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021-060-045
zo 21-06=45 y` Pau DeMey r /xf'N, F ` S/S Colusa Hwy,ap . 2000'W:of Block . Rd., Gridley' Permit # 2B7 -76P E(uq1.,MH)' ,t ELEC.) GAS SUPPORT STRUCTURE 'REQ.'./,0 COMPACTION TEST REQ. ` AJ�L i Aaaiii OWNER: 41 -fit i DATE: `7 LOCATION: r' CD[l-5040W�&id A.P.#: Odam 1—D(eQ —O.4 S -- CONTRACTOR: -CONTRACTOR: ZONING: DATE TO INSPECTOR: PERMIT HISTORY: [ ]NONE [ v]'AS FOLLOWS: M /4 "L4- r / 1 L�t 1l, I-7 /--7/^ mo- I OV C 11 0 `— .D, n �/�.,L� 1 /l )' 9-0 TYPE OF OCCUPANCY: BU [LDING INSPECTOR'S REPORT uilding Description: [ ] Commercial/Usage: ` [ O -Residential/# of Units: �_ Mobile Home: Yes No[ [ ] urgently Occupied. [bandoned/Vacant. [ ] Yes [ ] No Electric is currently : [ . ] On Condition of electrical? ['L'I�ff ' Natural [ ] Propane[ ] None[ Currently On[ ] Ofd ] Obvious problems: itation: Plumbing working Yes[ ] NoK-— Well: Yes[ ] No[ - ] Obvious Sewage Problems: ion of Damaged Area: Potable water: Yes[ ] No[ ] ate valuation of .Damaged Area: r: v RAIN, CDM/IBCFD DA r INCIbENT (" Mot STA. _ y� LCA 6 st:Nf stA. L(d , IWfi. s�N}, Lbd L_J INt: i• stA. Lod INt: STATIO N AMI3UWJCE OFFICER REPORT/ I IJP L000® 1p- G•- (A//lfJ 03o . Z7O 'LJ, . CASE NO FIRE NO RO. LOCATION VEGETATION FALSE PUBLIC DARE L l r'K wwlP P(— -o ALARM ASSIST R.P. PHONE NO. STRUCTURE IMPROVE ASSIST RESCUE MINT FRE NAME B.I. VEHICLE NA2Mt OTHER mm utmm lwo CAUSE LAND USE DAMAGE SAVE REFUSE mmcm TIC COUNTY,OF EQ, TTE DEPARTMENT OF PUBLIC WORKS 7 COUNTY CENTER DRIVE OROVILLE, CALIF. - 534-4541 CERTIFICATE OF OCCUPANCY This mobilehome has been installed in accordance with th ements = permit of the California Administrative Code, Title 25, Chapter 5, number- -for the following location: tl*,elK",,�, Owner Owner's Address Model Year Mobilehome Mfg. Insignia No. Serial No. It is hereby certified for occup.an6y at the above described location and may be occupied. �Director'of Public Works7 Date By THIS CERTIFICATE IS VOID WHEN MOBILEHOME IS RELOCATED White - Owner, Yellow - Installer, Pink - D.P.W. 9 .4 PERMIT NO: 3232-82MHI ex site PERMIT EXPIRES 1i 3,1j OWNER VERN GIVENS ti CONTR. owner r. ASSESSOR PARCEL 21=06-45 S/S Colusa Hwy, 2000'W +- z LOCATION app Block Rd_ J° = OK _! 0 = Not OK — = Not Applicable MOBILEHOMES MISCELLANEOUS I = Not Ready • • • , Date MOBILEHOME UTILITIES (Plans) OK except N's Date DECKS, COVERS, CARPORTS, ETC., (Plans) OK except q's " 1• Zoning Requirements—Setbacks—Easements 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) . 5, Electricity; Location—Clearances—Grnd.—/ / Amp—Concrete 4.' Wood Awn.-, Posts—Beams—Rftrs.—Connec.—Shthg.—Rfg.—Bracing__ 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 MOBIL HOMEINSTALLATION (Plans) OK except q's oni equirements-Setbacks—Easements y Card -BI Date _ Date . Card -BI Date POOLS (Plans) OK except H's 1. Setbacks -Easements tings; Size—Spacing—Marriage Line 2. Soils; Compaction—Structure Stability a fH Test—Demand=Valve—Connectoi` f 3. Pool Structure; .SteeI—Connect ions—Th ickness—Dead Men—Lining A/Electricity;:MH Test—Crossovers—Breakers—Clearances 4• ,Elec.; Receptacles and Lighting; Distances—GFI MH Test—Fall—Flex Connector • 5.e,Elec.; Pool Lighting; 15 volts "GFI &-Aat ; MH Test—Regulator—Connector f 6. Elec.; Enclosures; Conduit Entries =Terminals—Listed ater Sewer Conn ted—C/0 to Grade—HD Approval 7• Elec.; Bonding; Metal w/5'—Circulating Equipment—Heater d chi— Tagged 8. Elec.; Grounding; Equip.w/5'—Circulating Equip.—Pool Lghtg. Boxes—Enc losures— Pane I boards— Ins. to Main in Conduit Insp.-S etch Or—Cert. of Occupancy, 9. Health Department Approval 10. ,Plumb; Cir. Test—Water Supply Test ' Card B -I aie C r -BI ate �� Card -BI Date Card -BI Date Card B- Dat and -BI Date ". 11 Card -BI Date Card -BI Date A V = OK O = Not OK - = Not Applicable - RESIDENTIAL (Single and Duplex) * = Not Ready Date UNDERFLOOR (Plans) OK except N's 1. Zoning requirements -Setbacks -Easements 2. Ftg., Main; Soils-Steel-Elec. Grnd.- / /'' Ftg. 3. Ftg., Garage; Soils -Steel- / ' /" Ftg. Depth 4. Ftg., Porches & Decks; Soils -Steel- / /" Ftg. C -----5. Stemwalls, Main; Steel-Blockouts-Wrapped-Slab 6. Stemwalls, Garage; Steel-Blockouts-Wrapped-Slab_ 7. Piers -Fireplace Ftg.-Steel - 8. D.W.V.: Fall -Fittings -Test -2 way C/O -Sewer Test 9. Gas Pipe; Size -Anchors 10. Water Pipe; Test -Anchors -Regulator -Service Test 11. Electric; Underground 12. Plenums & Ducts; Clearance -Material -Support -Ins. 13. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples Card -BI FRAMING (Continued) Date Card -BI Date Card -BI Date Date Card -BI Date PLUMBING (Permit) OK except q's _ 14. Water Ht.; Vent -Access -Combustion Air _- 15. 16. Water Pipe; Test & Anchors -Nail Protection D.W.V.; Test-Fttngs & Anchors -Nail Protection - - 17. Shower Pan; Test, First Floor -Tub Access _Walls; Studs -Nailing, Spacing & Bracing -Plates -Sound Bearing Walls over Girders & Floor Nailing_ Draft Stop in Walls (rat proof) _Fire Stops; Furred Ceilings -Stairs -Chases -Tub 18. Test Tub & Shower, 2nd Floor -Tub Access 19. Gas Pipe; Size & Anchors Header & Beam -Size & Bearing Hangers -Post Caps -Anchors -Connectors Cing. Joist-Rfir. Ties -Purl in - Roof Brac.-Truss-Shthnq.-Rfng. Fireplace Ties or Type A Flue -Fireplace Throat Attic Access; Size &Romex Protection -Draft Stop -Ins. Baffles Bdrm. Windows or Exiling Doors -Sill Hgt. & Dimensions Garage Fire Protection Framing__ 55. Shear Walls; Nailing -Bolts Card -BI Date Card -BI Date Card -BI Date Card -BI Date Date ELECTRICAL (Permit) OK except q's _ 20. 21. 22. Fixture & Transformer Clearance -Ins. Protection Elec. Receptacles Spacing -Lights & Switches at Doors Size Boxes & No. of Conductors -Stapled - - 23. 24. Romex Installed Close to Edge of Studs & C.J. Equip. Ground made up w/Mech. Fasteners -Bond Gas & Water Date Card -BI Date 25. 2 Appliance Circuits in Kitchen & Conductor Size Date Card -BI Date 26. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga. Cu or AI 27. Range Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or At, Insulated Neutral !_Yes ❑No Service -Riser Conductors & Ground -Main Disconnect _ 29. Equip. Clearances; Panels-Motors-Mech. Equip. 30. Clothes Closet Light -Shower Light Card B -I _ Date Card -BI Date Card B-1 Date Card -BI Date Date MECHANICAL (Permit) OK except q's 31. A.C.-Ducts: Insulation & Support 32. Vent Fan; Exhaust above Insulation C-- -- - -- Date FRAMING (Continued) 48. Property Line Firewall & Openings 49. Ext. Doors -One 3' -Check Garage -3rd story, 2 exits Card -BI Date Card -BI Date 50. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection Sills; Proper Material & Anchors_ _ 51. 52. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers Siding -Nailing -Veneer _Walls; Studs -Nailing, Spacing & Bracing -Plates -Sound Bearing Walls over Girders & Floor Nailing_ Draft Stop in Walls (rat proof) _Fire Stops; Furred Ceilings -Stairs -Chases -Tub 53. Stucco Mesh -Drip Screed-Fdn. Vents-Underflr. Access 54. Glazing Area -Glass Protection -Skylights -Plastic Header & Beam -Size & Bearing Hangers -Post Caps -Anchors -Connectors Cing. Joist-Rfir. Ties -Purl in - Roof Brac.-Truss-Shthnq.-Rfng. Fireplace Ties or Type A Flue -Fireplace Throat Attic Access; Size &Romex Protection -Draft Stop -Ins. Baffles Bdrm. Windows or Exiling Doors -Sill Hgt. & Dimensions Garage Fire Protection Framing__ 55. Shear Walls; Nailing -Bolts Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Date FINAL (Plans) OK except N's 56. Ext. Steps -Door & Sidelight Protection -Landings 57. Smoke Detector 58. Furnace; Vents -Clearance -Comb. Air -Connector - In Garage; Above Floor -Ducts -Meth. Protection 59. Bedroom Exiting 60. G.F.I. &"Bath Fixtures & Tub Access 61. Elec. Trim & Subpanel; Breaker Sizes -Labels 62. Stairs & Rails 63. Fireplace or Stove; Clearances -Hearth 64. Elec. Outlets at Wood Panel; Int. & Ext. 65. Kit. Fixt. & Appliance; Grnd.-Air Gap -Cooking Clearance 66. Elec. Outlets & Receptacles at Kit. Counter 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 -Meeh. 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 ❑ Yes 75. Following instld.: Drive ❑ Yes ❑ No; Walks ❑ Yes ❑ No; Planters ❑Yes EJ -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 Test -Meters Tagged; Gas -Electric 85. Water & Sewer Connected -C/O to Grade -HD Approval, 86. Energy Compliance Certificate -Other Certificates _ 34. ondensate Drain _& Ovenlow; Size & Grade 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 Date FRAMING(Plans) OK except ft's Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Comments at Final: _36. Sills; Proper Material & Anchors_ _ 37. 38. 39. 40. _Walls; Studs -Nailing, Spacing & Bracing -Plates -Sound Bearing Walls over Girders & Floor Nailing_ Draft Stop in Walls (rat proof) _Fire Stops; Furred Ceilings -Stairs -Chases -Tub _ 41. 42. 43. 44. 45 46. 47. Header & Beam -Size & Bearing Hangers -Post Caps -Anchors -Connectors Cing. Joist-Rfir. Ties -Purl in - Roof Brac.-Truss-Shthnq.-Rfng. Fireplace Ties or Type A Flue -Fireplace Throat Attic Access; Size &Romex Protection -Draft Stop -Ins. Baffles Bdrm. Windows or Exiling Doors -Sill Hgt. & Dimensions Garage Fire Protection Framing__ (NOTE: Anentrymust be made each time youvisit jobsite) Fri • r , ,. •' Q ,.. ` COUNTY OF• BUTTE - D_EPAR,TUtENT OF PUBLIC WORKS PERMIT N O 7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541 O�C APPLICATION AND PERMIT ASSESSOR_/RC,L N 1 UM�� moi/ BUILDING PERMIT ow T LEPHONE SQ. FT. OCC.1 BUILDING VALUATION SAILING AD RESS CONTfFVVR1/ACT'•`O/(`R^J•SN AME T7E LE-PdH'ONE - "- CONTRACTOR'S MAILING ADDRESS I, F i replace CONSTRUCTION LENDER UNKNOWN Total Valuation $ Flling Fee $ �*10.00 LENDER'S MAILING ADDRES Permit Fee $ " ARCHITECT OR ENGINEER LICENSE No. Plan Checking Fee /(��� $ ,j_ pp •• ' Penalty $_ ARCHITECT OR'ENGINEER'S MAILING ADDRESS ` Permit fee $ BCM.. 161NG AD RE55 - y S %t_a A 1.: � �R�, •'2p�b/ �- e2�' PLUMBING PERMIT: Filing Fee 10.00 �Lt��L �• Each Trap 2.00 - 'Solar Water Heater 20.00 ��LCY Water piping 5.00 LO.T NO. 3 SUBDIVISION NAME PARCEL MAP .Each qas. water heater or vent - '� 5.00 Gas piping system 1 - 5 outlets 5.00 ' USE OF STRUCTURE SF ❑ Duplex ❑ Mobi lehome ®her - SPECIFY - Building sewer '' 5.00 Mobile Home S G' W- 10.00 e TYPE OF WORK New ❑ Addition ❑ RemodeI ❑ Utilities ❑ Installation ❑�ther ❑ Describe work: ' %Jqp_ 'e- V617" S /7 ' -Permit Fee $ Contractor ELECTRICAL PERMIT: Filing Fee ' 10.00 I•Main service 110V OR LESS 100 AMPOR LESS 10.00 + ' /0 +/ O ,l` Main service EA. ADD'L 100 AMP 2.50' NEW CONST.,! DWELLING OCCUP.&\ OR ADDNS. 1 ACC. BLDGS. I A' 2yzQSq ft CONTRACTORS LICENSE LAW - + I declare under penalty of perjury (check One): ❑ I am licensed under provisions of Chapt. 9, Div. 3 hof the Business and Professions Code and my- license is in full Jorce and effect. icense No" Classification 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 ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) v ❑ I am exempt under Sec. ' Business and Professions Code for this reason MULTI.OUTET NEW CONSTR%L 'NON -RESID. BRANCH CIRCUITS 2.50 ea - NEW CONSTR. ( POWER APPARATUS.&1 NON-RESID. SINGLE OUTLET CIR. / Ex: Occup(OUTLETs OR FIXTURES BA ®g pq FIXED 'APP LNS, OR Ex. Occup. 'OUTLETS (RESID•) EA.) 2.00 Temporary service ' 10.00 Mobile Home Facilities 15.00 Misc.•Wiring 15.Q0 Permit Fee- $ • Contractor MECHANICAL PERMIT Filing Fee 10.00 WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for$100.00 (valuation) or less.- I have placed on file with -the County of Butte Building Department F7 a Certificate of Workmen's Compensation Insurance or,a Certificate fir, I — Consent to Self -Insure. �I shall not employ any person in any, manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Heating Cooling Hood 3.00 Ventilation ' �. Permit Fee $ ' Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. I also agre to save, indemnify and keep harmless the County of Butte against all liabiI- les, judgments, costs, and expenses which may in any way accrue again aid County in consequence of the granting of this permit. / X Date / '` 74 Mobile Home Installation 'Fee $ TOTAL PERMIT FEE $ t9 ad• OCCUP. GROUP TYPE 'IF CONST. PARCEL PD 1. I HD I ISSUE 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. (RECTOR OF PUBLIC WORKS' ' By PERMIT,EXPIRES 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. Receipt Na. � —'-` WHITE-D.P.W.• YELLOW -ASSESSOR• PINK -INSPECTOR, GOLDENROD -APPLICANT l�'��'D-ytiCSa�it:6,da,�,. .. s,�"��,-'as+fe`�tr/M1�'`-�r`a'�`•rnor.�s-:`�7�F.',..-. '' ��"�.t.Y`,,�"_°_d-" COUNTY OF BUTTE - DEPARTMEkr,�OF' PUBLIC WORKS - BUILDING DIVISION 7, COUNTY CENTER DRIVE - OROVI LLE, CALIFORNIA 95965 •- TELEPHONE: 916/534-4541 / PERMIT APPLICATI'ON`bATA SHEET d : / Permit No. OWNER C�1V C�� /V A. P. NcVJ' Proposed Building Use Permit Fee Based Building Inspector DOS%//y e Complete Contract Price Othe,r (Explain) DPW Valuation Date At time of permit application, I was ad�i6 the following data must be submitted prior to permit processing and/or issuance: 4X,( i , l'�-o- fe1'. ocz DATE RECEIVED APPROVED 1. All items have been submitted. . . . . . . . . . . . 2. Plot plans in duel a-' /triplicate. . . . . . . . . . . r 3. Complete plans in duplicate. /triplicate. . . . . . . . . 4. Complete engineered plans and calcs. . . . . . . . . . 5. Plans with Energy Design Compliance Statement. . . . . . r 6. State Energy Forms No. 0 7 Statement of Intent for Non -Heated and AC Buildings. --'8. Fees of $ -70 O U . . . . . . . 9. Letter of signature authorization. . . . . . . . . . . 10. Sanitation approval from Health Dept. . . 11. Planning approval for (A) Use: (B) Parking: . 12. Certificate of Workmen's Compensation Insurance. . . . . . 8. Contractor's License Information (no., name style, classif.) 0714. Owner -Builder Verification (Given to ownerMail to owner ❑ ) i 15: Improvements may be required. . . . . . . . . . . . 11-"16. Mobilehome Installation Data. . . . . • • . • • Pre-Inspec. request to 1.7W.ft'en Pre -Inspection for Required. Building Inspector e you i ss d. the Telephone_ Other it, proses 7 . A (Date) is follows: 41-- Mail to ownFr. —WAil to contractor. and hold for pickup at office. Deliver w/inspector. AppIicantC't�'✓ -i ei�,_ te� ���" c6_ Copy of plans sent Health Dept., Fire Dept., Other Date During the plan checking process, the following data must be submitted prior to permit issuance. (For required items not checked above a ime of application, circle item.) 1. Index permit for above Items No. 2. Additional items required: (Contractor, Design%, ntn�) was advised of above required By Plans checked ,.Plans approved Other: Copy—DPW ..t Telephone -Mail Other Date —9-2— DPW az Date Date Return to DPW. AGRICULTURAL STATEMENT OF ACKNOWLEDGEMENT OFFIC!.AL RECORDS FOR RESIDENTIAL DEVELOPMENT BUTTE COUNT .3 k Jr REG 5 Section 26-8:i of the Butte County Code requires this acknowledgeme be recorded prior to issuance of a building permit. 3 12 57 PPI 1902"' ELEANOR The property described herein is,adjacent to land or included CLEA)(--r'-AEC6R0ERM.RECKER L within an area zoned for agricultural purposes, and residents ofF-E sz-331007 this property may be subject to inconveniences ' or discomfort arising from the use of agricultural chemicals, including, but not limited to herbicides, pesticides, and fertilizers; and from the pursuit of agricultural operations includingi but'not limited to cultivation, plowing, spraying, pruning, and harvesting which occa- sionally generate dust, smoke, noise; and odor. Butte County has established.agricul- tural zones which have as a priority use for productive agricultural purposes, and, residents within said zones and on adjacent property should,be prepared to accept such inconvenience or discomfort from normal, necessary farmioperations. All that real property situate in the County of Butte, State of California, described as follows: pa .k C' -V-'4 No o 6 0,V 57 R r./V Date: November 3, 1982 �v� � ..fit, 3 - t ri N Rc� C" lb� � j 0 R TRTY OW State of California On this the . 3rd day of November _, 19_U., SS., before me, the undersigned Notary Public, personally County of Butte appeared , Paul Det4eyer (44o=�i=ary Public Present A.P. No. END C?F D0CUtvA,'1:NT known to me to be the person(s) whose name(s) is OFFICIAL SEAL SANDRA S NiSSEN subscribed to the within instrument and acknowledged 'same that he executed the for the purposes V, N0!.',RY PIUBUC - CA.! 1FORMA COUNTY OF CO! USA therein contained., t MY Commission Aug. 24.1984 IN WITNESS WHEREOF, I hereunto set my hand and official seal. (44o=�i=ary Public Present A.P. No. END C?F D0CUtvA,'1:NT b A � 4 p U� co Z)7 COUNTY OF BUTTE - Department of Public Works 7 County Center Drive, Oroville, CA. 95965, Phone: 916-534-4541 OWNER -BUILDER VERIFICATION Attention Property Owner: An "owner -builder" building permit has been applied_ for in your name and bearing your signature. ` Please complete and return this information in the'envelope provided at,your earliest opportunity to.avoid unnecessary delay in -processing and issuing your.build- ing"permit. No building permit will be issued until this verification is received. .1. I personally plan to provide the major labor and materials for construction of the proposed property improvement (yes or no) 2. I (have/have not) tsigned an application fora building permit for the pr ed work. 3. I have contracted with the following person (firm) to provide the proposed construction: N Address -City Phoneors icense No. 4. an to'_provide portions.of .this work, but I have hired the following person to coordinate, supervise, and provide the major work: Name ss City Phone Contractors License No. � ' 5. I will provide some of the work but I have contracted (hired) the following prov a the work indicated: Name Address Phone Type of Wo Signed: Property Owner Social z2urify number Date NOTE: This Owner -Builder Verification is sent to you as,required by Sections 19831 and 19832 of the California Health and Safety Code. This verification must be completed and returned to our office before we are permitted to issue the permit. Tkns'.sit of pl'a.ns ando sp cifications MUST be �Ii ®�i, au times and it is'unJawful t NOTE:—'All Materials & Workmanship Shall Be �n es ®r alterations. on same, Accordance with Recognized Good Practices and bU111 i, e.� me with= of a quality prescribed for the Specified use in t4, . Public 1lVorksz",!s'Si6n from the Depa ffmenfi Q Uniform Zuilding, Plumbing & Mechanical Code.* .County of Butted and the National Electrical Code,. A Wback of 5 ft. from the Pr®perty lines and a.setback e rom the. road centerline shall be clear of ,Y structures or equipment except 54 f@r a 2 ft,°nave overhang: 5 OTT WwLt Fie COGllSA Nwi . f. of 0. - 3 232 � • : . BUTTE COUNTY . DEPARTMENT OF PUBLIC WORKS '-.. 7 County Center Drive,' Oroville, CA..., , PHONE • 534-4541 .. MOBILEHOME INSTALLATION SHEET 1. Owner's name:r 2. Installer's name: 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 from septic tank and leach fields and clear'of.ail setbacks.and easements? Yes No (If no, clarify ) 5..- What is the mobilehome electrical rating? ----------------------- 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.loadeto be served by the mobilehome { site service? Yes No (I£ yes, identify the load and size: (Load) (Amps) 9. What is -the mobilehome site'gas pipe size? ----------------- (in.) 10. What is the type of gas service? ----------------------- Natural.. LPG 11. What is the gas pipe length from meter or tank to the mobilehome? (ft.):.. 12. What is the mobilehome gas demand? .-----------=-- (BTU) (This information not requi'red..i£ pipe' length less than 6 ft.�on natural gas or less than -50 ft. on LPG.) V, U MOB ILEHOME SUPPORT DATA If other than single wide, Mobilehome Mfr._ p �j/� gj�e,1/furnish Setup Model No. Year_zw Width/0 _(ft.) Box Length L C (ft.) or xpando Size x t. (SHOW SUPPORT DETAILS BELOW) On all mobilehomes manufactured after October 7, 1973,•. furnish manufacturer's installation manual and structural setup sheets (if not on file with the County of Butte). All center supports measured from front of mobilehome'unless otherwise specified. S ingle Footings (check one) 1. Wood either pressure treated o foundation grade. 2. Other: (specify) Sup_ ports.(check one) 1: Concrete block. El .2: Other. (specify) lam --Tagalong or Expando,' show support details. .cal Support Ang Size Pier Spacing Overhang TTE COUN 1 Y NG DEPARTMEW ' • . 'If center piers are other than drawn above, APPROyED draw in. -locations, spacing,. and dimensions. Terrip. Power Pole Called PG&E oszn I Temp. Elec. Sery zi Called PG&E 42) Temp. Gas Serv. Called PG&E JOB FINALED (Date) (Signature) Setback Forms Main Bldg. Footings Stemwal I Slab Piers Garage Footings Stemwa I I Slab Carport Footings Slab Patio Footings Masonry Walls Reinf. Steel COUNTY OF BUTTE = DEPARTMENT OF PUBLIC WORKS BUILDING INSPECTION RECORD Q BUILDING BUILDING (Cont'd)- Firewall Soil Piping Parapets 1st Floor Restroom Finish 2nd Floor Windows 3rd Floor Siding To out Roof Sheathing Water Pi Roofing. Sewer Fdn. Verus Fixtures Garage Vents Insulation Water H1 Heaters PLUMBING Prov. for physically 'Appliances handicapped, Conformance of ex. Gas Piping & TE structure Temp. Gas Q/ Final Sanitation FIREPLACE- Final Footing Throat Rounh res E Bond Beam FIRE SPRINKLERS Motors Framing ( Test Water Htr. Stucco Final Subpanels Mesh i MECHANICAL Grd. Fault Pro Scratch Heating Service q ✓ Brown Cooling Temp. Pole Finish Ducts Underground . Interior Lath Ventilation Permanent Door Closer Final Final DATE I REMARKS OR CORRECTIONS i . (NOTE: An entry must be made on'this form each time you Visit the job site.) MOBIL EHOME INSTALLATION INSPECTION CHECK LIST 1 Is the mobilehome located wi required 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 No e 3.' Are footings and supports properly sized, spaced, and braced a,,s p r approved plans? (Note. possible variation at spring shackles.) (Sec. 5082 & 5083) Yes No 4. Is the mobilehome level?,(Sec. 5088) 'Yes No 5. I.f than a_sing le unit, are crossover connections properly installed? (Sec. 5088) ; Yes No 6. Water A. Is. flexible connector of adequate size and properly installed .(1/2" ID min.)? (Sec. 5566) Yes No , B. Test-- oes water piping withstand working pressure or.50 lbs..air test? Yes No C. BacR11ow - If coach is not State of California annroved ,does station have backflow device and pres ve. 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 4' per foot slope and is it properly supported? Yes No C. Are any leaks detected in drainage system after runnin r -gallons of water through each fixture including washing machine standpipe? Yes No D. coach n a app es station have required trap and..vent? Yes No 8. Gas Piping and Gas Vents A. Connector -..Is mobilehome, connected to the. gas supply„with an approved 3/4” minimum mobilehome connector not more .than 6 ft. long? Note: All piping is to be at least as large as the rnob'1 home gas line inlet without reductions other than the mobilehome connector. YesNo B. Test OK as per following procedure? YesNo 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 on gas, test, connections with soapy water. C. Are 411 appliance vents properly installed? Yes No 9. Electrical A. Is service large enough to provide adequate amperage to mobilehome (must equal rating of mobilehome with a minimum of 1:00 amp) and other facilities on lot, i.e., water pumps, garage, cabana, etc.? Yes No B. Is there proper clearances around panels? Ye,sX— No C. Is power supply cord or feeder assembly properly fused? YeS74IVo_ D. Is continuity test satisfactory as per the following procedure? Yes No 1. De -energize electrical wiring system of the mobilehome at the pe estal. 2. Make sure that the power supply cord or feeder assembly conductors, including neutral conductor, have been disconnected. 3. Switch all breakers and switches in the mobilehome to the "on" position. 4. Connect one lead of a test. instrument to the mobilehome grounding conductor and "apply the other lead to each mobilehome supply conductor, including neutral. 5. All non-current., carrying metal parts of the mobilehome (aluminum siding, gas line, water line),. including fixtures and appliances, shall be tested for continuity from such equipment and the grounding conductor. '6. Upon completion of the above procedure, the power supply cord or feeder.assembly conductors. shall be connected to the site service equipment. A further continuity test 'shall then be made between the grounding electrode and the chassis of the mobilehome. Upon satisfactory completion of the electrical tests, the lot or site service equipment may be approved for energizing. 10. Is job card signed by Health Department for water and sanitation? 11. If everything okay, sign off card and tag services. MOBILEHOME DATA - /9 Manufacturer and/or Namestyle Length, Width Vehicle Serial No..2 State identification No. 51�PD11 Additional. Information or Comments: COUNTY•OF BUTTE — DEPARTMENT OF PUBLIC WORKS 7 County Center Drive — Ufoville, California 95965 �/. • Telephone: 534-4541 (K�-.�, APPLICATION AND PERMIT BUILDING _ Owner 15214 C./J_ _0z_— // /,�F SQ. FT. OCC. BUIL'DING.VALUATION Mailing Address 'P COUNTY•OF BUTTE — DEPARTMENT OF PUBLIC WORKS 7 County Center Drive — Ufoville, California 95965 �/. • Telephone: 534-4541 (K�-.�, APPLICATION AND PERMIT duulUnce reNresentanves of ine t..ounty of t:5utte to enter upon the above-mentioned property for inspection purposes. X Date Signature of Pe ' e or ent Receipt No.�� / White-D.P.W. — Yellow -Assessor - Pink -Inspector — Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions -to do work indicated above for which fees have been paid.. DIRECTOR OF PUBLIC WORKS permit expires Date BUILDING _ Owner 15214 C./J_ _0z_— // /,�F SQ. FT. OCC. BUIL'DING.VALUATION Mailing Address Telephone No. 1 Contractor Fireplace Total Valuation Mailing Addresss •% % �%,!f% �zG� �Lf/n Permit Fee Plan Checking Fee &/or Penalty Telephone No. Z n 7 Permit Fee $ Building Address PLUMBING No. @ FEE, PERMIT FILING FEE- $3:00 C 0A (/S 14 / // , 4dV, 2_0'00 � Each Trap 1.50 Repair drainage or vent piping 1.50 Water piping ' 1.50 Each gas water heater or vent 1.50 2 _ / �� A. P. No. b / 7 Zoning &PlanningEach Gas piping system 1 - 5 outlets 1.50 additional outlet .30 �&81TFL�LIOTP Fire Dept. Fire Zone Use Permit Building sewer 5.00 EQA Parking Plans Parcel Declaration Parcel Ma P - 60' R/W Im provemen Lawn sprinkler system 2.00 Bldg. Plans Recd } Parcel pproval Plan pproval Permit Fee $ NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER ❑ ELECTRICAL No. @ FEE PERMIT FILING FEE �/ �4y�QT/i%/J c7i� /n / 29' 7- / Main service 600V OR AMP ORLESS5.00• Main service EA. ADD -L 100 AMP 2.50 Single Family ❑ Duplex ❑ Mobil Home Others ❑ Main service OVER 600V 100 AMP OR LESS. 25.00 Main service EA. ADD'L 100 AMP 1.00 NEW CONST. DWELING OR ADDNS. ( ACCLBLDGS.CCUP. &) 2(tsgft. NEW CONSTR. (MULTI -OUTLET NON-RESID. ( BRANCH CIRCUITS)2.50ea NEW CONSTR. POWER APPARATUS & NON.RESID. (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 St le of: °'.� y Ex. Occup(OUTLETS OR FIXTURES) 502511 Ex. Occu FIXED APPLNS. OR P'(OUTLETS (RESID.) EA) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 '� �� License No. E'S -! Co� %6 Classification Misc. Wiring 6.25 ❑ I am exempt from -the Contractors License Laws of the State of California. Permit Fee $ $ WORKMEN'S COMPENSATION INSURANCE I am aware of the provisions of Section3700 of the California Labor Code which requires every employer to be insured against liability for Workmen's Compensation. I have,placed on file with the County of Butte a certificate of Workmen's Compensation Insurance. 0 I certify that in the performance of the work for which this permit is issued I shall not employ any person in any manner so as to become subject to the Workmen's Compensation Laws of California. MECHANICAL 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 t/•'�� $ C.i (� 3 duulUnce reNresentanves of ine t..ounty of t:5utte to enter upon the above-mentioned property for inspection purposes. X Date Signature of Pe ' e or ent Receipt No.�� / White-D.P.W. — Yellow -Assessor - Pink -Inspector — Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions -to do work indicated above for which fees have been paid.. DIRECTOR OF PUBLIC WORKS permit expires Date 1;y FILE MEMO f OWNER / LL AP NO. At time of permit application, the applicant was -advised the following data or information must be submitted prior to permit processing and/or issuance: All items have been submitted. Plot plans in duplicate/triplicate. Complete plans in duplicate/triplicate Complete.engineered plans and calcs.• Fees of $ —5 O^ O Q Letter of signature authorization. Sanitation approval. Planning approval Workmen's Compensation Insurance Certificate. Contractors license information. Parcel declaration. Access declaration. Aunt Minnie information. Deed of -access. Deed of parcel creation. Parcel map. Pre -inspection request for Other By Date IC) �� Bldg. Inspector aaa=a=a=aa==mmm=aaaam==m aaC===aaamaaa=amen=mCCammaaaaa=a==aaaaaaa==aa=aam===m=aaamammamam=am=mo When permit is issued, process as follows: Mail to owner. 2: Mail to contractor. 3. Deliver with inspection. 4. Telephone and hold for pickup. 5. Other aasaasasaaaa0=aaaMr. aaaa======aa=a===asaaaaaaaaamaaa==asaaaaaa===MM=aaaa=====a=am Mr. aaaaaaaaaaamam= During plan checking process, the following data or information must be submitted prior to permit issuance: 1. Index permit for items numbered above. 2. Applicant advised by telephone we need 3. Send letter to applicant. We need 4. Pre -inspection for NOT verified. (Index) 5. Other 6. Plans c ec -and/or app by Vj od Date aaaaaaaaaaacacaa e.-----------.aa.a.a.----aaaaaaaaaaamaaa =aaaaa Cama= a====== noon= m. am=am=a7 Additional Processing or Notes: 1. 2. 3. 4. 5. 6. 7. 8. 9. 10. 11. 12. 13. 14. 15. 16. 17. 18. All items have been submitted. Plot plans in duplicate/triplicate. Complete plans in duplicate/triplicate Complete.engineered plans and calcs.• Fees of $ —5 O^ O Q Letter of signature authorization. Sanitation approval. Planning approval Workmen's Compensation Insurance Certificate. Contractors license information. Parcel declaration. Access declaration. Aunt Minnie information. Deed of -access. Deed of parcel creation. Parcel map. Pre -inspection request for Other By Date IC) �� Bldg. Inspector aaa=a=a=aa==mmm=aaaam==m aaC===aaamaaa=amen=mCCammaaaaa=a==aaaaaaa==aa=aam===m=aaamammamam=am=mo When permit is issued, process as follows: Mail to owner. 2: Mail to contractor. 3. Deliver with inspection. 4. Telephone and hold for pickup. 5. Other aasaasasaaaa0=aaaMr. aaaa======aa=a===asaaaaaaaaamaaa==asaaaaaa===MM=aaaa=====a=am Mr. aaaaaaaaaaamam= During plan checking process, the following data or information must be submitted prior to permit issuance: 1. Index permit for items numbered above. 2. Applicant advised by telephone we need 3. Send letter to applicant. We need 4. Pre -inspection for NOT verified. (Index) 5. Other 6. Plans c ec -and/or app by Vj od Date aaaaaaaaaaacacaa e.-----------.aa.a.a.----aaaaaaaaaaamaaa =aaaaa Cama= a====== noon= m. am=am=a7 Additional Processing or Notes: BUTTE COUNTY DEPARTMENT OF PUBLIC WORKS 7 County Center Drive, Oroville, CA-:` +. PHONE: •.534-4541. -MOBILEHOME` INSTALLATION SHEET 1. owner's name:. .� 2. Installer's name:• 3. Is'the site currently under permi ?.' Yes / No (If yes, furnish permit number T�'s ��") OR Is the site an existing site? Yes / / No /C-/ ; (If yes,'furnish two (2) plot plans.) ; 4. Will the mobilehome be located at least 5 ft. away from septic tank and leach fields and clear of all setbacks and easements? Yes No (If no, clarify ) 5. What is the mobilehome electrical rating? ----------------------- Amps 6. What is the mobilehome site service rating? ------------- ------- : Amps 7. What'is the .mobilehome site circuit`bYeaker rating? ------ Ams P . 8:. Is there any other electric load to be. served by the mobilehome site service? --------------------------------------------------- Yes (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 7%7 LPG / / 11. What is the .len th•from.meter or tank to the mobilehome? gas pipe g•JOT 12. What -is the mobilehome gas demand? -------------------------- - (BTU) (This information-,not..<required ,1,if pipe length less than 6 ft. on natural gas or less than 50'it. on LPG.) MOBILEHOME SUPPORT DATA v�©( } Mobilehome Mfr. l'11119 /4 10/01y Setup Model No. Year 7e� Width _(ft.) Length D_ (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) . �.- Single *If center piers are other than drawn above, draw in locations, spacing, and dimensions. Footings--(check.-one) either pressure treated or fdn-. grade. 2. Concrete pad. 3. Other,. -specify Supports (check one) / 1. Concrete block f�[ 2. Concrete piers 3. Steel piers 4. Other, specify Typical Support Footing Size Max. Pier I Spacing OverI hang BUTTE COUNTY BUILDING DEPARTMENT APPROVED : oil Center Support Footing Sizes (in.) - X 4/1 x (in.) (in.) C� x. n. n. e.. i fin• • 0 x _... .. (irri:) (in.) O4--:- *If center piers are other than drawn above, draw in locations, spacing, and dimensions. Footings--(check.-one) either pressure treated or fdn-. grade. 2. Concrete pad. 3. Other,. -specify Supports (check one) / 1. Concrete block f�[ 2. Concrete piers 3. Steel piers 4. Other, specify Typical Support Footing Size Max. Pier I Spacing OverI hang BUTTE COUNTY BUILDING DEPARTMENT APPROVED 4 TO FROM County of Butte, Bldg. Dept. ERNIE'S MOBILE HOME TRANSPORT 5789 FEATHER RIVER BLVD. MARYSVILLE, CALIF. 95901 PHONE (916) 742-6974 SUBJECT permit DATE i n I .r, / 2r, MESSAGE Gemtlemen: Enclosed is check in the amount of $30.00. Set up man, when Isent him I made the check for $40.00. This is for MHI on customer Manes location, West of Gridley on Colusa Highway at Jusetson Rd. at Rice Dryers. Thank Vou fMr letting us mail this to you. E f " t1� ."i REPLY SEND PARTS 1 AND 3 WITH CARBON INTACT - PART 3 WILL BE RETURNED WITH REPLY Redifprme 4S 472 Poly Pak 150 sah14P472 , COUNTY OF. BUTTE - DEPARTMENT OF PUBLIC WORKS-' 7 County Center Drive — orovi Ile, California 95965 Telephone: 534-4541 / -76 APPLICATION AND PERMIT =1 Ly 1Ui 111aNccuU11 Nu1NUaCa. ate ignature of Permittee or Agent ��-D/,A / 1'7 L Rereint Mn IL / 6 White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant the Butte County Code and/or resolutions to do work indicated above for which'fees have been paid. DIRECTOR PUBLIC WORKS BY Dates y " 7 (o Vilding' permit expires Date �' y' 77 BUILDING Owneriiil e e � SQ. FT. OCC. BUILDING VALUATION Mailing Address 36 % Telep ne No. (�9 Fireplace Contractor Total Valuation �(, e, Mailing Address 'V Permit Fee Plan Checking Fee&/or Penalty Telephone No. Permit Fee $ Building Address S' ILLS A u) PP Yo X PLUMBING No. @ FEE PERMIT FILING FEE $3.00 3,,oO O Do kl e S ! F p) . Each Trap 1.50 d 4 -e- Repair drainage or vent piping 1.50 Water piping � gyp,© ,toning Verif7cajiogf qnfif Each gas water heater or vent 1.50 A. P. No. — ® n9 Gas piping system 1 - 5 outlets ism /0, O Each additional outlet .30 F sSa ' on ept; FireZone Use Permit EQA I Parking Parcel arce I�a 60' R/W Improvements Plans Declaration P p ovements Building sewer ' I I Q p Lawn sprinkler system 2.00 Bldg. ans Recd �aLce Approval PIa Approval Permit Fee $ � ,ed $ 3j �JG NEW ❑ ADDITION ❑ UTILITIESIO OTHER ❑ ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 3.00 Main service 600V OR LES 100 AMP ORS SLESS 5.00 Y.00 Main service ,EA. ADD -L 100 AMP 2.50 Single Family. ❑ Duplex ❑ Mobil Home Others ❑ Main service OVER 600v 100 AMP OR LESS 25.00 Main service . EA. ADD•L 100 AMP 1.00 Soo so PT- luf NEW OR ADDNST ( DWELLING LING OCCUP. &\ 22sq-ft / NEW CONITR. MULTI -OUTLET NON-RESID. (BRANCH CIRCUITS) 2.50ea - p res �1}t MOBILIGa POR NEW CONST R- (POWER APPARATUS & NON•RESID.. 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) 109 FIXED APPLNT OREx. Occup.OUTLETS (RESID.) EA) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 License No. 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 requirestevery 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. r—� certify that in the performance of the work for which this �--I 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 authorize representatives of the County of Butte to enter upon the ��� _ -a TOTAL PERMIT FEE $ TT3Z This permit is hereby issued under the applicable provisions of =1 Ly 1Ui 111aNccuU11 Nu1NUaCa. ate ignature of Permittee or Agent ��-D/,A / 1'7 L Rereint Mn IL / 6 White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant the Butte County Code and/or resolutions to do work indicated above for which'fees have been paid. DIRECTOR PUBLIC WORKS BY Dates y " 7 (o Vilding' permit expires Date �' y' 77 FILE MEMO OWNER peQ ti G �Q e y 04 - AP NO. c;? <% j— At time of permit application, the applicant was.advised the following data or information must be submitted priorto permit processing and/or issuance: 1. All items have been # submitte d. 2:. Plot plans in duplicate/triplicate. 3. Complete plans in duplicate/triplicate. 4. Complete -engineered plans and calcs. 5. Fees of $ 6 L-etter of signature authorization.- . Sanitation approval. 8. Planning approval v9. Workmen's Compensation Insurance Certificate. l� 10. Contractors license information. 11. Parcel declaration. 12.- Access declaration. 13. Aunt Minnie information. 14.. Deed of access. 15. Deed of parcel creation. 16. Parcel map. 17. Pre -inspection request for 18. Other By Date 7.—_ 7/, Bldg. Inspector maomnmammammmmmammma_ommemmamammmmaaaamaaamaaaoaaammnmamaaaannamaaamaaaaamanaaamammaaamammmmmammmm F When permit is issued,• process as follows: 11 1. Mail to owner. 2. Mail to contractor. 3. Deliver with inspection. 4: Telephone and hold for pickup. 5. Other r amaaaasaaaaoaaaaansaaaaasaaaaaaaaasaaamaaaaaaaaaaaaaaaae---aaaaaaaaaaaaa-aaaaaaaaaaaaaaaaaaaaaaaa During plan checking process, the following data'or'information must be submitted prior to permit issuance: Index permit for items numbered above. 2. Applicant advised by telephone we need 3. Send letter to applicant. We need 4. Pre -inspection for NOT verified. (Index) 5. Other ✓"6. Plans c c d,and/or approved by. Date ------------------==aeeecaee-rear=ca:-eeaeecaaecaanaaaaaaaa aaaaaaaaaamamaaaaamamma moan moaama: Additional Processink or Notes _ 3 r; '0 A permit will be required for the `if staliat'ron-of-*m-mobilehome. PA4 C47, P� -3 Septic system and location � BuffeCo� lth to a as Rerquirements. PX21. All utility connections shall be located within 4 ft. outside the rear Ur t `L4 -r „1 �-third section of the mobile home 5 it. from on the left (road) side of the mobile The. am. Setback shall 50 ft. from th® We property line an 1 F the roa o , permlttm�� g , ,, xxY the centerline of 2 ft. ea a overhang of enaim�m a BUTTE COUNTY .� BUILDING DEPARTMENT APP.,ROVE® This set of plans a� MUST be p� _ NOTE.—Al Materials& Workmanship Shall Be in kept on the job at all times and it is unlawful to . Accordance with Recoo�niaed Gid Practices and make any changes or alterations on some without of a guar'dy prescvibed for the Specified use in the written permission from the Department of Public Uriafonlae Building. Piumbing & Machanic- d Codes and Works, County of 3uffe. f6 Nationat -Sectriccd Cods. P,14uLOZAIZICot, r ' ' DATE �t V ? .� o �i�. ' 1� o .—�..1.« v..r T.. ..�.,...d,....e.�.-�� p ''((✓{{;� 15+.iy P //...-,S.{......._,��..,.�.,.,..,�.,....a.,s� A. P. -1 i EL�o GAS (�s(,���Ei"�i'"+�� pnv'�i°.�i.�1'l� SLaUC. TEST R YES NO � YES NO 2PO R Dy EE,{{{S7 E k� Aj Y _ y 1 t�E aa l t� l� Y'