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AP 42-17-10 EUNICE BENTZ I a w/s Dairy Rd., 8001 N. of Grapf Way, Chico Permit# 3361-75P,L(utilS,/MH ELE. C _ GAB -3 SUPPORT ST:t1UCTURE REQ. COMPACTION TEST REQ. �1O AP 42-17-10 Permit 3904-7 MHI .> r�e 75 Issued - / — � V •F 42-17-10 - Permi #803-78B,P,eM(new single family) 42-17-10 -- - -- Permit #1891-79B +st renwa 1 I 03-78). SF 42-17-10 Permi 68-82B(2nd. &. 3rd. renewals .for p_ it #803-78) i J I CN�-- I s 44&-,9r9-y11 PERMIT NO. PERMIT EXPIRES ZI Eunice Bentz DOWNER CONTR. owner ,LOCATION (A.P. 42-17-10 ) W/S Dairy 4d.,app.8OO'N.of Grape. Way.',- 48; w Chico !' Temp. Power Pole Called PG&E _ (iii;— lec. Serv._ Called PG&E �__ Temp. Gas Serv.� Called PG&E _ 0 t JOB Fl%/D � 2 D (Date) f r (Signature) 4 6 RES IDENT IAL ENERGY CONSERVATION STANDARDS CONSTRUCTION COMPLIANCE CERTIFICATE THIS IS TO CERTIFY THAT ENERGY CONSE VATION REQUIREMENTS HAVE BEEN INSTALLED. IN CONF CE CU ENERGY RVAT 00 (EGULAT IONS AT (location BUILDING PERMIT NO. �3— AiP. NO. yZ�l THE FOLLOWING HAVE BEEN INSTALLED AS PER APPROVED PLANS: (Check each item or write N/A if not applicable) INSULATION: GLAZING: Slab Edge Single Glazed ]/ Fdn. Walls Special (Insulat Floors CERT. & LABELED WDS. Walls & SLIDING DRS. Ceiling/Roof WEATHERSTRIPPED DRS. Vie-- BACK DAMPERED FANS Circulating Ptp,, INTERMITTENT IGNITION DEVI APPROVED HEATER CERT. APPLIANCES APPROVED WTR.HTR. I DECLARE THAT ALL REQUIRED ITEMS AS NOTED ABOVE HAVE BEEN INSTALLED IN ACCORDANCE WITH THE ENERGY CONSERVATION REQUIREMENTS AND AGREE TO THE COMPLETENESS OF THIS CERTIFICATE AS SUBMITTED. Insulation Applicator Name Signature of (please print) Insulation Applicator State Contractors License No. General Contracto Owner NameG�/1ff��� Signature of (please print) General Contractor Owner - Date < Stat Contractors License No. THIS CERT IF ICATE MUST BE ON FILE WITH THE BU ILD ING DEPARTMENT PRIOR TO REQUESTING FINAL INSPECTION AND SHALL BE POSTED IN A CONSPICUOUS LOCATION WITHIN THE DWELLING. o�`IvOt �� ,/>OK 6 N0764 A//,A =. x ot�Applicable RESIDENTIAI..(Singls and Duplex) (blank)£ealt with yet Date UNDERF OR Plans OK exe t q's Date FRAMING Continued 1. Zoning requirements -Setbacks -Easements 48. Property Line Firewall & Openings 2. Ftg., Main; Soils-Stesi-Elec. Grnd.- " Ftg. Depth 49. Ext, Doors -One 3' -Check Gara4e-3rd story, 2 exits 3. Ftg., Garegs; Soils -Steel- " Fig. Depth 50. Stairs; Width-Headroom-Rise-Run-Landing-Fira Protection 4. Ftg., Porches & Decks; Soils -Steel- ❑" Ftg. Depth 5. Stemwalls, Main; Steel-B.lockouts-Wrapped-Slab 51. 52. Plywood on Roof Overhang -Attic Acces-s- Rafter Outriggers Siding -Nailing -Veneer 6. Stemwalls, Garage; Steel-Blockouts-Wrapped-Slab 7. Piers -Fireplace Ftg.-Steal 53. Stucco Mesh -Drip Screed-Fdn. Vents-Underfir. Access 54. Glazing Area -Glass Protection -Skylights -Plastic 8. D.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-Seryice Test _ 11. 12. Electric; Underground Plenums & Ducts; Clearance-MaterIat-Support-Ins. ' 13. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples Card -BI Date Card -BI Date Card -81 Date Card -BI Date Card -81 Date Card -81 Date Card -BI Date Card -BI Date Date FINA (Plans) OK a pt N's " Card -BI Date Card -BI Date Date PLUMBING (Permit) OK except N's xt. Steps -D & SidelighLRco0ection-•La ngs 57CPfmoke Detector 14. Plater Ht.; Vent -Access -Combustion Air 6° �-w� F"°^ e; Vents -Clearance -Comb. Air -Connector- In arage; Above Floor -Du -Mach. Protection 15. Water Pipe; Test & Anchors -Nail Protection 16. D.W.V.; Test-Fttngs & Anchors -Nail Protection 17. Shower Pan; Test, First Floor -Tub Access f 59 �( Exiting F. Bash Fi s & lac Sub 1; Brea a s -L s t & at Fi or Stove; Cle cos -H thge 18. Test Tub & Shower, 2nd Floor -Tub Access 19. Gas Pipe: Size & Anchors Card -BI Date Card -81 Date lac. Outlets at Wood.Ponel; Int. & Ext. 65. Fixt. & Appliance-, Grnd.- Coo ' arance Card -81 Date Card -BI Date 66. Outlets & Receptacles at Kit. Counter Date ELECTRICAL (Permit) OK except N's ire Door; Swing -landing -Closer 'n Gara e --Dam r 20. 21. Fixture & Transformer Clearance -Ins. Protection Elec. Receptacles Spacing -Lights & Switches at Doors ltr. Htr.; V•enlevClea -Comer-Ceaneetor-P I esq*Prelewtian 70. ., Elec. & Mech. Equip. Listed for Location 22. Size Boxes & No. of Conductors -Stapled 7: rEleeeReeeptacles in Garage; (G.F.I.)-Romex Protec. 23. Romex Installed Close to Edge of Studs & C.J. 72. ulation-Foam-Looked in Attic 24. 25. Equip. Ground made up w•/Meeh. Fasteners -Bond Gas & Water 2 Appliance Circuits In Kitchen &Conductor Size pails &Deck Construction -Post Caps 74 n. Vents &Crawl Hole Drainage &Wood Earth Clearance Looked under Floor e.s 26. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size /' / ga. Cu or At 27. Range Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or At, Insulated Neutral ❑Yes ❑No 75 ollowing instld.: Drive ❑ Yes Walks ❑ Yes 94w -,- Planters ❑Yes ®Wo; Creating Drug. Problems . ❑ Yes 28. Service -Riser Conductors & Ground -Main Disconnect .0@r. 78. ,'B?Dwn-Finish mit; Discan nect-Clrnces-Brkr. & Cond. Size -115V Outlet is A ova Roof; PI• pp1Fi .-Cleara o Opngs. 29. Equip. Clearances; Panels -Motors -Mach. Equip. 30. Clothes Closet Light -Shower Light 79. r W II; Disco lectaA , PI ng Card B -I Date Card -BI Date 80. for 2c. Tri F&6-Und nd 81. on throughout House Card 6-1 Date Card -81 Date Pfotection Z Date MECHANICAL (Permit) OK except q's 31. A.C. Ducts; .Insulation & Support CIVMM2s rec ions from Previous Inspections Or 84. etars TWgad!rlas EledWlf- r & Sewer CnmaaQ d -C/O toga-H@.Bppr eft Ener 9y.6t9fFiPP4RRt'Z Certificate --Other Certificates 32. Vent Fan; Exhaust above Insulation 33. 34. Condensate Drain & Overflow; Size & Grade Furnace -Vent; Access -Comb. Air -Return Air Vent -115V outlet 35. Attic Access & Platform if Furnish in Attic lngk Card -BI Date Card -BI Date Card -BI Date Card -81 Date Card -BI Card -BI Date Card -BI Date _ Date Va Card -BI Date Card -BI Date Card -61 Date Date FRAMING(Pians) OK except p's Cora ents at Final: r 36. Sills; Proper flaterial & Anchors r 37. Plans; Studs -Nailing, Spacing & Bracing -Plates -Sound 38. 39. Bearing Walls over Girders & Floor Nailing_ Draft Siop in Walls (rat proof) _ 40. 41. Fire Stops; Furred Ceilings -Stairs -Chases -Tub Header & Beam -Size & Bearing _ 42. _ Hangers -Post Caps -Anchors -Connectors 43. Cino. Joist-Rftr. Ties-Purling_-Rrof Brac.-Truss-Shthng.-Rfrg. 44. Fireplace Tias.or Type A Flue-Firepiace Throat 45. Attic Access; Size & Rome< Protection -Draft Stop -Ins. Saffels 46. Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions _ 47. Garage Fire Protection Framing J ts--Insulation & Su port as required 2. Vent Fan --Exhaust ' be T- 4+4 «^ o tens -ate Drain & Over f_").ow--Size & Grade Vent Inst. Properly--Access--Comb. Air ---Return Air Vent t . _ e -s -s- & Platform if Furnace in Attic 6. Sign Job Card -� lam. ALL OF ABOVE COMPLETED EXCEPT Signed: Date: ABOVE LISTED CORRECTIONS COMPLETED Date: l,UA1BIIdG--Above Floor t. trop6riy—Acce s--Gft� Permit'No. 3 2.a er Pire--Test & Anchors 3. 1,,Krain Pi:;e--Test--Fittings & Anchors 42" .rlr Fan --Test, first floor --Tub. Access • -ub & Shower, second floor -••-Tub Access ipe--Size & Anchors 7. ign Job Card ALL OF ABOVE COMPLETED EXCEPT Sired : ABOVE LISTED CORRECTIONS COMIPLETE7 Date: / Date: -- . ELECTRICAL --Above Floor prance & Insulation Protection at Flush Light Permit No.�,. Fixtures- _ Alec. Receptacles S aced Properly—Lights &Switches at Doors 3. _ze Boxes & 'No. of Conductors--S-tapk—e—d-- :omex Installed Close to Edge of 'Studs & C.J. Z117-1-111- Ld 5. Eoui Ground made u w/Mech. Fas"eners _ .�rpliance Circuits in Kitchen &Conductor Size _ 7.t,-!�ub.Feeders-- ro er size 8; ervice--Riser Cdnductors & Ground 9. Hater Pipes 1-0. othes Closet Light --Shower Light 11. Sign Job Card ALL OF ABOVE COMPLETED EXCEPT Signed: ABOVE LISTED COR.RF;CTIONS COMPLETED Date: Date: nCHANICAL_-Above Floor Permit No.�,g, ts--Insulation & Su port as required 2. Vent Fan --Exhaust ' be T- 4+4 «^ o tens -ate Drain & Over f_").ow--Size & Grade Vent Inst. Properly--Access--Comb. Air ---Return Air Vent t . _ e -s -s- & Platform if Furnace in Attic 6. Sign Job Card -� lam. ALL OF ABOVE COMPLETED EXCEPT Signed: Date: ABOVE LISTED CORRECTIONS COMPLETED Date: FRAMING Permit No. 1. �lls--Proper Material and Anchors 2. Studs --Nailed & S aced Pro erl 3. races Where Required 4. aring Walls over Girders & Flocr Nailing '54Zraft Stop in Walls (rat proof) 6. Vfire Stop at Furred. Ceilings & Stair Stringer 7.•. -Header Size & C.J. Size 8. jAjet Hangers adhere Required 9. u4after Ties Pulins Roof Bracing Trusses Ole 10N Fireplace Ties 0_7:1_1pe A lue- d roa "+l'^ "ccess--Size P: Romex Protection 12.v"'xt. Door or Req. Hgt.'& Size Window --Bedroom Z. ra-e--F--r°e--Protection Framing _ e Separation Walls --1 hr. Fire --2 hr. Fire 15.9,'Ext. Doors --One 3' - Check Garage if Required 16. vt<eck Stairs if.2-story _ 1-: Pest G44s Q Anchors i 18. .ype Plywood on Roof Overhang --Attic Vents --Rafter Outriggers 19. tiding --Nailed Properly --Veneer sh. Drip Screed & Foundation Vents Protection if required i 22. Sign Job Card h ..11 ALL OF ABOVE COMPLETED t/ EXCEPT ai nes: ,- liate: ABOVE LISTED CORRECTIONS COMPLE _n SIGN JOB CARD Signed: Date: i _a• ..:�:,XOUNTY OF BUTTE — DEP.AF;,fMENT OF PUBLIC WORKS BUILDING INFECTION RECORD t BUILDING BUILDING (Cont'd) PLUMBING Setback ,/�f' ® Firewall Soil Piping Forms _q a' Parapets 1st Floor Main Bldg. MO�1 EEI OM E INSTALLATION - - - - - - - - - - - - - - Restroom Finish 2nd Floor Footings 3—/ --7191 49) Windows 3rd Floor Stemwal 13— /3 — Siding To out Slab Roof SheathingWater PI in N Piers Roofing Sewer Garage Fdn. Vents Fixtures Footings Stemwal I Garage Vents Insulation Water Htr. Heaters Slab Carport Footings Prov. for physically handicapFed Conformance of ex. structure Appliances Gas Piping &Test Temp. Gas Slab Final Sanitation Patio FIREPLACE Final Footings Footing — 3 — % At ELECTRICAL Masonry Walls Throat Rou h Reinf. Steel Final Fixtures Bond Beam FIRE SPRINKLERS Motors Framing Test Water Htr. Stucco Final Subpanels Mesh MECHANICAL Gird. Fault Prot. Scratch Heating Service Brown Cooling Temp. Pole Finish Ducts *VO Underground Interior Lath Ventilation Permanent Door Closer Final Final MOBILEHOME UTILITIES ------------------ Elec. Service Elec. Pedestal Water Piping Sewer Gas Piping MO�1 EEI OM E INSTALLATION - - - - - - - - - - - - - - Support Elec. Continuity Water Piping Drainage Gas Piping DATE REMARKS OR CORRECTIONS ,3— 15--7f �/ /p �fo✓� ,f 4-/llitU / /ERj ow X&,-4 S/ani or- Aaj-�-,- wes.�T Al17 pd,7,- i/Ail, IW; 4)i // alaV€ �� 2-£,] C� t d. Dl� issv� G�✓�.� �i12a(. r,4wi CILo SS pcV� sC G Id �J4 7vL A/f .0 S'/.�// �s/��d Si ol/l ✓L.v7 ��/oi� y /b 71 .V o F i&j G' TE: A entry • st be mad on t form eaA time you visit the job site.) �!�� �✓�° - _ . • S eVCOUNTY OF BUTTE - DEPARTMENT OF PUBLIC PERMIT N v 7 County Center Drive - Oroville, California 95965 - Telephone 91:6//53-4541 APPLICATION AND PERMIT ASSESS R PARCEL NUMBER ZONING BUILDING PERMIT OWN 1 TELEPHONE SQ. FT. OCC.1 BUILDING VALUATION OWN 'S MAILING ADD r CONTR CTO 'S NAME TELEPHONE CONTRA TOR'S M (LING ADDRESS Fireplace CONSTRUCTION LENDER UNKNO Total Valuation $ Filing Fee $ 10,00 LENDER'S MAILING ADDRESS Permit Fee 3 , O D ARCHITECT O ENGINEER LICENSE No. Plan Checking F $ Penalty $ ARCHITECTOR ENGINEER'S MAILING ADDRESS Permit fee $ U BUILDI DRE AQS 16Z 1S 'Y40� I PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Repair drainage or vent piping 5.00 Water piping LOT NO. SUBDIVISION NAMEPARCEL MAP Each qas water heater or vent 5.00 Gas piping system 1 - 5 outlets USE OF STRUCTURE SF Duplex❑ Mobilehome❑ Other SPECIFY Building sewer Lawn sprinkler system 5.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation❑ Other ❑ Describe work: 20 3' 7 Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 100V OR LESS 100 AMP OR LESS 5.00 Jr 7 Main service EA. ADD'L 100 AMP 2.50 NEW CONST. ( DWELLING OCCUP.M) 20 sq ft OR ADDNS. ACC. BLDGS. CONTRACTORS LICENSE LAW I declare under penal 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 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 NON.RESID R BRANCH CIRCMULTI-OUTLET TS 2.50 ea NEw CONSTR. ( POWER APPARATUS e) NON-RESID. SINGLE OUTLET CIR. Ex. Occup OUTLETS OR FIXTURES BAL@1 IXED APPLNS, OR Ex. Occup.(ouTLETS (RESID,) EA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 7.50 Permit Fee $ Contractor WORKMEN'S COMPENSATION INSURANCE I declare undeif0enalty 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 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 shal I be deemed revoked. MECHANICAL PERMIT FiIingFee 10.00 Heating Cooling Hood 3.00 Ventilation permit Fee S Contractor 1 certify that I have read this applicat.(o,n and state that the above information is correct. I agree to comply to all(Counfy)Ordinances and State Laws relating to building construction, and hereby-authbi•i'fe;representatives of the Countyot Butte to enter upon the above-mentioned properfj�,fgr inspection purposes. I also agree to save, indemnify and keep, harm l ess &County of Butte against abilities, judgments, costs, and expenses whicti;may,`in any way accrue said County in consequence of the granting of this ,permit. Vrt D,ate ��r�2"�� Signature of Applicant — Owner •'Contractor 11Agent Elrk 1-?lr, - dn. . 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 $ TOTAL PERMIT FEE $ O� accu P. GROUP TYPE OF CONST. PARCEL PD ND ISSUE This permit is hereby issued under the applicable provi- ��1[ sio of the Butte County Code and/or resolutions to do Rh indicate above for which fees have been paid. D ECTOR OF PUBLIC WORKS D Date ate PERMIT EXPIRES Date 4— Ile -- 7-- .""p Receipt No. F WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR. GOLDENROD -APPLICANT f xio t, 40 0 oo-v� �e 0 �o • COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS ` 7 County Center Drive — Oroville, California 95965 ' Telephone: 534-4541 APPLICATION AND PERMIT BUILDING Owner ICE &AJT7-- SQ. FT. OCC. BUILDING VALUATI Mailing Address Pr4 g OX2 14 6 LA C • 9J%2i(P I�eJ�- S �lCt4� Contractor A) 62 Mailing Address Fireplace Total Valuation Telephone No. Permit Fee Building Address 9�� 2�, �P�J Odd J Plan Checking Fee&/or Penalty Permit Fee PLUMBING No.1 @ FEE /3l C• PERMIT FILING FEE $3.00 Each TraD 1.50 /� 6 5`,v6. P,9i�% Lor �� LS/bPJ, J,v6. Repair drainage or vent piping 1.50 i1Z ��_�O A. P. No. `T Zoning & Planning Water piping 1.50 Each gas water heater or vent 1.50 F _erle4teFl I FireDept. FireZone Use Permit Gas piping system 1 - 5 outlets 1.50 EQA Parking Plans Parcel Declaration Parcel Map 60' R/W I Improvements Each additional outlet .30 Building sewer 5.00 BIda. P(n�d Parcel Approval Plans Approval Lawn sprinkler system 2.00 NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER X Permit Fee $ $ rpg— ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 00V OR L Main service 100 AMP ORSS 5.00 Single Family W21- Duplex ❑ Mobil Home ❑ Others ❑ Main service EA. ADD•L loo AMP 2.50 Main service OVER 600V 25.00 100 AMP OR LESS Main service EA. ADD•L 100 AMP 1.00 NEW OR ADDNS. ACCLLING BLDGS.CCUP. Sl 22 sq ft 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 of: y NEW RESID. BRANCH CIRCUITS) NON.CONS . BRANCH CIRCUITS 2.50ea NEW CONSTR. (POWER APPARATUS a NON.RESID. (SINGLE OUTLET CIR. Ex. OCCUD(OUTLETS OR FIXTtiRES B L0; Ex. Occu FIXED APPLNS. OR p•�OUTLETS (RESID.1 EA) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 License No. Classification Misc. Wiring 6.25 ❑ii 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 $ $ 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 Land Development Fee $ TOTAL PERMIT FEE $ �r authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. Signature of Permi a o�ger� Receipt No. /)�Xry V[RJ White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant In'it is hereby issued under the applicable provisions of County Code and/or resolutions to do work indicated whi fees ave been paid. E TOFROF PUBLIC WORKS//C Date 414177 Building permit expires Date - /�� A", COUNTY OF I�UTTE_ — DEPARTMENT OF PUBLIC WORKS 7 County Center Drive — Qroville, California 95965 �3 Telephone: 534-4541 f/O 70P APPLICATION AND PERMIT Q AA wuv...� u�c VVU11 y U� OUIIG N OIIl01 UYUII IIIC above-mentioned property for inspection purposes. -17 �( X Date - \ Si9natur of Permite��en /�rLL[,� V Receipt No.� ,q i_ / �� ``�V White-D.P.W. — YelloyA�sK,�sf-�ink- Spector —of enrod-Applicant This permit is hereby issued under the applicable provi9otj f " the Butte County Code and/or resolutions to do work in cat d abovefor which fees have en -paid. DIRECT R 0 PUBLIC WORKS BY Date 7"'- e6 - ?1— Building permit expires Date 7 BUILDING IF 4 Owner G T� SQ. FT. OCC. BUILDING VALUATION O Mailing Address _ /O Telephone No. Fireplace,*,,O O v Contractor Total Valuation Mai l i ng Address Permit Fee (oD 0 7. cr P Ian Checking Fee &/or Pena ty Telephone No. Permit Fee - _ Building Address xzzQd/PLUMBING No.1 @ FEE PERMIT FILING FEE $3.00 rJ /C Each Trap 1,50 D U Repair drainage or vent piping 1.50 Only Water piping 1.50 Each gas water heater or vent 1.50 A. p T— /d Z r® Gas piping system 1 - 5 outlets 1.50 Each additional outlet .30 es I W Spion FireDept. FireZone Use ennit Building sewer - 5.00 EQA Parking Plans Parcel - Declaration parcel Ma P 60' R/W provements Lawn sprinkler system 2.00 Bldg, tans Recd Parcelroval Ions Wroval Permit Fee $ rQ NEW rVr ADDITION ❑ UTILITIES ❑ OTHER ❑ ELECTRICAL No.1 @ I FEE PERMIT FILING FEE $3.00 Main service 600V OR LESS 5.00 100 AMP OR LESS Main service EA. ADD•L 100 AMP 2.50 Single Family Duplex ❑ Mobil Home ❑ Others ❑ OVER Main service 1100 AMP OR LESS 25.00 Main service EA. ADO'L 100 AMP 1.00 NEW CONST. D WLING 0 OR ADONS. ( ACCLBLOGS ) 20sgft NEW CONSTR MULTI -OU NON-RESID. BRANCH CIRC ITS) '2.50ea - NEW CONSTR (POWER APP US & NON-RESID, %SINGLE O ET 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:x. Ex. Occup(OUTLETS OR FIXTURES) BAL@1a 00 E Occu FIXED APP LNS. OR P•(OUT LETSPPEA) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 License No. Classification Misc. Wiring 6.25 i 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. ❑ 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 MECHANICAL No. @ FEE PERMIT FILING FEE $3.00 Heating Cooling Ventilation Hood 2.00 Permit Fee$ O O $ S L 0C TOTAL PER IT FEE wuv...� u�c VVU11 y U� OUIIG N OIIl01 UYUII IIIC above-mentioned property for inspection purposes. -17 �( X Date - \ Si9natur of Permite��en /�rLL[,� V Receipt No.� ,q i_ / �� ``�V White-D.P.W. — YelloyA�sK,�sf-�ink- Spector —of enrod-Applicant This permit is hereby issued under the applicable provi9otj f " the Butte County Code and/or resolutions to do work in cat d abovefor which fees have en -paid. DIRECT R 0 PUBLIC WORKS BY Date 7"'- e6 - ?1— Building permit expires Date 7 SS k C SCS S' �4 (Cz,G .IYG WTE:--All Mate—als & Workmanship %a'&A�e�n ' .; ze -6, Accordance with Recognized 'Good Practices and ,of a quality prescr%Pd for the Specified use in. the r =� Uniform Building, Plumbing & Machanical Codes and the National Electrical Code. r N w$t1on: MUST � tans and spm l io this tet of P - min lu�taawiv 1' t all times sam$ withoui kept on the 1°h or alter t ,sake 'any chaa9 fr :+ partmant of p„biic written Pe Butte* �P e Countyf Butt®. ��1� — 2 _ _ _ 0 3 ' 7 f Worcs, — . l--- \ 1" /� Serrtl c n o ACV 7�N)A-\ The'Bldg. Setback shall beift. from the VX side property; line and So ft. from the \ centerline of the road, permitting a maxi - BUTTE COUNTY mum of a 2 ft. save overhang but entirely out of ab easements, BUILDING DEPARTMEN APPROVED 1 ' `- 33 0 SRO F_Z4 l 9-y R-04- Z ��. �XZ�" o � OIL, C:�) 1 • i �- _'�e� q ®!I sMove `defeckort p -' 5�- /� I Ism NooO MA ,c © BUTTE CSU 2 l � - BUILDING -DE N 1 Y �I � ry ° f A PARTMENI �. PPRO -f- + 0 v� . V\S GOv�r(h� z I _ l. -7 i �I ® W; � J�,�sJ-a�1.. � �'-• cod.` . 1 - - �,, • J'�� j ©�tQ 4-t- c � tea. 5TH �l A Y �, � /�. �.:. d, .�•+�. �- + ,�G,,.,i,.l.; - i �J 1-4 el4v. 3'+A$ ---Y f -p- Re I -e S7 i e►+ Pre f r h cs q Ed i n 2.(i n J` D?, i' d Fireg-Fep j'La- i,aI- F'ra �,=e 'i Ft2i � to be 42 i"• ti'9 et a G'' I '' j lop rail to �a�ls to be not GO e&ote (TE topcmrt. r-_._-�- /i'• j � 8 UT �OVNT�' 11��1NG PARTMENT M . � P'P j ROV E® Ln ► C_ l y —� provr 4-'14 i 4� /� • s pro ' fc d'�¢e�, �� � = I---�-._.._.____---a,-�,� ayo, anc6®�. sf Pc y C.; I ' I I - 41' IN Ty �j�G p EP4 �i Rr1yPn�� k)0 1 'A -44 0 BUTT Y, u LDING D F PA f—T LdL v )F� C7 rz, Rs. o 0 rz, Rs. o 0 8V jLO1NG CO(�N'.9, o�PgRr�E�. Ppb r 3 UN, - . * el RESIDENTIAL PLAN CHECKING GUIDE (S.F., DUPLEX, & MISC. ONLY) �^ Bldg. Permit # 4?6 :> - 7 OWNER— ✓ n� i c ..� A.P. # �l Z 7 A. GE RAL . Zoning requirements 2. Valuation. ,--3,-=Signature by R.C.E. (sideyards and parking). or Architect (if required). B. PLOT PLAN L_3.! Complete parcel size and dimensions. �ethaid�, sideyards, easements, etc. 3. Other buildings or structures. �— Grading, fills, drainage. C. FLOOR PLAN Complete to scale plan with dimensions. L -Y Required windows for light and ventilation (Sec..1405).. v3 -Required windows for second exit (Sec. 1404). dt,�,,/Allowable glazing for energy requirements (207. max. per. State law). ./3. Human impact glass (Sec. 5406). Required room sizes, ceiling heights (Sec. 1407). G.F.C.I.'s in baths and exterior outlets (Sec. 2104). -�8_ Light fixtures, switches, receptacles, and exterior receptacles for maintenance of /mechanical equipment. 14- Locations of water heater, heating & cooling equipment, other electrical or gas equipment, and plumbing fixtures. , G— Garage firewall, door size, and closer (Sec. 503(d)(4)). 3'0" exterior exit door (Sec..3303d). L12�Fireplace location. Smoke detectors (Sec. 1413). D. STRUCTURAL DETAILS Foundation plan.complete enough to construct building. ✓� Floor construction details complete enough to construct building. -�' Elevations and wall construction details complete enough to construct building. `-Roof construction details complete enough to construct building. -5-.'-Fireplace construction details and calcs if over one-story in height. "5. Sufficient data and details to satisfy energy insulation requirements (State law). E. MISCELLANEOUS ITEMS TO LOOK OUT FOR CCX plywood on exposed locations and overhangs. vStairway details (Sec. 3305). v . Guardrail details (Sec. 1716). a4.— Brick or stone veneer (Chapter 30). xterior plaster - weep screeds (Sec. 4706 & 4708). .Proper roof pitch for roof covering (Chapter 32). &7_.�_ Rafter ties or bearing ridge beam. -&- Garage door or porch header sizes. LAr.� Adequate bracing. �. Living area over garage - complete 1 -hour separation required including supporting walls and posts, etc. Two (2) exits on three-story dwellings (Sec. 3302). I e� a 4.35 3 a57r * p`sirf,'r7l it0. on fi aY�� s-Mblla ham* is to h�n lc,,c3tzad: 4DA41-1-7•-0 ato -� - aid ' IdUzrbss- l�a;�� read the fv lc+ing carzfully b®fora signing: "A -..3r4 (Ag-ricu®tmz-a,1) RaquIaaio s 3 gni. Housing faci.litiss (including =bile homes) to acCcmmodata only agricult.ual rand e.." air f=jIli,es employed by the arrner or spas dor of tho puC-mi58S; and furthsr :that. such housing facility shall be conzi.d.zr�d acc-noUory to tha Hain buil Mang and shall conioznm to the prcPAsion pa--tai-ning to raquired yard and open spaca for dwellings.' ,ordinance No. 1439 stata3: a.:. ".AGRICUIZU . IL MLOYEZ o c n individual who V eri.fiez , by perannal .af.fieavit and by aD. davit of IcYar, that he is, or will ba, j2-mpIvyed at least ZA hours per w—_• _is for at haat to wagkz par Saar, or Fiat Inia primary aoarca of a`'..':iuz,.2. inc'ams is, or ::3 anticapa .-Sd, to b3, derived fr=, wzy of the following dszcribsd occupations: (1) 'sus pxgp.oraticn, care, and dreatment of fay Land, pi�lLn�, or. ditches, i,rclud!. ag haver r_g for agricultural purposas,; pla, i..ng. discing, and fnrtili®i,ng tlae soil.; (2) is =wjxg and planting of any agricultural or hortieultzzal (3) The c4ro of -any agricultural or horticultural commodity. As -azad in this subdivision, 'care' includas , but is not linitad ts_-, cultivation, irrigation, a d .control, thinzing, haatiaag,, p�"Ang, or ''t3 a ng, f n gating. 21prayin , and dusting; (4)' Tha harTs"sd{^q of any ag:icultural or horticultural co;iity,, .including bue not limit -s& to, picking, - cutting, threshing", =wing, R, Ockinq off ` field . c:oopg�3ny, b°m:nching, baling, balling,. field packing, and �:laci.ng in field con:.ai.nars or in the vehicle in which thr .co;x,-odity will ba h u?.ed on the farm or to til -a place of 9irst p ocessi ng; (5) �taa as rr.,51y and of aga of any agricultural or horti.cu? - tu aal cotmod3 may, including but not limitad to, loading, roadgidi ng, banking, stacking, binning, :aa:d piling; (5) Tnta praising, feed Zg and manage mant of livestock, flax b�gar- ing an{ maim, f1 sh, frogs -and other . aquatic animals, and be -ax, inciud4_7v but no` limited to, handing, homing, hatching, r.0 -liking, shearing, han-dling eggs, and rtjxtracting homy. (i) The a a:nntion, con2arvatlon, imp ov:�m,,_-nt or -AnA ,nta nanca 02 ;au^`a fay and its tools. and equipra--nt." - `'.Q .n �.r/� _ __._._�.�._..�_...a'.v Et':..'. ti•�L: .:t ii ��` jt�'�s?-- cr - i• .I ..� 'da J, y and tnat uiia permo-t. h c u o 4- 'aa"i"as on pro !,- .-An -p�t-J.dU-rL-cl Seo �b1 2, doa.Q5 mnfo=.to Saclt-.Ion 2.1-d as idantift?teZ in S,-mr- t 4,01% 4 of zz's application and. Agricu'A-uzal Emplojee as defl-nad in Ordinanza '40. Pa=it description &nd nuv.JDzr 'Dat,m issued 3 3(al-7S mi Util. . 1PERMIT NO. 3361.-75P2E $! P ' E �i M MH UTIL. YPERMIT NO. PERMIT EXPIRES 76 OWNER Eunice Bentz ,CONTR. LOCATION (A.P. 42-17-1.0 � wls Dairy Rd., 8001 N. of Grapt Way, Chico ! Temp. Power Pole Called PG&E Temp. Elec. Serv. Called PG&E Temp. Gas Serv. Called PG&E JJOB� `) FINALED o (Date i 1 (Signature) • i COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS BUILDING INSPECTION RECORD BUILDING BUILDING Cont'd) PLUMBING Setback <2Y"_U_ (D-7 "s Firewall Soil Piping Forms t Parapets 1st Floor Main Bldg. Restroom Finish 2nd Floor Footings Windows 3rd Floor Stemwall Siding To out Slab Roof Sheathing Water Piping Piers Roofing Sewer — 7 C Garage Fdn. Vents Fixtures Footings Garage Vents Water Htr. Stemwall Slab Prov. for physically handicapped Heaters Appliances Carport Footings Conformance of ex. structure Gas Piping & Test Temp. Gas Slab Final Sanitation Patio FIRE ACE Final '7 Footings Footing EL CTRICAL Masonry Walls Throat Rough — — .Reinf. Steel Final Fixtures Bond Beam FIRE SPRI KLERS Motors Framing Test Water Htr. Stucco Final Subpanels Mesh MECH NICAL Grd. Fault Prot. Scratch Heating Service Brown Cooling Temp. Pole Finish Ducts Under round Interior Lath Ventilation Permanent Door Closer Final Final DATE REMARKS OR CORRECTIONS ��� �- �� •- �© l �2 ova &4-5 0 tai // ®VJQ©(/ C i /fco 4-7� 7D TtY. Electrical .A. Is service large enough to provide adequate amperage to mobilehome'(must equal rating Of mobilehome with a minimum of 190 amp).and other facilitigs on lot e., water pumps, garage, cabana,_ etc.? .Yes , No ' �0 Ole 5 0 f9�4�t > 'B. Is there proper. clearances around panels? Yes � o C. Is power supply cord or feeder assembly properly fused. Yes No D. Is continuity test satisfactory as per the following procedure? Yeses No 1.De- ergize electrical wiring system of the mobilehome at the pedestal. 2. Make sure that the power supply cord, or feeder assembly conductors, including neutral cond 'tor., have been disconnected.,: 3, 2nne:: all breakers and switches 1p the mobilehome.to the "on' position. n.l1 n 'one lead of a test instrument to the mobilehome grounding conductor and app the..other lead to each mobilehome supply conductor, including neutral.' S. All non-current, carrying metal`part's of the mobilehome (aluminum siding, gas line, Yater 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 thesite service equipment. A further continuity test, shall then -b a made between the grounding electrode and the chassis of the mobiehome. Upon satisfactory completion of.the electrical tests, the lot or site service equipment .maybe approved' for energizing. �.. 10. Is job card signed by Health Department for water and sanitation? is /S �/� is 11. If everything okay, sign off card and tag services. Bv�NT pIN�_, / Y MOBILEHOME DATA / r Manufacturer and/or Namestyle Length Width Jam% Vehicle Serial No. 3 State Identification No:� �-g�t� (��5. 4 Additional Informa'ion Comme ts: ee . a MOBILEHOME INSTALLATION INSPECTION CHECK LIST 1.1 Is the mobilehome located wit equired separation from lot lines and buildings and generally conform to plot plan? Yes No 2. Does the mobilehome have required clearances above ground? (Sec.5085) Yes No 3. Are footings and supports properly sized, spaced, and braced as per approved plans? (Note possible variation at spring shackles.) (Sec. 082 & 5083) Yes No 4. Is the mobilehome level? (Sec. 5088) Yes' No_ 5. If mor han a single unit, are crossover connections properly installed? (Sec. 5088) Yes No 6. Water A. Is fleSj1,1e conn for of adequate size and properly installed (1/2" ID min.)? (Sec. 5566) Yes No .�� E� B. Test - Does water piping withstand working pressure or 50 lbs. air test? Yes V No C - ow - If coach is not State of California approved, does station have backflow device 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 V""No B. Does it have minimum" per foot slope and is it properly supported? Yes P -14"o .C. Are any leaks detected in drainage system after running3- ons of water through each fixture including washing machine standpipe? Yes No f D. ,,(coach is not State of California approved, does station have required trap and vent? es No 8. Gas Piping and Gas Vents A. Connector - Is mobilehome connected to the gas supply with an approved 3/4" minimum mobilehome connect�,O-M of more than 6 ft. long? Note: All piping is to be at least as large as the mobe gas line inlet without reductions other than the mobilehome connector. Yes B. Test OK as per following procedure? Yes/ No 1. Open.all appliance connector valves. 2. ,-�enut off appliance burner. and pilot valves. 3.tA1'r 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. ^-C'onnect as meter to mobilehome with connector, turn on as test connections with 4. g � gas, soapy water. 60l% Ar� 7i9/ve /i0, 7` ���5. j c= C. Are all appliance vents properly installed? Y�es� No COUNTY OF BUTTE — DEPARTMENT OF PUBLIC W R J� 7.County Center Drive - Oroville, California 95965 Telephone: 534-4541 APPLICATION AND PERMITtl authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. X Date 7 7 Signature of Perrmiiteeee or A nt Receipt No. /0�` T 60 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 0 PUBLIC WORKS B Date,?—/1`-7 t,_ Bui Iding permit expires Date d BUILDING Owner SQ. FT. OCC. BUILDING VALUATION Mailing Address _ Telephone No. -0 Fireplace Contractor Total Valuation Mailing Address Permit Fee Plan Checking Fee &/or Penalty Telephone No. Permit Fee Building Address(,� r �y� AJ 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. 442—- 10— Zoning &Planning Gas piping system 1 - 5 outlets 1.50 Each additional outlet .30 F W Saei� Fire Dept. FireZone Use Permit Building sewer 5.00 EQA Parking Plans I Parcel Declaration Parcel Ma P 0' R/W r Im p ovem nts lawn sprinkler system 2.00 Bldg. Pl, s Recd Parcel App val Plan pproval Permit Fee $ $ NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 Main service incl. 1 meter Additional meters, each 1.00 Sub -panel (12 or less). (more than 12) - Single Family ❑ Duplex ❑ Mobil Home 14 Others ❑ Range, Cook -top or Oven 1.00 Water Heater or Space Heater 1.00 Light fixturesb d2 Receps., switches &fix ouln tlets l 1n 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 ® 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. ❑1 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 0 1Z TOTAL PERMIT FEE $ C authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. X Date 7 7 Signature of Perrmiiteeee or A nt Receipt No. /0�` T 60 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 0 PUBLIC WORKS B Date,?—/1`-7 t,_ Bui Iding permit expires Date d COUNTY OF BUTTE — DEPARTMENT OF PUBLIC &0 7 County Center Drive -, Oroville, California 95965 Telephone: 534-4541 APPLICATION AND PERMIT 336 /- 7S authorize 'representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. Dat Signature of Permitee o gent Receipt No. .1 Z , 1 -2 C�2 v 1 - 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. DIRECTORI-OF PUBLIC WORKS By OfL77 Date I— ► I •— s I IeX Building permit expires Date 7-' 7 BUIL ING N Owner Z!Zg / 1/ C �' N/ +1� SQ. FT. OCC. BUILDING VALUATION Mailing Address ox Telephone No. Fireplace Contractor Total Valuation Mailing Address Permit Fee PI anChecking Fee&/or Penalty Telephone No. Permit Fee Building Address �� /�� �^ PLUMBING No.1 @ FEE PERMIT FILING FEE $3.00 3` 00 X e Q Q ® Each Trap 1.50 Repair drainage or vent piping 1.50 Water piping 1.50 ' C 0 Each gas water heater or vent 1.50 _.�� A. P. No. Q Zonin P Gas piping system 1 - 5 outlets 1.5010,0 Each additional outlet .30 s Sa i on Fire Dept. Fire Zone Use Permit Building sewer 5.00 t90 EQA parking Parcel Plans Declaration Parc5l Ma p 60' R/W Improvements p Lawn sprinkler system 2.00 g. Plans Recd Po el Approval Plans Approval Permit Fee $ is 3. iril NEW ❑ ADDITION ❑ UTILITIES R OTHER ❑ ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 Main service incl. 1 meter Additional meters, each 1.00 Sub -panel (12 or less) (more than 12) Single Family ❑ Duplex ❑ Mobil Home ,f Others ❑ Range, Cook -top or Oven 1.00 Water Heater or Space Heater 1.00 2 Light fixtures b0 10 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 Temp. Power Pole 5.00 License No. Classification Misc. wiring ® I am exempt from the Contractors License Laws of the State of California. Permit Fee MECHANICAL No. @ 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. 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 $ authorize 'representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. Dat Signature of Permitee o gent Receipt No. .1 Z , 1 -2 C�2 v 1 - 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. DIRECTORI-OF PUBLIC WORKS By OfL77 Date I— ► I •— s I IeX Building permit expires Date 7-' 7 I his set of plans and specifications MUST be kept an th job at all tinges and it is unlawful to make any changes or alterations' on same with,00 wrl-tin pe rmisson from the Department of Pubk Works, county of Butte. W W O N BUTTE ��a Q�aG► . COUNTY BUILDING DEPARTIMENI Al rhe-". Setback shall be 5 ft. froom I the side property line and 50 ft. from I the centerline of the road, permitting maximum of a 2 ft. eave overha*, 60' ioNo, rvv�J"i ' o n I o.i w 0 fly P°le I All utility connections shall be located within 4 ft. outside the rear a4�4ot�h �s N 6g s. third section of the mobile home on the left (road) side of the rnobile home. a 4 /1 A permit will be required for the installation of the mobiiehome. Septic system amdJQQUiot to be as per Butte County Health Dept. Re- quirements. ` PHONE: 534-4541. tr fp" Ln Utility Q2nnarHon .. 20' to rr gg tj (D nili3? d V v N 5" K K to �;. , 1> d 4. S• 0. ,^^C) Length /� - A:!e (a 0H 9 : ' 0 NOSILEHOME INSTALLATION INFOPUMATIOv I.ot Facilities Mobilehotre Data 1. Plot plan dimensioned, location of mobile 1. Len,th $ 7 Width 2:aj o' and utility connections? Manufacturer Pt.� x Yes No Vehicle Serial No. S 111 1 S I l,Z V -:x v' ray 2. Electrical. service. equipment ainpacity /2.6 ®64* Insignia Control No. ^ I 1 -51 y Circuit 'breaker ampacity 14,0 2.. Feeder assembly ampacity / o v Permanent Wiring Connection "t�L Conduit size Ampacity ' ! U o' Power'supply cord ' (amps)-"---•.� `'. Receptacle Ampacity, 3. Gas inlet -size ^�.''' ' " •3. 'Gas: Natural 'LPG Mobilehome connector size Gas riser size ;?,> '' Capacity 4. Drain inlet size 3 " 4. Drain connector: describe on rzverse side ti 5. • -1-iter riser. size , " 5. ldater connecto ' : describe on''reverse side -v -x" 6..Are utility connections located outside 6. Designea loads:. the rear 1/3 of. the mobilel ome .within Roof live load ' 4 feet of tlic left wall? yots ---Ao ldind load psf. . If not,. show dimensions. above. (only for uaoil.ehom^ s vanufactured after 7.. Is the mob'�lehome clear of septic tank, October 7, 1973} leach fields' and located outside public 7. ljanufacturer's in llatiov instructions? ' utility easements? Yes 6,- No Yes No . 8. Do you. propose to do other work on the-. g. 1Ti11 the mobile home be insta11ec1 on a property other than the mobilehom' separate support structure? • installation which will require a permit Yes ✓ ho Yes. ' No If. so, specify V 0_i' ke,ti a r ^For plans and specifications of support system, .see other side. ' (.f. . Cx iaY'V{.ts(rR.WawtiY.W W� YJY MTK1.1.W w.LtA LOAD 8:'ARI\G ' SUPPORTS , ADDITIONAL CO2l! ':%TS Drain Connector, Describe Wat*a- 'Connector, • Describe,' ) f Co lummi Support€ • a a BUTTE COUNTY • . . BUILDING. DEPARTMENT APPRO E D' �I I� Cx iaY'V{.ts(rR.WawtiY.W W� YJY MTK1.1.W w.LtA LOAD 8:'ARI\G ' SUPPORTS , ADDITIONAL CO2l! ':%TS Drain Connector, Describe Wat*a- 'Connector, • Describe,' ) f Co lummi Support€ • a a BUTTE COUNTY • . . BUILDING. DEPARTMENT APPRO E D'