. 7044)
❑ I am exempt under Sec. _ , Business and Professions Code
\ for this reason
NEW CONSTR-OU LET
NON-RESID BRANCH CIRC ITS 2.50 ea
NEW CONST R. ( POWER APPARATUS S�
NON-RESID. `SINGLE OUTLET CI_R.
S OR FI,
Ex. Occup OUTLETS OR FIXTURES BAL@1
FIXED OR
Ex. Occup.(ouTLETS (RESID,) EA. 2.00
Temporary service 10.00
Mobile Home Facilities 15.00
Misc. Wiring 7.50
Permit Fee $
Contractor
MECHANICAL PERMIT FiIingFee 10.00
WORKMEN'S COMPENSATION INSURANCE
I declare under penalty of perjury (check one):
❑ The permit is for $100.00 (valuation) or less.
❑ I have placed on -file with the County of Butte Building Department
a Certificate of Workmen's Compensation Insurance or a Certificate
of Consent to Self -Insure.
1 shall not employ any person in any manner so as to become subject
to the W. C. laws of California.
Notice to Applicant: If after making this statement, should you become subject
to the W. C. provisions of the Labor Code, you must forthwith comply with such
provisions or this permit shall be deemed revoked.
Heating
Cooling
Hood 3.00
Ventilation
permit Fee S
Contractor
I certify that I have read this application and state that the above information
is correct. I agree to comply to all County Ordinances and State Laws relating
to building construction, and hereby authorize representatives of,the County of
Butte to enter upon the above-mentioned property for inspection purposes.
I also agree to save, indemnify and keep harmless the County of Butte against
all liabilities, judgments, costs, and xpenses which may in any way accrue
against sap Co my in consequ the gr, nting of this permit.
X 0— Y( I
Date
Signature of Applicant - Owner - Contrt r ❑ Agent ❑
An OSHA permit is required for excavations over 5'0" deep and demolition or construct-
ion of structures over 3 stories in height.
Mobile Home Installation Fee $
TOTAL PERMIT FEE $. 30_00,
OCCUP. GROUP
I TYPE OF CONST.
PARCEL
`—
v
1 1113
ISE
This permit is hereby issued under the applicable provi-
sions of the Butte County Code and/or resolutions to do
work indicated above for which fees have been paid.
DIRECTOR O BLIC WORKS
v
By. Date!`
PERMIT EXPIRES Date �
Receipt No. JrD7iT%
WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT
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1
AWNINGS & ALLIED PRODUCTS CO.
1926 B Auburn Blvd. • Sacramento, CA 95815
Phone (916) 925-2767
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ADDRESS
OWNSFLZ-,e,&U417 CV 5C��-CeYZII, ADDRE n Park
I hereby authorize the rection of the awning ..and/or. carport,','sh'oFio
on the accompanying plans at the above address.
, a
'Owner and/or Manager +
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1 UENERAL NOTES �
JCCr A / OklT9�^^'bedn Linz /ocd•9bP.il,; I
. ,wlndlovd-iOprr;
2. w'wping may be <t/c/aredtxW,i» I
Rsnf ,..tn _o••r 31 -D -j l91Td1 '. read%/ .reirovobk, tronsporE. f~or:
•xn rr•r vo...f apw .. •:o.an.n fre. ,r , '-rrons%ucent-moteriNs p—bind.-
wn 3
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-�---•�---a► / -- A/u[Ainum deriyn ond�srrvsres
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GONSTRUCTON
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