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Home My WebLink About066-130-031O ,e.--.yr„x.+.. .. -• wry/ .+:w+w ..•, ,,..,. ,r .. .. :r;. _. � . • 66-13-31 . Jim Consigny71.27177 1470 So.Park r., Magalia-�yJ yx contr: Tri V Const., Paradise Permit 99-77P,E(util.SMH) GAS SUPP61kT SYRUCTURE REQ. -kAO C_ OM_ PACTION TEST REQ. 1;1,0 r4 66-13-31 contr:'John Andrade,"Magalia '- Permit #1799-71B,E(new decks & pri. E( garage/N�e�� 66-13-31 , f contr::MobileIService Unlimited SanJose Permit #2550-77MHI 717-7177 Issued-- 31' ?_ a 066=130-031 :`'� PERMIT#95-2614 CONSIGNY; --James ' �` _h ?' `` ' ..; 13796 West .Park. Dr. , Magalia� "Relocate Propane`Line MH T. 'p �I .- .-•« rRelocate 30-031 s' PERP�IT#95 2614r GNY, James "fWest ParkrDr., Magaliai Propane Line/MH t • ' i 'r r � • r , r OFFICE_ COPY Address/ IAJ 49J� fGAS Meter By Date i c ELECTRIC Date Meter By t F I� . COUNTY OF BUTTE- DEPARTMENT OF DEVELOPMENT SERVICES - BUILDINGDIVISI N 7 County Center Drive - Oroville, California 95965 - Telephone (916) 538-75.� PERMIT NO. APPLICATION AND PERMIT to ,' e�21Al 4 ASSESSOR PARCEL NUMBER 066-13-0-0 ZONING BUILDYG PERMIT / OWNER JAMESRCONSIGNY TELEPHONE SO. FT. OCC. BUILDING VALUATION OWNERS MAILING ADDRESS 13796 W. PARK DR., MAGALIA CA 95954 CONTRACTOR'S NAME UNKNOWN TELEPHONE CONTRACTORS MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNW40WN Total Valuation $ LENDER NG ADDRESS &Filing Fee $ 20,00 :Permit Fee $ ARCHITECT OR ENGINEER NONE LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ n ARCHITECT OR ENGINEERS MAILING ADDRESS Penalty $ BUROINGADDREsS 13796 W&ST} PERMITFEE $ 1 PLUMBINGPERMIT Filing Fee 20.00 Each Trap 7.00 LOT NO.S UBDNISION'S NAME PARCEL MAP Solar or heat pump water heater 23.00 t USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome Qt Other SPECIFY Water piping 15.00 Each gas water heater or vent 15.00 Gas piping system 1 - 5 outlets 15.00 K Building sewer 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities C77 Installation ❑ Other ❑ Describe Work: RELOCATE PROPANE LINE T Mobile Home I S JYGJ W 1 920.00 PERMITFEE $ Contractor ELECTRICAL PERMIT Filina Fee 20:00 Main Service EOOV OR LESS ( 2ooA OR LESS / 23.00 Main Service ( 200A TO 1000A ) 46.00 r it LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter - 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code,( and my license is in full force and effect. f License lass Lic. No. d OWNER -BUILDER DECLARATION 1 hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: $ ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ 1, as owner of the property, am exclusively contracting with licensed}contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason NEW CONST. DWELLING OCCUR OR ADDNS. ( d ACC. BUDS. ) SO. 3.50 FT. NEW CONST. MULTI.OUTLET NON-RESID. ( BRANCH CIRCUITS ) 97.50 POWER APPARATUS ) & SINGLE OUTLET CIR. Ex. Occup. (OUTLET OR FIXTURES ) 20 Q 1.00 a4L 30 Ex. Occup. ( OUFIXED A TLETS Pip 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMITFEE _ Contractor WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: [11'1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMITFEE $ Contractor Policy Number (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) O I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall forthwith comply with those provisions. X ,i 1 s"' - ,�,'t. _ Date Signature of Applicant - ❑Owner ❑Contractor ❑Agent Ari OSHA permit is required for excavations over 60" deep and demolition or construction of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee Is OCC CONST. TYPE /.Aii•M TOTAL FEE $ •'i 00 HAZ. 1 D. FEES I IMP I FLOOD I CDF PARCEL PD HD I ISSUE This permit is hereby issued under the applicable provisions of the Butte County Code and/or Resolutions to do work indicat d above for which fees have#been paid. i / ( J�/t /4 eye �% ' ' v /%/�`/�!Y v Date In/]?II �- PERMITEXPIRESON 0 (Date) ReceiptNo. 18W70 WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT COUNTY OF BUTTE- DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVI ON 7 County Center Drive - Oroville, rbliforui&%95965 - Telephone (916) 538-75 PERMIT NO. APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER 066-13-0-031 ZONING RTI BUILDI G PERMIT OWNJAi4ES CONSIGNY ER TELEPHONE SO. FT. OCC. BUILDING VALUATION OWNERS MAILING ADDRESS 13796 11. PARK DR., MAGALIA CA 95954 CONTRACTOR'S NAME UNKNOWN TELEPHONE CONTRACTORS MAILING ADDRESS Fireplace CONSTRUCTION LENDER NONE UNIOJOWN Total Valuation $ LENDER'S MAILING ADDRESS Filing Fee $ 2p.pQ Permit Fee $ ARCHITECT OR ENGINEER NONE LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS 1-3796 HEEST PARK DR, MAGALIA PERMITFEE $ PLUMBING PERMIT Filing Fee 20.00 Each Trap 7.00 IAT NO. S UBDNIS IONS NAME PARCEL MAP Solar Or heat pump water heater 23.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome EK Other SPECIFY Water piping 15.00 Each gas water heater or vent 15.00 Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities Ek Installation ❑ Other ❑ Describe Work: RELOCATE PROPANE LINE Mobile Home I S XG I W 11 920.00 20.0 PERMITFEE $ 40.00 Contractor ELECTRICAL PERMIT Filinq Fee 20:00 Main Service a V OR LESS ( 20oA OR LESS ) 23.00 Main Service ( 200A To 1000A ) 46.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. License Class Lic. No. OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason NEW CONST. DWELLING OCCUP. OR ADDNS. ( & ACC. BLDS. ) so, 3.50 FT. NEW CONST.MULTI.OUTLET NON-RESIO. ( BRANCH CIRCUITS ) @7.50 ( POWER APPARATUS ) 8 SINGLE OUTLET CIR. Ex. Occup.ourLET OR FIXTURES) ( 20 @ I•50 6AL .50 Ex. Occup. OUTLEEDrs PaESISD.°Ea ( ) 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMITFEE $ Contractor WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: Jk I have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMITFEE $ Contractor Policy Number (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) Y I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall forthwith comply with those provisions. I ` X �_ _ Date _� / �j� Si ture of Applicant - ❑ Owner Cont+ ctor ❑ Agent T OSHA permit is required for excavations over 5'0" deep and demolition or construction of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST. TYPE TOTAL FEE $ 40..00 HAZ. D. FEES IMP FLOOD CDF PARCEL PD HD ISSUE This permit is hereby issued under the of the B e County Code and/or indic d a ove for whit ees hav B PERMITEXPIRESON10/18296 applicable provisions gesol0ions to do work be paid. Date --LU1849.5 (Date) Receipt No. 186070 I WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT I PE�aMIT NO. 179"9-77B,E ' 'r PERMIT EXPIRES OWNER Jim Consiglay CONTR. John Andrade, Magalia LOCATION (A.P. 66-13-31 ) 1470 So.Park Dr., Mgalia i f% G 9 t i N , q i h S Temp. Power Pole Called PG&E a Temp. Elea Serv. Called PG&E T mp. Gas Serv. Called PG&E OB NALED 2- !L 7 7 (Date) (Signature) • - COUNTY OF BUTTE' — DEPARTMENT OF PUBLIC WORKS % BUILDING INSPECT[ON RECORD (NOTE` An entry must be made on this form each time you visit the job site.) BUILDING BUILDING (Cont'd) PLUMBING Setback Firewall Soil Piping Forms -1 Parapets 1st Floor Main Bldg. Restroom Finish 2nd Floor Footings Windows 3rd Floor Stemwall Siding To out Slab Roof Sheathing Water Piping Piers Roofing Sewer Garage Fdn. Vents Fixtures Footings Garage Vents Water Htr. Stemwal I Insulation Heaters Slab Carport Footings Prov. for physically handicapped Conformance of ex. structure Appliances Gas Piping& Test Temp. as Slab Final L 7 ' L Sanitation Patio FIREPLACE9 Final Footings Footing ELECTRICAL Masonry Walls Throat Rough Reinf. Steel Final Fixtures Bond Beam FIRE SPRINKLERS Motors Framing — - i Test Water Htr. Stucco Final Sub anels Mesh MECHANICAL Grd. Fault Prot. Scratch Heating Service Brown Cooling Temp. Pole Finish Ducts Underground Interior Lath Ventilation Permanent Door Closer Final I Final - -i 9 - ° MOBILEHOMEUTILITIES ------------------ Elec. Service Elec. Pedestal Water Piping Sewer Gas Piping MOBILEHOME 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 BUTTS - `DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Uroville, California 95965 Telephone: �3,%4541 APPLICATION AND PERMITAA /799-77 authorize representatives of the County of Butte to enter upon the above -m tioned p=forinspection purposes. X Date 4 /3 Signatur Permitee or Agent d Receipt No. I I, P a 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 Gf{ PUBLIC WORKS By Cate q— Z L wilding permit expires Date BUILDING Owner J /�'1 CD N SQ. FT. OCC. BUILDING VALUATION y S ,f15 7 (o Mailing Address Telephone No. Fireplace Contractor a Total Valuation Mailing Address 45- PX6-A 1•. 9 jj Permit Fee Plan Checking Fee &/or Penalty /�`MAG/a<« Com, Telephone No. �g-/) Iy Permit Fee $ 32.0 6 ,� 00 Building Address /,-/70 56 2 f PLUMBING No. @ FEE PERMIT FILING FEE $3.00 M g G A A I A Each Trap 1.50 Repair drainage or vent piping 1.50 Water piping 1.50 Each gas water heater or vent 1.50 A. P. No. t-/3 -'� ( Zoning& Planning Gas piping system 1 - 5 outlets 1.50 Each additional outlet .30 Fe w -e- S _ Ion Fire Dept. FireZone Use Permit Building sewer 5.00 EQA Parking Parcel Plans Declaration Parcel Ma p 60' R/W Improvements p Lawn sprinkler system 2.00 Bldg. Plans Recd IL -.-,cel Approval Plans Approval Permit Fee $ $ NEW ADDITION ❑ UTILITIES ❑ OTHER ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 goo Main service V OR LE 80000 AMP ORSL _SS 5.00 Main service EA, ADD•L 100 AMP 2.50 Main service OVER s O 25.00 100 AMP OR LESS Single Family ❑ Duplex ❑ Mobil Home Others ® Main service EA. ADD•L 100 AMP 1.00 RGltOR l NEW CONST.DWELLING OCr-P. & ADDNS. ( ACC. BLDGS. 2�sq ft O, NEW CONSTR. MULTI -OUTLET NON.RESID. ( BRANCH CIRCUITS) 2.50ea NEW CONSTR. (POWER APPARATUS .&) NON -REST D. SINGLE OUTLET CIR. CONTRACTORS LICENSE LAW I am licensed under the provisions of Chapter 9, Div. 3, of the State of California Business & Professions Code under the name style of: .-- Ex. Occup(OUTLETS OR FIXTURES) BAL@1109 IXED ALNS. Ex. Occup.(OUT ETSP(RESID)REA) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 �kl2` License No. � Classification�>�l Misc. Wiring 6.25 ❑ I am exempt from the Contractors License Laws of the State of California. Permit Fee $ /3,/K,$ S<S MECHANICAL No. @ 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. rv-]_1.-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. PERMIT FILING FEE $3.00 Heating Cooling Ventilation Hood 2.00 Permit Fee $ $ I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby TOTAL PERMIT FEE $ H$ authorize representatives of the County of Butte to enter upon the above -m tioned p=forinspection purposes. X Date 4 /3 Signatur Permitee or Agent d Receipt No. I I, P a 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 Gf{ PUBLIC WORKS By Cate q— Z L wilding permit expires Date PERMIT NO. 999-77P,E PERMIT EXPIRES OWNER Jim Consignv CONTR. Tri V Const., Paradise LOCATION (A.P. 66-13-31 ) 1470 So.Park Dr., Magalia . c I. i I: 3 f` Temp. Power Pole z Called PG&E _ Temp. Elea Serv. G-f3'I2 oQR Called PG&E Temp. Gas Serv. Called PG&E JOB FINALED (Date) (Signature) COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS BUILDING INSPECTION RECORD BUILDING. A BUILDING (Cont'd) PLUMBING Seltack Atewall S I Piping ForAs Pa ets 1 t Floor Mai Bldg. Rest om Finish 2n Floor Fo tins Wlndo 3rd oor Stem all Siding To out Slab Roof SheaNino Water PI i Piers Roofing Sewer Garage Fdn. Vents Fixtures Footin s Stemwa I I Garage Vents Insulation Water Htr. Heaters Slab Carport p Prov. for physical handicapped Conformance of ex. Appliances Gas Piping & Test Footin s V structure V Temp. Gas Slab A Final Sanitation Patio F EP ACE Final - Footin s Footing E ECTRIC L Masonry Walls Throat Rough Reinf. Steel Final Fixtures Bond Bea IRE SPRINKLE Motors Framing Test Water Htr. Stucco Final Sub anel MECHANICAL Grd. F It Prot. EByn Heati Servi Coo ng T p. Pole nish D is nder round I edor Lath N I entllatlon Permanent oor Closer Final linal MOBILEHOME UTILITIES ------------------Elec. Service Elec. Pedestal -Z 3„ Water Piping Sewer 77 6D Gas Piping MOSILEUS2MEINSTALLATI N --------------Support = Elec. Continuity Water Piping Drainage 3 Gas Piping DATE REMARKS OR CORRECTIONS -- Oz-�C.�Y��CJi. (/�'Q •J Ck rXit,4 itvz 011-71 h�w 14aG2%% �� (NS f e h t ilfi v' It the �� "u 9. Electrical A Is service large e-notigli to provide,adcquate amperage to mutiilcl�ome (must equal rating of u�bi_lehotne with a :::iniwum of I amp) and other facilities; on lot, i.e., water pumps, n ,craze, cabana, ctc.? Yeszel_ No B. Is ther.-� proper clearances around panels? Yes No_ C. Is power supply cord or feeder assembly properly fused? Yes_ No— D. Is continuity test satisfactory as per the following procedure? Yes_ No l.. 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 load of a test instrument to the mobilehome grounding conductor and cpjiiy tare oLher lead to eaCairlIUU1.LCtlUlile siippty CuCiuLiCtGr, iLicliiitlYtg neLtLrdt. 5. All nor. -current, carrying metal parts of the mobilehome (aluminum siding, gas line, -water line), including fixtures and appliances, shall be tested for continuity from such equipment and the grounding conductor. 6. Upon completion of the above procedure, the power supply cord or feeder assembly conductors shall. be connected to the site service equipment. A further continuity te:;t shall then be made between the -grounding electrode and the chassis of the. 11101)ilehome.. Upon sati_lsfactory completion of the electrical tests, the lot or site service equipment- may be approved for energizing. -i is job card signed by 111ealth Department for water and sanitation? 11. If everything okay, sign off card and ta;; services. MOBTLLi?U1!L DATA Manufacturer and/car Namestyle Length Width Vehicle Serial No. % 2. ��h State Identification No. _ ,.dcii.tional Infni--nat:ion or Cornm.ents: � r ti0ti7!,l?tiU:°tG LISI'AL'LAT OU 1NSPECTION CHECK LIST 1. Is the niobilehomt� located will equired separation from lot lines and buildings and generally conform to plot plan? .. No 2. Does the m;-,bilehome have requirc_d clearances above ground? (Sec.5085) Yes- No 3. Are foot:ut;s and supports properly sized, spaced, and braced as LSE -,approved plans? (Note possible varication at spring shackles.) (Sec, 5682 & 5083) YesNo 4. Is the mobilehome level.? (Sec. 5088) Yes_ No_ 5. If more nan a single unit, are crossover connections properly installed? (Sec. 5088) Yes No 5. Water A. is flex•ble connector of adequate size and properly installed (1/2" ID min.)? (Sec. 5566) Yes .B. Test - Does water piping withstand working pressure or 50 lbs: air 'test? Yes 6_10 C. Backflow - If coach is not State o California'approved, does station have backflow device and pressure -relief valve? Yes No 7. Wastes and Drains A. FIs connection made with. Schedule 40 DWV and have flex connectors at each end? Yes No B. p. Does it have minimum per foot slope and is it properly supported? Yes N C. Are any leaks detected in drainage system after runn 3 -gallons of water through each fixture including washing machine standpipe? Yes, No D. If coa5p.K is not State of California approved, does station have required trap and vent? Yes No 8. Gas Piping and Gas Vents A. Connect - Is mobilehome.connected to the gas supply with an a oved 3/4" minimum mobilehome nector not more than 6 ft, long? Note: All _ping is to be at least as large as the mo-lehome gas line inlet without reduct• s other than the mobilehome connector. Yes o B. Test OK as per following-*11KPcedure9 — No 1. Open all appliance conne or ves. 2. Shut off •appliance b er and p' of valves. 3. Air test wi* manometer to 10"-14" wa column, or test with slope gauge (minimum 6oz.-ma ' um 8 oz.) calibrated in tenth po d increments. Test for 10 min, without dro 4. (Connect: gas meter to mobilehome with connector, turn. gas, test connections with soapy water. C. Are all appliance vents properly installed? Yes No COUNTY OF .BUTTE — DEPARTMENT OF PUBLIC WORKS ///777 25:5 7 County Center Drive — Orovill'e, California 95965 /1 -77 7' Telephone: 534-4541 (J / APPLICATION AND PERMIT /n ✓ authorize representatives of the County of Butte to enter upon the above-mentioned property forinspectionpurposes. X �i�//� (/c P/�/a _ Date S ZT7 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—RUBLIC WORKS By Date \5— /— 7 7 Building permit expires Date S-,-3 7 (� BUILDING Owner SQ. FT. OCC. BUILDING VALUATION Mailing Address Telephone No. Fireplace Contractor �� ' l Total Valuation Mai I i ng Address Sv /� alowol- Permit Fee Plan Checking Fee &/or Penalty Telepho6ne No. rmit Fee Building Address PLUMBING No. @ FEE PERMIT FILING FEE $3.00 Each Trap 1.50 j Repair drainage or vent piping 1.50 Water piping 1.50 Each gas water heater or vent 1.50 A. P. N . i3 Zoning & Planning Gas piping system 1 - 5 outlets 1.50 Each additional outlet .30 F s S& tetrar Fire Dept. Fire Zone Use Permit Building sewer 5.00 EQA Parking Plans I Parcel Declaration Parcel Ma P 60' R/W Imp rovements P Lawn sprinkler system 2.00 Bldg. afxl�ns Recd Parcel Approval Plans Approval Permit Fee NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 •! M600V R Man service 100 AMP ORSLESS S.OD Main service EA. ADD'L too AMP 2.50 Single Family ❑ Duplex ❑ Mobil Home Others ❑ Main service OVER s O 25.00 100 AMP OR LESS Main service EA. ADD•L too AMP 1.00 NEW OR ADDNST ( ACCLBL GSLING OCCUP. &) 20sgft NEW CONSTR. MULTI -OUTLET NON.RESID. ( BRANCH CIRCUITS) 2.50ea NEW CONSTPOWER APPARATUS &) NON.RESI R. D. (SINGLE OUTLET CIR. CONTRACTORS LICENSE LAW I am licensed under the provisions of Chapter 9, Div. 3, of the State of California Business & Professions Code under the name le of: style y ��y/JI Ex. Occup(OUTLETS OR FIXTURES) BALA 001 FPPLNS. OR Ex. OCcup.(OUTLETIXED AS ( EA) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 / e License No. �� f.� Classification Misc. Wiring 6.25 ❑ I am exempt from the Contractors License Laws of the State of California. Permit Fee $ $ WORKMEN'S COMPENSATION INSURANCE 1 am aware of the provisions of Section3700 of the California Labor Code which requires every employer to be insured against liability for Workmen's Compensation. I have placed on file with the County of Butte a certificate of Workmen's Compensation Insurance. I certify that in the performance of the work for which this El Permit is issued I shall not employ any person in any manner so as to become subject to the Workmen's Compensation Laws of California. MECHANICAL No. @ FEE PERMIT FILING FEE $3.00 Heating Cooling Ventilation Hood 2.00 Permit Fee $ $ I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby TOTAL PERMIT FEE $ O �I authorize representatives of the County of Butte to enter upon the above-mentioned property forinspectionpurposes. X �i�//� (/c P/�/a _ Date S ZT7 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—RUBLIC WORKS By Date \5— /— 7 7 Building permit expires Date S-,-3 7 (� J a MOBILEHOME SUPPORT DATA Mobilehome Mfr. Setup Model No. L1199_T Year -7 -2 Width .(ft.) Length' (ft.) • - Expando Size ft.x ft. (Draw support details below) On all mobilehomes manufactured after October 7, 1973, furnish manufacturer's installation manual and structural setup sheets (if not on file with the County of Butte).. S *If center piers are other than drawn above, draw in locations, spacing, and dimensions. /Footings (check one) 1. Wood either pressure treated or fdn. grade. 2. Concrete pad. 3. Other, specify Supports (check one) 1. Concrete block 22. Concrete piers T73. Steel piers 4. Other, specify - Typical Support Footing Size S '1� Max. (ft.) (-in.) .... f.__ Max. Overhang ((in.) 0 Center Center Support Support Locations Footing Sizes (in.) �a C0 --C ) in.) (in. I x 1 Al 0 i r f. f (Fo(t9x :) in. (in.)(in.) i (tt.)-Tin.) `_n.}j n') ` I *If center piers are other than drawn above, draw in locations, spacing, and dimensions. /Footings (check one) 1. Wood either pressure treated or fdn. grade. 2. Concrete pad. 3. Other, specify Supports (check one) 1. Concrete block 22. Concrete piers T73. Steel piers 4. Other, specify - Typical Support Footing Size S '1� Max. (ft.) (-in.) .... f.__ Max. Overhang ((in.) 0 r BUTTE COUNTY DEPARTMENT OF PUBLIC WORKS 7 County Center Drive, Oroville, CA. PHONE: 534-4541 MOBILEHOME INSTALLATION SHEET 1. Owner's name: �(/�%�sG4 6.0 2. Installer's name:Zf 3. Is the site currently under permit? Yes No (If yes, furnish permit number � — %) OR Is the site an existing site? Yes / / No (If yes, furnish two (2) plot plans.) 4. Will the mobilehome be located'at least 5 ft. away f im septic tank and leach fields and clear of all setbacks and easements? Yes / No ( If no, clarify ) 5. What is the mobilehome electrical rating? ----------------------- 20 Amps 6. What is the mobilehome site service rating? --------------------- 1100 Amps 7. What is the mobilehome site circuit breaker rating? ------------- 66 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? ---------------------- (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? 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.) (ft.) (BTU) COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS 7 County Center Drive Urovi116, California 95965 % 71 Telephone: 534-4541 / APPLICATION AND PERMIT dusnonc re resentatlVeS or the county OT tsutte to enter upon the above- ent-oned property for inspection purposes. X Date ignature of Permitee or, ge Rec Ipt No. A:,0/ / 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. DIRECTO F PUBLIC WORKS By Date 3-- y`Z —77 wilding permit expires Date 3- Z-7--- Z-1�' BUILDING OwnerSQ. FT. OCC. BUILDING VALUATION Mailing Address G e No. Fireplace Contractor _ (/— C6.0 /¢fi �f� _ Total Valuation Mailing Address (y/��' �-t�y,�.�, Permit Fee Plan Checking Fee &/or Penalty Telephone No. 8-1�73 Vj Sr Permit Fee $ Building Address %C7 PLUMBING No. @ FEE PERMIT FILING FEE $3.00 R.Q...cv Each Trap 1.50 Repair drainage or vent piping 1.50 Water piping Unkg Yarifica11 my Each gas water heater or vent 1.50 A. P. No. r `Za ng Gas piping system 1 - 5 outlets 1.50 Each additional outlet .30 Fe �W. a t FireDept. Fire Zone Use Permit Building sewer ) EQA Parking Plans Parcelparcel Declaration Ma P 60' R/W Improvements P Lawn sprinkler system 2.00 Bldg: C.0R(c'dL;.01-11-el Approval s Approval Permit Fee $ $ J NEW ❑ ADDITION ❑ UTILITIES OTHER ❑ ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 Main service 101v OR LESS 5.00 100 AMP OR LESS Main service EA. ADD'L 100 AMP 2.50 Q Single Family ❑ Duplex ❑ Mobil Home Others ❑ Main service OVER 600V 25.00 100 AMP OR LESS Main service EA. ADD'L 100 AMP 1.00 NEW CONST. OR ADDNS. ( DWELING ACCLBLDGS.CCUP. &� 2�syft NEW CONSTR MULTI -OUTLET NON-RESID. ( BRANCH CIRCUITS) 2.50ea 600 59. FL MINIMUM I NEW CONST(POWER APPARATUS & NON -RESUTLET CIR. ID. SINGLE O CONTRACTORS LICENSE LAW I am licensed under the provisions of Chapter 9, Div. 3, of the State of C;!aIJinia Business & Professions Code under the name style of: / Ex. Occup(OUTLETS OR FIXTURES) BAL@@1 FIXED APP LNS. OR Ex. Occup. (OUTLETS (RESID.) EA) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 License No. 3 U Classification Misc. Wiring 6.25 ❑ I am exempt from the Contractors License Laws of the State of California. Permit Fee $ $ 5 �0 MECHANICAL No. @ FEE WORKMEN'S COMPENSATION INSURANCE 1 am aware of the provisions of Section3700 of the California Labor Code which requires every employer to be insured against liability for Workmen's Compensation. ❑I have placed on file with the County of Butte a certificate of Workmen's Compensation Insurance. �I certify that in the performance of the work for which this permit is issued I shall not employ any person in any manner so as to become subject to the Workmen's Compensation Laws of California. 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 StateAaws relating to building construction, and hereby P110 SU 'c ops TOTAL PERMIT FEE $ dusnonc re resentatlVeS or the county OT tsutte to enter upon the above- ent-oned property for inspection purposes. X Date ignature of Permitee or, ge Rec Ipt No. A:,0/ / 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. DIRECTO F PUBLIC WORKS By Date 3-- y`Z —77 wilding permit expires Date 3- Z-7--- Z-1�' -�epi`cc system Bineun o ` to be as per County Health Dept. Re- quirements All,lutility connections shall be iocated within 4 ft. outside the rear third section of the mobile home on the left (road) side of the mobile home. WS'SO of rdlrts z d Ste=„-; w..e NIOSI bo <opt on t;13 iab et all times and it is unl6wful to ' make any 61-inges or aifi-rat;ons on same without written pormisson from the Departm�-n* 4 Pii%!ir /ort Co, l y rr S.,r... q Be, NO'l c? in Accor t+C 7c8,' C . a Arvct:cis and Of 4 qUGIi, �3cri .r r..L `' ' ac: z J t s : in f;tc Uniform i,.:�„�ng, �'i�lr+:;n; L: ;v;c_;�o;licc•I Cocas an, Me Notional 0eciriccl Code. �, is lSu;t �� i JLzC!t c�iCi , i - •'• �t�. 73ropzny lirO or.ic" ^4y;;. from fho - C^I i erNrao O'. :3 i Jc *' r nlQxi- _ A;` en, of c 2 fi`. cavt, z lrZ of c!i eascr.ler,,%,. BUTTE COUNTY r .a• .i ice. All,lutility connections shall be iocated within 4 ft. outside the rear third section of the mobile home on the left (road) side of the mobile home. WS'SO of rdlrts z d Ste=„-; w..e NIOSI bo <opt on t;13 iab et all times and it is unl6wful to ' make any 61-inges or aifi-rat;ons on same without written pormisson from the Departm�-n* 4 Pii%!ir /ort Co, l y rr S.,r... q Be, NO'l c? in Accor t+C 7c8,' C . a Arvct:cis and Of 4 qUGIi, �3cri .r r..L `' ' ac: z J t s : in f;tc Uniform i,.:�„�ng, �'i�lr+:;n; L: ;v;c_;�o;licc•I Cocas an, Me Notional 0eciriccl Code. �, is lSu;t �� i JLzC!t c�iCi , i - •'• �t�. 73ropzny lirO or.ic" ^4y;;. from fho - C^I i erNrao O'. :3 i Jc *' r nlQxi- _ A;` en, of c 2 fi`. cavt, z lrZ of c!i eascr.ler,,%,. BUTTE COUNTY r