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Home My WebLink About061-600-00361-60-03 92-968 P' O -- FRANKLIN,, Bennie - - _ kxY 39 Wagon Wheel Way, Or ville mh utilities ' 4 � � ELEC 46>0 � � �.�•� � GAS f ` COMPACTION TEST REQ SUPPORT STRUCT - REQ 4 2j 61-60-03 92.-969 MHI FRANKLIN, nnie 39 Wa Wheel,Way, Oroville` j Tmhi - r VA x: s �d q$, i 5a•u�iC.:.r. v7i q„ r.,-a.i,._b.o �D!L ..:'Ae4:A .. .. ..:...,.:v p:5,...Rx,-uvb.. ea ok�l .. . ... ,.,4h,.k...h:5:,.'d:,s...dar-.,_.-.e . _t:.a,N.�..ru..4.. ........'L,a'6..1.,�,.6..�d_rr,...i,a:,... ,A.r.,4 .. 'r .n... ... ..� _, _. � ._ ..vr,_ .-.2 ... w.. M67•"a�.L�i, ,... _.,r. r,. ,,lYGl.�'&'wt�„. %FF L, �hSY�4:Yrx .',);iAK'. ..,•u.. Ill RESIDENTIAL 61-60-03 92-968 P,E FRANKLIN, Bennie 39 Wagon Wheel Way, Oroville mh utilities 3 Tr) e,4 jo se4ll. S,?,4�) �� , 6/3 S2 s�,��c , J OFFICE COPY Address GAS Meter By Date ELECTRIC I Meter By Dat ' JOB FINALED (Date) .7— I oil, Signature -k- J=OK O=Not OK -=Not Applicable Not Ready RESIDENTIAL (; ' = Date -UNDERFLOOR.(Plans) OK except #'s' e 1. ZoningaSetbacks-Easements-Flood-Slope 2. Ftg., Main; Soils-Elec. Grnd.-/ /" Ftg. Depth 3. Ftg., Garage; Soils-Steel-Elec. Grnd.-/ /" Ftg. Depth " 4. Ftg., Porches & Decks; Soils -Steel-/ /Ftg. Depth 5. Stemwalls, Main; Steel -Bloc kouts-Wrapped 6. Stemwalls, Garage; Steel-Blockouts-Wrapped 6a. Hold Downs and Special Anchors 7. Slab; Steel -Wrapped 8. Piers -Fireplace Ftg.-Steel 9. D.W.V.; Fall -Fitting -Test -2 Way C/O -Sewer Test 10. UF. Gas Pipe; Size -Anchors - yard gas piping: size -test 11. Water Pipe; Test -Anchor -Regulator -Service Test 12. Electric; Underground 13. Pienums & Ducts; Clearance -Material -Support -Ins. 14. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples 15. Access & Ventilation 16. Insulation Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date PLUMBING (Permit),OK except n's 16. Water Htr.: Vent -Access -Combustion Air -Baffle 17. Water Pipe: Test & Anchor -Nail Protection ---- - --------------- 18. D.W.V : Test -Fittings & Anchor -Nail Protection -- ----=---------- - ------------------ 19. Shower Pan; Test, First Floor -Tub Access ----------- ---------------------------- 20. Test Tub & Shower. Second Floor -Tub Access ------------------------------ -------------------- -- --21. Gas Pipe: Size & Anchors Date- -Card B_1 - Date Card B-1 - Date Card B-1 Date Card B-1 Date ELECTRICAL (Permit) OK except ti's - - 22. Fixture & Transformer Clearance -Ins. Protection - -- - ---------------- 23. Elec. Receptacles Spacing -Lights & Switches at Doors ---- ---------------------------------------------------------- 24. Size Boxes & No. of Conductors -Stapled ------------ -------------------------------------------------------- ---------- 25. Romex Installed Close to Edge of Studs & C.J. ------------------------------- - ------------------------------ 26. Equip. Ground made`up w!Mech. Fastners-Bond Gas & Water ----------- - - ----------------------- 27. 2 Appliance Circuts in Kitchen & Conductor Size!GFI ------------------------------ ------------------------ 22. Subfeed Wire Sizer ga. Cu or AI-A.C. Wire Size ! ! ga. Cu or AI- ------------- -------- ------ --------------------------------- 29. Range Circ. / ga. Cu or AI -Oven Circ. / / ga. Cu or Al. Insulated Neutral ❑ Yes ❑ No ------------------------------------------ --- -- - 30. Service -Riser Conductors & Ground -Main Disconnect ------------------------------------------------------------------------------- 31. Equip. Clearances Panels-Motors-Mech. Equip. ---------------------- 32. Clothes Closet Light -Shower Light -Spa Light --------- --- -- -- ------- -- ------------------- - ---- -------------- 33. Smoke Detector --------------------------------------------------------------------------------- Date Card B-1 Date Card B-1 -------------------------------------- ----------------------------------- Date Card B-1 Date Card B-1 Date MECHANICAL (Permit) OK except #'s ------------- 34.- A.- -C.- Ducts Insulation & --- Sup -port ---------- ------- - ---- ---------------------------------------- 35. Vent Fan: Exhaust above insulation -------- -------------------------------- ------------------------------------- 36. Condensate Drain & Overflow: Size & Grade ----- -- --- --------------------------- -- - -- - - - - - -- - - - - -- 37. Furnance-Vent: Access -Comb. Air -Return Air Vent -115 outlet ------------ ----------------------------------------------------------------- 38. Attic Access & Platform if Furnance in Attic ---------------------------------------------------------------------------------- --------------------------------------------------------------------------------- Date Card B-1 Date Card B-1 - -------------------------------------------------------------------------------- Date Card B-1 Date Card B-1 Date FRAMING (Plans) OK except #'s 39. Sils. Proper Material & Anchors --- ---- ----- ------------------------------------------------------ 40. --------------------------------------- ------ 40. Walls Studs -Nailing. Spacing & Bracing -Plates -Sound' -------------------------------------- ------------------------------------- 1 41. Bearing Walls over Girders & Floor Nailing n -'------------------------------------------------- -- -------------------- 42. Draft Stop in Walls (rat proof) --------------I---------------------------------------------- 43 Fire 'Stops: Furred Ceilings -Stairs -Chases -Tub ----------- ------------------ ------------------------------------------- 44. Headers & Beam -Size & Bearing >ingle & Duplex) Date FRAMING (Continued) 45. V Hangers -Post Caps -Anchors -Connectors 46. Cing. Joist-Rftr. ties -Pu rlin-roof Brac-Truss-Shthng.-Ring. 47. Fireplace Ties or Type A Flue -Fireplace Throat clearance 48. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles --- - 49. Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions 50. Garage Fire Protection Framing --------- _--- 51. Property Line Firewall & Openings',, 52. Ext. Doors -One 3' -Check Garage -3rd Story, 2 Exits 53. _Stairs: Width -Head room -Rise- Run- Landin Fire Protection 54. plywood on Roof Overhang -Attic Vents -Rafter Outriggers ---------------- -- 55. Siding -Nailing Veneer „ -------------56.-.Stucco Mesh-DripScreed-Fd. Vents-Underflr. Access ----- --- 57. Glazing Area -Glass Protection -Skylights -Plastic _ 58. Shear Walls; Nailing -Bolts 59. Insulation -Walls -Ceilings 60. Infiltration -Walls -Windows ----------------- ----------------- _Date _______ ---Card B-1___ _ Date Date Card B-1 Date Card B-1 Card B-1 Date FINAL (Plans) OK except n's •.� 61. Ext. Steps -Door & Sidelight Protection -Landings ------------------------ -- 62. Smoke Detector ----------- -- - --- ------------ 63. Furnace; Vents -Clearance -Comb. Air -Connector - In Garage: Above Floor -Ducts -Meth. Protection ------------------ 64. Bedroom Exiting ------------ ---------- ---------- 65 G.F.I. & Bath Fixtures & Tub Access -Spa 66. Elec. Trim & Subpanel; Breaker Sizes & Labels ------ ---------------- 67. Stairs & Rails ------------------------------------- 68. Fireplace or Stove: Clearances -Hearth 69. Elec. Outlets at Wood Panel; Int. & Ext. ------------------------------- 70. Kit.Fixt. & Appliance: Grnd.-Air Gap -Cooking Clearance 71. Elec. Outlets & Receptacles at Kit. Counter ----------------- --------- ----- 72. Garage Fire Door: Swing -Landing -Closer 73. A.C. Duct in Garage -Damper -- ----- - ----- - - ---------- 74. Wtr. Htr Vents -Clearance -Comb. Air-Connector-P.R.V. , In Garage; Above Floor -Meeh. Protection 75 Plb. Elec. & Mech. Equip. Listed for Location 76. Elec. Receptacles in Garage; (G.F.I.)-Romex Protection -------------------------------------------- 7;. Insulation -Foam -Looked in Attic ❑ Yes --------------------------------- - 78. Guard Rails & Deck -Construction -Post Caps 79. Fdn Vents & Crawl Hole Door -Drainage & Wood -Earth -------------- Clearance Looked under Floor -- ❑ Yes 80. Following instld.: Drive ❑ Yes ❑ No; Walks ❑ Yes ❑ No; Planters ❑ Yes ❑ No --------------------------------------------- ------ 81. Stucco: Brown -Finish 82. A.C. Unit: Disconnect Electrical, Plumbing - ------------ -------------------- ----------- -- 83. Vents Above Roof; Plbg.-Appliance-Fireplace.-Clearance to -Openings ----------- --------------------- 84 Water Well: Disconnect, Electrical, Plumbing 85. Exterior Elec. Trim: G F.I_Receptacle=Underground -- 86. Ventilation Throughout House .... . . ......... - --- ------------------------------------ 87. Glass Protection -------------------- ------------------- 88. Corrections from Previous Inspections ------ ------------------------------------------- 89. Gas Test -Meters Tagged; Gas -Electric _. ---------------------------- 90. Water & Sewer Connected -C/O to Grade -HD Approval ------------- _. ------ - ------------------------------ 91. Energy Compliance Certificate -Other Certificates ----- -------------------- ----.. Date Card B-1 ----------------- --------------- Dale Card B-1 �--- -- _.....a. ---------------- Date Card B-1 Comments at Final: Date _ Card -B-1 Date Card B-1 Date Card B-1 5 v 7 V = OK 0 = Not OK Not Applicable Not Ready MOB[L'E'-HOMES% Date ZMOB�=HOME LITILITIES'(Plia'ns)'OK except #'s &4 -Zoning Requirements -Setbacks -Easements' 2. Soils; Special MH Subpbirt 9*ket6h� ,ewer; Location -Test -Fal /0 Concrete d.4, -Water: Lo'cation-Test-Easeiiient-�Ne-eded (Sketch) 5.- Electricity; Location-Clearences-Grhd46?Amp-Concrete 0,11as; Locatiori-]Jest-Wrpp: / /"Uft.. Z_ / /"Nat. oj,&"ft.*"LP 7. Well CleararTre% ni4cbnnect La-Gwity clearance Date IL Card B-1 Date Card B-1 Date 9/,5F2_Lard B-1 Date Card B-1* Date MOBIWHOME INSTALLATION (Plans) OK except #'s - of Requirements -Setbacks Easements ,�Wg Requir bf00_tjngs; Size -Spacing -Marriage Line jjj g3 as ,MH Test-Demand-Valve—Connector ecyicity; MH Test -Crossovers -Breakers -Clearances tk_�ffr' n; MH Test -Fall -Flex Connector .,Water; MH Test -Regulator -Connector 4ea111� ter and Sewer Connected -C/0 to Grade -HD Approval 11r_G_4s and Electricity Tagged t.WExj, Insp.-Sketch ba"Cert. of Occupancy - Date .�,Card B-1 Date Card,B-1 Date Card B-1 Date Card B_ 1 7— �- 2,0 3 MISCELLANEOUS Date DECKS, COVERS, CARPORTS, GARAGE9;.(Plans)ok except #,s 1. Zoning Requirements-Setbacks-Easemenfs" 2. Footings; Soils -Size -Depth -Spacing -Connectors -Steel -,t 3. Decks; Griders and/or Joists -Decking -Bracing -Stairs -Rails 4. Wood Awn.; Posts -Bea ms- Rft rs. -Connectors Shthg.-Rfg.-Bracing 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Carports; Windows -Doors 7. Electric 8. Frmg; Sils-Anchors-Studs-Rftrs-Trusses 9. Siding; Nailing -Veneer -Stucco -Mesh N 10. Roof; Shthg-Roofing 11. Ext.; Steps -Doors -Landings Date Card B-1 Date Card B-1 Date Card B-1 Date Cird B-1 Date POOLS (Plans) OK except #'s 1. Setbacks -Easements 2. Soils; Compaction -Structure Stability 3. Pool Structure; Steel -Connections -Thickness Dead Men -Lining 4. Elec.; Receptacles and Lighting, Distances-GFI 5. Elec.; Pool Lighting; 15 volts-GFI 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed P. 7. Elec.; Bonding; Metal w/5' -Circulating Equip.-Heater' 8. Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg. Boxes-Enclosures-Panelboards-Ins. to Main in Conduit 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test f. Date Card B-1 Date Card B 1 Date Card B-1 Date Card B-1 4 MOBILEHOME INSTALLATION ACCEPTANCE COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS — 7 COUNTY CENTER DRIVE OROVILLE, CALIFORNIA 95965 — TELEPHONE: (916) 538-7541 PERMIT NO. Address or location of mobilehome Owner's nameg2 H V'"•/'a.-r b I lid Owner's address !) r I �� ✓o� �z Insignia or hud number—,407 a7 8 Z O 13 a Manufacturer's name G>—arC v� /� `-1 Year of manufacture Serial number of V.I.N. `__ icial Approv4ng Installation IF.THE MOBILEHOME IS MOVED OR RELOCATED, THE MOBILEHOME INSTALLATION ACCEPTANCE SHALL BECOME INVALID. THIS FORM SHALL NOT BE USED WHEN THE MO&ILEHOME IS INSTALLED ON A FOUNDATION SYSTEM. i -513B White -Owner; Yellow -,Installer, Pink-.D.P.W VIP, - COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS • 149 Humboldt Road, Chico, CA - (916) 891-2751 -7 County Center Drive, Oroville, CA - (916) 538-7541 747 Elliott Road, Paradise, CA - (916) 872-6307 CORRECTION NOTICE, cz��an. OWNER PERMIT NO. A routine inspection indicates that the following violations of Butte County'Oidinances. exist at the above address and should be corrected. Please notify this office when correction of work is completed. If you have any questions pertaining to this matter, or need additional explanation, please contact this office immediately. I R9 Co. -:R C— j 4j LIZ N 7 J El r 7i 7 Date-yzM2;;, Inspector REV 11/81 _`""''��+nr''%"tl'`'r°r.'-�.�''..�.,-s'r-rSe`''�i�yy�,cr'.�w�;;•...,�-.r' i` COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS' 1469 Humboldt Road, Chico, CA - (916) 891-2751 7 County Center Drive, Oroville, CA - (916) 538-7541 747 Elliott Road, Paradise, CA -(916) 872-6307 r LJ CORRECTION NOTICE PERMIT NO. A routine inspection indicates that the following violations of Butte County Ordinances exist at the above address and should be corrected. Please notify this office when correction of work is completed. If you have any questions pertaining to this matter, or need additional explanation, ple772// contact this office immediately. I / .F- 1,e lJ L,6�� 111L4 o /n. e2 rj Oo. ei a✓�.�� Date SriZ _ Inspector �. REV 11/91 COUNTY OF,BUTTE DEPARTMENT OF PUBLIC WORKS 1469 Humboldt Road, Chico, CA - 1916) 891-2751 °y 7 County Center Drive, Oroville, CA - (916) 538-7541 747 Elliott Road, Paradise, CA - (916) 872-6307 CORRECTION NOTICE a Z_ OW R PERMIT NO. A routine inspection indicates that the following violations of Butte County Ordinances exist at the above address and should be corrected. Please notify this office when correction of work is completed. If you have any questions pertaining to this matter, or need additional explanation, please contact this office immediately. Date i Inspector �� 01 REV 11/91 COUNTY OF BUTTE -DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville,`California 95965 - Telephone: 916/538-7541 APPLICATION AND PERMIT PERMIT �1 ASSESSOR PARCEL NUMBER .+ 61-60-03 ,- ZONING U BUILDING PERMIT OWNER BENNIE H. FRANKLIN TELEPHONE S0. FT. OCC. BUILDING VALUATIO OWNER'S MAILING ADDRESS 3200 APRIL Cr MODESTO CONTRACTO 'S NAME TELEPHONE CONTR CTO `S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ Filing Fee $ 15.00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ 20.00 Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING WS WHEEL WAY OROVILLE Permit fee $ PLUMBING PERMIT Filing Fee 15.00 Each Trap 5.00 (o q Solar or heat pump water heater 20.00 LOT NO. 36 SUBDIVISION NAME PARCEL MAP FEATHER RIVER EST SUB # 1�, i `, Water piping 7.00 Each Qas water heater or vent 7.00 USE OF STRUCTURE SF ❑ Duplex❑ Mobilehome® Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 15.00 Mobile Home W 01111 615.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities l Installation❑ Other ❑ Describe work: MH U = Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 15.00 Main service 200AORLESS 18-50118.50 Main service 200ATO1000A1 37.50 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 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 NEW CONST./ DWELLING OCCUPM OR ACDNS. 1 ACC. BLDGS. // 3.64sq.ft. NEW RESI.,CONSTRANCH TLFTCIRCUITS) NON.RESID BRANCH CIRC ITS 5.00 POWER APPARATUS tr SINGLE OUTLET CIR. EX. OCcup(OUTLETS OR FIXTURES 20 @ 76 FIXED APPLNS. Ex. Occup. OUTLETS (RESID )REA.1 I 3.00 Temporary service 15.00 Mobile Home Facilities 15.00 15.00 Misc. Wiring 9 -15.00 Permit Fee $ 48.50 — WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate 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 shall be deemed revoked. Contractor MECHANICAL PERMIT FiIingFee 1 15.00 Heating Cooling g Hood 6.50 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 County 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, judgments, costs, and expenses which may in any way accrue against sa' ountty/in cons of th granting of this permit. X RC1 �/1�L� Date .. �,2_ Signature of Applicant — Owner ❑ Contractor ❑ Agent ❑ 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 S Ener Inspection Fee Energy Ins P $ occ CONSTTYPE TOTAL FE E $ HAz OFEES IMP f FLOO COF PARC P H ISSUE This permit is hereby issued under the sions of the Butte County Code and/or work Indic abofor which fees R OF PUBLIC BY—� PER EXP ES Date 42v� applicable provi- resolutions to do have been aid. P i WORKS IL Date-a9Z Receipt No. 1�3�� WHITE-D.P.W., YELLOW-ASSFSSOR, PINK -INSPECTOR. GOLDENROD -APPLICANT COUNTY OF BUTTE ' DEPQ.kTME-I'4T OF PUBLIC WORKS - BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE CALIFORNIA 95965 - TELEPHONE: 916/538-7541 ,PE MIT..A`"LICATION DATA SHEET ., Permit No._ OWNER Qe^,A�%e ,_1 y..��'a r ��L in A. P. No. �/= �i0 _ O Proposed Building Use Inn I--( �. a .t �Build .Ing Inspector — Date At time time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance::• DATE RECEIVED APPROVED 1. All items have been sub fitted. t -=/2. Plot plans in duplicate iplicate)signed by preparer of plans ........ ' 3. Complete plans in duplicate triplicate, signed by preparer. of plans . . 4. Complete engineered plans and calcs, with wet signature on•plans .. 5. 'Hazardous Material Form .......................................... 6. Energy Design Compliance and supporting documentation ......... 7. Statement of Intent for Non -Heated and AC Buildings .............. 8. Engineered truss details and layout in duplicate (required prior to plan check) 9. Mobilehome installation data including manufacturer's installation instructions....................................................... 10. Fees of $ ........................ 11. Chico Urban Area fees paid ....................................... 12. Park fees paid .................................................... 13. Sch oDistrict fees paid .............. . 14. Sanitation approval from 0 Health Department y`-5-" �� G 15. City of Chico plumbing permit ..................................... - 16. Plot plan and business license approval from City of (see City for other requirements) r 17. Planning approval for (A) Use: (B) Parking: ...... 18. Improvements may be required. Contact Land Development Section DPW ti 19. Driveway permit'(construction approval required prior to occupancy) 5E/(AL i� t� 20. Pre -Inspection for required Pre-inspec. request to - Building Inspector ' (Date 1. Contractor's license information (No., Name Style, Classifications ... 22. Certificate of Workmans Compensation Insurance 23. Owner -Builder Verification (Given to owner ❑,. Mai'I�'to owner ❑) ..... 24. Recorded copy of Agricultural Acknowledgment Statement ......... Xo 25. Letter of signature authorization ............... 0................... f 1-26, 27."° When you issue the ermit, process as follows:i ,,., •. Mail to owner. Mail to contractor. Telephon and hold foryptckupNat office: ,-- : Deliver w/inspector. Other Sl3^ t :"� I-- . x Ap1pl ieant Date Copy of ! .az-Mat form sent Health Dept. Fire Dept. _Air, Pollution Date Copy of plans sent Health 'Dept. Fire Dept. Other_ fl__'' %Date By The following data must be submitted for t per i sun : (Ckc ew° item not checked above). 1. Index permit for above items No. 2. Additional items required: Contractor, designer, otl,,I�F was -advised of above required data by_phone ail counter by Contractor, designer, owner, was advised of above required data by—phone _maII counter by Plans checked Date Plans approved by Sets of plans on hold in File cabinet AP folder Copy—DPW y 60 467 G date 7`� f�� f, date Date TO: Building Department FROM: Encroachment Permit Section RE: Driveway Clearance owner 1 cation �e.^ has been issued for the above property. Driveway permit �2c9YtQ / — 142V 3 l date si ature' TO, Buildinq Department FROM: Environmental Health SUBJECT: Sanitation Clearance ?old final for: Mater Supply Final clearance O.K. for: Water Supply Clearance for 2 bedroom obile home. Other NOTE * * * 4 13 2- Date sanitarian -. "/D �n ,. / Owner h Location AP# Plan Approved for: Sewage Disposal Water Supply 4!Le-d ?old final for: Mater Supply Final clearance O.K. for: Water Supply Clearance for 2 bedroom obile home. Other NOTE * * * 4 13 2- Date sanitarian COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO. 7 County Center Drive - Uroviller'California 95965 = Telephone: 916.`538-7541 APPLICATION AND PERMIT ASSESSOR P RCEL NUMBER r 6 _ 6_ ZONING BUILDING PERMIT OWNER le Y) nit V' TELEPHONE SO. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS 3 2-40 C -f Nodereo i CONTRACTOR'S NAME TELEPHONE.6s:79- � CONTRACTOR'S MAILING ADDRESS F ireplace CONSTRUCTION LENDER UNKNOWN Total Valuation Is Filing Fee $ LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ D Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS Q OK �G Permit fee $ PLUMBING PERMIT Filing Fee 15.00 R 0 Each Trap 5.00 Solar or heat pump water heater 20.00 LOT NO.SUBDIVISION 36 NAME PARCEL MAP e'akt, a,f,{ �5_57r S(., b Water piping 7.00 Each qas water heater or vent 7.00 USE OF STRUCTURE SF ❑ Duplex[] Mobilehome J& Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 15.00 Mobile Home @ 15.00 TYPE OF WORK New❑ Addition[— Remodel❑ UtilitiesO Installation❑ Other❑ Describe work: Z9A/a Permit Fee $ G — Contractor ELECTRICAL PERMIT Filing Fee 15.00 r Main service 600V OR LESS 200A OR LESS j$,50 ' Main service 200A TO IOOOAI 37.501 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 for sale. (Sec. 7044) ElI, as the owner, am exclusively contracting with licensed contra ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONST.// DWELLING OCCUP.Li OR ADONS. ( ACC. BLDGS'. 3.64sq.ft. NEW CONSTR MULTI -OUTLET N 0N.RESID BRANCH CIRCUIT @ 5.001 POWER APPARATUS &) (SINGLE OUTLET CIR. / Ex. Occup(OUTLETS OR FIXTURES20 @ 76d AEA.J FIXED APLNS.❑ Ex. Occup. OUTLETS (RESID IR I 3.00 Temporary service 15.00 Mobile Home Facilities 15.00ct- Misc. Wiring g 15.00 rll Permit Fee $ Gr — WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate 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 shall be deemed revoked. Contractor MECHANICAL PERMIT FiIingFee 15.00 Heating Cooling g Hood 6.50 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, judgments, costs, and expenses which may in any way accrue against said County in consequence of the granting of this permit. X Date Signature of Applicant — Owner❑ Contractor ❑ Agent ❑ An OSHA over 5'0" deep and demolition or construct. ion of structures tover 3q stories in height. Mobile Home Installation Fee S Energy Inspection Fee $ 41 occ CONST TYPE TOTAL FEES `L��_ HAz I DFEES I IMP FLOOD CDF I PARML PD I HO ISSUE This permit is hereby issued under the sions of the Butte County Code and/or work indicated above for which fees DIRECTOR DIRECTOR OF PUBLIC By PERMIT EXPIRES Date applicable provi- resolutions to do have been paid. WORKS Date i Receipt No. WNITC•D. P. W.. YELLOW-1�93C370 R. PIRK•IN9P EC TOR- GOLOrw wn n.�PPI ,r�uT BUTTE COUNTY SCHOOLS IMPACT FEE CERTIFICATION FORM 061 - / ®/� _ Q 0� (One Form Per. Building) School District(Z �� _ -_ - — Building Department No. A.P. Number= � Jurisdiction I= City County Property Owner e- eoz i..//!i1_-- Property Location/Address,,. 2e(': WCL y --Q - - -- - -��-- - 1, Subdivison Lot No. Residential Development Commercial/Industrial No. of Living I Addition Units V t®o o`0Op p 00% 0 Addition eve District Identification No. (Street A, ddress),/ 9--2-0 4-5 -0 f , School District certifies that ,* (Applicant U Sq. Footage 7-•C 0 (Group R) Sq. Footage (Including Exterior Roofed Areas) Date - i' (Phone Number) "Pity) (State) (Zip Code) has complied with the requirements of Resolution No. �- by payment of $ �� Xon representing _ _ square feet. School District Representative Date Paid by Check Number �� Re arks:. -Bank Number Paid by Cash If, subsequent to the School District Representative signing this Butte County Schools Impact Fee Certification Form, the School District is notified by the applicable Local Planning Agency that this project is being reviewed under the California Environmental Quality Act (CEQA), this project may be subject to additional school fees to fully mitigate its impact on the school districts schools. White (applicant), Yellow (building department), Pink (school. district) feeform.wkf (4/92) . gZ-19162 r Return to DPW AGRICULTURAL STATEMENT OF ACKNOWLEDGEMENT FOR RESIDENTIAL DEVELOPMENT Section 26-8.1 of the Butte County Code requires this acknowledgement be retarded prior to issuance of a building permit. The property described herein is adjacent 92-0191(221 Ree Fee 5.00 to land or included within an area 'zoned 1 Check 5.00 for agricultural purposes, and residents Recorded I of this property may be subject to incon- Official Records I veniences or discomfort arising from • the County of 1 use of agricultural chemicals, including, but not limited to herbicides, pesticides, t Butte I and fertilizers; and from the pursuit Candace J. Grubbs I of agricultural operations including, Recorder I 1 -May -92 I PUBL X 1 but not limited to cultivation, plowing, 2:53pm spraying, pruning, and harvesting which occasionally generate dust, smoke, noise, and odor. Butte County has established agricul- tural zones which have as a priority use for productive agricultural purposes, and residents within said zones and on adjacent property, should be prepared to accept such inconvenience or discomfort from normal, necessary farm operations. All that real :property. situate in the County of Butte, State of California, described as follows: "Izv Date: —1 — 1 Z PROPERTY OWNERS: State of On this theday of IIIXIZ41.19 ��, before me, the SS. undersigned Notary Public, perso ally appeared County of IL± ) .� _ - , A 1'�) v El Personally known to me. W Proved to me on the basis of satisfactory evidence. to be the person(s) whose name(s) subscribed to the within instrument and nowledged that 1 executed the same fan . ' 'tt , t ,, ,1anrrposes therein contained. IN WITNE WHEREOF, I hereunt,_6" Zt``and and official seal. - ®■■aaaa■a■■aaa■■aaaaasiR�• �/+�:'ti"• ■ JUDITH M. WILLJ# a NOTARY PUBLIC-CAUFQRIJA t �f ,l {'N1, Present A.P. No.■ euneCounh°■xs:Y" t . aNotary Public ■■■■■a■as■a■■■■■a�taaaoiggn `..... �0- END OF DOCUMENT ro '0 O) �U i -m 0a 00 CD jLL0 O� LU 0 COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive, Oroville, CA 95965 PHONE: 916-538-7541 DATE 4 -in -Q9 BENNIE H. FRANKLIN RE: 92-969 3200 APRIL CT MODESTO CA 92362 A.P. # 61-60-03 With reference to the above subject: 1� Attached is: Application for permit Mobilehome Utilities Installation Sheet Building Plans Mobilehome Installation Information Sheet Engr. CaIcs Typical Plan Sheet Owner -Builder Verification Form List of Codes Enforced L1 We need the following information: Permit application signed and completed where indicated with all copies returned. Fees of $ . payable to Butte County Treasurer. Certificate of Workmen's Compensation Insurance or check exemption statement. Contractor's License Law information or check exemption statement. Complete plans in , including plot plans. Plot plans in • Structural details in Complete plans and calcs in by registered engineer or architect. Energy design including Street and drainage improvement plan approval from Land Development Section (DPW). sets of plans in accordance with the changes marked in red. Sanitation approval from Butte County Health Department at: 196 Memorial Way,' Chico 7 County Center Dr., Oroville Skyway & Elliott Rd., Paradise Planning approval from Butte County Planning Department, 7 Co4nty Center Drive, Oroville, for Completed Owner -Builder Verification form. Recorded copy of deed showing Recorded copy of agricultural acknowledgement statement. Should you have any questions concerning the above, please contact Tom May of this office. BETWEEN 3 & 5 P.M. Yours very truly, JFG/a j William Cheff Director of Public'Works .F. Glander Chief Building Inspector IpOTE:— !I Materais & lAtforkmanship :Shall Be in � Accordan e with Roco-nized Good Cra c i and � y of a c alit rescribed for the Specified use in. the Urt ot� 64 ding, Plumbing & Mechanical Codes and the NA&a�Electdcal Code. fj!24'r cif 4ta 5- JidL 4/4 AW . S Location of structures & equipment shall be as shown & clear of all easements. Ad ea S;. ,S -D , This set of plans and Specifications MUST be kept on the ob at all.tirnes and it is unlawful to make any charges or alterations on same withow written permission from the Department of Public Works* County of Butte. 14/,84::-k & e = 1 IT Ar PR0V=:J Butte County Environmental Health bete Signature 7— BUTTE COUNTY BUILDING DEPARTMENT A P P R O V E D 5-- y—sz C,!9 AP 014NER 4g5 PERMIT 2 MH UTIL.CLEARANCE DATE 2— INSPECTOR INSPECTOR l �.�-- ELECTRIC GAS Support Struc. Compaction Test eq. Service Size Other Load Type Pipe Size Len th YES NO ES NO � -s'0"/0�1��o�- / COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT 0. 7 County Center Drive - Orovllle, CalVfornla 95965 - Telephone: 916/536-7541 Z APPLICATION AND PERMIT ASSESSOR PA REEL NU B R 6.I-60-03 ZONING U BUILDING PERMIT OWNER BENNIE H. FRANKLIN - TELEPHONE SQ. FT. OCC. BUILDING VALUATI ' OWNER'S MAILING ADDRESS 3200 APRIL CT MODE'STO CONTRA •_ 6ka TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ Filing Fee $ 15.00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ 20.00 Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDINGADDRESS 39 WAY OROVILLE Permit tee PermitWHEEL $ 35.00 PLUMBING PERMIT Filing Fee 15.00 Each Trap 5.00 Solar or heat pump water heater 20.00 LOT//NO. '1Y� SUBDIVISION NAME 1 PARCEL MAP 1 L7S—_6Each Water piping 7.00 qas water heater or vent 7.00 USE OF STRUCTURE SF ❑ Duplex❑ MobilehomeQ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 15.00 Mobile Home I S I G JW 0 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel Utilities ❑ Installatio ® Other ❑ Describe work: MH I RJZ Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 15.00 Main service 600V OR LESS 200A OR LESS 18.50 Main service 200A TO t000A) 37.50 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 for sale. (Sec. 7044) R ', 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.OR ACDNS, ( / ACC. BLDGS. DWELLING OCCUP.g\ 3.6Qsq.f[. NEW CONSTRULTI-OUTLET NON.RESID BRANCH CIRC ITS 5 00 POWER APPARATUS &) (SINGLE OUTLET CIR. ) Ex. Occup(OUTLETS OR FIXTURES 20 76 EX. Occup. FIXED OUTLETS (PRESID )REA,) 3.00 Temporary service 15.00 Mobile Home Facilities 15.00 Misc. Wiring g "15.00 Permit Fee $ — WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. f�1 I shall not employ any person in any manner so as to become subject �# to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Contractor MECHANICAL PERMIT Filing Fee 15.00 Heating Cooling g Hood 6.50 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, judgments, costs, and expenses which may in any way accrue against said unty in consequenc fftthe/e ranting of this permit. X __��2L�_Ll�S%��:��— Date ��—c1 7 signature of Applicant — Owner❑ Contractor ❑ Agent ❑ 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 S 70.00 Energy Inspection Fee $ occ CONST TYPE TOTAL FEE $ HAz 1 0FEES IMP -FW10D I CDF IPARC�Ls �/ PO r HD "ISS I� This permit is hereby issued under the sions of the Butte County Code and/or work indica d o or which fees OF PUBLIC By PERMIT EXPIRES Date 7-/ 3- applicable provi- resolutions to do have been paid. � WORKS Date 7-13- Y'z T3 Receipt No. �� J� WHITE-D.P,W.. YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, Cad fornia 95965 - Telephone: 916.'538-7541 APPLICkTION AND PERMIT PERMIT NO. . ASSESSOR PARCEL NUMBER O3 6 ZONING BUILDING PERMIT OWNER VlV% r$ !`0.w k 1 TELEPHONE SO. FT. OCC.1 BUILDING VALUATION OWNER'S MAILING ADDRESS L/ 3 Z o o r� I (9d es4C) CONTRACTOR'S NAME TELEPHONE ONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation Is Filing Fee $ 15.00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ v� Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS - Penalty $ BUILDING ADDRESS rt W a Permit fee $ 3 PLUMBING PERMIT Filing Fee 15.00 Each Trap 5.00 f6G Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 7.00 Each qas water heater or ventF7.00USE OF STRUCTURE Duplex❑ MobilehomeV Other SPECIFY Gas piping system 1 - 5 outletsSF❑ Building sewer Mobile Home S G W TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation& Other ❑ Describe work: _ Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 15.00 ` Main service 600V OR LESS 200A OR LESS 18.50 Main service 200A TO 1000AI 37.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): ❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Bushes$ 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 (Sete owner, am exclusively contracting with licensed contract- 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason DWELLING OCCUP.✓!t\ NEW CONST.( ACC. BLDGS. // OR ADONS. 3.60 sq.ft. TLET NEW CONSTRESID, RANCH CIRCUITS) NON* BRANCH CIRC ITS @ 5.00 POWER APPARATUS e (SINGLE OUTLET CIR. Ex. Occup(OUTLETS OR FIXTURES 64 AO 764 Ex. Occup. OUED APPLNS. R TLETS IRESID IEA.) I 3.00 Temporary service 15.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 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 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 shall be deemed revoked. MECHANICAL PERMIT Filing Fee 1 15.00 Heating Cooling Hood 6.50 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 Countyof 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, judgments, costs, and expenses which may in any way accrue against said County in consequence of the granting of this permit. X Date Signature of Applicant - Owner❑ Contractor ❑ Agent ❑ An OSHA ion of structures tover 39storiesoineheighttions over 5'0" deep and demolition or construct- Mobile Home Installation Fee S 70 Energy Inspection Fee $ OCC CONST TYPE ^C TOTAL FEE $�W HAz 1 0FEEs I IMP I FLOOD I CDF I PARCEL I Po 1 HD ISSUE This permit is hereby issued under the sions of the Butte County Code and/or work indicated above for which fees DIRECTOR OF PUBLIC By PERMIT EXPIRES Date applicable provi- resolutions to do have been paid. WORKS Date ReceiptI No. WHITE-D.P.W.. YELLOW -ASSESSOR, PINK -INSPECTOR. GOLDEMROO-APPLICANT ��,�..•. �. _. ... ,.,Ff +++ry*�,r'�rt'cr -.n-v. �R;mfr*�y�anL�iA'S!'f�j�if�.".yd.�a'[ ,.. .1�,�q� COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS - BUILDING DIVISION • 7 COUNTY CENTER DRIVE - OROj51LLE,"CALIFORNIA 95965 - TELEPHONE: 916/538-7541 PERMIT APPLICATION DATA SHEET I Permit No. OWNER `[ (\ V_ t A. P. No. Proposed Building Use p g %� i'"'�� — Building Inspector %�� _ Date At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance: DATE RECEIVED APPROVED 1. All items have been submitted . ........................ 2. Plot plans in duplicate/triplicate, signed by preparer of plans........ 3. Complete plans in duplicate/triplicate, signed by preparer. of plans . . 4. Complete engineered plans and calcs, with wet signature on plans .. 5. Hazardous Material Form .......................................... 6. Energy Design Compliance and supporting documentation ......... \ 7. Statement of Intent for Non -Heated and AC Buildings .............. 8. Engineered truss details and layout in duplicate (required prior to plan check) 9. Mobilehome installation data including manufacturer's installation` instructions....................................................... 5-AllYJ 10. Fees of $ 11. Chico Urban Area fees paid ....................................... 12. Park fees at / 13. �2O School District fees paid .............. -019 Z 14. Sanitation approval from Health Department 15. City of Chico plumbing permit ..................................... 16. Plot plan and business license approval from City of (see City for other requirements) 17. Planning approval for (A) Use: (B) Parking: ...... 18. Improvements may be required. Contact Land Development Section DPW 19. Driveway permit (construction approval required prior to occupancy) 20. Pre -Inspection for required 'Pre-inspec. request to 21. Contractor's license information (No., Name Style, ClassificatioBuilding Inspector (Date) ns ... Y' 22. Certificate of Workmans Compensation Insurance .................. 23. Owner -Builder Verification (Given to owner ❑, Mail to owner ❑) ..... 24. Recorded copy of Agricultural Acknowledgment Statement ......... 5. I,06er of signature authorizati n .... �. /�- 4 When you issue/the permit, process as follows: Mail to owner. Mail to contractor. _ Telephone S3ti--65-72- end hold for pickup at Yl_office. Deliver w/inspector. Other 1 r�V4%y-re /— ` Applicant Date1 ?/ Copy of Haz-Mat form sent Health Dept. Fire Dept. -----Air-Pollution Date Copy of plans sent Health Dept. Fire Dept. Other Date By The following data must be submit 1. Index permit for above items NI 2. Additional items required: to pprrr 'isjua pe: (Clw4e new -et not checked above). Contractor, designer, owner, was advised of above required data by_phone_` ail counter by_iW -.date Contractor, designer, owner, was advised of above required data by—phone _ma!l,--counter by date Plans checked by Date Plans approved by Sets of plans on hold in File cabinet AP folder Copy—DPW * L44 a i/td —*/D k/4C ep 4 . NOTE: All Materials & Workmanship Shall Be in Accordaice with Recognized Good Practices and of a qual,ty prescribed for the Specified use in the Uni*-n ilding, Plumbing & Mechanical Codes and the 06hal Electrical Cede. /1f4x y4�q1 S S;d, y d s ' Location of structures & equipment shall be as shown & clear of all easements. /1�0 4 e' 0 0 This set of plans and specifications MUST be kept on the job 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. -77 s° K� a c l� • ) a• 4 _f APPROVED Butte County Environmental Health !zi_ ate uJ� Signature. r 41 1-t BUTTE COUNTY BUILDING DEPART'MEN'T A P P R® V E r BUTTE COUNTY DEPARTMENT OF PUBLIC WORKS 7 County.Center Drive, Oroville, CA PHONE: 538-7541. MOBILEHOME INSTALLATION SHEET 1. Owner's Name :/ 4,410 2. Installer's Name: i 3. Is the site currently under permit? Yes No (If yes, furnish permit number '�Z �t(pT_) OR Is the site an existing site? Yes F—] No (If.yes, furnish two plot plans.) - 4. Will the mobilehome be located at least 5 ft. away from septic tank and jl ach ,fields and clear of all setbacks and easements? Yes �' No (If no, clarify 5. What is the mobilehome electrical rating? --------------- Z/V Amps 6. What is the mobilehome site service rating? ------------- Amps 7. What is the mobilehome site circuit breaker rating? ----- V Amps 8. Is there any other electric load to be served by the mobilehome site service? -------------------------------- Yes No (If yes, identify the load and size: (Load) (Amps) 9. What is the mobilehome site gas pipe size? -------------- (in.) YP g ? ----- 10. What is the type of as service -------------- Natural � LPG Zj 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.) BUTTE COUNTY BUILDING DEPARTMENT APPR®'QED MOBILEHOME SUPPORT DATA If other than single wide, Mobileho.me Mfr. �' ZXA) %L furnish Setup Model No. ' � � Year Width Z. (ft.) Box Length (ft.) Tagalong or Expando Size ft. x ft. On all mobilehomes manufactured after October 7, 1973, furnish manufacturer's installation manual and structural setup sheets (if not on file with the County of Butte). FOOTINGS (check one)w1. Wood -pressure treated or foundation grade. 2. Other (specify) SUPPORTS (check one�l. Concrete block.�2. Other (specify) Pier Footing Sizes and Locations SINGLE -WIDE Main Beams Line 2 � _ — _ _ _ _ _ _ Main Beams Tag or Triple Fr Linn 6 Line 1 Line 1 Piers: Line 1 Openings: Size -Min. ------------ Size -Min. ---------- ------ ,rx „ Spacing -Max. --------- , „ Each Side of Openings From Ends -Max. ------- '_ " With Width Over --------- tS:i_zeM- ---- - --- tSpacing lWix. --------- Line 3 Roof Loads: Size -Min ------------- Location (From Front) Line 3 Piers: (Under Bearing Wall Only) Size -Min •------------------ y Spacing -Max.--------------- From Ends -Max .------------- r_ o Line 4 Piers: Size -Min .------------ r� r, Spacing -Max.--------- , From Ends -Max. ------- Line 5 Roof Loads: Size -Min. ------------ Location (From Front) (Under Bear Size -Min. ------------------ r Spacing -Max---------------- I- „ From Ends -Max -------------- r r � ., V �1. .. "b