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Home My WebLink About026-080-052AP 26-08-52 tty Pinnick 230 Messina Ave., Palermo 1 Permi 3630-75 P,E (util_/MH� i EL EC. d �i GAS SUPPORT :fTARCT. COMPACTION RE •1 IkRMIT# 3815-75MHI Issued AP 2-0 8-5 Permit# 3836-75-E(for-"3630-75) 26-08-52 2309 Messina Ale . , Palermo contr: Acro-Lume, Oroville Permit #6324-79B(new awnings/MH) (f .-__- ��.�_ _ ,___�,- 0 :.� l i i ' PERMIT N0. 6324-79B PERMIT EXPIRES l /i�/�d James Love OWNER. CONTR. Acro-Lume, Oroville 26-08-52 t LOCATION (A.P. ) r 2309 Messina Ave., Palermo t r Temp. Poi Called Temp. Ele Calle Temp. a; Ca led JO FI ALED � i 1 . j Bond Beam COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS - BUILDING INSPECTION RECORD . . :. Motors BUILDING BUILDIN6(Cont'd) PLUMBING Setback ' Firewall Soil Piping Forms 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 Stemwall Garage Vents Insulation Water Htr. Heaters Slab Carport Footings Prov. for ph sically handica ed Conformance of ex. structure Appliances Gas Piping &Test Temp. as Slab Final / Sanitation Patio Footings FIREPLACE Footing Final ELECTRICAL Masonry Walls Throat Rough Relnf. Steel Final FlYturns Bond Beam FIRE SPRINKLERS Motors Framing Stucco Test Final Water Htr. Subpanels Mesh MECHANICAL Grd. Fault Prot. Scratch Heating Service Brown Coolina Temp. Pole Finish Ducts Underground Interior Lath Ventilation Permanent Door Closer Final Final MOBILEHOME UTILITIES ------------------ 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 BUTTE — DEPARTMENT OF PUBLIC WORKS ' 7 -County Center Drive - Oroville, California 95965 Telephone: 534-4541 APPLICATION AND PERMIT authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. i Date%7 Signature of 'e itea r Agent Receipt No. ' 47"Ag� 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 271 PUBLIC WORKS BY --" Date1=LZ2 � Buding permit expires Date BUILDING U L1110, Owner .GS � v C=. OCC. BUILDING VALUATION Mailing Address//Telephone No. NFireplace Contractor / i2o --1Le/ .44 el Mailing Address y®T�� Total Valuation t7 0/Z Af Telephone No. Permit Fee Building Address _ Plan Checking Fee&/or Penalty Permit Fee rG a JU 1 o ` v gCZ v PLUMBING No. @ FEE PERMIT FILING FEE $3.00 Each Trao 1.50 Repair drainage or vent piping 1.50 r A. P. No. p�p—B�'— a !/ z�_ Zoning Planning Water piping 1.50 Each gas water heater or vent 1.50 es I W-, ./ Sa on FireDept. FireZone Use Permit Gas piping system 1 - 5 outlets 1.50 EQA I Parking I Parrce! Plans Declaration Parcel Ma P 60' R/W Im r p ov ments Each additional outlet .30 Building sewer 5.00 Bldg. Plans eed Parcel A ,oval Plans Approval Lawn sprinkler system 2.00 NEW ADDITION ❑ UTILITIES ❑ OTHER Permit Fee $ .$ "Feee--. C//(9,x /a C/-) 9 x o ,y> ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 Main service 600V OR LESS , 100 AMP OR LESS 5•00 Single Family ❑ Duplex ❑ Mobil Home Ell" 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 11.00 NEW CONS. DWELING OR ADONST ( ACCLBLDGS.CcuP. s) 20sgft CONTRACTORS LICENSE LAW I am licensed under the provisions of Chapter 9, Div. 3, of the State of Ca 'fornia Business & Professions Code under the name st le of: Y % G 2c7 /L W ;-9 NEW RESID. / BRANCH CIR T NON-RESID, 1 BRANCH CIRCUITS) 2.50ea NEW CONSTR. (POWER APPARATUS t1 NON.RESID, (SINGLE OUTLET CIR, Ex. Occuo{OUTLETS OR FIXTIIRES) gqL 1� � Ex. Occu FIXED APPLNS. OR p• OUTLETS (RESID.) EA) 2.00 Temporary service 110.00 Mobile Home Facilities 15.00 License No. Classification^[� — t0 Misc. Wiring 6.25 ❑ 1 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 Wor men's Compensation. I have placed on file with the County of Butte a certificate of Workmen's Compensation Insurance. iecertify that in the performance of the work for which this permit is issued I shall not employ any person in any manner so as to become subject to the Workmen's Compensation Laws of California. MECHANICAL No -1 @ FEEPERMIT FILING FEE J$3.00 Heating Cooling Ventilation Hood 2.00 Permit Fee $ $ I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby Land Development Fee $ TOTAL PERMIT FEE $ l4 Ce authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. i Date%7 Signature of 'e itea r Agent Receipt No. ' 47"Ag� 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 271 PUBLIC WORKS BY --" Date1=LZ2 � Buding permit expires Date `,HH"UTI. 3630-75 P$E 'PERMIT NO. P E M QMH UTIL. PFRMIT NO A PERMIT EXPIRES OWNER Betty Pinnick 'CON TR. Owner LOCATION (A.P 26-08-52 2309 Messina Ave., Palermo Temp. Power Pole Called PG&E Temp. Elec. Serv. Called PG&E Temp. Gas Serv. Called PG&E JIO B FINAILED :4- (DAte) (Signature) COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS BUILDING INSPECTION RECORD /BUILDING BUILDING (Cont'd) PLUMBING Setback Firewall Soil Piping Forms Parapets 1st Floor Main Bldg. Restroom Finish 2nd Floor Footings Windows 3rd Floor Stemwal.l Siding To out Slab Roof Sheathing Water Pi p ng 44 Piers Roofing Sewer Garage Fdn. Vents Fixtures Footings Garage Vents Water Htr. StemwaII Slab Prov. for physically handicapped Heaters Appliances Carport Footings Conformance of ex. x. structure Gas Piping &Test Temp. Gas Slab Final Sanitation Patio - FIREPLACE Final Footings Footing ELECTRICAL Masonry Walls Throat Rough Reinf. Steel Final Fixtures Bond Beam FIRE SPRINKLERS Motors Stucco Final Subpanels Mesh MECHANICAL Grd. Fault Prot. Scratch Heating Service Brown Cooling Temp. ole Finish Ducts Underground Interior Lath Ventilation Permanent Door Closer Final Final 97-1 DATE REMARKS OR CORRECTIONS D. Is continuity test, satisfactory a6 'per the following procedure? . Yes -No - 1. De -energize electrical wiring system of the mobilehome at the pedestal. 2.. Make. sure that.,the power supply~cord or -feeder assembly conductors, including neutra. -c.onduc,tor; have been disconnected. 3.1 •Switch all breakers and switches "in`the mobilehome to the "on" position. 4. Cotnect 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 `gr6unding-electrode and the chassis of the _ mobilehome. Upon satisfactory completion of the electrical tuts., 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 '`s0-iUices'. MOBI3 EHOME DATA Manufacturer and/or Namestyle Length S .� Width (� _Vehicle.Seral No. State Identification No. ,Ji�l 6-93 -3 70f 0 iAdditioial Information or Comments: . 14- _ 1. Is the mobilehome located with required separaCion from' -lot lines and buildings and gener.Aly conform to Plot plan? Yes_�No 2. Does the mbb ilehome have required clearances'abovle, ground? (Sec.5085) Yes No 3.. *e footings and supports properly sized, spaced -,.and braced as per approved plans? (Note ssible variation at spring shackles.),(Sec. 5082 & 5083) Yes_ No 4. Is the mobilehome level? (Sec. 5088) Yeses No 5. If more than a single unit, are crossover connectiohs.properly installed? (Sec-. 5088) Yes >�—' No 6. Water A. Is flexible connector of adequate size and,properl� installed (1/2" ID min.)? -(Sec. 5566) Yes No B. Test - Does water piping withstand working, pressure or. 50 lbs. air test? Yes -No C. Backflow -.If coach is not State of California ap roved, does station have 'bac:kflow device and pressure -relief valve? Yes No� op . 7. Wastes and Drains A. Is connection made with.•Schedule X40: DIN and. have`�flek connectors at. each end? Yes4 N B. Does it have minimum " P�":'I foot slope- and is it- properly supported? Yeses No C. Are any leaks detected.a.'drainage system after running 3 -gallons of water through each fixture including washing" -machine stari<lpipe?-- Yes - No_�e_ If -coach is -not State of California approved, does .station have required trap and vent? "M :,'Yes No P /IZI . 4 8. Gas Piping and Gas Vents A. Connector - Is mobilehome con e6ted;`-td--the.gas supply with an approved 3/4" minimum mobilehome connector not more than.6'ft: long? Note: All piping;is to be at leas"a5 large as the mobilehome•Tgas line '- ilet without reductions other •than•the.'mobilehome, connector. Yes No B. T st OK as per following procedure?, -Yes No Open all appliance connector valves:' 2. Shut off appliance burn'dt and. pilot valves, G--"3. Air test with manometer, to 10"-14" water coltmmi, •`or gest 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_�SNo 9. Electrical A. Is service large enough to provide..adegp.ata �mperage-to mobilehome (must equai rating of mobilehome with a mini -mum of 100 amp) and other facilities on lot, i.e., Sratee. pumps, garage, cabana, etc.? Yes x No B. Is there proper clearances around panels? "Yes.L No C. Is power supply cord or feeder assembly properly -fused? Yes2�___No_ I COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WO S 7 County Center Drive -a Orovflle, California 95965 3 (� Telephone,: 534-4541 APPLICATION AND PERMIT authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. Dat ✓` sig are of Permitee or AgentV V Receipt No. White-D.P.W. — Yellow -Assess r — 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 X R Z� permit expires Date BUILDING Owner SQ. FT. OCC. BUILDING VALUATION Mailing Address Telephone No. Fireplace Contractor 44 Total Valuation Mailing Address Permit Fee Plan Checking Fee&/or Penalty Telephone No. Permit Fee Building Address PLUMBING No.1 @ FEE PERMIT FILING FEE $3.00 s0� Each Trap 1.50 Repair drainage or vent piping 1.50 Water piping Each gas water heater or vent 1.50 v Ct A. P. No. d" '' r✓�"�� / Coni n ` Gas piping system 1 - 5 outlets +-r9-/0.00 Each additional outlet .30 FAS11 V.2 S on FireDept. FireZone Use Permit Building sewer S. Be e)•OQ EQA Parking Parcel Flans Declaration Parcel Ma p 60' R/W Im rovements p Lawn sprinkler system 2.00 la ec'd P.A. rceApproval Plans Approval Permit Fee $ 00 .$ NEW ❑ ADDITION ❑ UTILITIES OTHER ❑ ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 •00 Main service incl. 1 meter ,p Additional meters, each 1.00 Sub -panel (12 or less) (more than 12) - Single Family ❑ Duplex ❑ Mobil Home Others ❑ Range, Cook -top or Oven 1.00 Water Heater or Space Heater 1.00 Light fixtures b� a25 10 Receps., switches & fix outlets 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: Hood, Ex. Fan or F.A. Furn. Motor 1.00 Evap. cooler, gar. disp. or D.W. 1.00 Air conditioner or heat pump Water pump Mobil Home Facilities e00 Temp. Power Pole 5.00 License No. Classification Misc. wiring I am exempt from the Contractors License Laws of the State of California. LIMMECHANICAL 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 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. No. @ FEE i a 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 TOTAL PERMIT FEE $ authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. Dat ✓` sig are of Permitee or AgentV V Receipt No. White-D.P.W. — Yellow -Assess r — 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 X R Z� permit expires Date COUNTY OF BUTTE — DEPARTYENT OF PUBLIC WORKS 3 7j"" 7 County Center Drive '— Oroville, California 95965 l/ Telephone: 534-4541 APPLICATION AND PERMIT ON r BUILDING Owner SQ. FT. OCC. BUILDING VALUATION Mailing Address 2 3 Q L7 %%7 C4A-7•{ PP Telephone No. Fireplace Contractor Total Valuation Mailing Address Permit Fee Plan Checking Fee&/or Penalty • Telephone No. Permit Fee is Building Address,. PLUMBING No. @ FEE PERMIT FILING FEE $3.00 3 Q 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. a (D — ^S 2 Zoning 8 Planning Gas piping system 1 - 5 outlets 1.50 Each additional outlet .30 F Santtatt'mf FireDept. I FireZone Use Pen -nit Building sewer 5.00 EQA Parking Plans I Parcel Declaration Parcel Ma p 60' R/W Im rovements p Lawn sprinkler system 2.00 Bldg. Plakslec'd F Parcel Approval Plans Approval Permit Fee $ $ NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER ELECTRICAL No. @ FEE PERMIT FILING FEE 1$3.00 M14 At- L 4 / o i\ / ' Main service incl. 1 meter 0 Additional meters, each 1.00 Sub -panel (12 or less) (more than 12) - Single Family ❑ Duplex ❑ Mobil Home Others ❑ Range, Cook -top or Oven 1.00 Water Heater or Space Heater 1.00 Light fixtures boa 10 g Receps., switches & fix outlets 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: Hood, Ex. Fan or F.A. Furn. Motor 1.00 Evap, cooler, gar. disp. or D.W. 1.00 Air conditioner or heat pump Water pump Mobil Home Facilities 5.00 Temp. Power Pole 5.00 License No. Classification Misc. wiring I am exempt from the Contractors License Laws of the State of California. Permit Fee $ $ 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 OrdinancesOTAL and State Laws relating to building construction, and hereby L, %l 7'101/ 0 � PERMIT FEE $ U 3 authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. X I G Date Sign t re of Permitee or Agent Receipt No.1,39S % 3 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 Bye, Date Bpermit expires Date��i� 6 I COUNTY OF BUTTE - DEPARTYENT OF PUBLIC WORKS,r/2/, -Zs 3 7 County Center Drive A Oroville, California 95965 U 0 C(� Telephone: 534-4541 APPLICATION AND PERMIT authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. X Z,C ^ Date -5 Sign?t re of Permitee or Agent Receipt No. SR 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. C� DIRECTOR OF PUBLIC WORKS By Date 7/3//7 wilu ermit expires Date _39/5'-7 S BUILDING Owner , 14 SQ. FT. OCC. BUILDING VALUATION Mailing Address :,Q, 3 U 9 e Telephone No. Fireplace Contractor Total Valuation Mailing Address Permit Fee Plan Checking Fee&/or Penalty Telephone No. Permit Fee Building Address lPLUMBING No. @ FEE PERMIT FILING FEE $3.00 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. Zoning & Planning Gas piping system 1 - 5 outlets 1.50 Each additional outlet 30 F 8anit8tieri Fire Dept. Fire Zone Use Permit Building sewer 5.00 EQA Parking Plans Parcel Declaration Parcel Ma p 60' R/W Improvements p Lawn sprinkler system 2.00 B+dzj. Pla..- Parcel Approval Plans Approval Permit Fee $ $ NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER ELECTRICAL No. @ FEE PERMIT FILING FEE J$3.00 Main service incl. 1 meter S Additional meters, each 1.00 Sub -panel 02 or less) (more than 12) Single Family ❑ Duplex ❑ Mobil Home Others ❑ Range, Cook -top or Oven 1.00 Water Heater or Space Heater 1.00 Light fixtures b lag Receps., switches & fix outlets 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: Hood, Ex. Fan or F.A. Furn. Motor - 1.00 Evap. cooler, gar. disp. or D.W. 1.00 Air conditioner or heat pump I! Water pump I� Mobil Home FacilitieA 5.00 Temp. Power Pole 5.00 License No. Classification Misc. wiring I am exempt from the Contractors License Laws of the State of California. Permit Fee $ $ 4 — MECHANICAL No. @ I 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. State Laws relating to building •construction, and hereby TOTAL PERMIT FEE $ y - authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. X Z,C ^ Date -5 Sign?t re of Permitee or Agent Receipt No. SR 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. C� DIRECTOR OF PUBLIC WORKS By Date 7/3//7 wilu ermit expires Date _39/5'-7 S This set of plans a+sd ea MUST -be' rr% -es or alterati ortTsapae ^w ti%14 en Works, eoum� of butte. he Setback shall- be 5 ft. tf e side line and 50 � rorr w-%I-- property centedan.e_o�the�oad,_permttti maximum of a 2 ft. eave_overharrq. 71 9D All utility connections_ shall --- bee -located-w7ne e re rthird sectmobile hom�wthe-lefof-tfie - - mo if °- `'_ Septic sy_ tem and tloftle s er. date C _ -• o.. unty eatL-De e err en s. _R)_ s _ ° _ ca— NGTE:—All—Mat—eriols=&—VA/orkmanship—Sh [I—:fie--_t� — _._S'4��i4e�ordarce with Recognized Good' Prac n o. vreeetrib qe -far-the= $pecif tedtcles ices an se -in 7-d- quct' . Uniform , uil�:nq, Pluml�inq & Mechanical id a ' / / T►1Q (,y�p�f�.11 41G �.111•.anl vvvv. -�R • 1 BUTTE COUNTY - 4 BUILDING DEPARTMENT ;fY APPROVP® 77� y • - f t• 1 • �'� : rjw'1'.7�; Ir; :moi L`:r t' •+.h•".^ - t' t..,f f+ai �— l�`r, ,\— � - . +i. ��i.+Ct� i+�.^1R� j?Ls�,s Y� 'rte i ,•'' � r,r ,t 1• .1 • yt i 1 � f y I� L It r ;Y -.L4. i t. • '+' lir 1 �'� : rjw'1'.7�; Ir; :moi L`:r t' •+.h•".^ - t' t..,f f+ai �— l�`r, ,\— � - . +i. ��i.+Ct� i+�.^1R� j?Ls�,s Y� 'rte i ,•'' � r,r ,t 1• .1 • yt i 1 � f 7 County Center Drive, Oroville; California PHONE: 534-4541 m rt ri w M rt 0 ri MOBILEHOMF. INSTALLATION INFORMATION *For plans and specifications of support system, see other side. Lot Facilities Mobilehome Data 1. Plot plan dimensioned, location of mobile 1. Length Width and utility connections? Manufacturer p YesNo Vehicle Serial No. 2. Electrical. service equipm tyZe2, Insignia Control No. Circuit breaker ampacity7==Gt/Y. 2. Feeder assembly ampacity Permanent.Wiring Connection Conduit size - Ampacity Power supply cord (amps) . Receptacle Ampacity '3: Gas inlet size 3. Gas: Natural LPGMobilehome connec or size Gas riser size/ ��. Capacity — 4. ,�rrL� Drain inlet size 4. Drain connector: desc ibe on reverse side 5. Hater riscr. size.` °" 5'. Water connector: de ribe on'reverse side 6. Are utility connections located outside 6/D e ned loads• the rear 1/3 of the mobilehome within Roof lz Toad sf. 4 feet of the left wall? Yes No �dind load sf. . If not, show dimensions.'abov_e. (only for o "ehomes manufactured after 7. Is the mobilehome clear of septic tank, October 197 leach fields and located outside public 7. rianufa urer's installation instructions? utility easements? YesV No Yes No 8. Do you propose to do other work on the g, Will the mobile home be -installed on a property other than the mobilehome installation which will require a permit! separate support structure? yes No Yes No�_ If so, specify *For plans and specifications of support system, see other side. LOAD. BEARING SUPPORTS I ADDITIONAL CONIENfr',TS Drain +Connector,,_Describe,--Fll�R ,-7 ,5 wTater. Connecto- Describe � LO.0. BEtLRING SUPPORT AND 20OTING INFORMATION Pier' Spacing Used �� Maximum Pier Load �, �1 Maxi.mum Column Load (Multi -units only) S \ Soij. Bearing Capacity. Footing Dimension Uscd_ TYPE OF PIER. USED �\ Steel Concrete Concrete Block Other TYPE OF FOOTING MATERIAL USED Pressure Treated Wood E� Concrete Redvood (Grade) Other Approved Type -Fra eo d CSUTTE tbtlW'� BUILDING. DEPARTMENT APPROVED