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HomeMy WebLinkAbout065-360-01165-36-11 PAUL YARBROUGH 14833 Del Oro Dri e, Magalia Permit#550-85P,E(re cato util, MH) ELEC 00 GAS :?Of L (` I SUPPORT STRUCTURE RE X37 i OMPACTION TEST. REQ Q Contr: SOS MH Se r Maga1ia P Pew-t#5'9-4�I j Issued��/S_.�� i i r r 1 r, k PERMIT NO. 550-85P,E(MH) PERMIT EXPIRES ��" O s✓ OWNER PAUL YARBROUGH CONTR. owner ASSESSOR PARCEL 65-36-11 LOCATION 14833 Del Oro Drive, Magalia t OFFICE COPY_ S1 OFFICE COPY z Address_ � `' "' Addressag�`_�9������ GASGAS , Meter By Date R Meter B� Dat l� ?E'LECT, -IC. +,.� Meter B, ELECTRIC Date>. Meter BY. Date , • 4 ' t .L ��-�../.'. -rte I^1 I • `I� • � . 7 Temp. Power Pole Called PG&E Temp. Elec. Service Called PG&E Temp. Gas Service CalledPG&E i n 04 JOB FINAL ED (Date) Signature V _ OK O = Not OK — = Not Applicable * = Not Ready AOB1L'EHOMES MISCELLANEOUS Date M 1 HOME UTILITIES (Plans) OK except N's Date DECKS, COVERS, CARPORTS, ETC. (Plans) OK except N's 11-."Zcpkrg Re uieements—Setbacks—Easements 1. Zoning Requirements—Setbacks—.Easements 2 oil pe .ial M upport— 2. Footings; Size—Depth—Spacing—Connectors o • n—Test F Concrete - 3. Decks; Girders and/or Joists—Decking—Bracing—Stairs—Rails 4 a -ter; Location—Tes sement N ketch) 4. Wood Awn.; Posts—Beams—Rftrs.—Connec.—Shthg.—Rfg.—Bracing —— icity; Loc ion—Clearance ,50/ Amp—Concrete 5. Alum. Awn.; Columns—Connections—Splice—Decal—Enclosures s; - tion—Test—Wrap:/ /"L':ft./ /"Nat. or/ (y"L"ft. /".LPG 6. Carports; Windows—Doors ility Clearance j 7. Elec. Card -BI Date — Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Date M ILEHO NST LLATION (Plans) OK except N's Date POOLS (Plans) OK except N's oni g Requirements—Setbacks—Easements 1. Setbacks—Easements ootings; Size—Spacing—Marriage Line 3. Gas MH Test—Demand—Valve—Connector 2. Soils; Compaction—Structure Stability 3. Pool Structure; Steel—Connections—Thickness—Dead Men—Lining lectricity; MH Test—Crossovers—Breakers—Clearances rai • MH Test—Fall—Flex Connector 4. Elec.; Receptacles and Lighting; Distances—GFI 5. Elec.; Pool Lighting; 15 volts—GFI ate ; MH Test—Regulator—Connector 6. Elec.; Enclosures; Conduit Entries—Terminals—Listed r and Sewer Connected—C/0 to Grade!�HD Approval 7. Elec.; Bonding; Metal w/5'—Circulating Equipment—Heater 4�1Cas and Electricity Tagged B. Elec.; Grounding; Equip. w/5'—Circulating Equip.—Pool Lghtg. Boxes—Enclosures—Panel boards—Ins. to Main in Conduit . Exit fnsp.—Sketch ert. of Occupancy 9. Health Department Approval 10. Plumb; Cir. Test—Water Supply Test Card B Date Card -BI Date Card -BI Date Card -BI Date Card B -I Date Card -BI Date Card -BI Date Card -BI Date -3,5 4+_-Dq� kb D V = OK 0 = Not Off = Not Applicable �F = 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 8. D.W.V.: Fall -Fittings -Test -2 way C/0 -Sewer Test 54. 55. Glazing Area -Glass Protection -Skylights -Plastic Shear Walls; Nailing -Bolts 9. Gas Pipe; Size -Anchors 10. Water Pipe; Test-Anchors-Regulator-Seryice Test 11. Electric; Underground 12. Plenums & Ducts; Clearance -Material -Support -Ins. 13. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples Card -BI Card -BI Date Card -BI Date Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Date Card -BI Date FINAL (Plans) OK except k's Card -BI Date Card -BI Date Date PLUMBING (Permit) OK except q's 14. Water Ht.; Vent -Access -Combustion Air 56. Ext. Steps -Door & Sidelight Protection -Landings 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. 61. G.F.I. & Bath Fixtures & Tub Access Elec. Trim & Subpanel; Breaker Sizes -Labels 18. Test Tub & Shower, 2nd Floor -Tub Access 19. Gas Pipe; Size & Anchors 62. Stairs & Rails 63. 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 -BI Date ELECTRICAL Permit OK except q's 66. Elec. Outlets & Receptacles at Kit. Counter 67. Garage Fire Door; Swing -Landing -Closer 68. A.C. Duct in Garage -Damper 20. Fixture & Transformer Clearance -Ins. Protection 69. Wtr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V.- In Garage; Above Floor-Mech. 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. Elec. Receptacles in Garage; (G.F.I.)-Romex Protec. 23. Romex Installed Close to Edge of Studs & C.J. 24. Equip. Ground made up w/Mech. Fasteners -Bond Gas & Water 72. Insulation -Foam -Looked in Attic E) Yes Guard Rails & Deck Construction -Post Caps 25. 2 Appliance Circuits in Kitchen &Conductor Size 26. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga. Cu or At 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 Al, Insulated Neutral ❑Yes El No 75. Following instld.: Drive ❑ Yes ❑ No; Walks ❑ Yes ❑ No; Planters ❑Yes 0 N 28. Service -Riser Conductors & Ground -Main Disconnect 76. Stucco; Brown -Finish 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 Opn s. 30. Clothes Closet Light -Shower Light 79. Water Well; Disconnect, Electrical, Plumbing 80. Exterior Elec. Trim; G.F.I. Receptacle -Underground Card B-1 Date Card -BI Date 81. 82. Ventilation throughout House Glass Protection Card B -I Date Card -BI Date Date MECHANICAL (Permit) OK except q's 83. 84. Corrections from Previous Inspections Gas Test -Meters Tagged; Gas -Electric 31. A.C. Ducts; Insulation & Support 85. Water & Sewer Connected -C/O to Grade -HD Approval 32. 33. Vent Fan; Exhaust above Insulation Condensate Drain & Overflow; Size & Grade 86. Energy Compliance Certificate -Other Certificates 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 Date FRAMING Plans OK except p's Comments at Final: 36. Sills; Proper Material & Anchors 37. Walls; Studs -Nailing, Spacing & Bracing -Plates -Sound 38. Bearing Walls over Girders & Floor Nailing 39. 40. Draft Stop in Walls (rat proof) Fire Stops; Furred Ceilings -Stairs -Chases -Tub 41. Header & Beam -Size & Bearing 42. Hangers -Post Caps -Anchors -Connectors 43. 44. 45. Cing. Joist-Rftr. Ties-Purlin-Roof Brac.-Truss-Sh_thn_g.--Rfng. _ Fireplace Ties or Type A Flue -Fireplace Throat Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 46. Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions 47. Garage Fire Protection Framing (NOTE: Anentry must be made each time you visit job site) COUNTY OF BUTTE ' DEPARTMENT OF PUBLIC 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 �f fR6, 0 0 I)t/ a# s" 50- 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. n JN C' ����'? i11.� � � lam?'% 17"��/ fd✓ f (� � �f Inspector= ` '"" 1' Date z/ COUNTY OF BUTTE DEPARTMENT OF PUBLIC 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 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 matt r, or need additional explanation, please contact this office immediately. ®A01010 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 t,'! Owner's Address 'r i Mobilehome Mfg. r l �� Model Year Insignia No. Serial No. It is hereby certified for occupancy at the above described location and may be occupied. Director of Public Works Date - r By THIS CERTIFICATE IS VOID WHEN MOBILEHOME IS RELOCATED White - Owner, Yellow - Installer, Pink - D.P.W. / COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541 APPLICATION END PERMIT PERMIT NO. 6-9,11— ASSESSOR ASSESSOR P_AR-CE yL,�6€ (9 ` Zo G BUILDING PERMIT own65 owN V- b ✓'© TE EPHONE SQ. FT. OCC. BUILDING VAL ATIO OWNER'S MA LING AD SS IFr CO TRACTVT?-S NAME ! EL (HON CONTRACTOR'S MAILING ADDRESS Fireplace CONS R TION LENDER UNKNOWN Total Valuation Is Filing Fee $ 10.00 LENDER'S AILING ADDRESS Permit Fee $ ARCHIT,V OR ENGINEER 0 LICENSE NO. Plan Checking Fee ,$ ' .00 Penalty $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Permit fee $ BUILDING ADDRESS PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Solar Water Heater 20.00 Water piping 5.00 LOT NO. �© SUBDIVISION NAME S%&VeA DSL QlZn 7r— PA CEL MAP - Each qas water heater or vent 5.00 Gas piping system 1 - 5 outlets 5.00 USE OF STRUCTURE SF ❑ Duplex[:]Mobilehome Other SPECIFY Building sewer 5.00 Mobile Home S G W 0.00 e TYPE OF WORK New ❑ Addition ❑ Remodel ❑ I litf',s Instal lation� Other ❑ Describe work: �©y` �TY (/l ✓�5��� _ Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00' Main service 600V OR LESS 100 AMP OR LESS 10.00 a 2 Main Service EA. ADD'L 100 AMP 2.50 NEW CONST. DWELLING OCCUP.&` OR ADDNS. ( ACC. BLDGS. / 21/20sgft CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): F -1I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. License No. day d 9 Classification L'��il ❑ 1, 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 CIRCUITS2.50 ea NEW CONSTR. ( POWER APPARATUS &) NON-RESID. SINGLE OUTLET CIR. 20®50C Ex. Occup(o TS OR FIxOR ES BAL030 IXED Ex. Occup. OUT ETS (RESID IKEA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 Permit Fee $ Contractor WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. ® 1 shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. MECHANICAL PERMIT Filing Fee 10.00 Heating Cooling Hood 3.00 Ventilation permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against said County in consequence of the granting of this permit. X � Date I ature of Applicant — Owne Contractor [[Agent n OSHA permit is required for excavations over 5'0" deep and demolition or construct- on of structures over 3 stories in height. Mobile Home Installation Fee $ Q TOTAL PERMIT FEE $ OCCUP. GROUP I TYPE OF CONST. PARC PD HD ISSUE This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which DIRECTOR OF P LIC BY PERMIT EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS i Date. Receipt No. WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR. GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541 APPLICATION AND PERMIT PERMIT NO. n, ASSESSOR PARCEL N M B EU. ZO ING BUILDING PERMIT OWNER O V TELLPHCFNFE SQ. FT. OCC. BUILDING VALU TION OWNER'S M21VAA OWNER'S MAI I DD E S L 0 L CONTRACTO 'S NAME TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNtyl)o�yar !/ Total Valuation $ Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee ,$' Penalty $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Permit fee $ BUILDING ADDRESS © PLUMBING PERMIT Filing Fee 10.00 MwAv,l 4= Each Trap 2.00 Solar Water Heater 20.00 Water piping 5.00 LOT NO. ©:3 SUBDIVISION NAMEEGAO n^ T� S 1 X2,4 frfCL( O/� J PARCEL MAP S r o1 Each qas water heater or vent 5.00 Gas piping system 1 - 5 outle s 5.00 TRUCTURE USEPOther SF ❑ Duplex ❑ Mobi lehome SPECIFY Building sewer 5.00 Mobile Home 10.00 e TYPE OF WORK New ❑ Addition ❑ em I ❑ ti litiesUll ti n ❑ Other Describe work: Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00• Main service 600V OR LESS 100 AMP OR LESS 10.00 /� d� M Main service EA. ADD'L 100 AMP 2.50 25 NEW CONST. DWELLING OCCUP.& OR ADDNS. ( ACC. BLDGS. 21/20sgft CONTRACT RS 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 m license is in full force and effect. y License No. Classification ❑ I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) I am exempt under Sec. , Business and Professions Code for this reason NEW CONSTR MULTI -OUTLET 2,50 ea NO N.RESID BRANCH CIRC ITS NEW CONSTR. ( POWER APPARATUS &1 NON.RESID, SINGLE OUTLET CIR, / Ex. OccuP(o 2@50a OR FIXTURES o BAL®30 IXED A PP LNSOR EX. Occup. OUTFXED ALETS (RESI.D.) EA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 Permit Fee $ 3'7 Contractor MECHANICAL PERMIT FiIingFee 10.00 WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. til 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 $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against said County in consequence of the granting of this permit. X U1iJ�s, Date .ALJ- ��[[ /r/ 6� T,., Signature of Applicant — Owner ❑ Contractor EJAgentwork An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $. TOTAL PERMIT FEE $ OCCUP. GROUP I TYPE OF CONST, PARC PD N ISSUE This permit is hereby issued under sions of the Butte County Code and/or indicated above for which DIREC ft OF PUBLIC / By �/ PEF� T EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS Date L� 7— 7—X/ Receipt No. 73 /2 q:7 WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT 0 Darlene 7arbrc gh-,.-"� Paul Yarbrough Jy . _ � };Y; r {,fit. ::.'`y��'�r•a 7"*,. F � V � "�� ' .'1205 So'- Main!-;' Fallon, Feb: '20i •'1985.A:'14 'Butte Couh ty Dept, Of Public Works 7 County Drive Oroville, Calif. Res Agency Aut•harization _ ' for. Permits ,..'Utilf'ti s r and Construction :•Supery •.+ 'T . ':4,�e'7•`=;��.�.� 'fit. < ' Sir; ` �. � •�. ' "A LeYern A. Hadley, Registered California Building Designer:# - 1 . s�. , hereby authorized to act as our agent with_,x.espect to. the.,olitaining Of the necessary _permits, and -utilities, and i -e our constructimn'�sur��rviaa during the lot development and the installation of aur•141.by..6.5,�m0bil6.41* home on our lot 203 Sierra Del Oro unit #3 at Del Oro Dr.- Magali'a4,- .14$33 California. Sincerely . .. , 0 Darlene 7arbrc gh-,.-"� Paul Yarbrough Jy . _ � };Y; r {,fit. ::.'`y��'�r•a 7"*,. F tip- 6242 Return to DPW AGRICULTURAL STATEMENT OF ACKNOWLEDGEMENT OF'FIC'IAL RECO OO ; FOR RESIDENTIAL'DtVELOPMENT 8JJ-TE BOUNTY-0A1,.41: -mro?RDa REQUESTED b. Sect.io,n 26-8.1 of the Butte County Code requires this acknowledgement �9 be recorded prior to issuance of a building permit. MAR � J 37 N1'85 The property described herein is adjacent to land or included ELLE.hN"It f". El r- •rK r within an area zoned for agricultural purposes, and residents of thisERK,RECQRJ!ER property may be subject to inconveniences or discomfort arising from EEE the use of agricultural chemicals, including, but not limited to herbicides, pesticides, and fertilizers; and from the pursuit of agricultural operations including, but not limited to cultivation, plowing, spraying, pruning, and harvesting which occasionally generate dust, smoke, noise, and odor. Butte County has established agricultural zones which have as a priority use for productive agricultural purposes, and residents within said zones and on adjacent property should be prepared to accept such inconvenience or disconform from normal, necessary farm operations. Ali that real property situate in the County of Butte, State of California, described as follows: Lot 203 Sierra Del Oro Unit #3' 14833 Del Oro Drive Magalia, Calif. 95954 Date: February 21, 1985 PROPERTY OWNERS* V Q State of _CALIFORNIA On this the 28TH day of FEB. County of .BUTTE SS. me, the undersigned Notary Public, ) PAUL AND DARLEN C.YARBR000H NOT COMPARED WITH ORIGINAL DOCUMENT , 19 85 , before personally appeared Personally known to me. fes(/ Proved to me on the basis to be the person(s) whose names of satisfactory evidence. OFFICIAL SEAL ( ) ARE subscribed to CELESTE F. RINER the within instrument and acknowledged that THEY NOTARYPU8l1C-CALIFOMA executed the same for the purposes therein contained. BUTTE COUNTY IN WITNESS WHEREOF I hereunto set m hand and official seal. I*MV-Cmnsman Expires Dee. 1% 14@6 y (' ( �l 2 -VI I k - P�t rl l� Notary Public Present A. P. No. 65 — 3 lo — 1! F MOBILEHOME SUPPORT DATA Mobilehome Mfr. If other than single wide, Year F furnish Setup Model No. Fidth (ft.) ox Length (ft.) Tagalong or Expando Size ft. x ft. (SHOW SUPPORT DETAILS BELOW) On all mobilehomes manufactured after October 7, 1923; 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 1. Wood either A A pressure treated or foundation grade. (ft.)(in.) (in.) (in.) 2. Other. (specify) Center support Center su port locations* footing s zes Supporta. (check one) (in.) ; Concrete block. x •2. Other. (specify) (ft.)(in.) (i .) ( n.) *---Tagalong or Expando,' (� show support details. (ft.)(in.) (itn.) (1 -) . (in.) (in.) OX (ft.)l(in.) *If center piers are other than drawn above, draw in -locations. spacing, and dimensions. 'tl -- Typical Support .) (in.) Footing Size -- Max. Pier Spacing (ft.)(in.) Max. Overhang (ft.)(in.) 1. Owner's name: 2. Installer's na BUTTE COUNTY DEPARTMENT OF PUBLIC WORKS �•'`" 7 County Center Drive, Oroville, CA. PHONE: 534-4541 MOBILEHOME INSTALLATION SHEET 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? ----------------------- �m'j� Amps 6. What is the mobilehome site service rating? --------------------- , Amps 7.. What is the mobilehome site circuit breaker rating? ------------- AZ Amps 8. Is there any other electric load_to.be' served by the mobilehome siteservice? --------------------------------------------------- Yes No (If yes; identify the load and size: (Load) (Amps) V 9. What is the mobilehome site gas pipe size? ------- ------ (in.) 10. What is the type of gas service? ---------------------------- Natural 7% LPG 11. What is the gas pipe length from meter or tank to the mobilehome? (ft.) 12. What is the mobilehome gas demand? ------------------------------ (BTU) (This information not required if pipe length less than 6 ft. on natural gas or less than 50 ft. on LPG.) 5 9# -8S BYTE COUNTY BUILIYNG DEPARTMENT l�,PPROVED