Loading...
HomeMy WebLinkAbout063-050-015ovs Bruce Allen A;*6 E/S Tippitoe Lane, 3/10 mi.S.of itz- gerald Rd., Forest Ranch Permit #753-78P,E(util.,MH) ELEC. GAS SUPPORT STRUCTURE REQ. COMPACTION TEST REQ. 6305-15 Pemn.t #3689-78B;E(new private garage) s9 a weo. 63-05-15 Contr.:-Beic� Mobile Home Sales. ,3 E Permit #136-79MHI (exist s'te) Issued �63-05-15 Permit #389-79P(ad gas line to r existing MH site)4f1�( o?S % 63-05-15 e Schmitt MH Ser, vina Contr: Ge� f Permit#1392-81MHI(existing site) ' _ -ssued ko- 1 i 5 1 r I r S 0 iml { PERMIT NO. 3689-78B,E PERMIT EXPIRES -)//7/71 OWNER Bruce Allen r CONTR. n�nnPr •� LOCATION (A.P. 63;05-15 � E/S Tippe Toe Ln., 3/10 mi-S.:of Fitzgerald Rd., Forest Ranch C - Temp. Power Pole Called PG&E - --- --- ---- Temp. Elea Serv. Caged PG&E - - Temp. Gas Serv. Called PG&E JOB FINALED (Date) (Signature) - e (NOTE: An entry must be made on this form each time you visit the job site.) COUNTY OF BUTTE — DEO,ARTIkNT OF PUBLIC WORKS • BUILDING INSPECTION RECORD BUILDING BUILDING (Cont'd) : PLUMBING Setback Firewall Soil Piping Forms Parapets 1st Floor Main Bldg. Restroom Finish 2nd Floor Footings Windows 3rd Floor Stemwal l Siding To out Slab Roof Sheathing Water Piping Piers Rooting Sewer Garage Fdn. Vents Fixtures • Footings Garage Vents Water Htr. Stemwal I Insulation Heaters Slab Prov. for physically Appliances Carport handica ed Footings Conformance of ex. Gas Piping & Test structure Tem . Gas V 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 Prot. Scratch Heating` Service Brown Cooling Temp. Pole Finish Ducts Underground Interior Lath Ventilation Permanent Door Closer Final Final MOBILEHOME UTILITIES -------Elec_ Service Elec. Pedestal Water Piping Sewer Gas Piping BILEHOME INSTALLATION - - - - - - - - - - - - - - Support Elec. Continuity ' Water Piping Drainage Gas Piping DATE REMARKS OR CORRECTIONS e (NOTE: An entry must be made on this form each time you visit the job site.) J ,,COUNTY OF BUTTE - DEPAPTMENT OF PUBLIC WORKS ''7 County Center Drive — Oroville, California 95965 /� Telephone: 534-4541 ,. �5 6 APPLICATION AND PERMIT AA null IVIILG IVIJIV0011auvea ul RIC lluunly RI Duue lR Cnlef UpUn the above-mentioned property for inspection purposes. X A� !,• ella— Date 6 Signature "off Perer�mitee or Agent Receipt No.) ` R —3-�L-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 been paid. DIRECTOR OF/VUBLIC WORKS BY Date�%—/ %— � Bu' ing permit expires Date _ 2-17-7 7 BUILDING Owner C SO. FT. OCC. BUILDING VALUATION Mailing Address ' a Tele hone No. Contractor Mailing Address Fireplace Total Valuation Telephone No. Permit Fee Building Address 1 3 Plan Checking Fee&/or Penalty Permit Fee ; �t PLUMBING No.1 @ FEE PERMIT FILING FEE $3.00 Each Trap 1.50 Repair drainage or vent piping 1.50 r` A. P. No. Zoning & Planning Water piping 1.50 Each gas water heater or vent 1.50 F bQL! S ire Dept. FireZone Use Permit Gas piping system 1 -5 outlets 1.50 EQA Parking Plan Parcel Declaration Parcel Map 60' R/W I Improvements Each additional outlet .30 Building sewer 5.00 Bldg. P s Recd Parcel A rovo �� 1:10 ns Approval Lawn sprinkler system 2.00 NEW ADDITION ❑ UTILITIES ❑ OTHER ❑ permit Fee $ $ ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 Single Family ❑ Duplex ❑ Mobil Home ❑ Others Main service 600V OR LESS 100 AMP OR LESS 5.00 Main service EA. ADD'L 100 AMP 2.50 Yn GQzraoe100 Main service OVER 600V 25.00 AMP OR LESS Main service// EA. ADD'L 100 AMP 1.00 NEW CONS.OR ADDNST % ACC. B DWE—muP h) 20sgft 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: NEW CONSTR MRL CH CII T NEW CO ID � BRANCH CIRCUITS 12.50ea NEW CONSTR (POWER APPARATUS .& NON-RESID. SINGLE OUTLET CIR. Ex. Occup{OUTLETS OR FIXTIIRES 6 'L 4',' Ex. OCCU / FIXED APPLNS. OR p.(FIXED (RESID.) EA) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 License No. Classification - Misc. Wiring 6.25 19 I am exempt from the Contractors License Laws of the State of California. Permit Fee $ IM 161 WORKMEN'S COMPENSATION INSURANCE 1 am aware of the provisions (it 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. e MECHANICAL No @ FEEPERMIT FILING FEE $3.00 Heating Cooling Ventilation Hood 2.00 Permit Fee $ $ 1 certify that 1 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 $ null IVIILG IVIJIV0011auvea ul RIC lluunly RI Duue lR Cnlef UpUn the above-mentioned property for inspection purposes. X A� !,• ella— Date 6 Signature "off Perer�mitee or Agent Receipt No.) ` R —3-�L-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 been paid. DIRECTOR OF/VUBLIC WORKS BY Date�%—/ %— � Bu' ing permit expires Date _ 2-17-7 7 PE7MIT No:` 136-79MHI existing site PERMIT EXPIRES OWNER BRUCE ALLEN CONTR. Beich Mobile Home Sales LOCATION (A.P. 63-05-15 E%S Tippi-Toe Ln, 3/10 mi. S of Fitz gerald, Forest Ranch s Y 1 • Temp. Power Pole Ca led PG&E Tem . Elec. Serv.' Called PG&E Temp. Gas Serv. Called PG&E JOBS s— FINALED (Date) (Slgnatu e) PLUMBING Reinf. Steel I Final / \ 1 ". / scratch Heating ' Brown Cooling Finish LDucts . Interior Lath Ventilation Door Closer Final MOBILEHOME UTILITIES ................ • - Elec. Service Water Piping Sewer • • • Support _ Water Piping 7 Drainage %" DATE REMARKS OR CORRECTIONS Final EIec. Pedesta;S Gas Piping Elec. Continui Gas Piping (NOTE: An entry must be made on this form each time you visit the job site.) COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS BUILDING INSPECTION RECORD BUILDING BUILDING (Cont'd) Setback Firewall Soil P jping Forma Parapets 1sto0i Main Bldg. Restroom Finl h i 2nd FI Footings Windows 3rd Flooi Stemwall Sfdlng To out Slab Roof Sheathing Water PI Ir Piers Roofing Sewer Garage Fdn. Vents Fixtures Footings Garage Vents Water Htr. Stemwa l l Insulation Heaters Slab Carport Footings Prov. for physic y handlca ed Conformance ex. structure Appliances Gas PI to Tem . G Slab FInal tat n Patio FIREPLACE Final PLUMBING Reinf. Steel I Final / \ 1 ". / scratch Heating ' Brown Cooling Finish LDucts . Interior Lath Ventilation Door Closer Final MOBILEHOME UTILITIES ................ • - Elec. Service Water Piping Sewer • • • Support _ Water Piping 7 Drainage %" DATE REMARKS OR CORRECTIONS Final EIec. Pedesta;S Gas Piping Elec. Continui Gas Piping (NOTE: An entry must be made on this form each time you visit the job site.) MOB ILEHOME"INSTALLA.TION INSPECT ION, • CHECK LIST 1. Is.the mobilehome located withquired separation from•lot lines and buildings and generally conform to plot plan? YesNo 2. Does the mobilehome have required clearances above ground? (Sec.5085) Yes 3. Are footings and supports properly sized, spaced, and braced as per $ proved plans? (Note' possible variation at spring shackles.) (Sec. 5082 & 5083) Yes_ o 4. Is the mobileh e level? (Sec. 5088) Yes- -L ---No — 5. If more h n 7unit, are crossover connections properly installed? (Sec. 5088) Yes 6. -Water A. Is flex eeconnector of adequate size and properly installed (1/2" ID min.)? (Sec. 5566) Yes `— No B. Test - Does water piping withstand working pressure or 50 lbs. air test? Yes C. Backflow - If coach is note f -ro rnia approved, does station have backflow device and pressure -relief valgSZjave? 7. Wastes and Drains A. -Is connection made with Schedule 40 DWV and have flex connectors at each ,end? Ye' -L-9-0-1 B. Does it have minimum '" per foot -slope and is it properly supported? Yes L_ o C. Arerany leaks detected in drainage system after running3-gal of water through each fixture includin wa ing machine standpipe?,.Yes No D. If coach i o of California 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•mobileho gas line inlet without reductions other than the mobilehome connector. Yes o B. Test OK as per following procedure? Yesy_ ` 1. Open all appliance connector valves. �Utf appliance burner and pilot valves. 3.` 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. 4. Connect gas meter to mobilehome.with connector, turn on gas, test connections with soapy water. C. Are all appliance vents properly installed? Yes No m 9. Electrical A. Is service large enough to provide adgquate•amperage-to mobilehome (must equal rating of mobilehome with a minimum of.10000 imp) and other facilities on lot, i...e.; Water pumps, garage, cabana, etc.? Yes L--7 or B. Is there proper clearances around panels? Yes C. Is power supply cord or feeder assembly properly fused? Yes L—N6-- D.. Is continuity test satisfactory as per the following procedure? Yes o 1. De -energize electrical wiring system of the mobilehome at the pedestal. 2. ke sure that the power supply cord or feeder assembly conductors, including neutral conductor, have been disconnected. Switch all breakers and switches in the mobilehome to the "on" position. 4.a.onnect one lead of a test instrument to the mobilehome grounding conductor and apply the other lead to each mobilehome supply conductor, including neutral. 5. All non-current, carrying metal parts of the mobilehome (aluminum siding, gas line, water line), including fixtures and appliances, shall be tested for continuity from such equipment and the grounding conductor. 6. Upon completion of the above procedure, the power supply cord or feeder assembly conductors shall be connected to the site service equipment. A further continuity test shall then be made between the grounding electrode and the chassis of the. mobilehome. Upon satisfactory completion of the electrical tests, the lot or site service equipment may be approved for energizing. 10. Is job card signed by Health Department for water and sanitation? Ek 1 :V _/&, C 11. If everything okay, sign -off card and tag services. J._. MOBILEHOME DATA Manufacturer and/or Namestyie Length CJ Width 1V hicle Serial No. to Identification No. Additional Information or Comments: Y COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS 9 I 7 County 64nter Drive - Oroville, California 95965 + Telephone: 534-4541 APPLICATION AND PERMIT AA I/ aUIIIU114C lUPICsalltOLlVas UI 111C %.,UUIIty ul DUttC tu enlaf upun the above-mentioned property for inspection purposes. Date Signature of Permitee ent Receipt No. —J T(O a White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant 11 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. DIRECTOPr0F/P)UBLIC WORKS BY Date 71y' Building permit expires Date /— </"— ;?b BUILDING Owner Ur I^/X-) SQ. FT. OCC. BUILDING VALUATI N Mailing Address ^ -Telephone No. N� Contractor6',1C /� Mailing Addresso2..S440 ��S' /�,t„$� Fireplace Total Valuation � �v /' 1-4 el Tephgn a Na. Permit Fee Building Address k,O , f U� Plan Checking Fee&/or Penalty Permit Fee O PLUMBING No. @ FEE /( teA f12 O A PERMIT FILING FEE $3.00 Each Trap 1.50 Repair drainage or vent piping 1.50 /- a A. P. No. lD J -� OS-� 4 V Doing 8 Planning Water piping 1.50 \ Each gas water heater or vent 1.50 FWs' w!C. Sani•tatierl Fire Dept. Fire Zone Use Permit Gas piping system 1 - 5 outlets 1.50 EQA Parking Plans Parcel Declaration Parcel Map 60' R/W Improvements Each additional outlet .30 Building sewer 5.00 Blde-T'd Parcel val Pla pproval Lawn sprinkler system 2.00 NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER Permit Fee $ $ ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 600V OR LESS Main service 100 AMP OR LESS 5.00 Single Family ❑ Duplex ❑ Mobil Home Others ❑ Main service EA. ADD•L 100 AMP 2.50 Main service OVER e00V 25.00 100 AMP OR LESS Main Service EA. ADD'L 100 AMP 1.00 NEW OR ADDNST %ACCLBLDGSCCUPLING . Y\ 20sgft 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 le o ee,Ae 4� ~C NEW CO ID � BRANCH CIRCUITS) 2.50ea NEW CONSTR. BRANCH CIRCUITS) NEW CONSTR POWER APPARATUS a NON.RESID. SINGLE OUTLET CIR. Ex. Occur){OUTLETS OR FIXTIIRES 5 L25 Ex. OCCU FIXED APPLNS. OR Occup. (RESID.) EA) 2.00 Temporary service 10.00 .10 Z_SelAN6ZD � ek,'C p Mobile Home Facilities 15.00 �i /� License No.aX/c, �✓ % Classification If 6 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. r}ZZfJLhave placed on file with the County of Butte a certificate of 1 ' 14+—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 f so as to become subject to the Workmen's Compensation Laws of California. I MECHANICAL No. @ FEE PERMIT FILING FEE $3.00 Heating Cooling,,, , 1:�.. •' i t Ventilation Hood 1 2.00 Permit Fee ' i $ $ 3Q Ov 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 Land Development Fee $ TOTAL PERMIT FEE $ ;�p `n- aUIIIU114C lUPICsalltOLlVas UI 111C %.,UUIIty ul DUttC tu enlaf upun the above-mentioned property for inspection purposes. Date Signature of Permitee ent Receipt No. —J T(O a White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant 11 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. DIRECTOPr0F/P)UBLIC WORKS BY Date 71y' Building permit expires Date /— </"— ;?b Wd wv �tuuu'jiU�j F:ItlAM 81'tefld �®'dd�� CAAnC de A H�aA a 'COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS ���111 7 County Center Drive &oville, California 95965 /��/C�! Telephone: 534-4541 .�•/C APPLICATION AND PERMIT authorize representatives of the County of Butte to enter upon the ab.Ationed property for inspection purposes. Date a nature m�ent Receipt No. VDI White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant Thi ermit is hereby issued under the applicable provisions of e Bu a County Code and/or resolutions to do work indicated above f r w hfyyes have been paid. IJCsTOR OF PUBLIC WORKS. 3y pates Building permit expires Date BUILDING Owner RU�� SQ. FT. OCC. BUILDING VALUATION Mailing Address P. c , Box 2 t�43e4 T !35q 42, Tel ph elo` /7 Contractor 0(� I Mailing Address Fireplace Total Valuation Telephone No. Permit Fee ' - f Building Address S e uV 3 /O Plan Checking Fee &/or Penalty Permit Fee 1 S Io% F ( PLUMBING No.1 @ FEE PERMIT FILING FEE $3.00 Oa Each Trap 1.50 e--&T-_J _----"PoJ c¢+— Repair drainage or vent piping 1.50 A. P. o. 3 -0 rj— Zoning & Planning Water piping 1.50 Each gas water heater or vent 1.50 F kgs Fire Dept. Fire Zone Use Permit Gas piping system 1 - 5 outlets Q•D'0 EQA Parking Plans Parcel Declaration Parcel Map 60' R/W Improvements Each additional outlet .30 Building sewer 5.00 Bid,. Plarr-Rvtl-� Parcel Approval Plans Approval Lawn sprinkler system 2.00 NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER, Permit Fee $ .Do $ Joe 1 /4 j� CA$ L/Al� CX!$r1A)6 ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 00V OR L Main service 1000 AMP ORSLESS 5.00 Single Family ❑ Duplex Mobil Home Others ❑ Main service EA. ADD'L 100 AMP 2.50 Main service OVER 25,00 100 AMPP OR LESS O Main service EA. ADD'L 100 AMP 1.00 NEW CONST. [DWELLING OC cup- 'I) •20sq ft OR ADDNS. % ACC. BLDGS. 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 le of: style NEW RESID. BRANCH CIRCUITS) NON RESID. BRANCH CIRCUITS) 2.50ea NEW CONSTR. (POWER APPARATUS 6 NON RESID. SINGLE OUTLET CIR. Ex. Occup{OUTLETS OR FIXTIIRES g L2; 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 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. IlrrD I certify that in the performance of the work for which this 4 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 1 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 is TOTAL PERMIT FEE $%�j �% authorize representatives of the County of Butte to enter upon the ab.Ationed property for inspection purposes. Date a nature m�ent Receipt No. VDI White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant Thi ermit is hereby issued under the applicable provisions of e Bu a County Code and/or resolutions to do work indicated above f r w hfyyes have been paid. IJCsTOR OF PUBLIC WORKS. 3y pates Building permit expires Date MOB ILEHOME SIJPPOkT DATA If other than single wide, Mobilehome Mfr. 'S�i���N'L. furnish Setup Model No. �� Year l Width oZ (ft.) Box Length (0 0 (ft.) Tagalong or Expando Siz ft. x ft. (SHOW SUPPORT DETAILS BELOW) 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). a All center supports measured from front of mobilehome unless otherwise specified. , Footings (check one)_ Single .1, . . ^ n ,. ood either ( t.)(in;) Center support.. locat'ons* (in.) /in. Centerrt footins (in n.) (i (in.) ft.)l (in.) (in.) (in.) (in:) Xin.) pressure treated o foundation grade. D 2. Other (specify) Supports (check one) oncrete block. 2. Other (specify) Tagalong or Expando, show support details. -- Typical Support .) Footing Size 5 `,C 6,/ -- Max. Pier Spacing (ft.)(in.) L X J -- Max. Overhang in. in. BUTTE COUNT BUILDING DEPARTMENT APP -ROVED *If center piers are other than drawn above,. draw,in--locations, spacing, and dimensions. w - BUTTE COUNTY DEPARTMENT OF PUBLIC WORKS 7 County Center Drive, Oroville, CA. PHONE: 534-4541 MOBILEHOME INSTALLATION SHEET `8. Is there any other electric load to be served by the mobilehome site service? --------------------------------------------------- (If yes, identify the load and size: (Load) Yes / / (No 9. What is the mobilehome site gas pipe size? ---------------------- �< (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? S (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.) o 1. Owner's name: 84Z U C 2. Installer's name: 3. Is the site currently under permit? Yes No —1 (If yes furnish numberS OR,,15Z 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_, No (If no, clarify ) 5. What is the mobilehome electrical rating? ----------------------- �o Amps 6. What is the mobilehome site service rating? --------------------- /C70 Amps 7. What is the mobilehome':gite circuit breaker rating? ------------- Amps. `8. Is there any other electric load to be served by the mobilehome site service? --------------------------------------------------- (If yes, identify the load and size: (Load) Yes / / (No 9. What is the mobilehome site gas pipe size? ---------------------- �< (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? S (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.) PERMIT NO. 753-78P,E PERMIT EXPIRES Bruce Allen OWNER CONTR. Owner LOCATION (A.P. 63-05-15 ) E/S.Tippi Toe Ln.,3/10 mi.S.of Fitsgerald Rd., Forest Ranch t • A Temp. Power Pole Called PG&E Temp. Elec. Serv. Called PG&E Temp. Gas Serv. Called PG&E /FOINA B �r9 ry LED G� d (D (Signature) COUNTY OF BUTTE -- DEPARTMENT OF PUBLIC WORKS BUILDING INSPECTION RECORD BUILDING A BUILDING (Cont'd) PLUMBING S back INrewaII SAPiping FAS -PaNpets is Floor MAV Bldg. Rest om Finish 2nd loor Aptings Windo 3rd F or Ste wall Sidin To out Slab Roof SheaNina Water 131 00 Piers Roofing Sewer Garage Fdn. Vents Fixtures Footings Stemwa I I Garage Vents Insulation Water Htr. Heaters Slab Carport Footings y Slab Prov. for phed sical handica Conformance of ex. structure V Final Appliances Gas Piping &Test Temp. Gas Sanitation Patio- REP ACE Final Footings Footing Masonry Walls Throat Rou t Reinf. Steel/ Final Fixtui Bond Bea FIRE SPRINKLEFk Motor Framina Test Water Stucco Final Suba Mesh Jr MECHANICAL Gird. F It Prot. Scralch Heatl Servi B n Coo ng T p. Pole nish D is Vi der round I erior Lath entilation rmanent oor Closer anal l MOBILEHOME UTILITIES ------------------ Elec. Service Elec. Pedestal � Water Piping Sewer — Gas Piping MOBILEHOME INSTALLATION - - - - - - - - - - - - - - Support Elec. Continuity Water Piping Drainage Gas Piping DATE REMARKS OR CORRE TIONS L (NOTE: An entry must be made on this form each time you visit the job site.) < COUNTY OF `BUTTE — DEPARTMENT OF PUBLIC WORKS �.' 7 County Center Drive — O`roville, California 95965 f Telephone: 534-4541 APPLICATION AND PERMIT .., W. — -1 — upull mu above-mentioned property for inspection purposes. K X ��Gr�w. Date 4 a Signatureof Permiitee or Agent Jr Receipt No./o/ 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 p DIRECTOR OF PUI$LIC WORKS BY � �L—� nate B Iding permit expires Date BUILDING Owner Mz SQ. FT. OCC. BUILDING VALUATION Mai I i ng Address T}f �ghpq¢ No. Fireplace Contractor Total Valuation Mailing Address Permit Fee Plan Checking Fee&/or Penalty Telephone No. Permit Fee Building Address ,L �` lD�l PLUMBING No. @ FEE PERMIT FILING FEE $3.00 3 O /C Each Trap 1.50 Repair drainage or vent piping 1.50 Zoning Ver;FJC8! n On! Water piping 4-50 0 Each gas water heater or vent 1.50 A. P. N�9. 44�— Q S rrn Zoni Gas piping system 1 - 5 outlets 1.50 Each additional outlet .30 F kesi S t Ion Fire Dept. Fire Zone Use Permit Building sewer EQA Parking Plans Parcel Declaration Pa a 60' . /W Im provements Lawn sprinkler system 2.00 r &s—R—. cd Parcel Approval Plan pprovoI Permit Fee $ DO $ 3 0( NEW ❑ ADDITION ❑ UTILITIES OTHER ❑ ELECTRICAL No.1 @ FEE PERMIT FILING FEE J$3.00 OQ Main service 100 AMP OROR LESS5.00 O Main service EA. ADD -L 100 AMP 2.50 Single Family ❑ Duplex ❑ Mobil Home Others ❑ Main service 100 ER 60 AMP OR LESS 25.00 Main service EA. ADD -L too AMP 1.00 1 NEW CONST. DWELLING OCCUP. 8, OR ADDNS. ACC. BLDGS. ) 2¢sgft NEW CONSTR. MOLT LOUT LET NON-RESID. BRANCH CIRCUITS)2.50ea NEW CONSTR. (POWER APPARATUS & NON.R ESID. 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: Ex. Occup(OUTLETS OR FIXTURES)@� BAL@1 Ex. Occup. ( OUTLETS FIXED APP(RESID )REA) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 License No.Classification Misc. Wiring 6.25 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.1 @ FEEPERMIT FILING FEE J$3.00 Heating Cooling Ventilation Hood 2.00 Permit Fee $ $ 1 certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby 0! TOTAL PE MIT FEE .., W. — -1 — upull mu above-mentioned property for inspection purposes. K X ��Gr�w. Date 4 a Signatureof Permiitee or Agent Jr Receipt No./o/ 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 p DIRECTOR OF PUI$LIC WORKS BY � �L—� nate B Iding permit expires Date This set of plans and specifications MUST be kept on the job at all times and it is unlawful to make ark, changes or alterations on same withoua writiten permission from the Department of pkib- f;c Works, County of Butte. �ccorclance OTE:—AII Materials & Workmanship Shall Be im with Recognized Good Practices and fa quality prescribed for the Specified use in the Uniform Building, Plumbing & Mechanical Codes and the National Electrical Code. 1,C4'fiW1 7 7s-,3- 79 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. Q\ O IV," Jo OF fr The �'' . Setback, shall be ift. from the side property line and 50 ft. from the centerline of the road, permitting a maxi- mum of a 2 ft. eave overhang but entirely out of all easements. Septic system and location afik —siat to be as Butte County Health Dept: quirements. BUTTE COUNTY BUILDING DEPARTMENT APPROVED r I b � PERMIT. NO. 1392-81MHI (,existing site) PERMIT EXPIRES OWNER BRUCE ALLEN CONTR. Gene Schmitt MH Ser, Vina ASSESSOR PARCEL 63-05-15 LOCATION E/S Tippitoe Lane. 3/10 mi S of Fitzgerald Rd, Forest Ranch F; 'd tA ys' Temp. Power Pole Called PG&E Temp. Elec. Service "51s; 6' ! 9' Called PG&E fi Temp. Gas Service-2,1JS Called PG&E JOB FINAED (D e)S D LJ Signature J OK 0 = Not OK — = Not Applicable * = Not Ready MOBILEHOMES __- MISCELLANEOUS Date MOBILEHOME UTILITIES (Plans) OK except,,4' Date DECKS, COVERS, CARPORTS, ETC. i'Plans) OK except k's 1. Zoning Requirements— tba ks—E ments 1. Zoning Requirements—Setbacks—Easements 2. Soils; Special MHp ch 2. Footings; Size—Depth—Spacing—Connectors 3. Sewer; Loio t a -C/0—Concrete 3. Decks; Girders and/or Joists—Decking—Bracing—Stairs—Rails 4. Water; — st— asement Needed (Sketch) 4. Wood Awn.; Posts—Beams—Rftrs.—Connec.—Shthg.—Rfg.—Bracing 5. Electri ocation—Clearances—Grnd.—/ / Amp—Concrete 5. Alum. Awn.; Columns—Connections—Splice—Decal—Enclosures 6. Gasie_' tion—Test—Wrap:/ /"L"ft./ /"Nat. or/ /"L"ft./ /"LPG 6. Carports; Windows—Doors 7, ility Clearance 7. Elec. i Card -BI Card -BI Date Date Card -BI Date Date Card -BI Date MOBILEHOME INSTALLATION ns) OK except N's JS, l g Requirements—Setbacks—Easements Card -BI Card -BI Date r Date Card -BI Date Date Card -BI Date POOLS (Plans) OK except k's 1, Setbacks—Easements �y�e3tings; Size—Spacing—Marriage Line 2. Soils; Compaction—Structure Stability 3k 2Q MH Test—Demand—Valve—Connector 3. Pool Structure; Steel—Connections—Thickness—Dead Men—Lining Test—Crossovers—Breakers—Clearances 4. Elec.; Receptacles and Lighting; Distances—GFI FjBt'&in; MH Test—Fall—Flex Connector 5. Elec.; Pool Lighting; 15 volts—GFI 6A.-Iffa'ter; MH Test—Regulator—Connector 6. Elec.; Enclosures; Conduit Entries—Terminals—Listed 7jiW8ter and Sewer Connected—C/0 to Grade—HD Approval 7. Elec.; Bonding; Metal w/5'—Circulating Equipment—Heater s nd Electricity Tagged 8. Elec.; Grounding; Equip. w/5'—Circulating Equip.—Pool Lghtg. Boxes—Enclosures—Panel boards—Ins. to Main in Conduit s; Insp.—Sketch l --Cert. of -Occupancy 9. Health Department Approval 10. Plumb; Cir. Test—Water Supply Test Card B-I4Dat Card -BI Date Card -BI Date Card -BI Date Card B -I Date ,,S % Card -BI Date Card -BI Date Card -BI Date J c OK 0 = Not OK - = Not Applicable * = Not Ready RESIDENTIAL (Single and Duplex) Date UNDERFLOOR Plans OK except #'s Date FRAMING (Continued) 1. Zoning requirements -Setbacks -Easements 48. Property Line Firewall & Openings 2. Ftg., Main; Soils-Steel-Elec. Grnd.- / /'• Ftg. Depth 49. Ext. Doors -One 3' -Check Garage -3rd story, 2 exits 3. Ftg., Garage; Soils -Steel- / /" Ftg. Depth 50. Stairs; Width-Headroom-Rise-Run--Landing-Fire Protection 4. Ftg., Porches & Decks; Soils -Steel- / /" Ftg. Depth 51. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers 5. Stemwalls, Main; Steel-Blockouts-Wrapped-Slab 52. Siding -Nailing -Veneer 6. Stemwalls, Garage; Steel-Blockouts-Wrapped-Slab 53. Stucco Mesh -Drip Screed-Fdn. Vents-Underflr. Access 7. Piers -Fireplace Ftg.-Steel 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 -Service Test 11. 12. Electric; Underground Plenums & Ducts; Clearance -Material -Support -Ins. 13. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples Card -BI Date Card -BI Date Card -BI Card -61 Date Card -BI Date Date Card -BI Date Card -BI Date Card -BI Date Date FINAL (Plans) OK except N's 56. Ext. Steps -Door & Sidelight Protection -Landings Card -BI Date Date Card -BI Date PLUMBING (Permit) OK except q's 14. Water Ht.; Vent -Access -Combustion Air 57. 58. Smoke Detector Furnace; Vents -Clearance -Comb. Air -Connector - In Garage; Above Floor-Ducts-Mech. Protection 15. Water Pipe; Test & Anchors -Nail Protection 16. D.W.V.; Test-Fttngs & Anchors -Nail Protection 59. Bedroom Exiting 17. Shower Pan; Test, First Floor -Tub Access 60. G.F.I. & Bath Fixtures & Tub Access 18. Test Tub & Shower, 2nd Floor -Tub Access 61. Elec. Trim & Subpanel; Breaker Sizes -Labels 19. Gas Pipe; Size & Anchors 62. 63. Stairs & Rails Fireplace or Stove; Clearances -Hearth 64. Elec. Outlets at Wood Panel; Int. & Ext. Card -BI Date Card -BI Date 65. Kit. Fixt. & Appliance; Grnd.-Air Gap -Cooking Clearance Card -BI Date Date Card -61 Date ELECTRICAL Permit OK except q's 66. Elec. Outlets & Receptacles at Kit. Counter ; 67. Garage Fire Door; Swing -Landing -Closer 68. 69. A.C. Duct in Garage -Damper Wtr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V.- In Garage; Above Floor-Mech. Protection 20. Fixture & Transformer Clearance -Ins. Protection 21. Elec. Receptacles Spacing -Lights &Switches at Doors 70. Plb., Elec. &Mech. Equip. Listed for Location 22. Size Boxes & No. of Conductors -Stapled 71. 72. Elec. Receptacles in Garage; (G.F.I.)-Romex Protec. Insulation -Foam -Looked in Attic E) Yes 23. Romex Installed Close to Edge of Studs & C.J. 24. Equip. Ground made up w/Mech. Fasteners -Bond Gas &Water 25. 2 Appliance Circuits in Kitchen &Conductor Size 73. Guard Rails &Deck Construction -Post Caps _ 26. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga. Cu or Al 74. Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance Looked under Floor ❑ Yes 27. Range Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or At, Insulated Neutral ❑Yes ❑No 75. 76. Following instld : Drive ❑ Yes [:]No: Walks ❑ Yes ❑ No; Planters El Yes El No Stucco; Brown -Finish 28. Service -Riser Conductors & Ground -Main Disconnect 29. Equip. Clearances; Panels-Motors-Mech. Equip. 77, 78. A.C. Unit; Disconnect-Clrnces-Brkr. & Cond. Size -115V Outlet Vents Above Roof; Plbg.-Appliance-Firepl.-Clearance to Opngs. 30. Clothes Closet Light -Shower Light 79. Water Well; Disconnect, Electrical, Plumbing Card B -I Date Card -BI Date 80. Exterior Elec. Trim; G.F.I. Receptacle -Underground 81. Ventilation throughout House Card B -I Date Card -BI Date 82. Glass Protection Date MECHANICAL (Permit) OK except N's 31. A.C. Ducts; Insulation & Support 83. Corrections from Previous Inspections 84. Gas Test -Meters Tagged; Gas -Electric 85. 86. Water & Sewer Connected -C/O to Grade -HD Approval Energy Compliance Certificate -Other Certificates 32. Vent Fan; Exhaust above Insulation _ 33. Condensate Drain & Overflow; Size & Grade 34. Furnace -Vent; Access -Comb. -Air -Return Air Vent -115V outlet 35. Attic Access & Platform if Furnace in Attic - Card -BI Date Card -BI Date Card -BI _Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Comments at Final: Date FRAMING(Plans) OK except q's 36. Sills; Proper Material & Anchors 37. Walls; Studs -Nailing, Spacing & Bracing -Plates -Sound _ 38. Bearing Walls over Girders & Floor Nailing 39. Draft Stop in Walls (rat proof) _40. Fire Stops; Furred Ceilings -Stairs -Chases -Tub 41. Header & Beam -Size & Bearing _ 42. 43. 44. Hangers -Post Caps -Anchors -Connectors Cing. Joist-Rftr. Ties-Purlin-Roof Brac.-Truss-Shthng.-Rfng. Fireplace Ties or Type A Flue -Fireplace Throat 45. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles _ 46. _Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions 47. Garage Fire Protection Framing (NOTE: An entry must be made each time youvisit jobsite) 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 5, under permit number `�- t for the following location: r Owner— Owner's wner Owner's Address Mobilehome Mfg. L- r Model Year Insignia No.A //iv% A' C' 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 White - Owner, Yellow - Installer, Pink - D.P.W. COUNTY OF BUTTE .' DEPARTMENT OF PU6LIC WORKS ' 196 Memorial Way, Chico — Phone: 891-2751, 7 County Center Drive, Oroville — Phone: 534-4541 Skyway and Elliott Road, Paradise — Phone: 872-2961, Ext. 57 CORRECTION NOTICE 'BUILDING OR PROPERTY ADDRESS A routine inspection indicates that the following violations of County Ordinance exist at the above address and should be corrected. Please notify this office when correction of work is completed. If you have any question pertaining to this matter, or need additional explanation, 'please contact this office immediately. Inspector C�/ We?ir Date -5 ,3 COUNTY OF BUTTE - DEPANTMENT OF PUBLIC WORKS PE MIT NO. 7 County Center Drive - Oroville, Californip 95965 - Telephone 916/534-4541 / �� / APPLICATION AND PERMIT A ESSJ6PARCEL NUMBER ZONING BUILDING PER T OWNER Al -LC -Al TELEPHONE , SQ. FT. OCC. BUILDING VALUATIONOP-1le-E OWNER'S MAILING ADDRESS T / PHONE /J �*� J- COI�LT.F3AC TORS NAME/V'/ / , `AOR-,A�1CF/EOSMAILING . CONTRACTOR'S NT•J /J 64Fireplace CONSTRUCTION LENDZR ]UNKNOWN Total Valuation is Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee Uq/ $ Penalty $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Permit fee $ BUILDI G ADDRESS PO C)i5 L-�4/VE 3/0 /,//L E' 6 PLUMBING PERMIT Filing Fee 10.00 OC F1 T2! 6e19 Z-25 10D , Each Trap 2.00 Repair drainage or vent piping 5.00. ' /���% /e/i�C Water piping LOT NO. SUBDIVISION NAME PARCEL MAP Each qas water heater or vent 5.00 Gas piping system 1 - 5 outlets USE OF STRUCTURE SF ❑ Duplex❑ Mob! lehome [Er"'Other SPECIFY Building sewer Lawn sprinkler system 5.00 TYPE OF WORK r -, New ❑ Addition [:1 Remodel E:1Utilities ❑ Instal lation9-� Other ❑ Describe work: EXLSYN4 6-1 Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 1011 OR LESS 100 AMP OR LESS 5.00 (r 1`(�•� Main service EA. ADD•L 100 AMP 2.50 NEW CONST. ( DWELLING OCCUP.N OR ADDNS. ACC. BLDGS. 2� sq ft 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. 41,Ex. License No. 3/� 3 � 3 ClassificationG / ❑ 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 CO ID R BRANCH CIRCUITS 2.50 ea NEWCONSTR. ( POWER APPARATUS dI NON-RESID. SINGLE OUTLET CIR. 50 @ 25¢ Ex. OCCUp OUTLETS OR FIXTURES BAL�1 Occup. UTLETS FIXED APPLNS (RESID IREA. .2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 7.50 Permit Fee $ Contractor MECHANICAL PERMIT Filing Fee 10.00 WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. I: VI have placed on file with the County of Butte Building Department U� 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. Heating Cooling Hood 3.00 Ventilation permit Fee S Contractor 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 authorize representatives of the County of 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 sts, d expenses which may in any way accrue against s County in c s quen of th ranting of this permit. X Date Signature of Applicant — Owner ❑ Contractor ❑ Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct- of structures over 3 sstories in height. Mobile Home Installation Fee $ 30,00 TOTAL PERMIT FEE $ tz,x, OCCUP. CROUP I TYPE OF CONST, PARCEL PD 1 ND 159u�, This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which DIRE R OF PUBLIC BY PE EXPIRES Date' the applicable proyi� resolutions fees have been WORKS Date �-2 Lion, ceipt No. �7-• TE-D.P.W.. YELLOW -ASSESSOR. PINK -INSPECTOR. GOLDENROD -APPLICANT This set of plans and specifications MUST be kept on the job at all times'and it is ur4awfe4* make any changes or elterations on s me with- out written permission from the Dep ment of Public Works, County of Butte. A P'' 63 1931 NOTE:—All Materials & Workmanship Shall Be in Accordance with Recognized Good Practic s anc! of a quality prescribed for the Specified us in the Uniform Building, Plumbing & Mechanica Codes and the National Electrical Code. i� s. i A setback of ,t. from the property lines and a'setback of 50ft. from the road centerline shall be clear of structures or equipment except for a 2 ft. eave overhang. i vF BUTTE COUNTY BUILDING DEPARTMEN E A.PPP'OVFn rWI BUTTE COUNTY DEPARTMENT OF PUBLIC WORKS 7 County Center Drive, Oroville, CA. PHONE: 534-4541 8. Is there any other electric load to be served by the mobilehome MOBILEHOME INSTALLATION SHEET Yes No / 'T (If yes, identify the load and size: .1. Owner's name: What is the mobilehome site gas pipe size? ---------------------- 10. 2. Installer's name: ��}�,�. sC n h? f [ ►" Natural/% LPG 11. What is'the gas pipe length from meter or tank to the mobilehome? (ft.) 12. What is the mobilehome gas demand? ------------------------------ ft" (BTU) 3. Is the site currently under permit? Yes No or less than 50 ft. on LPG.) (If yes, furnish permit number ) OR Is the site an existing site? Yes No (If yes, furnish two (2) plot plans.) 40 Will the mobilehome be located at least 5 ft. away from septic tank and leach fields and clear of all setbacks and easements? Yes / r/ No (If no, clarify ) 5. What is the mobilehome electrical rating? ----------------------- .� Uy Amps 6. What is the mobilehome site service rating? --------------------- o?•d.!/'> - Amps 7.. What is the mobilehome site circuit breaker rating? ------------- 02yc7 Amps 8. Is there any other electric load to be served by the mobilehome site service? --------------------------------------------------- Yes No / 'T (If yes, identify the load and size: (Load) (Amps) 9. What is the mobilehome site gas pipe size? ---------------------- 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? ------------------------------ ft" (BTU) (This information not required if pipe length less than 6 ft. on natural gas or less than 50 ft. on LPG.) MOBILEHOME SUPPORT DATA If other than single wide, Mob ilehome Mfr. La, 17 L furnish Setup Model No. -.� U > Year Zd Width�) C/ _(ft.) Box Length y / (ft.) Tagalong or Expando Size ft. x ft. (SHOW SUPPORT DETAILS BELOW) 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). All center supports measured from front of mobilehome unless otherwise specified. Footings (check one) Single D' ` D-1. Wood either pressure treated or foundation grade. (ft.)(in:) (in.) (in.) ❑ 2. Other (specify) Center support locations* Center support footing sizes Supports (check one) (in.) LA r; Concrete block. 9 V Ix 10 ❑ 2. Other (specify) ' 4 ---Tagalong or Expando,' show support details. oy, o/I z�r 30 (ft.)(in.) (in.) (in.) a//x 3v/1 -- Typical Support in.) (in.) Footing Size `i3' �� a` X 3 v (ft.)(in.) (in.) (in.) Si �i -- Max. Pier Spacing (ft.)(in.) x Max. Overhang (ft.)I (in.) (in.) (in.) (ft.)(in.) BUTTE COUNTY 3UILDING DUARTMEN'` APPROVEI *If center piers are other than drawn above, draw in. -locations, spacing, and dimensions. 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 reqquirements of the California Administrative Code, Title 25, Chapter 5,under permit number -"SV-- for the following location: els` �•�' - j/%n _S/moi �'t-i7�- c,:-.P�� � Owner X Of4) Owner's Address , _ l �i"rtT` � �I,• �bilehome Mfg. h/� / /l1�� Model r� n n% Year J ''► Insignia No. C) 1 '% 117 Serial No. It is hereby certified for occupancy at the above described location and may be occupied. H O Director of Public Works Date �'" !_ 5 .7 / By, --,9 r THIS CERTIFICATE IS VOID WHEN MOBILEHOME IS RELOCATED White - Owner, Yellow - Installer, Pink - D.P.W.