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HomeMy WebLinkAbout025-290-011I 311, o%74 -SIS Vance Ave., 3 Mobile Home E. of Larkin, -G-r- Permit #683-76P,E(ut ELEC. � ``moi GAS (SUPPORT STRUCTURE REQ COMPACTION TEST REQ. 2 c;ONTR: Beich Mobile .Home Sales, Chico Permit #905-76MHIjo�- I ssued Permit #3812-,76B(d-eck/mH)—. Permit #39A -77B Mew cabana on existin deck/MH) Permit #ZL19�77P"'F-'("dti MH) 7 E - ' EL C. 5 AfJCTURE Hp. A/,C GAS 4 SUPP R TR COMPACTION TEST REQ. 1U0 Permit #1100-77MHI Issued -7 7 Lontr: Northstate Aluminum, Chico Permit #2465-7,PB(ewpatio cover, deck screen 'enclosure/MH )e�00',7151-7 F�ERMIT NO. -- s� 2465-77B PERMIT EXPIRES `OWNER Arthur Vassar CONTR. Northstate Aluminum, Chico ,LOCATION (A.P. 25-042-57 't S/S Vance Ave., just E.of Larkin Rd., Gridley Temp. Power Pole Called PG&E t Temp. Elec. Serv. Called PG&E /FI �. Gas Serv. Called PG&E t S� ?� ALED (Date)////n //.P --t L--- (Signa(Ne) > COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS y - BUILDING INSPECTION RECORD BUILDING _ BUILDING (Cont'd) PLUMBING Setback Firewall r Soil Piping Forms Parapets / 1st Floor Main Bldg. Restroom Finish 2nd Floor Footings % Windows 3rd Floor StemwaII / Sidina To out - Slab / Roof Sheathing / Water Pi in Piers Roofing / Sewer Garage Fdn. Vents / Fixtures Footings Stemwa I I Garage Vents Insulation Water Htr. Heaters Slab Carport Footings Prov. for ph sically Chandicapedy Conformance of ex structure i 4.- Appliances Gas Piping & Test Temp. as Slab l Final Sanitation Patio FIREPLACE Final Footings Footing ELECT ICAL Masonry Walls / Throat Rou h Reinf. Steel Final Fixtures Bond Beam FIRE PRINKLERS Motors Framing J% % Test - Water Htr. Stucco Final V Subpanels Mesh MECHANICAL Gird. Fault Prot. Scratch Heating Service Brown Cooling Temp. Pole Finish Ducts / Underground Interior Lath Ventilation Permanent Door Closer Final Final MOBILEHOME UTILITIES ------------------ Elec. Service Elec. Pedestal Water Piping Sewer Gas Piping OB16EUOME INSTALL AT12N - - - - - - - - - - - - - - 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.) I COUNTY OF BUT -TE — DEPARTMENT OF PUBLIC WORKS 7 County Center Drive — Uroville,.Californla 95965 Telephone: 5,34-4541 APPLICATION AND PERMIT Gz. 1.9 BUILDING 77 rM Owner SQ. FT. I OCC. BUILDING VALUATION Mailing Address . # ' Telephone No. Fireplace Contractor G%� . Total Valuation Mailing Address Permit Fee Plan Checking Fee&/or Penalty el ne N y Permit Fee $ Building Address PLUMBING No. @ FEE PERMIT FILING FEE $3.00 Each Trap 1, `Repair drainage or vent piping 1.50 Water piping 1.50 Each gas water heater o2ft 1.50 �- A. P. No , —© � — �j Zoning & Planning Gas piping system 1 outlets 1.50 Each additional flet .30 It es W S t ion Fire Dept. Fire Zone Use Permit EQA Parking] arkPlans,/1s DeclarationPa Parc I Map 60' R/W Improvem is Building s er 5.00 Lawn rinkler system 2:00 Bldg. P ns Recd arcel Approval Plan pprovol Permit Fee $ NEW ADDITION ❑ UTILITIES ❑ OTHER ❑ ELECTRICAL @ FEE PERMIT FILING FEE $3.00 Main service 100 AMP R LESS 5.00 Main service E DD'L too AMP 2.50 Single Family ❑ Duplex ❑ Mobil Home Others ❑ UVR 600V Main service 100E EAMP OR LESS 25.00 Main sece EA. ADD'L 100 AMP 1.00 i'PW ONSDWELING OEW DDN..T ( ACCLBLDGS. OCCUP. &) 20 sq ft CONSTR. MULTI -OUTLET NON-RESID. ( BRANCH CIRCUITS) 2.50ea NEW CONST. POWER APPARATUS &) NON- R 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. Ex. Occup(OUTLETS OR FIXTURES) AL@1¢ FIXED API_i�S. Ex. Occup. (OU T LETS 1PRESID R A 2.00 Temporary service 10.00 License No G _Q d Classification Ott Mobile Home Face ' ies 15.00 Misc. Wirin 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 Wo en'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.1 @ FEEPERMIT FILING FEE J$3.00 Heating Cooling Ventilation Hood 2.00 P mit 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 $ UUMU11cc 1UPIC 11tauves UI the County o1 Butte to enter upon the abo me property for inspection purposes. �^ X ate///'� 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 O'_I`UBLIC WORKS BY Date ilding permit expires Date "3 %� 1.6 ZZ61 6 T 40M 011end do , d3a a'Ur)B do A1t;�00 i t ' PERMIT N0. .__ 392-77B,E PERMIT EXPIRES r2 1 '79 OWNER Arthur Vassar CONTR., owner LOCATION (A.P. 25-042-57 i S/S Vanch Ave.,3/10 mi.E.of Larkin Rd., Biggs i P ti i Temp. Power Pole { Called PG&E t! Temp. Elec. Serv. j /;Called PG&E i Temp. Gas Serv. Called PG&E JOB ����' • � FINALED (Date) (Signature) k COUNTY OF BUTTE'— DEPARTMENT OF PUBLIC WORKS 'RUILGING INSPECTION RECORD BUILDING BUILDING (Cont'd) Setback Firewall Soil P Forms Parapets 1 St Main Bldg. Restroom Finish 2nd Footings I Windows 3rd StemwaI1 1 Siding VTo ou Garage Footings Stemwal I Patio .-, Relnf. E Bond Bi aming,� Scratch Interior Door Ck DATE — REMARKS OR CORRECTIONS t (NOTE: An entry must be made on this form each time you visit the job site.) PLUMBING COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS 7 County Center Drive — Uroville, California 95965 . * Teleptlone: 534-4541 a APPLICATION AND PERMIT ,,_,?XO -77 Ll Signature of Pe�mi�tyee or Agent By Date Receipt No. (A 7 �r , White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant BUi ing permit expires Date f BUILDING Owner r SQ. FT. OCC. BUILDING VALUATION C7 0.0 Mailing Address 1 Telephone No. Fireplace ©, �►� Contractor I;21K Total Valuation11 Mailing Address Permit Fee Plan Checking Fee &/or Penalty Telephone No. Permit Fee $ $ Building Address U C00 PLUMBING No. @ KEE PERMIT FILING FEE $3.00 r , S, 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. — Q Z Zoning 8 Planning Gas piping system 1 - 5 outlets 1.50 Each additional outlet .30 Fe W. Fire Dept. Fire Zone Use Permit Building sewer 5.00 EQA I Parking Plans Parcel Declara 'on Parcel Ma P 60' R/W improvements P Lawn sprinkler system 2.00 11*�Permit Bldg. Plans Recd Parcel Approval Pla Approval Fee $ NEW RL ADDITION ❑ UTILITIES ❑ OTHER ❑ ELECTRICAL No.1 @ FEE ,@Z� PERMIT FILING FEE $3.00600V OR L Main service 100 AMP ORSLESS 5.00 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 100 AMP 1.00 r QQ Q 4 C NEW CONST. DWELLING Oc- & T OR ADDNS. ACC. BLDGS. ) 20sgft V NEW CONS'R. (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 style of: 2VI Ex. Occup(OUTLETS OR FIXTURES)BA@ @@2 L1 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. Elhave 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 authorize representatives of the County of Butte to enter upon the above-mentioned proper for inspection purposes. xGc./✓ Date �` f — 7 / TOTAL PERMIT FEE C 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 bee Id. D15CTOR OBLIC WORKS Signature of Pe�mi�tyee or Agent By Date Receipt No. (A 7 �r , White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant BUi ing permit expires Date f 4 t MfT N4..H ' PERMIT EXPIRES ,A; ,.., OWNER Arthur Vassar CONTR. owner " '7LOCATION (A.P. 25-042-57 ) S19 Vance Ave., 3rd moble home E. of Larkin, Gridley - 3 i -rt 1 11i • { 4 ' Temp. Power Pole Called PG&E FIQ Oe Temp. Elec. Serv.�o 1 Called PG&E Temp. Gas Serv. Called PG&E JOB FINALED (Date) (Signature) t 9. Electrical r• 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 No B. Is there proper clearances around panels? Yes -4 No C. Is power supply cord or feeder assembly properly fused? Yes. No D. Is continuity test satisfactory as per the following procedure? YesNo 1. De -energize electrical wiring system of the mobilehome at the pe estal. 2.1 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 m.obile.home 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 R Manufacturer and/or Namestyle Length—y4Width Vehicle Serial No. 3/ ' State Identification No. S0� Additional'Infozmati_on.or Comments: MOBILEHOME INSTALLATION INSPECTION CHECK LIST 1. Is the mobilehome located with required, separation from lot lines and buildings and.generally conform to plot plan? ,Yesx 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 er approved plans? (Note possible variation at spring shackles.) (Sec, 5082 & 5083) Yes No 4. Is the mobilehome level? (Sec. 5088) Yes No TT�� 5. Lf r s ,.�«, azz- cover connPrtinn_s n�operly installed? (Sec. 5088) Yes No 6. Waters" A. Is fl9xible 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? Yes No C. Backflow - If coach is not Stat 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? YesX No B. Does it have minimum k" 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 NoX D. If co ch is not State of California approved, does station have required trap and vent? Yes No 8. Gas Piping and Gas Vents A. Connector - Is mobilehome connected to the gas supply with an approved 3/4" minimum mobilehome connector n t ore than 6 ft. long? Note: All piping is to be at least as large as the mobilo ga line inlet without reductions other than the mobilehome connector. Yes to B. Test OK as per following procedure? Ye 1. Open all appliance connector valves. i� 2. Shut off appliance burner and pilot valves. 3. Air test with manometer to 10"-14" water column, or test wi,th 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? Ye SA No COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS •BUILD•ING INSPECTION' RECORD BUILDING BUILDING (Cont'd) PLUMBING Setback Firewall Soil Piping Forms Z'v"T Parapets 1st Floor Main Bldg. Restroom Finish 2nd Floor Footings Windows 3rd Floor Stemwall Siding To out Slab Roof Sheathing Water Piping3 9 is Piers Roofing Sewer Garage Fdn. Vents Fixtures Footings Garage Vents Water Htr. Stemwall Slab Prov. for physically handicapped Heaters Appliances Carport Footings Conformance of ex. structure Gas Pipin & Test 3 1` Temp. Gas Slab Final Sanitation Patio FIREPLACE Final Footings Footing ELECTRICAL Masonry Walls Throat Rou h Reinf. Steel Final Fixtures Bond Beam FIRE SPRINKLERS Motors Framing Test Water Htr. Stucco Final Subpanels Mesh MECHANICAL Grd. Fault Prot. Scratch Heating Service Brown Cooling Temp. Pole Finish Ducts- Underground Interior Lath Ventilation Permanent Door Closer Fipal> Final DATE REMARKS OR CORRECTIONS (NOTE: An entry must be made on this form each time you visit the job site.) 6r COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS 7 County Center Drive — `troville, California 95965 �� _ �/ Telephone: 534-4541 ((O APPLICATION AND PERMIT •.- .a>F..cac�iaaalvca vl Me UOU11LY UI Dulle Lu enter upun the above mentioned property for inspection purposes. X ��v l/GUS. / Date 2-13-21, Signature of Permitee or Agent Receipt No. ,��� -p- White-D.P.W. 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 2 �E g permit expires Date— ���— BUILDING Owner SQ. FT. OCC. BUILDING VALUATION Mailing Address Q. -C e ephone No. Fireplace Contractor JOINTotal Valuation Mailing Address Permit Fee Plan Checking Fee&/or Penalty Telephone No. Permit Fee Building AddressNCS RVL - rd �� PLUMBING No. @ FEE PERMIT FILING FEE $3.00 dQ S 7- o f l- 4 Af Each Trap 1.50 Repair drainage or vent piping 1.50 Water piping 4 &, . Each gas water heater or vent 1.50 A. P. No. �� , d -. .6 --ming & Planning Gas piping system 1 - 5 outlets Each additional outlet .30 F Sa ' n11 Fire Dept. Fire Zone ermit ilding sewer 5.00 C7.a EQA Parking Declaration arcel ?p 60' R/W Improvements Lawn sprinkler system 2.00 /�/ BYdy PlaAs�d `_ � �- Parcel Approval Pla Approval Permit Fee $ NEW ❑ ADDITION ❑ UTILITIES Q OTHER ❑ ELECTRICAL No. @ FEE PERMIT FILING FEE 3.00 .DO Main service 100 AMP ORV OR LESS5.00 ` Q Q Main service EA. ADD•L 100 AMP 4, 2.50 a� 570 Single Family ❑ Duplex ❑ Mobil Home r7" Others ❑ Main sOVER 600V ervice 1100 AMP OR LESS 25.00 Main service( EA. ADD'L 100 AMP 1.00 NEW CONST.' DWELING OR ADDNS. ( ACC• BLDGS.CCUP. &\ 20sq ft NEW CONSTMULTI-OUTLET NON•RESI D. (MULTI 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 style Of; Y W 0_(,L t 3 hi" 21, O Ex. Occup(OUTLETS OR FIXTURES) BAL@1092 FIXED APPLNS. OR Ex. Occup. (RESID.) EA) 2.00 Temporary service 10.00 Mobile Home Facilities 5.00 /5,06 License No.Classification _ �I am exempt from the Contractors License Laws of the State of California. Misc. Wiring 6.25 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.1 @ I 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 fL.n t TOTAL PERMIT FEE •.- .a>F..cac�iaaalvca vl Me UOU11LY UI Dulle Lu enter upun the above mentioned property for inspection purposes. X ��v l/GUS. / Date 2-13-21, Signature of Permitee or Agent Receipt No. ,��� -p- White-D.P.W. 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 2 �E g permit expires Date— ���— The, Setback shall be 5 ft, from the side property line and So ft. from the centerline of the road, permitting ! a maximum of a 2 it. eave overhang, NOTE: --'All Materials `& Workmanship Shall Be in Accordance wilh� Recoca ized. Good Practices and Of a quality ares6ribe4 for the Specified -use in the Uniform Building, Plumbiric & Machanical Codes and the National Electrical Co e. - .31 permit will be required for f e P :MUST be installation of the. mobilehome Ibis. set of lent • • N ceps on the job at .all time and it is unlawful to cr N 'ria' -,e any changes or alter tions an same without wrir!in permisson from the Department of Public Works, County of Butte. Septic system and locatio i toQv a as per Butte County Health Dfit- Rez quirements. '� All utility y connections shall be located within 4 ff. outside the rear third section of the mobile home on the left (road) side- of the mobile t'v home. BUTTE COUNTY BUILDING DEP^RT I41 APPROVED 44 G ' rl jv L'r 1 Ute' i...- '..+...—......ems...--�—, V COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 7 County Center Drive — Oroville, California 95965 Telephone: 534-4541 APPLICATION AND PERMIT Owner A Mailing Address Contractor fJ BfC f Mailing Address 14f 6J Building Address T = 0 r-+ !,I -IVO Telephone No. Telephone No. 3yS— A. P. No. , ,S-� ©� 2 s Zoning & Planning F e *(!�gaaitdlj,o I FireDept. I FireZone Use Permit EQA Parking I Parcel IParcel M 60' R/W Improvements Plans Declaration Bldg. Ids Rec'd Parcelproval Plans lova] NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER L Single Family ❑ /IDS f;'Qdt. dt?`"ivbt i7' Duplex ❑ Mobil Home Others ❑ BUILDING SQ. FT. OCC. I BUILDING VALUATION Fireplace Total Valuation Permit Fee Plan Checking Fee &/or Penalty Permit Fee PLUMBING 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_ ( DWELLING OCCUP. & AGC_ RI nGs_ BRANCH CIRCUITS @ FEE $3.00 1.50 1,50 1.50 1.50 1.50 .30 5.00 2.00 @ FEE $3.00 5.00 2.50 25.00 1.00 !¢sq ft !.50ea 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 oyl o y ft/lGJ'•K-X/,/./`tee ,� ir Ex. Occup(OUTLETS OR FIXTURES BAL FIXED APP LNS. OR EX. QCCU p.(OUTLETS (RESIDJ EA) 2.00 Temporary service 10.00 —,L—Ag, LIv (C�d� r ld�Cy Mobile Home Facilities 15.00 License No. 01614 -yl q 6 (/ �( Classification Misc. Wiring 6.25 ❑ I am exempt from the Contractors License Laws of the State of California. Permit Fee $ WORKMEN'S COMPENSATION INSURANCE I am aware of the provisions of Section3700 of the California Labor Code which re s I b ' MECHANICAL No. @ PERMIT FILING FEE $3.00 Heating qua every emp oyer to a insured against liability for -Workmen's Compensation. ave placed on file with the County of Butte a certificate of Workmen's Compensation Insurance. El 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. 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. r X Date ;gAXZ 76 Signature of Permiteq gent Receipt No. .1y2 F, / / • White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant Cooling FEE Ventilation Hood 2.00 Permit Fee $ $ TOTAL PERMIT FEE $ d 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 POBLIC WORKS By Date��. �f permit expires Date (If yes, identify the load and size: 9. What is the mobilehome site gas pipe size? ---------------- 10. What is the type of gas service? -------------------------- 11. What is the gas pipe length from meter or tank to the mobil 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 0 'BUTTE COUNTY DEPARTMENT OF PUBLIC WORKS <; 7 County Center Drive, Oroville,.CA. PHONE: 534-4541 MOBILEHOME INSTALLATION SHEET 1. Owner's name: r4 U G S Sa r 2. Installer's name: j3,e; c in M r, 1,j le Hn m -e Sa le S 3.. Is the site currently under permit? Yes /✓i No (If yes, furnish permit number 8 - �%�1 ) 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 / ✓% No (If -no, clarify ) 5. What is the mobilehome electrical rating?------�-- J+�------------- /0 4 Amps r 6. What is the mobilehome site. service rating? --------------------- Qp loo, Amps 7. What is the mobilehome site circuit breaker rating? ------------- Amps 8. Is there any other electric load to be served by the mobilehome siteservice? --------------------------------------------------- Yes / / No / (If yes, identify the load and size: 9. What is the mobilehome site gas pipe size? ---------------- 10. What is the type of gas service? -------------------------- 11. What is the gas pipe length from meter or tank to the mobil 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 0 MOBILEHOME SUPPORT DATA Mobilehome Mfr.. Setup Model No. Year /976 Width /Z (ft.) Length. b.y (ft:)-Expando .Size 7 ft.x 12 ft. (Draw support details below) . On all mobilehom�4§�manufactured after October 7, 1973, furnish manufacturer's installation manual and structural setup sheets ..(if. not .on file with the County of- Butte). t ,J Sin le . Foot in s -(check. one; Wood :either . pressure treated or fdn.''grade.: 2.:Concrete pad. 3...Other,-'specify a%��Supports (check one) /1. Concrete block 2. Concrete piers 3. Steel piers Other, specify .I Typical port )Footing 'Size' *If center piers are other than drawn above, draw in locations, spacing, and dimensions. Max. Pier Spacing .: ..: in. A— L Overhang BUTTE,COUNTY BUILDING DEPARTMEW" APPROVED DECLARATION -REGARDING LOTS OR PARCELS I certify that as owner of the property acquired by deed in Volume Page % Z S Official Records of Butte County, (AP# . 5'— o Q7-- OS I am requesting permission to build or instAl an additional living unit on this property. I will not divide the aforementioned property for sale, lease, rent, or financing unless all applicable land division laws and map requirements are com- plied with. I am conversant with the present zoning regulations affecting the aforementioned property, and declare that I shall not violate same. I represent that the proposed use of -the additional living unit is and that further I shall not change this proposed use of the additional living unit unless and until I receive written approval therefor from the County of Butte. I fully understand that pursuant to Chanter 20 of the Butte County Code and §11535 et seq of the Business and Professions Code that if I, in the future, sell, lease or finance the area on or adjacent to said improvement without fully -complying with the applicable laws and ordinances, that -I shall be guilty of a misdemeanor and therefore, subject to the aforesaid penalties and imprisonment pursuant to -law. Further, this statement shall be properly acknowledged and recorded at the request of the County of Butte. 2404'7 J�h;:1AL RECORDS o:r•T^ ; n -CALIF ,JAN Z8 3 07 PN '77 Owner Address COUNTY FEE t1 `^� 7 Dat - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - STATE OF CALIFORNIA ) ss COUNTY OF On this Y, day of t lu , 197 before me, , a Nary Public in and for the County of State of California, residingtherein,. duly commis- sioned and sworn, personally appeared 7-7-, vim. i,7-, . ci/-? s -:; -,? ,z—known to me to be the person_ whose name /i subscribed to the within instrument and acknowledged to me that he executed the same. IN WITNESS OF I have hereunto set my hand and affixed my official seal in the County ofthe day and year in this certificate first above written. S96-1275 :o y 1hyCo n,russiun Expir;:,,v?;r.14, 1917 ..mak No ary Public a PERMIT NO. 3812-76B PERMIT EXPIRES ' /Z OWNER Arthur Vassar CONTR. owner LOCATION(A.P. 25-042-57 S/S Vance Ave., 34d MH E.of Larkin,East.Biggs 0 Te P. Power Pole Called PG&E _ r emp. Elec. Serv. Called PG&E Temp. Gas Serv. Called PG&E JO JOB FINALED (Date (Signature) 0 DATE REMARKS OR CORRECTIONS At; / i i (NOTE: An entry must be made on this form each time you vislt the job site.) i COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS BUILDING INSPECTION RECORD BUILDING BUILDING (Cont'd) PLUMBING Setback Firewall Soil Piping j Forms Parapets 1st Floor Main Bldg. Restroom Finish 2nd Floor Footings Windows 3rd Floor StemwaII Siding To out Slab Roof Sheathing. Water Pi in Piers Roofing Sewer Garage Fdn. Vents Fixtures Footings StemwaI I Garage Vents Insulation Water Htr. Heaters Slab Carport Footings Prov. for physically handica ed' Conformance of ex. structure 0 9 17 Appliances Gas Piping & Test Temp. Gas Slab Final Sanitation Patio • FIREPL'ACE Final Footings Footing ELE TRIC L Masonry Walls Throat Rough Reinf. Steel Final Fixtures Bond Beam 1204FI E SPR NKLERS Motors Framing XTest Water Htr. Stucco Final Subpanels Mesh fAEOHANICAL Grd. Fault Prot. Scratch Heating Service Brown Cooling Temp. Pole Finish Ducts Underground Interior Lath Ventilation Permanent Door Closer Final Final DATE REMARKS OR CORRECTIONS At; / i i (NOTE: An entry must be made on this form each time you vislt the job site.) COUNTY OF BUTTE — -DEPARTMENT OF PUBLIC WORKS 7 County Center Drive — Uroville, California 95965 � p/, �/%�Tel�phone:'534-4541 APPLICATION AND PERMIT0 authorize representatives of the county of butte to enter upon the above-mentioned prop rty for inspection purposes. Date �p Signature of Permiteeo'r Agent Q Receipt No. / .3—:rz 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 �p� DIRECTOR OF l�U6lLIC WORKS By `' Date 7 —/ -1-7 Bu' ing permit expires Date r 77 BUILDING Owner 77/4/0/Q 1X 54i' SQ. FT. OCC. BUILDING VALUATION /.2 Fmk Z O Mailing Address RT 1 z o 13166-S, CA. Telephone No. Fireplace Contractor gA/V Total Valuation Z Q Mailing Address Permit Fee P I an Checking Fee &/or Penalty Telephone No. j 0 Permit Fee $ V Building AddressS AIG _ (/L' 2d %►'� '�/ PLUMBING No. @ FEE PERMIT FILING FEE $3.00 ,e5-- O*- L,X4X IkI �7. (3 /6 6 S GX- 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. 2 S — ® ¢Z —,57 Zoning & Planning Gas piping system 1 - 5 outlets 1.50 Each additional outlet .30 F Vk-16. Sa i 'on Fire Dept. Fire Zone Use Permit Building sewer 5.00 EQA IParking Plans Parcel Parcel Ma Declaration P 60' R/W Improvements Lawn sprinkler system 2.00 Bldg. PlanIlleRec'd Parcel 4,pproval Plans Approval Permit Fee $ NEW ADDITION ❑ UTILITIES ❑ OTHER ELECTRICAL No.1 @ I FEE - PERMIT FILING FEE $3.00 Main service 100 AMP ORV OR LESS5.00 Main service EA. ADD'L 100 AMP 2.50 Single Family ❑ Duplex ❑ Mobil Home Others ❑ Main service VER 600V 10 0 AMP OR LESS 25.00 Main service EA. ADD'L 100 AMP 1.00 NEW CONST. DWELINGOR ADONS. ( ACCLBLDGS.CCUP &) 2¢sgft NEW CONSTR. (MULTI -OUTLET NON•RESID. 1 BRANCH CIRCUITS) 2.50ea _ NEW CONSTR. POWER APPARATUS & NON•REStD. (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: v Ex. Occup(OUTLETS OR FIXTURES) BAL@; 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. MV I certify that in the performance of the work for which this YNJ 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 $ $77 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 TOT AL PERMIT FEE $ a authorize representatives of the county of butte to enter upon the above-mentioned prop rty for inspection purposes. Date �p Signature of Permiteeo'r Agent Q Receipt No. / .3—:rz 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 �p� DIRECTOR OF l�U6lLIC WORKS By `' Date 7 —/ -1-7 Bu' ing permit expires Date r 77 T. `s t PERMIT NO. 412-77P,E PERMIT EXPIRES� � - i,+ OWNER Arthr' M. Vassar r CONTR. owner LOCATION (A.P• 25-042-57 S/S Vanch Ave., 3/10 mi.E.of Larkin Rd., Biggs a f r s q I i� �i Temp. Power Pole Called PG,,,&��-E* Temp. Elec.�lServ.Z21 CalledPG&E i Temprle�as Serv. _ S7r,%�� Called PG&E /Fol ALED 77 (Date) r (Sign ture) l 9. Electrical A. Is service large enottgli to provide adequate amperage to mobilchome (must equal rating of mobilehome with a :::irtu!1umo 100 amp) and other facilities on lot, i.e., water pumps, garage, cabana, etc.? Y.es� No a B. Is ther,7 proper clearances around panels? YesNo_ i' C. Is power supply cord or feeder assembly properly fused? Yesy No_% D. Is continuity test satisfactory as per the following procedure?? Yes_ N� 1. De -energize electrical wiring system of the mobilehome at the pedestal.. !/ 2. Make sure that the power supply cord or feeder assembly conductors, including neutral conductor, have been disconnected,. - 3. Switch all breakers and switches in the mobilehome to the "on" position. 4. Connect one lo.id of a test instrument.to the mobilehome grounding conductor and apply the othei lean -to each w0b lei�tcirite 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 te:;L' ,hall then be made between the ,grounding electrode and the chassis of the Mobilehome. Upon satisfactory comp''letion of the electrical tests; the lot or site service equipment may be approved for energizing. i.0. Is job card signed by health Department for water and sanitation? 11.. If everything okay, sign off card and tag, services. j MOBILL•:i1OME DATA Manufacturer and/or Namestyle,l/y' Length V _ Width d Vehicle Serial No. State Identification No. D.del' i.tional Information or Comments: 'MOBTUROME INS9'ALLATION INSPECTION CHECK LIST 1. Is the mobilehome located wilh 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 footins and supports properly sized, spaced, and braced as per approved plans? (Note possible variation at spring shackles.) (Sec. 5082 & 5083) Ye SA No 4. Is the'mobilehome level.? (Sec. 5088) Ye SX- No 5. I a sing are crossover connec!'ons 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 No B. Test - Does water piping withstand working pressure or 50 lbs, air test? Ye SX- No C. 'Backflow - If coach is not Sta e, f 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" per foot slope and is it properly supported? Yes_ No C. Are any leaks detected in drainage system after running -gallons of wat7err through each fixture including washing machine standpipe? Yes No/,,' D. If cQach is not State of California approved, does station have required trap and vent? Yes No 8. Gas Piping and Gas Vents A. Connector - Is mobilehome 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.y 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 I I Mobilehome Mfg.V� Model COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 7 COUNTY CENTER DRIVE OROVILLE, CALIF. - 534-4541 CERTIFICATE OF OCCUPANCY This mobilehome has been installed in accordance with the requirements of the California Administrative Code, Title 25, Chapter 5, under permit number //410-77 for the following location: Yearl %'114 Insignia No. Serial No. It is hereby certified for occupancy at the above described location and may be occupied. / Director %of Public Works� Date a /��/�.� By THIS CERTIFICATE IS VOID WHEN MOBILEHOME IS RELOCATED I COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS BUILDING INSPECTION RECORD BUILDING I BUILDING (Cont'd) I PLUMBING Setback Firewall Soil Pipingv;1,6 Forms Parapets 1st Floor Main Bldg. Restroom Finish 2nd Floor Footings Windows 3rd Floor StemwaII Siding To out Slab Roof Sheathing Water Piping<Q Piers Roofing Sewer 7 Z Garage Fdn. Vents Fixtures Footings StemwaI I Garage Vents Insulation Water Htr. Heaters Slab Carport Footings Prov. for physically . handicapped Conformance of ex. structure Appliances Gas Piping & Test7 7 Temp. Gas // .77ew Slab Final Sanitation Patio FIREPLACE Final Footings Footing ELECTRICAL Masonry Walls Throat Rough - • n Reinf. Steel Final a Fixtures Bond Beam I FIRE SPRINKLERS Motors Framing Test Water Htr. Stucco Final Subpanels Mesh MECHANICAL Grd. Fault Prot. Scratch Heating Service Brown Cooling Temp. Pole Finish Ducts Underground Interior Lath Ventilation Permanent Door Closer Final Final DATE REMARKS OR CORRECTIONS lop lir t/,Z, 10,11d� (NOTE: An entry must be made on this form each time you visit the job site.) �_Jj COUNTY OF BUTTE — DEPAFtTAENT OF PUBLIC WORKS 7 County Center Drive — orovi Ile, California 95965 Telephone: 534-4541 APPLICATION AND PERMIT via --7 7 .. i a V 1 -1 c. 1 Ln„ v c o VI Ll— VVUI I Ly VI OU— N QI IICI UPUII 111C above-mentioned property for in pection purposes. Date / 2" 7 Signature of//P''erm��itee or Agent Receipt No. White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTORS PUBLIC WORKS rcdr •Dateng permit expires Date BUILDING Owner `n"t �%V ass SQ. FT. OCC. BUILDING VALUATION Mailing Address BO TeleirfKne No. Fireplace Contractor Total Valuation hw Mailing Address Permit Fee Plan Checking Fee&/or Penalty Telephone No. Permit Fee $ Building Address ��S' '(Jay 1/-Q 1 PLUMBING No. @ FEE PERMIT FILING FEE J$3.00 ,Cto cv Each Trap 1.50 Repair drainage or vent piping 1.50 Water piping 1.50 /0. BO _ zonfrig ®eri icaflon Each gas water heater or vent 1.50 A. P. No .i - S� Z /—` Zoni Gas piping system 1 - 5 outlets 1.50 0, v-oEach additional outlet .30 Fes W. - n Fire Dept. Fire Zone Use Permit Building sewer 5.00 ©,Cyo EQA Parking Plans cl Y Parcel Mia P 60' R/W Im rovements P Lawn sprinkler system 2.00 Bldg. Plans Rec'd Pel Approval s ppral Planov Permit Fee $ Ob $ a NEW ❑ ADDITION ❑ UTI LITIESS OTHER ❑ ELECTRICAL No.1 @ FEE PERMIT FILING FEE $3.00 :3,CO Main service 100 AMP OROR SLESS 5.00 ,pO Main service EA. ADD'L 100 AMP 2.50 Single Family ❑ Duplex ❑ Mobil Home � Others ❑ Main service OVER 600V 25.00 100 AMP OR LESS Main service EA. ADD•L 100 AMP 1.00 OR ADONST ( ACCLBLD GS.CCUPNEW CONS. DWELING . &� 20 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 State of California Business & Professions Code under the name st le of: y Ex. Occup(OUTLETS OR FIXTURES BAL@1 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 1__x I am exempt from the Contractors License Laws of the State of California. Permit Fee $_2 (j $ 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. Icertify that in the performance of the work for which this 4permitis 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 +2,001 Hood 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 $ .. i a V 1 -1 c. 1 Ln„ v c o VI Ll— VVUI I Ly VI OU— N QI IICI UPUII 111C above-mentioned property for in pection purposes. Date / 2" 7 Signature of//P''erm��itee or Agent Receipt No. White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTORS PUBLIC WORKS rcdr •Dateng permit expires Date V N ' - COUNTY OF BUTTE — yDEPARTMENT OF PUBLIC WORKS 7 County Center Drive — Oroville, California 95965 Telephone: 534-4541 APPLICATION AND PERMIT "qc/) __177 autrlorlce representatives of the County of Butte to enter upon the above-mentioned property fori spection purposes. X Date 3 Signature of Permiteeor Agent Receipt No. 16 09 or� 2.0 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 Date _73 —/o — 7 Bwlding permit expires Date _ ?—/ 07� BUILDING Owner A fZ + ( SQ. FT. OCC. BUILDING VALUATION Mailing Address © P s Telep one Fireplace Contractor Total Valuation Mailing Address Permit Fee Plan Checking Fee &/or Penalty Telephone No. Permit Fee $ Building Address �}-jll/�L� PLUMBING No. @ FEE PERMIT FILING FEE $3.00 /t/ Each Trap 1.50 L cGS Repair drainage or vent piping 1.50 Water piping 1.50 Each gas water heater or vent 1.50 A. P. No. — 6 4-12— — S %Z Zoning & Planning Gas piping system 1 - 5 outlets 1.50 Each additional outlet .30 FABS' W' Sanitation Fire Dept. Fire Zone Use Permit Building sewer 5.00 EQA I Parking Plans '211017 parcel Ma P 60' R/W Improvements P Lawn sprinkler system 2.00 Bid d i I Parcel A vol PI s Approval Permit Fee $ NEW ADDITION ❑ UTILITIES ❑ OTHER ® ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 Main service 80001 OR L 0 AMP ORLESS5.00 Main service EA. ADD -L 100 AMP 2.50 Main service OVER 600V100 AMP OR LESS 25.00 Single Family ❑ Duplex ❑ Mobil Home ❑( Others ❑ Main service EA. ADD'L 100 AMP 1.00 NEW OR ADDNST [DWELLING ACC. BLOGSCCUP. &� 22sgft NEW CONSTR. MULTI.OUTLET NON•RESIO. ( BRANCH CIRCUITS) 2.50ea NEW CONSTR. POWER APPARATUS &) NON.RESID. (SINGLE OUTLET CIR. CONTRACTORS LICENSE LAW I am licensed under the provisions of Chapter 9, Div. 3, of the State of California Business & Professions Code under the name st le of: y Ex. Occup(OUTLETS OR FIXTURES) 50 6, 25o 101 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 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 me.6de Aoms Aw L m) 665- 3v- ar, TOTAL PERMIT FEE $ autrlorlce representatives of the County of Butte to enter upon the above-mentioned property fori spection purposes. X Date 3 Signature of Permiteeor Agent Receipt No. 16 09 or� 2.0 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 Date _73 —/o — 7 Bwlding permit expires Date _ ?—/ 07� A MOBILEHOME SUPPORT DATA Mobilehome Mfri. iE2,n.a-% C r / ��� Setup Model No. b Sit "501V6- ear Width (ft.) Length .670 (ft.) Ekpando Size ft.x ft.� (Draw support details-below)..--- On etails•below)..On all mobilehomes manufactured after October 7, 1973, furnish manufacturer's installation manual and structural setup sheets (if not onfile with the County of Butte). Sin le - ®: Footings (check one) . .... ..../ 1. Wood either pressure treated or Center Center Support' ✓ . fdn. grade. Support Footing Sizes Locations (in.) Y 2. Concrete,pad. X.___-._� 3. Other, specify �iri.) (in: j -- - --- - Supports (check one) 41 //V 1. Concrete block ' f... x i �` / / 2. Concrete piers (ft) (in') 3. Steel piers 4. Other, specify .9— - Typical Support Footing Size I Max. Pier .a Spacing (ft. in.) j (i (in.).: a _ I Max. Overhang Wei ft. *If centerpiers are other than drawn above, -draw in locat ions , spacing, and dimensions. BUTTE COUNTY BUILDING DEPA.PTI F -NT APPROVE -30 BUTTE COUNTY DEPARTMENT OF PUBLIC WORKS 7 County Center Drive, Oroville, CA. PHONE: 534-4541 MOBILEHOME INSTALLATION SHEET 1. Owner's name: 2. Installer's name: 3. Is the site currently under permit? Yes /k-/ No ( If yes, furnish permit number 4 /-j— ~ 7 7 ) OR Is the site an existing site? Yes / / No /X/ (If yes, furnish two (2) plot plans.) 4. Will the mobilehome be located at least 5 ft. away from septic tank and leach fields and clear of all setbacks and easements? Yes / / No ( If no, clarify ) c ) 5. What is the mobilehome electrical rating? ----------------------- Amps 6. What is the mobilehome site service rating? D Q Amps 7. What is the mobilehome site circuit breaker rating? ------------- SD Amps 8. Is there any other electric load to be served by the mobilehome > U • P site service? ------------------ Yes No ( If yes, identify the' load and size: 30j600 (Load) Q (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? r (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.) Jit' -p h A "utility connecti located within 4 ft ons shall be third section . outside the rear of `` Or) the left (road),qi d' mobile home Orne. Of the mohilo M/ '"° The Bb*. Setback shall be 5 ft. from f he side property line and 50 ff. from the centerline of the road, permitting a'maxi- mum of a 2 ft. eave overhang but entirely out of all easements. W WI 40.4 A permit will be required for the HO-YA4 installation of'fhe moi bilAome. T. V., 4 Septic system utte County Health to be as 'R "31; Dept. —Lfluirements. MVN .� NOTE:—All Materials IZ, t,;RrPR1P4.'0 gl �:jEbe te & Workmanshi of, a duality -b P Shall, Be al' 4Wr q - - I MUST Accordance with Recoonh Aa liwfoj, I "'111"Wh - -ed. Good Practices a n fY Presc-ibed for the MrMi6ii an, ame AiM66K..'" Uniform Bu in n Specified use ilding. Plumbing Ii. Mechanical Codes 5)W" the j p66,fjc' ...the .�WV 4, Natio iond Electrical Code, T, iS epq mL an 0� 4, Ir, el0 I -A BUTTE COUNTY M BUILDING DF -PART �41 ME;W �j • ;;z -3 Aii, �;Z;, Tit'. it�Y, All. lA APP R 0 V ff D,'- - g;, a ni! vt J., "v,Af;, & -.V" N 02