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HomeMy WebLinkAbout079-400-038I Raymnd L. OwensnQ / /�/ 4747 Foothill Blvd., Oroville O Permit #5365-78P,E(util.,MH) ELEC. ,1��7�71'2 i 0,4--.., / GAS'`it �a7,69' 4106- .2/y Suppogir STRUCTURE REQ. /VO COMPACTION TEST REQ, GARY ROUSE r 747 Foothill Blvd. Contr: Paradise Modular Concepts Permit #6583-78MHI � Issued //�T�/'7�.�.',.., 11110121 Q�14��00-= ,ROBERTA CLARK ermit#94=88A(Agricultural Bldg Exemp tractor stg) etc 1 / ROBERTA''CLARR- ' 4747- Foothill.`Blvd, 'Oroville pper i #67-90A(A ricultural Bld Exem� Goa arn) g p r i i i c COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 COUNTY CENTER DRIVE - OROVILLE, Ci''-IFORNIA 95965 - TELEPHONE: (916) 538-7541 AGRICULTURAL BUIL67NG EXEMPTION PERMIT Agricultural building is defined as follows: Agricultural building is a structure designed and constructed '10 house farm implements, hay, grain, poultry, livestock, or other horticulutral products. This structure shall not be a place of human habitation or a place of employment where agricultural products are processed, treated, or packaged, nor shall it be a place used by the public. ASSESSOR PARCEL NO. n / ZONING Z., 41 OWNER &b4 PHONE NO��� OWNER'S ADD ESS �- , LOCATION OF BUILDING USE OF BUILDING SIZE OF STRUCTURE V X _ v S0. FT. TYPE OF CONSTRUCTION: WOOD FRAME STEEL CONCRETE OTHER (Specify) TYPE OF SIDING ROOF COVERING FLOOR TYPE i ESTIMATED COST OF CONSTRUCTION $ AG Buildings shall comply with the building front, side, and rear yard requirements of the applicable County Ordinances as follows:. "I I M FRONT SIDES REAR -v— v AG Buildings shall be a minimum of five (5) feet from any septic tank or leach fields. AG Buildings less than 1000 sq. ft. in floor area shall be located a minimum of 6 feet from a residence, 10 feet from a mobilehome, and 23 feet from a commercial building. AG Buildings greater than 1000 sq. ft. in floor area shall be located am in imum of 23 feet from a residence and a mobilehome, and 40 feet from a commercial building. I declare under penalty of perjury that the building will be used as stated above and the proposed use conforms with the AG Building definition. If any change in use or occupancy of the building is made, I will contact the Department of Public Works and will obtain any necessary permits, inspections, and approvals to comply with the requirements in effect at that time and before occupancy. Date Permit Fee - $25.00 Receipt No. A633-7 Signature of Owner w� Tf The above described AG Building is exempt from a building permit. White - DPW, Yellow - Assessor, Pink - B. L, Goldenrod - Applicant Director of Public Works By Date .�� 2� 1 a FLOOD PARCEL/ P.D. ROOFING ISSUE I / Director of Public Works By Date .�� 2� 1 a '��...t'�-...+.�,'.^"'143iA.'l'X1iyr��C'4"i`i�r'A1���'!� ar!}��FI';�wfK.: { r <Y � "h �.t.' ;�`�r.... ��� ��� .r{. •S.,.s✓�t�..i i .� . ��' �'� � `4 i COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS - BUILDING DIVISION t 7 COUNTY CENTER DRIVE 606V)'L''E,�ALIFORNIA 95965 - TELEPHONE; 916/638-7541 OWNER PERMIT APPLICATION DATA SHEET Permit No. Proposed Building Use 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. All items have been submitted . ........................ ......... 2. Plot plans in duplicate/triplicate, signed by preparer of plans........ 3. Complete plans in duplicate/triplicate, signed by preparer. of plans . . 4 Com late engineered plans and calcs with wet signature on plans _ 5. Hazardous Material Form ......................................... . _ 6. Energy Design Compliance and supporting documentation ......... _ 7. Statement of Intent for Non -Heated and AC Buildings ............... _ 8. Engineered truss details and layout in duplicate (required prior to plan check) _ 9. Mobilehome installation data including manufacturer's installation instructions....................................................... _ 10. Fees of $ ........................ _ 11. Chico Urban Area fees paid ....................................... _ 12. Park fees paid .................................................... _ 13. School District fees paid .............. _ 14. Sanitation approval from Health Department 15. City of Chico plumbing permit ........................ ............ _ 16. Plot plan and business license approval from City of (see City for other requirements) _ 17. Planning approval for (A) Use: (B) Parking: ...... 18. Improvements may be required. Contact Land Development Section DPW 19. Driveway permit (construction approval required prior to occupancy) 20. —21. Pre -Inspection for required Pre-Inspec. request to Building Inspector Contractor's license information (No., Name Style, Classifications ... (Date) —22. Certificate of Workmans Compensation Insurance .................. —23. Owner -Builder Verification (Given to owner o, Mail to owner o) ..... —24. Recorded copy of Agricultural Acknowledgment Statement ......... —25. Letter of signature authorization ................................... 26. —27. When you issue the permit, process as follows: Mail to owner. Mail to contractor. Telephone and hold for pickup at office. Deliver w/inspector. Other Applicant Date Copy of Haz-Mat form sent Health Dept. Fire Dept. air Pollution Date Copy of plans sent Health Dept. Fire Dept. Other Date By The following data must be submitted prior to permit issuance: (Circle new item not checked above). 1. Index permit for above items No. 2. Additional items required: N, Contractor, designer, owner, was advised of above required data by_phone_—nail—counter by ..date Contractor, designer, owner, was advised of above required data by—phone —mal l—counter by date Plans checked by Date Plans approved by Date Sets of plans on hold in File cabinet AP folder Copy—DPW COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone 916/5@4 -*004' AGRICULTURAL BUILDING EXEMPTION PERMIT /P MTNO.i� Agricultural building is defined as follows: Agricultural building is a structure designed and constructed to house farm implements, hay, grain, poultry, livestock, or other horticulutral products. This structure shall not be a place of human habitation or a place of employment where agricultural products are processed, treated, or packaged, nor shall it be a place used by the public. ASSESSOR PARCEL NO. ZONING OW R PHONE NO. OWNER'S ADDRESS ,,"*7 Foe4kill LOCATIONp' OF BUILDING I ; / /& 1ul� /e- �1 / In USE OF BUILDING t tel r Exit 4- ,-_'::� u � a SIZE OF STRUCTURE X- _ -SO. FT. " TYPE OF CONSTRUCTION: WOOD FRAME STEEL CONCRETE —OTHER (Specify) TYPE OF SIDING ROOF COVERING FLOOR TYPE 0.I0s \'V ac ESTIMATED COST OF CONSTRUCTION 1 goo qp- $ AG Buildings shall comply with the building front, side, and rear yard requirements of the applicable County Ordinances as folio � ! % O� 0-r FRONT A SIDES REAR AG Buildings shall be a minimum of five (5) feet from any septic tank or leach fields. AG Buildings less than 1000 sq. ft. in floor area shall be located a minimum of 6 feet from a residence, 10 feet from a mobilehome, and 23 feet from a commercial building. AG Buildings greater than 1000 sq. ft. in floor area shall be located a minimum of 23 feet from a residence and a mobilehome, and 40 feet from a commercial building. I declare under penalty of perjury that the building will be used as stated above and the proposed use conforms with the AG Building definition. If any change in use or occupancy of the building is made, I will contact the Department of Public Works and will obtain any necessary permits, inspections, and approvals to comply with the requirements in effect at that time and before occupancy. Date _ �'-� ' O Signature of Owner �RTi-(��►� I !�%���� Permit Fee - $25.00 The above described AG Building is exempt from a building permit. Receipt No. 2 Director of Public Works By Date ~ �09 White - DPW, Yellow - Assessor, Pink - B.I., Goldenrod - Applicant C; —�"x' . `. �---.. .•. . .. .. ...',, .? L. _5 Y• _ _,yrs. ,.r'Y' fir: {.. S"� - .. w;,V1• .. ..r ,. • .f ... � -- - - ._ L. COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS - BUILDING DIVISION 7 COUNTY CENTER DRIVE - O.$OV;11,%L .CALIFORNIA 95965 - TELEPHONE: 916/538-7541 PERMIT APPLICATION DATA SHEET Permit No. OWNER A. P. No. Proposed Building Use 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. All items.have been submitted. . . . . . . . . . . . 2. Plot plans in duplicate. /triplicate, signed by preparer of plans. . 3. Complete plans in duplicate./triplicate, signed by preparer of plans. 4. Complete engineered plans and Cain, with wet signature on plans. 5. Plans with Energy Design Compliance Statement. . . . . . 6. School District "Fees Paid" Stamp on Floor Plan. 7 Statement of Intent for Non -Heated and AC Buildings. 8. Fees of $ , , , . , , , 9. Letter of signature authorization. . . . . . . . . . . 10. Sanitation approval from Health Dept. 11. Planning approval for (A) Use: (B) Parking: 12. Certificate of Workmen's Compensation Insurance. . . . . . 13. Contractor's License Information (no., name style, classif.) 14. Owner -Builder Verification (Given to owner❑, Mail to owner ❑ ) _15. Improvements may be required. . . . . . . . . . . . 16. Mobilehome Installation Data. . . . . . . . . . Pre-Inspec. request to (Date) 17. Pre -Inspection for Required. Building Inspector 18. Recorded copy of Agricultural Acknowledgment Statement. 19. Driveway Permit. 20. 'Plot plan approval from city of 21. Engineered trusses'in duplicate (required prior to plan check). 22. When you issue the permit, process as follows: Mail to owner, Mail to contractor. Telephone and hold for pickup at -off ice, Deliver w/inspector, Other Applicant Date Copy of plans sent Health Dept., Fire Dept,, Other Date The following data must be submitted prior to permit issuance: (Circle new item not checked above). 1. Index permit for above items No. 2. Additional items required: Contractor, designer, owner, was advised of above required data by_phone_—nail—counter by date Contractor, designer, owner, was advised of above required data by—phone —mal l—counter by date Plans checked by Copy—DPW Date Plans approved by Sets of plans on hold in File cabinet AP folder Date rt i • F l-� Q --PEfIMIT NO. 5365-78P,E, �"sg • PERMIT EXPIRES /1-10;71"-� OWNER Raymon L. wens f` CONTR. nwnPr 36-33-33 LOCATION (A.P. ) 4747 Foothill Blvd., Oroville t. 6 1 I • e �r }r 1; ti ' Tem ower Pole { p {Z�Temp. ailed PG&E . Elec. Serv. 3- 0 7 alled PG&E Gas Serv. _a l l ed -PGM JOB r 3 6- 7 Y FINALED (Da e'bm 0 (Signature) (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 F wall Ail Piping Par ets t Floor . %Ftin Restr m Finish 2 Floor s Windo 3rd loor ll Siding To out Slab Roof Shea%lng Water Pi in Piers Roofing Sewer Garage Fdn. Vents Fixtures Footings Stemwa I I Garage Vents Insulation Water Htr. Heaters Slab Carport Footin s Prov. for physical handica ed Conformance of ex. y structure Appliances Gas Piping & Tes Temp. Gas Slab Final Sanitation Patio/FIRE P ACE Final Footings Footing ECT CAL Masonry Walls Throat Rough Reinf. Ste Final Fixtures Bond Be FIRE SPRINKI-Eft Motors Framin Test Water Htr. Stucco Final Sub ane Mes MECHANICAL Grd. F It Prot. Scr ch Hea Servi e B wn Co Ing T mp. Pole finish D cis nder round 1 erior Lath entilatlon Permanent oor Closer Final Final MOBILEHOME UTILITIES ------------------ Elec. Ser g� /01 — ���` Elec. Pedest j, it, I Water Piping 3 . Sewer ,�, 31- 7 Gas P i p i BI E OME INSTALLATION - - - - - - - • - - - - - - Support ®_ Elec. Continuity v - C.� Water Piping 3 B 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, 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 7k for the following location: 1.. i J- V P,.,,'0,14 4. ;- Owner -C -44e Owner's Address MobilehomeMfgr�'+�`-�/ Model'- , —Year :>r Insignia Nor!--,' Serial No. - It is hereby certified for occupancy at the above described location and may be occupied. Director of Public Works Date •% L B , a THIS CERTIFICATE IS VOID WHEN MOBILEHOME IS RELOCATED White - Owner, Yellow - Installer, Pink - D.P.W. J- COUNTY OF BUTT'E — bEPAR'TMENT OF PUBLIC WORKS 7 County Center El,'rive - Oroville, California 95965 Telephone: 534-4541 f PA 1.4 6r�) e.��APPLICATION AND PERMIT V 5Adlls uuu lvllLc Ictli cAGIRaUVaif UI LIM %aUUIILY VI OULLU LU C111C1 UJJUII UIC above-mentioned property for inspection purposes. X 1d� to Signature of P-iitee or Agent A 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 al o�r which fees have been paid. ,4DIREQT-0R OF PUBLIC WORKS Building permit expires Date BUILDING Owner Mailing Address , SO. FT. OCC. BUILDING VALUATION Telephone No. nA 9/ ,s - Contractor j cpr Mailing Address 33 ., Fireplace Total Valuatio n Tele ne No. j7 Permit Fee Building Address Plan Checking Fee&/or Penalty rmit Fee PLUMBING No. @ FEE PERMIT FILING FEE $3.00 Each Trap 1.50 Repair drainage or vent piping 1.50 A. P. No. ? ��� 7 3 3 Zoning &Planning Water piping 1.50 Each gas water heater or vent 1.50 Fobfl V416. FireDept. Fire Zone Use Permit Gas piping system 1 - 5 outlets 1.50 EOA Parking Plans ParcelEach laration Parcel Map 60' R/W Improveme is additional outlet .30 Building sewer 5.00 RIAR end Parcel A al PI Approvol Lawn sprinkler system 2.00 NEW MMP'f-- ADDITION ❑ UTILITIES ❑ OTHER Permit Fee $ $ ELECTRICAL No. @ FEE 3lOS`"%6 PERMIT FILING FEE $3.00 0V OR LEMain service 100 AMP ORSLESS 5.00 Single FaAly ❑ 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. ( ACCLBLOGS.CCUP. 4) 2¢sq ft 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: o NEW RESID. BRANCH CIR T NON RESID. l BRANCH CIRCUITS% 2.50ea NEWCONSTR. (POWER APPARATUS 8 NON . RES 1 D. SINGLE OUTLET CIR. Ex. OCCUl)(OUTLETS OR FIXTtIRES 5 L� FIXED APPLNS. OR Ex. Occup. ( OUTLETS (RESID.) EA) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 License No. Classification,,z� 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 Work 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. 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 herebya MECHANICAL No. FEE @ PERMIT FILING FEE $3.00 Heating Cooling Ventilation L2.00 Hood and Development Fee $ $ TOTAL PERMIT FEE $ �< uuu lvllLc Ictli cAGIRaUVaif UI LIM %aUUIILY VI OULLU LU C111C1 UJJUII UIC above-mentioned property for inspection purposes. X 1d� to Signature of P-iitee or Agent A 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 al o�r which fees have been paid. ,4DIREQT-0R OF PUBLIC WORKS Building permit expires Date MOBILEHOME SUPPORT DATA '-47 7 - x 3 (ft.)(in.) (in.) (in.) ' If 'other than single wide No.(,—_ ?`1/t Year / 97 Mobilehome Mfr, �mAw furnish Setup Model Width (ft.) Bo Leng(ft.) Tagalong or Expando Size ft. x ft. (SHOW SUPPORT DETAILS BELOW) On all mobilehomes manufactured aeIter October 7, 1973, furnish manufacturer's installa�)ion 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) y v SingleWood either treated of pressure foundation grade. (ft.) -(in.) (in.) (in.) 02. Other (specify) Center support Center support Supports (check one) locations* footing sizes (in.) - Concrete block. El 2. Other (specify) (in.) (in.) <--Tagalong or Expando, show support details. (ft.)(in.) (in.) (in.) '-47 7 - x 3 (ft.)(in.) (in.) (in.) *If center piers are other than drawn above, draw in locations, spacing, and dimensions. /�x-- Typical_ Support (in.) (in.) Footing Size -- Max. Pier Spacing (ft.)(in.) IVI _ -- Max. Overhang I (ft.)(in.) . BUTTE COUNTY BUILDING DEPARTMEN" .APPROVE® (ft.Vin.) (in.) (in.) /.X 3 Gd -o *If center piers are other than drawn above, draw in locations, spacing, and dimensions. /�x-- Typical_ Support (in.) (in.) Footing Size -- Max. Pier Spacing (ft.)(in.) IVI _ -- Max. Overhang I (ft.)(in.) . BUTTE COUNTY BUILDING DEPARTMEN" .APPROVE® BUTTE COUNTY DEPARTMENT OF PUBLIC WORKS 7 County Center Drive, Oroville, CA. PHONE: 534-4541 MOB ILEHOME INSTALLATION SHEET 1. Owner's name: 2. Installer's name: 3. Is the site currently under permit? Yes /L4 No / / (If yes, furnish permit number ) OR Is the site an existing site? Yes / / No / / (If yes, furnish two (2) plot plans.) 6 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 /Z__T____No ( If no, clarify service? --------------------------------------------------- ) (If yes, identify the load and size: (Load) (Amps) 9. 5. What is the mobilehome electrical rating? ----------------------- j 67,:57 Amps 6. What is the mobilehome site service rating? --------------------- 2 ,�q Q Amps 7. What is the mobilehome site circuit breaker rating? ------------- / 0e52 Amps 8. Is there any other electric load to be served by the mobilehome (This information not required if pipe length less than 6 ft. on natural gas or less than 50 ft. on LPG.) site service? --------------------------------------------------- Yes / / No / (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 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.) ,� �•< _ COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS / 7 County Center Drive - Oroville, California 95965 Telephone: 534-4541 APPLICATION AND PERMIT autrlUnce representatives of the Luunry or tsutte to enter upon ine above-mentioned property for inspection purposes. X Date a► Si natua of ermiteee or Agent Receipt No. 11,20 ,5 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 By ' Date F /?- 7 F ding permit expires Date 7 BUILDING Owner /?AYA4,ONb L ,0AJEAJS SQ. FT. OCC. BUILDING VALUATION Mailing Address 63141 PFA 0 +2 bKv� Cis- 9 s9S3 a ajao Contractor /(f�� Mailing Address Fireplace Total Valuation Telephone No. Permit Fee 1 ► 1 I '� Building Address S r-QQ7'41 bb 1✓�V �a 4P P, Plan ng Fee&/or Penalty Permit Fee it Fee So�S� F A).STNAA5 AD- PLUMBING No. @ FEE PERMIT FILING FEE $3.0000 Each Trap 1.50 ,/ I , Zgnin9 Yorif9cation Onl)gl ©RCIVIU,6 Repair drainage or vent piping 1.50 i�J� A. P. No. �7�0'33- 3 Zoning & lanning Water piping 1.50 ,00 Each gas water heater or vent 1.50 F W S i tion. Fire Dept. Fire Zone Use Permit Gas piping system 1 - 5 outlets 1.50 10 EQA Parkingarcel plans Declaration Parcel Map 60' R/W I Improvements Each additional outlet .30 Building sewer 5.00 QoQv Bldg. Plans RecdIL Par $"Yal A Plaproval Lawn sprinkler system 2.00 NEW ADDITION ❑ UTILITIES OTHER ❑ permit Fee $ ELECTRICAL No.1 @ FEE PERMIT FILING FEE $3.00 '3,,00 Main service 600V OR LESS 100 AMP OR LESS 5•�� 'tOQ Single Family Duplex Mobil Home Others ❑ Main service EA. ADD•L 100 AMP 2.50 500 SQ. FT. MINIMUM Main service OVER 600V 25.00 100 AMP OR LESS Main service EA. ADD'L 100 AMP 1.00 FOR MOBILES NEW CONST.V DWELLING OCCUP. 4 OR ADONS. ACC. BLDGS. 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 style of: NEw RDNSTR BRANCH CIR T NON.RESI D, � BRANCH CIRCUITS) 2.50ea NEW CONSTR. (POWER APPARATUS 6 RESID. (POWER NON.OUTLET CIR, Ex. Occup{OUTLETS OR FIXTI[RES BAL 1W FIXED APPLNS, OR Ex. Occup. OUTLETS (RESID.) EA) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 /9-,00- S,00Misc. License No. Classification Misc.Wiring 6.25 1 am exempt from the Contractors License Laws of the State of California. Permit Fee $ , j0 $ of WORKMEN'S COMPENSATION INSURANCE I am aware of the provisions of Section3700 of the California Labor Code which requires every employer to be insured against liability for Workmen's Compensation. ❑I have placed on file with the County of Butte a certificate of Workmen's Compensation Insurance. 5�:l certify that in the performance of the work for which this permit is issued I shall not employ any person in any manner so as to become subject to the Workmen's Compensation Laws of California. MECHANICAL No. @ FEE PERMIT FILING FEE $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 $ $3 Z autrlUnce representatives of the Luunry or tsutte to enter upon ine above-mentioned property for inspection purposes. X Date a► Si natua of ermiteee or Agent Receipt No. 11,20 ,5 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 By ' Date F /?- 7 F ding permit expires Date 7 9. Electrical A: 'Is service large enough to provide adequate amperage -to mobilehome (must equal rating of mobilehome with a minimum of amp). and other facilities on lot, i.e., water pumps, garage, cabana, etc.? Yes_ No. B. Is there proper clearances around panels? Yeses No C. Is power supply cord or feeder assembly properly fused? Yes t/ No. D. is continuity test satisfactory as per the following procedure? Yes No .1/ De -energize electrical wiring system of the mobilehome at the pedestal. ?,- Make sure that the power supply cord or feeder assembly conductors, including neutral conductor, have been disconnected. '*'.Switch all breakers and switches in the mobilehome to the "on" position. W 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. -f� 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 Manufacturer and/or Namestyle Length (_.Width�2_ Vehicle Serial No. State Identification No. CAI., OJZ 100. `�l " o 2310 % Additional Information or Comments: J MOBILEHOME INSTALLATION INSPECTION CHECK LIST 1. Is the mobilehome located wit required separation from lot lines and buildings and generally conform to plot plan? Yeso/ No 2. Does the mobilehome have required clearances above ground? (Sec.5085) YesNo 3. Are footings and support's properly sized, spaced, and braced asapproved plans? (Note possible variation at spring shackles.) (Sec /5082 & 5083) Yes" No 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 fl ble connector of adequate size and properly installed (1/2" ID min.)? (Sec. 5566) Yes_ No B. Test - Does water piping withstand wgrking pressure or 50 lbs. air test? Yes �No 0 �`b ackflow - If coach is not State of California approved, does station have backflow device and pressure -relief valve? Yes No 7. Wastes and Drains A. Is connection made with Schedule 40 DWV and have flex connectors at each end? Yes 41 No B. Does it have minimum" per foot slope and is it properly supported? Yes �No C. Are any leaks detected in drainage system after running 3- ons of water through each fixture including washing machine standpipe?.Yes NIL (4,f—Coach is not State of California approved, does station have required trap and vent? es_ 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 mob�>Noo me gas line inlet without reductions other than the mobilehome connector. Yes_ B. Test OK as per following procedure? Yes t/No �! Open all appliance connector valves. 2 Shut off appliance burner and pilot valves. 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. Connect gas meter to mobilehome with connector, turn on gas, test connections with soapy water. C.. Are all appliance vents properly installed? Yes No 2e� \ IVII-e*1 �� 1/ V • , JV �.1-'�^-.t�_ � . f�-%L, SCJ 1 � \ • _�-{�. U 7:W i Septic system and to of build- the ing drain stub -out to be as Per 7�0 Health Dept. Re- The Bldg. Setback shall be 5 f4. from 3 Butte . county N der sid_e propj3 ty.line, and 53 ft. from the \ ,quirements.. permitting at maxi- centerline of the road, MUMof a"�2 ft. eave overhang but Orfl oly .0 `.o ,. S A Pans and' speciticat1ons ►°A Use" be out of all easements. h,s..set of P and it is unlawful 10 at all tunes a Without cept on the lob altarations, on same ,w changes or artrrent of Pubiia , e make any-, from the `hep I misson - o ,ritten per of Butte. 33 _W'or County -. le o BUTTE COI�NTY ��, k., BUILDING DEPARTM A` PROVED . • TM o NS9°33 r Utitity iconnections shall be ' ,/ L , - 4 ft. outside -the rear VV ,ocated withn ili;rtl ection of the mobile home T , s y ` on the. left (road) side of the mob-ile m o home. c.,? — # Z5 -33 w S � ° E: F 0011,;11- 8.1��Q • �7/-/7