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HomeMy WebLinkAbout072-050-008�� "ri rs i L R72-05-8OY MORICI live Hwy H.E. CLEARANCE l�QFi ROY MORICI � .72-05-8 Fj S ofOlive Hwy, app_200' Nof ngor Canal. rmit #3542-79E(ele ser ch & scw._ irinq) SF T IA*a� #�p"E 72-05-8 Permit X377,E(uti1�MH.) ELEC.g'ac���q S� GAS -UPPORT STRUCTURE REQ, COMPACTION TEST REQ. �Yyp A�41 9/_�_ Qq-- 72-0 -8i—_ Contr: Or -'I Trailer Sales Permit 1,,497 79MHI Issued —oZ -% t 0 y { a i r 1 1 �i 1� 1 4 I ti 1. ti.h i.4. ..� "'�.; - ".�. � .... ,i q' +' +� .t � • 35.4/2 -71? s` s 44,)a/10�9 HivV �r�r �0 Dili V€ v✓�- �' a Owner Mailing Address - COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS "County Center Drive Oroville, California 951,e£5 Telephone 534-4541 APPLICATION AND PERMIT Pelephone No. I _ BUILDING SQ. FT. F OCC. I BUILDING VALUATION Contractor ermit ee ELECTRICAL PERMIT FILING FEE 600V OR LESS Main service 100 AMP OR LESS Mailing Address Main service EA. AOD•L 100 AMP Fireplace Main service EA. ADD'L 100 AMP Total Valuation 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 CONSTR. -OUTLET NDN.R ESI D. 1 BRANCH CIRCUITS NEW CONSTR. (POWER APPARATUS 6 NON•RESID, (SINGLE OUTLET CIR. Telephone No. Permit Fee Temporary service Building Address Mobile Home Facilities License No. Classification Plan Checking Fee&/or Penalty Permit Fee Permit Fee PLUMBING No.1 @ FEE PERMIT FILING FEE J$3.00 Each Trap 1.50 Repair drainage or vent piping 1.50 A. P. No. Zoning & Planning Water piping 1.50 Each gas water heater or vent 1.50 Fees W.C. I Sanitation FireDept. FireZone Use Permit Gas piping system 1 - 5 outlets 1.50 EQA Parking Plans I Parcel Declaration Parcel Ma p 60' R/W Improvements p Each additional outlet .30 Building sewer 5.00 Bldg. Plans Recd I Parcel A roval Plans Approval Lawn sprinkler system 2.00 NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER ❑ P ' F @ 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. 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 above-mentioned property for inspection purposes. X Date Signature of Permitee or Agent Receipt No. White-D.P.W. - Yellow -Assessor - Pink -Inspector - Goldenrod -Applicant MECHANICAL PERMIT FILING FEE Heating Cooli $3.00 5.00 2.50 25.00 1.00 .50ea 2.00 10.00 15.00 6.25 @ $3.00 FEE Ventilation Hood 1 1 2.00 Permit Fee $ $ Land Development Fee $ TOTAL PERMIT FEE $ 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 PUBLIC WORKS By Date Building permit expires Date ermit ee ELECTRICAL PERMIT FILING FEE 600V OR LESS Main service 100 AMP OR LESS Single Family El Duplex ❑ Mobil Home ❑ Others ❑ Main service EA. AOD•L 100 AMP Main service OVER 600V 100 AMP OR LESS Main service EA. ADD'L 100 AMP NEW CONST. ( DWELLING OCCUP. 4 OR ADDNS, ACC. BLDGS. 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 CONSTR. -OUTLET NDN.R ESI D. 1 BRANCH CIRCUITS NEW CONSTR. (POWER APPARATUS 6 NON•RESID, (SINGLE OUTLET CIR. Ex. Occup{OUTLETS OR FIXTURE: Ex. OccupAPP( FIXED TS (RES. OR • OUTLETS (R ESI D.) EA Temporary service Mobile Home Facilities 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. ❑I certify that in the performance of the work for which this permit is issued I shall not employ any person in any manner so as to become subject to the Workmen's Compensation Laws of California. I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. X Date Signature of Permitee or Agent Receipt No. White-D.P.W. - Yellow -Assessor - Pink -Inspector - Goldenrod -Applicant MECHANICAL PERMIT FILING FEE Heating Cooli $3.00 5.00 2.50 25.00 1.00 .50ea 2.00 10.00 15.00 6.25 @ $3.00 FEE Ventilation Hood 1 1 2.00 Permit Fee $ $ Land Development Fee $ TOTAL PERMIT FEE $ 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 PUBLIC WORKS By Date Building permit expires Date COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS - 7 County Center Driv®—�3lroville, California 95965 y - 4 Telephone: 534-4541 APPLICATION AND PERMIT n Owner Mai I i ng Add Tel eohone No. Contractor Mai I i ng Address Telephone No. Building Address ` 14. / A. P. No. — ing & Pla�g S Fire Dept. Fire Zone Use Permit EQA Parking Parcel Parcel Ma 60' R/W Improvements Plans Declaration P p ovements B44., Plans R..�� I ___E2Lce1_AEprovaI I Plans Approval NEW P wADDITION ❑ / UTILITIES El -OTHER M �L Single Family I Duplex ❑ Mobil Home ❑ Others ❑ 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: BUILDING f 0Z SQ. FT. OCC. I BUILDING VZOATION Fireplace Total Valuation Permit Fee Plan Checking Fee &/or Penalty Permit Fee PLUMBING No. @ FEE PERMIT FILING FEE $3.00 Each Trap 1.50 Repair drainage or vent piping 1.50 Water piping 1.50 Each gas water heater or vent 1.50 Gas piping system 1 - 5 outlets 1.50 Each additional outlet .30 Building sewer 5.00 Lawn sprinkler system 2.00 Permit Fee $ $ ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 00V OR, Main service 100 AMP ORSLESS 5.00 IS7400 Main service EA. ADD'L 100 AMP 2.50 100 AMP O 25.00 Main service OVER P OR LESS Main service// EA. ADD'L 100 AMP 1.OD OR ADDNSNEW T 1 DWEACCLBLDGS.LING OCCUR. 6) 22 sq ft NEWCONSTR. MULTI.OUTL T NnN-RFSIn_ ( BRANCH CIRCUITS) 2.50ea Ex. OCCUP{OUTLETS OR FIXTIIR Ex. Occup. (FIXED ALNS. OU LETS P(RESID )RE Temporary service Mobile Home Facilities Misc. Wiring License No. Classification I am exempt from the Contractors License Laws of the State of California. Permit Fee WORKMEN'S COMPENSATION INSURANCE MECHANICAL PERMIT FILING FEE 1 am aware of the provisions of Section3700 of the California Labor Heating 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 Cooling Workmen's Compensation Insurance. 2.00 10.00 15.00 6.25 @ I FEE $3.00 I certify that In the performance of the work for which this Ventilation permit is issued I shall not employ any person in any manner so as to become subject to the Workmen's Compensation Laws of 1 Hood 2.00 California. 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 above-mentioned property for inspection purposes. 0111 X ,Date Si nature of Pe itee or Agent Rece t No. C� White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant Land Development Fee $ TOTAL PERMIT FEE $ 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 0,E PUBLIC WORKS By Date Building permit expires Date j�'—jam �(� s PERMIT NO.`^^tl 3777-79P.E 1 � PERMIT EXPIRES AY6 OWNER Roy Morici owner CONTR. LOCATION (A.P. M 72-05-8 E/S Olive Hwy, app.1200'N.of Old Olive Hwy, Oro • a f a ((t .i f i r x Temp. Power Pole ! Called PG&E Temp. Elec. Serv./Ll Called PG&E Temp. Gas Serv. _ E Called PG&E y JOB FINALED } (Date (S' ature) t 9. Electrical i A. Is service large enough to provide -adequate amperage- to mobilehome (must equal rating of mobilehome with a minimuin_.ofZo amp) and other facilities on lot, i.e., water pumps, garage, cabana, etc.? Yes f B. Is there proper clearances around panels? Yes 1, No_ C. Is power supply cord or feeder assembly properly fused? Yesk, No— D.�Is continuity test satisfactory as per the following procedure? Yes_,&ZN� 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. 10. Is job card signed by Health -Department for water and sanitation? 11. If everything okay, sign off card arid�tag services. MOBILEHOME DATA Manufacturer and/or Namestyle Length —re/y Width 2— Vehicle Serial No. State Identification No. / 5K Z.' --t Additional Information or Comments: MOBILEHOME "INSTALLATION INSPECTION CHECK LIST 1. "I's th)6 mobilehome located with conform to plot plan? Yesequired separation from lot lines and buildings and generally j_�1o_ 2. Does the mobilehome have required clearances above ground? (Sec.5085) Yesr Nc 3. Are footings and supports properly sized, spaced, and braced as pe approved plans? (Note possible variation at spring shackles.) (Sec. 5082 & 5083) Yeo_ 4. Is the mobilehome level? (Sec. 5088) Yes C./No 5. If mor han a single unit, are crossover connections properly installed? (Sec. 5088) Yes No 6. Water A. Is flex" le 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 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? YesNo � � 4 B. Does it have minimum 4" per foot slope and is it properly supported? Yes- ` No C. Are any leaks detected in drainage system after r ng 3 allons of water through each fixture including washing machine standpipe? Yes. No *f coach is not State of California approved, does station have required trap and vent? Yes No 8. s Piping and Gas Vents 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 d connector. Yes_ No B. Test OK as per following procedure? Yes_ No 1. Open all appliance connector valves. 2. Shut off appliance burner and pilot valves. 3. Air test with manometer to 10"-14" water column, or test with slope gauge (minimum 6oz.-maximum 8 oz.) calibrated in tenth pound increments. Test for 10 min. without drop. 4. Connect gas meter to mobilehome with connector, turn on gas, test connections with soapy water. C. Are all appliance vents properly installed? Yes_ No ----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 withthe requirements of the Catifor is Administrative Code, Title 25, Chapter 5, under permit number L% y79 for the following location:-W r1`� �" 4 + Owner1L�, Owner's Address �� i�L �-/ �` l/a �,1%��_ 11 • ��ya Mobilehome Mfg. Model —iZ� Year Insignia No. � ��/� 2 y' Serial No. f_ D/ 5_f� It is hereby certified for occupancy at the above described location and may be occupied. Director,,of Public Works Date By c:;,) THIS CERTIFICATE IS VOID WHEN�MOBILEHOME IS RELOCATED White - Owner, Yellow - Installer, Pink - D.P.W. Water H Subpant or wn X i Goo ng T mp. Pole nish Du is 111ndergroundy erkor Lath V ntilation erinanent oor Closer anal inal MOBILEHOM TILITIES------------------ Elec. Service Elec. Pedestal . Water Piping Sewer iZ —7 Gas Piping E O T ATION - -- - Support' Elec. Continuity Water Piping / Drainage Gas Piping P � g 00, DATE REMARKS OR CORRECTIONS vl� �-" .N 0 tfool�o 4 (NOTE: An entry must be made on this form each time you visit the job site.) COUNTY. OF BUTTE — DEPARTMENT OF PUBLIC WORKS , BUILDING INSPECTION, RECORD BUILDING BUILDING (Cont'd) PLUMBING S back FNrewaII Sok Piping FADS Pa ets 1s Ioor Ma Bldg. Rest om Finish 2nd oor F tins Windo 3rd FI r Ste wall - Siding To out Slab Roof SheaNhing Water Pk in Piers, Roofing Sewer Garage Fdn. Vents Fixtures Footings Stemwal I Garage Vents Insulation Water Htr. Heaters Slab Carport Footings Prov, for ph sical handicapedy Conformance of ex. structure V Appliances Gas Piping &Test Temp. Gas Slab Final Sanitation Patio IRE ACE Final Footings Footing LECTRICA Masonry Walls Throat Rough Reinf. Ste Final Fixtures Bond Be cioc cooivaei c& I.._._� Water H Subpant or wn X i Goo ng T mp. Pole nish Du is 111ndergroundy erkor Lath V ntilation erinanent oor Closer anal inal MOBILEHOM TILITIES------------------ Elec. Service Elec. Pedestal . Water Piping Sewer iZ —7 Gas Piping E O T ATION - -- - Support' Elec. Continuity Water Piping / Drainage Gas Piping P � g 00, DATE REMARKS OR CORRECTIONS vl� �-" .N 0 tfool�o 4 (NOTE: An entry must be made on this form each time you visit the job site.) COUNTYQF Bt•TTE - DEPARTMENT OF PUBLIC WORKS 7 Coumr Center Drrive—Oroville, California 95965 10 Telephone: 534-4541 APPLICATION AND PERMIT 0-2 ; %�- -2 authorize representatives of the County of Butte to enter upon the above -men a ned property for inspection purposes. X Lk,a, Date W Signature of Permitee or Agent Receipt No. Z's �Z lz) 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 0 PUBLIC WORKS By , , Date 6—a6 �!S Bfuilding permit expires Date C_7 -6 -pa BUILDING Owner ® G SO. FT. OCC. BUILDING A NATION Mailing Address o Telephone No. Contractor Mailing Address Fireplace Total Valuation Telephone No. Permit Fee Building Address �d� 4► V� Plan Checking Fee&/or Penalty Permit Fee 6 O� PLUMBING No.1 FEE PERMIT FILING FEE $3.00 - 0� Each Trap 1.50 V> UIL Repair drainage or vent piping 1.50 A. P. N.9. _.��'�� G Zoning & PI ning Water piping 1.50 Each gas water heater or vent 1.50 F s S n t n Fire Dept. Fire Zone Use Permit Gas piping system 1 -5 outlets 1.50 EOA Parking Plans Parcel Declaration Parcel M 60' R/W Improvements Each additional outlet .30 "Building sewer 5.007000 Bldg. Pans Recd Parcel royal Plans pproval Lawn sprinkler system 2.00 NEW ❑ ADDITION ❑ UTILITIES'X1JOTHER ❑ Permit Fee $ 41Z) $ j ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00'b Main service 600V OR LESS 5.00 ©� 100 AMP OR LESS Single Family ❑ Duplex ❑ Mobil Home Others ❑ Main service EA. ADD'L 100 AMP 2.50 Main service OVER 600V 25.00 100 AMP OR LESS Main service/ EA. ADD'L 100 AMP 1.00 NEW CONS.OR ADDNST C ACCLBLDGS,DWELING CCUP. Y� 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 st le of: Y NEW RE ID, RANCHULTI-OUTL T NON -REBID BRANCH CIRCUITS 2.50ea NEW CONSTR. (POWER APPARATUS 9 NON.RESID. SINGLE OUTLET CIR. Ex. Occup{OUTLETS OR FIXTURES 50 L:1 04 Ex. OCCU FIXED APPLNS. OR p•�OUTLETS (RESID.) EA) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 License No. Classification Misc. Wiring 6.25 I am exempt from the Contractors License Laws of the State of California. Permit Fee $ WORKMEN'S COMPENSATION INSURANCE 1 am aware of the provisions of Section3700 of the California Labor Code which requires every employer to be insured against liability for Workmen's Compensation. ❑I have placed on file with the County of Butte a certificate of Workmen's Compensation Insurance. I certify that in the performance of the work for which this permit is issued 1 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 J$3.00 Heating Cooling Ventilation Hood 2.00 I Permit Fee $ $ 1 certify that 1 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 $ S TOTAL PERMIT FEE $ -73 1,191 authorize representatives of the County of Butte to enter upon the above -men a ned property for inspection purposes. X Lk,a, Date W Signature of Permitee or Agent Receipt No. Z's �Z lz) 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 0 PUBLIC WORKS By , , Date 6—a6 �!S Bfuilding permit expires Date C_7 -6 -pa y COUNTY OF BUTjE`- DEPARTMENT OF PUBLIC WORKS ,s 7 County Center (Yrive — Oroville, California 95965 Telephone: 534-4541 APPLICATION AND PERMIT authorize represe tatIves of the County of Butte to enter upon the above-mentioned roperty for inspection purposes. X Date g —,7 Sicyt.re o0permitee or Agent Receipt No.G O " 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 a7bo which fees have been paid. .. D>IEEdTOR OF PUBLIC WORKS Date u -4_7 Building permit expires Date ��-�� BUILDING Owner 0 SQ. FT. OCC. BUILDING VALUATION Mai l i ng Address 7075_ F F. 5 - R - RoViuC Telephone No. Contractor e2901WUC 22r-41449 L Mailing Address F l� Fireplace Total Valuation Tele hone No. �� Permit Fee Building AddressPlan _ Q" Checking Fee&/or Penalty Permit Fee AJlc-- S p F (; IJVE 14W Y AR " ' PLUMBING No. @ FEE 6A?,4AJ:r�,@ A, R/ ++' ��77 1177VV Nt� PERMIT FILING FEE $3.00 Each Trao 1.50 l�Kl ✓%((C Repair drainage or vent piping 1.50 A. P. No. ,7- Zoning & Planning Water piping 1.50 Each gas water heater or vent 1.50 Wes 1 4.oCI ,Aon Fire Dept. Fire Zone Use Permit Gas piping system 1 -5 outlets 1.50 EQA Parking Pias Parcel Declaration IEach Parcel Map 60' R/W Improvements additional outlet .30 Building sewer 5.00 Bldg ans Recd Parceloval Plan r pro�vaall/ Lawn sprinkler system 2.00 NEW`„ ADDITION ❑ UTILITIES ❑ OTHER �Q permit Fee $ $ e giffinmc= ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 Main service 100V OR LESS 100 AMP OR LESS 5•00 Single Family ❑ Duplex ❑ Mobil Home,, Others ❑ Main service EA. ADD'L 100 AMP 2.50 Main service OVER 25.00 100 AMPP OR LESS O Main service EA. ADD'L 100 AMP 1.00 NEW CONST OR ADDNS. ACCLLING BLDGS�CUP. Y1 2¢sgft 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:Q/� r /X/1 V%%" NEW NON-RES,.,CO MULTI -OUTLET BRANCH CIRCUITS/ 2.50ea NEW CONSTR. (POWER APPARATUS 9 NON-RESID. SINGLE OUTLET CIR. Ex. Occup{OUTLETS OR FIXTIIRES B L;; FIXED APPLNS. OR EX. Occup. OUTLETS (RESID.) EA) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 FOp C D License No. �6/ 76� Classification Misc. Wiring 6.25 ❑ 1 am exempt from the Contractors License Laws of the State of California. Permit Fee $ $ WORKMEN'S COMPENSATION INSURANCE 1 am aware of the provisions of Section3700 of the California Labor Code which requires every employer to be insured against liability for Workmen's Compensation. I have placed on file with the County of Butte a certificate of Workmen's Compensation Insurance. ❑I certify that in the performance of the work for which this permit is issued I shall not employ any person in any manner so as to become subject to the Workmen's Compensation Laws of California. MECHANICAL No. @ FEE PERMIT FILING FEE $3.00 Heating Cooling Ventilation Hood 2.00 Permit Fee $ $ 1 certify that 1 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 DP p(1014t V $ 30 4D TOTAL PERMIT FEE 1$3010( authorize represe tatIves of the County of Butte to enter upon the above-mentioned roperty for inspection purposes. X Date g —,7 Sicyt.re o0permitee or Agent Receipt No.G O " 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 a7bo which fees have been paid. .. D>IEEdTOR OF PUBLIC WORKS Date u -4_7 Building permit expires Date ��-�� MOBILEHOME SUPPORT DATA If other than single wide, Mobilehome Mfr.'s/%furnish Setup Model No. 617. Year Width -2y, (ft.) Box Length / (ft.) Tagalong or Expando Size ft. x ft. - (SHOW SUPPORT DETAILS BELOW) On all mobilehomes manufactured after October 7, 1973,, furnish manufacturer's installation manual and structural setup sheets (if not on file with the County of Butte). All center supports measured from front of mobilehome unless otherwise specified. Footings (check one) Single 1. Wood either pressure treated or foundation grade. 0 e'l y .x .� (ft.)(in:) (in.) -(n.) 0 2. Other (specify) Center support Center support locations* footing sizes Supports (check one) • (in.) / 1: Concrete block. 2. Other (specify) (in.) (in.) -2G-�LL *-Tagalong or Expando, Sshow support details. ,010 (ft.)(in.) (in.) (in.) Typical Support (in.) (in.) Footing Size (ft.)(in.) (in.) (in.) ��`/ S// -- Max. Pier Spacing FFb �y x3� /> ��i -- Max. Overhang (ft.)I (in.) (in.) (in.) (ft.)(in.) BUILDING DEPARTMEN • APPROV *If center piers are other.than drawn above, draw in. -.locations, spacing, and dimensions. BUTTE COUNTY DEPARTMENT OF PUBLIC WORKS 7 County Center Drive, Oroville, CA. PHONE: 534-4541 0 MOBILEHOME INSTALLATION SHEET 1. Owner's name: 2. Installer's name: 3. Is the site currently under permit? Yes No / (If yes, furnish permit number ) OR o Is the site an existing site? Yes / / No/3Z71 (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? ----------------------- ��� Amps 6. What is the mobilehome site service rating? --------------------- 700 Amps 7. What is the mobilehome site circuit breaker rating? ------------- `,0 Amps 8. Is there any other electric load to be served by the mobilehome site service? --------------------------------------------------- Yes / / --Z;; No (If yes, identify the load and size: (Load) (Amps) 9. What is the mobilehome site gas pipe size? ---------------------- (in.) 10. What is the type of gas service? --------=-----------------=-- N . LPC., 1.1. What is the gas pipe length from meter or tank to the mobilehome. x (ft.) (BTU) 12. What is the mobilehome gas demand? ------------------------------ (This information not required if pipe length less than 6 ft. on natural gas or less than 50 ft. on LPG.) a AGRICULTURAL BUILDING Exemption from Permits ' _ a ILip a2i , Lner of the property located at (p ease print) VG. f --v-4 v VV ter! Assessor Parcel # ,intend to construct an agriculturaq-ZP� building on this property that is not subject to permits. Agricultural building is defined as follows: Agricultural building is a structure designed and constructed to house farm implements, hay, grain, poultry, livestock,•or other horticultural products. This structure shall not be a place of human habitation or a place of employment where agricultural products are processed, treated, or packaged, nor shall it be a place used by the public. I understand that if I change the use or occupancy of this building in the future, that I will be subject to the necessary permits, inspections, and approvals from the Butte County Building Department. Signature of Property Owner 4 Date / ii�� n4— 2