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HomeMy WebLinkAbout042-090-060l A.P. 42-9-60 JULIAN BROWN NI E side Hwy. 32, 300 of Kennedy Ave., Chico remit 1865 �74P Ems( rt. -- 42- b- tr Oakmont MHS-. Center, Chico rmit #4577-75MHIsued 42-09-60 Permit #4777-75P(replace exist. gas line/MH)�/�%-f 1 1 V O rM � 4 A.P. 42-9-60 JULIAN BROWN NI E side Hwy. 32, 300 of Kennedy Ave., Chico remit 1865 �74P Ems( rt. -- 42- b- tr Oakmont MHS-. Center, Chico rmit #4577-75MHIsued 42-09-60 Permit #4777-75P(replace exist. gas line/MH)�/�%-f 1 1 V O rM k . y t i A.P. 42-9-60 JULIAN BROWN NI E side Hwy. 32, 300 of Kennedy Ave., Chico remit 1865 �74P Ems( rt. -- 42- b- tr Oakmont MHS-. Center, Chico rmit #4577-75MHIsued 42-09-60 Permit #4777-75P(replace exist. gas line/MH)�/�%-f 1 1 V O rM C*q COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Orovilie, California 95965 - Telephone 916/534-4541 APPLICATION AND,PERMIT PERMIT NO. A55 5 R PA C �N 11 R ((//QQ ZONING BUILDING PERMIT OWNS TEL `HONE W_94 SQ. FT. OCC.1 BUILDING VALUATION OWN 'S MAI ING AD ESS ^ (7J CONT T 'S AM -i nofA TELEPHONE NE R'S MAILING ADDRESS Fireplace CONST CTION LENDER VNKNOWN Total Valuation $ Filing Fee $ 10,00 LEN ER'S MAILING ADDRESS - Permit Fee $ ARCHITE T OR ENGINEER LICENSE NO. Plan Checking Fee $ .0 Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING A_J],DR SS 5 J 1A I U 80o W Permit fee $ PLUMBING PERMIT Filing Fee 10.00 o RC Each Trap 2.00 ` Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP i I Water piping 5.00 Each qas water heater or vent 5.00 USE OF STRUCTURE SF ❑ Duplex[] Mobilehome)] Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home I S I G JW 1 10.00 ea TYPE OF WORK New ❑ Addition ❑ emodel ❑ Utilities ❑ Install tion Other ❑ Describe work: ` lI #A _ Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 • Main service 8001 OR LESS 100 AMP OR LESS 10.00 Main service EA. AOD'L 100 AMP 2.50 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 full force and effect. License No. Classification ❑ 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 r 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 CONST. DWELLING OCCUP.N OR ADDNS. ( ACC. SLOGS. 21/20sq ft NEW CONSTR. ULTI-OUTLET 2.SOea NON.RESID BRANCH CIRC ITS POWER APPARATUS e (SINGLE OUTLET CIR. ) Ex. Occup(OUTLETS OR FIXTURES 20090Q eALO90 FIXED PK Ex. Occup. OUTLETS (RESID IEA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. �Yirin 15.00 9 Permit Fee $ Contractor WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ 1 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. MECHANICAL PERMIT FiIingFee 10.00 Heating Cooling 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. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, 'udgments, costs, and expenses which may in any way accrue a nt consequence of the granting of this permi -. 7 S %� Date J Signature of Applicant — Owner ❑ Contractor ❑ Agent Er An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ TOTAL PERMIT FEE $ Xloo OCCUP. CONST.TYPE EPARCEL[PD ND ISSUE This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which DIRECTOR OF PUBLIC By PERMIT EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS Date Receipt No. 62= WHITE -D. r. W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT s 3 42-09-60 RUSSELL OWKNS NE/S Hwy 32 3'00'W Kennedy Ave., Chico Permit #2099-85MHI(MHI exist site) COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS - BUILDING DIVISION 7 COUNTY CENTER DRIVE OROVILLE, CALIFORNIA 95965 - TELEPHONE: 916/534-4541 PERMIT APPLICATIONNATA SHEET Permit No, OWNER �hSCP /l ( �frl� t�! S A. P. No. �� -0C/ "�� Proposed Building Use Permit Fee Based Upon: Complete Contract. Price DPW Valuation Other ,(Explain) .,,Building Inspector �// f` s�f1 ,/il�CX Date r�C- / At time of permit application, I was advised {he following data must be submitted prior to permit processing and:/Or issuance: S DATE RECEIVED. APPROVED ,1/ All items have been submitted. . . . . . . . . . . . Plot plans in d.u�p'l•ic )triplicate. . . . . . . . . 3. Complete plans in duplicate./triplicate. . . . . . . . . 4. Complete engineered plans and calcs. . . . . . . . . . r 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. =K. approval from �.�n g�)—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 owner❑, Mail to owner ❑ ) 15,! Improvements may be required. . . . . . . . . . . . N A6. Mobilehome Installation Data. . . . . . . . _ . •Pre-Inspec. request to (Dote) /17i Pre -Inspection for Required. Building Inspector N i1/: Recorded copy of AgricItural Acknowledgment Statement. c l v�19. Other—(,,/,, �� ,C 11114 4 When you issue the permit, process as follows: Mail to owner. Mail to contractor. x Telephone �Q�tC-g/ /I and hold for pickup at ('Dp/n office. Deliver w./inspector. Other Applicant ° . -�..� Date 01.2 j Copy of plans sent Health Dept., Fire Dept., Other Date During the plan checking process, the following data must a submitted prior to permit issuance. (For required items not checked above'at ti o ppli ation, c•rcIe it .) 1. Index permit for above Items No. 2. Additional items required: (Contractor, Designer, Owner) was advised of above required data by Telephone Mail Other By. Plans checked by Date Plans approved by Date Other: Copy—DPW Date TO: Building Department FROM: Environmental Health, Chico SUBJECT: Sanitation Clearance Owner Lo ati n APN. Plan approved for.: sewage disposal water supply Hold final for: ;'`, 'water supply Final clearance O.K. for: water supply 9 --- Clearance for bedroo mobile home Other Notettt Sanitarian [late npl- MUM AT—ME 4-1 All R CAI IU UWT DalL Orn 120, npl- MUM AT—ME IC � PERMIT NO. P } E M 'MH UTIL. 'PERMIT NO. 1865-74P, E PERMIT EXPIRES 5-31 —7-5 OWNER Julian Brown CONTR. Owner LOCATION (A.P. 42-9-60 N/E side Hwy. 32; 300' W. of Kennedy, �4 I � I y { t I Temp. Power Pole Called PG&E ' tae Elec. Serv. Qe4ed PG&E Temp. Gas Serv. — Called PG&E JOB FINALED (D e) (Signat e) r COUNTY OF BUTTE — DEPARTMENT OF,.PUBLIC WORKS BUILDING INSPECTION RECORD BUILDING BUILDING (Cont'd) PLUMBING Setback Firewall Soil Piping Forms Parapets 1st Floor Main Bldg. Restroom Finish 2nd Floor Footings Windows 3rd Floor Stemwall Sidinq To out Slab Roof Sheathing Water Pi in • Piers Roofing Sewer Garage Fdn. Vents Fixtures Footings Garage Vents Water Htr. StemwaII Slab Prov. for physically handicapped Heaters Appliances Carport Footings Conformance of ex. structure Gas Piping & Test -24 Temp. Gas Slab Final Sanitation Patio FIREPLACE Final Footings Footing ELECTRICAL Masonry Walls Throat Rough 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 Final Final DATE REMARKS OR CORRECTIONS 4 Owner Mailing Address d COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WO 7 County Center Drive — Oroville, California 95965 Telephone: 534-4541 APPLICATION AND PERMIT BUILDING SQ. FT. I OCC. BUILDING VALUATION ephone No. Contractor 6 rJ h GA-- Mai I i ng Address 5a Telephone No. Building Address a en Q A. P. No. — D Zonin F W.C. S t i'on Fire Dept. Fire Zone Use Permit EQA Parking I Parcel Pdlcel 60' R/W Im r Plans Declaration p p ovem nts Bldg. PI s Recd Pa el rovaI PI Approval NEW ❑ ADDITION ❑ UTILITIES OTHER ❑ Single Family ❑ Duplex ❑ Mobil Home Others ❑ 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: License No. Classification ❑ I am exempt from the Contractors License Laws of the State of California. 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. 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. D ate Ar, Signature of Permiteel or Agent Receipt No. 1—f �g 6P White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant 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 incl. 1 meter Additional meters, each Sub -panel (12 or less) (more than 12) Range, Cook -top or Oven Water Heater or Space Heater Light fixtures Receps., switches & fix outlets Hood, Ex. Fan or F. A. Furn. Motor Evap, cooler, gar. disp. or D.W. Air conditioner or heat pump Water pump 1 4 J? Mobil Home Facilities Temp. Power Pole Misc. wiring Permit Fee MECHANICAL PERMIT FILING FEE Heating Cooling Ventilation Hood Permit Fee $2.00 1.50 1.50 1.50 1.50 1.50 .30 5.00 2.00 FEE IE @ FEE $3.00 '3 0 13 1.00 1.00 1.00 20 02 )a1pin M. 1.00 1.00 On 5.00 5`O C 5.00 $3.00 2.00 FEE sto fp i - TOTAL PERMIT FEE J$ )-;-100 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 PUBLIC WORKS By Dater wilding permit expires Date ...................................... 1 i 9. Electrical A. Is service large enough to provi e adegO-ate amperage to mobilehome (must equal rating of mobilehome with a minimum of 0 amo and other facilities on lot, i.e., water pumps, garage, cabana,_etc.? Yes e No T. Is there proper clearances around panels? Yes ".— No C. Is power supply cord -or feeder assemblylproperly fused? YesyNo D. I continuity test satisfactory as per the following procedrlre?"—'Yes r No 1X De -energize electrical wiring systein,of'the mobilehome at the pedestal, 4 /2. Make sure that the power supply cordor feeder assembly conductors, including neutral conductor, have been disconnected. -Switch all breakers and switches in 1 -he mobilehome to the "on" position.. ,,,,�Connect one lead of a test instrumen!c to the mobilehome grounding conductor and Napply :the other lead to each mobilehome supply conductor, including neutral. All mon--current, carrying metal part, 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. 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 fob card signed by Health Department for dater and sanitation? 11. If everything okay, sign off card and tag services. MOBILEHOME DATA ;1. Manufacturer and/or Namestyle �Cz —�0 Length Width Vehicle Serial No. 6!� State Identification No. &dditional Information or Comments: G MOBILEHOME INSTALLATION INSPECTION CHECK LIST 1. Is the mobilehome located with required separation from lot lines and buildings and generally conform to plot plan? Yes o ' 2. Does the mobilehome have required clearances above ground? (Sec.5085) Yes 3. Are footings and supports properly sized, spaced, and braced as per approved plans? (Note possible variation at spring shackles.) (Sec. 5082 & 5083) Yes No 4. Is the mobilehome level? (Sec. 5088) Yep 1/No 5f more than a single unit, are crossover connections properly installed? (Sec. 5088) Yes— No 6. Water A. Is flex' le 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? Yesz No �( Backflow - If coach is not State 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 Yes No B. Does it have minimum 4" per foot slope and is it properZallons d? Yes' No C. Are any leaks detected in drainage system after runningof water through each fixture including washing machine standpipe?,.Yes No D, If coach is not State of California approved, does station have required trap and vent? Yes No 8. Gas Piping and Gas Vents ' A. Connector - Is mobileho a connected to the gas supply with an approved 3/4" minimum mobilehome connector of more than 6 ft. long? Note: All piping is to be at least as large as the mobil ome gas line -iiilet without reductions other than the mobilehome connector. Yes No B. Test OK as per following procedure? Yes VXNo 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, 'rn on gas, test connections with soapy water. C. Are all appliance vents properly installed? Yes No COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS 7 County Center Drive — Oroville, California 95965 Telephone: 53,4-4541 APPLICATION AND PERMIT zY77.2-73 uu.cacinauvaa ui uIV �,uuiny ui ouuc w enter upun the above-mentioned property for inspection purposes. - Date —17 — 7-5 �- Signature of Permite��effor Ag//ent Receipt No.`i'�`' 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. D ECTOR 0 UBLIC WORKS y ateftDate- ft= = permit expires Date BUILDING Owner ®UJ SO. FT. OCC. BUILDING VALUATION Mailing Address T ... ejQ K_ O ele hone o. t 3P' Fireplace Contractor Total Valuation Mailing Address Permit Fee Plan Checking Fee &/or Penalty Telephone No. Permit Fee $ Building Address � s,, % �� PLUMBING No. @ FEE PERMIT FILING FEE $3.00 Q Q Q C9 Each Trap 1.50 _ Repair drainage or vent piping 1.50 Water piping 1.50 / Each gas water heater or vent 1.50 A. P. NO _®� Zoning & Planning Gas piping system 1 - 5 outlets 1.50 Each additional outlet .30 Fees I W Sagi-� Fire Dept. Fire Zone Use Permit Building sewer 5.00 EQA Parking Plans Parcel Declaration Parcel Ma P 60' R/W Improvements P Lawn sprinkler system 2.00 Bldg. Plans Recd Parcel Approval Plans Approval Permit Fee _5r.CC$ ❑ ADDITION ❑ UTILITIES ❑ OTHER ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 r CE $ Main service incl. 1 meter Additional meters, each 1.00 Sub -panel (12 or less) (more than 12) — Single Family ❑ Duplex ❑ Mobil HomeQ Others ❑ Range, Cook -top or Oven 1.00 Water Heater or Space Heater 1.00 Light fixturesb I a2 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 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 Temp. Power Pole 5.00 License No. Classification Misc. wiring x 1 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 $ $ 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 $ 3. ( uu.cacinauvaa ui uIV �,uuiny ui ouuc w enter upun the above-mentioned property for inspection purposes. - Date —17 — 7-5 �- Signature of Permite��effor Ag//ent Receipt No.`i'�`' 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. D ECTOR 0 UBLIC WORKS y ateftDate- ft= = permit expires Date COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 Telephone: 534-4541 APPLICATION AND PERMIT 7 7 7 ;11�w authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. X C' .�&- 1-4� Date i — 1�p ' iS /� ignature of P/e�rmitee or Agent R 1..rrit Nn 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 PUBLIC WORKS B Date 57-12-71— uilding permit expires Date z'7 BUILDING Owner SQ. FT. OCC. BUILDING VALUATION Mailing ddress Telephone No. Fireplace Contractor Total Valuation Mailing Address p'2'7 >� Permit Fee Plan Checking Fee &/or Penalty Telep one No. 3 3�8 Permit Fee Building Addresss��j� 3� AWWX PLUMBING No. @ FEE PERMIT FILING FEE $3.00 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 '-Q 9— 4P O Zoning & Planning Gas piping system 1 - 5 outlets 1.50 Each additional outlet .30 s S%ntaTlon Fire Dept. Fire Zone Use Permit Building sewer 5.00 EQA Parking Plans 'Parcel Declaration Parcel Ma P 60' R/W Improve s P Lawn sprinkler system 2.00 Bldg. Plana Parcel A royal Plans A proval Permit Fee $ NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 ' lr6- ' -- 71V Main service incl. 1 meter C q-li-7'1) Additional meters, each 1.00 Sub -panel (12 or less) (more than 12) _ Single Family ❑ Duplex ❑ Mobil Home Others ❑ Range, Cook -top or Oven 1.00 _Water Heater or Space Heater 1.00 Light fixturesb0 (N102 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 style of: 64"e.✓?- madiLc Ae",- C',r/n2 f 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 Temp. Power Pole 5.00 License No. � 7 3 G _� � Classification Misc. wiring ❑ 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 Workmen's Compensation. 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 J$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 s® O. TOTAL PERMIT FEE $ 30 0< authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. X C' .�&- 1-4� Date i — 1�p ' iS /� ignature of P/e�rmitee or Agent R 1..rrit Nn 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 PUBLIC WORKS B Date 57-12-71— uilding permit expires Date z'7 COUNTY OF BUTTE - Department of Public Works 7 County Center Drive, Oroville, California PHONE: 534-4541 Length p Utility 20' to ty c�ft min m N w n w P U) M M rt w `. n �o �• m ,5 �' rr n �.. rt O O � nA b o W It \ M Length i ye 0 Z H z 0 MOBILE i E INSTALLATION INFOVT�ION Lot Facilitiesobilehome Data H 0 1. Plot_ plan dimensioned, loca von of mobile 1. Length Width z- 7� z and utility connections? Manufac` ./ Yes ✓ No Vehicle Serial No. fi H 2. Electrical. service equipment ampac'ty Insignia Control No. [� � 2 l Z Circuit breaker. ampacity 'o a 2.' Feeder assembly ampacity /e d ,v.,ia Permanent Wiring Connection D v Conduit size Ampacity 6 u Power supply cord (amps) 1 Receptacle^" Ampacity 3. Gas inlet size 3. Gas: _ Natural �- PG riobilehome connector size �/y Gas riser size y Capacity. 294, eae,(l ? y- 4. Drain inlet size 4. Drain connector" describe on reverse side 5. Vlater riser. size 5.. Water connector: describe on reverse side 6. Are utility connections located outside 6. Designed loads: the rear 1/3 of the mobilehome .within Roof live load _2D psf. 4 feet of the left wall? Yes "`-No Wind load psf. If not, show dimensions. above. (only for robilehomes manufactured after 7. Is the mobilehome clear of septic tank, October 7,10,73) leach fields and located ou side public 7. Marufacturer's installation instructions? -utility easements? Yes No Yes No 8. Do,'you propose to do other work on the---- " - - property, other than the mobilehome 8. Will the mobile home be installed on a separate support structure? installation wl ch :will require a permit' Yes No Yes No J/ If so, specify *For plans and specifications of support system, see other side. nw, ADDITIONAL COPA""%TS Drain Connector, Describe.? %+13S P�4s7�G l%X Gtsr✓.s/cc : N.t 1' � u.fl.i � 7` M c iT s L R- /� .ci A �/ tt/r l� T 'rax, LOAD BEARING SUnPOR TS Si rGci✓.vr_�, : i e.✓ _ atei'.' Connector, Describe Az n ,��i�:/✓�' LOAD BEaZING SUPPORT AND s? OOTING INFORMATION Pier Spacing Used 5 'o' Maximum Pier Load 2 Sao :Maximum Column Load (multi -units only) Soil Bearing Capacity. Footing Dimension Used__ i,,, "X 3G "�Y Z TYPE OF PIER USED Steel Concrete Concrete Block Other TYPE OF FOOTING P1AT RIAL USED P,ressure Treated good Concrete Redwood (Grade) Other Approved Type ✓x,4/14c f. e 3a. eel '" BUTTE COUNTY BUILDING DEPARTWNT S"G re n APPROVED _....i..,' •r..,;._.:_1 --_..,.-_...:._..-I x•---:.. � ,�...-.,....I 1.1.., .�t•-�- - - - "b'.,.,-_ �_.,- _ -:��.: _I' :I�-- - N! ! - - - - - •-� - - - -ami -� - - �1-��«�:~ - - - -�- I _.-�- > :� �. -.. '•i { I t. — _ - — { -I" Ln I. .... ....... . .. I - , -� ! I.I.. .!:'., � I I.! -(r � I I. ... .(...._. _.1.1.... _T: _:.:...•.: ___.... ........_. --I:-----------._;F.�...z -._.. 1_' I - - - - - - - - - -- -- - - -- - -- I . I —V "i _:._!_._.__!.... ,.+._:!_.1...-I--I---•'-!__._-�_...__-1-'... .; �__.:....._.._I'-"-I---'-__^._._ - .. --- - _.,---- .� - _. .� i. i .._I ,1 I ' { ! : I.T. j i .L... __�_!_..-- -!.._ ....!...L_.IF_ I ' - -� - - - . +.._I ..... -- - • '-~ �- -- - ' iI i i ! 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