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Home My WebLink About058-220-03258- 2- Z William M. Stratton ` SE-corne of end ..rd , p.500'E. of Kirby ree p.6 5' .of Concov Rd . , Con o �grtsi y P m =76P, 'r ) E G S UPPORT CTURE REQ. COMPACTION TEST REQ. iCaA 99 58-22 -'&�t�37 -illiam. Stratton SE cor.of end of pri.rd.,app.500'E.of Kirby Rd. ,app.675'�1.of -oncow Rd, , Co=w Permit Ift40 76P,E(util ) �`14 ELEC.. 6 -As 2 tsUPPMT STRUCTURE REQ. /V COMPACTION TEST REQ. AV 58-22-8�n�. 3 contr: Oakmont Mobile Home Center,Chia Permit #5538-76MHI psued D- > r FA CLAIMANT: — ADDRESS: Rt • l t los 299.2-2 CITY & STATE: Oroyillds CA. 95965 IMPORTANT: DATE OF CLAIM: Ausust•29• 1976 SEE INSTRUCTIONS ON REVERSE SIDE SUBMIT CLAIM TO DEPARTMENT RECEIVING GOODS OR SERVICES &unt* r ✓Juft OROVILLE, CALIFORNIA GENERAL CLAIM William M. Stratton DATE DESCRIPTION OF CLAIM (DESCRIBE FULLY TO AVOID DELAY) AMOUNT owerdecided not to install fa/c��ilities ' !oz A- mobilah=a. _. 3514= t � n. #3. , r ® WB b!-0149388 • 58-22-13) :dumbing permit fee .».,-M ,423:0®• ; w�..� ww.+sr Amount of refund. due $20.00 Electrical, poxmit face. •�•,, $1�. y.5. fee petain filing Amount, of refund due .•..•.,.•.••____ �I5.75 TOTAJ.�Ik�EIFUND 1 ...Y,....,«....._...1, $35,.75 $35.75 TOTAL $35.75 I, the undersigned, declare under penalty of perjury that the services or articles claimed have been performed or delivered, and that this claim is true and correct as stated. rovil lew Datedthis ................................. day of ............. �.............. 19....... et o ..................... Calif. .................................................................................... Signature of Claimant I. the undersigned, hereby certify that, to the best of my knowledge, the services or articles specified above have been performed or de- livered and that there is a Budget Appropriation E] or Specific Board Approval ❑ (Check one) for the same. 23rd Au"t 76 oroviile Datedthis .................................... day of ............................. 19......, at .............................. . Calif..................................................................................... Department Head or Authorized Deputy Dept. Exp. Code............................................Code ................................................ PAYABLE FROM............................................................................................ FUND DO NOT WRITE BELOW THIS LINE - AUDITOR'S USE ONLY VENDOR CODE DEPT. & SUB. PROD• SUB. 0BJ. CLAIM NO. INVOICE NO. INVOICE DATE DISC. GROSS AMOUNT ENCUMB. SUB -DIST. c: , INSTRUCTIONS -to CLAIMANTS All claims against the county must be itemized, giving dates and character of service rendered or work performed, quantities, de- scription and unit prices of articles furnished or delivered. Claims must be certified by the claimant and submitted to the De- partment head for approval. Upon approval the Department head will forward claim to County Auditor for payment procedure.. Do not file with the County Auditor first. Claims should be presented to officials for approval immediately upon completion of services requested or material ordered. Claims are paid every Tuesday; however, same must be approved by officials and in Auditor's office before preceeding Wednesday noon. Compliance with above will expedite payment of claim, failure to do so may delay payment considerably. 17j",u.u�-tom �.o a-�Q, � f,�. Z5- 00, R ` s - LAE TG Building Department IIM-1 Environmental ;-Health rF Si,, -wage a:nd/cr r,'ater Clearance qL11 Win L e.TIOa; Has been avproved 'or ' DISPOSAL., A TEP.. SUPPLY Sardterian Date . • `'� COUNTY OF BUTTE — DEPA'RTMENT OF PUBLIC WORKS • 7 County Center Drive — Uroville, California 95965 ^� � '-]"� Telephone: 534-4541 3/�J / ' APPLICATION AND PERMIT .^ ,�r��.a�wuvc.� v� u�c VU4rlly VI Uullc LU CIItUl u(JUII IIIC above-mentioned property for inspection purposes. � �� r X Date v Signature of Permitee or Agent Receipt No. Ll 9,&8 White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work .indicated above for which fees have been paid. DIRECTOR OF PUBLIC WORKS By Building permit expires Date Date BUILDING Owner �cL M ` STrhT7-o SO. FT. OCC. BUILDING VALUATION Mailing Address3 in t/ M t �� E NS_4 7WG° F Telephone No. 11F — G ilS Fireplace N Contractor I'a 6 8.3 Total Valuation Mai I ing Address 'e -Plan Permit Fee Checking Fee &/or Penalty Telephone No. Permit Fee Building Address �� Oi�, ,�F ?�/ �/v!' Vr �/�; PLUMBING No. @ FEE PERMIT FILING FEE $3.00 _ OF /4z�/ /Z 8 Each Trap 1.50 /^ /� r t %2CC 1C �, '/v id�i�'03C F . ,V 0 Repair drainage or vent piping 1.50 Water piping 1t= %0.0 OF Each gas water heater or vent 1.50 A. P. No. jr .— — jQg1j r OF Zonl Gas piping system 1 - 5 outlets 1.50 Each additional outlet .30 F s Sanitation Fire Dept. Fire Zone Use Permit ° Building sewer d EGA Parking Plans Parcel Declaration p c I 60' R/W ImprovementsLawn sprinkler system 2.00 Bldg. Plans Rec'd �� arcel Approval Plans proval Permit Fee $ 300 53 OQ NEW ❑ ADDITION ❑ UTILITIES OTHER ❑ ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 p0 Main service I00 AMP OR00V OR LESS5:00 �0p 50 Main service EA. ADD -L 100 AMP 2.OVER Single Family ❑ Duplex ❑ Mobil Home R1 Others ❑ 600V Main service 100 AMP OR LESS 25.00 Main service EA. ADD'L 100 AMP 1.00 NEW OR CONS.ADDNST ( ACCLBLDGSCCUP. &) 2¢sgft NEW CONSTR. MULTI -OUTLET NON-RESID, ( BRANCH CIRCUITS) 2.50ea I 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: u M0_r4o f- I N• A, oZ•UD Ex. Occup(OUTLETS OR FIXTURES)@2' 104 Ex. Occu FIXED APPLNS, OR p•(OUTLETS (RESID.) EA) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 License No. Classification Misc. Wiring 6.25 •2, 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. 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 .^ ,�r��.a�wuvc.� v� u�c VU4rlly VI Uullc LU CIItUl u(JUII IIIC above-mentioned property for inspection purposes. � �� r X Date v Signature of Permitee or Agent Receipt No. Ll 9,&8 White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work .indicated above for which fees have been paid. DIRECTOR OF PUBLIC WORKS By Building permit expires Date Date L1 ki 1? PERMIT NO. 504D-76P,E PERMIT EXPIRES OWNER William M. Stratton CONTR. owner LOCATION (A.P. 58-22-8 port. SE corner of end of pri.rd.,app300'E.of Kirby Cr.Rd.,app.675'N.of Concow Rd., Concow Y F. a. Temp. Power Pole Called PG&E Temp. Elect Serv. LQ Cal.1-edd"PG&E Ap" Temp. Gas Serv. Called PG&E JOB 01 /Fl N A LED— (Date) (Sign tIre) t L/ COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 7 COUNTY CENTER DRIVE OROVILLE, CALIF. -'534-4541 CERTIFICATE OF OCCUPANCY This mobilehome has been installed in accordance with the requirements of the California Administrative Code, Title 25, Chapter 51 under permit number for the following location: Owner Owner's Address Mobilehome Mfg. Model Year Insignia No:"., Serial No. It is hereby certified for occupancy at the above described location and may be occupied. Director of Public Works , Date By THIS CERTIFICATE IS VOID WHEN MOBILEHOME IS RELOCATED -s; 9 0 NLR LOCATION A.P# Has been appro'ved for: S3.,4ku- DISPOSAL .;ATTR SUFc'LY r/ Sanitarian �1--� Date 595-775 - V. " " COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS BUILDING INSPECTION RECORD BL;ILDINu BUILDING (Cont'd) PLUMBING Setback Firewall Soil Piping Forms Parapets 1 st Floor Main Bldg. Restroom Finish 2nd Floor Footings Windows 3rd Floor Stemwall Siding To out Slab 'Roof Sheathing Water Pipinq9W9 Piers Roofing Sewer Garage Fdn. Vents Fixtures Footings Stemwall Garage Vents Insulation Water Htr. Heaters Slab Carport Footings Prov. for physically handica ped Conformance of ex. structure Appliances Gas Piping & Test Temp. Gas Slab Final Sanitation Patio FIREPLACE Final Footings Footing ELECTRICAL Masonry Walls Throat Rou h Reinf. Steel Final Fixtures Bond Beam FIRE SPRINKLERS Motors Framing Test Water Htr. ' Stucco Final Subpanels : Mesh MECHANICAL Grd. Fault PrR.!. Scratch Heating Service�j Brown Cooling Temp. Pole Finish Ducts Underground Interior Lath Ventilation Permanent Door Closer Final Final DATE REMARKS OR CORRECTIONS (NOTE: An entry must be made on this form each time you visit the job site.) • r. ^ MOB- !,E110.1.E INSTALLATI00 INSPECTION CHECK LIST 1. Is the mobilehome located 1,7V11No _required separation from lot lines and buildings and generally conform to plot plan? Yes - 2, Does the mc)bil.ehome have required clearances above ground? (Sec.5085) Yes `4o_ 3. Are footings and supports properly sized, spaced, and braced as�ier approved plans? (Note possible variation at spring shackles.) (Sec. 5082 & 5083) YesNo 4. Is the mobilehome level.? (Sec. 5088) Ye/ No 5. If mVe than a ,single unit, are crossover connections properly installed? (Sec. 5088) Yes No S. Water A. Is +l�xible connector of adequate size and properly installed (1/2" ID min.)? (Sec. 5566) Y'es �/ No B. Test - Does water piping withstand working pressure or 50 lbs, air test? Yes',/,No C. Backflow - If coach is not State of Califoroved, does station have backflow device and pressure -relief valve? Yes No — + 7. Wastes and Drains ,V 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 P P properly supported? Yes No C. Are any leaks detected in drainage system after running 3 ,gallons of water through each fixture including washing machine standpipe? Yes No VV D. If coach is not State of Cal 'fo 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 B. Test OK as per following procedure? Yes_ _ 1. Open all appliance connector val s, t. 2. Shut off appliance burner and p• of valves.'... 3. Air test with m eter o 1 -14" water column, or test with slope gauge (minimum 6oz.-maximu 8 0� ¢�i.ib ed in tenth pound increments. Test for 10 min, without drop. 4. Connect: gas mete to\,m(-)bilehorne with connector, turn. on gas,,test connections with soapy water. ' C. Are all appliance vents properly installed? Yes No a 9. Electrical A. is service large enoitgl. to provide radequate amperage ro.iPuLileliome (mu-st equal rating of mobilehome e-jitil a :::inh-um of 00 amp) and other faciliti_a:,; on lot, i.e., water pumps, gara-e, cabana, etc. Yes No — B. Is V there properclearances aroundpanels9 Yes No.. C. Is power supply cord or feeder assembly properly fused? Yes= I�'o_ D. Is continuity test Satisfactory as per the following procedure? YesNo 1. De -energize electrical wiring syste:a 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. Connect one 1, --.id of a test instrument to the mobilehome grounding conductor and , •,_,._..._ ,_. t ,. apply t1iC Oi•Lehl lead t.iJ Gal': 11,TlIUU L.LCLWIIIt' Sup�.)ly I:UnLLlic tor, illclll l)lllg nEuLrSl. 5. All nor. -current, carrying metal parts of the mobilehome (aluminum siding, gas line, iter line), including fixtures and appliances, shall be tested for continuity from such equipment and the grounding conductor. 6. Upon completicn of: the above procedure, the power supply cord or feeder assembly conductors shall be connected to the site service equipment. A further continuity te:--e shall then be made between 'lie grounding electrode and the chassis of the 1,1.01)ilehome. Upon satisfactory completion of the electrical tests, the lot or site service equi.pment may be approved for energizing. ;s job card si-ned by Health Departmeat for water and sanitation? 1.1._ If everything okay, sign off card and tag, services. 'MOBT_LEITOME DATA Manufacturer and/or . "Length Widtl Vehicle Serial No. �Iamest:yl(le s�'✓ Z�L— State Identification 'N ..dpi t t ional Infor-na t. i on or Corfm!ents : .. COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Uroville, California 95965 Telephone: 534-4541�� APPLICATION AND PERMIT AA :)tioned property for inspection purposes. X /� /�✓C�ate� Signature of Permitee or Agent R eipt No. �,� 3 S'— N ite-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant Ihis 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 BLIC WORKS BY t(ding permit expires Date �0 2 —77 BUILDING Owner �� LL H SQ. FT. OCC. BUILDING VALUATION Mailing Address Telephone No. Fireplace Contractor j�B, Total Valuation Mailing Address a.7 C/ S_ S PZ, .9 A) A d �, Permit Fee Plan Checking Fee &/or Penalty i p Telephone No. 3 -2 -1 -Eq Permit Fee $ Building Address S' p ,t/ev A 1�a� O PLUMBING No. @ FEE PERMIT FILING FEE $3.00 ✓ � t o D , ' 0 Each Trap 1 1.50 C+_ IV- 24 flJOP,- . (, 73 A) ®� Repair drainage or vent piping 1.50 C4AJCOtrI �c�, ,v Ge cl Mater piping 1.50 Each gas water heater or vent 1.50 A. P. No.�.- 2 - A F Zoning &Planning Gas piping system 1 - 5 outlets 1.50 Each additional outlet .30 F s Fire Dept. Fire Zone Use Pen -nit Building sewer 5.00 EQA Parking 1. Plan Parcel Declaration Parcel Ma P 60' R/W Im rovements P [-awn sprinkler system 2.00 Bldg. Pans Recd Parcel provol Plans Approval Permit Fee $ $ NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 16771—,9-4-1 a911, D t! Fo v- eras, ,T `O L( O ^- (, Main service 6001 OR 100 AMP ORLESS5.00 Main service EA. ADD'L 100 AMP 2.50 Single Family ❑ Duplex ❑ Mobil Home Others ❑ ER Main service 10 0 AMR oR LESS 25.00 Main service( EA. ADD•L 100 AMP 1.00 NEW OR ADDNST ACC. BLDGWELLING OCCUP. &) 22sgft 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- sty of:.l n (` t'VIe _ Ex. Occup(OUTLETS OR FIXTURES)50 @250 BAL 109 FIXED APPLNS. OR Ex. Occup. ( OUTLET S (RESID.) EA) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 n � License No. . � 0 c� Classification Misc. Wiring 6.25 ❑ I am exempt from the Contractors License Laws of the State of California. Permit Fee $ $ WORKMEN'S COMPENSATION INSURANCE 1 am aware of the provisions of Section3700 of the California Labor Code which requires every employer to be insured against liability for Workmen's Compensation. Cj I have placed on file with the County of Butte a certificate of 9�4-Workmen's Compensation Insurance. EJI certify that in the performance of the work for which this permit is issued I shall not employ an P p y y person in any manner so as to become subject to the Workmen's Compensation Laws of California. MECHANICAL No.1 @ FEEPERMIT FILING FEE $3.00 Heating Cooling Ventilation Hood 2.00 Permit Fee $ $ I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances - and State Laws relating to building construction, and hereby .9L��l� F.t $ -30 lac :)tioned property for inspection purposes. X /� /�✓C�ate� Signature of Permitee or Agent R eipt No. �,� 3 S'— N ite-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant Ihis 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 BLIC WORKS BY t(ding permit expires Date �0 2 —77 MOBILEHOME SUYPOKU UKIA Mobilehome Mfr. Setup Model No. ,'7/ S� Year /% 7 Width ,Zi-% (ft.) Length y!i (ft.) -Expando Size ft.x ft. (Draw support details below) . On all mobilehomes manufactured after October 7, 1973, furnish manufacturer's installation manuaR and structural setup sheets .(if. not .on fila with, the County of Butte). 1 Sin le -41 Footings-(check.one) EF .10 1. Wood either . pressure treated or Center Center Support "- `fdn.:grade. : Support Footing Sizes Locati s (in.) /,=� 2: :Concrete pad. 3. , Other, specify in. in. in. -7_ Supports (check one) /z4"t Concrete block 2. Concrete piers 3. Steel piers . ...... . .... .. . .......... ... 4. Other, specify ypical Support .... ... Footing Size. 3G x �0 in. in. ) `�. Max. Pier. .�- Spacing oin. G ft. in in. in.)�. (in.) (in.) -'� ( Max. - D Overhang in. *If center piers are other than drawn above, draw in locations, spacing, and dimensions. BUTTE COUNTY BUILDING DEPARTMENT APPROVED W", BUTTE COUNTY DEPARTMENT OF PUBLIC WORKS 7 County Center Drive, Oroville,.CA. PHONE: 534-4541 MOBILEHOME INSTALLATION SHEET 1. Owner's name: 2. Installer's name: 3. Is the site currently under permit? Yes 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 /-j"" No / / ( If no, clarify _ ) 5. What is the mobilehome electrical rating? ----------------------- 6. What is the mobilehome site service rating? ------------------- 7. What is the mobilehome site circuit breaker rating? --------- O �� , Amp 8. Is there any other electric load to be served by the mobilehome site service? --------------------------------------------------- o (If yes, identify the load and size: (Load) O (Amps) 9. What is the mobilehome site gas pipe size? ---------------------- AlaAll (in.) 10. What is the type of gas service? ----------------------------- Natural LPG 11. What is the gas'pipe length from meter or tank to the mobilehome? (ft.) 12. What is the mobilehome gas demand? ---------------------------- (BTU) (This information not required if pipe length less than 6 ft. on natural gas or less than 50 ft, on LPG.) 1W1"_ COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS 7 County Center Drive — OroviIle, California 95965 Telephone: 534-4541 APPLICATION AND PERMIT y l BUILDING Owner k1, 11J,0114d AJ SQ. FT. OCC. BUILDING VALUATION Mailing Address 6D C94a v 24 Telephone No. ti oivQ Fireplace Contractor ceJA/ylf— , Total Valuation Mailing Address Permit Fee Plan Checking Fee &/or Penalty Telephone No. Permit Fee $ Building Address L� I 5!1 02 ,VAjL, 6;= Mg �G/�Or PLUMBING No. @ FEE PERMIT FILING FEE $3.00 3 d'U yr. O E-7, Each Trap 1.50 Repair drainage or vent piping 1.50 Water piping _+_" 10. 6`0 w /VC(�w /C�tl • t (20IX-ICGL4) Each gas water heater or vent 1.50 A. P. No. �- 22 — P .j..,'d Z n Gas piping system 1 - 5 outlets 1.50 Each additional outlet .30 lf_e I C. Qhi tion Fire Dept. Fire Zone Use Permit Building sewer X0& EQA Parking Plans Parcelarcel Ma Declaration P 60' R/W Im r p ove ents Lawn sprinkler system 2.00 Bldg. Plans Recd Parcel Approval PI Approval Permit Fee $ a � $ NEW ❑ ADDITION ❑ UTILITIES OTHER ❑ ELECTRICAL No.1 @ FEE PERMIT FILING FEE 1 $3.00 3, eD OR LES Main service 100°o AMP ORS SLESS 5.00 S, .0t) Main service EA. ADD'L 100 AMP 2.50 Single Family ❑ Duplex ❑ Mobil Home ® Others ❑ Main service R 600V 1100EAMP OR LESS 25.00 Main service EA. ADD'L 100 AMP 1.00 NEW CONST. ODWELING R ADDNS. ( ACCLBLDGS,CCUP. &) 22sgft NEW CONSTR. MULTI -OUTLET NON.RESID. BRANCH CIRCUITS 2.50ea NEW CONSTR. POWER APPARATUS .&) NON.RES,(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: Z UP 1 Ex. OCcup(OUTLETS OR FIXTURES) BAL@1a Ex. OCCU FIXED APPLNS. OR P• 2.00 OUTLETS (RESID.) EA) Temporary service 10.00 Mobile Home Facilities 15.00 � License No. Classification Misc. Wiring' /L: 6.25 I ° I am exempt from the Contractors License Laws of the State of California. Permit Fee $ $ aj 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.1 @ I FEE PERMIT FILING FEE $3.00 Heating Cooling Ventilation Hood 1 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 $ "Uar ry — IVVIV cit— VVa UI 11IV VVUllly Vi �UIIV IU CIIICI UpUrl 1110 above-mentioned property for inspection purposes. X Date Signature of Per itee Agent Receipt No. /3a(f)(3 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 be paid. DIRECTOR F PUBLIC WORKS` By Date / —13 — uilding permit expires Date i �� -77 P1, - Np tA)' L L M M ,Q. P. r— z,L— B(porr tep}ic system and location - to be as per rt.it¢e County Health Dept. Re- quirements. M 7C permit will 6"e. required for th0 • �� 10 installation oflfhf mobileborn All utility connections shall be located within 4 ft. outside the rear third section of the mobile home on the left (road) side of the mobile home. 2Sa i i 'NOTE: All Materials & Wort Accordance with Recooniaed of a duality prescribed for 'she Uniform Building, pambing & ti $ Nataonal Electrical Code. rhe ftig. Setback shall be 5 ft. `from rhe. side, property line and 50 r. #ink the centerline of the road, p k maximum of a 2 ft. eave overhang, ip Shall 10 in Practices and ified use i I the Code and This set of plans andi s MUST be kept on the inb at all times and it is unlawful to make any changes or alterations on same without written permission from the Department of Public Works, County of Butte. BUTTE COUNTY BUILDING DEPARTMENT, % ��D