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HomeMy WebLinkAbout025-160-0760 A 25-16-76 25 -11.6- -Janet Yankee S/S' pri.'rd. 70, app. 3/4 mi.S.of Power House Hill Rd., lot#31, Oroville Permit #529-77P,E(uti1.,MH) ELEC. GAS S UPRRT-,' C S SUPRRT- STR13 TURE- REQ. COMPACTION TEST -REQ. 25-16-16 t Permit ;-PO9 78 1 e-Oaks--.it-Lake Oro - i v v 3-11e) Issued 7f 25-16 -76PerMA4-78P(relocate Y2 gas pip' ing on existing Site) MH 0 ,, w._. r_ - `, �� � \J . r S z r COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS 7 County Center Driver— UvviIle, California 95965Telephone: 534-4541/ APPLICATION AND PERMIT auuiU1IcV IC)./1CJCIIIQUVCS UI Lilt!LIUunty UI ourre 1U enter upon me above-mentioned property for inspection purposes. X I' „ Date Signature of Permitee or Agent Receipt No. This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated /7 above for which fees have been paid. � DIRECTOR OF PUBLIC WORKS By White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant I Building permit expires Date Date BUILDING Owner i SQ. FT. OCC. BUILDING VALUATION Mailing Address f;r"•r A773�T Telephone No. Fireplace Contractor . _- Total Valuation Mailing Address Permit Fee Plan Checking Fee &/orPenalty Telephone No. Permit Fee $ Building Address _`.;' /�✓ /IJ�D �,S/�G PLUMBING No.1 @ FEE PERMIT FILING FEE $3.00 :1 d !' Each Trap 1.50 " ! G 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 Fees W:C. Sanitation Fire Dept. Fire Zone Use Permit Building sewer 5.00 EQA Parking Plans Parcel Declaration Parcel Ma P 60' R/W Imp rovements P Lawn sprinkler system 2.00 Bldg. Plans Recd Parcel Approval Plans Approval Permit Fee $ --7. NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER ® ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 �'" �,{� ,-_. At. •_.-„r,,4 rj �..,,� � Main service 1000 AMP OR0V OR LESS5.00 r • .(„ ' •.,I '7'". / f �-•rs•c-.�..�-r Main service EA. ADD'L 100 AMP 2.50 Single Duplex ❑ obil Home 0 Others ❑ 00V100 AMP OR LESS 25.00 Main service OVER 600V L.ESS 100 Main service EA. ADD•L 100 AMP 1.00 2 1z OR ADDNST ( NEW CONS.DACCLB OGS.CCUP. &) 120 sq ft NEW CONSTR. 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 st le of: y Ex. OCCUp(OUTLETS OR FIXTURES) 50 BA@2i Ex. OCCU FIXED APPLNS. OR P•(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 Cal ifomia. Permit Fee $ $ WORKMEN'S COMPENSATION INSURANCE I am aware of the provisions of Section3700 of the California Labor Code which requires every employer to be insured against liability for Workmen's Compensation. ❑I have placed on file with the County of Butte a certificate of Workmen's Compensation Insurance. ❑ I certify that in the performance of the work for which this permit is issued I shall not employ any person in any manner so as to become subject to the Workmen's Compensation Laws of California. 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 $ /:- auuiU1IcV IC)./1CJCIIIQUVCS UI Lilt!LIUunty UI ourre 1U enter upon me above-mentioned property for inspection purposes. X I' „ Date Signature of Permitee or Agent Receipt No. This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated /7 above for which fees have been paid. � DIRECTOR OF PUBLIC WORKS By White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant I Building permit expires Date Date COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS 7 County Center Drive — Uro�ille, California 95965 Tel ephon'e: 534-4541 / APPLICATION AND PERMIT ' BUILDING Owner SO. FT. OCC. BUILDING VALUATION Mailing ddress �,�•— Telephone No Fireplace Contractor Total Valuation Mai I Ing Address Permit Fee P I an Checking Fee &/or Penalty Telephone No. Permit Fee $ Building Address ,S' S'�. �� PLUMBING No. @ FEE PERMIT FILING FEE $3.00 3 O4 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. Z & Zoning Planning Gas piping system 1 - 5 outlets 1.50 ef. QO Each additional outlet .30 F s W , Slerntatton I Fire Dept: Fire Zone Use Permit Building sewer 5.00 EOA Parking Plans I Parcel Declaration parcel Ma P 60' R/W Im provements Lawn sprinkler system 2.00 Bldg. Plans Rec'd Parcel Approval Plans Approval Permit Fee $ NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 Main service 6001 OR LESS 100 AMP OR LESS 5.00 Q� S�Z --%i Main service EA. ADD'L 100 AMP 2.50 Single Family ❑ Duplex ❑ Mobil Home Others ❑ Main service OVER fioov 25.00 100 AMP OR LESS Main service EA. ADD•L 100 AMP 1.00 NEW LING O OR ADDNST ( ACCLBL GS.CCUP, &) 2¢sq ft NEW CONSTR. MULTI -OUTLET NON•RESID, BRANCH CIRCUITS) 2.50ea NEW CONSTR. (POWER APPARATUS&J1 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) 50 BAL@ Ex. DccU FIXED APPLNS. OR P• 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. 5I certify that in the performance of the work for which this permit is issued I shall not employ any person in any manner 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 representativeso the County of Butte to enter upon the above-mentioned property f r inspection purposes. X Date ! / TOTAL PERMIT FEE $ 3 O 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. RECTOR OF UBLIC WORKS �rgnarure or rermlree or Agent BY Date 47 Receipt No. i White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant Bvi-hi "S� permit expires Date " IPZRMIT NO. '�. + 529=77P,Er A. PERMIT EXPIRES OWNER Janet Yankee CONTR. f owner 25-16-76 LOCATION (A.P. ) S/S'pri.rd.,app.1400'E.of Hwy 70,app.3/4 mi.S. a of Power House Hill Rd. lot #3, Oroville 1 i • «,GFX , � i i Temp. Power Pole Called PG&E i+• Temp. Elec. Serv. ✓� 9 %� j Ca led PG&E 11t, Ter,Z Serv. Called PG&E J13 INALED (Date)' - 4 � (Sig ture) J}r t . T- !. . s 4 COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WQRKS ° „ - BUILDING INSPECTION RECORD BUILDING BUILDING (Cont'd) PLUMBING Se ckewall Ski Piping For Pa ets 1 t Floor Mai Bldg. Rest om Finish 2n Floor Fo tins Windo 3rd Noor Ste alI Siding To out Slab Roof Shea%ing Water Pi I lqg Piers Roofing Sewer Garage Fdn. Vents Fixtures Footings StemwaI I Garage Vents Insulation Water Htr. Heaters Slab Carport Po Footings V Prov. for ph slcal handica ed Conformance of ex. structure V Appliances Gas Pi In & Test Tem . Gas Slab A `Final Sanitatiori Patio REP ACE Final Footin s Footinq E ECTRI L Masonry Walls Throat Rough Reinf. Steel Final Fixtures eam Bond Beam// FIRE SPRINKI ENA I Motors Mesh MECHANICAL Grd. F141t Prot. Scra h, Heatl Servl Brq4n I Coo ng T ma. Pole F Ish X Dtkts I inderground In rior Lath entilation Permanent oor Closer Final Inal MOBILEHOME UTILITIES - - - - - - - - - - - Elec. Service =777"- Elec. Pedestal Water Piping Sewer Gas Piping OBILEHOME INSTALLATIPN Support Elec. Continuity Water Piping Drainage Gas Piping DATE—E?0�/O'� REMARKS OR CORRECTIONS M/w -41�- /V0 (NOTE: An entry must be made on this form each time you visit the job site.) b COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 7 COUNTY CENTER DRIVE 12 OROVILLE, CALIF. - 534-4541 CERTIFICATE OF OCCUPANCY This mobilehome has been installed in accordance with the requirements of the California Administrative Code, Title 25, Chapter 5, under permit number, ''62d9 -7,,P for the following location: —S;'� ell Owner �.a ►ai- ��'�tC�2� ,/ �� Owner's Address Mobilehome Mfg. Model 'Pol Year Insignia No. r .l///ISzP 7y9�-_!6— Serial No. It is hereby certified for occupancy at the above described location and may be occupied. d. Director of -,Public Works Date —�// /% By THIS CERTIFICATE IS VOID WHEN MOBILEHOME IS RELOCATED -V - ­­.jr MOBILEHOME INSTALLATION INSPECTION CHECK LIST .' 1. Is the mobilehome located with required separation from lot lines and buildings and generally conform to plot plan? Yes -X No 2. Does the mobilehome have.required clearances above ground? (Sec.5085) YesAf No 3. Are footings and supports properly sized, spaced, and braced as per approved plans? (Note possible variation at spring shackles.) (Sec. 5082 & 5083) Yesl< No 4. Is the mobilehome level? (Sec. 5088) Yes f 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 x No B. Testi - Does water piping withstand working pressure or 50 lbs. air test? Yesyj No C. B ^' f'__.. ______ -s no -*at-e nT ifornia 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? Yes4 No B. Does it have minimum k" per foot slope and is it properly supported? Yes4- No C. Are any leaks detected in drainage system after running 3 -gallons of water through each fixture including washing machine standpipe? Yes— No-,X— D.' If of California approved, 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 iiilet without reductions other than the mobilehome connector. YesX No B. Test OK as per following procedure? YesX7 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 �y r 9.Electrical A. Is -service large enough to provide adequate amperage -to mobilehome (must equal rating of mobilehome with a minimum -of 100 amp) and other facilities on lot; i.e., water pumps, garage, cabana, etc.? Ye S4_1 No t B. Is there proper clearances around panels? Yes_X No C. Is power supply cord•or feeder assembly!properly fused? Yes4_ 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 cordLor 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 mobileh6me supply conductor, including neutral. 5. All non-current, carrying metal part of�the mobilehome (aluminum siding, gas line, water line), including fixtures andlppliances,'shall be tested for.continuity from such equipment and the grounding conductor. 6. Upon completion of the above procedtre, 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 y, 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 s"water and sanitation? V. 11.; If everything okay, sign off card and tag se ices. MOBILEHOME DATA Manufacturer and/or Namestyle Length Width oa�_ Vehicle Serial No. SO State Identification No. Additional Information or Comments: z Ar I • COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WO S +' 7 County Center Drive — Oroville, California 95965 Telephone: 534-4541 9— APPLICATION AND PERMIT BUILDING Owner SQ. FT. OCC. BUILDING VALUATION Mailing A ress VIMone No. _ v I "ww ° - Fireplace Contractor Total Valuation Mai I i ng Address Permit Fee Plan Checking Fee &/or Penalty Telephone No. Permit Fee $ Building AddressS ' PLUMBING No. @ FEE PERMIT FILING FEE $3.00 , /� f Each Trap 1.50 %Att�P�. E" Repair drainage or vent piping 1.50 Water piping 1.50 Q. Q() _ ca 0if Dnlv Each gas water heater or vent 1.50 /f A. P. J -, 16 - � A— In rig & Planning Gas piping system 1 - 5 outlets 1.50 ®ofd Each additional outlet .30 ® Ah iron FireDept.1 Fire Zone Use Permit Building sewer 5.00 Q%D EQA ParkingParcel Plans Declar on P 60' R/W Im rovements p Lawn sprinkler system 2.00 Bldg. Plans Recd 3 Parcel Approval I Plans Approval Permit Fee $ 3 A NEW ❑ ADDITION ❑ UTILITIES OTHER ❑ ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 3,06) Main service 100 AMP OROR LE SLESS 5.00. �S`,OQ Main service EA. ADD•L too AMP 2.50 Single Family ❑ Duplex ❑ Mobil Home Others ❑ Main service OVER 600V100 AMP OR LESS 25.00 Main service EA. ADD'L too AMP 1.00 _ . MINIMUM FOR MOBILES NEW CONS. DWELING OR ADDNST ( ACCLBLDGS. OCCUP. &) 20sgft 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 le of: style &,"427 Ex. Occup(OUTLETS OR FIXTURES) BAL@, Ex. Occu FIXED APPLNS, OR p•(OUTLETS (RESID.) EA) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 License No. Classification Misc. Wiring 6.25 7 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. 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 LT— 4; Cooling'5`itt''1t Ventil tion •� ;! Hoo'd',; i + . 't r1 11 1 2.00 Perok9t Feet t tj $ 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. XDateI—SI _77 ignature of Permit or Agent Receipt No. l6 White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant TOTAL�P'ERMITIFEE $7�_610 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. DIRECTORoOF UBLICWORKS By Date permit expires Date r � • A 1 v f�dis�Z�r141n10116islz a UVOA ZW#��yz a auns do uNnoo �0 - January.31, 1977 County of,Butte. Department of Public works 7 County Center Dirve Oroville, Ca. 95965 Gentlemen: Enclosed herewith is my Application and Permit to.ge:t.her with.my check in the sum of $82.00.. Please forward my permits or any oth.er.documentation to me by return mail. Very: truly yours, JANET YANKEE 1209 Ayala Dr., #6 Sunnyvale, Ca. 94086 0 9,�.�������tte��n�Ot�6�g� wa i l6i ' s)Ia U �nana ao ldTO Suns ao uNnoo This set of' plans -00ds Mu!ff be - kept on the 1.6 at all times and it is tmlawful fo make any changes or alterfsfions on same without 'Vvitten permission from the Department of Public WCAS, County of Butte. ®. NOTE:—A►II Materials & WoAmanship SIVA Be' 14 1 ,A.ccbrd*nce with Recognized Good Pkictices and of a quality prescri6eel -For the Specified u1`0 in the Uniform Builc�ir=g, Plur,jbir�g & Mechanical Colles and the National Electrical Code. P _ZA Septic system and location• may# I 1 to be as per Butte County Health Dept. Re- quirements. All utility connecti ons / located within 4 f f. shall be outside the rear third section of on the left road the mobile home home, ) side of the mobile The,, Setback shall be 5 ft. from I+o.> \side property line and centerPne of the road, parml-,'ling ra ,laxi- mum of a 2 ft. eave overhang but entirely out of all easements. M RUM, COIJI NTI BUIIrMNIG DEPARTMENT ENT APPR0.1VED 10 Owner ili.,Il Mailing Address COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS 7 County Center Drive — Orovilie, California 95965 �0���� Telephone: 534-4541 APPLICATION AND PERMIT BUILDING SQ. FT. I OCC. I BUILDING VALUATION 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. Date Signature of Permitee or Agent ' Receipt No. 19 � , White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant TOTAL PERMIT FEE is z) on 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 UBLIC WORKS By Date 4--Zd-- %Z 134 (ding permit expires Date �- y! i 9 Telephone No. Fireplace Contractor e 0i�llr q-� ,[ j� l�%/�o L,/lle Total Valuation Mailing Address Z6 L dY /c;eJ 0,4� ��� Permit Fee Plan Checking Fee &/or Penalty Telephone No. ��� • Permit Fee Building Address �� �,, `Ce $ _��-0-0 PLUMBING No. FEE PERMIT FILING FEE $3.. 00 1 0 C) 42 f � O (l t d F /'p AAXCse. Each Trap 1.50 I-ldU e Rd Repair drainage or vent piping 1.50 Water piping . 1.50 by,s 1 4017 , a 'I 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 F' W Fire Dept. Fire Zone Use Permit Building sewer 5.00 EQA I Parking Plans Parcel De laration Parcel Ma 60' R/W p Improvements p Lawn sprinkler system 2.00 Parcel roval Pla pproval Permit Fee $ NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER Q' ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 46.4,e le' , 0� Main service 10000 AMP ORSLESS 5.00 i a Main service EA. ADO'L too AMP 2.50 OVER 800V Main service 100 AMP OR LESS 25.00 101- Single Family ❑ Duplex ❑ Mobil Home Others ❑ Main service EA. ADD•L 100 AMP 1.00 NEW OR ADDNST ( DACCLBLDGS.LING CCUP. &) 20sgft 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 y rf: 0/11es -q t l /a A�e e19-0V1/X— - Ex. OCCUp(OUTLETS OR FIXTURES) BAL@@1 LNS• OR Op.(OUTLETS x. ccu FIXED APP(RESID.) EA) Ez 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 •� RMisc. License No331519y. Classification 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. have placed on file with the County of -,Butte a certificate of Workmen's Compensation Insurance. r -1I 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 I Hood 1 1 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 above-mentioned property for inspection purposes. Date Signature of Permitee or Agent ' Receipt No. 19 � , White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant TOTAL PERMIT FEE is z) on 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 UBLIC WORKS By Date 4--Zd-- %Z 134 (ding permit expires Date �- y! i 9 l MOBILEHOME SUPPORT DATA f If other than single wide, Mobilehome Mfr. S /<'V furnish Setup Model No. Year a Width_(ft.) Box Length _ �o (ft.). Tagalong or Expando Size ft. x ft. (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. -� �� �� C� tam Footings (check one) l�G�l:wl Single ER- 1 - Wood either /* pressure treated o foundation grade. (ft`)(in.) I- (in.) (in.) Center, pport Center support locatons' footing sizes (in.) x3 (in.) (in.) 63 (in.) (in.) b� t.)(in.)\,,� (in.) (in.) t.)l (in.) (in.)l (in.) 1V 19, *If center piers are other than drawn above, draw in -locations, spacing, and dimensions. E] 2..Other (specify) Supports (check one) Rl"1:'Concrete block. 2. Other (specify) Tagalong or Expando, show support details. f) x3® -- Typical Support (in.) (in.)' Footing Size Max. Pier Spacing /_0J -- Max. Overhang (ft:)(in.) _ ..BUTTE COUNTY4DEPARTMENT OF PUBLIC WORKS _ 7 County Center Drive, Oroville, CA. PHONE: 534-4541 MOBILEHOME INSTALLATION SHEET Qwner' s, name: �J � IV,' 2. �Iristaller's name: �%'�.� O/���b " '3i -Is the site currently under ,permit? Yes/ / No ` (If yes, furnish permit number ) OR FIs the site an existing site? Yes / 1� 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 /1/r No (If no, clarify ) 5. What is the mobilehome electrical rating? ----------------------- / G O Amps 6. What is the mobilehome site service rating? ------------------=-- /16 (9 Amps . 7. .What is the mobilehome site circuit breaker rating? ------------- / O U 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: V^J e, (Load) (Amps) 9 What is the mobilehome-site gas PiPe.. size?------------------- r-(in.) .10. What is the type of•gas service? ----------------------------- Natural / / LPG /1/J� 11. What.is the gas pipe length from meter or tank to the mobilehome? (ft.) • 12. What is the mobilel me.gas demand? -,-=--------------------------- �' (BTU) (This information not required if pipe length less' than 6 ft. on natural gas or less than 50 ft. on LPG.)