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HomeMy WebLinkAbout069-120-012Nj , t AP ti s • - Y. FRIEL +. a 465 Silverleaf Dr., lot 1-492 KR#1 Permit#'2052-75P,E(uti1. mH) l '� "' .-- • ELEC . to 17 4hwp " • y GAS / SUPPORT STRUCTURE R19Q. COMPACTION TEST REQ. AP - CONTR:. Geweke MH Sales, Lodi Permit# 9 2 2 8 -75MHI ej s sued Permit 4934 AP -75B (free••standing deck/ ' ZF9• U r ' 4 17 l PERMIT NO. 2052-75F,E f P ti f E M IMH UTIL. PERMIT NO. r` PERMIT EXPIRES ('OWNER V. Friel �CONTR. 'LOCATION (A.P. 34-63-12 465 SilverleuX Dr., lot 149, KR#1, Oroville p r: K, l 4 Temp. Power Pole Called PG&E Temp. Elec. Serv. Z 1 Called PG&E Temp. Gas Serv. Z 5� v Called PG&E .6���✓c��. FINALED (Date) n, lr�ggpe (Sign/re) • .� i \ 1 PA J 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 Gara a Vents Water Htr. Stemwall Prov. for physically Heaters Slab handicapped Appliances Carport Conformance of ex. Gas Piping & Test Footings structure Temp. Gas Slab Final 77 Sanitation Patio FIREPLACE Final Footings Footing ELECTRICAL �J 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 17 9'e"57 - elk, �s t 47 MOBILEHOME INSTALLATION INSPECTION CHECK LIST 1. Is the mobilehome located wit equired 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 L.L No 3. . Are footings and supports properly sized, spaced, and braced as p r approved plans? (Note possible variation at spring shackles.) (Sec. 5082 & 5083) YesN0 4. Is the mobilehome level? (Sec. 5088) Yep No 5. Ifmore an a single unit, re crossover connections properly installed? (Sec. 5088) Yes o 6. Water A. Isflex" e 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 No C. Backflow - If coach is not State g California approved, does station have backflow device and pressure -relief valve? Yes C No . 7. Wastes and Drains A. Is connection made with Schedule 40 DWV and 'have flex connectors at. each end? YeNo B. Does it have minimum '" per foot slope and is it properly. supported? Ye No C. Are any leaks detected in drainage system after runn g's of water through each fixture including washing machine standpipe? Ye No D. Ifco c 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 mobil me gas line filet without reductions other than the mobilehome connector. Yes No per following o B,as p. Test OK grocedure? Yes N .P 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 mini without drop. 4. Connect gas meter to mobilehome.with connector, turn on gas, test connections with soapy water. C. Are all appliance vents properly installed?' Yes o 9. Electrical A. Is service large enough to provide adequate amperage -to mobilehome (must equal rating of mobilehome with a minimumo amp) and other facilities on lot, i.e., water pumps, garage, cabana, etc.? Yes No B. Is there proper clearances around panels? Yes o C. Is power supply cord or feeder assembly properly fused? Yes' No D. Is continuity test satisfactory as per the following procedure? Yes^ 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 the electrical tests, the lot or site service equipment may be approved for energizing. . JO. 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 c/ l /v B J S 'e - Length Width Vehicle Serial No. t5 Z 1 �� V oCi.1 Ili State. Identification No.,Q��(-,'�lr Additional Information or Comments: COUNTY OF BUTTE — DEPARTMENT OF'PUBL'IC WO S d 7 County Center Drive - Oroville, California 95965 Telephone: 534-4541 APPLICATION AND PERMIT I/ authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. r Xa�.,�--� �.,r� . bate Sign re o ermitee or Agent Receipt No. 2-43 7-Z-3 i I hite-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 BLIC WORKS By - Date r" 0q- -73. Iding permit expires Date BUILDING Owner t / I SQ. FT. OCC. BUILDING VALUATION Mailing Address Telephone No. Fireplace Contractor 4;E� - Pi /f'1i d e,z m.,r" Total Valuation Mailing Address a ��� �� �� Permit Fee Plan Checking Fee&/or Penalty /.g ga+ a0y to ane Ogb Permit Fee 70 Building Address 7 wO PLUMBING No. @ FEE PERMIT FILING FEE $3.00 Each Trap 1.50 ,op lee) v�� F Repair drainage or vent piping 1.50 Water piping 1.50 Each gas water heater or vent 1.50 A. P. No.-- // (p� �— Zoning & Planning Gas piping system 1 - 5 outlets 1.50 Each additional outlet .30 F - Vy sari-tattotr FireDept. FireZone Use Permit Building sewer 5.00 EQA Parking Plans Parcel Declaration parcel Ma p 60' R/W Im r p ovem nts Lawn sprinkler system 2.00 dg ons Recd Parcel Ap roval Plans i ppravaI Permit Fee $ $ NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER ELECTRICAL No.1 @ FEE PERMIT FILING FEE $3.00 Main service incl. 1 meter _7Lr— Additional meters, each 1.00 Sub -panel (12 or less) (more than 12) - Single Family ❑ Duplex ❑ Mobil Home ® Others ❑ Range, Cook -top or Oven 1.00 Water Heater or Space Heater 1.00 Light fixtures b0 (@6 10 Receps., switches & fix outlets 20025 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. 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. Classification Misc. wiring ❑ I am exempt from the Contractors License Laws of the State of California. Permit Fee $ $ MECHANICAL No. @ 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. 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 ❑ piermit .is issued I shall not employ any person in any manner so as to become subject to the Workmen's Compensation Laws of California. 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 relatingto building construction and hereby �` 00 TOTAL PERMIT FEE $� authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. r Xa�.,�--� �.,r� . bate Sign re o ermitee or Agent Receipt No. 2-43 7-Z-3 i I hite-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 BLIC WORKS By - Date r" 0q- -73. Iding permit expires Date COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS 7 County Center Drive — Oroville, California 95965 Telephone: 534-4541 APPLICATION AND PERMIT v auuwncC reNresenrauves or ine tuounry or tsuite ro enier upon ine This permit is hereby issued under the applicable.provisions of above-mentioned property for inspection purposes. the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. X Date y -S IRECTOR OF PUBLIC WORKS Sign of Permitee r Agent By Date) Receipt No. %�Zp. © / 10 � White-D.P.W. – Yellow-Assessor—Pink-Inspector – Goldenrod -Applicant permit expires Date ................... BUILDING Owner L SQ. FT.OCC. BUILDING VALUATION Mailing Address .Telephone No. -60 7t Fireplace Contractor Total Valuation Mailing Address J Permit Fee , Plan Checking Fee&/or Penalty Telephone No. Permit Fee $ Building Address PLUMBING No. @ FEE PERMIT FILING FEE .00 OD " Each Trap 1.50 Repair drainage or vent piping 1,50 ..✓ t Water piping 1.50 Each gas water heater or vent 1.50 % A. P. No. 3 3— Z Zee( ` Gas piping system 1 - 5 outlets 1.50 Od Each additional outlet .30 �� Ferc�s W. �Ur 6VAv Fire Dept. Fire Zone Use Permit Building sewer 5.00 O � EQA Parking Parcel Plans Declaration Parcel Ma P 60' R/W Im provements Lawn sprinkler system 2.00 Bldg. Plans Rec'd Parcel Approval- Plans pproval Permit Fee 's 3 DO $ 3 oL NEW ❑ ADDITION ❑ UTILITIES OTHER ❑ ELECTRICAL No.1 @ FEE PERMIT FILING FEE 1 $3.00 OO Main service incl. 1 meter 3, pp Additional meters, each 1.00 Single Family ❑ Duplex ❑ Mobil Home"2' Others ❑ Sub -panel (12 or less) (more than 12) Range, Cook -top or Oven 1.00 SOO F y1�(/ S/� — Water Heater or Space Heater 1.00 _ ' Light fixtures bad % 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. FanorF.A. Furn. Motor 1.00 Evap. cooler, gar. disp. or D.W. 1.00 Air conditioner or heat pumpb Water pump Mobil Home Facilities 5.00 X-41 PO Temp. Power Pole 5.00 License No. Classification Misc. wiring LJ ,ram exempt from the Contractors License Laws of the State of California. Permit Fee $ $4G 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. ohave placed on file with the County of, Butte a certificate of Workmen's Compensation Insurance. U Icertify 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 NOY @ FEE PERMIT FILING FEE $3. do t Heating Cooling '. Ventilation Hood 2.00 ' Permit Fee $ i $ 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 Is �D auuwncC reNresenrauves or ine tuounry or tsuite ro enier upon ine This permit is hereby issued under the applicable.provisions of above-mentioned property for inspection purposes. the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. X Date y -S IRECTOR OF PUBLIC WORKS Sign of Permitee r Agent By Date) Receipt No. %�Zp. © / 10 � White-D.P.W. – Yellow-Assessor—Pink-Inspector – Goldenrod -Applicant permit expires Date ................... \0e 5 voo aid50 U--rl 1- 77 Z_ 0 CA 7-/ Tj le'E- A Ivo 7-.71-o. �eN. fo C �4e ch e� �Oqe -4e e ok ea -4e e he Ge c k \e 7-- _ //�' �����-gib �• �\ - /0058.3? :w ' �� � ..�j.- 0'� lb 0 'N 01 V. LOT 149 UNIT 1 &�5 0 20 AV. _7 4 I ' his set of plans &Rd—spe4fieafionis MUST be (ept on the. jab -at all times.and it is un.lawful to or altarMions on some.'.wA*ui .writtti!f P,frimisson from the DepartmAni-qi_Pu'b1k \A(ork's,.*County 'of Sulfa. BUTTE COUNTY 3UILDING DEPARTMENT A P P ROVED -it la -73 AGB/cap Enclosures V,?Z. i.A.0Y0 ,M. CLIC:!::0.0- JO F. COOK M. F. 0AN J. C00%: C. F-'. . COOK ASSOCIATES ENGINEERING CONSULTANTS . 2080 PARK AVENUE OROVILLE• CALIFORNIA 95965 PHONE (916) - 533.6457 Y C":.-FOIx ala P. C. - NEVADA P. E. OREGON P. E. . June 11, 1975 �wJim G1asn r.: , De.paf�Ement of Public Works .7 County Center .Drive ' 0'roville, California .. .-.....: Re: ....75258 Dear Jim: Compaction test results are enclosed for mobile home site. preparation at Kelly. Ridge Estates for: :... Goodwin K.R.E. Unit 1 #5 K.R.E: Unit 1 #149 ance K.R.E. Unit 2A #37 A location map. is attached. AGB/cap Enclosures V,?Z. i.A.0Y0 ,M. CLIC:!::0.0- JO F. COOK M. F. 0AN J. C00%: C. F-'. . r ' 4 • ASTM D1556 COOK ASSOCIATES JOB. NO.. Vance ENGINEERING CONSULTANTS KRE Unit 2A .OROVILLE. CALIFORNIA Lot 37 IN PLACE MOISTURE DENSITY DETERMINATION Hangtree Ct. Test 41 Number A 5-29-75 Apparatus Number B Sand Density Lbs. /ft.3 C 38, 374 Apparatus + Sand Before D ' 3621 ' Apparatus + Sand After E 2'848 Sand Cone t' Hole F .773 Sand 412 Cone G Sand ' Hole H 361 Volume Hole 1 .00940741 Soil J 562 1.2398966 Use Curve Number' M.C... K 12.2 Lbs: /ft.3 Wet L 131.8 Lbs. /ft.3 Dry M 119.6 % Moisture N 10.2 . Pan Number 0 . Pan + Sample Wet P 716 Pan Sample Dry Q Pon Grams R 154 Curve Max. Lbs: /ft. 3 S 132 F= D— E H= F— G I— H (453.6). (C) . tJ P— Q x 100 M L T M Q = R N + 100. S. % Compaction X 100 AGE! Use Other Side Date June 4,-1975 BY For Remarks -471 R .a /O( L = 831. ;r 44' 1 c, i 114 Y 4 81p', ✓3 i t 40 40 Nl E �QLC' COMP cria,� -rte /T C KTM- 2A 37 UA 0 r its - PERMIT No. 4934-75B P E M MH UTIL. PERMIT NO. PERMIT EXPIRES L ""' ,OWNER Virgil Friel �l:GONTR. owner LOCATION (A.P. 34-63-12 ) a 465 Silverleaf Dr., Oroville n; (Lot 149, KR #1) i,- 4 z r I. 'e i; 1' r Temp. Power Pole Called PG&E Temp. Elec. Serv. Called PG&E Tem. Gas Serv. Called PG&E FINALED (D atW k--15 — — Al�� (Signature) _ 14 )ZE 1 01 F— //V/IS e DE- f A. 3 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. A Restroom Finish 2nd Floor Footings Windows 3rd Floor Stemwall Siding To out Slab NI Roof Sheathing Water Piping Piers Roofing Sewer Garage Fdn. Vents Fixtures Footings Gara a Vents Water Htr. Stemwall Slab Prov. for physically handicapped Heaters Appliances Carport Footings NJ Conformance of ex. structure Gas Piping & Test . Temp. Gas Slab A I Final 411617rSanitation Patio IfFIREPLACE Final Footings ' Footing ELECTRICAL Masonry Walls Throat Rou h Reinf. Steel Final Fixtures Bond BeamFIRE 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 16- 7U REMARKS OR CORRECTIONS Pzx1n�1 ex P/4x � /�l0 /��� p�c,T«nib C��C � � � %d�'}�,� � /Av,SPZcr 77W,� ZAM NO ;>44ntS 1-16 a Zz.,Z Z- �� 0'< �J N COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS 7 County Center Drive — Orovi Ile, California 95965 - 76 Telephgne: N34A541 APPLICATION AND PERMIT authorize repre entatives of the County of Butte to enter upon the above -mention d property for inspection purposes. X Date / Signa Permitee or Agent Receipt Npl.!,/�LZ Mt :3 White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR OF NJIBLIC WORKS By Date J ' BKilinqvpermi/t expires Date .7,6 —74o BUILDING It ' c Owner l(z I SQ. FT. OCC. BUILDING VALUATION Mailing Address Telephone No. Fireplace Contractor Total Valuation Q Mailing Address Permit Fee Plan Checking Fee &/or Penalty Telephone No. Permit Fee � I Building Address ,1116pSJ PLUMBING No.1 @ FEE PERMIT FILING FEE $3.00 Each Trap 1.50 Repair drainage or vent piping 1.50 Water piping 1.50 7 Each gas water heater or vent 1.50 A. P. No. ���- (p^-� ZoningGas & Planning piping system 1 - 5 outlets 1.50 Each additional outlet .30 F S-ar Fire Dept. Fire Zone Use Permit Building sewer 5.00 EQA I Parking Plans Parcel Declaration Parcel Ma P 60' R/W Im r p ovements. Lawn sprinkler system 2.00 Bldg.al�ec'd Parcelroval P I .4,Approval Permit Fee $ $ NEW ADDITION ❑ UTILITIES ❑ OTHER ❑ ELECTRICAL No.1 @ FEE PERMIT FILING FEE J$3.00 Main service incl. 1 meter Additional meters, each 1.00 Sub -panel (12 or less) (more than 12) Single Family ❑ Duplex ❑ Mobil Home Others ❑ Range, Cook -top or Oven 1.00 t Water Heater or Space Heater 1.00 Light fixtures ycl0a2 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. 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. Classification 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. permit ,is issued I shall not employ any person in any manner qsI certify that in the performance of the work for which this as to become subject to the Workmen's Compensation Laws of California. MECHANICAL No. @ FEE PERMIT FILING FEE $3.00 Heating Cooling Ventilation Hood 2.0:01-- .00California. 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 repre entatives of the County of Butte to enter upon the above -mention d property for inspection purposes. X Date / Signa Permitee or Agent Receipt Npl.!,/�LZ Mt :3 White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR OF NJIBLIC WORKS By Date J ' BKilinqvpermi/t expires Date .7,6 —74o .'1 -"CJT/L/TY G0CA7-/01V_T 2E. A/��20X,��/OT zo' E.4-,SE/vlEi�/T S�Elit/_ , ? CO N/_V. _S_E_T�iaCf� 4 S� V-4 o x i z The . Setback shall be 5 ,from the side property line and 5 ft.:from the centerline of the roadApermitting q.maximum of a-2 ft. e e overh"g. L." ✓ El2 _� E�9 F LOT 149 UNIT 1 ':�5 0, h • ./2 - /20.00 . _ PV 00 This set of plans and specifications MUST b@ kept on the job at all times and it is unlnwhl to mcs4 . anv changes or c►ltPr,,+,ons on snrne without written permission from the Departmont of Public Works, County of Butte. BUTTE COUNTY BUILDING DEPARTMENT APPROVED r oil Qi Pa f -'a C.rj G7 f� • M O %1Z Utility iA PHONE; 534-4541. 7.Pnztb = f t 20' N r•s Y N � . K w 5 Hv P1 0 • rt CY 7� F N VA . D _ _ d 0 a to rn t Len th = ►-3 . _ z . o MOSILEIOM INSTALLATION INFO&'IATLON Lot Facilities Mobilehome Data H 1. Plot plan dimensioned, location of mobile 1. Length Wi th and li.ty connections? Manuf acturer - x t Yes No Vehicle Serial o. 2. Ele rical.service.equipment ampacity Insignia Control No. Circuit brea'ler ampacity Ion 2.. Feeder assembly ' anpacity Permanent Wiring Connection Conduit size Ampacity ' Power'supply cord ' (amps). Receptacle Ampac:i.t3. Gas inlet -size —1 Gas:. Natural LPG rfobilehome connector size Gas riser size Capacity k: Drain inlet size ! 4. Drain connector: describe on reve-tse side 5..11ater riser size 5. Water connector: describe o;i'reverse: side• 6. Are. utility connections 1 cited outside - 6. Designe3 loads: the rent 1/3 of. the mobilel:ome .-within Roof live load 4 feet of the left wall? Yzs_ X. rio i-;ind load sf. If rot; show dix-en•.sions.above. (only for l.ehories riantifactured after 7. Is the movilehome clear of septic- tank, October 7, 1973) leach fields and located outside public 7..Nanufa urer's installation, instructioizs? utility easements? Yes X No Yes A . No `r 8: Do you propose to do other Bork on the 8. Will the mobile home be installod on a property other than the mobilehome separate supPC, �rt. structure? installation which will require a perimit? Yes No Yes No X ;72 - If . so, specify *For plans and specifications of support system, see other side. S11:11'OR TS . ADDITIGNT L CO:,n:":;TS Drain Connector, Dc tribe,__ 3 S ,k Watbz Co^neetor, Describe S L',,n.,� �r I a b�'`✓ LOAD) BEARING SUPPORT MID OOTI?1G I1�F01:?Llil0iv Pier Spacing Used . C' c h, hzximum Pier -Load Column .Maximum Column Load (multi -units onl. Supports I Soil Bearing Capacity Fl - Footing Dimension Used 4RX PI. TYPE OF PIER LTSLD Steel Concrete Coacrete Block OtherfsX6-- /G ercI TYPE OF F00TINGIWIVE'R1AL 1p USED o�.. Pressure Treated Wood. �G 2 Concrete -Re ds o , Approved Type g ., G' .P4 BUTTS 'COUNTY BUILDING bEPARTMENT LOAD BEAD ISG .A P...P R 0 VE D