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HomeMy WebLinkAbout064-150-0300 1 64-15-3� Anton M. Laakso 90 Essex Ct., lot 151, PP#13, Magalia contr: Marvin R. Anderson, Paradise 4 Permit #17976P,E(u�i1.,MH) ELEC , OAS SUP RT STRUCTURE 0 COMPACTION TEST M 'Iwo 64-1 Permit #2723­76MHI`_ Issued 64-15-36 FPermit #295 76P(inst. gas pip.) 64-15=30 Per 't #4324-76B(new deck/MH) Q PERMIT NO. 4324-76B J � v r �' PERMIT EXPIRES w. OWNER Anton Laakso CONTR. owner ` LOCATION (A.P. 64-15-30 ) 90 Essex Ct., 16t 151, PP#13, Magalia Temp. Power Pole Called PG&E Temp. El,yl.ec. Serv. Cal ed PG&E Tem .Gas Serv. Called PG&E JOB 3 FINALED (Date) (Signaturfr ' � 3 1 Temp. Power Pole Called PG&E Temp. El,yl.ec. Serv. Cal ed PG&E Tem .Gas Serv. Called PG&E JOB 3 FINALED (Date) (Signaturfr 1 COUNTY OF.BUTTE — DEPARTMENT,OF PUBLIC WORKS. BUILDING INSPECTION RECORD BUILDING BUILDING (Cont'd) PLUMBING Setback Firewall Soil Piping Forms Parapets 1st Floor Main Bldg. Restroom Finish' 2nd Floor Footings Windows 3rd Floor Stemwall Siding To out Slab Roof Sheathing Water Piping Piers Roofing Sewer Garage Fdn. Vents Fixtures Footings StemwaI l Garage Vents Insulation Water Htr. Heaters Slab Carport Footings Prov. for physically handica ed Conformance of ex. structure Appliances Gas Piping& Test Temp. Gas Slab Final Sanitation Patio FIREPLACE Final Footings Footing ELECTRICAL Masonry Walls Throat Rough Reinf. Steel Final Fixtures Bond Beam FIRE SPRINKLERS Motors Framing Test Water Htr. Stucco Final Subpanels Mesh MECHANICAL Grd. Fault Prot. Scratch Heating Service Brown Cooling Temp. Pole Finish Ducts Underground Interior Lath Ventilation Permanent Door Closer Final Final DATE REMARKS OR CORRECTIONS (NOTE: An entry must be made on this.form each time you visit the job site.) COUNTY OF BUTTE — DEPAR'TMENT OF PUBLIC WORKS 7 County Center Drive ,— OrpviIle, California 95965 Tel ephone: 534-4541 APPLICATION AND PERMIT authorize representatives of the County of Butte to enter upon the above-r"ntioned property fgr inspection purposes. X G/ �� aiK V��"v Dat Signature of Permitee or Agent Receipt No. / V d J os— r 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 PMLIC WORKS B2il=gper=itex�pires Date �� �' BUILDING Owner L �S 0 , SQ. FT. OCC. BUILDING VALUATION 32 O, Mailing Address 61,0 14 ' Fireplace Contractor N( 74—• Total Valuation C�Q Mailing Address Permit Fee ^ Plan Checking Fee &/or Penalty Telephone No. Permit Fee $ Building Address PLUMBING No. @ FEE PERMIT FILING FEE $3.00 n _ ) a Each Trap 1.50 G N Repair drainage or vent piping 1.50 Water piping 1.50 Each gas water heater"or vent 1.50 .,-- A. P. No. "�s �Q r Zoning & Planning Gas,piping system 1 - 5 outlets 1.50 Each additional outlet .30 Fe do Fire Dept. Fire Zone Use Permit Building sewer 5.00 EQA Parking Plans Parcel Declaration parcel Ma R/W P Im r p ovements Lawn sprinkler system 2.00 Bld tans Recd Parcel royal Plans proval Permit Fee $ $ NEW ADDITION ❑ UTILITIES ❑ OTHER ❑ ELECTRICAL No.1 @ FEE PERMIT FILING FEE J$3.00 Main service 600v OR LESS 5.00 100 AMP OR LESS Main service EA. ADO'L 100 AMP 2.50 Single Family ❑ Duplex ❑ Mobil Home Others ❑ Main service 1100EAMP OR LESS 25.00 Main service EA. ADD•L 100 AMP 1.00 NEW CONST. DWELING OR ADDNS. ( ACCLBLDGS.CCUP. &) 2¢sgft ' NEW CONSTMULTI CONSTR. 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 style of: Ex. Occup(OUTLETS OR FIXTURES)HL2SC BAL�1 Ex. Occu P• FIXED APPLNS, OR OUTLETS (RES(OREA) 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. ❑ I have placed on file with the County of Butte a certificate of Workmen's Compensation Insurance. �j 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 $ ^ authorize representatives of the County of Butte to enter upon the above-r"ntioned property fgr inspection purposes. X G/ �� aiK V��"v Dat Signature of Permitee or Agent Receipt No. / V d J os— r 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 PMLIC WORKS B2il=gper=itex�pires Date �� �' r a � util.,MH 1793-76P3E PFR. MIT NO. i- � PERMIT EXPIRES '7Z�-' Z � ',OWNER Antm M. Laakso °tCONTR. Marvin R. Anderson, Paradje ti -LOCATION (A.P. 64-15-30 90 Essex Ct., lot 151, PP#13, Magalia r t; f r J .1 s f 'A i Temp. Power P e "'t Called P E Temp. Elec Serv. G' Calle G&E Z > Temp. s Serv. C led PG&E J 17�. 4 NALED COUNTY OF BUTTE — DEPARTMENT OF PUBLIC .WORKS BUILDING INSPECTION[ RECORD BUILDING BUILDING (Cont'd) PLUMBING Setback- �.• Firewall Soil Piping Forms Parapets 1st Floor Main Bldg. Restroom FI ish 2nd Floor Footings Windows 3rd Floor Stemwall Siding To out Slab Roof Sheathin -Water Piping Piers Roofing Sewer Garage Fdn. Vents Fixtures Footin s Stemwa I I Garage Vents Insulation Water Htr. Heaters Slab Carport Footings Slab Prov. for ph sicaliy handica ed Conformance of ex. structure Final tjjtj I I �0 Appliances Gas PipingTest Temp. Gas Sanitation Patio _ FIREPLACE Final % Footings Footing ELECTRICAL Reinf. Steel I Final N I Fixtures Bond Beam I FIRE SPRINKLERS I Motors Stucco Final Subpanels Mesh ECHANICAL Grd. Fault Prot. Scratch Heating Service Brown Cooling Temp. Pole Finish Ducts Underground' Interior Lath Ventilation Permanent Door Closer Final Final Q 7 (O DATE REMARKS OR CORRECTIONS r — 6 c- (NOTE: An entry must be made on this form each time you visit the job site.) \�sy.� �,� � N s t, 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 numbm2 `1S 3-7(�9 for the following location: CIO L C•i- Owner ✓ 4 S 0 Owner's Address 9 U C' '9S CS > 9C/ Mobilehome Mfg. 44., _ u 1 Model Year i( Insignia No. % Serial No. It is hereby certified for occupancy at the above described location and may be occupied. Director/off Public Works Cj Date � �v B THIS CERTIFICATE IS VOID WHEN MOBILEHOME IS RELOCATED 9. Electrical A. Is service large enough to provide adequate amperage to mobilehome (must equal rating of mobilehome with a minimum00 amp) and other facilities.on_lot, i.e., water pumps, garage, cabana, etc.?. Yes�No B. Is there proper clearances around panels? Yes No C. Is power supply cord or feeder assembly properly fused? Ye)4, No D. Is continuity test satisfactory as per the following procedure? 1. De -energizer ic 1 wiringg system of the mobilehome at the pedestal. �Xot n/UTL�, evv 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 lead of a test.instrument to the mobilehome grounding conductor and apply the other lead to each rciobilehome '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 conddc.tors. shall be connected to the site. service equipment. A further continuity t, 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. r L0. Is job card -signed by Health Department for water and sanitation? 11. If everything .okay, sign off card and tag services. KOBILEHOME DATA Kanufacturer and/or Namestyle s7S� t a C,CA,j Length 6_0 Width 10 �7 Jehicle Serial No.�� 5 tate identification No. Additional.Informati.on or Comments: MOBIL EHOME INSTALLATION INSPECTION CHECK LIST 1: Is the mobilehome located w`i�h required separation from lot lines and buildings and generally conform to plot plan? .-Yes "No 2. Does the mobilehome have required clearances above ground? (Sec.5085) Ye� No 3. Are footings and supports properly sized, spaced, and braced as per approved plans? (Note possible variation at spring shackles.) (Sec. 5082 & 5083) Yes No 4. Is the mobilehome level? (Sec. 5088) Yes No� 5. If more t a single unit, are crossover connections properly installed? (Sec. 5088) Yes No 6. Water ' A. Is Jjexible connector of adequate size and properly installed (1/2" ID min.)? (Sec. 5566) Yes No B: Test - Does water piping withstand working pressure or.50 lbs, air test? Yesy— No C. Backflow - coach is not State of California approved, does station have backflow devic and press e- elief valve? Yes No 7. Wastes and brains 1 N A. Is connection made with Schedule 40 DWV and have flex connectors at each end? Yes_.X No B. Does it have minimum 4' per foot slope and is it properly supported? Yes -y No C. Are any leaks detected in drainage system after running 3 -gallons of water through each fixture including washing machine standpipe? Yes NO D. If ac is not State of .California approved, does station have required trap and vent? Yes o. 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 moehome gas line inlet without reductions other than the mobilehome connector. Yes No B. Test OK as per following procedure? Yes No 1. Open all appliance connector valves. 2.. Shut off appliance burner and pilot valves. 3. Air test with manometer to 10"-14" water column, or test with slope gauge (minimum 6oz.-maximum 8 oz.) calibrated in tenth pound increments. Test for 10 min. without drop. 4. Connect gas meter to mobilehome with connector, turn on gas, test connections with soapy water. C. Are 411 appliance vents properly installed? YesX No ii' COUNTY OF BUTTE — DEQ ARTMENT OF PUBLIC WORKS 7 County Center drive - Uroville, California 95965 (?6,3 �� Telephone: 584-4541 APPLICATION AND PERMIT authorize representatives of the County of Butte to enter upon the above-men'oned prop erty,for ins p ¢tion purposes. X Date Signature of Permitee or Agent Receipt No. 7 lose I White-D.P.W. — YellowAssessor— 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. DI (`TOR OF PUBLIC WORKS(, By - `� t Date " h permit expires Date ` BUILDING Owner�D /C 5 b SQ. FT. OCC. BUILDING VALUATION Mailing Address 6) C° [nr A L S / Telephone No. Fireplace Contractor Via., Ad C Total Valuation Mai I i ng Address Permit Fee Plan Checking Fee &/or Penalty Telefyt7l3pC,f`Io. Permit Fee Building Address �-S� Er>C ', PLUMBING No.1 @ FEE PERMIT FILING FEE $3.00 ?? J - Each Trap 1.50 ` Repair drainage or vent piping 1.50 Water piping 1.50 Each gas water heater or vent 1.50 6 ., f c-_ A. P. No. J �. Zoning & Planning Gas piping system 1 - 5 outlets ri�st•Y -� Each additional outlet .30 Fees+&O. I Sen4o4on Fire Dept. Fire Zone Use Permit Building sewer 5.00 EQA Parkin PlansBldg.-P4---Rec'd Declaration Parcel Map 60' R/W Improvements Lawn sprinkler system 2.00 Parcel Approval Plans Approval Permit Fee $ $ NEW ❑ ADDITIONE], UTILITIES ❑ OTHER ® ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 AIY �Main 00V OR LES service 100 AMP ORS SLESS 5.00 Main service EA. ADD•L 100 AMP 2.50 Single Family ❑ Duplex ❑ Mobil Home Others ❑ OVER 600V Main service 100 AMP OR LESS 25.00 Main serviceEA, ADD -L.100 AMP 1.00 NEW OR ADDNST %(DWELLING % ACCBLGOCCUP. &) 2(tsgft 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 style of: Ex. Occup(OUTLETS OR FIXTURES) BAL@1 09 AP PLNS, OR Ex. QCCU (OUT p•(OUTLETS (REBID.) 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 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. Elhave placed on file with the County of Butte a certificate of 'workmen's Compensation Insurance. I certify that in the performance of the work for which this permit is issued I shall not employ any person in any manner so as to become subject to the Workmen's Compensation Laws of California. I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby MECHANICAL No. @ FEE PERMIT FILING FEE $3.00 Heating Cooling Ventilation Hood 2.00 Permit Fee $ $ TOTAL PERMIT FEE '� � .� authorize representatives of the County of Butte to enter upon the above-men'oned prop erty,for ins p ¢tion purposes. X Date Signature of Permitee or Agent Receipt No. 7 lose I White-D.P.W. — YellowAssessor— 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. DI (`TOR OF PUBLIC WORKS(, By - `� t Date " h permit expires Date ` COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive _,—I (Ijoville, California 95965 Telephone: 53,1-4541 _ 7/ APPLICATION AND PERMIT au '"or ze representatives UI the County Or Butte to enter upon the above -me tioned property f inspection purposes. ,,// Date ' `, �� Signature of Permitee or Agent Receipt No. � Y (.:,S 32.. 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. DIRECTQ.R OF PUBLIC WORKS BY v Date 2 A9��C �?ICiwg permit expires Date 77z C�%i BUILDIN Owner O /11_1 14 SI) SQ. FT. OCC. BUILDING VALUATION Mailing Address 0 SS IC— Cf - L 1 Ii Telephone No. Fireplace Contractor W 1\1 LryL. Total Valuation Mailing Address Permit Fee Plan Checking Fee&/or Penalty Telephone No. Permit Fee Building Address PLUMBING No. @ FEE PERMIT FILING FEE $3.00 5^ C, ki / / / Each Trap 1.50 Repair drainage or vent piping 1.50 Water piping 1.50 Each gas water heater or vent 1.50 A. P. No. — 6 _3 Zoning &Planning Gas piping system 1 - 5 outlets 1.50 Each additional outlet .30 F W. . gan4et4en Fire Dept. Fire Zone Use Permit Building sewer 5.00 EQA Parking Parcel Plans Declaration Parcel Ma P 60' R/W Im vements Lawn sprinkler system 2.00 BIdlKt-Re ' Parcel Approval Plans Approval Permit Fee $ NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 Main service 100 AMP OR1 OR LESS5.00 3 ^ G Main service EA. ADD•L too AMP 2.50 Single Family ❑ Duplex ❑ Mobil Home Others ❑ OVR 600V Main service tooEAMP OR LESS 25.00 Main service EA. ADD•L 100 AMP 1.00 NEW CONST. ( DWELLCCUP. DWELLING O & OR ADDNS. ACC. BLDGS. ) 20sq ft NEW CONSTR. MULTI.OUTLET NON.RESID. BRANCH CIRCUITS) '2.50ea NEW CONSTR. (POWER APPARATUS & NON .RESI D. 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) @251419 R Ex. Occu FIXED APPLNS. OR TLETS (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. ❑ I have placed on file with the County of Butte a certificate of Workmen's Compensation Insurance. I certify that in the performance of the work for which this permit is issued I shall not employ any person in any manner so as to become subject to the Workmen's Compensation Laws of California. MECHANICAL No. @ FEE PERMIT FILING FEE $3.00 Heating Cooling Ventilation Hood 2.00 Permit Fee $ $ 1 certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby 3C) " TOTAL PERMIT FEE $ 30 ^ au '"or ze representatives UI the County Or Butte to enter upon the above -me tioned property f inspection purposes. ,,// Date ' `, �� Signature of Permitee or Agent Receipt No. � Y (.:,S 32.. 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. DIRECTQ.R OF PUBLIC WORKS BY v Date 2 A9��C �?ICiwg permit expires Date 77z C�%i ►%�% COUNTY OF BUTTE , ['71EPAPtTMENT OF PUBLIC WORKS 7 County Center Drive - Uroville, California 95965 492-76 Tel ephone:, 534-4541 APPLICATION AND PERMIT authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. X )X a daW t - rd_�Ie Date -4/14,176 Signature of Permitee or nAgent �. �'1 Receipt No. / � L , 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/P1UBLIC WORKS By %�--_.-tea Date tl�-Z=1�-?.� ildina permit expires Date 77 BUILDING IF ri Owner SQ, FT. OCC. BUILDING VALUATION Mailing Address Telephone No. Fireplace Contractor MARVIN R. ANDERSON Total Valuation Mailing Address 9 Permit Fee Feeeck Planit ng Fee&/or Penalty a d- ise, Op. 95969_ Telephone No. Permit Fee Building Address PLUMBING No.1 @ FEE PERMIT FILING FEE $3.00 Each Trap 1.50 Paradise Pines Repair drainage or vent piping 1.50 Water piping A -ea ('-- �^ D C $e y Q C� /�'a� . �.°cc.. S�' Each gas water heater or vent 1.50 A. P. No. G% — — �„ /`� ` 11L °"i g Gas piping system 1 - 5 outlets 1.50 Each additional outlet 30 E.aeS I W an' o FireDept. FireZone Use Pen -nit Building sewer -(f EQA Parking Plans Parcel Declaration Parcel Ma P 60' R/W ImprovementsLawn sprinkler system 2.00 Bid QI� c'd �7- cel A Parcel A royal Plans pproval Permit Fee $ a r- $ NEW ❑ ADDITION ❑ UTILITIESO OTHER ❑ ELECTRICAL No.1 @ I FEE PERMIT FILING FEE J$3.00 e Main service 6001 OR LESS 100 AMP OR LESS 5.00 Main service EA. ADD•L 100 AMP 2.50 Single Family ❑ Duplex ❑ Mobil Home ® Others ❑ Main service OVER 00 AMPORLESS 25.00 Main service EA. ADD•L 100 AMP 1.00 Er—Y46" 64URe/dIESL NEW OR ADDNST [DWELLING ACCBDGS.CCUP. &) 20sgft NEW CONSTMULTI-OUTLET NON-RESID R ( 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 style Ie Of: MARVIN R. ANDERSON Ex. Occup(OUTLETS OR FIXTURES) BAL@t FIXED APPLNS, OR Ex. Occup.(OUTLETS (RESID.) EA) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 License No.2-7L092 Classification A & B 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. I have placed on file with the County of Butte a certificate of KI Workmen's Compensation Insurance. pi certify that in the performance of the work for which this ermit 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 @ FEE PERMIT FILING FEE J$3.00 Heating Cooling Ventilation Hood 2.00 Permit Fee $ $ I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby TOTAL PERMIT FEE $ authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. X )X a daW t - rd_�Ie Date -4/14,176 Signature of Permitee or nAgent �. �'1 Receipt No. / � L , 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/P1UBLIC WORKS By %�--_.-tea Date tl�-Z=1�-?.� ildina permit expires Date 77 i __.BUTTE COUNTY DEPARTMENT OF PUBLIC WORKS 7 County Center Drive, Oroville,.CA. ` PHONE: 534-4541 MOBILEHOME INSTALLATION SHEET 1. Owner's name: 2. Z .. t Installer's name: e-l' 3. Is the site currently under permit?- 'Yes No J� (If yes, furnish permit number, JR 43 ' 7 ) OR �: 1 , 1 ! Is the site an existing.site? f i� Yes / / No (If yes, furnish twoi(2) plot plans.) 4. Will the mobil 6hom�e: be - locatedat�1east 5 ft. away from septic tank and leach fields and clear -of all setbacks and easement's? Yes No (If no, clarify: 5. What is the mobilehome electrical ra ng? -------------- --------- 00 ► ` Amps 6. What is the mobilehome site service"rating.--------------------- Amp 7. What is the mobilehome site circuit breaker rating? ------------- j(� � . 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) 9. What is the mobilehome site gas pipe size? ---------------------- 10. What is the type of gas service? --------------=----------`---- Natural / /. (Amps) 11. What is the gas pipe length from meter or tank to.the mobilehome? � - 1(ft.) 12. :What is the mobilehome gas demand?------------------------------� (BTU) s (This information not required pipe length less than 6 ft. on natural gas or less than 50 ft. on LPG.) L 2C/ rle I p IC MOBILEHOME SUPPORT DATA Mobilehome Mfr. A✓\o utue-S Setup Model No. _ Year (oO Width ► O (ft.) Length . • � 0- (ft.) -Expaiido Size r—ft.x ft. (Draw 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). Sin le . .T_. Footings--(check.one) / A. Wood either w pressure treated or Center Center S port fdn:':grade.: Support Footing izes Locations (in. d V /,` 2.-:C.oncrete pad. � ...... ... x 3..Other, specify .��, QUA �. in i.n. Ej Supports (check one) 1.1 Concrete block (- x- 2. Concrete piers 3. Steel piers .. .. ........ g... w 1 4 Other, specify j O -- - — — — _ — ... �.: 0-1--LUoma. Q a Z., Q X .30 Typical Support • la Footing Size ' x t................. Max. Pier.•... - .. - Spacing .. .. • . in. (in.) (in.) .y 1 _ g pverhang __ } in. *If center piers are other than drawn above, draw in locations, spacing, and dimensions. BUTTE COUNTY BUILDING DEPARTMENT 71e APPROVED