HomeMy WebLinkAbout024-170-0120
24-17-12
Clare B. Campbell
E/S Larkin Rd , app.50'So-of Turner
Ave., Gridley
Permit #1870-80- E(util.
ELEC.
f�oAn
N(anzt*
GAS A< s
SUPPORT STRUCTURE— Q.
COMPACTION THT' /V"
24-17-12
tr o/
Contr: Ho mes MH Service
"e
Perrnit A47-80MHI
Issue?
�00 -
-..?�ERMIT NO. 1870-80P,E
PERMIT EXPIRES
",OWNER Clare B. Campbell
1 CONTR. owner -
24 -17-12
LOCATION (A.P.
E/S Larkin Rd., app.50'S.of Turner Ave.,
Gridley
Temp. Power Pole
Called PG&E
Temp. Elec. Serv.
-W
Called PG&E
-TeFRp Gas Serv. 7
Called PG&E
JOB
FINALED -7
(Date)
("), .
(Signature)
COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS
BUILDING INSPECTION RECORD
BUILDING BUILDING (Cont'd) PLUMBING
c
'\Fns
I Firepall
Ski Piping
F o
Parauts
1\t Floor
MIJ n Bldg.
Restro Finish
2nXFloor
kotings
WindowsA
3rd koor
Stknwa I I
Siding N
Topout X
Sla
Roof Sheatkng
Water Pip%g
Piers
Roofing
Sewer
Garage
Fdn. Vents
Fixtures
Footings\
Stemwa I I
Garage Vents
Insulation
Water Htr.
Heaters
Slab
Carport
Footings
Prov. for physical
handicap ed
Conformance of ex.
structure
Appliances
Gas Pip ng & Test
Temp. Gas A
Slab A
Final A
Sanitation
Patio
F)AEkACE
Final
Footings
Footing
ILECTRICAC
Masonry Walls
Throat
Rouah N
ReInf. Steel(
Final
Fixtures
Bond Bead(
ARE SPRINKI Ek
Motors
Framinq
Test
Water Htr/
Stucco
linal
Su pan
Mesh
MFrI4ANICAI_
Grd. ult Prot.
Scra/ch
Heatlid
ServiLe
I
BnAn
Coolig
Pole
FJhlsh Dug4s
In rior Lath ntllatl n
&—closer N41nal
MOBILEHOME UTILITIES ------------------ Elec- ServiceZn
Water Piping Sewer
Ll " :I- )- - a =A.
MQBILEUOME INSTALLATION - - Q ---------- Support
Water Piping
Drainage
DATE REMARKS OR CORRECTIONS-
4L -
Final
Elec. Pedestal
Gas Piping _t _
Elec. Continuity
Gas Piping
(NOTE: An entry must be made on this form each time you visit the job site.)
9. Electrical
A. Is service large enough to prov1de adequate amperage -to mobilehomd'(must equal rating of Z
i.e.., wat2x. mps)
mobilehome with a minimum f 100 amp) and -other faci ities on.lot,
0
garage-, cabana, etc.?, Yes� No
B. Is there proper 'clearances around panels? Yes No
C. Is power supply -cord or feeder assembly properly fuse I d? Yes— No—
D.' Is continuity test satisfactory as per the following procedure? Yes No
1. De -energize electrical wiring system of the mobilehome at the pedestal.
2. * Make sure that the power supply cord or feeder assembly condu I ctors, 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 mobi-lehome 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 completi . on of the above procedure, the power supply cord or feeder assembly
conductors shall be connected to the site serVice equipment. A further continuity
test shall then be made between the grounding electrode and the chassis of the
mobilehome. Upon satisfactory ' completion of theelectrical tests, the lot or site
service equipment may be approved for energizing.
10. Is job ca . rd signed by Health Department for water and sanitation?
11. If everything qkay, sign off card and tag services.
MOBILEHOME DATA
Manufacturer and/or Namestyle
Length Width
Vehicle Serial No.
I
State Identification No.
Additional Information or Comments:
MOBILEHOME INSTALLATION INSPECTION CHECK LIST
I.- Is the mobilehome located with 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 -
3. Are footings and supports properly sized, spaced, and braced as per approved plans? (Note
possible vari4tion at spring shackles.) (Se.c. 5082 & 5083) Yes No
4. Is the mobilehome levelT (Sec. 5088) Yes_ No
5. If more than a single 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 -,Does water piping withstand working pressure or 50 lbs. air test? Yes No
C. Backflow - If coach is not State of California approved, does station have.backflow device
and pressure -relief valve? Yes No
7. Wastes and Drains
A. Is connection made with Schedule 40 DWV and have flex connectors at each end? Yes— No—
B. Does it have minimum �4" per foot slope and is it properly supported? Yes— No
C. Are any leaks detected in drainage system after running 3 -gallons of water through each
fixture including washing machine standpipe? Yes_ No
D. If coach is not State of Californiaapproved, 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
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 hoffii�*(must equal rating of
A. Is service large enough to provide adequAte amperagq-to mobile
mobilehome with a minimum of 100 aiid other fac�ilities on lot i.e., water pumps,
garage, cabana, etc.?, Yes L�Z
B.' Is there proper 'clearances around panels? Yes
C. Is power supply cord or feeder assembly properly fuse d? Yes
D. Is continuity test satisfactory as per the following procedure? Yes No
1. De -energize electrical wiring system of the mobilehome at the pedestal.
2. . Make sure that the power supply cord or feeder assembly conductors, including neutral
conductor, have been disconnected.
3.. Switch all breakers and switches i.n.the mobilehome to the "on" position.-..
4. Connect one lead of a test instrument to the mobilehome grounding conductor and
apply th�-_ other lead to each mobilehome supply conductor, including neutral.
5. All non-current, carrying metal parts of t�e mobilehome (aluminum sidin'i, gas line,
water line), including fixtures and appliances, shall be tested for continuity from
such equipment and the grounding conductor.
6. Upon completi . on of the above procedure, the power supply cord or feeder assembly
conductors shall be connected to the site service equipment. A further continuity
test shall then be made between the grounding electrode and the chassis of the
mobilehome. Upon satisfactory ' completion of theelectrical tests, the lot or site
,-service equipment may be approved for energizing.
10 Is job card signed by Health Department for water and sanitation?
11. If everything okay, sigp off card and tag services.
MOBILEHOME DATA \J\
Manufacturer and/or Namestyle
Length Width--O--
Vehicle Serial No.
State Identification No.
Additional Information or Comments:
MOBILEHOME INSTALLATION INSPECTION CHECK LIST
I.- Is the mobilehome located w�th_,r—e-quired separation from lot lines and buildings a . nd generally
conform to plot plan? Yes—L-to
2. Does the mobilehome have required cl earances above ground? (Sec.5085) Yes
3. Are footings and supports properly sized, spaced, and braced as pe5_,approved plans? (Note
possible variation at spring shackles.) (Sec. 5082 & 5083) Yes— No -
4. Is the mobilehome level? (Sec. 5088) YCS6--_�No I
5. If moze �tn a single unit, are crossover connections properly install.ed? (Sec. 5088)
0
Yes t o-
6.. Water
A. Is flexibe connector of adequate size and properly installed (1/2" ID min.)? (Sec. .5566)
Y e s_L__� 0
B. Test - Does water piping withstand working pressure or 50 lbs. -air test? Yes 6---50
C. Backfl ow - If coach is not Sta alifornia approve&, does station have backflow'device
and pressure -relief valve? Ye
7. Wastes and Drains
A. Is connection made with Schedule 40 DWV and have flex connectors at each end? Yes -4 �o
B. Does it have minimum'14" per foot slope and is it properly supported? Yes6--"`No.
C. Are any leaks detected in drainage system after,running Z�� lons of water through each
fixture including washing machine standpipe? Yes— No—
D. Ifs:c:oaa Vh I i not State of Californiaapproved, does station have required trap and vent?
Ye ok�t_
8. Gas Piping and Gas Vents
A. Connector - Is mobilehome connected to the gas supply with an approved 3/4" minimum
mobilehome con�ector not more than 6 ft. long? Note: All piping is to be at least as
large as the mobileho gas . lin& inlet without reductions other than the mobilehome
connector. Yes
B Test OK as per following procedure? Yes
1. open all appliance connector valves.
2. Shut off appliance burner and pilot valves.
3. Air test with manometer to 1011-14" �ater 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
soa-py water. I
C. Are all appliance vents properly installed? YesL" �1,0-
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 re,5uirement.s
of the California Administrative Code, Title 25, Chapter 5, un er permit
number -/9"?/)- $?/) -for the following location:
-7Lj r n -P ]yr-
�Owner ]A,, el P , /1"1;:'31yy_,
owner'sAddress )_;:40:Z_141 TRJ
Mobilehome Mfg. GONao (A)�!5 _Model-'51)M%PrS:vJ_, Yearc, E/
Insignia No. 11- 9 Serial No. _'s" -0n,7 AI -A
It is hereb certified for occupancy at the above described location and
may be occupM. Director of Public Works
0''(1 ) 4' 1
Date,0-- _�;-4 -,?-n By - lz�' U
I -THIS CERTIFICATE IS VOID WHEN MOBILEHOME IS RELOCATED
White- Owner, Yellow- Installer, Pink - D.P.W.
COUNTY OF BUTTE
DEPARTMENT OF PUBLIC WORKS
695 Oleander Avenue, Chico — Phone 343-4211, Ext. 70
7 County Center Drive, Oroville Phone 534-4541
Skyway and Elliott Road, Paradise Phone 877-3435
RRECTION NOTICE
BUILDING OR PROPERTY ADDRESS
A routine inspection indicates that the following violations of County Ordinance
exist at the above address and should be corrected. Please notify this office
when correction of work is completed. If you have any question pertaining to this
matter, or need additional explanation, please contact this office imme4lately.
Date 9-7�
Inspector( I , — k LZ
17
COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS
7 County Center Drive — .-Oroville, California 95965
Telephone: 534-4541 0
APPLICATION AND PERMIT
authorize representatives of the County of Butte to enter upon the
above-mentioned property for inspection purposes.
X46�eI -*V __ — "/- P-0
zz) - ;?nt_ -ate
Signature of Permitee or
Receipt No. 370t,1_4
White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod-Appli cant
This permit is hereby issued under the applicable provisions of
the Butt County Code and/or resolutions to do work indicated
hich fees have been paid.
6INECTOA-0V PUBLLC WORKS
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ffif-l-A AW,
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Building permit expires Date
BUILDING 71 IN, ,
---
Owner
SO. F T. OCC. 13UILDING VATUATI011e'
Mai I ing Address
Telsph
tre No
Contractor
Mai I ing Addres44uf7aj�.11
Fireplace
Total Valuation
Telephone No.
Permit Fee
Building Address Z Aa A
P I an Checki ng Fee &/or Penal ty
Permit Fee $
$
S 6
PLUMBING No.1 @ FEE
PERMIT FILING FEE $3.00 0(0
Each TraD 1.50
Repair drainage or vent piping 1.50
A. P. No.
_Z P 1�an �ni n 9
Water piping +1-0 10
Each gas water heater or vent 1.50
Fie�
&_ed�on
FireDept.1
FireZone
I Use Permit
Gas piping system 1 - 5 outlets W
�QA
Parking
I Plans
0arcel
Pg,�Iaration
Parce ap
�4
60' R/W
1 1
Improvements
Each additional outlet .30
Building sewer 5. ee
Bldg. Plans
Parcel !!�roval I
roval
Lawn sprinkler system 2.00
NEW ADDITION UTILITIESJS� OTHERE] —
-5
Permit Fee $ ,
is
ELECTRICAL No. @ FEE
PERMIT FILING FEE $3.00
Main service 600V OR LESS 0
100 AMP OR L FSS 5.0
_
Single Family Duplex Mobi I Home 5L Others El
Main service EA. ADD -L 100 AMP 2.5
Main service ',0v0'A'M6.000vR LESS 25.00
Main service EA. ADDIL 100 AMP 1.00
NEW CONST. ( DWELLING CCUP. 5i)
0. AD.NS. ACC.BLDGS. :20sq ft
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:
NEW.CONSTR. (MULTI -OUTLET
NON RESID. BRANCH CIRCUITS) 12.50eal
NEW.CON,STR. (POWER APPARATUS
NON RES D. SINGLE OUTLET CIR.
Ex. Occuo(OUTLETS OR FIXTIIRES� 50 @ 25,0
I-BAL .4
FIXED APPLNS OR
Ex. Occup. (OUTLETS (RESI'D.) EA) 2.00
Temporary service 10.00
Mobile Home Facilities 15.00
____F_F6.25
License No. Classification
Misc. Wiring
Z'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 ot Section3700 of the California Labor
Code which requires every employer to be insured against liability
for Workmen's Compensation.
EJI 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 -J FEJE
PERMIT FILING FEE J$3.00
Heating
Cooling
Ventilation
Hood 2.001
Permit Fee $
$
I certify that I have read this application and state that the above
information is correct. I agree to comply to all County Ordinances
and State Laws relating to building construction, and hereby
Land Development Fee
$
I TOTAL PERMIT FEE
$
authorize representatives of the County of Butte to enter upon the
above-mentioned property for inspection purposes.
X46�eI -*V __ — "/- P-0
zz) - ;?nt_ -ate
Signature of Permitee or
Receipt No. 370t,1_4
White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod-Appli cant
This permit is hereby issued under the applicable provisions of
the Butt County Code and/or resolutions to do work indicated
hich fees have been paid.
6INECTOA-0V PUBLLC WORKS
;P, YJ
ffif-l-A AW,
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Building permit expires Date
COUNTY OF BUTTE - 'DEPA'RTMENT OF PUBLIC WORKS
7 Coui�y Center Drive - .0roville, California 95965
Tele�hone: 5�4-4541
APPI-16TION AND PERMIT
01,11.11t)FIZU
ot ine tounty oi nutit: to enter upon ine
for inspection purposes.
R�
White-D.P.W. - Yellow -Assessor - Pink -inspector - Golden rod-Appi i cant
This permit is hereby issued under the applicable provisions of
the Butte County Code and/or resolutions to do work indicated
above hich fees have been paid.
Anl_ DOtEGIOR OF PUBLIC WORKS
B Z Date 0 L.11
&A�g S-7- 07"
r V
Building permit expires Date
BUILDING ( 1)
Owner CAM
SQ. F T. occ. BUILDING VALI 11—ATIod
Mai ling 'Address
<T,
;goe Not.
Contractor
Mailing Address %e-
Fireplace
Total Valuation
__4
L (S
Telephone
Permit Fee
Building Address
:5 A9911
Plan Checking Fee &/or Penalty
Permit Fee $
PLUMBING No. @ FEE
PERMIT FILING FEE $3.00
Each Trao 1.50
L,
Repair drainage or vent piping 1.50
A. P. No. 0— 01�L- 0
A 'I'aning & Planning
Water piping 1.50
Each gas water heater or vent 1.50
Fk<s I
W.11�71 Senft�
I FireDept.
I Fire Zone
I Use Permit
Gas piping system 1 - 5 outlets 1.50
EQA
1 Parking
Plans
I Parce!
I Declaration
Parcel MapJ
60' R/W
I Improv!2!LAs
Each additional outlet .30
Building sewer 5.00
Bldg. -Pl-c-ns Rec'd
Parcel �pproval
P144 A-pproval
Lawn sprinkler system 2.00
NEW [:] ADDITION UTILITIES OTHER
Permit Fee $
i$
z& 6� -r,-
No. @
ELECTRICAL FEE
PERMIT FILING FEE $3.00
Main service 600V OR LE SS
100 AMP OR LESS 5.00
Single Family Duplex Mobi I Home Ej�— Others
Main service EA. ADD -L 100 AMP 2.50
OVER 600V
main service 100_AMP OR LESS 25.00
Main service EA. ADD -L 100 AMP 1.00
NEW CONST. I DWELLING OCCUP. 5) 120 sq f t
OR ADDNS. % ACC. BLDGS.
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: "5�-IWAM 41oawl e- 461&
NEW CONSTR. I MULTI -OUTLET
NON.RESID. %BRANCH CIRCUITS)i 12.50eal
NEW CONSTR. f POWER APPARATUS.&,
NON-RESID. %SINGLE OUTLET CIR 1
50 @
Ex. OCCUD(OUTLETS OR FIXTI-RES) IBALMJ
FIXED APPLNS. OR
Ex. Occup.(OUTLETS (RESID.) EA) 2.00
Temporary service 10.00
Mobile Home Facilities 15.00
License No.,_�,:2 LK -2 Classification
Misc. Wiring 6.25
EJ 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 Compensation.
r-LJ_L*gve placed on file with the County of Butte a certificate of
L ---J Workmen's Compensation Insurance.
certify that in the performance of the work for which this
0 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 N0.1 @ FEE
PERMIT FILING FEE J$3.00
Heating
Cooling
Ventilation
Hood 2.00
Permit Fee $
I certify that I have read this application and state that the ve
information is correctl I agree to comply to all County OrdliMnes
and State Lawsj rel4ting to building construction, and hereby
$ 416 10
TOTAL PERMIT FEE
$ 4�/, 14Z
01,11.11t)FIZU
ot ine tounty oi nutit: to enter upon ine
for inspection purposes.
R�
White-D.P.W. - Yellow -Assessor - Pink -inspector - Golden rod-Appi i cant
This permit is hereby issued under the applicable provisions of
the Butte County Code and/or resolutions to do work indicated
above hich fees have been paid.
Anl_ DOtEGIOR OF PUBLIC WORKS
B Z Date 0 L.11
&A�g S-7- 07"
r V
Building permit expires Date
-OUNTY�.DEPARTMENT-Of PUBLIC WORKS
BVTTE
7 County Center Drive, Oroville, CA.
PHONE:.,534-4541,.
MOBnEHOME'-INSTALLATION SHEET
1. owner's name:
2. Installer's name: < 7'a
3. Is thelsite currently under permit? Yet No
(If yes, furnish permit number OR
is the site an existing site? Ye s k _��o
(Ifyes, furnish two (2) plot plans.)
4. Will the mobilehome be located at.least-5 ft. away from septic tankfand leach fielas'-and,
clear of all setbacks and easements? Yes
(If no, clarify
5. What is the mobilehome electrical rating? ----------------------- Amps
6. What -is the mobilehome site service rating? --------------------- Amps
7. What is the mobil ehome site circuit breaker rating? ------------- -Amps
8. Is there any other electric load to be served by the mobilehome
si te service? ---------------- ; ------------------------------------- Yes No A_�
(If yes, identify the load and size:* (Load) (Amps)
9. What is the mobilehome site gas pipe size? ---------------------- -Jin.)
10. What is the type of gas service? ----------------------------- - Natural LPG /L4 --
-3C 11. What is the gas pipe length from meter or tank to the mobilehome?
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.).
A
MOBILEHOME-SUPPORT DATA
If otfier. than single wide
Mobilehome Mf furnish Setup Model No. Year IWO
W idth— (ft.) Box Length_j�20 (ft.) Tagalong or Expando Size ft. x ft..
(SHOW SUPPORT DETAILS BELOW)
On all mobilehomes manufactured after Oc ' tober 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.
Footings (check one)
Single
W004 either,
pressure treated or
foundation grade.
(ft.)(in;)
(in.) (in.)
2. Other.(specify)
Center support
locations*
Center suppoi:t
footing sizes
Supports . (check one)
�0_
4in
LZ �+' �49 0
Wq� 0:::1
2. Other (specify)
(ft.)(in.)
(in.) (in.)
<-Tagalong or Expandot;
show support details..
(in') (in.)
A��
Typical Support
(in.) (in.)
Footing Size
(ft.)(in.)
(in.) (in.)
Max. Pier Spacing
P_Fo�-
2 4 =�S
(ft.)(in.)
Max. Overhang
(ft.)j (in.)
in.') in. VAL
81JTTSCOUNTY
BUILDING DEPARTMC'N!
APPROVED
*If center piers are other than drawn above, Fo
draw in. -locations,
spacing, and dimensions.
hall Be in.
wdtkmanship-S
Olttr—All MOtee"'s 3,00d Practices
use in the,
ance with Recognized.
a Accord s and
pl-"-*,-, **' i *f' ations MUST bt- ty prescribed for the Specified
--This' s.e-t of- ---ant ndspecJk�' f J. to -M6chaniccil Code
0 -a q
all -firnes. andIt js,u aw --.A pernif Avill .'.6,require'd for the
kept on. fte 19-.. U ng, plum6ing &
It6r.a.fions 6h same without nifoXBuild teiral Code. jnsfddtiiih-;��'f --+he -,wn6b- liehome.
nnges or a ec
make any. c.hc --th t4-afional El
per.mission -om -a-Depa
wriVen rtment- of' PU6 *k Y�
-be withim
tons shall
lic Works, County -of Sutts- Utility conn*6ct,
lehorne, either
4 ft. of the mobi CS
n the re
withi
or
directly behind
f the
half of the roadside (left),o
ne
M
7_77
s lj�§-&-af-5+;-frornthe A
V
'--'b' k'- X�;I� I
propertyj lines -and -a -set. ac
A�
I from the road,
of 50ff
c e e I He f
nt r i shall be clear.o.
uipenent except
res or �q
structu,
-for a 2 -ft.- eave,16verhang—
.76,
VG
BUILDING DF-PARTMP-NI.
L U