HomeMy WebLinkAbout028-370-0251 Goodwin28--3 7—ZS
STORM DAMAGE REPORT N/ Swedes Flat Rd., app.6/10 mi.E.
of 0 Bangor Hwy, Oroville
contr: hil Moore Const., Magalia
Permit #k4 18-8OP,E(ut4l.,MH) Al
ELEC. %®-/- 0 200tf ZPA
GAS /O- -S-O &' 3/tL' LPI
SUPPORT STRUCTU REQ.
COMPACTION TEST
28- -36 '
Contr: McMillan Mobil Ho
Permit ##5208-80MH
Issued %�— 0
28-32-36
contr: & D Industries, Sacramento
Pe it #5819-80Bf new deck & awning/MH)
28-37-25
243 Swedes Flat Rd, Oroville /
Contr: Harvey Wilke, Yuba City
Permit#3433-86B,E(new garage)
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B rr aurr: DANA As ss r
Date: y - Time: I I:: Z,,i
Taken By: G i a Estimated Damage: J S 000- o0
Name of Reporting Person: LE ;2�L (-11 e .!1.5 Phone Number: 5 3 2 - I o y 6
Address/Location: e y 3 S wft bf s rUJ.r P-' County[)(] City[ ]
Is this Rental Property? Yes[ ] No[x] Reporting Person is Tenant[ ] Owner[ ] Manager[ ]
TypeofDamage: rR4 Ff.CL onl 6,2'4, 54x..1.2] ,Sky iC=t,{ s R`c
/•1�v/v�.��:s � �ti�� r �-�..'j IG. C�/✓ ib"l0 ��i L� Na!Y�rG � U 12t V�CL✓!�� D�(VI�C�a1
Building Description: 13y t2oS ion(
[ ] Commercial Usage
[ ] Residential/# of Units Mobile Home N ]Yes
[ ] Currently Occupied.
[ ] AbandonedNacant.
Electric:
[ ] Electrical damaged and/or submerged at any time since disaster occurred
Gas:
[ ] Downed wires?
Electric is currently On[X) Off[ J
Natural[ ] Propane[x] None[ ] Currently On[x] Off[ ]
Obvious problems (odor, leaks, propane tank damaged or floating)
Structure:
On[x] Off[ ] Foundation. Raised Foundation[ ] Slab[x-]
Flooding Above[ ] or Below[ ] Floor level
Obvious leaning or tilting of structure Yes[ ] No(-<]
Severe Damage/Collapse `oo i- 'b A A6, `i
Fireplace Chimney Damaged Yes[ ] No[ ]
Debris Hazard
Sanitation:
Plumbing working Yes[x] No[ J
Potable water Yes[ A No[ ]
Well: Yes[?(] No[ ] Flooded? Yes[ ] No(A
Obvious Sewage Problems? rL /4
OVER
[ ]No
Access to Damaged Property: x' "
Nearest cross streets: Roads Open[Xj Closed[ ]
Obvious Damaged/Hazards
Location/Landmarks
Transversable via Sedan[ ] Four wheel drive[ ]
Public Utilities Damaged Yes[ ] No[ ]
Levees:
Public[ ] Private[ ] None[ ]
Waterway Name
Bridge Damaged Yes[ ] No[ ]
Location of Damage/Problem
Obvious Hazards Yes[ ] No[ J
Nearest Landmarks:
Chemical/Fuel:
Wet, flooded, lost chemicals:
Types of pesticide, fertilizer, other chemicals:
Amount:
Fuel tanks Yes[ ] No[ ] Damaged Yes[ ]
Located Above[ ] or Below[ ] ground.
Obvious Hazards:
Agriculture Loss:
Crop Damage Yes[ ] No[ ] Type of crop: _
No[ ]
Livestock Lost Yes[ ] No[ ] Type of livestock:
Agriculture Building's Damaged: Yes[ ] No[ ]
This Damage Assessment Report shall be refereed to the following Departments:
[x] Development Services - Building Division
[ ] Environmental Health
[ ) Agriculture
[ ] Sheriff
( ] C.D.F.
[ ] O.E.S.
OVER
3 17- o -a as-
::::::
BUr: cony. nANrAG :Assssr: :::::
Date: Li - �- �! Time:
Taken By: G a (3 a,ls Estimated Damage: -15060 - 00
lain- S-8 1- 05G -
Name of Reporting Person: 14 f-- C„(] 5 Phone Number: S 3 2 - o y (o
Address/Location: E y 3 S LVft bf-.S FOT- Fil County[X] City[ J
Is this Rental Property? Yes[ ] No[?('] Reporting Person is Tenant[ ] Owner[ ] Manager[ ]
Type ofDamage: TRS ' r-ccc, on/ t3 R,4 ,w1y1nyP� 5 CA R A _ SotY 0&1} s R c Ew n ri
&V M o ,3 t L£. HoN.1✓, 1121 vft./Aty �AMQG£�
Building Description: jay f_(Lcs ion(
[ ] Commercial Usage
[ ] Residential/# of Units Mobile Home [k ]Yes [ ]No
[ ] Currently Occupied.
[ ] AbandonedNacant.
Electric:
[ ] Electrical damaged and/or submerged at any time since disaster occurred
Gas:
[ ] Downed wires?
Electric is currently On[X]
Off[ ]
Natural[ ] Propane[K] None[ ] Currently On[)<] Off[ ]
Obvious problems (odor, leaks, propane tank damaged or floating)
Structure:
On[x] Off ] Foundation. Raised Foundation[ ]
Flooding Above[ ] or Below[ ] Floor level
Obvious leaning or tilting of structure Yes[ ] No[*<
Slab[x,] °Q,A2n/
Severe Damage/Collapse R -bo i- �b A M46 £ -"b By T2r£
Fireplace Chimney Damaged Yes[ ] No[ ]
Debris Hazard
Sanitation:
Plumbing working Yes[] No[ ]
Potable water Yes[ ,�q No[ ]
Well: Yes( (' No[ ] Flooded? Yes[ ] No[�]
Obvious Sewage Problems? 4/4
OVER
Access to Damaged Property: Roads Open[1] Closed[ ']
Nearest cross streets: 0 _ i3Anl6y fL q L,l y
Obvious Damaged/Hazards
Location/Landmarks
Transversable via Sedan[ ] Four wheel drive[ ]
Public Utilities Damaged Yes[ ] No[ ]
Levees:
Public[ ] Private[ ] None[ ]
Waterway Name
Bridge Damaged Yes[ ] No[ J
Location of Damage/Problem
Obvious Hazards Yes[ ] No[ ]
Nearest Landmarks:
Chemical/Fuel:
Wet, flooded, lost chemicals:
Types of pesticide, fertilizer, other chemicals:
Amount:
Fuel tanks Yes[
Located Above[
Obvious Hazards:
Agriculture Loss:
] No[ ] Damaged Yes[ ] No[ ]
] or Below[ ] ground.
Crop Damage Yes[ ] No[ ] Type of crop:
Livestock Lost Yes[ ] No[ ] Type of livestock:
Agriculture Building's Damaged: Yes[ ] No[ ]
This Damage Assessment Report shall be refereed to the following Departments:
[x] Development Services - Building Division
[ ] Environmental Health
[ ] Agriculture
( ] Sheriff
[ ] C.D.F.
[ J O.E.S.
OVER
.: BUTTE: COUNTY' DAMAGE.-ASSESSMEN-'T..:;. .
Date: y - tT.: q.;,- Time: 1 l : `,,i
Taken By: G 1 t, ,3 -.,4s Estimated Damage: 5 5-00') - 00
Name of Reporting Person: f+ r ;.z -!z I- Phone Number: 5 3 2 -1 o Y
Address/Location: e y 3 F( -/,).r _2, County[x] City[ ]
Is this Rental Property? Yes[ ] No(,%<] Reporting Person is Tenant[ ] Owner[ ] Manager[ ]
Type of Damage:
5aE.1.2FA SkVLi&1.4►5
Building Description: i3y f_26s ion(
[ ] Commercial Usage
[
Residential/4 of Units Mobile Home N ]Yes [ ]No
[ ] Currently Occupied.
[ ] AbandonedNacant.
Electric:
[ ] Electrical damaged and/or submerged at any time since disaster occurred
[ ] Downed wires?
Electric is currently On[x] Off[ ]
Gas:
Natural[ ] Propane[x] None[ ] Currently On[)<] Off[ ]
Obvious problems (odor, leaks, propane tank damaged or floating)
Structure:
On[. ] Off ] Foundation. Raised Foundation[ ] Slabk—]
Flooding Above[ ] or Below[ ] Floor level _
Obvious leaning or tilting of structure Yes[ ] No(-<
Severe Damage/Collapse `on i�
Fireplace Chimney Damaged Yes[ ] No[ ]
Debris Hazard
Sanitation:
Plumbing working Yes[] No[ ]
Potable water Yes[ /Iq No[ ]
Well: Yes[K] No[ ] Flooded? Yes[ ] No[,\ -j
Obvious Sewage Problems? rL /,�
OVER
I
c .. BUTTE:. COU .TY' DAMAGE ASSEssME
Date: � - ��-
.: `7 �- Time: I I - `,i
Taken By: L i a,3,.,Js Estimated Damage: 5 5,00,). o0
Name of Reporting Person: f -t r rz-y IL u., c' -'I -5 Phone Number: 5-32 - I o Ye,-
-Address/Location:
e
Address/Location: F(."/.) r P-* County[x] City[ ]
Is this Rental Property? Yes[ ] No[X] Reporting Person is Tenant[ ] Owner[ ] Manager[ ]
Type of Damage: T(7,E. ,!� Ff-CL i.IV 61,2-^1 5 44E.1.2 Fb Spy L i C I.+ 7-S i? c IF i=i=
�} Ls , �Z� r' ' L� .� i� ate% n"1 a )H�:ti.� , �2i v£w'� y b�►,.0—. ��
Building Description: 13y £ 2os ion/
[ J Commercial Usage
[ (\j Residential/# of Units Mobile Home [k ]Yes [ ]No
[ J Currently Occupied.
[ ] Abandoned/Vacant.
Electric:
[ ] Electrical damaged and/or submerged at any time since disaster occurred
Gas:
[ ] Downed wires?
Electric is currently On[X]
Off[ ]
Natural[ J Propane[x] None[ ] Currently0n[)<] Off[ ]
Obvious problems (odor, leaks, propane tank damaged or floating)
Structure:
On[x] Off[ ] Foundation. Raised Foundation[ ] Slab(n ] 'RA i2v'
Flooding Above[ ] or Below[ ] Floor level
Obvious leaning or tilting of structure Yes[ ] No(K]
Severe Damage/Collapse Zoo 1� � 116 � Y TZ£�
Fireplace Chimney Damaged Yes[ ] No[ ]
Debris Hazard
Sanitation:
Plumbing working Yes[ No[ ]
Potable water Yes[ /q No[ ]
Well: Yes[K] No[ ] Flooded? Yes[ ] No[,\ -a
Obvious Sewage Problems?
OVER
1 Goodwin
N/\/,O-/
at Rd., app.6/10 mi.E.
of Hwy, Oroville
c000re Const., Magalia
Pe80P,E(utgl. ,MH) uJ
EL��er/q ZEA
GAS 10 - - kD !v' /µ'• L!'c'�
SUPPORT STRUCTU REQ.
COMPACTION TEST IAV
28- -36
:Contr:."McMillan Mobil H '
Permit- 52 08-80MH
Issued, ja_ 0
28-32-36 -
;,,contr- & D Industries, Sacramento
Pe -#5819-BOB4new deck & awning/MH
243 Swedes Flat Rd, Oroville5 e—
Contr: Harvey Wilke, Yuba City /,
Permit#3433-86B,E(new garage) `117/b7
PERMIT NO. 4818-80P,E
PERMIT EXPIRES
OWNER Hal Goodw in
CONTR. Phil Moore Const., Magalia
ASSESSOR PARCEL 28-32-36
LOCATION NIS Swedes Flat Rd., app.6/10 mi.E.
of Oro Bangor Hwy, Oroville
t
x
1
A
Temp. Power Pole
Called PG&E
Temp. Elec. Service
/�/
/� / '
Called G&E
w
Temp. Ga Service2d
Cal ed PG&E
Caw 41
t
+
`12-, /
JOB NALED (Date)
v
Signature
9
J = OK
0 = Not OK
- = Not Applicable RESIDENTIAL (Single and Duplex)
* = Not Ready
Date
UNDERFLOOR Plans OK exce t#'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 -B lockouts -Wrapped -S lab
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
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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
14. Water Ht.; Vent -Access -Combustion Air
57.
Smoke Detector
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.
63.
Stairs & Rails
Fireplace or Stove; Clearances -Hearth
64.
Elec. Outlets at Wood Panel; Int. & Ext.
Card -BI
Card -BI
Date Card -BI Date
Date Card -BI Date
65.
Kit. Fixt. & Appliance; Grnd.-Air Gap -Cooking Clearance
66.
Elec. Outlets & Receptacles at Kit. Counter
Date
ELECTRICAL Permit OK except p'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.
72.
73.
Insu[ation-Foam-Looked in Attic ❑Yes
Guard Rails & Deck Construction -Post Caps
24. Equip. Ground made up w/Mech. Fasteners -Bond Gas & Water
25.
2 Appliance Circuits in Kitchen &Conductor Size
74.
Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance
Looked under Floor ❑ Yes
26. Subfeed 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 At,
Insulated Neutral ❑Yes ❑No
75.
Following instld.: Drive ❑ Yes ❑ No; Walks El Yes E] No;
Planters El Yes EJ 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.
81.
Exterior Elec. Trim; G.F.I. Receptacle -Underground
Ventilation throughout House
Card B -I Date Card -BI Date
Card B -I
Date
Date Card -BI Date
/
MECHANICAL (Permit) OK except N's
31. A.C. Ducts; Insulation & Support
82.
Glass Protection
83.
_
Corrections from Previous Inspections
84.
Gas Test -Meters Tagged; Gas -Electric
85.
86.
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.
Furnace -Vent; Access -Comb. Air -Return Air Vent -115V outlet
35.
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
Comments at Final:
Date
FRAMING(Plans)
36.
OK except q's
Sills; Proper Material &'Anchors
37.
_
Walls; Studs -Nailing, Spacing.& Bracing -Plates -Sound
_
38.
Bearing Walls over Girders & Floor Nailing
39.
Draft Stop in Walls (rat proof)
Fire Stops; Furred Ceilings -Stairs -Chases -Tub
_40.
41.
42.
43.
44.
Header & Beam -Size & Bearing
Hangers -Post Caps -Anchors -Connectors
Cing. Joist-Rftr. Ties-Purlin-Roof Brac.-Truss-Shthnp.-Rfnp.
Fireplace Ties or Type A Flue -Fireplace Throat
Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles
-45.
46._Bdrm.
Windows or Exiting Doors -Sill Hqt. & Dimensions
_
47.
Garage Fire Protection Framing
(NOTE: An entry must be made each time youvisit jobsite)
J OK
0 = Not OK
— = Not Applicable
* = Not Ready
MOBILEHOMES
MISCELLANEOUS
Date
MOBILEHOME UTILITIES (Plans) OK except N's
oning Requirements—Setbacks—Easements
Date
DECKS, COVERS, CARPORTS, ETC. (Plans) OK except N's
1. Zoning Requirements—Setbacks—Easements
ils; Special MH Suppo t—Ske
2. Footings; Size—Depth—Spacing—Connectors
wer; L ion— —F —
3. Decks; Girders and/or Joists—Decking—Bracing—Stairs—Rails
Vater; Location—Test—Easement Needed (Sketch)
4. Wood Awn.; Posts—Beams—Rftrs.—Connec.—Shthg.—Rfg.—Bracing
lectricity; Lo ation—Cle ances—Grnd.—/200 Amp—Concrete
5. Alum. Awn.; Columns—Connections—Splice—Decal—Enclosures
Gas; L rt—T - :/ /"L"ft./ /"Nat. or/2&"L"ft./ /"LPG
6. Carports; Windows—Doors
. Utility Clearance
7. Elec.
'Card
-BI
V14 Date 60 /_OCard-BI Date
Card -BI
Date Card -BI Date
Card -BI
Date
Date Card -BI Date
MOBI EHOME INSTALLATION (Plans) OK except q's
Card -BI
Date
Date Card -BI Date
POOLS (Plans) OK except N's
Zo ing Requirements—Setbacks—Easements
1. Setbacks—Easements
. F tings; Size—Spacing—Marriage Line
2. Soils; Compaction—Structure Stability
Gas; MH Test—Demand—Valve—Connector
3. Pool Structure; Steel—Connections—Thickness—Dead Men—Lining
EI icity; MH Test—Crossovers—Breakers—Clearances
4. Elec.; Receptacles and Lighting; Distances—GFI
Drain; MH Test—Fall—Flex Connector
5. Elec.; Pool Lighting; 15 volts—GFI
W r; MH Test—Regulator—Connector
6. Elec.; Enclosures; Conduit Entries—Terminals—Listed
W!2r and Sewer Connected—C/0 to Grade—HD Approval
7. Elec.; Bonding; Metal w/5'—Circulating Equipment—Heater
as and Electricity Tagged
8. Elec.; Grounding; Equip.w/5'—Circulating Equip.—Pool Lghtg.
Boxes—Enclosures—Panel boards—Ins. to Main in Conduit
zits; Insp.—Sketch
Cert. of Occupancy
9. Health Department Approval
10. Plumb; Cir. Test—Water Supply Test
Card
Date r - I Date
Card -BI
Date Card -BI Date
Card B-1
Date Card -BI Date
Card -BI
Date Card -BI Date
I
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 `,. dy for the following location:
� Y Y
Owner L .-,...� -
Owner's Address �"�•
Mobilehome Mfg. • Model 1 0" --�-Year
Insignia No. ✓Tri Serial No.
It is hereby certified for occupancy at the above described location and
may be occupied.
!f Directtor.of Public Works
Date ��,1.. I3y \YX—,
f
THIS CERTIFICATE IS VOID WHEN MOBILEHOME IS RELOCATED
White - Owner, Yellow - Installer, Pink - D.P.W.
' COUNTY OF BUTTE
DEPARTMENT OF PUBLIC WORKS
695 Oleander Avenue, Chico — Phone 343-4211, Ext. 70
7 County Center Drive, Oroville — Phone 534-4541
-tj—� Skyway and Elliott Road, Paradise — Phone 877-3435
CORRECTION NOTICE
BUILDING OR PROPERTY ADDRESS
A routine inspection indicates that the following violations of County Ordinance
exist at the above address and should be corrected. Please notify this office
when correction of work is completed. If you have any question pertaining to this
matter, or need additional explanation, please contact thin office immediately.
Inspector Date
9. Electrical ,
A. Is service large enough to provide adequate amperage -to mobilehome (mast equal rating of
mobilehome with a minimum of 100` mp) and'other facilities on lot, i.e., water pumps,
garage, cabana, etc.? Yes__je4 o_
B. Is there proper clearances around panels? Yes o_
C. Is power supply cord or feeder assembly properly fused? Yes No_
D. Is continuity test satisfactory as per the following procedure? Yes
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 theelectrical tests, the lot or site
service equipment may be approved f9r energizing.
10. Is job card signed by Health Department forewater and sanitation?
11. If everything okay, sign off card and tag services.
MOBILEHOME DATA
Manufacturer and/or Namestyle t.
Length Width Z
Vehicle Serial No.
State Identification No.
Additional Information or Comments:
a
MOBILEHOME INSTALLATION INSPECTION CHECK LIST
1. Is the mobilehome located with equired separation from lot lines and buildings and generally
conform to plot plan? Yes_ No
2. Does the mobilehome have required clearances above ground? (Sec.5085) Yes= o
3. Are footings and supports properly sized, spaced, and braced as per proved plans? (Note
possible variation at spring shackles.) (Sec. 5082 & 5083) Yes�I0_
mobilehome level? (Sec. 5088) es No_
4. Is the mob Y .
5. If more han a single unit, are crossover connections properly installed? (Sec. 5088)
Yes No
6. Water
A. Is flexib connector of adequate size and properly installed (1/2" ID min.)? (Sec. 5566)
Yes o_
nd working o
B. Test - Does water piping withsta g pressure or 50 lbs. air test? Yes 4.1
Backflow - 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- No
B. Does it have minimum V per foot slope and is it properly supported? Yesi!No
C. Are any leaks detected in drainage system after running 3- ons of water through each
fixture including washing machine standpipe? Yes_ No,
If coach is not State of California approved, does station have required trap and vent?
Yes No
8. Gas Piping and Gas Vents
A. Connector - Is mobilehome onnected to the gas supply with an approved 3/4" minimum
mobilehome connector no more than 6 ft. long? Note: All piping is to be at least as
large as the mob le a gas line inlet without reductions other than the mobilehome
connector. Yes No _
B. Test OK as per following procedure? Yes o
1. 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.
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 PERMIT O.
7 aunty Jenter Drive - Oroville,'California 95965 - Telephone 916/534-4541
APPLICATION AND PERMIT
ASSESSOR PARCEL NL BER
—�
ZONING
BUILDING PERMIT//
OWNER
C
� a•.evl .L..•.
TELEPHONE
SQ. FT. OCC. BUILDING VALUATION
OWNER'S MAILING ADDRESS
CONTRACTOR'S NAME
---y, ,
TELEPHONE
(I
CONTRACTOR'SArLING ADDRESS LI
CONS RUCTION LENDERV
UNKNOWO
Fireplace
Total Valuation Is
LENDER'S MAILING ADDRESS
Permit Fee
$
ARCHITECT OR ENGINEER
LICENSE NO.
Plan Checking Fee
$ r
Penalty
$
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Permit fee
$
BUILDING ADDRESS
PLUMBING PERMIT
Filing Fee 3.00
gt err,
Each Trap
2.00
Repair drainage or vent piping
2.00
d
Water piping
LOT NO.SUBDIVISION
NAME
PARCEL MAP
Each qas water heater or vent
2.00
Gas piping system 1 - 5 outlets
USE OF STRUCTURE
SF ❑ Duplex❑ Mobilehomege Other
SPECIFY
Building sewer
Lawn sprinkler system
2.00
TYPE OF WORK
New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation❑ Other ❑
Describe work:
?
Permit Fee
$
Contractor
ELECTRICAL PERMIT
Filing Fee 3.00
Main service 00V OR LESS
1
100 AMP OR LESS
5.00
I°
Main service EA. ADD'L 100 AMP
2.50
WELING CCUP.&�
NEW CONSOR AODNST (DACCLBLOGS.
24;sgft
CONTRACTORS LICENSE LAW
I declare under penalty of perjury (check one):
� l 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.��t 2 % � Classification ,�r> r�
❑ 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 U TI -OUTLET 2.50 ea
NON-RESID, BRANCH CIRCUITS)
NEW CONSTR. 1POWER APPARATUS &1
NON-RESID. \SINGLE OUTLET CIR.
ESLD.
Ex. O uTNGLE OR FIXTURES 50 @ �
BAL@10a
FIXED
Ex. Occup.(OUTLETS PLNS R
(RES(D,)EA.) 2.00
Temporary service 10.00
Mobile Home Facilities 15.00
Misc. Wiring 6.25
Permit Fee
$
Contractor
MECHANICAL PERMIT
FiIingFee 3.00
WORKMEN'S COMPENSATION INSURANCE
1 declare under penalty of perjury (check one):
❑ The permit is for $100.00 (valuation) or less.
p,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.
❑ 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
2.00
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
against saajo County in consequence of the granting of this permit.
X,C if .•-�� Date �/
Signature of Applicant – Owner Contractor 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 $ 0, o,,,(ry
Land Development Fee $
TOTAL PERMIT FEE $
OCCUP. GROUP
TYPE OF CONST.
PARCEL
PD
HD'
155D�
�/
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.
DIR CTO OF PUBLIC WORKS
^�
y Io —I /
B 'O Dai _ gJ
PERMIT EXPIRES Date
Receipt No.
WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT
MOBILEHOME SUPPORT DATA
If other thari-single wide, /a
Mobilehome r. , / %e-- + ! `-' furnish'':Se.tup °Model'- No' 'f Year
Width i (ft.) Box Length (ft:)�tiTag 116Wj!o'r Expando Size /" L ft., x. _ft.; 4
(SHOW SUPPORT DETAILS BELOW).w +
On all mobilehomes manufactured after_ O0_t"ober1jOew?MF
rnish manufacturer's installation
manual and structural setup sheets ( if' not .ori �f e County of Butte) .
All center supports measured from front of ;
mobs ehome unless otherwise specified ---
Foot ings j
pecifi d -""Footings, (check one)
Single 1. Wood either
VC
pressure treated ox
X`3 1 "r` 7 �i; ; r• ; , ;foundation grade.
L�
x5b
-'2. Other, (in.) (in.) ,(specify)_
Center support Center support f , F ��, q ick � 7:1 P.In7.>r r n�, L T i
locations* footing sizes Supports (check one)
;h + (in.)
Concrete block.
Aa�tr9mo2r,a �st7r; •i� tA, +, rtf�
124 xU - 2. ' Other (specify)
(ft0(in.)_.-•-(in.) (in.). � �..__. c' si.�
U1 ac.
477�Tagalong or Expando,'
` show support details.
cd
(ft.)(in.) (in,) (in.)
x�3'G -- Typical Support
( (in.)Footing Size
in. ,
x3a
(ft.)(in.) (in.) (in.) Max. Pier"Spacingf
_• - .. ��iF' :R:°;t) v}: r r;fn", eS t; t,�.,�•y - � •;vi . ,
Max.-: Overhang
(ft.) (in.) (in,) (in.)
(ft.)(in.)
�U1 iE C OUNI`�
iUILD1NG DEPARTMENT
.t . AppRoVED - 2
Ir c,ent•.r piers are other than drawn above,
4_aw in -locations, spacing, and dimensions.
1. Owner's name:
BUTTE COUNTY DEPARTMENT OF PUBLIC WORKS
7 County Center Drive, Oro Alle, CA._
,;PHONE: 534-4541; , c".i
w,.._ .
MOB ILEHOME INSTALLATION SHEET
s - '
2.
Installer's name:
3.
Is the
r �
site currently under permit? YeS'�ry No
'•
' A `
r.
(If yes, furnish permit numberi1''/'�
'
}Is'the'site'
an existing site? Yes / /
No
.% t.ji;
(If yes, furnish two (2) plot plans.) 1
i J .��F'�itii "tom !tic;) J's1+r qUE; 3 • -a
4.
Will
the mobilehome be located at least 5 ft. away from septic tank and leach
fielda and
es,
clear of all setbacks and easements? Yes,:/!!7-
No
(If no, clarify
5.
What
is the mobilehome electrical rating? ---------,------------- U
Amps
6.
What
is the mobilehome site service rating? ---------------------
— Amps
7.
What
is the mobilehome site circuit breaker' rating? =--=---- ----
�Amps
8.-
Is there
any other electric load to be'served by the
mobilehome
site
service? ------------------=-------------------------------- Yes
No
(If yes, identify the load and size: i (Load)
(Amps)
9.
What
is the mobilehome site gas pipe size?------------------�---
10.
What
is the type of gas service?" ------------------------------Natural
LPG
meter
11.
What
is the gas pipe length from or tank to the mobilehome? _s_(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.)
i
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORS RMI NO,
7 County Center Drive - Oroville,-California 95965 - Telephone 916/531-4541
>� APPLICATION AND PERMIT AF I
ASSESSOR PARCEL NU BER ,
ZO IN V
BUILDING PERMI
-71R
TELEPHONE
SQ. FT. OCC. BUILDING VALUATION
OWNER'S MAILING ADORES
O KACTORIJ NAME
COV
r s
TELEPHONE
— 0
NT R TOR'S MAILING ADDRESS
IZ9
i
CONSTRUCTION LErTDEIR
NKNOWN
Fireplace
Total Valuation $
LENDER'S MAILING ADDRESS
Permit Fee
$
ARCHITECT OR ENGINEER
LICENSE NO.
Plan Checking Fee A4 U
$ 100
Penalty
$
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Permit fee
$
BUILDIN ADD ESS
S SW
PLUMBING PERMIT
Filing Fee &00
_
Each Trap
2.00
Repair drainage or vent piping
2.00
Water piping
LOT NO.
SUBCIVISION NAME PARCEL MAP
Each qas water heater or vent
2.00
Gas piping system - 5 outlets
or D
USE OF STRUCTURE
SF ❑ Duplex❑ Mobilehome Other
SPECIFY
-1
Building sewer01)
r
Lawn sprinkler system
2.00
TYPE OF WORK
New F-1 Addition [I Remodel❑ Utilities InstallationC other ❑
Describe work: —
Permit Fee
$ 6optl
Contractor
ELECTRICAL PERMIT
Filing Fee /()oo
Main service 100 AMP OOR RSLESS
5.00 '
Main service EA. ADD'L 100 AMP
2.50NEW
OR ADDNST ( ACC. LDGS.CCVP,&)
20sgft
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. 22-7 Classification J7 4 " ���
❑ 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)
❑ 1, as the owner, am exclusively contracting with licensed contract-
ors. (Sec. 7044)
❑ I am exempt under Sec. , Business and Professions Code
for this reason
.CONSTR.BRANCH CIRCUITS 2.50 ea
NEW NON-RES'.
NEW CONSTFL / POWER APPARATUS &)
NON-RESID, %SINGLE OUTLET CIR,
Ex. OCCUp(OUTLETS OR FIXTURES 50@�
BAL@1
FIXED APPLNS, OR
Ex. Occup.(OUTLETS (RESID,) EA.) 2.00
Temporary service 10.00
Mobile Home Facilities 1 15.00 ISOD
Misc. Wiring 6.25
1 We D 1)
Permit Fee $
Contractor
MECHANICAL PERMIT
FiIingFee 3.00
WORKMEN'S COMPENSATION INSURANCE
1 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.
❑ 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 shal I be deemed revoked.
Heating
Cooling
Hood
2.00
Ventilation
Permit Fee
$
Contractor
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 authorize representatives of the County of
Butte to enter upon the above-mentioned property for inspection purposes.
I also agree to save, indemnity and keep harmless the County of Butte against
all liabilities, judgments, costs, and expenses which may in any way accrue
agains said County in consequence of the granting of this permit.
Signature of Applicant — Owner❑ Contractor ❑ Agento,
An OSHA permit is required for excavations over 5'0" deep and demolition or construct-
ion of structures over 3vlsto�ries in height.
Mobile Home Installation Fee $
Land Development Fee $
TOTAL PERMIT FEE $
OCCUP. GROUP
I TYPE OF CONST.
PARC
PD
H
ISSD�
✓/
This permit is hereby issued under
sions of the Butte County Code and/or
work indicated above for which
DIRECTO OF PUBLIC
By
PE T EXPIRES Date_��'L���
the applicable provi-
resolutions to do
fees have been paid.
WORKS
Date 2-74--?-
Receipt NO.4" 9
WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT
5819-80B
PERMIT NO.
PERMIT EXPIRES,4/
H. R. Goodwin
OWNER
CONTR. B & D Industries, Sacto.
''.
28-32-36
ASSESSOR PARCEL
NIS Swedes�$�Flat Rd., app.6/10 mi.
LOCATION
E.of Oro Bangor Hwy, Oroville
7.
,
I
1
Temp. Power Pole
Called PG&E
Temp. Elec. Service
Called PE
Temp. Gas S� vice
Called PG&E
JOB FINA E[
Sig a ure
f
OK
Not OK
= Not Applicable MOBILEHOMES I' MISCELLANEOUS
Not Ready
Date
MOBILEHOME UTILITIES (Plans) OK except q's
Date
DECKS, SPVERS, CARPORTS, ETC. (Plans) OK except N's
1. Zoning Requirements—Setbacks—Easementsonin
Requirements—Setbacks—Easements
2. Soils; Special MH Support—Sketch
ooti s; Size—Depth—Spacing—Connectors
3. Sewer; Location—Test—Fall-C/0—Concrete
reeks; 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
um. Awn.; Columns—Connections—Splice—Decal—Enclosures
6. Gas; Location—Test—Wrap:/ /"L"ft./ /"Nat. or/ /"L"ft./ /"LPG
6. Carports; Windows—Doors
7. Utility Clearance
7. Elec.
Card-Q
Date Card -BI Date
Card -BI Date Card -BI Date
Card -BI
Date
Date Card -BI Date
MOBILEHOME INSTALLATION (Plans) OK except #'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
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
6. Water; MH Test—Regulator—Connector
5. Elec.; Pool Lighting; 15 volts—GFI
6. Elec.; Enclosures; Conduit Entries—Terminals—Listed
7. Water and Sewer Connected—C/0 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 B-1
Date Card -BI DateCard-BI
Date Card -BI Date
Card B-1
Date Card -BI Date
Card -BI
Date Card -BI Date
J = OK
0 = Not OK
- = Not Applicable RESIDENTIAL (Single and Duplex)
* = Not Ready
Date
UNDERFLOOR Plans OK exce tq'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
8. D.W.V.: Fall -Fittings -Test -2 way C/0 -Sewer Test
54.
55.
Glazing Area -Glass Protection -Skylights -Plastic
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 k's
56. Ext. Steps -Door & Sidelight Protection -Landings
Card -BI
Date
Date Card -BI Date
PLUMBING (Permit) OK except N's
14. Water Ht.; Vent -Access -Combustion Air
15. Water Pipe; Test & Anchors -Nail Protection
57.
58.
Smoke Detector
Furnace; Vents -Clearance -Comb. Air -Connector -
In Garage; Above Floor -Ducts -Meeh. Protection
16.
D.W.V.; Test-Fttngs & Anchors -Nail Protection
59.
60.
61.
Bedroom Exiting ' '
G.F.I. & Bath Fixtures & Tub Access
Elec. Trim & Subpanel; Breaker Sizes -Labels
17. Shower Pan; Test, First Floor -Tub Access
18. Test Tub & Shower, 2nd Floor -Tub Access
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
Date Card -BI Date
ELECTRICAL Permit OK except N's
66.
Elec. Outlets & Receptacles at Kit. Counter
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 -Meth. 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
73.
Guard Rails &Deck Construction -Post Caps
25. 2 Appliance Circuits in Kitchen &Conductor Size
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 Al,
Insulated Neutral ❑Yes 0 N
75,
76,
Following instld.: Drive ❑ Yes ❑ No; Walks ❑ Yes C] No;
Planters El Yes ❑No .
Stucco; Brown -Finish
28. Service -Riser Conductors & Ground -Main Disconnect
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.
80.
Water Well; Disconnect, Electrical, Plumbing
Exterior Elec. Trim; G.F.I. Receptacle -Underground
Card B -I
Date Card -BI Date
81.
82.
Ventilation throughout House
Glass Protection
Card B -I Date Card -BI Date
Date
MECHANICAL (Permit) 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.
Furnace -Vent; Access -Comb. Air -Return Air Vent -115V outlet
35.
Attic Access & Platform it 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
Comments at Final:
36.
Sills; Proper Material & Anchors
37.
Walls; Studs -Nailing, Spacing & Bracing -Plates -Sound
_
_
38.
Bearing Walls over Girders & Floor Nailing
39.
40.
Draft Stop in Walls (rat proof)
Fire Stops; Furred Ceilings -Stairs -Chases -Tub
41.
Header & Beam -Size & Bearing
42.
Hangers -Post Caps -Anchors -Connectors
43.
44.
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: Anentry must be made each time you visit job site)
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS P MIT 0
7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541
APPLICATION AND PERMIT
ASSESSQR PARCEL NUMBER
-3Z�.36
ZONI
FtUDJ BUILDING PE
/Q
Wov,NP, . 4�100r->OJfAI
TELEPHONE
SQ. FT. OCC. BUILDING VALUATION
V / t
�70'' Ov
OWNER'S MAILING ADDRESS
CONT ACTOR'S NAME
Ig D l� D(/S7�1 ES //i
LE IHO
fy(� 2
CONTRACTOR'S
"ONTRACTS MA LING ADDRESS
X144EA56 r sr. S 4 041&IM, 64sY/
CONSTRUCTION LENDER ` UNKNOWN
Fireplace
Total Valuation $
/�
� �40, y 0
LENDER'S.MAI LING ADDRESS
I
Permit Fee
$ 24.00
A. HITECT OR NGINE R
g0k
6t4�IAJ6 K-
LICENSE NO.
516
Plan Checking Fee
$ 490
Penalty
$
ARCHITECT OR ENGINEER'S MAILING ADDRESS
17 1' 4D,
Permit fee
$ qW.00
DING ADDRESS
slI�DES R -1-7-o .
PLUMBING PERMIT
Filin Fee 3.00
E1 ®r- ORw BM6vP_
Each Trap
2.00
Repair drainage or vent piping
2.00
Water piping
LOT NO.
SUBDIVISION NAME
PARCEL MAP
Each qas water heater or vent
2.00
Gas piping system 1 - 5 outlets
USE OF STRUCTURE
SF ❑ Duplex[] Mobilehome[�i�Other
SPECIFY
Building sewer
Lawn sprinkler system
2.00
TYPE OF WORK
New Addition O�Remod I❑ Utilities❑Installation❑ Other❑
Describe work: Dille /%1%U/AJ6
Permit Fee
$
Contractor
ELECTRICAL PERMIT
Filing Fee 3.00
Main service 600V OR LESS
100 AMP OR LESS
5.00
Main service EA. ADD'L 100 AMP
2.50
NEW CONST. ( DWELLING OCCUP.&)
OR ADDNS. ACC. BLDGS.
2P. sq ft
CONTRACTORS LICENSE LAW
I declare under penalty of perjury (check One):
I am licensed under provisions of Chapt. 9, Div. 3 of the Business
Aand Professions Code and my license is in ful force and effect.
�t
License No. �I I S �—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. ULTI-OUTLET 2.50 ea
NON-RESID BRANCH CIRCUITS
NEW CONSTR. POWER APPARATUS &)
NON-RESID, (SINGLE OUTLET CIR.
Ex. Occup(OUTLETS OR FIXTURES 50 @259!
BAL@10c
Ex. Occup.(OUTLETS FIXED P(RESID )LNS REA.) 2.00
Temporary service 10.00
Mobile Home Facilities 15.00
Misc. Wiring 6.25
Permit Fee $
Contractor
MECHANICAL PERMIT
Filing Fee 3.00
WORKMEN'S COMPENSATION INSURANCE
1 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.
❑ 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 becomesubject
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
2.00
Ventilation
permit Fee
$
Contractor
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 authorize representatives of the Countyot
Butte to enter upon the bove-mentioned property for inspection purposes.
I also a ree to save, i emnify and keep harmless the County of Butte against
all liabi ities, dg a�andfexpenses which may in any way accrueagainst aid myng of this permit.
(r- �1
X Date `` ��
Signature of Applicont — Owner ❑ Contractor ❑ Agent ❑
An OSHA permit is required for excavations over 5'0" deep and demolition or construct-
ion of structures over 3 stories in height.p
Mobile Home Installation Fee
$
Land Development Fee $
TOTAL PERMIT FEE $ eGp
OCCUP. GROUP
TYPE of CONST.
PARCEL
PD
ND
ISSUE
This permit is hereby issued under
sions of the Butte County Code and/or
work indicated above for which
DIR OR OF P t BLIC
By c
PERMIT EXPIRES Date
the applicable provi-
resolutions to do
fees have been paid.
WORKS
ovn
Date -
Receipt No.
WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT
DATE
CUSTOMER NAME
TRAIL. P.P.-1 CUSTOMER ADDRESS
SPACE NUMBER --
�A
CITY QJ(1QO
ENFORCEMEN-I AGENCY
B & D INDUSTRIES. INC.
2555 EVERGREEN ST. 927-2541
SACRAMENTO, CATAF. 115815
this set
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f pu6lie
0
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0
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foo — A setback of 5 ft. fr(
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NAME OF PARK 1 J ` t' V �" �✓
PARK MANAGER'S AUTHORIZATION TO INSTALL
PARK MGR'S SIGNATURE
NOTE: //
PARK BUILT PRIOR TO 10-16-65 Yes No
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PERMIT NO. 3433-86B,E
PERMIT E z
XPIRES
OWNER IYROLD GOODWIN'
CONTR. Harvey Wilke, Y.C.
ASSESSOR PARCEL 28-37-25
LOCATION 243 Swedes Flat Rd Orov' le
njvz-L- k4000w
Temp. Power Pole
Called PG&E
Temp. Elec. Service
Called PG&E
Temp. Gas Service
Cal led PG&E
JOB FINALED (Date)
Signature
J OK- -
0 = Not OK
- = Not Applicable MOBILEHOMES
= Not Ready
MISCELLANEOUS
Date
MOBILEHOME UTILITIES (Plans) OK except H's
1. Zoning Requirements -Setbacks -Easements
Date
DECKS, COVERS, CARPORTS, ETC. (Plans) OK except N's
1. Zoning Requirements -Setbacks -Easements
2. Soils; Special MH Support -Sketch
2. Footings; Size -Depth -Spacing -Connectors
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
5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures
6. Gas; Location -Test -Wrap:/ /"L"ft./ /"Nat. or/ /"L"ft./ /"LPG
6. Carports; 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 #'s
1. Setbacks -Easements
2. Footings; Size -Spacing -Marriage Line
2. Soils; Compaction -Structure Stability i
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/0 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 -Enc losures- Pane lboards- 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 B-1
Date Card -BI Date
Card -BI
Date Card -BI Date
Card B -I
Date Card -BI Date
Card -BI
Date Card -BI Date
J = OK
0 = Not OK
Not Applicable
R RESIDENTIAL-(Si.ng.le and Duplex)
=
il= N
of eady
Date UNDERFLOOR (Plans) OK except#'s
Date ELECTRICAL (Permit) OK except #'s
1.
Zoning requirements -Setbacks -Easements
21.
2.
Ftg., Main; Soils-Steel-Elec. Grnd.- / /" Ftg. Dept
_&
Size Boxes & No. of Conductors -Stapled_
3.
Ftg., Garage; Soils -Steel- / /" Ftg. Depth
24.
4.
Ftg., Porches & Decks: Soils -Steel- / /" Ftg. Depth
2 Appliance Circuits in Kitchen & Conductor Size
5.
Stemwalls, Main; Steel -Bloc kouts-Wrapped-Slab
27.
6.
Ste_mwalls, Garage; Steel-Blockouts-Wrapped-Slab
Insulated Neutral Yes ' -!No
7.
Piers -Fireplace Ftg.-Steel
29.
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
DateCard-BI Date
Card -BI
Date Card -BI Date
Date
PLUMBING (Permit) OK except #'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
Card -BI
Date _Card -61 _ Date
Card -BI
Date Card -BI Date
Date ELECTRICAL (Permit) OK except #'s
20.
Fixture & Transformer Clearance -Ins. Protection
21.
Elec. Receptacles Spacing -Lights Switches at Doors
22.
_&
Size Boxes & No. of Conductors -Stapled_
23.
_
Romex Installed Close to Edge of Studs & C.J.
24.
Equip. Ground made up w/Mech. Fasteners -Bond Gas & Water
25.
2 Appliance Circuits in Kitchen & Conductor Size
26.
Subteed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga. Cu or Al
27.
Range Circ. r / ga. Cu or AI -Oven Circ. / / ga. Cu or At,
Insulated Neutral Yes ' -!No
28.
Service -Riser Conductors &Ground -Main Disconnect
29.
_
Equip. Clearances: Panels-Motors-Mech. Equip.
30.
Clothes Closet Light -Shower Light
Card B -I
Card B -I
Date
Card -BI
Card -Bl
Date
Date Card -Bi Date
Date Card -BI Date
MECHANICAL (Permit) OK except #'s
31. A.C. Ducts. Insulation & Support
32. Vent Fan: Exhaust above Insulation
33. Condensate Drain & Overflow: Size_& Grade _
34. Furnace -Vent: Access -Comb. Air -Return Air Vent -115V outlet
35. Attic Access & Platform if Furnace in Attic
Date Card -BI Date
Date Card -BI Date
FRAMING(Plans) OK except #'s
36. Sills: Proper Material & Anchors
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_Chase_s-Tub
41 Header & Beam -Size & Bearing
42. Hangers -Post Caps -Anchors -Connectors
43. Cing. Joist-Rftr. Ties-Purlin-Roof Brac.-Truss-Shihng.-Rfnp.
44. Fireplace Ties or Type A Flue -Fireplace Throat
45. Attic Access. Size & Romex Protection -Draft Stop -Ins. Ba_If_les
46. Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions
47. Garage Fire Protection Framing
11
(NOTE An entry must be made each time you visit jobsite)
Date FRAMING
48. Property Line Firewall & Openings
49. Ext. Doors -One 3' -Check Garage -3rd story, 2 exits
50. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection
51. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers -
52. Siding-Naili
53. Stucco Mesh
Screed-Fdn. Vents-Undertlr. Access
54. Glazing Area -Glass Protection -Skylights -Plastic
55. Shear Walls; Nailing -Bolts
Card -BI Date
Card -BI Date
Card -BI Date
Card -BI
Card -61
Card -BI
Date FINAL (Plans) OK except #'s
56. Ext. Steps -Door & Sideli
57. Smoke Detector
Date
Date
Date
58. Furnace; Vents -Clearance -Comb. Air -Connector -
In Garage; Above Floor-Ducts-Mech. Protection
59. Bedroom Exiti
11 60. G.F.I. & Bath Fixtures & Tub Access
II 61. Elec. Trim & Subpanel; Breaker Sizes -Labels
62. Stairs & Rails
63. Fireplace or Stove; Clearances -Hearth
II 64. Elec. Outlets at Wood Panel; Int. & Ext.
tib. Kit. Fixt. & Appliance; Grnd.-Air Gap -Cooking Clearance
66. Elec. Outlets & Receptacles at Kit. Counter
i
67. Garage Fire Door; Swing -Landing -Closer
68. A.C. Duct in Garage -Damper
69. Wtr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V.-
In Garage; Above Floor-Mech. Protection
70. Plb., Elec. & Mech. Equip. Listed for Location
71. Elec. Receptacles in Garage; (G.F.I.)-Romex Protec.
72. Insulation -Foam -Looked in Attic ❑Yes
73. Guard Rails & Deck Construction -Post Caps
74. Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance
Looked under Floor O Yes
75. Following instld.: Drive ❑ Yes ❑ No; Walks G Yes ❑ No;
Planters Dyes ❑No
76. Stucco; Brown -Finish
_ 77. A.C. Unit; Disconnect-Clrnces-Brkr. & Cond. Size -115V Outlet
_ 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
_ 81. Ventilation throughout House
82. Glass Protection _
83. Corrections from Previous Inspections _
84. Gas -est-Meters Tagged; Gas -Electric
_ 85. Water & Sewer Connected -C/0 to Grade -HD Approval
86. Energy Compliance Certificate -Other Certificates
Card -BI Date Card -BI Date _
Card -BI Oate Card -BI Date
_ Card -BI Date Card -BI Date
Com tents at Final:
1 COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS M PERMI/NQ
7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541�
APPLICATIONrAND PERMIT
ASSEJOB PARCE NUM E
i
ZONI
BUILDING PERMIT
OWNEROQ 011
TELE HONEn
SQ. FT. OCC. BUILDING VALUATION
OWNER'S M LING RESS
c
CON CT R'S NAME
.^ �� \
TELEPy,QN��
C,llYY55
CONZRACITO 'S AILING A RES
O[% Ye 4 ` H
Fireplace
CONSTR C ' ON LENDER
UNKNOWN
Total Valuation $
Filing Fee
$ 10,00
LENDER'S MAILING ADDRESS
Permit Fee
$ ,
ARCHITECT OR ENGINEER
LICENSE NO.
Plan Checking Fee
$
Energy Plan Checking Fee
$
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Penalty
$
BUILDING ADDRESS }-
/
Permit fee
$
PLUMBING PERMIT
FiIingFee 10.00
Each Trap
2.00
Solar or heat pump water heater
20.00
LOT NO.
SUBDIVISION NAME
PARCEL MAP
Water piping
5.00
Each pas water heater or vent
5.00
USE OF STRUCTU
SF ❑ Duplex❑ Mobilehome❑ Other {
PECIFY
Gas piping system 1 - 5 outlets
5.00
Building sewer
5.00
Mobile Home I S I G I W
0.00ea
TYPE OF WORK
New [Vr Addition ❑ Remodel ❑ Utilities ❑ Installation❑ Other ❑
Describe work:
Permit Fee
$
Contractor
ELECTRICAL PERMIT
Filing Fee 10.00
Main service BOOV OR LESS
100 AMP OR LESS
10.00
Main service EA. ADO'L 100 AMP
2.50
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 CONST. ( DWELLING OCC 1/z¢sgft
OR ACDNS. ACC. BLDGS.
NEW CONSTR.ULTI.OUTLET 2,50 ea
NON.RESID BRANCH CIRC ITS
POWER APPARATUS h
(SINGLE OUTLET CIR.
Ex. Occup(OUTLETS OR FIXTURES 20®!300
BAL030
FIXED
Ex. Occup. OUTLETS P(RESID )LNS REA.) 2.00
Temporary service 10.00
Mobile Home Facilities 15.00
Misc. Wiring 15.00
Permit Fee $ ,
Contractor
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.
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.
MECHANICAL PERMIT
Filing Fee 10.00
Heating
Cooling
Hood
3.00
i 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 Countyot
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 Iia ilities, judgments costs, and expenses which may in any way accrue
ag said Count in c sequence of the granting of this permit.
Date /I ��
Signature of Applicant — Owner Contractor ❑ 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 $
Energy Inspection Fee $
TOTAL PERMIT FEE $
OCCUP.
CONST.TYP!
I
I FLo
P RC
ISSUE
This permit is hereby issued under
sions the Butte County Code and/or
work In icated a ave for which
IR CfOR OF PUBLIC
By �
PERMIT EXPIRES Date
the applicable provi-
resolutions to do
fees have been paid.
WORKS
Date
�`J/Ub✓ 007WNIT!-D.P.W..
Receipt No. &
YELLOW -ASSESSOR, INK -INSPECTOR, GOLDENROD -APPLICANT
i
COUNTY OF BUTTE - DEPARTMENT; OF.;,PUB1,IC WORKS - BUILDING DIVISION
7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE: 916/534;4541
PERMIT APPLICAT DATA SHEET f I
Permit No.
OWNER r_0 A. P �No.
Proposed Building Use Q % Building Inspector _r�1 Date14 C> 7—,
At time of permit application, I was advised the following data must be submitted prior to permit processing
' andJor issuance: I
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 caics, with wet signature on plans.
– 5. Plans with Energy Design Compliance Statement. . . . . .
– 6. CUSD ''Fees Paid'' Stamp on Floor Plan . . . . . . . .
– 7 Statement of Intent for Non -Heated and AC Buildings.
8. Fees of $ . . . . . . .
Letter of signature authorizgMi9n.. . . . . .
Sanitation approval from C/ eo 1 ; /��Health t. . De
PP P
_ 11. Planning approval for (A) Use: - (B) Parking:-
-12.
arking:_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 Ddta. . . . . . . . . .
j• Prednspec.request to I
17. Pre -Inspection for Required. Building Inspector (Date)
18. Recorded copy of Agricultural Acknowledgment Statement.
_1:9. Driveway Permit.
a
–20. Plot plan approval from city of
21.
_ 22
When ,you issue the permit, process as follows: ail to owner, —Mail to contractor.
• r
----!Telephone and hold for pickup at office, Deliver w/inspector.
Other
Applicant
Copy of plans sent Health Dept., Fire Dept., Other Date
The following data must be submitted prior
1. Index permitifor above items No.
2. Additional items required:
3
it issuance: (Circle new item not checked above).
Contractor, designer, owner, was advised of above required data by_phone_—mail counter by date
Contractor, designer, owner, was advised of above required data by—phone —mal l—counter y date
Plans checked by Date Plans approved by Date' ('
Sets of plans on hold in File cabinet AP folder
– Flours: 10:00 a.m. - 3:00 p.m.
Copy—DPW ,
f'
To: L)aiiding, DeparLmei-it
From: `.,jivironmental ifo:ilth
Subject: Sanitation Clearai,ce
lie
Dimer Location
Plan Approved for: (Ji,;ponal4
Hold final for:
Final clearance O.K. for:
Clearance for bedroom mob;Je hare. OLhor ca 6; (,-
L/
E -r) / —.. eyz
Sanitarian
rater upply
i:::Aer supply
water supply
Da'tu
IV SEC. 4 3' Ptn. of SEC." 5 T. 18 N. R. 5 E. M.D. B. a M.
K..._---
28-37
N. E. Cor.
SEC. 4
N
=600
-J Assessor's Map No. 28-37
County of Butte, Co.
acvi�Fn• �_oi_
I
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