Loading...
HomeMy WebLinkAbout039-290-023MOBILEHOME INSTALLATION ACCEPTANCE COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS — 7 COUNTY CENTER DRIVE OROVILLE, CALIFORNIA 95965 — TELEPHONE: (916) 538-7541 PERMIT NO.' 7-3- 'Iql Address or location of mobilehome oz a I Owner's name 'S 14 r– L A rZ Owner's address L4 c, (Z' Insignia or hud number q!�8.516 Manufacturer's nain6 F I " F -t W, -US Seri al number of V. I.N. C 11 i7 ( C/ -7 A I ZP-) ee, 5 C Year of manufacture q 3 e,,2 (Official Approving Installation) (Date) W. THE MOBILEHOME'IS MOVED OR RELOCATED, THE MOBILEHOME INSTALLATION ACCEPTANCE SHALL BECOME INVALID. THIS FORM SHALL NOT BE USED WHEN THE MOB:LEHOME IS INSTALLED ON A FOUNDATION SYSTEM. 513B White - Owner, Yellow - Installer, Pink - D.P.W. TO: Building Department FROM: Environmental Health SUBJECT: Sanitation Clearance - �C-rlp Owner Location Plan Approved for: Sewage Disposal i—I Water SUpply: PUblic Clearance for It. — _�bedroom mobile home. Other Hold final for: Final clearance O.K. for: NOTE: - EnviCnillen'tal Health Specialist 8/92 fr-1-1. ME Q -N1 -Y Hol Pkm All.ched Hwa Han Au.ched S"It t" B.D. AP# Private Well Date Ai .,cAT. NO. NA501 (�$r, T 9311112-90) wo`itness Acknow I edgm i,��TATE OF CALIFORNI COU ;K-1 119, -2 On �X person;lly appeared TICOR TITLE i�i6RANCE — ) SS. before me, the undersigned, a Notary Public in and for said State, personally known tome to be the person whose name is subscribed to the within instrument, or proved to be such by the oath of a credible witness who is personally known tome, as being the su cr ing Witness the r�to, sa i subscribing Witness being )I by me duly sworn, deposes and says: That this i ness 'des in A / e, a C-1-4 and that said witness was present and saw- I rd:� E4 -, q� jU K --4q =�5v /—% r 9-- If r * " Z 7 1% _,,, 7 personally known to said witness to be the same person(s) described in and whose name(s) is/are subscribed to the within and annexed instrument as a party thereto, and acknowledged to said affiant that he/she/they executed the same in his/her/their authorized capacity(ies), and that by his/herttheir signature(s) on the instrument the person(s), or the entity upon behalf of which the person(s) acted, executed the Instrument, and that affiant subscribed his/her name to the within Instrument as a Witness. WITNESS my hand and*lf/l I seal. Signature L ........... ........... . . . . . . . . . . . . . . . ........... (This area for official notarial seal) ENID OF DoCUMENT N COUNTY OF B4TTE DEPARTMENT OF PUBLIC WORKS 7 COUNTY CENTER DRIVE OROVILLE, CALIF. - 534-4541 CERTIFICATE OF OCCUPA,NCY This mobilehome has been installed in accordance with the, r,y,rement.s of the Cali �.nia Administrative Code, -Title 25 Cbapte, 5 n er permit number- —for the followiy ation:A/-7/3 ;My; , �Z� Ooc Owner 42��wz Owner's Addres5g. :Z2-' Mobilehome Mfg.-=�Z& 111_A-45— Model: Year'� I n s i g n i a N o. A?1PI *v'21 '7_1 W Serial No. It is hereby certified for occupancy at the above described location and may be occupied. Director of Public Works Date By TH'IS CERTIFICATE IS VOID WHEdMOBILEHOME IS RELOCATED White - Owner, Yellow - Installer, Pink - D.P.W. COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 196 Memorial Way, Chico — Phone: 891-2751 7 County Center Drive, Orovi lie — Phone: 534-4541 Skyway and Elliott Road, Paradise � Phone: 872-2961, Ext. 57 CORRECTION NOTICE MSMO��� 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. Inspector ali�l , ��Date 1 r I I r - i Utility connections shall be within 4 ft. of the mobilehome, either directly behind or within the rear half of the roadside (left) of the , i. mobilehome. f ..3 7, SE,--; /C -4 Nle / Z EACH Z-1NES A permit will be required for ft I installation of the mobilehomil. ` s i � • A setback of it ft. from the' ' p property lines and a setback / 0 59ft. from the road RS � centerline shall be clear of � ; BUTTE COUNTY structures or equipment except. r BUILDING DEPARTMENT i cENrER ORD FZ"RRY.. ROAD APP ROVED 73 �_M M01-3ZLE H011, f JITZ C, . cr J vii . / . _ IT - NOTE:—ATI Materials & Workmanship Shall Be In Accordance with RQcrnn17ed Good Practices and - ,, • . of a quality prescrrb­ •�cr +!ie Snec;fieri ease. in th© IPA YT01v CA • �, .,.� .� 4 M;achanical Codes and This set of plans and s eoifica}iont Ir�lUST W� J G, llmform Budding, F: '• . -'�• Electrical Code. kepton the Iola at rl' �iw+ rand it it tMIOWfNI tP_ Df'� INN BY s . ,he National make any chenges or altef-J f,,►n4 on IMP without . = written permission frarn the Deportment of P4 SIE ,Works, County of Butte, Cf-�/�'�� Cf', z of