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HomeMy WebLinkAbout069-100-0291 1 w AP =3 � UPH FERGUSON ���� �����I%{T . r 554 Silverleaf Dr., lO 62, KR#1,Oro. Permit# 3269-75P,E(util. IKH) GAS .— ' SUPPORT STRUCTGRE UPPORTSTRUCTURE R?X U�1"1�r_kCI O7TESTREQ,. ,/^ P� ��✓�/� � ��V �C/ J 2 9 AP CONTR: Carneros MH Tztans., Napa Permit# 38 1 -75MI � - own ssue Ed Garner 69_,0 - z 9 554 Silverleaf Dr., lot 62,.KRYJ1, Oro. contr: Holmes Mobile H&!W,-�S6rv.,Bangor Permit #6125- r7B(new freestanding• carport/MH) • o� s 1 1 1 ' 1 1 w ' r 1 ---4 PERMIT NO. 6125-77B PERMIT EXPIRES Ed Garner OWNER CONTR. Holmes Mobile Home Service, Bangor 34-60-29 LOCATION (A.P. ) 554 Silverleaf Dr., lot 62, Mil, Groville i Temp. Power Pole Called PG&E Temp. Elec. Serv. Called PG&E Temp. Gas Serv. i Called PG&E i JOB O FINALED i (Date) ti +. Ale", (Signature) ii Fixtury RS I Motors Mesh COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS BUILDING INSPECTION RECORD ' Grd. Fault Prot BUILDING BUILDING (Cont'd) PLUMBING Setback Firewall Soil Piping Forms Parapets 1st Floor Main Bldg. Restroom Finish 2nd Floor Footings Windows 3rd Floor Stemwall SidingTo out Slab Roof Sheathin Water Piping Piers Roofing a� — CLJ Sewer darage V Fdn. Vents Fixtures Footings Stemwa I I A Garage Vents Insulation Water Htr. Heaters Slab Carport Footin Prov, for phsically , handica ed Conformance of ex. V structure Appliances Gas PipingA T st Tem Ga Slab Final — Sanitatio Patio FIREPLACE Final Footings Footing % ELEC RICAL Fixtury RS I Motors Mesh MECHANICA Grd. Fault Prot Scratch Heating Service Brown Cooling Temp. Po Finish Ducts Undergroind Interior Lath Ventilation Penman nt, Door Closer Final Final MOBILEHOME UTILITIES ----------------- Elec_ Service Elec. Pedestal Water Piping Sewer Gas Piping MOSILEUQME INSTALLATION - - - - - - - - - - - - - - Support Elec. Continuity Water Piping Drainage Gas Piping DATE REMARKS OR CORRECTIONS (NOTE: An entry must be made on this form each time you visit the job site.) v COUNTY -.QF P4JTTE — DEPARTMENT OF PUBLIC WORKS ` 7 County Center Drive — Oroville, California 95965 Tel ephomb: 534.0541 APPLICATION AND PERMIT ,• r. �' .vwo w t e County ul ouue to enter upon me above-mentioned ccprri;erty for inspection purposes. i(�Q., Px \)`Aru� o Datel`` Signature of Permitee or Agent Receipt No. L6610 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 p DIRECTOR OF UB IC WORKS BY Date_ ��� z�� 7 Z Bui ding permit expires Date l/— -L- — 7? BUILDING Owner SQ. FT. OCC. BUILDING VALUATION Mailing Address TTIION v I h ne Fireplace Contractor l Q � U r Total Valuation Mailing Address S- C Permit Fee Plan Checking Fee&/or Penalty T phone o. _4� i Permit Fee O Building Address ' �' 254 PLUMBING No. @ FEE PERMIT FILING FEE J$3.00 Each Trap 1.50 © t Repair drainage or vent piping 1.50 1J� 1 tiJ r Water piping 1.50 Each gas water heater or vent 1.50 A. P. No. �� — r Zoning'8. Planning Gas piping system 1 - 5 outlets 1.50 Each additional outlet .30 F Sani atio Fire Dept. Fire Zone Use Permit Building sewer 5.00 EQA Park PlaBldg.ams Declare ion Parcel Map 6 R/W Impro ments Lawn sprinkler system 2.00 'sg Recd Parcel Approvo Plans Approval Permit Fee s ' [:] NEW ADDITION ❑ UTILITIES ❑ OTHERPERMIT ELECTRICAL No. @ FEE FILING FEE $3.00 Main service 100 AMP OR ORSLESS 5.00 Main service EA. ADD•L 100 AMP 2.50 Single Family ❑ Duplex ❑ Mobil Home Others ❑ Main service OVER 600V 1100 AMP OR LESS 25.00 Main service// EA. ADD'L 100 AMP 1.00 /� �`. `^��•' ` O NEW OCCUP. &) 2¢sq ft OR ADDNST % ACCDWELBLDG LING S. NEW CONSTR. MULTI -OUTLET NON-RESID. ( BRANCH CIRCUITS 2.50ea NEW CONST R. 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 Sty f: t o i p L7 l'I�sMT ssitJ�V(q Ex. Occup(OUTLETS OR FIXTURES) BAL� FIXED APP LNS. OR Ex. Occup. ( OUTLETS (RESID.) EA) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 .r y ii License No. 21 $ 1 / 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. ElI certify that in the performance of the work for which this permit is issued I shall not em p employ y person in any manner so as to become subject to an bject to the Workmen's Compensation Laws of California. MECHANICAL No. @ FEEPERMIT 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 nthnrlvc .,. 1;.. .... .......... TOTAL PERMIT FEE $ 0� ,• r. �' .vwo w t e County ul ouue to enter upon me above-mentioned ccprri;erty for inspection purposes. i(�Q., Px \)`Aru� o Datel`` Signature of Permitee or Agent Receipt No. L6610 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 p DIRECTOR OF UB IC WORKS BY Date_ ��� z�� 7 Z Bui ding permit expires Date l/— -L- — 7? Z,3 2-,---Z 2. 3 4) 4, -v 2A 0 Ld P1, Ilk M-1+, ut ii. ;(PERMIT NO. 3269-75P,E P E M MH UTIL. 'PERMIT NO. Z PERMIT EXPIRES OWNER Ralph Ferguson ICONTR. -'',LOCATION (A.P. 34-60-29 554 Silverleaf Dr., lot 62, KR#l, Oroville 0 Temp. Power Pole Called PG& -E 1eff4rr-EIec-?-S`erv- 10, Called PG&E Temp Gas Serv. -2 /��BCalled PG&E JOB , '�T — // - -7,5 FINALED• (Date) (SignaturvI r_ 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 Pipin Piers Roofing Sewer Garage Fdn. Vents Fixtures Footings Gara a Vents Water Htr. Stemwall Slab Prov. for physically handicapped Heaters Appliances Carport Footings Conformance of ex. structure. Gas Piping & Test Temp. Gas Slab Final Sanitation Patio FIREPLACE Final Footings Footing ELECTRICAL Masonry Walls Throat 0— 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 a Interior Lath Ventilation Permanent Door Closer Final Final DATE REMARKS OR CORRECTIONS MOBILEHOME INSTALLATION INSPECTION CHECK LIST 1. Is the mobilehome located with 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) Yesy 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 X No 4. Is the mobilehome level? (Sec. 5088) Yes/l No 5. If more than a single unit, are crossover connections properly installed? (Sec. 5088) Yes is No 6. Water A. Is flexible 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? Yes X No C. Backflow - If coach is not State of California approved, does station have backflow device and pressure -relief valve? Yes_ No p // 4 7. Wastes and Drains A.. Is connection made with Schedule 40 DWV and have flex connectors at each end? Yes v No B. Does it have minimum 4" per foot slope and is it properly supported? Yes X No C. Are any leaks detected in drainage system after running 3 -gallons of water through each fixture including washing machine standpipe?', .Yes NoX D. If coach is not State of California approved,.does station have required trap and vent? Yes No /�> A/ A 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 inlet without reductions other than the mobilehome connector. Yes >e -.No B. Test OK as per following procedureT Yes V No �. .Open all appliance connector valves. 2. Shut off appliance burner and pilot valves. Ci 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. b-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 9. Electrical-- , A. Is service large enough to provide adequate amperage -to mobilehome (must equal rating f mobilehome with a minimum of 190 amp) and other facilities on lot, i.e., water pumps, garage, cabana, etc.? Yes No B. Is there proper clearances around panels? Yes 4--INo C. Is power supply cord. or feeder assembly properly fused? Yes No D. Is continuity test satisfactory as per the following procedure? Yes 4--INo . 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. v3. Switch all breakers and switches in the mobilehome to the "on" position. U4. 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 the electrical tests, the lot or site service equipment may be approved for energizing. l 10. Is job card signed by Health Department for water and sanitation?)) ) A/ 11. If everything okay, sign off card and tag services. MOBILEHOME DATA - Manufacturer and/or Namestyle // G Length -= R Width Vehicle Serial No. State Identification No. 3• 2 Z z 2 Z z 3 X Additional Information or Comments: 9 I COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WO KS� 7 County Center Drive — Oroville, California 95965 Telephone: 5,34-4541 APPLICATION AND PERMIT go9-�S I/ 4 u viu revresen Lau vas ui Me County of t7utte t(; enter upon the above^mentioned property for inspection purposes. Date ' s Sigfa of Permite o Agent 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,PUBL'IC WORKS By - _ �� Date 4r -A-- /I Br permit expires Date.. .............. .......................... BUILDING Owner SQ. FT. OCC. BUILDING VALUATION Mailing Address ��020 Telephone No. �S _31Fireplace Contractor / Total Valuation Mailing Address /,,Igo FJ Permit Fee Plan Checking Fee&/or Penalty Nq no,' 8 Telephone No.,�� _a Permit Fee Building Address St &elt leac zrille-1PLUMBING No.1 @ FEE PERMIT- FILING FEE J$2.00 je 96_ Each Trap 1.50 Lof Repair drainage or vent piping 1.50 Water piping k 1.50 Each gas water heater or vent 1.50 A. P. No. 3� •- Q - /�// oC Zoning & Planning Gas piping system 1 - 5 outlets 1.50 Each additional outlet .30 Felet Vte 1 3e04""W- Fire Dept.: FireZone Use Permit Building sewer 5.00 EQA Parking Plans Parcel Declaration Parcel Ma P 60' R/W Improv prov ments Lawn sprinkler system 2.00 Bldg. PIA' Recd Parcel Appr al Pla s Approval Permit Fee NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER V ELECTRICAL No.1 @ FEE PERMIT FILING FEE $3.00 '7 ,c t 1. / r Main service incl. 1 meter -A BP -&Q_ a-9 I Additional meters, each 1.00 Single Family ❑ Duplex ❑ Mobil Home ® Others ❑ Sub -panel (12 or less) (more than 12), Range, Cook -top or Oven 1.00 Water Heater or Space Heater 1.00 Light fixtures bat 610 Receps., switches & fix outlets 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%% /� / / �%� nraeros Rc,6) . /G3YISDlOIr� 'T Hood, Ex. Fan or. F.A. Furn. Motor 1.00 Evap. cooler, gar. disp. or D.W. 1.00 Air conditioner or heat pump Water pump Mobil Home Facilities 5.00 Temp. Power Pole 5.00 / License No. Q'l9%5R' Classification 'to� Misc. wiring ❑ 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. 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 ermit is issued I shall not em to an P employ y 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 'l 30— TOTAL PERMIT FEE $ 3 4 u viu revresen Lau vas ui Me County of t7utte t(; enter upon the above^mentioned property for inspection purposes. Date ' s Sigfa of Permite o Agent 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,PUBL'IC WORKS By - _ �� Date 4r -A-- /I Br permit expires Date.. .............. .......................... F i I COUNTYIP BUTTE — DEPARTMENT OF PUSC WO7( ounty Center Drive — Oroville, California 9 Tel gphone: 534-4541 APPLICATION AND PERMIT —1-11—­t+...vaa­ua­VI 1— --y — uua lV —ILVI UPVII Ultl ;aje- p erty Inspection purposes. r Date 's of Permitee or ent Receipt No. �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. ,-% DIRECTORAF PUBLIC WORKS By Date -?—,f 0'%t 7 Building permit expires Date ........ _�"_... BUILDING Ownerfi�� 41 d SQ. FT. OCC. BUILDING VALUATION Mailing Address e1,5,�qiV� Telephone No. Fireplace Contracto Total Valuation 16 Mai I i ng Address Permit Fee Plan Checking Fee &/or Penalty Telephone No. Permit Fee is Building Address PLUMBING No.1 @ FEE PERMIT FILING FEE $2.00 (� // �� ` ; /E� >•i�� '�-'� Each Trap 1.50 • Repair drainage or vent piping 1.50 Water piping 1.50 D.a v 1( ;)Z Each gas water heater or vent 1.50 P. No. p,� �'Z zoning & g Gas piping system 1 - 5 outlets 1.50 /0.,,,190A. Each additional outlet .30 Fees W. Sanit n Fire Dept. FireZone Use Permit Building sewer 5.00 Q,DO EQA Parking Plans Parcel Declaration Parcel Ma P 60' R/W Improvements provements Lawn sprinkler system 2.00 Bldg. Plans Recd Parcel Approval Plons pproval Permit Fee $ NEW ❑ ADDITION ❑ UTILITIES OTHER ❑ ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 3oO Main service incl. 1 meter 3p O Additional meters, each 1.00 Single Family ❑ Duplex ❑ Mobil Home -Others ❑ Sub -panel (12 or less) (more than 12) Range, Cook -top or Oven 1.00 G P Water Heater or Space Heater j 1.00 Light fixtures all 10. Receps., switches & fix outlets 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: Hood, Ex. Fan or F.A. Furn. Motor 1.00 Evap. cooler, gar. di sp. or D.W. 1.00 Air conditioner or heat pump Water pump Mobil Home Facilities 5.00 Temp. Power Pole 5.00 License No. Classification Misc. wiring am exempt from the Contractors License Laws of the State of California. Permit Fee $ Zi $ 2) O 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. 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 @ I 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 $ �% —1-11—­t+...vaa­ua­VI 1— --y — uua lV —ILVI UPVII Ultl ;aje- p erty Inspection purposes. r Date 's of Permitee or ent Receipt No. �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. ,-% DIRECTORAF PUBLIC WORKS By Date -?—,f 0'%t 7 Building permit expires Date ........ _�"_... LOT 62 UNIT 1 FEf,GCU_5-Oil/__ NO�� • - /yOc/NT�4/_/.�/__ _HOME. . A.---- •- ' This set of plans MUST be kept on the -..job at all •+,w:rs and it is unlawful to make any changes or nit�rnfi ,ons on same without written permission from the Department Qf Public Works, County of Butte. .20 'yo I ♦ s _ 4• x CAr 36 CONI;;; • GCE-G� =_T l/._.�`J�'G� 'CQ.N._N, BUTTE COUNTY All utility connections shall be BUILDING DEPARTMENI located within 4 ft. outside the rear A permit will. be required for the third section of the mobile home APPROVED installation of the mobilehome. on the left (road) side of the mobile home. The fth* Setback -shall be 5 ft: from the side property line and 50 ft. from the centerline of the road,' permitting JN7 O.8 /L C maximum of a 2 ft, eave overhr:nry, - 1 -14-;, 3-:.73, / C 1313 K ASSOCIAT ENGINEERING CONSULTANTS 2060 PARK AVENUE OROVILLE. CALIFORNIA 95965 PHONE (918) 699-6457 CALIFORNIA P. E. NEVADA P. E. OREGON P. E. August 6, 1975 James Glander Department of Public Works 7 County Center Drive Oroville, California Re: 75258 Dear Jim: Compaction.test results are enclosed for mobile home site preparation at Kelly Ridge Estates for: Furguson - K.R.E. Unit 1 Lot 62 Representative tests indicate that the 90% relative compaction requirements have been satisfied. A location map_is attached. Very truly yours, COOK ASSOCIATES Alan G. Brown Civil Engineer AGB/cap Attachments DR. LLOYD M. COOK ED, D. JOE E. COOK M. E. DAN J. COOK C. E. fJ Project Furgu•son Unit 1 -62 CCIATES Job Number 75258 ENGINEERING C014SULTANTS Nuclear In-PlaceTaken By Alan Brown 2060 PARK AVENUE Jul 1975 OnOVILLE , CALIFORNIA 95965 Moisture Density Test Date y' ( 916 1 533 —6457 TEST NUMSER I 2 3 4 5 6 7 8 9 10 TIME 1st lift 2nd lift 2nd lift TEST W. Side 4. Side W. Side LOCATION 7-17 7-24. 7-26 Fail Retest WODE 8 DEPTH 8" DT 6 D 8" DT MOISTURE COUNT 1106'*1215 994 MOISTURE .779 .866 .708 COUNT RATIO MOISTURE PCF 19.75 22.5 17.50 DEI;SITY COUNT 174 246 220 DENSITY COUNT RATIO .632 .894 .800 WET DENSITY PCF 150.0 135.0 139.5 DRY DENSITY PCF 130.25 112.5 122.0 % N.OISTURE 15 20 14. 3 OPTIMUM DENSITY PCF 132 132 `6 OPTIMUM 10 10 W01STURE `'c RELATIVE CC.-.' F:,CTION 96 8 5.2 92 t�uUNT COW -WENT: 1.1_cTURE ! DSI.'SITY , 1418 1 275 7-17-75 1402 275 7-24-7.5 1402 275 7-26=75 E. VALV 6 A. C. tin Ir IZ AJE . /2 ,fit•---_�►a A�� -- V1 : JOS. 6 �.• �� -_ ' ` — — 8- I r, I, TALL. Z 1 "x f 5" ,r92c�•� MPA W/FkIES LT4s ;•� I. R -r. �' . .� ALIGN WATEIC /� o CO IU IV E GT TO EX 1 ST.: 6" .CAPPE P / A.C.P. 1 C!Jwph TjON TEST ' LDCAMd �cp 08': 3G:' ' s �, 3�0' • .. •• . '� �.-.KRB VN 1 '� EXTENb 6" A -CP WATCK IC>Ot ' FKoM E. LINE Lr)i Go CAP k TI E P5/1CK , � .s �syl �a��■■I�I��r� COUNTY OF BUTTE - Department of Public Works 7 County Center Drive, Orodilld, California PHONE: 534-4541 i arar€th = i Ln j Utility Cr)nnprt-i 20' min N w n w M rr w W 5' cOt H w w FA ►� m O (D v / I:ength = MOBILEIi014E INSTALLATION INFORMATION Lot Facilities 1. Plot plan dimensioned, location of mobile and utility connections? Yeses- No 2. Electrical. service equipment amp.acity-ZO-0. Circuit breaker ampacity /60 Permanent Wiring Connection -- Ampa^i'ty /fin Receptacle Ampacity 7itn=! 3. Gas:. Nature LPG Gas riser size 3/�" 4. Drain inlet size -3/' 5. Hater riser. size 3/41' 6. Are utility connections located outside the rear 1/3 of the mobilebome.within 4 feet of the left -w411? Yes_ No If not, show dimensions.above. 7. Is the mobilehome clear of septic tank, leach fields and located outside public utility easements? Yes x No 8. Do you propose to do other work on the property other than the mobilehome installation which will require a permit`s Yes No If so, specify Piobilehome Data Ifi 1. Length V&? Width l2y Manufacturer5,i17/PU Vehicle Serial No. Insignia Control No. -- 2. Feeder assembly ampacity Conduit size _ Power supply cord (amps) 3. Gas inlet size R/' Mobilehome connector size Capacity 4. Drain connector: describe on reve'cse side 5. Water connector: describe on reverse side 6. Designed loads: Roof live load psf. Wind .load /,j psf . (only for mobilehomes manufactured after October 7, 10,73) 7. Manufacturer's installation instructions? Yes No 8. Will the mobile home be installed on a separate support structure. Yes Nom 'For plans and specifications of support system, see other side. :X' 0 H r h H .ter En H H O H LOAD BEARING SUPPORTS \ ADDITIONAL CO'Killr_NTS Drain Connector, Describe�f7P� !U Water Connector, Describe �lo nPi' 764121nc LOAD BEt2,I NG SUPPORT AND 1WTING INFO20ATION Pier Spacing Used y `n 1Maximum Pier Load 41000 # Maximum Column Load (multi -units only) rt s 00 Soil Bearing Capacityoo 1D Footing Dimension Used fit/ XoW h,T TYPE OF PIEI? USED �4 y Steel Concrete Concrete Block__ eF Other TYPE OF FOOTING MAT: tIAL USED Pressure Treated Wood_ Concrete pe; Redwood (Grade) Other Approved Type yca�f o�" A. BUTTE COUNTY BU1Lr�r�+,!r nF?ARTMENT