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065-310-044
�65-31-44 John Kay l , 0 7/� / 1320 Goldcone Dr., lot 100, PA1, Mag Permit A5459-77P,E(ut4.,MH) ELEC . /! 30 �O GAS 11M'-06-7 SUPPORT STRUCTURE REQ.--� COMPACTION TEST HQ. -7t-O /,/✓/�• 8Z/ ,465-31.-44 Permit #593-78B,E(new private garage) -- - _. 65-31-44 Contr: Kentwood MH Pales, Chico Permit #1954- 8MH 'ssued 65-31-44 Permit #4601-78B(new covered deck/MR)� 065-310-044 06-1001 MORROW, WILLIAM 14824 GOLDCONE DR, MAGALIA Cont: FOUR SEASONS, RE ROOFC`'.1 i . • u ' �n iF w r �(����Mr ) } Butte County Department of Development Services- av%rf- RaEa - N OT ES 7 County Center Drive, Oroville, CA 95965 (530) 538-7601 ww,,v.buttecounty ngVNs off RESIDENTIAL APN: Permit No. Owner. _065-310-044 06-1001 I' MORROW, WILLIAM- — Site Address: 1 14824 GOLDCONE DR, MAGALIA I Cont: FOUR SEASONS Contractor - 4 � RE ROOF - - - -- - - -- t' Type of Permit SPECIAL CONDITIONS CHECKED BY SRA FLOOD CERTIFICATE EQUIRED FIRE SPRINKLERS REQUIRED SPECIAL INSPECTION ITEMS VERIFY USE PERMIT CONDITIONS SUBSTANDARD HOUSING LETTER ENCROACHMENT PERMIT REINSPECTION FEE PAID ENV HLTH CLEARANCE DATE JOB FINALED: ✓ v } SIGNATURE: a = OK - o = Not OK MANUFACTURED HOMES MISCELLANEOUS DATE Lj PERMANENT FOUNDATIONLj SOFT -SET 1 Zoning -Setbacks -Easements 2 Soils; Special MH Support Sketch 3 Sewer; Loctn-Test; FaII/C/0-Concrete 4 Wtr; Loctn-Test-Easement Needed -Regulator 5 Elec LOctn-Clrncs-Grnd Amp -Concrete 6 Yard Gas; Loctn-Test-Wrap . Nat ❑ or LP❑ Inch Sz Ft Lngth 7 Slckng; Sz-Spacing-Marriage Line 8 Gas; MH Test-Demand-Valve-Cnnctr 9 Elec MH Cntnty Test-Crossovers-Breakers-Dirncs 10 Drain; MH Test -Fall -Flex Cnnctr 11 Wtr i£ Sewer Connected-d/O to Grade 12 Gas and Electricity Tagged 13 Tie Downs ❑ Foundation ❑ 14 Exits 15 Cert of Occupancy 16 HUD Label/Insignia Numbers Serial Numbers DATE D E C K S'C O V E R S+CA R P O R T S 'GARAGE S 1 Zoning -Setbacks -Easements 2 Ftgs; Soils Sz-DpthSpacing-CnnctrsSteeI 3 Decks, Girders/Joists-Dcking-Brcing Stairs-GuardlHandrails 4 Wood Awn- Posts-Beams-Rftrs-Cnnctrs-Shthg Frmg-Brcng 5 Alum Awn; Columns-CnnctnsSplice-Decal-Enclsrs 6 Carports; Wndws-Doors 7 Electric 8 Frmg; Sills=Anchrs-Studs-Rftrs-Trusses 9 Siding; Nailing -Veneer -Stucco -Lath 10 Roof; Shthg-Roofing 11 Ext; Steps -Doors -Landings 12 Braced Wall pnls DATE IPOOLS 1 Setbacks -Easements 2 Soils; CompactionStructure Stability 3 Pool Structure; Steel-Dnnctns-Thickness Dead Men -Lining 4 Elec Rcptcls/Lting; Distance -GR 5 Elec Pool Lting; 15 volts-DFI 6 Elec Enclsrs; Conduit Entries -Terminals -Listed 7 Elec Bonding; Metal w15-Crcltng Egp-Htr 8 Elec Gmdng; Eqp w/T Crcling Eqp-Pool Ightg Bones-Enclsrs-pnlboards-Insultn to Main Conduit 9 Health Dept Apprvl 10 Plmb; Cir Test Wtr Supply Test e 11 Lt Niche 12 Enclsr, Fencing -Alarms 13 Bonding, Diving board or Slide oma+ 0`yy dr fid. Pool Drawing = OK v Nnr RESIDENTIAL (Single& Duplex) DATE JUNOERFLOOR DATEPLUMBING 1 Zoning -Setbacks-Easements 53 Wtr Htr; Vent-Acc-Cmbstn Air Baffle 2 Ftg Main; Soils-Elec Grnd Ftg Opth 54 Wtr Pipe; Test & Anchr-Nail Prtctn 3 Ftg Garage; Soils-Steel-Elec Grnd Fig Opth. 55 DWV; Test Fittings & Anchr Nail Prtctn 4 Ftg Porches/Decks; SoilsSteel Fig Dpth 56 Shwr Pan; Test First fir -Tub Acc. 1 : 5 Stemwalls Main; Steel-Blockouts-Wrapped 57 Test Tub & Shwr, 2nd fir - Tub-Acc 6 Stemwalls Garage; Steel-Btockouts-Wrapped S8 Gas Pipe; Sz & Anchrs 61 Hold Downs and Special Anchrs 59 Fire Sprinkler; Test 7 Slab, Steel Wrapped 60 Yard Gas Piping 8 Piers-Frplc Ftg-Steel 9 DWV; Fall -Fitting -Test -2 -way CIO -Sewer Test s` 10 UF, Gas Pipe; Sz Anchrs-Sz Test 1.t Wtr Pipe; Test-Anchrs-Rgltr-Service Test 12 Elec Undrgrnd DATE MECHANICAL 13 Plenums & Ducts; Cimc-MaterialSupport4nsultn 61 AC Ducts Insulin & Support 14 GirdersSills-Anchr Bolts-Joists-Vnts-Cripples 62 Vent Fan, Exhaust abv Insultn 15 Acc & Vntltn 63 Condensate Drain & Ovrfiw, Sz & Grade 16.lnsulation 64 Furnace -Vent Acc-Comb Air RtrnfVent 115 Outlet 65 Attic Acc & Pltfrm if Furnace in attic mss` DATE FRAM I NG 17 Silts Proper Materials & Anchrs 18 Walls Studs -Nailing Spacing & Braces-PlatesSound 19 Bearing Walls over Girders & fir Nailing 20 Draft Stop in Walls (rat proof) 21 Fire Stops, Furred Ceilings -Stairs -Chasers -Tubs 22 Headers & Beams-Sz & Bearing 23 Hangers -Post Caps-Anchrs-Cnnctns 24 Ceiling Joist-Rftr Ties-Purlin-Roof Brac TrussShthg 25 Frplc Ties or Type A Flue-Frplc Throat Clmc 26 Attic Acc; Sz & Rmx Prtctn-Draft Stop -Ins Baffles 27 Bdrm Wndws or Exiting Doors -Sill Ht & Dimensions 28 Garage Fire Prtctn Framing -RC Channel 29 Prprty Line Firewall & Opngs 30 Ext Doors -One 3' -Check Garage 3rd Story, 2 Exits 31 Stairs; Width-Hdnn-Rise-Run-Landing-Fire Prtctn 32 Plywd on Roof Ovrhng-Attic Vnts-Rftr Oulrgrs 33 Siding -Nailing Veneer 34 Stucco Lath -Weep Screed-Fndtn Vnts-Undrflr Acc 35 Glazing Area -Glass Prtctn-SkyLts-Plas tic 36 Shear Walls; Nailing -Bolts 37 Brace InUExt Wall pnls 38 lnsultn-Walls-Ceilings 39 Infiltration-Walls-Wndws s` s o�" 0. DATE JELECTRICAL 40 Fxtr & Tmsfrmr Clmc4ns Prtctn 41 Elec Rcptcls Spacing -Lis & Switches at Doors 42 Sz Boxes & No Of Cndctrs Stapled 43 Romex Installed Close to Edge of Studs & CJ 44 Eqp Grnd made up w/Mech Fstnrs 45 Gmdng Electrode Bond Gas & Wtr 46 2 Appinc Cires in Ktchn & Cndctr Sz GFl 47 Subfeed Wire Sz g, ❑ CU or [DAL AC Wire Sz g, ❑ CU or ❑ AL 48 Range Circ s ❑ CU or ❑AL Oven Circ ya ❑ CU or ❑ AL Insulated Neutral ❑Yes ❑No 49 Service -Riser Cndctrs & Grnd Main Dscnnct 50 Eqp Clrnts pnls-Motors-Mech Eqp 51 Clothes Closet Lt-Shwr USpa Lf _ 52 Smoke Detector DATE FINAL 66 Ext Steps -Door & SideLt Prtctn-Landings 67 Smoke Detector 68 Furnace Vnts-Clrnc-Comb, Air-Cnnctr In Garage; abv-flr-Ducts-Mech Prtctn 69 Bedroom Exiting 70 GFl & Bath Fxfrs & Tub Acc-Spa 71 GFl Arc Fault 72 Elec Trim & Subpnl, Breaker S7s & Labels 73 Stairs, Guard/Handrails 74 Frplc or Stove, Clmc-Hearth 75 Elec Outlets at Wood Pnl, Int & Ext 76 Ktchn, Fxtr & Appinc; Grnd-Air-Gap-Cooking Cimc 77 Elec Outlets & Rcptcls at Ktchn Counter 78 Garage Fire Door, Swing -Landing -Closure 79 AC Duct in Garage -Damper 80 Wtr Htr; Vnts-Clmc-Com Air Cnnctr-PRV; abv fir Mech Prtctn; LPG Appince Undr House 3" drain 81 Pimb; Elec & Mech Eqp Listed for Loctn 82 Elec Rcptcls in Garage (GFI) Romex Prtctn 83 Insultn-Foam-Looked in Attic 84 Guard Rails & Deck Cnstrctn-Post Caps 85 Fndn Vnts & Crawl Hole Door Drnge & Wood -Earth 86 Clrnc Drnge Planters ❑Yes ❑No 87 Stucco Brown -Finish 88 AC Unit Dscnnct, Elec-Plmb 89 Vnts abv Roof, Plmb-Appinc-Frplc-Clmc to Opngs 90 Wtr Well, Dscnnct, Elec, Pimb 91 Ext Elec Trim, GFl Rcptcl-Undrgrnd 92 Vntltn thru House 93 Glass Prtctn 94 Corrections from previous Inspctns 95 Gas Test -Meters Tagged, Gas-Elec 96 Wtr & Sewer Cnnctd-CIO to grade -HD Apprvl 97 Energy Cmpinc Cert -Other Certs 98 Address Posted 99. Fire Sprinkler BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT 24 HOUR INSPECTION #: (530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO) OFFICE #: (530) 538-7541 PERMIT NO. BP061001 B. C. Building Permit 01-16-04 pg 1 LICENSED CONTRACTORS DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of Issued Date: 05/02/2006 APN: 065-310-044-000 the Business and Professions Code, and my license is in full force and effect. / LicenseClass: License Number: (!S�%o/�� Site Address: 14824 GOLDCONE DR MAG /� Date: 7 L b Contractor: Mli.r SG» r0A roycL+J Mapindex: Ma . Description: REROOF W/COMP (8) OWNER -BUILDER DECLARATION 1 hereby affirm under penalty of perjury that I am exempt from the Contractors' State License Law for the following reason (Sec. 7031.5 Business and Professions Code: Any city or county which requires a Owner: MORROW WILLIAM F & DOROTHY R permit to construct, alter, improve, demolish, or repair any structure, prior to its issuance, also requires the applicant for such permit to file a BURNETT signed statement that he or she is licensed pursuant to the provisions of 14824 GOLDCONE DR the Contractor's State License Law (Chapter 9 commencing with Section 7000) of Division 3 of the Business and Professions Code) or that he or MAGALIA, CA she is exempt therefrom and the basis for the alleged exemption. Any 95954 violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500).): ❑ 1, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale (Sec. 7044, Business and Professions Code: The Contractors' State License Law does not apply to an owner of property who builds or improves thereon, and who does Applicant: FOUR SEASONS ROOFING pP such work himself or herself or through his or her own employees, provided that such improvements are not intended or offered for #11 COMMERCE COURT sale. If however, the building or improvements are sold within one year of completion, the owner -builder will have the burden of SUITE #1 95928 proving that he or she did not build or improve for the purpose of 530-895-0418 sale.). ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business and Professions Code. The Contractors' State License Law does not apply to an owner of property who builds or improves thereon, and who contracts for such projects with a contractor(s) licensed Contractor: FOUR SEASONS ROOFING pursuant to the Contractors' State License Law.). ❑ I am Exempt under Article 3 of the Business and Professions Code #11 COMMERCE COURT SUITE #1 95928 Date: owner: 530-895-0418 WORKERS' COMPENSATION DECLARATION I hereby affirm under penalty of perjury one of the following declarations: License #: 659073 I have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. Architect: 1 have and will maintain workers' compensation insurance, as Engineer: required by Section 3700 the Labor Code, for the performance of the work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier: Total Square Ft: 0 S. F. Policy #: Valuation: $0.00 ❑ 1 certify that in the performance of the work for which this permit is Census Code: issued, I shall not employ any person in any manner so as to become subject to the workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith complywith those provisions. Date: Applicant: - WARNING: Failur to secure workers' compensation coverage is unlawful, and shall subject an employer to criminal penalties and one hundred thousand dollars ($100,000), in addition to the cost of compensation, damages as provided for in Section 3706 of the Labor code, interest, and attorney's fees. U� CONSTRUCTION LENDING AGENCY This permit is hereby ssued under the applicable provisions of the Butte County Code and/or I hereby affirm that there is a construction lending agency for the is issued 3097 Civ.) Resolution k indicated above for which fees have been paid. performance of the work for which this permit (Sec By. -6/<:) Da Name: ,� G PERMIT EXPIRES Address: Date ❑ t hereby certify that the use of this facility shall comply with Sections 25505, 25533, and 25534 of the California Health and Safety Code, which regulate the storage, handling and use of hazardous materials. ❑ Notification in accordance with Section 19827.5 of California Health & Safety Code is not applicable to the scheduled construction of this project. ❑ Attached are copies of the required E.P.A. notification forms. I hereby certify that I have read this application, that the above information is correct, and that I am the owner or the duly authorized agent of the owner. I agree to comply with all county and state laws relating to building construction. I acknowledge.it is unlawful to alter the substance of any official form or document of Butte County. I hereby authorize representatives of Butte County to enter upon the above mentioned property for inspection purposes. Print Name okqG Signature: - Date: ❑ Owner ❑ Contractor ❑ Agent for Ownergent for Contractor B. C. Building Permit 01-16-04 pg 1 y+ BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT APPLICATION AND SUBMITTAL REQUIREMENTS 24 HOUR INSPECTIONC OROVILLE: (530) 538-7636 • CHICO: (530) 891-2834 OFFICE #: (530) 538-7541 A FEE WILL BE REQUIRED AT TIME OFAPPLICA TION Website: www.buttecounty.net/dds "PLEASE PRINT CLEARLY" , OWNER INFORMATION Last Name o r(b W first Name" ah ' 1 I Address , (.� � Z � Gd Coh City State C� Zi���S-cr Phone - Z Z Fax E-mail APPLICANT INFORMATION CONTRACTOR Name' v'^ 1 r Address I Cf city e � :co State C� StateCA zip 951 ?K Phone �9 S Fax Fax E-mail Date Approved: Lic. #6 S96 7 j7lass, 3� APPLICANT INFORMATION ARCHITECT/ENGINEER .-Name- Address C C_ Address Cay C L. ; co City State C� State Zip Phone Fax Fax E-mail Date Approved: State License Number APPLICANT INFORMATION Name,. C't^ f p Flood Zone Address C C_ C - Cay C L. ; co No State C� Zip9S79 2$ Phone g19S,C� iiSS Book Fax E-mail Planner APP /CANT SIGNATURE X For office use onl Zoning Flood Zone City SRA res No Occ. Type Const Subdivision Name Map Book Page Lot # Planner Date Approved: OVER FOR SUBMITTAL REQUIREMENTS K:IFORMSIBUILDING FORMS\BldgApplSubRgmts.doc PERMIT NO. I c)� 1 BP BIN N PROJECT LOC TION AP#3)a <L 1+4 . J, Property Address tg5zK C,o(d Coy, City Cross Street arvc��- WORKER'S COMPENSATION Policy Number c/ 791917 z Carrier C d' c., If hiring anyone other than license contractors, a certificate of worker's compensation must be shown at the time of permit issuance. Date:' b 7 6 ____/ Total LENDING AGENCY Name Address . _. _..__..._ _...._ . Description -or _Scope of-W.ork:_._..._�___._ . _..._ _._.._ � 01 Sq FT- Livin Garage Open Cov D Structure Built without Permits O Proposed Change of Occupancy (Note previous use): EXPIRATION OF APPLICATION Applications for which a permit has not been issued will expire one year after the date of application. In order to renew action on an application after expiration, a new application, plans and fee will be REQUEST FOR REFUNDS Refunds can only be made upon written request by the person who paid the fee. The request must be made prior to the expiration of the permit and no construction work has been done. Filing fees, plan check fees for work plan checked and other department costs are not refundable. Page 1 of 2 REV 8-12-05 R ce Y Amount )16 Bldg SRA Receipt #: Sheriff J�v 1 SMIP Other Date:' b 7 6 ____/ Total Page 1 of 2 REV 8-12-05 SUBMITTAL & PERMIT REQUIREMENTS. The following drawings and specifications must be submitted to the Building Division in order to apply for a permit. INCOMPLETE SUBMITTALS WILL NOT BE ACCEPTED. ALL PLANS MUST BE LEGIBLE AND /N INK. ❑ 1. Site plans, 3 or 4 sets, signed by the preparer of the plans. No graph paper! ❑ 2. Complete plans, 3 or 4 sets, signed by the preparer of the plans (No graph paper!) OR Engineered plans, 3 or 4 sets, with wet signature on plans AND 2 sets of stamped and signed calculations. ❑ 3. Engineered truss details and layouts in duplicate (if required). No faxesl ❑ 4. Energy compliance design and supporting documentation in duplicate. ❑ 5. Statement of Intent for Non -heated and A/C for Non -Residential Buildings. ❑ 6. Manufactured homes: (A) Installation manual; (B) Marriage line info, (C) Floor Plan, (D) Tie down or fnd plans, all in duplicate ❑ 7. Metal bldgs: (A) Metal Bldg Plans, (B) Fnd plans and calcs in triplicate, (C) Elevations in triplicate. (D) Floor plans in triplicate. All of these must be stamped and wet -signed by the engineer. ❑ 8. Flood Elevation Certificate, wet -stamped and signed, in duplicate (if required). ❑ 9. Site plan and business license approval from the City of Biggs. ❑ 10. Letter of intent for non-residential buildings. - ❑ 11. Building Permit Application Without Required Clearances Form ❑ 12. Hazardous Material Form (for Commercial Buildings only). Remaining items needed to issue the permit. Additional items may be required after Plan Check and Planning review (May require additional plan review upon receipt of the following items.) ❑ 1. Agricultural Buffer clearance and site plan approval from the Ag Commissioner's office (if required). ❑ 2. Impact Fees. ❑ 3. California Department of Forestry plan approval (if required). -- ❑-._.._._4.--NP.DES-Form.------- ❑ 5. Encroachment Permit for driveway from the Public Works Dept. (construction approval prior to occupancy). ❑ 6. Contractor's license information. (Number, Name Style, Classification). ❑ 7. Worker's Compensation Carrier and Policy Number. ❑ 8. Owner -Builder Verification (if required). ❑ 9. Letter of Signature authorization (if required). ❑ 10. Recorded copy of Agricultural Acknowledgment Statement. ❑ 11. ❑ Legal description from current recorded grant deed, ❑ Copy of M.H. Title, Title transfer, or MCO. ❑ 12. Sanitation and site plan approval from the Environmental Health Department. If you have questions or would like additional information regarding this process, please contact a Permit Assistant at (530) 538-7541. EXPIRATION OF APPLICATION Applications for which a permit has not been issued will expire one year after date of application. In order to renew Action on an application after expiration, a new application, plans and fees will be required. REQUEST FOR FEE REFUNDS Refunds can only be made upon written request by the person who paid the fee. The request must be made within two years from the date of fee payment on permits not issued, and two years from the date of permit issuance for permits issued; however, on issued permits refunds can only be made if no construction work has been done. Filing fees, plan check fees for work plan checked and other department costs are not refundable. OVER FOR BUILDING PERMIT APPLICATION KAFORMSIBUILDING F0RMS1BIdgApp1SubRgmts.doc Page 2 of 2 REV 8-12-05 PERMIT NO. 4601-78B " PERMIT EXPIRES'7•�I 'OWNER John Kay -CONTR. _ nwnPr 65-31-44 ;`LOCATION (A.P. ) t 1320 Goldcone Dr., lot 100, PP#J, Magalia f E 1 Temp. Power Pole Called PG&E Temp. Elea Serv. Called PG&E Temp. Gas Serv. Called PG&E OeOJOO FINALED V// 9 (Da (Signal/e) (NOTE: An entry must be made on this form each time you visit the job site.) PLUMBING ELEC COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS it BUILDING INSPECTION'RECORD BUILDING BUILDING (Cont'd) Setback Firewall Soil Pipin Forms Parapets 1st Floor Main Bldg. Restroom Finish 2nd Floor Footin -s # Windows 3rd Floor StemwalI Siding 'To out Slab V Roof Sheathing --Nr Water Piping Piers '3 -1 CQ Roofing 17— Sewer Garage Fdn. Vents Fixtures Footings Stemwa I I Garage Vents Insulation Water Htr. Heaters Slab Carport Footings Prov. for physically handicapped Conformanc of ex structure f Appliances Gas Piping & T Temp. Gas Slab Final 7 Sanitation Patio FIREPLACE Final Footings Footing Masonry Walls Throat Rou h Reinf. Steel Final Fixtures Bond Bea FIRE SPRiNKLERS Motors Framing t Iflfig/` Test Water Htr. Stucco Final Subpanels Mesh MiltCHANICAL Grd. Fault Prot. Scratch Heating Service Brown Cooling Temp. Pole Finish Ducts Under roun Interior Lath Ventllatlon4 Pennanen Door Closer Final Final MOBILEHOME UTILITIES ----------------- Elec. Service Elec. Pede al Water Piping Sewer Gas Piping BI E OME INSTALLATION - - - - - - - - - - - - - Support Elec. Con nuity Water Piping Drainage tl Gas Pipi g DATE REMARKS OR CORRECTIONS (NOTE: An entry must be made on this form each time you visit the job site.) PLUMBING ELEC COUNTY 0P"BUTTE — DEPARTMENT OF PJBLIC WORKS - r 7 County Center Drive -,, Qrw, ille, California 95965 Telephone: 534-4541 APPLICATION AND PERMIT authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. X Q&�, Date r Signature of P i e or Agent Receipt No. 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. DI'RECTO UBLIC WORKS By �J r —Date 0" Buit"ding permit expires Date BUILDING Owner SQ. FT. OCC. BUILDING VALUATION � Mailing Address 3 T eph�eN83 Contractor (l�� Mailing Address Fireplace Total Valuation O C) Telephone No. Permit Fee Building Address Plan Checking Fee &/or Penalty - Permit Fee - �J Oro 00. PLUMBING No. @ FEE /, 07-- (00P1141 - h, PERMIT FILING FEE $3.00 Each Trap 1.50 511 dv Repair drainage or vent piping 1.50 A. P. No. 3J -y Zonis & anning Planning Water piping 1.50 Each gas water heater or vent 1.50 FAaef V4e.j S m Fire Dept. Fire Zone Use Permit Gas piping system 1 - 5 outlets 1.50 EQA Parking I Parcel Pians Declaration Parcel Ma R/W P Im rovem i P Each additional outlet .30 Building sewer 5.00 _ Bldg. � Rec'd Parcel A roof Plans proval Lawn sprinkler system 2,00 NEWADDITION ❑ UTILITIES ❑ OTHER [:]permit Fee $ $ ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 Main service 600R OR LESS 100 AMP LESS 5.00 Single Family lex Mobil Home Others ❑ Du P ❑ ❑ L Main service EA. ADD - 100 AMP 2.50 e .^ r{/JY` OVER BOOR Main service 100 AMP OR LESS 25.00 ,. Main service EA. ADD'L 100 AMP 1.00 NEW CONST DWELIN.OR ADDNS. ACCLBLDGSCCUP. 4� 22sgft 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 CONST- MULTI-OUTL T NON-RESID BRANCH CIRCUITS/ 2.50ea NEW CONSTR. (POWER APPARATUS .& NON-RESID, SINGLE OUTLET CIR. 250 1 Ex. OCCUp(OUTLETS OR FIXTIIRES 6 L 1� FIXED APP LNS. OR Ex. Occup. OUTLETS (RESID•) EA) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 License No. Classification Misc. Wiring 6.25 I am exernpt from the Contractors License Laws of the State of California. Permit Fee $ $ WORKMEN'S COMPENSATION INSURANCE I am aware of the provisions of Section3700 of the California Labor Code which requires every employer to be insured against liability for Workmen's Compensation. ❑I have placed on file with the County of Butte a certificate of Workmen's Compensation Insurance. I certify that in the performance of the work for which this permit is issued I shall not"employ any person in any manner so as to become subject to the Workmen's Compensation Laws of California. MECHANICAL No. @ FEE PERMIT FILING FEE $3.00 Heating Cooling 'Ventilation Hood 2.00 Permit Fee $ $ 1 certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby Land Development Fee $ TOTAL PERMIT FEE $ o7i authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. X Q&�, Date r Signature of P i e or Agent Receipt No. 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. DI'RECTO UBLIC WORKS By �J r —Date 0" Buit"ding permit expires Date PERMIT NO. 593-78B,E r PERMIT EXPIRES OWNER Jobin Kay CONTR. owner LOCATION (A.P. 65-31-44 ) 1320 Goldcone, lot 100, PP#l, Magalia �''�'• Temp. Power Pole Called PG&E n Temp. Elec. Serv. Called PG&E Temp. Gas Serv. Called PG&E�� JOB//v G FINALED o (Da e) (Signatur f i' a n Setback Forms Main Bldg. Footings, Stemwal I Slab Piers Garage Footings Stemwa I I Slab Carport Footings Slab Patio Footings Masonry Walls Refnf. Steel COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS BUILDING INSPECTION RECORD Brown Finish Interior Lath Door Closer MOBILEHOME UTI Footina ELECTRICAL BUItD G BUILDING (Cont'd) PLUMBING . '] Firewall Soil Piping Parapets 1st Floor Restroom Finish 2nd Floor Windows 3rd Floor Siding To out Roof Sheathing Water Piping Roofing Sewer Fdn. Vents Fixtures Garage Vents Insulation Water Htr. Heaters Prov. for physically handica ed Conformance of ex I structure Appliances Gas IN Ing & Test Tem . Gas Final Sanitation FIREPL CE Final Brown Finish Interior Lath Door Closer MOBILEHOME UTI Footina ELECTRICAL Throat Rough Final Fixtures FIRE SPRINKLERS Motors f > Test Water Htr. Final Subpanels MECHANICAL Grd. Fault Prot. Heating Service Cooling Temp. Pole Ducts Underground Ventilation Permanent Final Final ----------------- Elec- Service Elec. Pedestal Water Piping Sewer Gas Piping MOBILEHOME INSTALLATION - - - - - - - - - - - - - - Support Elec. Continuity Water Piping Drainage Gas Piping DATE REMARKS OR CORRECTIONS % 1�� X71? ''©?�t-6e '2�t� ' ��►-ti' ` G4Vro . 130 *-, dl A C4- 4V Si d; Al 67,-D b AIA 4- L-4- a (a "h � Af, , O N S i A e S /2 r `✓ i -eti (NOTE: An entry must be made on this form each time you visit the job site.) t' COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS 7 County Center Drive — Oroville, California 95965 �/J - Telephone: 534-4541 67& APPLICATION AND PERMIT authorize representatives of the County of Butte to enter upon the abov -mentioned property for inspection purposes. X QDate Signature of Permitee or Age eceipt No. (O Fb'Z 7. 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 P L C WORKS BY Bung permit expires Date Z —e'0 7 BUILDING Owner SQ. FT. OCC. BUILDING VALUATION Mailing Address Q CJA ® � + Telephone No. Fireplace Contractor p�", Esq,• Total Valuation '' Mailing Address Permit Fee Plan Checking Fee &/or Penalty Telephone No. Permit Fee $ � Building Address 3 oC 0 Ly- , PLUMBING No.1 @ FEE PERMIT FILING FEE $3.00 0 !T / ` 00 Each Trap 1.50 Repair drainage or vent piping 1.50 Water piping . 1.50 Each gas water heater or vent 1.50 A. P. No. �� ` y. '7 Zoning &Planning Gas piping system 1 - 5 outlets 1.50 Each additional outlet .30 FireDept. Fire Zone Use Permit Building sewer 5.00 EQA Parking Plans Parcel Declaration Parcel Ma P 60' R/W Im rovements P Lawn sprinkler system 2.00 Bldg. ans Recd Parcel Approva� Plans Approval Permit Fee $ $ NEW ADDITION ❑ UTILITIES ❑ OTHER E] ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 i Main service 60ov 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 AMP oR LESS 25.00 Main service EA. ADD'L W07,W 1.00 rOR �� 04-9 em-, DWELING ADDNST ( ACCLBLOG •) 2(tsgft Sf 3b NEW CONST N.N.RESID R' (MULTI 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: BAL0025Q1 Ex. Occup(OUTLETS OR FIXTURES)@ FIXED ALNS. Ex. Occup. (OUT LETSP(RESID.)REA) 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 o 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 TOTAL PERMIT FEE $ authorize representatives of the County of Butte to enter upon the abov -mentioned property for inspection purposes. X QDate Signature of Permitee or Age eceipt No. (O Fb'Z 7. 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 P L C WORKS BY Bung permit expires Date Z —e'0 7 PERMIT N0. 5459-77E,E • PERMIT EXPIRES _79, OWNER John Kay CONTR. owner LOCATION (A.P. 65-31-44 1320 Goldcone Dr., lot 100, PP#I, Magalia Temp. Power Pole Called PG&E Temp. Elec. Serv. / Called PG&E Temp. Gas Serv. Called PG&E �O B INALED y % 7 vv., Qi 0 (Date) (Signature 9. Electrical A. Is service large enough to provide adequate amperage -to mob:Lleh&ne (must equal rating.of mobilehome with a minimum of 100 amp) and other facilities on lot, i.e., water pumps, garage, cabana, etc.? Yes v' No B. Is there proper clearances around panels? Yes i ----No C. Is power supply cord•or feeder assembly properly fused? Yes ✓ No D. Is continuity test satisfactory as per the ,following procedure? Yes a ---No 1. De -energize electrical wiring system of the mobilehome at the.pedestal. 2. Make sure that the power supply cord or feeder assembly conductors, including neutral conductor, have been disconnected. 3. Switch all breakers and switches in the mobilehome to the "on" position. 4. Connect one 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 theelectrical tests, the lot or site service equipment -maybe approved for energizing. 10. Is job card signed by Health Department for water and sanitation? 11. If everything okay, sign off card and tag services. MOBILEHOME DATA Manufacturer and/or Namestyle ���— Length D Width Vehicle Serial No. Z-Z� State Identification No. (` �� /oa s`7 7 3 Additional Information or Comments: a MOBILEHOME INSTALLATION INSPECTION CHECK LIST 1. Is the mobilehome located wit 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) Yes'-�`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 than a single unit, are crossover connections properly installed? (Sec. 5088) Yes ,,/No- 6. /No 6. Water A. Is flexible connector of adequate size and properly installed (1/2" ID min.)? (Sec. 5566) Yes I/ -No B. Test - Does water piping withstand working pressure or 50 lbs. air test? Yes k ---No C. Backflow - If coach is not State of California approved, does station have backflow device and pressure -relief valve? Yes_ No 7. Wastes and Drains A. Is connection made with Schedule 40 DWV and have flex connectors at each end? Yes '--'No B. Does it have minimum k" per foot slope and is it properly supported? Yes -',-�N 0— 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 coach is not State 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 mobilehome gas line inletithout reductions other than the mobilehome connector. Yes No B. Test OK as per followl9k procedure? Yes_ No 1. Open all appliance cinector v ves. 2. Shut off appliance burnkr ani pilot valves. 3. Air test with manometer t 10"-14" water column, or test with slope gauge (minimum 6oz.-maximum 8 oz.) calib a ed in tenth pound increments. Test for 10 min. without drop. 4ileh\omeitth 4. Connect gas meter to connector, turn on gas, test connections with soapy water. 7 C. Are all appliance vent properly installed? Yes No r`► Mai k Bldg. Fo inas Stem all Slab Piers Garage Footings Stemwa I I Slab Carport Footings Slab Patio Footings isonry Walls Reinf. Steel COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS ` BUILDING INSPECTION RECORD t BUILDING BUILDING (Cont'd)PLUMBING 4 Flr wall All Piping Para is t Floor Restro Finish 2n Floor Windows 3rd kloor Siding To out Roof SheaAng Water PIPNg Roofing Sewer Fdn. Vents Fixtures Garage Vents Insulation Water Htr. Heaters Prov. for physicall handicapped Conformance of ex. structure Appliances Gas Piping & Test Temp. Gas " Final A Sanitation FI EP ACE Final / Mesh MECHANICAL ScratA Heatin Bro n Cool i g F 1sh Du " s In rlor Lath V ntilation oor Closer anal MOBILEHOME UTILITIES ----- Elec_ Service Water Piping ✓ -1 Sewer 1 E ME INSTALLATION - ------ - Support y Water Piping 9-� Drainage DATE REMARKS OR CORRECTIONS ECTRIOAL Motors Water Htr Sub ane s Grd. Fifult Prot. Sery e emp. Pole Underground Final Elec. Pedestal a Gas Piping Elec. Continuity 77iij,7 Gas Piping (NOTE: An entry must be made on this form each time you visit the job site.) to 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 for the following location: Owner's Address Mobilehome MfgModel Year 'C Insignia No. 2 1, Serial No. It is hereby certified for occupancy at the above described location and. may be occupied. _ Director of Public Works Date ' %1 •i't By THIS CERTIFICATE IS VOID WHEN MOBILEHOME IS 'RELOCATED White - Owner, Yellow - Installer, Pink - D.P.W. r COUNTY OF BUTTE — DEPARTMENT OF PUBLIC KS 7 County Center Drive Oroville, California 95965 77 Telephone: 534-4541 / APPLICATION AND PERMIT In r/ y ` ,w -1-1 1„ 1 �pvll "Iv above-mentioned property for inspectioni,puu rposes. xe /��/ � Date 16-17 -27 Signature oof Permitee or t ceipt No. 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 O,"UBLIC WORKS BY / Date Z ` Z ri ! Building permit expires Date r,7 BUIL ING Owner SQ. FT. OCC. BUILDING VALUATION Mailing Address (7 ar C p Dr-- - `S Tele TelephoneNo. �G Fireplace Contractor Total Valuation Mailing Address Permit Fee Plan Checking Fee &/or Penalty Telephone No. a Permit Fee $ Building Address � o d cwvq PLUMBING No.1 @ FEE PERMIT FILING FEE J$3.00 r Each Trap 1.50 IV � N1q Repair drainage or vent piping 1.50 ,/ � d U d 7.oning . _ rificetion Only Water piping 1.50 � . Each gas water heater or vent 1.50 A. P. NO 3 `//7 6 — c� / / eTt/ "` �`� zonil�g & P ning Gas piping system 1 - 5 outlets 1.50 Each additional outlet .30 Feesl W.C. Sa on FireDept. LFireZ ne Jor Use Permit Building sewer 5.00 0- EQA IParking Parcel Plans Declarati rcel a P 60' R/W improvementsLawn sprinkler system 2.00 Bldg. Plans Recd PorceILAKprovaI Plo pr poval Permit Fee $ , lTv $ 3 O -U NEW ❑ ADDITION ❑ UTILITIES,!. OTHER ❑ ELECTRICAL No.1 @ FEE PERMIT FILING FEE J$3.00 lJ-0 Main service 600V OR LESS 100 AMP OR LESS 5.00 / Main service EA. ADO'L 100 AMP 2.50 Single Family ❑ Duplex ❑ Mobil Home Others ❑ 0O OER 600V Main service 100AMP OR LESS 25.00 Main service/ EA. ADD•L 100 AMP 1.00 so, FT, MINIMUM NEW CONS. DWELING OR ADDNST ACCLBLDGS.CCUP. &) 22sgft NEW CONSTFL MULTI -OUTLET NON-RESID ( BRANCH CIRCUITS) 2.50ea FOR MOBILES 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 Ex. Occu FIXED APPLNS. OR P•(0 '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 Califomia. 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 W� 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 /,a, 11 pe v e •2 ,7 O'fl TOTAL PERMIT FEE $ 7_373-e y ` ,w -1-1 1„ 1 �pvll "Iv above-mentioned property for inspectioni,puu rposes. xe /��/ � Date 16-17 -27 Signature oof Permitee or t ceipt No. 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 O,"UBLIC WORKS BY / Date Z ` Z ri ! Building permit expires Date r,7 COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS 7 County Center Drive . — Orovi Ile, California 95965 Telephone: 534-4541 APPLICATION AND PERMIT auO{V�tl-II nuUIIUU IJr UFICrty Iur IIIbpuutlurl puryubub. vf� X v Date / 00 F" Signature of 7ermitee or Agent Receipt No. White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. I EC F PUB IC WORKS Dat !Building permit expires Date Z BUILDING 19 1 Owner .0 SQ. FT. OCC. BUILDING VALUATION Mailing Ad ress Telephone No. Fireplace Contractor Total Valuation Mailing Address © Permit Fee Plan Checking Fee &/or Penalty _ Telephone No. Permit Fee $ Building Address PLUMING No. @ FEE PERMIT FILING FEE $3.00 Q.r�Qi Each Trap 1.50 Repair drainage or vent piping 1.50 Water piping 1.50 _ 77 Each gas water heater or vent 1.50 A. P. No. &44r- D—LI Zoning & Planning Gas piping system 1 - 5 outlets 1.50 Each additional outlet 30 F W _qe=� Fire Dept. Fire Zone Use Permit Building sewer 5.00 EQA Parking Plans I Parcel Declaration Parcel Ma P 60' R/W Improvements provements Lawn sprinkler system 2.00 Bld ans Recd Parcel a ` Plans A proval Permit Fee $ NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER Co ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 �_ JU -- 600V OR LESS Main service 100 AMP OR LESS 5.00 Main service EA. ADO'L 100 AMP 2.50 Single Family ❑ Duplex ❑ Mobil Home Others ❑ Main service OVER 600V 100 AMP OR LESS 25.00 Main service EA. AOD'L 100 AMP 1.00 NEW OR ADDNS. ( ACCLBLOGS,CCUPDWELING . &) 20sgft 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)@@aC BAL@1 Ex. OCCU FIXED APPLNS. OR P• OUTLETS (RESID.) EA) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 License No. 2 7S S3 Classification C ` 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. MI have placed on file with the County of Butte a certificate of Workmen's Compensation Insurance. ❑ I certify that in the performance of the work for which this permit is issued I shall not employ any person in any manner so as to become subject to the Workmen's Compensation Laws of California. MECHANICAL No. @ FEE PERMIT FILING FEE $3.00 Heating Cooling Ventilation Hood 2.00 Permit Fee $ $ � I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the TOTAL PERMIT FEE $ This permit is hereby issued under the applicable provisions of auO{V�tl-II nuUIIUU IJr UFICrty Iur IIIbpuutlurl puryubub. vf� X v Date / 00 F" Signature of 7ermitee or Agent Receipt No. White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. I EC F PUB IC WORKS Dat !Building permit expires Date Z 6 T dci'V' 5"OM 0119nd 10 'IdaQ a-una dO AA.NnOQ Ry MOBILEHOME. SUPPORT DATA Mobilehome Mf'r. Setup Model No. -2y1ec0 121e, aY6e�ar Width (ft.) Length�(ft.) - E ando' Size (Draw support details below`) On all mob ilehomes manufactured after October 7, 1973, furnish manufacturer's installation manual and structural setup sheets (if not on file with the County of Butte). Sin Footings (check one) ?_An l.' -Wood either pressure treated or Center Center Support fdn. grade. Suppor.t Footing Sizes Loc tions (in.) 2. Concrete pad. �a 3. Other, specify. (`ff n.�i6n•1(in.. { f - - - Supports (check one) 1 1. Concrete block 2 Concrete piers (f t inl _... _,... { / / 3. Steel piers 4. Other, specify Typical Support in J Footing Size (f�. in..CJf n.) (in.)(in.) i • J Max. Pier -- f - 4' i { J Spacing (ft.) ('iii.) (ft. in. -� (in.)(in.) a; Max. Overhang -E CC�UN Y *If center piers are other than drawn above, t3UT1 draw in locations, spacing, and dimensions. BUILDING DEPARTMEN] APPROVED id= BUTTE COUNTY DEPARTMENT OF PUBLIC WORKS 7 County Center Drive, Oroville, CA. PHONE: 534-4541 MOBILEHOME INSTALLATION SHEET 1. Owner's name: Jn 2. Installer's name: _J�Q�J�vCy7l0� 3. Is the site currently under permit? Yes / / No (If yes, furnish permit number ) OR Is the site an existing site? Yes / / No (If yes, furnish two (2) plot plans.) 4. Will the mobilehome be located at least 5 ft. away from septic tank and leach fields and clear of all setbacks and easements? Yes / / No ( If no, clarify ) 5. What. is the mobilehome electrical rating? ----------------------- ,10Q Amps 6. What is the mobilehome site service rating? --------------------- 2O d Amps 7. What is the mobilehome site circuit breaker rating? ------------- Z('d Amps 8. Is there any other electric load to be served by the mobilehome site se vvice? --------------------------------------------------- Yes (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 No / / —(Amps) (in.) • LPG 11. What is the gas pipe length from meter or tank to the mobilehome? (ft'.). 12. What is the mobilehome gas demand? ------------------------------ TO (This information not required if pipe length less than 6 ft. on natural gas or less than 50 ft. on LPG.)