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Home My WebLink About027-230-071_27-23�1.11 � ?i P:per R. Badley App.700'off SIS Cox Lane, @`easter n end, lot 3, Palermo contr Burtenshaw Const., Oroville / Permit #5477-80B,PE,M(new single family) ��/��/ 27-23-71 WILL HODGES E/end Cox Lane, Oroville ' Permit#64-85A(Agricultural Bldg Exemp) r- -,-- 9 PERMIT NO. 5477-80B,P,E;M PERMIT EXPIRES LJ 9. �U l OWNER Peter R. Bradley CONTR. Burtenshaw Const., Oroville ASSESSOR PARCEL 27-231 port. i LOCATION App.700'off SIS Cox Lane @ eastern end, lot 3, Palermo { a 'j Y- �r Temp. Power Pole Called PG&E �r Temp. Elec. Service— (r d � Called PG&E Temp. Gas Service Cal led PG&/ JO FIN LED (Date) Signature I(l: S IDENT I'A], i•NFI;f:Y CONS 1.1(VAT]'Oil STANDARDS CONSTRUCTION CON1'LIANCR CE:RTT.VICATr 'fills 15 TO CERTIFY TIIAT ENERGY CONSERVATION REQUI.RI711FNTS 1LAVE BE1:N (:ONFOKM.A_NCI•; WITH CURRENT ENERCY CONS FRVA'1:101J REGUI.A'1'TOiJS A -Y Cox Lane. Oroville ..—..------------ (location) 13 1.I.DJM; P1•:MIT NO. �_�L� A.P, NO. -I :m THE-FOLLOW]'NG 11AVE-•BEEN--INSTALLED -AS PER- APPROVED PLANS -:- (Check each item or write.N/A if not applicable) INSULATION: Slab L'.dge NA F(ln. Walls NA Fioors NA Wa11S R-11 C,- i.1 iiig Roo E R-19 D1 1, t.::_ _ NA Cirrular.inl 1.'ipcs NA _ API'i<O\:i'l) APPi"OUD UTR.li'CR.� GLAZ IIJC : Siiiije. Clazed NA Special (Insulated) qe=z NA CERT, & LABELED WDS. —7 & SLIDING IMS. WEA'1'IIL!RS'TltI1'l'I:n DRS. NA BACK DA111'I:IJ-:1) FANS z NA__ 1tJ'L'I;IUII'I:'1'I:iJ'l: 1CNI'1'1C)N DE: 1C:EV S .--NA CERT. AP1'I.1Al,:(:ES_ NA I Di'CL.ARE THAT ALL REQIIT.RED ITEMS AS. NOTED AROVr HAVE BEEN INSTALLED LN ACCOIZI)ANCE WITH TIIL•' ENERGY CONSLRIVATION W`:QU IRI:?°l1?NTS AND AGREE TO THE Cc),IPL.i;'l'L:NE:SS.OI THIS CERT1,171CATE AS SUI;i•iITTF.D. Jnv:ulation Applicator Nmup. Hawkins Insulation Co_Inc. - `(p print) SiJ;n:Iture of ln::ul.:itlon Applic:►tor State Contractors License No. 378407 Ceneral Contractor/Owner Name / 7cac'��5• C.- Cie please •tint) Signature of Gc ne ra l Contractor/(timer r' �'`r Date _3 tel / State Contractor License No. TH i:; M: T •RR ON I' II,h W TTII THE 11,111-1.D W n1iPA R RIFNL' PRIM TO ld:(el;l:',T I ;:(: I 'F�:Al. I HSPF'C'I:TUN AND SHALL lil•: I'O;;'ITA) i N A CONSPICUO(1`: I._OCAT ION J = OK. 0 = Not OK - Not Applicable MOBILEHOMES *,= Not Ready MISCELLANEOUS Date MOBILEHOME UTILITIES (Plans) OK except it's 1. Zoning Requirements -Setbacks -Easements Date DECKS, COVERS, CARPORTS, ETC. (Plans) OK except b's 1. Zoning Requirements -Setbacks -Easements 2. Soils; Special MH Support -Sketch _ 2. Footings; Size -Depth -Spacing -Connectors 3. Sewer; Location -Test -Fall -C/0 -Concrete 3. Decks; Girders and/or Joists -Decking -Bracing -Stairs -Rails 4. Water; Location -Test -Easement Needed (Sketch) 4, Wood Awn.; Posts-Beams-Rftrs.-Connec.-Shthg.-Rfg.-Bracing 5. Electricity; Location-Clearances-Grnd.-/ / Amp -Concrete 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Gas; Location -Test -Wrap:/ /"L"ft./ /"Nat. or/ /"L"ft./ /"LPG 6. Carports; Windows -Doors 7. Utility Clearance 7. Elea Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Date Card -BI Date MOBILEHOME INSTALLATION (Plans) OK except k's 1. Zoning Requirements -Setbacks -Easements Card -BI Date Date Card -BI Date POOLS (Plans) OK except #'s 1. Setbacks -Easements 2. Footings; Size -Spacing -Marriage Line 2. Soils; Compaction -Structure Stability 3. Gas; MH Test -Demand -Valve -Connector '" .3. Pool Structure; Steel -Connections -Thickness -Dead Men -Lining 4. Electricity; MH Test -Crossovers -Breakers -Clearances 4. Elec.; Receptacles and Lighting; Distances-GFI 5. Drain; MH Test -Fall -Flex Connector 5. Elec.; Pool Lighting; 15 volts-GFI 6. Water; MH Test -Regulator -Connector 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 7. Water and Sewer Connected -C/0 to Grade -HD Approval ' 7. Elec.; Bonding; Metal w/5' -Circulating Equipment -Heater 8. Gas and Electricity Tagged 8. Elec.; Grounding; Equip. w/5' -Circulating Equip. -Pool Lghtg. Boxes -Enclosures -Panel boards -Ins. to Main in Conduit 9. Exits; Insp.-Sketch 10. Cert. of Occupancy 9. Health Department Approval 10. Plumb; Cir. Test -Water Supply Test Card B -I Date Card -BI Date Card -BI Date Card -BI Date Card B -I Date Card -BI Date Card -BI Date Card -BI Date = OK = Not OK = Not Applicable = Not Ready RESIDENTIAL (Single and Duplex) Date UNDER LOOK P _ s OK except #'s Date FRAMING (Continued) ing requirements -Setbacks 21==asements r' 48. Property Line Firewall & Openings tg., Main; Soils -Steel -E d.- / '1J" Ftg. Depth 49. Ext.g)ees-One 3' -Check Garage -3rd story, 2 exits Garage; Soils -Steel- )%/" Ftg. Depth r_ 50. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection Porches & Decks; Soils -Steel- V.1 /" Ftg. Depth 51. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers t walls, Main; Steel-Blockouts-Wrapped-Slab 52. Siding -Nailing -Veneer Stemwalls, Garage; Steel -B lockouts -Wrapped -S lab 53. Stucco Mesh -Drip Screed-Fdn. Vents-Underflr. Access 7. Piers -Fireplace Ftg.-Steel 54. Glazing Area -Glass Protection -Skylights -Plastic .W.V.: Fall -Fittings -Test -2 way C/O -Sewer Test 55. Shear Walls; Nailing -Bolts 9 Gas Pipe; Size -Anchors 10 Water Pipe; Test -Anchors -Regulator -Service Test 11A Electric; Underground 12,(Plenums & Ducts; Clearance -Material -Support -Ins. 13 Girders -Sills -Anchor Bolts -Joists -Vents -Cripples Card -BI Date ard-INI Date Card -BI Date and -BI Date Card -BI Date Card -BI Date Cd'rd-BI Date Card -BI Date Date FINAL s) OK except #'s Card -BI to C d- I Date 1-13 Date PLU pt Xkk-t. Steps -Door &Sidelight Protection -Landings 58. Smoke Detector Furnace; Vents -Clearance -Comb. Air-Connector- Garage; Above Floor-Ducts-Mech. Protection .-- 14. Water Ht.; VM -Access -Combustion Air Q/fi-. Water Pipe; Test & Anchors -Nail Protection t�6. D.W.V.; Test-Fttngs & Ancfiors-Nail Protection Bedroom Exiting Q 17. Shower Pan; Test, First Floor -Tub Access & Bath Fixtures & Tub Access --- 18. Test Tub & Shower, 2nd Floor -Tub Access lec. Trim & Subpanel; Breaker Sizes -Labels -�►19. Gas Pipe; Size & Anchors & Rails 6 fireplace or Stove; Clearances -Hearth 94--Erec. Outlets at Wood Panel; Int. & Ext. Card -BI Card -BI Date Card -BI Date Date Card -BI Date &5-10 .%Fixt. & Appliance; Grnd.-Air Gap -Cooking Clearance 6$,,�. Outlets & Receptacles at Kit. Counter Date ELECTRICAL Permit OK except #'s 6 arage Fire Door; Swing -Landing -Closer fist in Garage -Damper 20. Fixture & Transformer Clearance -Ins. Protection 6 . Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V.- In Garage; Above Floor-Mech. Protection29� L Elec. Receptacles Spacing -Lights &Switches at Doors 7 I Elec. &Mech. Equip. Listed for Location Size Boxes & No. of Conductors -Stapled 7 lec. Receptacles in Garage; (G.F.I.)-Ro x Protec. Romex Installed Close to Edge of Studs & C.J. 4. Equip. Ground made up w/Mech. Fasteners -Bond Gas & Water 72. Insulation -Foam -Looked in Attic es -A&-lemwel-Reils & Deck Construction -Post Caps 2 Appliance Circuits in Kitchen & Conductor Size 7 ravel Hole Door -Drainage & Wood -Earth Clearance Looked under Floor ❑ Yes 26. Subfeed Wire Size / / ga. Cu oreLIA.C. Wire Size / / ga. Cu o L�&7. Range Circ. / a. Cu or AI -Oven Circ. / / ga. Cu or At 75. Following insjyd.: Drive Yes ❑ No; Walks Yes ❑ No; Planters 3Yes ❑ No Insulated Neutral es o ✓18. Service -Riser Conductors & Ground -Main Disconnect 7$--5Z. -Finish Unit; Disconnect-Clrnces-Brkr. & Cond. Size -115V Outlet l/ 29. Equip. Clearances; Panels-Motors-Mech. Equip. -� 30. Clothes Closet Light -Shower Light 791.0 -Vents Above Roof; Plbg.-Appliance-Firepl.-Clearance to Opngs. 7�er Well; Disconnect, Electrical, Plumbing for Elec. Trim; G.F.I. Receptacle -Underground Card B-1 Date Card -BI Date Ve 'lation throughout House Card B-1 Date Card -BI Date las Protection Date MECHANICAL (Permit) OK except #'s 84. orrections from Previous Inspections Gas Test -Meters Tagged; Gas -Electric r/St. A.C. Ducts; Insulation &Support ter & Sewer Connected -C/O to Grade -HD Approval `22. 33. Vent Fan; Exhaust above Insulation Condensate Drain & Overflow; Size & Grade Energy Compliance Certificate -Other Certificates 34. FurnVeat Accg,%s-Comb. Airz$eharn Air nt-115V outlet +-� 35. Attic Access & Platform if Furnace in Attic C d -BI Date Card -BI Date Card -BI _Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Date FRAMING(Plans) OK except #'s Comments at Final: 4,-36. Sills; Proper Material & Anchors ✓37. Walls; Studs -Nailing, Spacing & Bracing -Plates -Sound --wSP-88. Bearing Walls over Girders & Floor Nailing .41 9 Draft Stop in Walls (rat proof) 40. Fire Stops; Furred Ceilings -Stairs -Chases -Tub L,�41. Header & Beam -Size & Bearing 42. L-33. 44. Hangers -Post Caps -Anchors -Connectors Cing. Joist-Rftr. Ties-Purlin-Roof Brac.-Truss-Shthng.-Rfnq. Fireplace Ties or Type A Flue -Fireplace Throat 45. Atticr&ecess; Size & Rcpl Protection -Draft SrMr-Ins. Ba_ Lees 46. Vjiiyddws or Exitinq_Pdbrs-SiIIAJgt-& Dirgraeions 47. _Bdrm. Garage Proteaming (NOTE: Anentrymust be made each time youvisit jobsite) COUNTY OF BUTTE DEPARTMENT OF PUBLIC'WORKS 196 Memorial Way, Chico — Phone: 891-2751 7 County Center Drive, Orovi Ile — Phone: 534-4541 Skyway and Elliott Road, Paradise— Phone: 872-2961, Ext. 57 CORRECTION 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 immediately. f r I Inspector `�"- =, =�"'' � Date— Aim- � / ; COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 695 Oleander..2.yegL.e., Cbico - Phong 343-4211 , Ext. 70 7 County Center Drive, Oroville — Phone 534-4541 Skyway and Elliott Road, Paradise — Phone 877-3435 CORRECTION 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,�o{ need additional explanation, please contact this office immediately. COUNTY OF BUTTE t`D'EP�RTMENT OF PUBLIC WORKS Ar I P RMIT N0. 7 County Center Drive - Oroville, Ca'lif6rnia 95965 - Telephone 916/534-45 APPLICATION AND PERMIT SS SOR PARCEL MBE Z -Z3 _;bw ZOyy..��N /i FIUA4 BUILDING PERMIT r9%0 R Iii, TELEPHONE SQ. FT. OCC. BUILDING VAL ATION 7_150,C) C) OWNER'S MAILING ADDRESS C8UNSNNu� CflME �lST2UGilU 530-_553 dely CONTRACTOR'S MAILING ADDRESS ,%�/J lor C�IyGTF3l.15', TIOjJND L G UNKNOWN Fireplace Total Valuation $ / LENDER'S /jnf LENDER'S MAILING ADDRESS �vi Di40 M Fal -UPJ v�Ll� Gq �� Permit Fee $ 15 -7 - ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ 79-s-0 Penalty $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Permit fee $ 15.SO BAP AD �P� S 60)( L�G PLUMBING PERMIT Filing Fee /V00 G^�f1f'/S7EPV7,r //(/ E�7� p G/7 IJV JJ Each Trap 2.00 Repair drainage or vent piping 2.00 Water piping 5-00 LOT NO.SUBDIVISION 3 NAME B&K 93 PARCEL MAP Each qas water heater or vent 2.00 Gas piping system 1 - 5 outlets USE OF STRUCTURE SF Duplex❑ Mobilehome❑ Other SPECIFY Building sewer �O0 Lawn sprinkler system 2.00 TYPE OF WORK New Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe work: Permit Fee $ , QQ Contractor ELECTRICAL PERMIT Filing Fee % 000 Main service 1000 AMP ORV OR LESLESS 5.00 .OD Main service EA. ADD'L 100 AMP 2.50 _7 S70 NEW CONSD ELING OR ADDNST ( ACCLBLDGS.CCU 22 Sq ft CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in f force and effe t. License No. -:?I 5 �t % Classification V ❑ I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) • ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW NON.RESID R. BRANCH CIRCUITS)\\ 2.50 ea POWER (SINGLE OUTLETTCIR.S NON -R ESID. R. 50 @ 250 Ex. Occup(ourLETs OR FIXTURES BAL@10¢ FIXED APPLNS. OR Ex. Occup.(OUTLETS (RESID.) EA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring6.25 . `, / • vl/ -� Permit Fee $ Contractor WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. MI have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. ❑ I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. MECHANICAL PERMIT Filing Fee 00 Heating 0 0.0 -0 0 %P11A4 Cooling 7— Z % -P _0 Hood 2.9t3- reJ- Ventilation Permit Fee $ •p0 Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liab' 'ties, judgments, costs, and expenses which may in any way accrue again aid Couay'on equenc of the granting of this permit. / %� %� Dater "�! -�y Signature of Applicant — Owner El Contractor F4Agent ❑ An OSHA permit is required for excavati s over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ Land Development Fee $ TOTAL PERMIT FEE $ 3 _11 OCCUP. GROUP 7 3 _11P1 CONST. tit �` V" IV PARC L PD H ss ,� This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which DIREC OF PUBLIC By PE EXPIRES Date the applicable provi- resolutions to do fees have been paid. - WORKS Date/ -I ��Q - Receipt No. 440f! - WHITE-D.P.W., YELLOW -ASSESSOR, PISPECTOR, GOLDENROD -APPLICANT ! til, L r i F RESIDENTIAL PLAN CHECKING GUIDE S.F. DUPLEX; & MISC. ONLY) rp- – 7 M .. Bldg. Ar►` - A.P. ., t► A. GE L �•' Zoning.requirements (sideyards and parking). A A Valuation...?�`; Signature by R.C.E. or Architect (if required). B. PLOT PLAN Complete parcel size and dimensions. Setbacks, sideyards,.easements, etc. ther buildings or structures. Grading, fills, drainage. 80 Permit # '� 77 r # V7.. C. FLOOR PLAN' r Complete to scale plan with dimensions. o Required windows for light and ventilation (Sec. 1405). �,/� quired windows for second exit (Sec. 1404). lJ Allowable glazing for energy requirements (20% max.'per.State law). Human impact glass (Sec. 5406). (Required room sizes, ceiling heights (Sec. 1407). G.F.C.I.'s in baths and exterior outlets (Sec. 210-8). ..;;*� Light fixtures, switches, receptacles, and exterior receptacles for maintenance of mechanical equipment. Locations of water heater, heating & cooling equipment, other electrical or gas eGequipment, and plumbing fixtures. 1arage firewall, door size, and closer (Sec. 503(d)(4)). 7 3'0" exterior exit door (Sec. 3303d). y2/fireplace location. 13: Smoke detectors (Seca 1413). D.' STRUCTURAL -DETAILS .1 — Foundation plan complete enough to construct building. —Floor construction details complete enough to construct building. Elevations and wall construction details complete enough to construct -;Roof construction details complete enough to construct building. . .Fireplace construction details and talcs if, over one-story in height. ufficient data and details to satisfy energy insulation requirements E. MISCELLANEOUS ITEMS TO LOOK OUT FOR CX plywood on exposed locations and overhangs. Stairuay details (Sec, 3305). 6e, ---uardrail details (Sec. 1716) . 40 Brick or stone veneer (Chapter 30). xterior plaster - weep screeds (Sec. 4706 & 4708). rRafter roper roof pitch for roof covering (Chapter 32). ties or bearing ridge beam. �! arage door or porch header sizes. 9 dequate bracing.'— building. (State law).. 1Q.o Living area over garage - complete 1 -hour separation required including supporting walls -and posts,.etc. a T<ao (2) exits on three-story dwellings (Sec. 3302). COUNTY OF BUTTE - DE,PAF�MENT OF PUBLIC WORKS M —c. 7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541 AGRICULTURAL BUILDING EXEMPTION PERMIT z . PERMIT N .� Agricultural building is defined as follows: Agricultural building is a structure designed and constructed to house farm implements, hay, grain, poultry, livestock, or other horticulutral products. This structure shall not be'a place of human habitation or a place of employment where agricultural products are processed, treated, or packaged, nor shall. it be a place used by the public. ASSESSOR PARCEL NO. ZONING 17 A -g OWNER� Lot � 1 PHONE NO. OWNER'S ADDRESS f. 1 91 1� I Hr PQ 9§ LOCA ION 9F'BUILDING �(-)ks USE OF ILDING SIZE OF STRUCTU ' X_' = SQ. FT. TYPE OF CONSTRUCTION?' WOOD FRAME (•//STEEL CONCRETE OTHER (Specify) TYPE OF SIDING ROOFX.V�IN FLOOR E iY ESTIMATED COJT OF CONSTRUCTION.' $ AG Buildings shall comply with the building front, side, and rear yard requirements of the applicable County Ordinances as follows 5b — k- � FRONT SIDES REAR \S AG Buildings shall be a minimum of five (5) feet from any septic tank or leach fields. AG Buildings less than 1000 sq. ft. in floor area shall be located a minimum of 6 feet from a residence, 10 feet from a mobilehome, and 23 feet from a commercial building. AG Buildings greater than 1000 sq. ft. in floor area shall be located a minimum of 23 feet from a residence and a mobilehome, and 40 feet from a commercial building. I declare under penalty of perjury that the building will be used as stated above and the proposed use conforms with the AG Building definition. If any change in use or occupancy of the building is made, I will contact the Department of Public Works and will obtain any necessary permits, inspections, and approvals to comply with the requirements in effect at that time and before occupancy. Date 9 — Lf — �� Signature of Owner W,[ 4=� � Permit Fee - $25.00 The above described AG Building is exempt from a building permit. Receipt No. P%�o. Director of Public Works By Date ?67 White - DPW, Yellow - Assessor, Pink - B. I., Goldenrod - Applleant i COUNTY OF BUTTE - DEPARTMENT;,OF, F9QJrBLIC WORKS - BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE: 916/534-4541 PERMIT APPLICATION DATA SHEET. Permit No. Pp n n OWNER C t A. P. No. / Proposed Building Use _ Permit Fee Based Upon: 1 plete Contract r ce DPW Valuation TV n . Other (Explain) Building Inspector. rA --' Date At time of permit applicatrori, I was advised the following data must be submitted prior to permit processing andJor issuance: V DATE RECEIVED. APPROVED ✓1. All items have been submitted. . . . . . . . . . . . 2... Plot plans in duplicate./triplicate. . . . . . . . . . . 3. Complete plans in duplicate. /triplicate. . . . . . . . 4. Complete engineered plans and calcs. . . . . . . . . . 5. Plans with Energy Design Compliance Statement. . . . . . 6. State Energy Forms No. 7 Statement of Intent for Non -Heated and AC Buildings. 8. Fees of $ 9. Letter of signature authorization. . . . . . . . . . . 10. ,Sanitation approval from Health Dept. 11. Planning approval .for (A) Use: (B) Parking: 12. Certificate of Workmen's Compensation Insurance. 13. Contractor's License Information (no., name style, classif.) 14. Owner -Builder Verification (Given to owner0, Mail to owner ❑ ) 15. Improvements may be required. . . . . . . . . . . . 16. Mobilehome Installation Data. . . . . . . . •Pre-Inspec. request to (Date) 17. Pre -Inspection for Required. Building Inspector ) 18. Recorded copy of Agricultural Acknowledgment Statement. 19. Other When you issue the permit, process as follows: L Mail to owner. Mail to contractor. Telephone and hold for pickup at office. Deliver w./inspector. Other r Applicant /!) / 144' Date Copy of plans sent Health Dept., Fire Dept., Other Date During the plan checking process, the following data must be submitted prior to permit issuance. (For required items not checked above at time of application, circle .item.) 1. Index permit for above Items No. 2. 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