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HomeMy WebLinkAbout041-290-002^. ~ ` . . . ^ 41-29-2 Louis $e&r�eet9­43—�-,!-7 JAZEVEDO, Isabel 2288B W/S Oregon Gulch Rd.,a�pxmi. Oro Concow Rd., Oroville Peimit #3518-77P E(util 180,_ 67 GAS ;w/s Oregon Gulch Rd. approx. 2y' mi. off SUPPORT STRUCTURE REQ. iiin .,Concow Rd. COMPACTION TEST REQ. CONTR: Harold Ellis, 3076 Myers St., Orovil (new, single family) Permit #3768-77MVI7, 9-13-;;"7 Issued 41-29-02 � ' 0VEBSIREET, Pa^ 1225-Ore800 Gulch 8d, --ville -� (new garage)' . " ' I f e� r �' 3518-77P,E f *� RMIT�.NO. PERMI EXPIRES 2�2 OWNER Louis Overstreet CONTR. owner LOCATION (A.P. 41-29-2 } W/S Oregon Gulch Rd.,app.3 mi.N.of Oro-Concow Rd.,, Oroville s a f T a� f - V v. r 4• 1 k a• � r Temp. Power Pole Called PG&E Temp. Elec. Serv. Called PG&E Temp. Gas Serv. Called PG&E JOB FINALED (Date) (Signature) COUNTY OF BUTTE - DEPAFjtMENT OF PUBLIC WORKS BUILDING INSPECTION RECORD BUILDING n k BUILDING (Cont'd) _ PLUMBING Setback Fir all SOI Pipin orms Para is 7s loor )Vain Bldg. Restroo Finish 2nd'Noor Footin s Windows 3rd FI r temwaII Sldin To out S b Roof Sheath Water PI In Pi s Roofing Sewer Garage Fdn. Vents x Fixtures Footin s Garage Vents Water Htr. Stemwa l Insulation x Heaters Slab Carport Footings Prov. for physically handica ed N / Conformance of ex. structure A A (lances Gas Ploina & Test Tem . Gas Slab Final Sanitation Patio EPL CE Final I Footings Footing x E CTRICA y Mesh 4- Scra _ Brq,An F Ish F In Nor Lath or Closer MOBILEHOME UTILIT Water Piping OBILEHOM@ INSTAL Water Piping DATE T INKLE nal ntllation N.Anal - - - - • - - Elec_ Service 5:7— Sewer y rainage REMARKS OR CORRECTIONS 2 � V •'��. o—�J1�V—riC-O 00 "1— i 14 441 %" % / i Grd. Fd6It P Pole Permanent Final le : Pedestal l.. Gas Piping Elec. Continuity Gas Piping �- I u Y COUNTY OF RUTT�a — DEPARTMENT OF PUBLIC WORKS • 7 County Center Drive - tOrovidle; California 95965 Telephone: 534-4541 APPLICATION AND PERMIT authorize representatives of the County of Butte to enter upon the above -me tioned property for inspection purposes. X Date 1 ature of Permitee or Agent Receipt No. White-D.P.W. - Yellow -Assessor I 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 P LIC WORKS BY ate 9—(.,-77 Building permit expires Date '�—& — % 1 BUILDING Owner utS 01/&7k 5TX&-i'"^ SQ. FT. OCC. BUILDING VALUATION " S,T Mailing Address /� Ct n / a&— �}wo( C.E�' ( © 1Pd)� Tel ephone No. -�• Fireplace Contractor,. i memLvi �'► LbiG L� /7drr�u_� Total Valuation //n�t�f�� Mailing Address � Lar L-1 N GLIii VyLuD Permit Fee Plan Checking Fee&/or Penalty _ TeLL 'V rJ'7,q Permit Fee $ $ Building Address j - 3 PLUMBING No. @ FEE PERMIT FILING FEE $3.00 Each Trap 1.50 r� Repair drainage or vent piping 1.50 Water piping 1.50 Each gas water heater or vent 1.50 A. P. No. /lr- 1??_2 Zoning & Planning Gas piping system 1 -5 outlets 1.50 Each additional outlet .30 F S Fire Dept. Fire Zone Use Permit Building sewer 5.00 EQA Parking Plans Parcel Declaration Parcel Ma P 60' R/W Im rovements P Lawn sprinkler system 2.00 Bldg. Plans Recd Parcel pproval P I a pproval Permit Fee $ $ NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER ❑ ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 J /%7 Ql (•v Y3'I v r/3(,(. C:)►1 Main service 1000V OR 0 AMP ORSL _ 5.00 Main service EA. ADD'L too AMP 2.50 OVER 600V Main service 100 AMP OR LESS 25.00 Single Family ❑ uplex ❑ Mobil Home Others ❑ Main service EA. ADD'L 100 AMP 1.00 NEW OR ADDNST ( DACCLBLDGSLING O.CCUP. &) 20sgft NEW CONSTR. (MULTI -OUTLET NON•RESID. . BRANCH CIRCUITS) 2.50ea NEW CONSTR. POWER APPARATUS &) NON.RESID. (SINGLE OUTLET CIR. CONTRACTORS LICENSE LAW I am licensed under the provisions of Chapter 9, Div. 3, of the State of California Business & Professions Code under the name st le f: N l yYl "&tot / fl It ii/Za1 L / ., L,(.t Ex. Occup(OUTLETS OR FIXTURES)50 @254 109 Ex. Occu FIXED APPLNS. OR P• OUTLETS (RESI D.) EA) 2.00 Temporary service 10.00 �/L Ly/ % �/ ZAt & to AL w. e/Gc v L LF Mobile Home Facilities 15.00 L� `� License No. -3-12 &3��1 Classification l-- 4 777 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 I *h o s3iLt Ht-, M T Lb1 0 hi 3C 0 O TOTAL PERMIT FEE $ p CJ7i authorize representatives of the County of Butte to enter upon the above -me tioned property for inspection purposes. X Date 1 ature of Permitee or Agent Receipt No. White-D.P.W. - Yellow -Assessor I 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 P LIC WORKS BY ate 9—(.,-77 Building permit expires Date '�—& — % 1 REQUEST TO DEBATE 24 X 56 Fuqua Gulfstream Mobile Home 24 x 56 a 1344 sq. Ft. x 3 watts a 40)2 W - Kitchen circuits 3000 W- 1 Washing Machine dircuit 1500 'do purnaca 15000 V. Botuater hoater 9800 v. Stovo & *Ven 11180, we TOTAL WATTS 44512 do 0 076 (J�- 2-3 ���`�� y 9. Electrical A Is service large enouglt to pr ide rAdcquate amperage to mobilehome (must equal rating of mobilehorie with a.-.oinueum of 00 amp) and other faciliti_as on lot, i.e., water pumps, garac,e, cabana, etc. 7 Yes No_ B. Is ther.-� proper clearances around panels? Yes_ No C. Is power supply cord or feeder assembly properly fused? Yes_ No r D. Is continuity test satisfactory as per the following procedure? Yes /No I..' 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. 4.4L Connect one 1r,,id of a test instrument to the mobilehome grounding conductor and 1 , , _,. .. ... _, _.. . , apply the 'other 1.i:au to each TODUi1tailUUC Siippiy CGf►uuctGr, 11iCluC�lTlg iieQiCdi, 5. All nor. -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 clobilehome. Upon satisfactory completion of the electrical tests, the lot or site service equi.pment may be approved for energizing. Is job carol si-ned by health Departmeat for water and sanitation? m 1.1., If evo ything okay, sign off card and t.a; services. 'MOBTLEi'TO ^L DATA - Manufacturer and/car Namest:yle— Length �'`'' Width � l Vehicle Serial No. State Identificat.Lon Tvo. Ad(:,Uional InfnrM'ation or Comments,: t•QBT!,P;Ii0ME UI I'ALLXI'10N INSPECTION C1 -CK I,1'ST 1. Is the. mobilehome loc !tell 1,ri.' 1 required separation, from lot lines and buildings and generally conform to plot plan? Yes No 2. Doej the mobilehome have. required clearances above ground? (Sec.5085) Yes '/No - 3. No3. Are footin-,s and supports properly sized, spEiced, and braced as per approved plans? (Note possible varication at spring shackles.) (Sec. 5082 & 5083) Yes No_ 4. Is the mobilehome level.? (Sec. 5088) Yes No� 5. If /oe"'than a single unit, are crossover connections properly installed? (Sec. 5088) Yes o h: Water A. Is flKible connector of adequate size and properly installed (1/2" ID min.)? (Sec. 5566) Yes No B. Test - Does water piping withstand working pressure or 0 1 s. -air t st? Yes '< No C. Backflow - If coac 's n State of California approved, does station have backflow device and pressure-reli v v ? 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 t/ N0 - C - C- Ari= any leaks detected in drainage system a ing 3 -gallons of water through each fixture including washing machine standpi Yes No D. If coach is not Sta e C lifornia 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 n B. Test OK as per following 1. Open all appliance c• 2. Shut off applianc edure? Yes_ No for valves. pilot valves. 3. Air test with manometer to'lb"--7f-47r--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 COUNTY OF 9UTTE — DEPARTMENT OF PUBLIC WORKS 7 County Center Drive — .k');ov'Ma, California 95965 Telephone: 534-4541 APPLICATION AND PERMIT authorize representatives of the county of Butte to enter upon the above -men ' ned p.roerty for inspection purpo es. / k l 11.1 Signature ermitee 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/AUBLIC WORKS BY Date 7 Buding permit expires Date BUILDING Owner ou -e i re SQ. FT. OCC. BUILDING VALUATION Mai I ing Address 0 s' a 117 Te � nedQ Fireplace Contractor Total Valuation Mailing Address Permit Fee Plan Checking Fee &/or Penalty Telephone No. Permit Fee Building Address C PLUMING No. @ FEE PERMIT FILING FEE 1$3.00 ,pU r Each Trap 1.50 Repair drainage or vent piping 1.50 Water piping 1.50 Q. &0 SLID Each gas water heater or vent 1.50 A. P. No. a °n. Gas piping system 1 - 5 outlets 1.50 Each additional outlet .30 F,%/s .C. SES io Fire Dept. Fire Zone Use Permit Building sewer 5.00 .On EQA Parking Parcel a Plans ec t( P 60' R/W Improvements P Lawn sprinkler system 2.00 Bldg. Plan ec'd Parce Approval Plan proval Permit Fee $ 3 j -� NEW ADDITION ❑ UTILITIES OTHER ❑ ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 do Main service 11010 AMP ORSLESS 5.00 O'4 Main service EA. ADD'L too AMP 2.50OVER Single Family ❑ Duplex ❑ Mobil Home N Others ❑ 60 Main service 1100 AMP OR LESS 25.00 Main service EA. ADD'L 100 AMP 1.00 /V.0,ZIJ/ Wduze, &n6lo-r- NEW OR ADDNST ( DACCLBLDGS.LING CCUP. &) 2¢sgft 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 style of: ev '06 Ex. Occup(OUTLETS OR FIXTURES) BA50 @250 L@1 Ex. Occu FIXED APP LNS. 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 $ 251-5-6 $_Z t 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 $ is 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 FE $ t authorize representatives of the county of Butte to enter upon the above -men ' ned p.roerty for inspection purpo es. / k l 11.1 Signature ermitee 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/AUBLIC WORKS BY Date 7 Buding permit expires Date �40TE''—AO M0fo0+44 & Workmanship- Shall Be in dwc* WRh ROcognixed Good Practices and o o quality��,-��ro�ribed for the Specified use in the unw 9'�'ng, Plumbing itMechanical Codes. and 00 "ar" 'W Code. Tha SWO, Setback shall be 5 ft, from the Ode ,property line and 50 ft, from the '4wetQrline of the road, permitting a maxi- mum of a 2 ft- eave overhang but entirely DO of all easements. Septic system f4aW d= b�xs} to be as per, Butte County Health Dept. Re• quiremenh, �0 0� C 4y e 5 this set of plans. � MUST b® kept on tho job at all times and Ris unlawful to make ,any change; or alterations on same without wri-Ren permission from the Department of Pub= 11c Works. county of Butte. All utility connecfons shall located within 4ft. outside th te rear third section of the mobile home on the I. t horn *0Qd)9side•af­f bile .yEw e ed q 0 ,�o6Zeh, J. J i BUTTE COUNTY BUILDING DEPARTMENT APPROVED ft DECLARATION REGARDIRG LOTS OR PARCELS I certify that as owner of the property -acquired by deed in Volume Page, 3 8 / Official Records of Butte County, (AP# y/ - f 5, �I am requesting permission to build or install 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. _ ter, t. •; "'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 a ?y, o,(; /e X; o I -W 71- Z o�aya'/ 7 cy o'7�d �oyr .'and that further I shall not change this proposed use of the additional living unit unless -land until I receive written approval therefor from the County of Butte. -°I fully understand that pursuant to Chapter 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 `.I therefore, subject to the aforesaid penalties and imprisonment pursuant to law. Further, this statement shall be properly acknowledged and recorded at the request ;the`Eoynty o.f,,Butte .-. Pr Jug 1a � a ► ,� CpUh r t= 1800 er . ,21.1,7 Som 7.7 Ca% Address 9 y gob STATE OF CA A.IFORNI�j ) ss COUNTY OFC�f�, �— On this //2K day of f 197 ,before me, a ;dry Publicin and for the County of State of Californi residing t erein, duly commis- sioned and sworn, personally appeare ' C/,pc. knownr : to me to be the persons whose name3 u scri a tote wit n instrument and,; acknowledged to me that the executed the same. r IN WITNESS WiffiREOF I h e hereunto set my hand and affixed my official seal in the County of �,��,,7w the day and year in this certificate first above written. .. ._-`...�S96-1275�l „ •- OFFICIAL SEAL • ,D `,� : FRANCES MARVICK NOTARY PUBLIC - CALIFORNIA PRINCIPAL OFFICE IN CONTRA COSTA COUNTY MY Comrni:ssion Expires Augus► 29, 1978 �r --- 4 U � Notary Public COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PE IT NO. 7 County Center Drive-.Oroville,,Calif tnia 95965 -Telephone: 916/538-7541 �O APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER 41-29-02 ZONIN BUILDING PERMIT OWNER ene Overstreet TELE HONE 533-7520 S0. FT. OCC. BUILDING VALUATION 5'76 M Oto J 11 (J OWNER'S MAILINGADDRESS 284 17th St San Pablo Ca 4806 CONTRACTOR'SNAME Owner TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation is Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ 74.50 ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ 37.25 Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS �ZZsd Or ville Permit fee $ 121.75 PLUMBING PERMIT Filing Fee 10.00 Each Trap 2,00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 5.00 Each qas water heater or vent 5,00 USE OF STRUCTURE SF ❑ Duplex❑ Mobilehome❑ Other Garage SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home I S I G JW 1 10.00e TYPE OF WORK New 0,Z Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe work: detached garage _ Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 1001 OR 0 AMP ORLESS10.00 Main service EA. ADD'L 100 AMP 2.50 CONTRACTORS LICENSE LAW 1 declare under penalty of perjury (check one): ❑ 1 am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. cense No. Classification f 1, 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) El I, 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 CONST. DWELLING OCCUP.& A ) CC. BLDGS. NEW 2hQsgft 14.40 CONSTFL MULTI -OUTLET NON•RES'D BRANCH CIRC ITS 2.50 ea /POWER APPARATUS & (POWER OUTLET CIR. Ex. Occu po UTLETS OR FIXTURES 20@50c eAL&30 FIXED ARLNS EX. Occup. OUTP0 EA.) LETS IRESi 2.00 Temporary service 10.00 Home Facilities 15.00 Misc. Wiring g 15.00 Permit Fee $ 24.40 WORKMEN'S COMPENSATION INSURANCE I declare under. penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate 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. Contractor MECHANICAL PERMIT Filing Fee 10.00 Heating Cooling g Hood 3,00 Ventilation Permit Fee $ 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. 1 also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against said Coun y in consequence of the granting of this permit. X J Date Signature of Applicant — Owner on, roctor ❑ Agent An OSHA permit is required for excavat'ons over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST TYPE TOTAL FEE 46.15 HAZ I CUA I PARK I SCHL I FL I PAR 7D I ISSUE This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which fees DIRECTOR OF PUBLIC By PERMIT EXPIRES Date the applicable provi- resolutions to do have been paid. WORKS Date Receipt No. 84922 WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT COUNTY OF,BUTTE - DEPARTMENT`' OF PUBLIC WORKS -BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE, G��LI", RNIA'95965 - TELEPHONE: 916/538-7541 ,;.. PERMIT APPLICATION DATA SHEET Permit No. $, OWNER ..f A. Poo. Proposed Building Use Building Inspector Date /2 76 Vx At time of permit application, I was advised the following data must be submitted prior"to permit processing and/or issuance: DATES .RECEIVED APPROVED 1 Kll items have been submitted .=' Plot plans in duplicate/triplicate, signed by preparer of plans.......`: 3. Complete plans in duplicate/triplicate, signed by preparer. of plans . . Complete engineered plans and calcs, with wet signature on plans .. 5. Hazardous Material Form ......................................... . 6. Ener Design Compliance and supporting Energy g p � documentation ......... 7. Statement of Intent for Non -Heated and AC Buildings ............... 8. Engineered truss details and layout in duplicate (required prior to plan check) 9. Mobilehome installation data including manufacturer's installation instructions...................................................... . 10. Fees of $ ........................ 11. Chico Urban Area fees paid ........................................ 12. Park fees paid .................................................... 13. School District fees paid .............. 14. Sanitation approval from Health Department 15. City of Chico plumbing permit ..................................... 16. Plot plan and business license approval from City ofM:} (see City for other requirements) 17. Planning approval for (A) Use: (B) Parking: ...... 18. Improvements may be required. Contact Land Development Section DPW 19. Driveway permit (construction approval required prior to occupancy).' 20. Pre -Inspection for required Pre-inspec. request to Building Inspector (Date) 21. Contractor's license information (No., Name Style, Classification) ... '. Certificate of Workmans Compensation Insurance .................. . Owner -Builder Verification (Given to owner ❑, Mail to owner..... 4. Recorded copy'of Agricultural Acknowledgment Statement ......... Q5. Letter of signature authorization ................................... 27. ou issue the permit, process as follows: Mail to owner. Mail to contractor. Telephone 3`"'7S' and hold for pickup at 4�office. Deliver w. /inspector. Other Applicant Date Copy of .Haz-Mat corm sent Health Dept. Fire Dept. _Air Pollution Date Copy of plans sent _Health Dept. Fire Dept. Other Date By The following data must be submitted prior to it �s ce: (Circle new item not checked above). 1. Index permit for above items No. > > 2.' Additional items required: a Contractor, designer, owner, was advised of above required data by phonC.L� mail—counter b date c 1 Contractor, designer, owner, was advised of above required data by—phone —ma II—counter by date Plans checked by Date Plans approved by Date s Sets of plans on hold in File cabinet !—AP folder Copy—DPW TO Buildina Department ' FROM: Environmental Health SUBJECT: Sanitation Clearance 14 owner Location AP# Plan Approved for:- Sewaqe Disposal Water Supply Hold final for: Water Supply Final clearance O.R. for: . Water Supply Clearance for bedroom mobile home. Other 'z 57G v NOTE * * * Date Sanitarian • APS MOBILEV ME SUPPORT DATA Mobilehome Mfr. Pu a 0i9 Setup Model No. Year Width I (ft.) Length. %5� (ft.) Expando Size ft. x ZL ft. (Draw support details below) On all mobilehomes manufactured after October-7;•1,973, furnish manufacturer's installation manual and structural setup sheets. (if not.on .file with the County of Butte). �ev cel� A6� Age, ala-1 �W� /7 .9171 - Sin le Ve. Footings (check. dne) . 1. Wood. either .. pressure treated or Cent r Center Support fdn-.,'grade. Supp rt Foot' g Sizes Locations (i .) 2. Concrete pad. x / / 3. Other,: specify -_ Supports (check one) 1. Concrete block C� 2. Concrete piers ({� n (ide)(in.) . 3. Steel piers A. Other, specify Typical Support X-3O Footing Size n.( i4—) - ( ink in. Max. Pier .. . .. 1011,Is��) Spacing n. n.) i )(in.) .1 FTU Overhangin. *If center piers are other than drawn above, BUTTE COUNTY draw in locations, spacing, and_ dimensions: BUILDING DEPARTMENT APPROVED BUTTE COUNTY DEPARTMENT OF PUBLIC -WORKS 7 County Center Drive, Oroville, CA. PHONE: 534-4541 �� s MOBILEHOME INSTALLATION SHEET 1. Owner's name:. ` V 2. Installer's name: 3. Is the site currently under permit? Yes !rte/ No (If yes, furnish permit number ) 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 75T-7 No ( If no, clarify ) 5. What is'the mobilehome electrical rating? --------- p �IZ� _�-� 6. What is the mobilehome site service rating? --------------------- — Amps 7. What is the mobilehome. site circuit breaker rating? --------------- cl Amps 8. Is there any other electric load to be served by the mobilehome site service? ---------------------------L." ------- Yes No (If yes, identify the load and.size: (Load) /62 (Amps) 9. What is the mobilehome site gas pipe size. in. 10:. What .is the type of gas service? ----------------------------- Natural LP r ' 11. What is the gas pipe length from meter or tank to'the mobilehome? 7& (ftp.) 12. What is the mobilehome gas demand? ------------------------------ � (BTU) (Thi's• information not required if pipe length less than 6 ft. on natural gas or..less-,than50: ft' on LPG.)