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HomeMy WebLinkAbout072-150-03072-15 yF�3�. Stewart Wiest /!3177 b N/S Mission i0'1 veRd. ,app. 2 mi.E.of Dunstone Rd., Wyanbtte Area pw.3 Permit X2991-77P,Vuti1. ,MH) G, ele&. GAS SUPP RT STRUCTURE REQ. GOPACTION TEST REQ. 416 9�11-�3/7���� GCon` trr. Gene Schmitt, Chico. i Permit #4315-77MHI Issued�9�j� i-2- contr: Panorama.MobiletHome Serv.,Chico Permit ;#4803-77B(uew covered decks & carports/MH) j6 /'Z—/ / 17-7 Yt' I " PERMIT NO. 4803-77B PERMIT EXPIRES DOWNER Stewart Wiest 1CONTR. Panorama MohileHomP Serviep Chic _o LOCATION (A.P. 72-15-16 ' NIS Mission Olive Rd., app.1/2 mi.E.of Dunstone r Rd., Wyandotte Area 4 r Temp. Power Pole Called PG&E Temp. Elec. Serv. Called PG&E T mp. Gas Serv. 4 Called PG&E JOB FINALED . (Date (Signa ure) COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS -BUILDING INSPECTION RICORD Interior Lath IL ING BUILDING (Cont'd) PLUMBING Setback 7 Firewall Soil Piping Forms Water Piping / Parapets 1st Floor Main Bldg. Support Restroom Finish 2nd Floor Footings Gas Piping Windows 3rd Floor j Stemwall / Sidinq To out Slab Roof Sheathing Water Pipingj Piers Roofing Sewer f Garage / Fdn. Vents Fixtures Footings Garage Vents Water Htr. Stemwall Insulation Heaters Slab Carport Footings Q- % Prov. for physically handica ed Conformance of x structure Appliances Gas Pi in &Test 1 Temp. Gas Slab Final Sanitation f Patio FIREPLACE Final Footings B Footing ELECTRIC41_ Masonry Walls Throat Rough Reinf. Steel Final Fixtures b Bond Beam Fift SPRINKLERS Motors 1 Framing Test Water Htr. i Stucco Final Subpanels Mesh MEC14ANICAL Grd. Fault Prot. Scratch Heating Service l Brown Cooling Temp. Pole Finish Ducts Underground Interior Lath Ventilation Permanent i 1 Door Closer Final Final MOBILEHOME UTILITIES ------------------ Elec. Service Elec. Pedestal L Water Piping Sewer Gas Piping MOBILEHOME INSTALLATION - - - - - - - - - - - - - - Support Elec. Continuity Water Piping Drainage Gas Piping DATE 1 R1 ,30 REMARKS OR CORRECTIONS 1. _ vz� (NOTE: An entry must be made on this form each time you visit the job site.) COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive — Oroville, California 95965 Tel eph-; ne: 53K-4541 APPLICATION AND PERMIT iA�� X77 Li w„cc represeniaU vca UI UIC UUUn Iy UI Buiiu io enter upon the above-mentioned property for inspection purposes. X Date .1 —1 S`-71 Signature Permi tee or Agent Receipt No. Oq X,� 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/PIBLIC WORKS BY L--1. Date_ 2 � • � % B 'ding permit expires Date BUILDING OwnerS SQ. FT. OCC. BUILDING VAL ATION Mailing Address Telephone No. Fireplace Contractor Di I i ` Total Valuation Mailing Address Zrti V Permit Fee Plan Checking Fee &/or Penalty ele hone No. \\ _ Permit Fee $ Building Address JyS /t6sitm 01 1 vp A&mmxPERMIT PLUMBING No.1 @ FEE FILING FEE J$3.00 lin , Each Trap 1.50 a �L a Repair drainage or vent piping 1.50 Water piping 1.50 nJ e- Each gas water heater or vent 1.50 A. P. N . a —J 6 Zoning $ Planning Gas piping system 1 - 5 outlets 1.50 Each additional outlet .30 Fbes WeC. S i ion Fire Dept. FireZone Use Permit Building sewer 5.00 EQA Parking Parcel Plans Declaration Parcel Ma P 6 R/W Im r p ov ents Lawn sprinkler system 2.00 Bldg s Recd Parcel Appro al PI s Approval Permit Fee $ $ NEW ADDITION ❑ UTILITIES ❑ OTHER ❑ ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 < O� S Main service 100v OR LESS 100 AMP OR LESS 5•00 �b Main service EA. ADO'L 100 AMP 2.50 Single Family ❑ Dup ex ❑ Mobil Home Others ❑ Main service 1100EAMP OR LESS 25.00 Main service EA. ADD'L 100 AMP 1.00 NEW CONS. DWELING OR ADDNST ( ACCLBLDGS.CCUP. &) 20sgft NEW CON5TR. MULTI.OUTLET NON.RESID. BRANCH CIRCUITS) 2.50ea NEWCONSTR. POWER APPARATUS & NON •RESID. (SINGLE OUTLET CIR. CONTRACTORS LICENSE LAW I am licensed under the provisions of Chapter 9, Div. 3, of the State of California Business & Professions Code under the name style of: i N46e.A.nnA Mt,(St� Porgy Sr.Adutc.F Ex. Occup(OUTLETS OR FIXTURES)BA@LL@25¢1 Ex. Occu FIXED APP LNS. OR P•(OUTLETS (RESID.) EA) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 License No._-tZ(o&QIqClassification C—�o ) 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. NI have placed on file with the County of Butte a certificate of Workmen's Compensation Insurance. lecertify 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. - 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 MECHANICAL No.1 @ FEEPERMIT FILING FEE $3.00 Heating Cooling Ventilation Hood 2.00 Permit Fee $ $ TOTAL PERMIT FEE $71-5- Li w„cc represeniaU vca UI UIC UUUn Iy UI Buiiu io enter upon the above-mentioned property for inspection purposes. X Date .1 —1 S`-71 Signature Permi tee or Agent Receipt No. Oq X,� 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/PIBLIC WORKS BY L--1. Date_ 2 � • � % B 'ding permit expires Date moi./ r I.OUNTY 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, Ch pter 5, under rmit number- '� —for the following location: 'Cwla / vwner vi,4 rw4V �(.,(-// & S/y Owner's Addressers r,tioo­r_ Mobilehome Mf Mode lv?'�ZX6 J!� Year 22 Insignia 1.ztszrG�erial NoZ&.57-A It is hereby certified for occupancy at the above described location and may be occupied. Dir for f Public Work Date B THI CERTIFICATE IS VOID WHEN MOBILEHOME 1 E CATED v` �i,., �{,/.•ti 7 w � . i��e'� `-�+A.. %a.:�t1.4'...� " ..v`Y� . !. s. � r:. � , t `..,+ iX � 7.." �` I i�► '... . 'BOUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS' 7 _COUNTY CENTER DRIVE OROVILLS, CALIF. - 534-4541 CERTIFICATE'OF OCCUPANCY This mobilehome has been installed in accordance with the requirements of the C hfornia Administrative Code, Title 25, Ch pter 5, under hermit number .� for the following location: <c C J i owner ti- ie-i,,(JTyr c..?//R s/ l✓ Owner's Address �5 Mobilehome Mfg 01/11 Modeln?4/X,/ 4/Year P7 Insignia NZ?1y,S , Q& - 4S%J6O- Serial Nol-&-!/'-A It is hereby certified for occupancy at the above described location and may be occupied. ' / Director bf Public Works Date' /7 7 BYi�'-' AHIS�CERTIFICATE IS VOID WHEN MOBILEHOME IVREL'O AC TED PERMIT NO. 2991-77P,E PERMIT EXPIRES r OWNER Stewart Wiest CONTR. owner X72-15-16 LOCATION (A.P. ) NIS Midsion Olive,app.2 mi.E.of Dunstone Rd., Wyandotte Area Q Temp. Power Pole Called PG&E Temp. Elec. SerV.C��p Called PG&E Temp. Gas Serv. ./ Called PG&E V OB FINALED 19 (D e COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORkS BUILDING INSPECTION RECORD BUILDING A BUILDING (Cont'd) A PLUMBING be%oaCK So Piping Fo s 1 Floor Ma Bldg. Finish NRoofShe-a'%Ing 2n loor tins 3rd or Ste wall Siding To out Slab Water P1 I Piers Roofing Sewer Garage Fdn. Vents Fixtures Footings Stemwa I I Garage Vents Insulation Water Htr. Jr Heaters Slab Carport Footings Y Prov. for physical handicapped Conformance of ex. structure Appliances Gas PI in 8 Test Temp Gas Slab Final Sanitation Patio FIRE ACE Final Footings Footing EIACTRICXL Masonry Walls Throat Rough Reinf. Ste Final Fixtures Bond Be FIRE SPRINKLE Motors framing Test Water Htr. ,f«tUCCO Final Q— Mesh/ MECHANICAL X Grd. Fafilt Prot. Scraf,ch Heatig X Servi B wn Co Ing mp. Pole nish D cts nder round I erior Lath entllation Permanent oor Closer Final Final MOBILEHOME UTILITIES - - - - - - - - - - - - - - - - - - Elec. Service Q —2(Q%Jof 10 —Elec . Pedestal 1 r9Q 2r--9—lo -7 Water Piping 2-C, Sewer Gas Piping L�'7 AOBILEHOME INST LATI N - - - - - - - - - - - - - - Support Elec. Continuit Water Piping /3 179 Drainagej2 A17 Gas Piping % 7> 144 DATE REMARKS OR CORRECTIONS w ,P (39/`�- JXjot (NOTE: An entry must be made on this form each time you visit the job site.) ti OP 9. Electrical A. Is service large ell.ollglt to provide adequate anipc:!rage to mobiloliome (must equal rating of mobilehome (vith j --:iin-h:1um of 100 amp) and other facilitiE!s on lot, i.e., water pumps, -inYe No—, cao, a , ctu." B is ther.� proper clearances around panels? Yes)( No C. Is power supply cord or feeder assembly 'properly. fused? Yes &- No_ D Is continuity test satisfactory as per the following procedure.? Yes 7�&_ No - wiring, syste,�-,i of the mobilehome at t 1. De -energize elc,ctrical the pedestal. 2. Make sure that the power supply cord or feeder assembly conduct . ors, 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 I pp,y Cori'Lictor, ilicILLding neuLral. J.ead to CaCil 11UU.L.Lt-_HU apply tine oLhoic e iii LL All non-ciirrent, 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 ser -vice equipment. A further continuity te<,-L shall then.be made between LEhle grounding electrode and the chassis of the. mobilehome. Upon satisfactory completion of thedlectrical tests, the lot or site service equipment may be approved for energizing. p t m 1,; job card signed by health Departmeat for water and sanitation? 1.1. If everything okay, sign off -card and tag, --services. MOBILE! : [OME' DATA Manuf acturer, and/or Namestyle —IS—/ &�e_ dre-S e r, .o Width 6 N' ehicle Serial No. -A Sta.te Identification No. (5-577 v_Y P.&ILtTonal Infol--mat-Jon or Commentq: iiOBI!,l?Ii0.tG R61'ALLA` B)N INSPECTION CHECK LIST 1. Is the mobilehome loc ited Nai.i_h required separation from lot lines and buildings and generally confor►n to plot plan? Yes X No 2, noes the mobile -home have required clearances above ground? (Sec.5085) Yes �j No 3. Are footin,s and supports properly sized, spaced, and braced as per approved plans? (Note possible variation at spring shackles.) (Sec. 5082 & 5083) Yes_ No_ 4. Is the mobilehome level.? (Sec. 5088) Yes No� 5. If more than a single unit, are crossover connections properly installed? (Sec. 5088) Yes No 5: Water A. Is flexible connector of adequate size and properly installed (1/2" ID min.)? (Sec. 5566) YesNo B. Test - Does water piping withstand working pressure or 50 lbs. air test? Yes -,,k No C. Backflow - If coach is not State of California approved, does station have backflow device and pressure -relief valve? Yes- No 7. Wastes and Drains A. is connection made with Schedule 40 DWV and have flex connectors at each end? Yes No B. Does it have minimum t," per foot slope and is it properly supported? Yes k, No C. Are any leaks detected in drainage system after running 3 -gallons of water through each fixture including washing machine standpipe? Yes No D. If coach is not State of California approved, does station have required trap and vent? Yes No 8. Gas Piping and Gas Vents A. Connector - Is mobilehome connected to the gas supply with an approved 3/4" minimum mobilehome connector not more than 6 ft. long? Note: All piping is to be at least as :large as the mobilehome gas line inlet without reductions other than the mobilehome 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? Yeses No COUNTY OF,PUTTE — DEPARTMENT OF PUBLIC WORKS 7 County Genter Drive — Orovi Ile, California 95965 Telephone: 534-4541 APPLICATION AND PERMIT •^ • •- �a.Y.v.�oi��aaivoa VI UIC %,0UHILY UI DULte w en(er upon the above-me�nytioned property for inspection purposes. X �2y Date 9? 7 7 Signature of Pe rmitte e or Agent Receipt No. White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR OF�BLIC WORKS BY Date �ZS-7 B ding permit expires Date �9— 71? BUILDING Owner SQ. FT. OCC. BUILDING VALUATION Mailing Address -. Telephone No. Fireplace Contractor41VX%h.V i Total Valuation Mailing Address 6 Permit Fee Plan Checking Fee &/or Penalty ele one ,-. Permit Fee Building Address (, .? LS PLUMBING No. @ FEE PERMIT FILING FEE $3.00 1 e Each Trap 1.50 Repair drainage or vent piping 1.50 Water piping 1.50 Yea Each gas water heater or vent 1.50 A. P. No. -14--Q Zoning 8 Planning Gas piping system 1 - 5 outlets 1.50 Each additional outlet .30 F s Sani n Fire Dept. Fire Zone Use Permit Building sewer 5.00 EQA Parking Plans Parcel Declaration Parcel Ma P 60' R/W Im provements Lawn sprinkler system 2.00 Bldg. Plan ° Parcel val PI pprovol Permit Fee NEW u ADDITION ❑ UTILITIES ❑ OTHER ❑ ELECTRICAL No. @ FEE PERMIT FILING FEE J$3.00 yo Main service 100 AMP OR111 OR LESS5.00 Main service EA. ADD•L too AMP 2.50 Single Family ❑ Duplex ❑ Mobil Home e� Others ❑ Main service OVER 600V 1100 AMP OR LESS 25.00 Main service EA. ADD•L too AMP 1.00 NEW CONST. DWELLING OCCUP. & OR ADDNS. ACC• BLDGS. ) 22sgft NEW CONSTR. MULTI -OUTLET NON.RESID. BRANCH CIRCUITS) 2.50ea NEW CONSTPOWER APPARATUS & NON_RESIR. D. (SINGLE OUTLET CIR. CONTRACTORS LICENSE LAW I am licensed under the provisions of Chapter 9, Div. 3, of the State of California Business & Professions Code under the name St le Of: Y _ ,/ G'rN k`7C/�' MI 7- 7— /77 I& R1 Vr Ex. Occup(OUTLETS OR FIXTURES)BALI @@( FIXED APPLNS. OR E x. Occup.(ouT LETS ( RESID,) EA) 2•00 Temporary service 10.00 Mobile Home Facilities 15.00 License No. 31o23A-3Classification �_ � � 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 Whave placed on file with the County of Butte a certificate of orkmen's Compensation Insurance. I certify that in the performance of the work for which this permit is issued I shall not employ any person in any manner so as to become subject to the Workmen's Compensation Laws of California. MECHANICAL No. @ FEE PERMIT FILING FEE $3.00 Heating Cooling Ventilation Hood 2.00 Permit Fee 1 certify that I have read this application and state that the aboveS- information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby �Q© TOTAL PERMIT FEE •^ • •- �a.Y.v.�oi��aaivoa VI UIC %,0UHILY UI DULte w en(er upon the above-me�nytioned property for inspection purposes. X �2y Date 9? 7 7 Signature of Pe rmitte e or Agent Receipt No. White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR OF�BLIC WORKS BY Date �ZS-7 B ding permit expires Date �9— 71? 5.51o.�J BUTTE COUNTY DEPARTMENT OF PUBLIC WORKS 7 County Center Drive, Oroville, CA, PHONE :. 534.-x#.541 MOBILEHOME INSTALLATION SHEET 1. Owner's name: S T)C- W q T W 1 7- 2. 2. Installer's name: (f E A S 0,4V m / 7" T rn/� .5 1 � � 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? ----------------------- Amps 6. What is the mobilehome site service rating? --------------------- 02 D Amps 7. What is the mobilehome site circuit breaker rating? ------------- / Amps 8. Is there any other electric load to be served by the mobilehome site service? ---------------------------=----------------------- Yes / / No7-777 (If yes, identify the load and size: (Load) (Amps) 9. What is the mobilehome site gas pipe size? ---------------------- - 3,1141_( in. 10. What is the type of gas service? ----------------------------- Natural// / LPG 11. What is the gas pipe length from meter or tank to the mobilehome? �/� (ft.) 12. What is the mobilehome gas demand? ------------------------------ �. , ra (Thisyinforiiiation;not required if pipe length less than 6 ft. on natural gas or less than~50 ft. on LPG.) (BTU) MOBILEHOME SUPPORT DATA Mobilehome Mfr. 5/4 VIE RCR S T- Setup Model No.�7 'e'1D -,W Year Width a �/ (ft.) Length 4 0 (ft.) Expando Size ft.x ft. (Draw 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). Sin le B!.; Footings (check one) 7✓ 1. Wood either pressure treated or Center Center Support fdn. grade. Support Footing Sizes Q LocationsQ (in.) / 2. Concrete pad. 0 /PZ x,30 I / / 3.. Other, specify (fes Cfi_ in•) tin.) (. -- - - -. - Supports (check one) t _ /�% 1. Concrete block 01 2. Concrete piers (ftp x (in) � (in•)(n) I 3. Steel piers 3 =5e'l � a S/X3 ®� j / / 4. Other, specify e� 4 �' -- Typical Support `� �_--X3D_I o2._)X Footing Size �a (fE.- in. N --7.. in.) Win.) k (in.)(in.) 4 I C11- Max. Pier Spacing f t in i117Mn . ) Max. I 1 - Overhang J. *If center piers are other than drawn above, BUTTE COUNTY dr2w in locations, spacing, and dimensions. p r BUILDING DEPARTKAq NT a4 �A APPROVED �y COUNTY OF BUTTE' — DEPARTMEN` OF PUBLIC WORKS C 7 County Center Drive — OroviIle, California 95965 Telephone: 534-4541 / APPLICATION AND PERMIT Owner J VJ ps -T Mailing Address v Ss- alt 1 Telephone 0 1 Contractor Mailing Address Telephone No. Building Address S S 0 U A. P. No Fe W. S ion Fire Dep t. FI re Zone Use Permit EQA Parking I Parcel parcel Ma 6 R/W Im ro ents Plans Declara I n p p Bldg. Plans Recd bf Parcel AVf'ro"v'0k Plas Approval NEW ❑ ADDITION ❑ UTILITIES fo OTHER ❑ Single Family ❑ Duplex ❑ Mobil Home 14 Others ❑ EOR MOBILES 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: License No Classification _ BUILDING SQ. FT. OCC. I BUILDING VALUATION Fireplace Total Valuation Permit Fee _ Plan Checking Fee &/or Penalty Permit Fee PLUMBING PERMIT FILING FEE Each Trap Repair drainage or vent piping Water piping Each gas water heater or vent Gas piping system 1 - 5 outlets Each additional outlet Building sewer Lawn sprinkler system Permit Fee - ZW 109 1 ELECTRICAL PERMIT FILING FEE Main service 6001 OR LESS 100 AMP OR LESS Main service EA. Al 100 AMP Main service OVER 600V 100 AMP OR LESS Main service EA. ADD'L 100 AMP NEW CONST. OR ADDNS. DWELLING OCCUP. & ACC. BLDGS. NEW CONSTR NON.RESID. (MULTI -OUTLET 1 BRANCH CIRCUITS NEW CONSTR. NON.RESID. POWER APPARATUS & SING E OUTLET CIR. $3.00 1.50 1.50 1.50 1.50 1.50 .30 5.00 2.00 $3.00 5.00 2.50 25.00 1.00 FEE . dLO FEE Ex. Occup(OUTLETS OR FIXTURES, - ZW 109 1 FIXED APPLINS Ex. Occup.( OUTLETS IIESID )RE A) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 , Misc. Wirina 6.25 0 I am exempt from the Contractors License Laws of the State of California. Permit Fee WORKMEN'S COMPENSATION INSURANCE MECHANICAL PERMIT FILING FEE I 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. 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 Hood 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. /1X Date :2/7-2 Signature 9IPermitee or Agent Receipt No. lo> ,22/� White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant @ FEE $3.00 2.00 $ `01v• /o tk I -RS c� TOTAL PERMIT FEE $ T27 v 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 UBLIC WORKS By Date %—/ — -7 7 Building permit expires Date 7—/— oti1 : IE::—All Ma ericsls & Workmanship Shall Be in AccorL-,.:ce wit nRc -cognized Good Practices and e? c. qu,7irty i-�re cribed for the Specified use in the Lor5arm Buiidi-'g Nurn'oinn & Mechanical Codes and Hationai Cle -klcal Code. Phis set of pans and spat; ions MUST bE kept on the job at all times and it is unlawful to ina,ke ..,ny chim . ?s or alterations on same without written perm'sa on from the Department'of Pub- lic Works, Cou ty, of Butte. ,qo Th e6Setback,shc side property line a+ centerline of the road rnum of a 2 ft. eave of out of all easements. Septic system Butte County gu`;�ernenfs. a Ao` will be required for the of the rhobilehome. 41cSSe-061 �g9lw All/utility connections shall be located within 4 ft. outside the rear third section of the mobile home on the left (road) side of the mobile horne. D hu 'I be 5 ft. from the 1 50 ft, from the permitting a maxi. :rhang but entirely to be as per th Dept. Re. 13UTTE COUNTY BUILDING DEPARTMENT APPROVED