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HomeMy WebLinkAbout040-490-001FA PERMIT NO. 5373-76B PERMIT EXPIRES .OWNER Ted Haines �6 3yJ=y��s- CONTR. owner i LOCATION (A.P. 40-13-21 E/S=Oro Chico Hwy, app. 2400'N.of Durham-Oro Hwy, Dufam abl r��70 — .i k Temp. Power Pole Called PG&E Temp. Elec. Serv. Called PG&E Temp. Gas Serv. Called PG&E �i JOB FINALED (Date) 0. (Signature) n d Setback Forms Main Bldg. Footings Stemwal l Slab Piers Garage Footings Stemwa.l I Slab Carport Footings Slab Patio Footings Masonry Walls Relnf. Steel COUNTY OF BUTTE — DEPAWTMENT.OF PUBLIC WORKS BUILDING INS PE CTI OW RE CO RD BUILDING BUILDING (Cont'd) Firewall Parapets Restroom Finish Windows Sidin Roof Sheathing Roofing Fdn. Vents Prov. for phy sically handicapped Conformance of ex. Footl Throe Final FIREPLACE E SPRINKLE PLUMBING T Soil Pipin ' 1st Floor 2nd Floor 3rd Floor To out Water Piping Sewer Fixtures Water Htr. Heaters Appliances Gas Piping & Test Temp. Gas Sanitation Final fixtures E 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 0 N,o� �T _�r/��G�oti�' ��/�r2 Cr�G/G6✓�o/l A (NOTE: An entry must be made on this form each time you visit the job site.) D Coo rs ✓Def COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS ` 7 County Center Drive OrovAlie, California 95965 c— / Telephone: 534-4541 1 73 �� APPLICATION AND PERMIT �l! , above-mentioned property for inspection purposes. X d� ner`-r-{�.C/�'I-� Date Signature of Pe /rmitee or Agent _ Receipt No. ✓ 6� Sc5 t-,5 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 indi:ated above for which fees have been paid. DIRECTOR OF PALIC WORKS BY Date Bu incl permit expires Date BUILDING Owner lWol 414ANG S SQ. FT. OCC. BUILDING VALUATION Mailing Address 61 O k _3 7.2 J- 00 �u rT.Clephone No. v 3�'/ Fireplace Contractor Total Valuation Z p.0 Mailing Address �. Permit Fee 00 Plan Checking Fee &/or Penalty Telephone No. Permit Fee $ Building AddressPLUMBING Q, ­o c No.1 @ FEE PERMIT FILING FEE $3.00 41a O Al O F14aEach Trap 1.50 r Repair drainage or vent piping 1.50 HA r Water piping 1.50 Each gas water heater or vent 1.50 A. P. No. / 3 a Zoning $Planning Gas piping system 1 - 5 outlets 1.50 Each additional outlet .30 Fe W. S ion Fire Dept. Fire Zone Use Permit Building sewer 5.00 EQA I Parking Plans Parcel' Declaration Parcel Ma 60R/W Im P roveme is Lawn sprinkler system 2.00 Bld Plans Rec'd Parcelpproval Plan f<pproval Permit Fee $ NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER ®. ELECTRICAL No.1 @ FEE PERMIT FILING FEE J$3.00 ')I e(ifL Main service 600V OR LESS 100 AMP OR LESS 5.00 Main service EA. ADO'L 100 AMP 2.50 Single Family ❑ Duplex ❑ Mobil Home Others ❑ Main service 1100EAMP OR LESS 25.00 Main service EA. ADD'L 100 AMP 1.00 NEW CONST. ( DWELLING OCCUP. & OR ADDNS. \ AGC. BLDGS. ) 2¢sgft NEW CONSTR. MULTI -OUTLET NO N.RE51 D. 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: Ex. Occup(OUTLETS OR FIXTURES)@� BAL01 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. 1 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. @ FEEPERMIT 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 $ )� Old above-mentioned property for inspection purposes. X d� ner`-r-{�.C/�'I-� Date Signature of Pe /rmitee or Agent _ Receipt No. ✓ 6� Sc5 t-,5 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 indi:ated above for which fees have been paid. DIRECTOR OF PALIC WORKS BY Date Bu incl permit expires Date FILE MEMO AP NO. A't time of permit application, the applicant was advised the following data or information must be submitted prior to permit processing and/or issuance: By 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. Fees of $ . Letter of signature authorization. 7. Sanitation approval. 8. Planning approval 9. Workmen's Compensation Insurance Certificate. 10.' Contractors license information. 11. Parcel declaration. •12. Access declaration.' 13. Aunt Minnie information. 14. Deed of access.. 15. Deed of parcel creation. 16.: Parcel -map. 17. Pre -inspection request for 18. Other , Date �.�- yr" ? b Bldg. Inspector aaaaaaamoacamamaamaaooamaoaaaaaanmoaaaamaaaaaaaaomaaaaaaaaaaaaaaaamaaamcmmaaaaoomoaom000000000�mo When permit is issued, cess as follows: 1. Mail to owner. 2. Mail to contractor. 3. Deliver with inspection. 4. Telephone and hold for pickup. 5. Other amamaasaaoaaaasaansssaasaaoaasaamasaaamosaaasaasa�saae�=asseaaaasse�assassaaaas�aaaaasmaa asaaaasa L During plan checking process, the following data or information must be submitted prior to permit issuance: 1. Index permit for items numbered above. 2. Applicant advised by telephone we need 3. Send letter to -applicant. We need 4. Pre -inspection for NOT verified. (Index) 5. Other 6. Plan checke and/or approved by Date �� i�- aaaaaaaaaaaaa aaaaaaamaaaaamaaaaaava oaoamoaaoaoao: Additional Processing o Notes`: 4 VIII e ted: d'�'•.._ LAND OF NATURAL WEALTH AND BEAUTY' DEPARTMENT OF PUBLIC WORKS CLAY CASTLEBERRY, Qirector 7 COUNTY CENTER DRIVE, OROVILLE, CALIFORNIA 95965 Telephone: (916) 534-4541 q WILLIAM (Bill) CHEFF, Deputy Director April 8,"1982 Ted Haines RE: Building Permit No. _ ov/op ae0 P.Oe Box 386 Expire Durham, CA 95938 (A. P. o. ) With reference to the above subject, our records indicate that your Building Permit 4& expiredon the above date. Building permits are valid for one year and should construction be started but not completed by the expiration date of the permit, the permit shall be renewed for 1/2 the original Building Permit Fee (plus a $10.00 "Filing Fee"). The renewal permit will extend the Building Permit for an additional year from the original expiration date. .. I Should you not renew your permit in a timely manner, it cannot be renewed and all work must cease until a new building permit is issued. If your construction is completed or should you have any question concerning this matter, please contact the China office. For your convenience, we are enclosing a renewal application form and an owner-' builder.form to be completed and signed by you where indicated and returned to this office together with the fee shown. Thank you in advance for your prompt attention concerning this matter. JFG:ds cc: Building Inspector, Chico Enclosures: Permit Application Owner -Builder Information Owner -Builder Verification Yours very truly, Clay Castleberry Director of Public Works - s .F,, Glander / Chief Building Inspector Chico - 196 Memorial Way - 891-2751 Paradise - 747 Elliott Rd - 872-2961, Ext. 57 PERMIT NO. P (� '1 E V1 M vJ MH UTIL. L4L,.16-75 P,E (util. MH) PERMIT NO. GPERMIT EXPIRES OWNER Mr. T. Haines Owner CONTR. LOCATION (A.P. 40-13-21 ) { E. side of Oro-Chico Hwy. 2,400 N. of Durham-Oro Hwy. (99E) i 1 J r ?: Temp. Pow Pole- 0ole `�r�✓�`' Called G&E Temp. EI c. Serv. Call PG&E Temp. as Serv. C led PG&E c JO _ FI ALED (Date) (Signature) COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS BUILDING INSPECTION RECORD -BUILDING BUILDING (Cont'd) PLUMBING Setback " ) o� a Firewall SoiI Piping Forms Parapets 1st Floor' Main Bldg. Restroom Finish 2nd Floor Footings Windows 3rd Floor Stemwall Siding To out Slab Roof Sheathing Water Pi in ' Piers Roofing Sewer Garage Fdn. Vents Fixtures Footings Garage Vents Water Htr. Stemwall Slab Prov. for physically handicapped • I Heaters Appliances Carport Footings Conformance of ex. structure Gas Piping & Test Temp. Gas Slab Final " O" . — 5 Sanitation Patio FIREPLACE Final 40' — - Footings Footing ELECTRICA Masonry Walls Throat Rou h—oZ3-77IF Reinf. Steel Final Bond Beam FIRE SPRINKLE Framing Test Stucco Final Mesh MEC ANICA Scratch Heating Brown Cooling Finish Ducts Interior Lath Ventilation Door Closer Final DATE_ �� REMARKS OR CORRECTIONS 60 RD M iC a A/ /� O AJ e,���, Fixtures Motors Water Htr. Subpanels Grd. Fault Prot. Service Temp. Pole Underground Permanent Final mow. r ��j� ����� 9. Electrical A.. Is service large enough to provide adequate amperage -to mobilehome (must equal rating of mobilehome with a minimum of 1p amp) and other facilities on lot, i.e., water pumps,.? garage, cabana, -etc.? Yes L-1 No CO CD 141�� .B. Is there proper clearances around panels? Yes 1--o C. Is power supply cord or feeder assembly properly fused? Yes D. Is con tin ity test satisfactory as per the following procedure? Yeses No 1. De -e ergize electrical wiring system of the mobilehome at the pedestal. 2, ake sure that the power supply cord,or feeder assembly conductors, including neutral conductor, have been disconnected. 3. itch'all breakers and switches in the mobilehome to the "on" position. 4. •ect one lead of a test instrument to the mobilehome grounding conductor and apply the other lead to each mobilehome supply conductor, including,neutral. S. non-current, carrying metal parts of the mobilehome (aluminum siding, gas line, waterline), including fixtures and appliances, shall be tested for continuity from suc equipment and the grounding conductor. 6. Pon 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. IO Is job card signed by Health Department for water and sanitation? /IiE ED i/D e � e 09ep «" 11. If everything okay, sign off card and tag services, MOBILEHO'ME DATA _..._ Manufacturer and/or Namestyle Length ZJidth?— L 17 7�� r7 Vehicle Serial No. State Identification No. 414 V 4 Additional Information or Comments: IC-&. >D- JOP Che D A10 i W e(- URPIe i� MOBILEHONIE INSTALLATION INSPECTION CHECK LIST 1.` Is the mobilehome° located with quired separation from lot lines and buildings and generally conform to plot plan? Yes 0 2 Does the mobilehome have required clearances above ground? (Sec.5085) Yes -" o 3. Are footings and supports properly sized, spaced, and braced as pe proved plans? (Note possible variation at spring shackles.) (Sec. 5082 & 5083) Ye No 4. Is the mobilehome level? (Sec..5088) Yes e --lo-- 5. If more n a single unit, are crossover connections properly installed? (Sec. 5088) Yes No 6. Water A. Is flex" connector of adequate size and properly installed (1/2" ID min.)? (Sec. 5566) Yes No B. Test - Does water piping withstand working. pressure or 50 lbs. air test? Yes�f o C. If coach is not State of California approved, does station have backflow.device ssure-relief valve? Yes No 7. Wastes and .Drains A. Is connection made with Schedule 40 MTV and -have flex connectors at each end? Yes L--lTo B. Does it have minimum 4' per foot slope and is it properly supported? Yes No C. Are any leaks detected in drainage system after running 3 -gallons of water through each fixtur including washing machine standpipe?. Yes No C� 44 D. I a not State of California approved, does station have required trap and vent? Xe� 'Nom 8. Gas Piping and Gas Vents A. Connector - Is mobil home conn ted to the gas supply with an approved 3/4" minimum mobilehome connecto not more han 6 ft. ong? Note: All piping is to be at least as large as the mobil ome gas 1' e inlet w thout ren io other. than the mobilehome connector. Yes o / B. Test OK as per f llo ing pr e/edin s No 1. Open all ap lian e conn ct. C 2. Shut off pplianc bu er vale s. 3. Air tes with man m er towa r colum or test with slope gauge (minimum 6oz.-m imum 8 oz ) calibro h pound increments.. Test for 10 min. without drop. 4. Conn/Ct gas mete/kto mab lehome w th conne or, turn on gas, test connections with soapy water. C. Are all appliance vents properly installed? No- 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 4QS'— nia Admi istrative Code, Title 25, Chapter 5./un der permit nu er for the following location: F m O– !Co Owner Owner's Address -ox- Mobilehome Mfg. '0e5 IModel Year LL/ Insignia No. -% Serial No.2f/ It is hereby certi ted for occupancy at the above described location and may be occupied. , Director of Public Woork Date By THIS CERTIFICATE IS VOID WHEN,MOBILEHOME IS RELOCATED I COUNTY OF BUTTE DEPARTMENT OF PUB4:C XDRKS 7 COUNTY CENTER DRIVE OROVILLE, CALIF. - 534-4541 CERTIFICATE OF OCCUPANCY This mobilehome'has been installed in accordance with the requirements of the C i o nia Administrative Code, Title 25, C pter 5 under permit num - er s- - for the following location: Owner 77_C_S Owner's Address Mobilehome Mfg. Model SS`X Z9 ear/7-0 Insignia No. �-7 Serial No. It is hereby certified for occupancy at the above described location and may be occupied. Director of Public Work Date By�h i THIS CERTIFICATE IS VOID WHEN MOBILEHOME IS RELOCATED VJI COUNTY OF BUTTE v DEPARTMENT OF PUBLIC WORKS • . 7 County Center Drive ., Oroville, California 95965 Telep'hon'e: 534-4541 - APPLICATION AND PERMIT cpc�cn aaa,vco v� nv I�VUrlly V1 DULM lV C11MI uNun trte above-mentioned property for inspection purposes -i� q, . X 740_ /� ? Date Signature of Permitee 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. DIRECTOR OF UBLIC WORKS BY Date B ding permit expires Date ��.-% BUILDING Owner SQ. FT. OCC. BUILDING VALUATION Mailing Address �® 7 96 Tele hone No. —� Fireplace Contractor Total Valuation Mailing Address Permit Fee Plan Checking Fee &/or Penalty Telephone No. Permit Fee Building Address PLUMBING No.1 @ FEE PERMIT FILING FEE $3.00 ` / C O r— I © ✓ Each Trap 1.50 !Jzel- Repair drainage or vent piping 1.50 Water piping 1.50 Q c Each gas water heater or vent 1.50 A. P. N o ��� 3 �Zoni & Gas piping system 1 - 5 outlets 1.50 Each additional outlet - .30 Fes W . Sa on ire Dept. FireZone UsejPermit Building sewer 5.00 a EQA Parking Parcel Plans Declaration Parcel Ma p�� 60' R/W ImprovementsLawn sprinkler system 2.00 Plans ecoo 'd W9. Par Approval Plonf/Approval Permit Fee P NEW ❑ ADDITION ❑ UTILITIES E1, OTHER ❑ ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 �® Main service incl. 1 meter Additional meters, each 1.00 Sub -panel (12 or less) (morethanl2) – Single Family ❑ Duplex ❑ Mobil Home Others ❑ Range, Cook -top or Oven 1.00 SOG� S Water Heater or Space Heater 1.00 Light fixtures b (d2 Receps„ switches & fix outlets 20 P 25 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: Hood, Ex. Fan or F.A. Furn. Motor 1.00 Evap. cooler, gar. disp. or D.W. 1.00 Air conditioner or heat pump - Water pump Mobil Home Facilities 5.00 S d Temp. Power Pole 5.0,0. License No. Classification Misc. wiring XJN 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 foc r 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 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 TOTAL PERMIT FEE cpc�cn aaa,vco v� nv I�VUrlly V1 DULM lV C11MI uNun trte above-mentioned property for inspection purposes -i� q, . X 740_ /� ? Date Signature of Permitee 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. DIRECTOR OF UBLIC WORKS BY Date B ding permit expires Date ��.-% A/ COUNTY OF BUTTE = DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Orovi Ile, California 95965 Telephone: 534-4541 APPLICATION AND PERMIT authorize representatives of the county of Butte to enter upon the /�a�bove-mentioned pro erty for inspection purposes. c _ X Date Signature of Permitee or Agent Receipt No. 1,363 G S- 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 nate f ZL - 7j -- -F 7 Building permit expires Date BUILDING Owner j 6L I SQ. FT. OCC. BUILDING VALUATION Mai I i ng Address ' Telephone No. Fireplace Contracto v- y. N S l up t _@ 4v'1,I,t a01,1e Total Valuation Mailing Address O 2 ��� Permit Fee Plan Checking Fee &/or Penalty C ; c7 � Telephone 3 C Permit Fee $ Building Address 0XDU IL L.w/Uf (� U PLUMBING No.1 @ FEE PERMIT FILING FEE $3.00 (y./ ' c, 204 n1 Each Trap 1.50 ' �� ®t.d%2��� �® f Repair drainage or vent piping 1.50 Water piping 1.50 Each gas water heater or vent 1.50 ,. A. P. No. LCJ �.3 Zoning 8 Planning Gas piping system 1 - 5 outlets 1.50 Each additional outlet .30 F YCr aaitat+en FireDept. FireZone Use Permit Building sewer 5.00 EQA Parking Plans Parcel Declaration Parcel Ma P 60' R/W Im r p ovements Lawn sprinkler system 2.00 Bldg. PI44rSr ec'd Parcel A oval as Approval Permit Fee $ NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER ® ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 ARRAr &QM Main service incl. 1 meter 44,/6_ 71' Additional meters, each 1.00 Sub -panel (12 or less) (morethon 12) - Single Family ❑ Duplex ❑ Mobil Home 0 Others ❑ Range, Cook -top or Oven 1.00 Water Heater or Space Heater 1.00 Light fixtures b0 @1 Receps., switches & fix outlets 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 ptyle of: +Water y C.1 t _Ru`o5, i` D 0 f 12 14trvYl. e 1 cC_t-e. 5 Hood, Ex. Fan or F.A. Furn. Motor 1.00 Evap. cooler, gar. disp. or D.W. 1.00 Air conditioner or heat pump pump Mobil Home Facilities 5.00 �� 5 �C, ad 2 Temp. Power Pole 5.00 License No.a 9 cS %S 7 Classification C_ (I,/ Misc. wiring ❑ 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. MI have placed on file with the County of Butte a certificate of Workmen's Compensation Insurance. lecertify 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 C) TOTAL PERMIT FEE $ °O authorize representatives of the county of Butte to enter upon the /�a�bove-mentioned pro erty for inspection purposes. c _ X Date Signature of Permitee or Agent Receipt No. 1,363 G S- 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 nate f ZL - 7j -- -F 7 Building permit expires Date NOTE:—All Materials & Workmanship S►,�11- AccordAhMb with Recognized Gon4 pr^^l*^Ps -�4 t of a gdAi y prescribed for the Spec;f;e'rl use in ';dee 'Uniform Building, Plumbing & Machanica9 Codes end ,•. the National Electrical Code. "--`- This set of plans r• ,._ kept on the lob at all time �d MUST h make any changes ar -and if same without • written permission from the Degar+ment of Public `l Works, County of gut+e, ` 1s ��Q -69V The Setback shall be 5 ff. from jjT 'l the side property line and 50'f+. from / ! !'�-- �� fhe.cen'ferline of +I, ;f i 1-1 P rte.-�.-' C' maximum of a 2 ft. e -;•i,,:, �' �� f` I Septic system and. Iocatipn r' `-� "" -to 6e as, per m �` Butte County Health Dept. R� quirements. • 1 f , � All ufil,— ,,Tac i y connections-- shall"- be located fithin 4 ft, outside the rear 4 -third se +ion• .of the mobile home ., on the I t (road) side of the mobile home. rmt,:ill be req ired for thy`. Abilehome. ,-i&altation of them <..� • ea e Q M-7 r c ' BU'TTE COUNTY 14, a' ° UILDING DEPARTMENT C APP PROVED, W a fflu `.t)JI f,4 t.1. lir. III t U•. 7 County Centor Drive, orov,ill.c;, California PHONE: 534••4541 �0 /-3 -? i Lot Facilities MOBILEHOME INSTALLATION INFORMATION 1. Plot plan dimensioned, location of mobile and utility connections? Yes No 2. Electrical service equipment ainpacity,2n_U Circuit breaker ampacity 7 S' Permanent Wiring Connection Ampacity, a oc'-) ` Receptacle Ampacity 3. Gas: Natural '"- LPG Gas riser size 4. Drain inlet size 5. Vater riser size 6. Are utility couae'e'tio ns located outside the rear 1/3 of the mobilei:ome within 4 feet of the left wall? Yes,_ No ' If not, show di.mensions.above. 7. Is the mobilehome clear of septic tank, leach fields and located outside public utility easements? Yes__ No B. Do you propose to do .other work'bn the property other than the mobilehome installation which will require..a permits Y es N o_ If so, specify *For plans and specifications of support sys I5 Mobilehome Data /F 1. \Length J Widtho�? : Fll Manufacturer 'e or C"ALe 5 x Vehicle Serial No. - X- S Q y ':Insignia Control No. 2. "Feeder assembly ampacity L Z Conduit size Power supply cord (amps) 3._ Gas inlet size Mobilehome connector size Capacity, 4. Drain connector: describe on re'vecse side 5. Water connector: describe on reverse side 6. Designed loads:, Roof live load ', 2;2 Cl) psf. Wind load / psf. (a,n'ly £or nobilehomes manufactured after October 7, 1973) ; 7. Mari b.fzcturer's installation insiructions? Yec._� No_ 8:4 Will the mobile home be installed, ".on a ;separate support structure? to Yes No x^ t em, see other side. ADDITIONAL CCPD... ;TS ain Connector, Describe Q .e� Water Connector, Describe ?>14 "I_ s-np-a u LO,O BEARIING SUPPORT AND i-00TING i FORMIATION Pier Spacing Used (,01 G - C - Maximum Pier Load1E L5 -a -C2 Maximum Column Load (multi -units only) Soil Bearing Capacity Footing Dimension Used X �4L" TYPE OF PIED_ USED !►�` Steel Concrete Concrete Blocri Other " TYPE OF FOOTING MAT_RIAL USED Pressure Treated Wood Concrete x Redwocd (Grade) Other Approved Type o� .erg ds BUTTE COUNTY BUILDING DEPARTMENT APPROVED 0