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HomeMy WebLinkAbout021-190-036U �lr 21-19-36 FR ERIC K RANGE S/ terson Rd., 250' W. of Bewsnup Gridley ermit #61 E (ut�il`�N) ELEC. r GAS SUPPORT STRUCTURE Q . COMPACTION TEST REQ. ELEC.-// [ d GAS I SUPPORT STRUCTURE REQ. A10 COMPACTION TEST REQ. /U8 New C447,C,U 21=19=36 Steve Ban 4. l 1i/��%�9 S/S Petersen Rd.,550'W.of Dewsnup Ave., Gridley Permit #6899-76P,E(util.,MH-relocate ` GAS �q SUPPORT STRUCTURE REQ. COMPACTION_ TEST REQ. , f/o j 21-19-36 . _.._ Permit #6900-g6MHI" sued61 21-19-36 contr:Panorama Mobile Home Serv,Chico Permit YA223 77S(new-carport & covered decks/MH) �t A4 (ow 4 ,IQ PERMIT NO. 1223-77B PERMIT EXPIRES OWNER Steve Ban CONTR. Panorama Mobile Home Srvice. Chlio LOCATION (A.P. 21-19-36 S/S Petersen Ave.,app.400'W.of Dewsnup Ave., Gridley Colony#7, lot #18, Gridley Temp. Power Pole Called PG&E Temp. Elec. Serv. C lied PG&E Te p. Gas Serv. Called PG&E JOB FINALED ' (Dat) (Signature) COUNTY OF BUTTE = DEPARTMENT'OF PUBLIC WORKS BUILDING INSPECTION RECORD BUILDING BUIL .ING (Cont'd .- PLUMBING Setback Firewall Soil Piping Forms Parapets 1st Floor Main Bldg. Restroom Finish 4 2nd Floor Footings Windows 3rd Floor Stemwall Sidinq To out Slab Roof Sheathing Water Piping Piers - / Roofing V Sewer Garage Fdn. Vents Fixtures Footings Garage Vents Water Htr. Stemwa I I Insulation Heaters Slab Carport oe Footings Prov. for physically handica ed Conformance of ex. structure Appliances Gas PI In &Test Temp. Slab Final Sanitation Patio Le FIREPLACE Final Footings Footina ELE T CAL Masonry Walls Throat I Rough Reinf. Steel Final I Fixtures Bond Beam t FIRE SPRINIJLERS Motors Framing Test Water Htr. Stucco Final Subpanels Mesh MECHA CAL Grd. Fault Prot. Scratch Heating Service Brown Cooling Temp. Pole Finish Ducts Underground Interior Lath Ventilation Permanent Door Closer Final Final MOBILEHOME UTILITI S - - - - - - - - - - - - - • - - Elec. Service Elec. Pedestal Water Piping Sewer Gas Piping MOB ILEHOME INSTALLATION - - - - - - - - - - - - - - Support Elec. Continuity Water Piping Drainage Gas Piping DATE REMARKS OR CORRECTIONS (NOTE: An entry must be made on this form each time you visit the job site.) COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS 7 County Center Drive r- ,Orov411e, California 95965 Telephone: 534-4541 APPLICATION AND PERMIT autnunze representatives of the County of tsutte to enter upon the above-mentaa;:; ion purposes. X Date —/ /—Z2 S'gnature of Permitee or Agent Receipt No./ 46"71 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. DIRE R OF BLIC WORKS +/ B Date 47/ Building permit expires Date _ BUILDING Owner SQ. FT. OCC. BUILDING VALUATION dd Mai I i ng Address Telephone No. Fireplace Contractor Total Valuation 3 QCT Mai ling Address d 6 — Permit Fee Q O Plan Checking Fee &/or Penalty ele hone No. Permit Feeoe $ Building Address PLUMBING No. @ FEE PERMIT FILING FEE $3.00 o� Each Trap 1.50 Gt Repair drainage or vent piping 1.50 Water piping 1.50 /W Each gas water heater or vent 1.50 A. P. No. f �3 Z Zoning & Planning Gas piping system 1 - 5 outlets 1.50 Each additional outlet .30 s .C. S tion Fire Dept. Fire Zone Use Permit Building sewer 5.00 EQA Parking Plans Parcel Declaration Par el Ma p 60' R/W Improvements p ovements Lawn sprinkler system 2.00 Bldg. ns Recd rcel Approval Plan —p,-.—, -I Permit Fee $ $ NEW ADDITION ❑ UTILITIES ❑ OTHER ❑ ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 Main service 100 AMP ORV OR LE LESS5.00 Main service EA. ADD•L too AMP 2.50 Single Family ❑ Duplex ❑ Mobil Home Others ❑ Main service OVER 1100 AMP OR LESS 25.00 Main service EA. ADD'L too AMP 1.00 G NEW OR ADDNST ( ACCLBLGLING OCCVP. &) 2¢Sq ft 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 Stat of California Business & Profess' ns Code under the name St of: Ex. Occup(OUTLETS OR FIXTURES) @511)4 Ex. Occu FIXED APPLNS. OR p•(OUTLETS (RESID.) EA) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 License NoA4 g 2 Classification Misc. Wiring 6.25 ❑ I am exempt from the Contractors License Laws of the State of California. Permit Fee $ $ WORKMEN'S COMPENSATION INSURANCE 1 am aware of the provisions of Section3700 of the California Labor Code which requires every employer to be insured against liability for Workmen's Compensation. I have placed on file with the County of Butte a certificate of 1 IANO, Workmen's Compensation Insurance. I certify that in the performance of the work for which this permit is issued I shall not employ any person in any manner so as to become subject to the Workmen's Compensation Laws of California. 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 $ autnunze representatives of the County of tsutte to enter upon the above-mentaa;:; ion purposes. X Date —/ /—Z2 S'gnature of Permitee or Agent Receipt No./ 46"71 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. DIRE R OF BLIC WORKS +/ B Date 47/ Building permit expires Date _ 5TO �/ . 9' NOTE.=: 1 .Materials &Worm anshi Shall p Be im Accor-dance-with—Reco_gnized Good Practice's and / Ca .p olf U.niform a qualify ,prescribed Buildind, for the Plumbing & Mechanical Specified use Codes int e and tie Notionai'Ele:frical Code. `tom 0-6 C 0 �. . o� C in i•� C - a . H. V 3i♦ riL A �• 01 a N• _ 0 CD - oi LL Tt w VAp , I � - o N y Q t4 � � fA wr,G 'CL• � 1 e o 3 3- 3 BUTTCC�1tT ' • ® BUILDING ®E APPROVED ARTMENT t PANORAMA M0131LE HOME SE R V!G RC LITE 1 C X 425 � CH CO, C.ALIF. 9Sg26 I 7 i ^ - ^ .| . / � | � | � � � | � ) �� _� _ _____ ___�____�______+_' ---� -- - - ---' ---�--- -1----- s---- - | � | ! , / | � / ) } ` � | ' ' ' � � .. / 1 � ' | / - -�----- �--- '----��-------4----- -- ---+ -------- � i . `/ � ' � i � � | ' � { � | ' | l � | � '- �' ' � | \ � . | � � � | ' ' � _--___� ----- -___�_~ _ ]__- _ | ' | | � ( / / / / / / | + _ _ _+___'___l__ _ . / | ' ' | / r ' | , | ' � ' ) / . ' / | � \ �_ l_____ | i -- ----' ----~------- - - --- - f------- -- � / � � � 1 | > , / | ' | . . ` | > | � � | . � | / l - - ------- --------- ----- -- ------ 1'--------�-------�'-- '� | � � | / i ` ' . . � . � | \ ) / | ' | ' | ' | / ' ---^---- _ --' . ----_'_� -___-- -_-_ _____-- . _ .--_' ( | � ) , ' ' � | ` | ! | / ' / � ) � ` / � � | _�-__-_'--_--� '_____- -- __---�_- _--_ _ . _ __ - ___'-- -.� / | ' | � / } | ' i | � | � | i ' ' ! / ` � i | / / . | | | ' � ) | / ` | � � | / i / -- -- �------r---�---'-- ---'--- --�[--' l l '�-|�-- ---- ----- l -� ' > / 1 | ^ , . | | | | / . ` / � ) � ' | ' } � . | | � ` | | � | '� -----�---- ----f- ------ --- --- - / | | > . } ' � � > � � | | ' . , / . | l �_ / . ^ � / ^ / � / / / _- ---�-__� _- --__ / � f / / \ . ( . ____�-_ / / | ) . | | . / � / -_�-__--_-___^-__ � ' � . | | | / t en T'oil_to-be-Airs-High with termediate rails ta�be not over 9 aDa rrx � in- in, I 1 _ i p f i d1 kAIN 1 jO �JJ BUTTE COU TY i ING DEPATMEN AlPPR0V' ED� h_ _'_ -- -I--�-fi -i 1-- ' -, f---- -��--- =-- - i � _� � � j - - �--�---L---?- �� t i i i -�-- L--� -�- j �-- -� ' � �-- - � � i i_. +--E-�- i - , --r-I - ��rt-���� t =PERMIT NO. 6899-76P;E PERMIT EXPIRES OWNER Steve Ban CONTR. owner LOCATION (A.P. 21-19-36 S/S Petersen Rd.,550'W.of Dewsnup Ave., Gridley Temp. Power Pole Called PG&E Temp. Ele6l�serv. Called PG&E Temp4Gas Serv. /FOINALalled PG&E ED J (Date) (Signature) COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS BUILDING INSPECTION RECORD BUILDING BUI ING (Cont'd) PLUMBING Setback Forms Main Bldg. Footings StemwaI I Slab Piers Garage Footings Stemwa I I Slab Carport Footings Slab Patio Footinas Firewall Soil Piping Parapets 1st Floor Restroom Fini, h 2nd Floor Windows 3rd Floor Siding To out 1 Roof Sheathing Water Pi in Roofing Sewer Fdn. Vents Fixtures ( Garage Vents Insulation Water Htr. Heaters Prov. for physically handica ed Conformance of ex. structure Appliances Gas Piping &Test Temp. Gas 3 // Final Sanitation FIREP Al E Final .3r i Footin Throat Final FIRE SPR Stucco Final Mesh MECI Scratch Heating Brown Cooling Finish J' Ducts Interior Lath Ventilation Door Closer Final DATE REMARKS OR CORRE Fixtures Motors Water Htr. Subpanels Grd. Fault Pro Service 1 Temp. P&W Underground Permanent Final _71& (NOTE: An entry must be made on this form each time you visit the job site.) !!ma�yy►��� %' � � - - ii013T?,1:IIO:113 INS'1'ALLXF1J:0N INSPECTION CHECK LIST ' 1. Is the mobi'lehomt loc�ited wi.'-h required separation from lot lines and buildings and generally conform to plot plan? Yes ° No 2, Docs the mobilehome have required clearances above ground? (Sec.5085) Yesx_ No 3. Are footin-;s and supports properly sized, spaced, and braced as per approved plans? (Note possible variation at spring shackles.) (Sec. 5082 & 5083) Yes-XNo 4. Is the mobilehome level.? (Sec. 5088) Yes No� 5. If more than a single unit, are crossover connections properly installed? (Sec. 5088) Yes No 5. Water A. Is flexible connector of adequate size, and properly installed (1/2" ID min.)? (Sec. 5566) Yes 1YNo B.. Test - Does water piping withstand working pressure or 50 lbs. air test? Yes)L No C. -kflow - If co o 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)L No B. Does it have minimum I;" per foot slope and is it properly supported? Yes No C. Are any leaks detected in drainage system after runnink /3 -gallons of water through each fixture including washing machine standpipe? Yes_ No x D. I.f oac. ved d slstation 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 mobilehome gas line inlet without reductions other than the mobilehome connector. Yes No B. 'fest OK as per following procedure? Yes No 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 all appliance vents properly installed? Yes -4 No_ 9. Electrical A Is service large eno igl. to provide ::idequat_e amperage to mobilehome. (must equal rating of mobi_lehorie with J ::;ln.0^U111 0 100 amp) an:1 other facilities on lot, i.e., water pumps, �,ara,-,e, cabana, etu.:- Yes No B. Is ther--� proper clearances around panels? Ye SA— No C. Is power supply cord or feeder assembly properly fused? Yes. No_ D. Is continuity test satisfactory as per the following procedure-.? YeNo 1. De -energize electrical wiring, system of the mobilehome at the p estal. Z. Make sure that the power supply cord or feeder assembly conductors, including neutral conductor, have been disconnected. 3. Swi.r_ch all breakers and switches in the mobilehome to the "on" position. 4. Connect one load of a test instrur?ent:to the mobilehome grounding conductor and PY3 i' tine o er i.ead to each iiivu lci'iUiiie Sii�ipiy CUri.iuCtUr, 11101iiiilYtg �iEULrai, 5. All nor. -current, carrying metal parts of the mobilehome (aluminum siding, gas line, water line), including fixtures and appliances, shall be tested for continuity from such egilipment and the grounding conductor. 6. Upon completion of the above procedure, the power supply cord or feeder assembly conductors shatl be connected to the site service equipment. A further continuity te.;i_ shall then be made between the grounding electrode and the chassis of the irlobilehome. Upon satisfactory completion of theelectrical tests, the lot or site service c�qij i.pment may be approvo.d for energizing. iui Is ;ob card si--n(d by Health Departmeat for water and sanitation? 11.. If everything okay, sign off card and ta; s :rvices. 'Ma3IfcDATA _/�� �-��A��� A� � � Manufacturer and/or Namesfyle Length % Width Vehicle Serial No. ems- 9�D�9L�7 State Identification No. 4,del,Ltional Inforna t i on or Comments: 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 re5uirements of the California Administrative Code, Title 25, Chapter 5, un er permit number for the following location: -j�/, Owner Owner's Address z2 /-Z �11 Mobilehome Mfe. Model Year/ 7 n s i g n i a N o. /'W'. "S"e/r i a I No. It is hereby certified for occupancy at the above described location and may be occupied. Director of Public Works Date 17 By THIS CERTIFICATE IS VOID WHEN MOBILEHOME IS RELOCATED v/ COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 Telephone: 534-4541 APPLICATION AND PERMIT authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. X Date Signature of Permitee or Agent Receipt No. 15 � 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. DIRECT R OF PUBLIC WORKS By Date 3 �% 4ksiddin permit expires Date __ /�zza BUILDING Owner SQ. FT. OCC. BUILDING VALUATION Mailing Address AQ V Tele hone No. F i rep I'ace Contractor PVHTotal Valuation Mailing Address Permit Fee Plan Checking Fee &/or Penalty Telephone No. Permit Fee $ Building Address A�VS014 Ald PLUMBING No.1 @ FEE PERMIT FILING FEE $3.00 w/ ach Trap 1.50 epair drainage or vent piping 50 Water piping ' c Each gas water heater or vent 1 0 A. P. No. 1 19-5'6 Zoning & Planning Gas piping system 1 - 5 outlets Each additional outlet 1–.3_0 Fe W. S n' tion Fire Dept. Fire Zone Use Permit Building sewer EQA Parkl arcel Plans Declaration parcel Ma P 60' R/W Improvements P Lawn sprinkler system 2.00 Bldg. Plans Recd Parcel Ap val I Plans Approval Permit Fee $ $ NEW ❑ ADDITION ❑ UTILITIES OTHER ❑ ELECTRICAL No.1 @ FEE PERMIT FILING FEE $3.00 Main service 600V OR 100 AMP ORLESS5.00 Main service EA. ADD'L 100 AMP 2.50 Single Family ❑ Duplex ❑ Mobil Home Others ❑ Main service 1100EAMP OR LESS 25.00 Main service EA. AOD'L 100 AMP 1.00 / NEW CONST. DWELLING CCUP. & OR ADDNS. ACC. BLDGS. ) 20 sq ft NEW CONST R. MULTI.OUTLET NON-RESID. ( BRANCH CIRCUITS) 12.50ea C NEW CONSTP- 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. Occ Up(OUTLETS OR FIXTURES) 50 BAL� Ex. QCCU FIXED APP LNS. OR P'(OUTLETS (RESID.) EA) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 License No. Classification Misc. Wiring6.25 I am exempt from the Contractors License Laws of the State of California. Permit Fee $ $ WORKMEN'S COMPENSATION INSURANCE 1 am aware of the provisions of Section3700 of the California Labor Code which requires every employer to be insured against liability for Workmen's Compensation. ❑ I have placed on file with the County of Butte a certificate of Workmen's Compensation Insurance. I certify that in the performance of the work for which this 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 $ authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. X Date Signature of Permitee or Agent Receipt No. 15 � 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. DIRECT R OF PUBLIC WORKS By Date 3 �% 4ksiddin permit expires Date __ /�zza COUNTY OF BUTTE — DTEPAR�`fIENT OF PUBLIC WORKS 7 County Center Drive — Orovi lie, California 95965 Tel ephone • 534-4541 APPLICATION AND PERMIT aUL'Onze repreSeniU aVCs UI ule UOUniy 01 Butte t0 enter upon the /above-mentioned property for inspection purposes. Dateow, Signature of Permitee or Agent Receipt No. 19� 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. DIRECT R OF PUBLIC WORKS BY Date / :%� permit expires Date / BUILDING 3P 1 Owner SQ. FT. OCC. BUILDING VALUATION Mailing Address o ele h n Fireplace Contractor Total Valuation Mailing Address Permit Fee Plan Checking Fee &/or Penalty Telephone No. Permit Fee Building Address rse- PLUMBING No. @ FEE PERMIT FILING FEE $3.00 i Sa , Each Trap 1.50 Repair drainage or vent piping 1.50 Water piping 1.50 Each gas water heater or vent 1.50 A. P. No.— C—� Zoning & Planning Gas piping system 1 - 5 outlets 1.50 Each additional outlet .30 F 49TW. , Fire Dept. Fire Zone Use Pen -nit Building sewer 5.00 EQA Parking Plans Parcelparcel Declaration Ma P 60' R/W Imp rovemen P Lawn sprinkler system 2.00 81d —Rec=d I Parcel A p al Plans royal Permit Fee $ $ NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER ELECTRICAL No.1 @ FEE PERMIT FILING FEE J$3.00 nn Main service 600V OR LESS 100 AMP OR LESS 1 5.00 Main service EA. ADD•L 100 AMP 2.50 Single Family ❑ Duplex ❑ Mobil Home Others ❑ Main service OVER 600V 1100 AMP OR LESS 25.00 Main service EA. ADD'L 100 AMP 1.00 NEW CONST, DWELLING OCCUP. & OR ADONIS. ACC. BLDGS, 22sgft _) NEW CONSTR. (MULTI -OUTLET NON•RESID, t 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 Y Ie Of: Ex. Occup(OUTLETS OR FIXTURES) BALmi FIXED APPLNS. OR Ex. 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 requires every employer to be insured against liability for Workmen's Compensation. ❑ I have placed on file with the County of Butte a certificate of Workmen's Compensation Insurance. I certify that in the performance of the work for which this permit is issued I shall not employ any person in any manner so as to become subject to the Workmen's Compensation Laws of California. MECHANICAL No. @ FEE PERMIT FILING FEE $3.00 Heating Cooling Ventilation Hood 2.00 Permit Fee $ $ 1 certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby 34 CDU TOTAL PERMIT FEE $ aUL'Onze repreSeniU aVCs UI ule UOUniy 01 Butte t0 enter upon the /above-mentioned property for inspection purposes. Dateow, Signature of Permitee or Agent Receipt No. 19� 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. DIRECT R OF PUBLIC WORKS BY Date / :%� permit expires Date / ( MOBILEHOME SUPPORT DATA Mobil 1 ehome Mfr C--�W . L we r C res 1 Setup Model N�. Year Width '(ft.) Length (ft.) Expando Size ft.x ft.- (Draw.suppdrt 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). Sin le Footings (check one) K1. Wood either pressure treated or. Center Support ! fdn. grade. Footing Sizes � � i /%��/;� (in.) (. it 2. Concrete pad. r !! 3. Other, specify �in.) (in.) I- 1 - -- Supports (check one) <A 1. Concrete block 2. Concrete piers (in.)(in.) j 3. Steel piers i 4. Other, specify Typical Support Footing Size x _ in.) (in. i Max. Pier -- Spacing - � eft.`) (in•) lri'�(iri . ) L_ x (in.) (in.) Max. I - Overhang *If center piers are other than drawn above, draw in locations, spacing, and dimensions. BUTTE COUNTY BUILDING LAPARTMENf AP.PR0VE0 .i BUTTE COUNTY DEPARTMENT OF PUk1C WORKS 7 County Center Drive, Oroyilr,; .. CA. PHONE: 534-4541 MOBII.EHOME INSTALLATION SHEET 1. Owner's name: (J (� _ Z3 /q IV 2. Installer's name: �� 1 C 0 3. Is the site currently under permit? Yes/ No ( If yes, furnish permit number GG/ 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 all setbacks and easements? Yes 77—/ No ( If no, clarify ) 5. What is the mobilehome electrical rating? ----------------1- A ? Amps 6. What is the mobilehome site service rating? -------------- Amps 7. What is the mobilehome site circuit breaker rating? -------- - - - � �i � Amps 8. Is there any other electric load to be served by the mobilehome site service? --------------------------------------------------- Yes No (If yes, identify the load and size: (Load) (Amps) 9. What is the mobilehome site gas pipe size? ---------------------- (in.) 10. What is the type of gas service? ----------------------------- Natural Yom! LPG 11. What is the gas pipe length.from meter or tank to the mobilehome? j (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.fon LPG.) NOTE:--=AII Materials & VVoricmammp "o Accordance with Reco.. nixed Good Practices and' of ,a.gyality prescribed for the Specified use in the Uniform Building, Piµmbing & Mechanical Codes and S 252-4 'I Elm Iwo i rin lc--6tion a+--60* be as per 0 MM181 I MINIM • � 1110 e �W 01 �� • �I►w1' � Cil. � I �� l� INN 71-391 HA 1151 - mill 111111 Mill Ii IN 111111111 ON 1111111111 1 loll 101111 mill 111111111111111 1110 I �; Ion I �i� � ■�i°��i�i�■�-n1ni�■ �i0 Mimi 520 OR 6A IM- �iii,n INE ---- III vl MI MI � ■i „ III 11 III MI Ill ME 11111110 milli 11111111111 Millill milmol MINIMUM In 1111111 On I ME10111 miniiiiiiin 1111111111 11 I1lMIIII Iniq Mill I miimmi M IIIIIIIIII MIN mill MINE III- 11110 I 11111111 Il 0 iolillinimilll I �n milli 1111111111 iiii � iii■� ���olmilill min 11iieii milli iiiiiI iii i�N(■ 11 milli islill 11111111111 Ilium 1111111111111011111 III mill 1 Ciei IN Million ■iI ■��iii��1111111111111101 �i ■i olCilIII iiiiiiiiiiiiiiiiisni similClinini i� 11111111111WOMEN �I� °SCC SOME MIN imilliololl1lini 0 111 111111M C1 � ��I SC:I � ��� � 11111111111111011111111111111011C Q eaunt* of✓✓Utt4e OROVILLE, CALIFORNIA GENERAL CLAIM CLAIMANT: Frederick Range ADDRESS: Rt. 2, BOX 426 CITY & STATE: Gridley, CA,. 95948 IMPORTANT: .Tan. 5, 1977 SEE INSTRUCTIONS DATE OF CLAIM: ON REVERSE SIDE SUBMIT CLAIM TO DEPARTMENT RECEIVING GOODS OR SERVICES DATE DESCRIPTION OF CLAIM (DESCRIBE FULLY TO AVOID DELAY) AMOUNT Sold property. Not going to do this work. arm tpp n. - - Receipt -AP 21-19-300 Building permit fee ----- $18.00 Retain 113 of fee ------- Total refund due ----------------------------------------------- $12.00 TOTAL $1 .00 I. the undersigned, declare under penalty of perjury that the services or articles claimed have been performed or delivered, and that this claim is true and correct as stated. Datedthis .................................. day of ............................. 19....... at................................, Calif..................................................................................... Signature of Claimant I, the undersigned, hereby certify that, to the best of my knowledge, the services or articles specified above have been performed or de- livered and that there is a Budget Appropriation[:] or Specific Board Approval0 (Check one) for the same. Datedthis .................................... day of ......................I 1 ...... 19......, at .............................. . Calif..................................................................................... Department Head or Authorized Deputy Dept. Exp. Code............................................ Code ................................................PAYABLE FROM............................................................................................ FUND DO NOT WRITE BELOW THIS LINE - AUDITOR'S USE ONLY VENDOR CODE DEPT. & SUB. PROD• SUB. OBJ. CLAIM NO. INVOICE NO. INVOICE DATE DISC. GROSS AMOUNT ENCUMB. SUB -DIST. O IRSTRUCTIONS o _CI:41MANTS All- claims against the county must be itemized, giving dates and character of service rendered or work performed, quantities, de- scription and unit prices of articles furnished or delivered. Claims must be certified by the claimant and submitted to the De- partment head for approval. Upon approval the Department head will forward claim to County Auditor for payment procedure. Do not file with the County Auditor first. Claims should be presented to officials for approval immediately upon completion of services requested or material ordered. Claims are paid every Tuesday; however, same must be approved by officials and in Auditor's office before preceeding Wednesday noon. Compliance with above will expedite payment of claim, failure to do so may delay payment considerably. UNT OF BUTTE OFFICIAL RECEIPT -r �ljel- <- N2 149840 01 OFFICE� �AUINQ RECEIPT 1 19 56 Received 'Oat -- The tum of $ for— Received By Tide By t , COUNTY OF BUTTE — 131ORTMENT OF PUBLIC WORKS 7 County Center Drive — Oroville, California 95965 %�—"r" l-76 Telephone: 534-4541 APPLICATION AND PERMIT au uwi VFIwclllaLIves UI ole Bounty of Butte to enter upon the above-mentioned property for inspection purposes. X �2Date - c� / 6 Signature o(f�Permite�e or Agent or Receipt No. ` XX 7 6 White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR OF PUBLIC WORKS By Building permit expires Date Date BUILDING _ Owner SQ. FT. OCC. BUILDING VALUATION Mailing Address i �X U y� S9**1 T Ieahon�No.> Fireplace Contractor Total Valuation Mailing Address Permit Fee Plan Checking Fee &/or Penalty Telephone No. Permit Fee Building Address /l,% PLUMBING No. @ FEE PERMIT FILING FEE $3.00 �oS?' Each Trap 1.50 j (£ 01 Repair drainage or vent piping 1.50 Water piping 1.50 Each gas water heater or vent 1.50 A. P. No. ` — Z Zoning & Planning Gas piping system 1 - 5 outlets 1.50 Each additional outlet .30 ees W.C. Sanitation Fire Dept. Fire Zone Use Permit Building sewer 5.00 EQA IParking I Parcel Plans Declaration Parcel Ma P 60' R/W Im rovements P Lawn sprinkler system 2.00 Idy. Plans Recd Parcel Approval Plans Approval Permit Fee $ NEW E] ADDITION ❑ UTILITIES E] OTHER ® ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 ER��� RzV OR L Main service 100 AMP ORSLESS 5.00 Main service EA. ADD'L 100 AMP 2.50 Single Family ❑ Duplex EJMobil Home Others ❑ Main service OVER 600V 10o AMP OR LESS 25.00 Main service EA. ADD•L 100 AMP 1.00 NEW CONST. DWELLING 0CCUP. & OR ADDNS. ACC. BLDGS. ) 22 sq ft NEW CONSTR. MULTI -OUTLET NON-RESID. BRANCH CIRCUITS) 2.50ea NEW CONSTR. (POWER APPARATUS & NON RES,D. SINGLE OUTLET CIR. CONTRACTORS LICENSE LAW I am licensed under the provisions of Chapter 9, Div. 3, of the State of California Business & Professions Code under the name style of: Ex. Occup(OUTLETS OR FIXTURES)@L56 BAL@21 Ex. Occup.FIXED APPLNS. OR (0 'TLETS (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 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. certify that in the performance of the work for which this ermit is issued I shall not employ any person in any manner so as to become subject to the Workmen's Compensation Laws of California. MECHANICAL No.1 @ FEEPERMIT FILING FEE $3.00 Heating Cooling Ventilation i Hood 2.00 Permit Fee 1 certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby TOTAL PERMIT FEE au uwi VFIwclllaLIves UI ole Bounty of Butte to enter upon the above-mentioned property for inspection purposes. X �2Date - c� / 6 Signature o(f�Permite�e or Agent or Receipt No. ` XX 7 6 White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR OF PUBLIC WORKS By Building permit expires Date Date uti1.,MH `61-76P E PERMIT NO. • • P \ E M i MH UTIL. IPERMIT NO. PERMIT EXPIRES L�� w Z!7-1 1 • OWNER Frederick Range CONTR. owner LO CATION (A.P. 21-19-36 ) l S/S Peterson Rd., 250' W. of Dewsnup Ave., Gridley a . I. Y • 1• :t r r - a � 0 T 1 I r t I • Temp. P wer Pole I Cal d PG&E Temp. lea Serv., C lied PG&E • Tem . Gas Serv. alled Ji B NALED (Date) (Signature) COUNTY OF BUTTE — DEPARTMENT.OF PUBLIC WORKS BUILDING INSPECTION RECORD BUILDING BUILDING (Cont'd) PLUMBING Setback Firewall Soil Piping Forms Parapets 1st Floor Main Bldg. Restroom Finish 2nd Floor Footings Windows 3rd Floor Stemwall Sidi ng To out Slab Roof Sheathing Water Pipin Piers Roofing Sewer Garage Fdn. Vents Fixtures Footings, Garage Vents Water Htr. StemwaII Slab Prov. for physically handicapped Heaters Appliances Carport Footings Conformance of ex. structure Gas Piping & Test Temp. Gas Slab Final Sanitation / Patio FIREPLACE Final Footings Footing ELECTRJCAL Masonry Walls Throat Rough Reinf. Steel Final Fixtures Bond Beam FIRE SPRINKLERS Motors Framing Test Water Htr. Stucco Final Subpanels Mesh MECHANICAL Grd. Fault PrQt. Scratch Heating Service Brown Cooling Temp. Pole Finish Ducts Underground Interior Lath Ventilation Permanent Door Closer Final Final W 796 DATE REMARKS OR CORRECTIONS 0//,7 - ee MOBIL EHOME INSTALLATION INSPECTION CHECK LIST 1: Is the mobilehome locatedti required separation from lot lines and buildings and generally conform to plot plan? Yesr No 2. Does the mobilehome have required clearances above ground? (Sec. 5085) Yes No 3. Are footings and supports properly sized, spaced, and braced as 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.ore than a single unit,__ar-e crnG--aver connections properly installed? (Sec. 5088) Yes No 6. Water A. Is fl ible connector of adequate size and properly installed (1/2" ID min.)? (Sec. 5566) YesNo B: Test - Does water piping withstand working pressure or.50 lbs, air test? YesXNo C. Bim•= - Tf coach isnot Stais 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? Ye�(,No' B. Does it have minimum 4" per foot slope and is it properly supported? Ye S7 No F C. Are any leaks detected in drainage system after runnin- 3 gallons of water through each fixture including washing machine standpipe? Yes No D. T�^mss not State.,a£ Cale ar�proved,.. does 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 mobilehome gas line inlet without reductions other than the mobilehome connector. Yes % No T B. Test OK as per following procedure? Yes/ No 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 all 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 S_1 No C. Is power supply cord :or feeder assembly properly fused? Yes No D. Is continuity test satisfactory as per the following proce ure? Yes1. De -energize electrical wiring system of the mobilehome at the pede14X�041117 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 ro.obilei►ome 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 \ p Manufacturer and/or Namestyle Length L t- Width Vehicle Serial.No._ �� State Identification No.��f Additional.Informati_on or Comments: COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 7 COUNTY CENTER DRIVE OROVILLS, CALIF. - 534-4541 -CERTIFICATE OF OCCUPANCY This mobilehome has been installed in accordance with the rejuirements of the California Administrative Code, Title 25, Ch �ter 5 un er permit number- 4W42EAK for the following location: ' ;�, / Af,- _-� X7, Owner,- �W-2-e­e Owner's Address a Mobilebome Mfg. Model 29,��c I&IZ —Ye"r Insignia No. A6 7 Serial No. -7 t4' k1 It is hereby certified for occupancy at the above described location and, - may be occupied. ", 11� Director of Public Works Date By THIS CERTIFICATE IS VOID WHEN MOBILEHOME IS RELOCATED ;COUNTY OF BUTTE — -.DFPAP TMENT OF PUBLIC WORKS ►— 7 County Center Drive — Oroville, California 95965 Telephone: 534-4541 (</ APPLICATION AND PERMIT Owner Mailing Address Contractor Mailing Address Building Address elephone No. A. P. No. -v— ... � 6 Zoni ni Fa ion I Fire Dept. Fire Zone EA. ADD'L 100 AMP Use Permit EQA Parking Plans Parcel DeclarationAW4 Parcel Ma P 60' R/W Improvements provements s Recd I Par Approval 1 (POWER APPARATUS & SINGLE OUTLET CIR. Plans Approval NEW ❑ ADDITION ❑ UTILITIESL OTHER ❑ Single Family ❑ Duplex ❑ Mobil Home .K Others ❑ 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: License No. Classification _ BUILDING SQ. FT. OCC. I BUILDING VALUATION Fireplace Total Valuation Permit Fee _ Plan Checking Fee &/or Penalty Permit Fee _ PLUM -RING PERMIT FILING FEE Each Trap Repair drainage or vent piping Water piping Each gas water heater or vent Gas piping system 1 - 5 outlets Each additional outlet Building sewer Lawn sprinkler system Permit Fee ELECTRICAL PERMIT FILING FEE Main service 600V OR LESS 100 AMP OR LESS Main service EA. ADD'L 100 AMP Main service OVER 600V 100 AMP OR LESS Main service EA. ADD'L 100 AMP NEW CONST. OR ADDNS. 1 DWELLING OCCUP. & ACC. BLDGS. NEW CONSTR. NON-RESID. (MULTI -OUTLET l BRANCH CIRCUITS NEW CONSTR. NON.RESID. (POWER APPARATUS & SINGLE OUTLET CIR. / — 14 /,' m EX. OCCUp(OUTLETS OR FIXTURES EX. OCCU FIXED APPLNS. OR P• OUTLETS (RESID.) EA) Temporary service Mobile Home Facilities Misc. Wiring I am exempt from the Contractors License Laws of the State of California. Permit Fee WORKMEN'S COMPENSATION INSURANCE MECHANICAL PERMIT FILING FEE I am aware of the provisions of Section3700 of the California Labor Heating 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. fuY I certify that in the performance of the work for which this �f permit is issued I shall not employ any person in any manner so as to become subject to the Workmen's Compensation Laws of California. I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. x��✓G'B Date/ $ignoture of Permitee or Agent Receipt No. White-D.P.W. — Yellow-Asse/a r — Pink -Inspector — Goldenrod -Applicant Cooling Ventilation Hood Permit Fee "Em MMM 2.00 $ @ FEE $3.00 8,00 5.00 r2 J pp 2.50 25.00 1.00 20sq ft _ 2.50ea TOTAL PERMIT FEE Is Is 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 p DIRECTOR OF PUBLIC WORKS By Date /-/6-7� uilding permit expiresDate -COUNTY OF BUTTE — "DEPNRTMENT OF PUBLIC WORKS 7 County, Center Drive — Uroville, California 95965 Telephone: 534-4541 APPLICATION AND PERMIT authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. X �aoDateC -I Signature of Permitee or Agent6// Receipt No. - / LlJ 9 Z 7 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/15UBLIC WORKS White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant I BtdMing permit expires Date BUILDING Owner �2C GK �� ��� SQ. FT. OCC. BUILDING VALUATION Mailing Address 2 r3x. -'12,5 a- Y Telephone No. —5779 Fireplace Contractor �� Total Valuation Mailing Address �� Permit Fee Plan Checking Fee &/or Penalty Telephone No. Permit Fee Building Address .=T� �C�+ PLUMBING No. @ FEE PERMIT FILING FEE $3.00 o�—�li ZS O C Off' Each Trap 1.50 a Repair drainage or vent piping 1.50 Water piping 1.50 Each gas water heater or vent 1.50 A. P. No. Zoning & Planning Gas piping system 1 - 5 outlets 1.50 Each additional outlet .30 FqtK qo�- Fire Dept. Fire Zone Use Permit Building sewer 5.00 EQA Parking Plans Parcel Declaration Parcel Ma 60' R/W P Im provements Lawn sprinkler system 2.00 Bldg. Plans Recd k1f Parcel roval Pla pproval Permit Fee $ $ NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER A ELECTRICAL No.1 @ FEE PERMIT FILING FEE $3.00 ti ?' L4AT/0A1 "!72 m r� Gly79 Main service io00o A,VOR LESSOR 5.00 Main service EA. ADO'L 100 AMP 2.50 Single Family ❑ Duplex ❑ Mobil Home ig Others ❑ Main service OVER 600V 100 AMP OR LESS 25.00 Main service EA. ADD -1 100 AMP 1.00 NEW CONST. OR ADDNS. ( DWEACCLBLDGOCC up- &) 2¢Sgft NEW CONSTSL MULTI.OUTLET NON•RESID. BRANCH CIRCUITS) 2.50ea NEW CONSTR. (POWER APPARATUS & NON•RESI D. SINGLE OUTLET CIR. CONTRACTORS LICENSE LAW I am licensed under the provisions of Chapter 9, Div. 3, of the State of California Business & Professions Code under the name style of: Ex. Occup(OUTLETS OR FIXTURES) BAL @} Ex. Occup.FIXED APPLNS. OR OUTLETS (RESID.) EA) 2.00 Temporary service 10.00 Mobile Home Facilities. 15.00 License No. Classification Misc. Wiring 6.25 k2I am exempt from the Contractors License Laws of the State of California. Permit Fee $ $ WORKMEN'S COMPENSATION INSURANCE 1 am aware of the provisions of Section3700 of the California Labor Code which requires every employer to be insured against liability for Workmen's Compensation. ❑ 'w have placed on file with the County of Butte a certificate of orkmen's Compensation Insurance. I certify that in the performance of the work for which this LM permit is issued I shall not employ any person in any manner so as to become subject to the Workmen's Compensation Laws of California. I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby MECHANICAL No. @ FEE PERMIT FILING FEE $3.00 Heating Cooling Ventilation Hood 2.00 Permit Fee $ $ -3 D0 TOTAL PERMIT FEE a $ 3 0C authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. X �aoDateC -I Signature of Permitee or Agent6// Receipt No. - / LlJ 9 Z 7 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/15UBLIC WORKS White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant I BtdMing permit expires Date oA/- / q- o -030"0- o NOTE: A11 Materials & Workmanship Shelf Be in Accordc nce with R-cc^ni-ed C and Practices am of a qu .ity pre-^_-3-n-I 'ter •,S,e Snec'f'c;; use in the Uniform Building, Plumbing & Machanical Codes and the National Electrical Code. ,Il utility connections shall 6e mcifed w*'L`^ A f%a: aside the rear 'gird cc --',Toa of tl:e mobile home n the left (road) side of the mobile This set of plans daiMrewmWkvAi t K kept on the ioh at al! +*,mes a td it is ural maks any changes or alt? -rations on same written permission from the Department c Works, County of Butte. Septic system and location af�bli kr - - ai.. to be as- per Butte County Health Dept. Re- quirements. ScPr��fl),V Ik- Pvd A permit wil be required for the F I installation c f the mobilehome, u' he Setback shall be 5 ?+, from i ie side property line and 50 ft. from le centerline of the road � b 10 maximum of a 2 ft. eave overhang.-yI r S SS -- - — BUTTE COUNTY 61 BUILDING DEPARTMENT • APPROVED 0 UST be wful to Public 9 BUTTE COUNTY DEPARTMENT OF PUBLIC WORKS 7 County Center Drive, Oroville, CA. PHONE: 534-4541 MOBILEHOME INSTALLATION SHEET 1. Owner's name: ��P �� �GGl,y-t7 2. Installer's name: 3. Is the site currently under permit? Yes /� No .:•sic +-�_. �t.c,. -•�f..�i' j , ...,,_ . _ (If yes, furnish permit number �'�� / 65 OR Is the site an existing site? Yes / / No �.,�;,; •ril, �,(If -yes, furnish two (2) plot plans.) t ,` 4.t 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 /i / y (If no, clarify 5:` What is the mobilehome electrical rating? '---------------------- ��� fps 6. What is the mobilehome site service rating? --------------------- p'--t-j fps 7. What is the mobilehome site circuit, breaker rating? ------------- if) Amps 8. r z Is there any other electric load to be served by the mobilehome' w site service? ----------------------------;----=---------=------- • Yes No 4 . (If yes, identify the load and size: We (Load) (Amps) 9. What is the mobilehome site gas pipe size? ---------------------- In 10. What is the type of gas service? ---------=------------------- Natural / ./ LPG 11. What is the gas pipe length from meter or tank to the mobilehome? �� (ft.) 12. What is the mobilehome gas demand? ------------------------------ (BTU) (This information not required if pipe length less than 6 ft. on -natural gas or less than 50 ft. on LPG.) i Center SuiLo a ions ;ftp (in 5V_Gt1Z�n—g FSizes (in.) X i.n.) Cin x .)f •ft. in.) x _ (in. )(in. l� (in.) (in.) Sin le ► Footings (check.one) �?Ipressure 1. Wood either treated or fdn. grade. 1,1 2• Concrete pad. 3. Other,: specify Supports (check one) 1. Concrete block 2. Concrete piers 3. Steel piers T-1 4. Other, specify *If center piers other than drawn above, draw in loc ons, spacing, and dimensions. r�Typical Support fL x Footing Size in. in. i Max. Pier i 1 J Spacing in. Ox. verhang BUTTE COUNTY BUILDING DEPARTMENT A P P R O V ED MOBILEHOME SUPPORT DATA , Mobilehome Mfr. _13-eL Setup Model No. Year Width �� (ft.) Length �c' 1L (ft.) Expando. Size (Draw support details .x 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). i Center SuiLo a ions ;ftp (in 5V_Gt1Z�n—g FSizes (in.) X i.n.) Cin x .)f •ft. in.) x _ (in. )(in. l� (in.) (in.) Sin le ► Footings (check.one) �?Ipressure 1. Wood either treated or fdn. grade. 1,1 2• Concrete pad. 3. Other,: specify Supports (check one) 1. Concrete block 2. Concrete piers 3. Steel piers T-1 4. Other, specify *If center piers other than drawn above, draw in loc ons, spacing, and dimensions. r�Typical Support fL x Footing Size in. in. i Max. Pier i 1 J Spacing in. Ox. verhang BUTTE COUNTY BUILDING DEPARTMENT A P P R O V ED y,. On [.37 I, "A14 �< 0 786 'F II1.670" i w < U I .IaTS"a. Ig,y"a. 7GI � 13 co x1650 j i .o •sso "'�.. . 1 j' w 1n6roE o1 '. ari ae �F�. .71" _ _ # '�` 'SPA .11.11.----- 1� A �.oSO, °eni �_ I I _ Z w i \7�t-frcr� ymII5is iYPT.Ins"=O N 'O '� T. LOCK o i N - D3�f"y�ZZw rTYP - i - - �y(o} yo" as!. ` o� (D° _ - 11761 C �` o� $ r� 0 730 ' A '0 I 61 r 7�1 C 0 - U III T " AWN- < G 6" 1 eel" .10y Ao' I.o,y' aoo �2.OI OiO / II �' I n o _ =� Oho O W w TYP yr C° 000" 6.0001 CoObO (oh) a' m loo O�O'1 r I •0501 *Yy i c°1 o ) i RAIL N N -.r --'fin / u _ e SPUCC` 1 r 1 - - L-- --J R. 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L"To 6RI I Bo0TIr4G 9FRtt"R/Fie @ia'ec I I ,0 Mom - (I.. eearT- --� , �E C�RIAED ALY., 454 GaJD10 I/2' OVeR4gr2GfwT • be _ HEADt TOUT rwu r.o4sA 7 90u0 vR70D SIDE\ �LgTp 4K5SIL'$7-YIELD 46 Tv[ •i SPLICED FAec- �` • ca r� 2'l/z 9gA7LT /LATE oL I I i Z •q'm BOLTS R l �a eQ. PST 25 FASCIA / _ _t R Der •lfoLlrsG 9 r)p I I 9M-CTVPAI e/i s as lolK•E NO•- I O 'O" 9q, P'oST- (SEE DT'L ` I I .I L•K10TIr.6 ,r e �.7 9Au/04�i'' Q I Sly. PO eT 6RKT. I CDN ID. M109/A$ FO/1 "6CII. P06T GOTVN. / 4 FO0. �4'nT _ y '�' A1TgMFOp1E II� I I I I• II II '1 P6a4, r Sep ( I - CONN. a -I'1 I 7i c•' 5T2 P TO ss�acl.R B I e - 'L--- S 'T�O�I - R`FASCIA BM. �L .1.-Iats`Aw. _ �mT e"eRrw+G EXTR.FASCIA'e E 1-14 WLT i3 aoeFRireL ALL WI-ftT 3oKL NSTALL II I III I > W 0. e DnAIMPIM 1; • e D/A. I RUTH 3 "xIn W PAN Ex .,oEDevECAeOA "} �,., �eQ oac. A'rTALNF"Tro I�111 II 0 f �•-�,., 3"50, (tl6T 1. 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I" W i W „'•', •10' -,o '8y 1.6y Zg" LL = 10 POF WL= 10 P8F UPUFr = 10 POF FRARY1w1(9 93CHEPULB40 e`er rlr 3° x I 1" "W" POOF PAneL OBANn 7 POOT Arlo FOOTIMF TYPE (PTT^CMED) v, Do' z•D " DE9CRIF°TION MATERIAL 1, POST DECORATIVE U g i g PrA9CIia Sewn ( ROLL. - FOAMED) P'2 FLAT PAN FASCIA 813-Ar"II (EXTRupCD) 4 I BEAM ( EXTRUDED) A44C; 8 I BFJgM (EXTRUOEp) OR 3"x3'x3/,G"THK.LjTD.9iA7CT.TLOE Ahol ran PI /r�AT'L:60ro3T6 %TFLUDED ALUIN. I I$ 3"SO. POST IA PANEL F r T : 3 Y P1 P5 '23IL 4" 10 AGI-% O 4 . x i1Y2' FW AAeclq / 11'-0" STD.'3"ALUM. POST 13RKT 1 FOR.o.o�"THIl.ALU/n � STnUGTTOTL.TUeE eec G'•G" In ARF -TG x p a� s d C"Y XE m x0 4E 'r 0 (2 .! J 1- m� a �o ?o� Et F [ J J ;Dt F W i i $g j 6-11 8� L r I. � CD N 6 - BeA'+I �/ I/1' -O" .024 030 PI .r Qtg r k E� ¢Lff PZ EBC G'-3" �g P1 , E` " 12-3 11 I FOR A" I BEAM OFL ,FASCIFI BO.. CON!45. ir' POST TABLE MOT FLUTED). 11104 NL ODnr"Z Ia"O.c� Tp c�oi�'s0I l0 9.lA.9. 8'-Ou •DIB. .044 PI E6c T' -T"'" BARF•7G PI EBG II' -7" 642E •lL P/7. 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BOLO FILLS 3004 H 3G ALVM 3" 0 fear x - o4o" rwcH 3004 H 3G ALVN1 P'2 FLAT PAN - + - 3" 111 Poem X.048" THICK A44C; P3ccreel� OR 3"x3'x3/,G"THK.LjTD.9iA7CT.TLOE Ahol ran 1V4'u G' E6"O.G. 07'_0" .010"044 PI Esc T'•1" 9AAF-T6 PI ESL 10'-4" 7AEP-,G PR ESC -1'-10" 9A41•14 P2 P5 13-11" .3A(,I-% U FLAT PAN - + - 10'-0" •018 030' PI ESC A' -O" I0913F•T6 PI ESC 0) a" I011EF•74a P2 ESC 7'-11" IO A41-76 P1 P5 '23IL 4" 10 AGI-% O 4 . x i1Y2' FW AAeclq / 11'-0" .018 030 PI eec G'•G" In ARF -TG PI IESC S'- 4" If AEF -76 PZ ESC 6'- $" If 1`14I.7G P1 F5 11- O" It AeIir �- ~ CD N 6 - BeA'+I �/ I/1' -O" .024 030 PI eec G'•3" 11 ARF -76 PI E'SC 9'- $" 11AEf PZ EBC G'-3" 11A4I.7G P1 FB " 12-3 11 �' N 1\ W614'Q.F. 3"54. oR 2- -.Q / 0, rvD SC2EIvs YO S . . W[ IY2" e \ O 17e -P-. - CSEE DTL I Fo(1.2.IY2" 1 Ilr' la'Fj•I Tlon INTO 90LvQ .w. EAI3T. 5T2UCTURE JI 1:OTE9 I. Pll FLOHi CAN BE U9[D 1/Y LIEU OF PI In 3. DeTAILO,eee n3 ret T"1AYOe UGM IN LIEUOP eKmrtr'G BLAB n1 CCNr0SCnOn6e(n A .. = - 11 e 4v� I•L jgYS. POST conN IL -_ 'YALUTA. �. P 3 F'beT CAf4 E$ u'De!D In uEv OF Fart OR PI a w1" Ia" �'" 4E PROVIDE CORRpe1oN ReeleTAMT RMI -11.4. ALU/h. 3/4 y, 'L ALL ALUM.J4 eMEL OHALL ee FRIIr1e:7AilD GNeM POST 617-ILT -J 7n AT'(.':'Oi004H3fn A COAT OI^ AAKE'D ElrAfrlE7 �y R.F FACIA BM . CONN. VX)Z" 'w' PAn nPK.A.w[L aeon ,.o•;1cIa••e ,:.-,. �_ � :"; as 5r"unL� W W 1_c'mAs - ° H ••IC �j./A.$- „",:� GENERAL NOTES I':,:::4 L,n, ra-_ a:vls a" 11. WT } 1 WITH '2'/4'X 6" FLAT PAN. - ONT. �'--- «Io e -m-6 612^D.C.�", r ] --1� Z -Iva" 9Q. POST- a-rxNl9 3"96?. Polar - C°rM'IEGTOr's0 LLTM q; li'• e•0. .. � ' n D V E D O Q Q oRA04L rr Ia 1- Iva"Sq. Poem � e - -- - - - 1. ALUIMIMM 066X•" PER 1913 UNIFDIL/A BUILDI Cocw. . � Li >jLgOLI OTRI•'Ife OR 9Ame A9 In OEDgIL 4> o,N+Me Ae In OTL 1 -. -r r, cvc. - Z � ALT. 9ouo F."60% a 1 aW.Y"19 "'/ gy♦nW ' '> .:ops norm Pb5T Al•rHK.LOnG. I ' ti • I" 5n •n eQo'aa r >. 1•en •<a ro.c:, s+. io>.b"" H� W th• 4Q. • 1'h.' 3 u "e1 eo,I1T- a.T� HLAs In con- 1 I e I • EAM /1. oielGM (OAVIS : LL = 10 rOF,uPLIFT' a ID POE, wL =10 F%W , , _ orr,o�n r ee Ar- v25a. I I I • • - I AFPUen TO n x FneJecTW A�qa OP ALL einerTM of one ,• r; n�,1" W Q -j v4"q M e.oa 4' X --ft xr/2 peSr , I I ,Sy"mire I (I• • • - Ri+Gr OFFAVMWTGT IF oP9M CR GRO" IF84CIOGm. _ . J 2 v U q IO 9.M.0.( •", o ILIAL 9 BOJIS.-y I I 14q rnrn p _ I 3'�q"rvN t • • e aye k1 ".-d C.nw.niry DoNeOiwm Z Q F" cowmn) ""• G4763r6AL. � SAod' Hole � 4' � i. SrRucTuRe rMgYge &4CLOOMwm4OR" retia+ I1/GfC.T� 00 <z w qM9 Q.'/A" ...o:: sK. ar ,,,- n•�o su"o�eos ZI DETAIL "FHILLIv9" FOR y4"q,BOLT 1a-014•M.e. w1° /^•B'Z 12vam Are IIV(OBenm I: i/%Gc,��.�N21 1977 ego Q oa PZMOVASIe TRA1181"swl3rr FLOCIME FLAenc OF ao mu. MAx. ,// , /� EOMEAo -.,4 0o E*la�Mrn. • /u'• •u • * .T''"P. r0` 0K K ar Imo" a 'T BOLTS PWNING RAIL TL+ICKMOO. ENCLOSURES AW NOT be ATTACHED To COLULkM Y e1".° Date OLIL PU lsi i/8 "• Pwmupta a H 3"SCD. W 9i 3/ L 1 •= a6 EXT R. F IA J p L POS II (� �i �b� 8116 WO• D.�W)I' }' 4. 901L MAY OE A"Y MMMAL WIL OA PTm COMg4CTM FILL -E SPA NO. %S _ I�jresA.N.2 S ~ g J i36Oar°;6 OR OS 1-11841^e m1n (+ I� Oro 49rnpwcnWrF�•Cr!•LRLL•MAW I la.a. ml)Y•pF3vE7RA�10N LOO" _ I I n °saL" 1 1974m1n.VP4FT•a5o• EPL w/1n -L'-O.OF^ Tm.oR Aasr "o a'kLr.or L Uz1r.OFid'DARD 3"POST FeR fY. OP 0lPTH, LAIte1WL This Plan Approval .../// 5TO. 'E° ALLI A. $ a • ZNA`T Lacx�n AoAncGOC. nT MT'S. J AL. LAT.wa BRACI4eTwR cY Eay. Po ST DRW.T�� rK I - _� / AT'l'• 60ro3TCo.FJTf1.ALWn 9'qW/A. nay"eAIDSA I 6'I /n. 5. concaere (aaapwfe =/2000 Pa mire. c 7/G7f Houe FOP 3,mn POST &=. �.e^m BpI,T6 FESS " V$a. r 6. ALLF040T.ToBEoOa47'4.ALL*MMsTDOfcsoante9etCosw.ORGtom. 2 COUNTY aa^ SQUA 4Y '1 L' xavARE ^ ears co(iD.@EXTR. FASCIA r _ �0 1 �a DETAIL 54'. 4 o e SU[ B4ACKET B/IG+ O V1 Ao•'T £ PLATED. ,\k, >w• 9 c> 1 '13 DIFAll GOr3TfoALUM. '14 DETAILs a'a1 NOIC°3 .lo r w ({ w 7• EACH VTOTALLATOTT eHALL F4AAVE An ID[I'ITIFICATIOPI 7740 yr40wlnp v --EXISTING SLAB �L;B - e ago . �, MODeI /'LO.,eP3anc.,mFR-NAI•I1#CEOOM LIVeLOAP.DEPARTM• t CONNECTION C ESC) ATTACHED POURS ' ---L S• EAOH ' AWTItM Dn EACH FACIE OF MOMLIF Home eHALL HAW Q 9ePAQQTIE '/2'asx6' Pew"IT. , ' LIF P1 G hn FOOTING C A F) DA (F `� p ' La. /n.6. '�% Fl / STD ST'L POS �l3RKT. 2$ SECTION 6" J- OC FTG. DATE 6W-7-141, = 1 FDR G I Sw lnaTt. AST/� A34 STEEL- I AN 1 14 - I , STREET I hereby approve of this structure in accordance with Dwg . CUSTOMER PLOT PLAN SPACE NO. SPACE SIZE PARK NAME TENANT'S NAME PARK ADDRESS Approved by. OWNER or PARK MGR. rA