HomeMy WebLinkAbout073-130-03373-13-33
Don Martine
NE/end of Richmont Ct., app.650'E.of
Richmont Dr., 900' .of Or Forbeston
Rd., lot 3, Orov'�
Permi #3054- it• )
a ELEC.
`
GAS
r SUPPOI S CTU REQ.
COMPACTION TEST REQ.
73-13-33
Permit#39416-81k E(replaces expired
permit#3054-80(u�{ lil, MH)
,ELEC_3 -_93 OLO'q Ag
GAS- 3- Z/- cT3 (00 31V'�Z-� �13•�.
COMPACTION TEST REQ /IZO 7
SUPPORT .,STRUCTURE RE�-
73-13-33
Permit#567-83MHI
LieIssued_ j/( /r3
073-130-033 PERMIT#957-0688
MARTINET Donald
55 Richmond Ct., Oroville '
-Cont: D_& D Mobile - q
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RESIDENTIAL
�. 073-130-033 PERMIT#95-0688
MARTINE, Donald
i 55 Richmont Ct., Oroville
Cont: D & D Mobile
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JOB FINALED (Date)
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8Ignature
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V=OK
O = Not OK
Not =
Not Ready MOBILE
MOBILE HOMES
Date/Initials MOBILE HOME UTILITIES (Plana) OK except #'a
1. Zoning Requirements -Setbacks -Easements
2. Soils; Special MH Support Sketch
3. Sewer; Location -Teat -Fall -C/O Concrete
4. Water; Location -Test -Easement Needed (Sketch)
5. Electricity; Location-Clearences-Grnd-/ /Amp -Concrete
6. Gas; Location -Test -Wrap: / /" L"ft.
/ /"Nat. or/ /" L" ft./ /"LPG
7. Well Clearance & Disconnect
8. Utility Clearance
Date/Initials MOBILE HOME INSTALLATION (Plans) OK except #'s
6i' 1. jZoning Requirements -Setbacks Easements
2. Footings; Size -Spacing -Marriage Line
✓3.. Gas; MH Test -Demand -Valve -Connector
Electricity; MH Test -Crossovers -Breakers -Clearances
rain; MH Test -Fall -Flex Connector
MH Test -Regulator -Connector
7. Water a ewer Connected -C/O to Grade -HD Approval
andricity Tagged
nsp: Sketch
of Occup cy
MISCELLANEOUS
Date/Initial DECKS, COVERS, CARPORTS, GARAGES, (Plans)OK except #'a
1. Zoning Requirements -Setbacks -Easements
2. Footings; Soils -Size -Depth -Spacing -Connectors -Steel
3. Decks; Griders and/or Joists -Decking -Bracing -Stairs -Rails
4. Wood Awn.; Posta-Beams-Rftrs:Connectors
Shthg: Rfg.-Bracing
5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures
6. Carports; Windows -Doors
7. Electric
8. Frmg; Sils-Anchors-Studs-Rftrs-Trusses
9. Siding; Nailing -Veneer -Stucco -Mesh
10. Roof; Shthg-Roofing
11. Ext.; Steps -Doors -Landings
Date/Initials POOLS (Plans) OK except #'s
1. Setbacks -Easements
2. Soils; Compaction -Structure Stability
3. Pool Structure; Steel -Connections -Thickness
Dead Men -Lining
4. Elec.; Receptacles and Lighting, Distances-GFI
5. Elec.; Pool Lighting; 15 volts-GFI
6. Elec.; Enclosures; Conduit Entries -Terminals -Listed
7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater
8. Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg.
Boxes-Enclosures-Pane Iboards- Ins. to Main in Conduit
9. Health Department Approval
10. Plumb.; Cir. Test -Water Supply Test
V=OK
O = Not OK
- = Not Applicable
' = Not Ready
RESIDENTIAL (Single & Duplex)
Date/Initials UNDERFLOOR (Plans) OK except #'s
1. Zoning -Setbacks -Easements -Flood -Slope
2. Ftg., Main; Soils-Elec. Grnd.-/ P' Ftg. Depth
3. Ftg., Garage; Soils-Steel-Elec. Grnd.-/ /" Ftg. Depth
4. Ftg., Porches & Decks; Soils -Steel-/ /Ftg. Depth
5. Stemwalls, Main; Steel-Blockouts-Wrapped
6. Stemwalls, Garage; Steel-Blockouts-Wrapped
6a. Hold Downs and Special Anchors
7. Slab; Steel -Wrapped
8. Piers -Fireplace Ftg.-Steel
9. D.W.V.; Fall -Fitting -Teat -2 Way C/O -Sewer Test
10. UF. Gas Pipe; Size -Anchors - yard gas piping: size -test
11. Water Pipe; Test -Anchor -Regulator -Service Test
12. Electric; Underground
13. Plenums & Ducts; Clearance -Materiel -Support -Ina.
14. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples
15. Access & Ventilation
16. Insulation
Date/Initials PLUMBING (Permit) OK except #'a
16. Water Htr.; Vent -Access -Combustion Air -Baffle
17. Water Pipe; Test & Anchor -Nail Protection
18. D.W.V.; Test -Fittings & Anchor -Nail Protection
19. Shower Pan; Test, First Floor -Tub Access
20. Test Tub & Shower, Second Floor -Tub Access
21. Gas Pipe; Size & Anchors
Date/initials ELECTRICAL (Permit) OK except #'a
22. Fixture & Transformer Clearance -Ins. Protection
23. Elec. Receptacles Spacing -Lights & Switches at Doors
24. Size Boxes & No. of Conductors -Stapled
25. Romex Installed Close to Edge of Studs & C.J.
26. Equip. Ground made up w/Meth. Fastners-Bond Gas & Water
27. 2 Appliance Circuts in Kitchen & Conductor Size/GFI
28. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga.
Cu or Al
29. Range Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or Al.
Insulated Neutral ❑ Yes ❑ No
30. Service -Riser Conductors & Ground -Main Disconnect
31. Equip. Clearances Panels -Motors -Meth. Equip.
32. Clothes Closet Light -Shower Light -Spa Light
33. Smoke Detector
Date/Initials MECHANICAL (Permit) OK except #'s
34. A.C. Ducts Insulation & Support
35. Vent Fan; Exhaust above insulation
36. Condensate Drain & Overflow; Size & Grade
37. Furnance-Vent; Access -Comb. Air -Return Air Vent -115 outlet
38. Attic Access & Platform if Furnance in Attic
Date/Initials FRAMING (Plans) OK except #'a
39. Sils, Proper Material & Anchors
40. Walls Studs -Nailing, Spacing & Bracing -Plates -Sound
41. Bearing Walls over Girders & Floor Nailing
42. Draft Stop in Wells (ret proof)
43. Fire Stops; Furred Ceilings -Stairs -Chases -Tub
44. Headers & Beam -Size & Bearing
Date/Initials FRAMING (Continued)
45. Hangers -Post Caps -Anchors -Connectors
46. Ong. Joist-Rftr. ties-Purlin-roof Brac-Truss-Shthng.-Rfng.
47. Fireplace Ties or Type A Flue -Fireplace Throat clearance
48. Attic Access; Size & Romex Protection -Draft Stop -Ina. Baffles
49. Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions
50. Garage Fire Protection Framing
51. Property Line Firewall & Openings
52. Ext. Doors -One 3' -Check Garage -3rd Story, 2 Exits
53. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection
54. plywood on Roof Overhang -Attic Vents -Rafter Outriggers
55. Siding -Nailing Veneer
56. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access
57. Glazing Area -Glass Protection -Skylights -Plastic
58. Shear Walls; Nailing -Bolts
59. Insulation -Walls -Ceilings
60. Infiltration -Wells -Windows
Date/Initials FINAL (Plans) OK except #'a
61. Ext. Steps -Door & Sidelight Protection -Landings
62. Smoke Detector
63. Furnace; Vents -Clearance -Comb. Air -Connector -
In Garage; Above Floor -Ducts -Mach. Protection
64. Bedroom Exiting
65. G.F.I. & Bath Fixtures & Tub Access -Spa
66. Elec. Trim & Subpanel; Breaker Sizes & Labels
67. Stairs & Rails
68. Fireplace or Stove; Clearances -Hearth
69. Elec. Outlets at Wood Panel; Int. & Ext.
70. Kit.Fixt. & Appliance; Grnd -Air Gap -Cooking Clearance
71. Elec. Outlets & Receptacles at Kit. Counter
72. Garage Fire Door; Swing -Landing -Closer
73. A.C. Duct in Garage -Damper
74. Wtr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V.
In Garage; Above Floor -Mach. Protection
75. Plb., Elec. & Mach. Equip. Listed for Location
76. Elec. Receptacles in Garage; (G.F.I.)-Romex Protection
77. Insulation -Foam -Looked in Attic ❑ Yes
78. Guard Rails & Deck Construction -Post Caps
79. Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth
Clearance Looked under Floor ❑ Yes
80. Following instld.; Drive ❑ Yes ❑ No; Walks ❑ Yes ❑ No;
Planters ❑ Yes ❑ No
81. Stucco; Brown -Finish
82. A.C. Unit; Disconnect, Electrical, Plumbing
83. Vents Above Roof; Plbg.-Appliance-Fireplace-Clearance to
Openings
84. Water Well; Disconnect, Electrical, Plumbing
85. Exterior Elec. Trim; G.F.I. Receptacle -Underground
86. Ventilation Throughout House
87. Glass Protection
88. Corrections from Previous Inspections
89. Gas Test -Meters Tagged; Gas -Electric
90. Water & Sewer Connected -C/O to Grade -HD Approval
91. Energy Compliance Certificate -Other Certificates
Comments at Final:
COUNTY OF BUTTE- DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISION 04
-•- 7 County Center Drive - Oroville, California 95965 - Telephone (916) 538 -75,, -,,. PERMIT NO.
APPLICATION•AND'PERMIT
ASSESSOR PARCEL NUMBER
73-130-033
ZONING
A5
BUILDING PERMIT
OWNER
DONALD MARTINE
TELEPHONE
589-4489
SO. FT. OCC. BUILDING VALUATION
OWNERS MAILING ADDRESS
55 RICHMOND CRT OROVILLE
CONTRACTOR'S NAME
D & D MOBILE H9111ES
TELEPHONE
532-3303
CONTRACTORS MAILING ADDRESS
2243 FEATHER RIVER BLVD OROVILLE
Fireplace
CONSTRUCTION LENDER
UNI(NOWN
Total Valuation $
LENDER'S MAIUNG ADDRESS
Filing Fee $ 20,00
Permit Fee $
ARCHITECT OR ENGINEER
LICENSE NO.
Plan Checking Fee $
Energy Plan Checking Fee $
ARCHITECT OR ENGINEERS MAILING ADDRESS
Penalty $
BUILDING ADDRESS
55 RICHMOND CRT
PERMITFEE $
OROVILLE
PLUMBING PERMIT Filing Fee 20.00
Each Trap 7.00
LOT NO.
SUBDNISION'S NAME
PARCEL MAP
Solar or heat pump water heater 23.00
USEOFSTRUCTURE
SF ❑ Duplex ❑ Mobilehome YJ Other
SPECIFY
Water piping 15.00
Each gas water heater or vent 15.00
Gas piping system 1 - 5 outlets 15.00
Building sewer 15.00
TYPE OF WORK
New ❑ Addition ❑ Remodel ❑ Ublities ❑ Installation ❑ Other ❑
Describe Work: REPLACE i1IH WITH NEW (EXST SITE)
3 � �
Mobile Home I S I GI W 1 920.00
PERMITFEE $
Contractor
ELECTRICAL PERMIT Filina Fee 20.'00
Main Service 000V OR LESS
( 2ooA OR LESS ) 23.00
Main Service ( 200A To I000A ) 46.00
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter
9 (commencing with Section 7000) of Division 3 of the Business and Professions Code,
and my license is in full force and effect.
License Class 27 Lic. No. / 111,5-2
OWNER -BUILDER DECLARATION
1 hereby affirm under penalty of perjury that I am exempt from the Contractors License
Law for the following reason:
❑ I, as owner of the property, or my employees with wages as their sole compensation,
will do the work, and the structure is not intended or offered for sale.
❑ I, as owner of the property, am exclusively contracting with licensed contractors
to construct the project.
❑ 1 am exempt under Sec. Business and Professions Code for this
reason
NEW CONST. DWELLING OCCUP. SO.
OR ( 8 ACC. BUDS. ) 3.50 FT.
CNS.
NEW CONST./ MULTI.OUTLET
NON-RESID. \ BRANCH CIRCUITS ) @7.50
( 8 POWER APPARATUS
SINGLE OUTLET CIR. /
Ex. Occup.( OUTLET OR FD(TURES) 200 1.00
BAL .50
EX. Occup. FIXED (RE ISIS o.�ea)
OUTLETS 5.00
Temporary Service 23.00
Mobile Home Facilities 20.00
Misc. Wiring 23.00
PERMITFEE s
Contractor
WORKERS' COMPENSATION DECLARATION
1 hereby affirm under penalty of perjury one of the following declarations:
❑ 1 have and will maintain a certificate of consent to self -insure for workers'
compensation, as provided for by section 3700 of the Labor Code, for the
performance of the work for which this permit is issued.
„k I have and will maintain workers' compensation insurance, as required by Section
3700 of the Labor Code, for the performance of work for which this permit is issued.
My workers' compensation insurance carrier and policy number are:
Carrier 7,-A.) I t
MECHANICAL PERMIT Filing Fee 20.00
9
Heating
Cooling
Hood 6.50
Ventilation
PERMITFEE $
Contractor
Policy Number IV 3 7 o2 66,0
(The above sections need not be completed if the permit is for work of a valuation
of one hundred dollars ($100) or less.)
❑ 1 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 workers'
compensation laws of California, and agree that if I should become subject to the
workers' compensation provisions of section 3700 of the Labor Code, I shall
forthwith comply with those provisions.
X � Date '�Z /Q —9 S_
Signature of Applicant - ❑ Owner Contractor ❑ Agent
An OSHA permit is required for excavations over 60" deep and demolition or construction
of structures over 3 stories in height.
Mobile Home Installation Fee $
Energy Inspection Fee $
OCC
CONST. TYPE
TOTAL FEE $ 14
HAZ.
I D. F
IMP FLOOD
CDF
PARCEL PD
ISS
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.
By Da
PERMITEXPIRESON 7 �o
I Date)
Receipt No. 175$46
WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT
k
5 :ik9? ice.
s
MOBILEHOME INSTALLATION ACCEPTANCE,
COUNTY 00 BUTTE''t
f ,
DEPARTMENT OF DEVELOPMENT SERVICES
BUILDING DIVISION --7 COUNTY CENTER DRIVE
OROVILLE, CA 95965PHONE(916) 538-7541
,P
APN: `� —130—o33
PERMIT NO.: � 66499'
Owners:
Name: Q
nn J
41 AP— -/ 1
..
Owners:
Address:
121 c /u jr
Mobilehome
Manufacturer � L. F
_
0010
Year of Q ��
Manufacture: l
Serial number
17 A
) ,
( "7HUD
Insignia or y y� /,, q
of V `� b 7 `r
or V.I.N.
I
number:
V
Official appro�in instal alio
/'
"
Date:
If the mobilehome is moved or relocated, the mobilehome installation, acceptance shall' ecome invalfid. This form shall
v.,
not be used when the mobilehome is installed on a foundation system.
513B , White -Owner, Yellow -Installer, Pink -Bldg., Gold -Assessor
COUNTYOF BUTTE - DEPARTMENTOF DEVELOPMENT SERVICES -BUILDING DIVISION
7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA95965 -TELEPHONE (916) 538-7541
PERMIT APPLICATION DATA SHEET
OWNER
Proposed Building Use 4FIPLA
-A. P. o. %3-130-a-33
Building Inspector Date O 1
At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance:
DATE RECEIVED By
1. All items have been submitted . ........................................
2. Plot plans, 3/4 sets, signed by preparer of plans. ......................... .
3. Complete plans, 3/4 sets, signed by preparer of plans . ......................
4. Engineered plans and calcs, 3/4 sets, with wet signature on plans . .............
5. Hazardous Material Form . ........................................... .
6. Energy Design Compliance and supporting documentation . ..................
7. Statement of Intent for Non -Heated and A/C Buildings . ......................
8. Engineered truss details and layout in duplicate (required prior to plan check). ... .
9. Mobilehome data and manufacturer's installation instructions, 2 sets . ...........
`f//'S/Y
Fees of $
Impact fees as shown on attached schedul /AUL. �,,t/l�
12. California Department of Forestry plan approval/fees. ....................... .
13. Flood elevation letter (100 year flood) by California Engineer. ........ :::: ; ; ;
14. Sanitation and plot plan approval ak zL Health Department. .
15. City of Chico plumbing permit . .........................................
16. Plot plan and,business license approval from City of Biggs/Gridley. .............
17. Planning approval for (A) Use: (B) Parking:
18. Contact Land Development about (A) Improvements (B) Drainage. ..........•.
19. Driveway permit (construction approval required prior to occupancy). ..
-Pns-Inspection re.q.uet
20. Pre -inspection for required. . to Building Inspector (Date)
21. Contractor's license information. (No., Name Style, Classification) . ..............
22. Certificate of Workmans Compensation Insurance . ..........................
23. Owner -Builder Verification (Given to owner , Mail to owner _). .......... .
24. Recorded copy of Agricultural Acknowledgement Statement . ..................
25. Letter of signature authorization . ........................................ .
26. Copy of recorded deed of parcel creation and 60 right of way to a public road. .... .
27. Letter of intent on building use . .........................................
28. Mobilehome utility clearance . ..........................................
29. Documentation of legal access . ..................... :..................
30. Documentation of 50% subdivision developed or (A) Road improvements completed f
and (B) Parcel meets zoning area and frontage requirements . ...............
31. Existing violations/expired permits . ...................................... T-
32. Plan h k list.
33. 7DDulti....../ ............................... .
When u issue the permit, process as follows: Mail to owner. Mail to contractor.
Telephone and hold for pickup at office.
Deliver with inspector.
Other
M« Parcel Creation
Acreage Applicant
Date
Copy of Haz-Mat form sent Health Dept. Fire Dept. ,Air Pollution Date
Copy of plans sent Health Dept. Fire Dept. Other Date
By
The following data must be submitted prior to permit issuance: (Circle new item not checked above).
1. Index permit for above items No.
2. Additional items required:
Contractor, designer, owner, was advised of above required data by _ phone _ mail
Counter by _ Date
Contractor, designer, owner, was advised of above required data by _ phone -mail
Counter by _ Date
Plans checked by Date Plans approved by
Date -/
Sets of plans on hold in File cabinet AP folder
q q% qs
Copy - Department of Public Works
TO: Building Department
FROM: Environmental Health
SUBJECT: Sanitation Clearance
R.H. USE ONL
Plat Plen AWched
Floor Plan Attached
Sect to B.A / �� 1L l�r
. r
M(U-17At(.f-
OwnerLocation
Plan Approved for: Sewage Disposal L//- Water Supply: Public _
Clearance for bedroo mob' holier
73 -- /:Z, -0-?-3
APS
Private Well
Final
Environmental Health
8/92
Date
'te"'a P `�
7_1
I UTTE CQUNTY
School District
,CT FEE CECTIFIbATION FORM
ar Building)
Buildind Department
A.P. Number 73-13_at93-3 Jurisdiction city D? I County
Property Owner 06%44,12
41,44771V&,
Property Location/Address
0 k --D
Subdivison
Lot No.
Residential Development
Sq. Footage /7/D
No. of Living
Units
IVIHI
Addition (Group R)
tA c; 5,
Commercial/Industrial
Sq. Footage
New
Addition (Includina Exterior
Roofed Areas)
A7
(Floor Plans reviewed by School District Personnel)
District Identification No.
&���--School District certifies-tha,.
a, (Applicafit)
(Street Address) (Phone Number)
Y's- 9 49
Cal
(City) -(Sfa—te) (Zip Code)
kas complied with the. requirements of Rewluti . on No. 3 -9 V -lo by payment of $
representing 7/ D —square feet. 0 Check here if fee received represents TuU Mitigation".
School District Representative
Paid by Check # Remarks:
Bank Number
Paid by Cash
/ I
4/
Date
If, subsequent to the School District Representative signing this Butte County Schools Impact Fee
Certification Form, the School District is notified by the applicable Local Planning Agency that this project
is being reviewed under the California Environmental Quality Act (CEQA), this project may be subject to
additional school fees to fully mitigate its impact on the school district's schools.
White (applicant), Yellow (building department), Pink (school district)
t
feeformmki (4/94)
P HN E R
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MASTER LIVING ROOM 15,-e°x
BEDROOM ; CE/tW� 2a-1o°xir-6° '
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I APPR�
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MODEL 5663D
3 BEDROOMS, 2 BATHS
APPROX. 1,710 SO. FT.
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D & D MOBILE HOMES
2243 Feather River Blvd. BY FLEETWCOD.m
Oroviile, CA 95965
(916) 532-3301 sC/17/JUN94
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TIEDOWN CERTIFICATION
iii
Installation Permit Number:
Property Owner's Names li o ti Md X LME
Address or Location of Units
Assessor's Parcel Number: D
Manufacturer's Name: �' e- e14 Wonel Size: Z 6 b- G
.5 e.4i � 3
Year of M/H: /SSS Tiedown System Number:
I certify that those portions 'of' the tiedown system installed below
grade (1) were not damaged prior to or as a result of the
installation, (2) were not. modified prior to or during the
installation, and (3) were installed in accordance with the terms
of their listing or with the terms of the engineered plans and
specifications.
Signature Date
Print Name
e-
PERMIT NO. 3946-81P,E(MH)
PERMIT EXPIRES�[Q��� _.
f --
OWNER DON MARTINE
CONTR. owner
ASSESSOR PARCEL 73-13-J& 33
LOCATION NE end Richmont Ct, 650' E Richmont
F(�, 6- -
5
p 5y
? Temp. Power Pole
r
Called PG&E G
Temp. Elec. Service
Called PG&E dvo��
Temp. Gas Service
Called PG&E
' JOB FINALED (Date)
f
Signature
COUNTY OF BUTTE
DEPARTMENT OF PUBLIC WORKS 7 COUNTY CENTER DRIVE
OROVILLE, CALIF. - 534-4541
CERTIFICATE OF OCCUPANCY
This mobilehome has been installed in accordance with the requirements
of the California Administrative Code, Title 25, Chapter 51 under permit
number i r- for the following location:, 44 r 4'4A5 7-
Owner,
Owner's Address e-,,
Mobilehome Mfg. if /%,*' / Model �' f� Year 7!7
Insignia No. +// Serial No. f --e)
It is hereby certified for occupancy at the above described location and
may be occupied.
Direct`) f Public Works
/
Date / 1 - Y ' B li. „ &ye
THIS CERTIFICATE IS VOID WHEN MOBILEHOME IS RELOCATED
White - Owner, Yellow - Installer, Pink - D.P.W.
J o OK
0 = NotOK
— = Not .Applica6le
* = Not Ready
MOBILEHOMES
I
MISCELLANEOUS
Date
MOBIL"OME UTILITIES (Plans) OK except N's
Date
DECKS, COVERS, CARPORTS, ETC. (Plans) 6,, Jxcept f+
on' Requirements—Setbacks—Easements
1. Zoning Requirements—Setbacks—Easements14171�
oils; Special MH Support—Sketch
2. Footings; Size—Depth—Spacing—Connectors
. Se r; Location—Test—Fall-C/0—Concrete
_
3. Decks; Girders and/or Joists—Decking—Bracing—Stairs—Rails
F; Location—Test—Easement Needed (Sketch)
4. Wood Awn.; Posts—Beams—Rftrs.—Connec.—Shthg.—Rfg. -Bracing
lectricity; Location— arances—Grnd.-4pDO/ Amp—Concrete
5. Alum. Awn.; Columns—Connections—Splice—Decal—Enc:us:,res
as; tion —Wrap:/ /"L"ft./ P'Nat.or' "L" ft. LPG
6. Carports; Windows—Doors
tility Clearance
7. Elec.
4, w eA- �
-----
C BIate
�?-'�_?—p and -BI Date
Card -BI
Date Card -BI Date
Card -BI
Date Card -BI Date
Card -BI
_
Date Card -BI Date
Date
MOBIIV}46ME INSTALLATION (Plans) OK except N's
Date
POOLS (Plans) OK except ff's
Zoni quirements—Setbacks—Easements
1. Setbacks—Easements
61<6-1 ize—Spacing—Marriage Line
2. Soils; Compaction—Structure Stability
s est—Demand—Valve—Connector
3. Pool Structure; Steel—Connections—Thickness—Dead Men—Lining
lectricit H Test—Crossovers—Breakers—Clearances
_
4, Elec.; Receptacles and Lighting; Distances—GFI
5, n- Test—Fall—Flex Connector
5. Elec.; Pool Lighting; 15 volts—GFI
ater; M t—Regulator—Connector
6. Elec.; Enclosures; Conduit Entries—Terminals—Listed
7 er apd-eewer Connected—C/O to Grade—HD Approval
7• Elec.; Bonding; Metal w/5'—Circulating Equipment—Heater
s and Electricity Tagged
8. Elec.; Grounding; Equip, w/5'—Circulating Equip.—Pool Lghig.
Boxes—Enclosures—Panel boards—Ins. to Main in Conduit
9. Exit�nsp.—Sketch
10—'15ert. of Occupancy
9. Health Department Approval
10. Plumb; Cir. Test—Water Supply Test
C I
to Card -BI Date
Card -BI
Date Card -BI Date
Card B -I
Date Card -BI Date
Card -BI
Date Card -BI Date
J = OK
0 = Not OK r
- = Not Applicable RESIDENTIAL (Single and Duplex)
* = Not Ready -
Date
UNDERFLOOR Plans OK exce t#'s
Date
FRAMING (Continued)
1.
Zoning requirements -Setbacks -Easements
48.
Property Line Firewall & Openings
2.
Ftg., Main; Soils-Steel-Elec. Grnd.- / /" Ftg. Depth
49.
Ext. Doors -One 3' -Check Garage -3rd story, 2 exits
3.
Ftg., Garage; Soils -Steel- / /" Ftg. Depth
50.
Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection
4.
Ftg., Porches & Decks; Soils -Steel- / /" Ftg. Depth
51.
Plywood on Roof Overhang -Attic Vents -Rafter Outriggers
5. Stemwalls, Main; Steel-Blockouts-Wrapped-Slab
52.
Siding -Nailing -Veneer
6.
Stemwalls, Garage; Steel-Blockouts-Wrapped-Slab
53.
Stucco Mesh -Drip Screed-Fdn. Vents-Underflr. Access
7. Piers -Fireplace Ft .-Steel
54.
Glazing Area -Glass Protection -Skylights -Plastic
_
8.
D.W.V.: Fall -Fittings -Test -2 way C/O -Sewer Test
55.
Shear Walls; Nailing -Bolts
9. Gas Pipe; Size -Anchors
10.
Water Pipe; Test -Anchors -Regulator -Service Test
11.
Electric; Underground
12.
Plenums & Ducts; Clearance -Material -Support -Ins.
13.
Girders -Sills -Anchor Bolts -Joists -Vents -Cripples
Card -BI
Date Card -BI Date
Card -BI
Date Card -BI Date
Card -BI
Date Card -BI Date
Card -BI
Card -BI
Date Card -BI Date
Date Card -BI Date
Date
FINAL (Plans) OK except N's
Date
_
PLUMBING (Permit) OK except If's
Water Ht.; Vent -Access -Combustion Air
56.
Ext. Steps -Door & Sidelight Protection -Landings
57.
Smoke Detector
58.
59.
Furnace; Vents -Clearance -Comb. Air -Connector -
In Garage; Above Floor-Ducts-Mech. Protection
Bedroom Exiting
__14.
15. Water Pipe; Test & Anchors -Nail Protection
16. D.W.V.; Test-Fttngs & Anchors -Nail Protection
17.
Shower Pan; Test, First Floor -Tub Access
60.
G.F.I. & Bath Fixtures & Tub Access
18.
Test Tub & Shower, 2nd Floor -Tub Access
61.
Elec. Trim & Subpanel; Breaker Sizes -Labels
_
19.
Gas Pipe; Size & Anchors
62.
Stairs & Rails
- -
-
-
63.
Fireplace or Stove; Clearances -Hearth
64.
Elec. Outlets at Wood Panel; Int. & Ext.
Card -BI
Date Card -BI Date
65.
Kit. Fixt. & Appliance; Grnd.-Air Gap -Cooking Clearance
Card -BI
Date Card -BI Date
66.
Elec. Outlets & Receptacles at Kit. Counter
Date
ELECTRICAL Permit OK except N's
67.
Garage Fire Door; Swing -Landing -Closer
68.
A.C. Duct in Garage -Damper
20.
Fixture & Transformer Clearance -Ins. Protection
69.
Wtr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V.-
In Garage; Above Floor-Mech. Protection
21.
Elec. Receptacles Spacing -Lights &Switches at Doors
70.
Plb., Elec. &Mech. Equip. Listed for Location
22.
Size Boxes & No. of Conductors -Stapled
71.
Elec. Receptacles in Garage; (G.F.I.)-Romex Protec.
23.
Romex Installed Close to Edge of Studs & C.J.
72•
Insulation -Foam -Looked in Attic ❑ Yes
-
24.
25.
Equip. Ground made up w/Mech. Fasteners -Bond Gas & Water
2 Appliance Circuits in Kitchen &Conductor Size
73.
Guard Rails & Deck Construction -Post Caps
74.
Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance
Looked under Floor ❑ Yes
26. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga. Cu or At
27.
Range Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or Al,
r
Insulated Neutral • ';Yes []No
75.
Following instld.: Drive Yes No; Walks
g ' ❑ ❑ ❑Yes ❑ No;
Planters ❑Yes 0 N
28.
Service -Riser Conductors & Ground -Main Disconnect
76.
Stucco; Brown -Finish
_
29.
Equip. Clearances; Panels-Motors-Mech. Equip.
77,
A.C. Unit; Disconnect-Clrnces-Brkr. & Cond. Size -115V Outlet
_
30.
Clothes Closet Light -Shower Light
78.
Vents Above Roof; Plbg.-Appliance-Firepl.-Clearance to Opngs.
-----------------
79.
Water Well; Disconnect, Electrical, Plumbing
Card B -I
__-
Date_ Card -BI Date
80.
Exterior Elec. Trim; G.F.I. Receptacle -Underground
81.
82.
Ventilation throughout House
Glass Protection
-
Card B -I Date Card -BI Date
Date
MECHANICAL (Permit) OK except q's
83.
84.
_
Corrections from Previous Inspections
Gas Test -Meters Tagged; Gas -Electric
31.
A.C. Ducts; Insulation & Support
85.
Water & Sewer Connected -C/O to Grade -HD Approval
32.
33.
Vent Fan; Exhaust above Insulation
Condensate Drain & Overflow; Size & Grade
86.
Energy Compliance Certificate -Other Certificates
_
- - -
34. --Furnace-Vent;
35.
- -----
Access -Comb. Air -Return Air Vent -115V outlet
Attic Access & Platform if Furnace in Attic
-
Card -BI
Card -BI
_
Date - - Card -BI _ Date
Date Card -BI Date
Card -BI
Date Card -BI Date
Card -BI
Date Card -BI Date
Card -BI
Date Card -BI Date
Date
FRAMING(Plans)
OK except N's
Comments at Final:
36.
37.
38.
39.
40.
Sills; Proper Material & Anchors
Walls; Studs -Nailing, Spacing _& Bracing -_Plates_ -Sound
Bearing Walls over Girders & Floor Nailing
Draft Stop i_n_Walls _(rat proof)
Fire Stops; Furred Ceilings -Stairs -Chases -Tub
_
_
41.
42.
43.
44.
45
46.
47.
Header & Beam -Size & Bearing
Hangers -Post Caps -Anchors -Connectors
Cing. Joist-Rftr. Ties-Purlin-Roof Brac.-Truss-Shthng.-Rfnq.
Fireplace Ties or Type A Flue -Fireplace Throat
Attic Access; Size _& Rom ex Protection -Draft Stop -Ins. Baffles
Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions___
Garage Fire Protection Framing
(NOTE: Anentrymust be made each time youvisit jobsite)
,COUNTY OF BUTTE - DEF"ARTWENT OF PUBLIC WORKS PERMIT NO.
- 7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541
APPLICATION AND PERMIT
ASSESSOR PARCEL N MBER ZONING
:7.3_1_1 5 BUILDING PERMIT
OWNTELEPH SQ. FT. OCC. BUILDING VALU N
`P-
OWN R'S MAILING DDRESS
J � S
NT ACTO 'SNAM TELEPHONE
CONTRACTOR'S MAILING ADDRESS
Fireplace
CONSTRUCTION LENDER UNKNOWN
Total Valuation $
LENDER'S MAILING ADDRESS Filing Fee $ 10,00
Permit Fee $
ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ o
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Penalty $
Permit fee $
�VLDING ADDRESS . PLUMBING PERMIT Filing Fee 10.00
V fJ � <+
= (� Each Trap 2.00
T t Repair drainage or vent piping 5.00
6111 A _ Water piping
LOT NO. SUBDIVIS13,?N NAME PARCEL MAP' Each qas water heater or vent 5.00
Gas piping system 1 - 5 outlets
USE OF STRUCTURE Building sewer
SF ❑ Duplex❑ Mobilehom4KOther Lawn sprinkler system 5.00
SPECIFY
TYPE OF WORK Permit Fee $
New ❑ Addition � Remodel Q Utilities E:l� Instal lation9? Other ❑ Contractor
Describe work: 4# ELECTRICAL PERMIT Filing Fee 10.00
.Main service 600V OR LESS
100 AMP OR LESS 5.00
�e. Main service EA. ADD'L 100 AMP 2:50
NEW CONST. (DWELLING OCCUP.D1) 20 sq
OR ADDNS. ACC. BLDGS. I
COWRACTORS LICENSE La
NON-RESID R BRANCH CIRCUITS 2.50 ea
I declare under penalty of perjury (check one): NEw CONSTR. (POWER APPARATUS &I
NON-RESID• SINGLE OUTLET CIR.
❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Business EX. Occup OUTLETS OR FIXTURES_ 50025
and Professions Code and my license is in full force and effect. FIXED APPLNS, OR
icense No. Classification Ex. Occup.(
OUTLETS (RESID.) EA. 2.00
as the owner, or my employees with wages as their sole compen- Temporary 'service 10.00
sation, will do the work,and the structure is not intended or offered Mobile Home Facilities 15.00
for sale. (Sec. 7044) Misc. Wiring 7.50
❑ I, as the owner, am exclusively contracting with licensed contract-
ors. (Sec. 7044)
❑ I am exempt under Sec. , Business and Professions Code Permit Fee $
for this reason Contractor
WORKMEN'S COMPENSATION INSURANCE MECHANICAL PERMIT Filing Fee 10.00
I declare under penalty of perjury (check one): Heating
❑ The permit is for $100.00 (valuation) or less.
❑ 1 have placed on file with the County of Butte Building Department Cooling
a Certificate of Workmen's Compensation Insurance or a Certificate
of Consent to Self -Insure. Hood 3.00
�I shall not employ any person in any manner so as to become subject Ventilation
to the W. C. laws of California.
Notice to Applicant: If after making this statement, should you become subject permit Fee $
to the W. C. provisions of the Labor Code, you must forthwith comply with such
provisions or this permit shall be deemed revoked. Contractor
1 certify that I have read this application and state that the above information Mobile Home Installation Fee $
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. TOTAL PERMIT FEE $ U ,0_ D_
I also agree.1to save, indemnify and keep harmless the County of Butte against OCCOP. GROUP I TYPE OF CONST. PARCEL PD I ND ISSU
all liabi•i S judg nts costs, and expenses which may in any way accrue
againstAai,d Cou in o6nseguence of the granting of this permit..
X Date This permit is hereby issued under the applicable provi-
sions of the Butte County Code and/or resolutions to do
Signature of Applicant — OwnerP�r Contractor ❑ Agent ❑ work indicated above for which fees have been paid.
An OSHA permit is required for excavations over 5'0" deep and demolition or construct- DIR TOR OF UBLIC WORKS
ion of structures over 3 stories in height.
Receipt No. hg / Sl' By. Date
PERMIT EXPIRES Date
WNITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT
ASSESSOR PARCEL N MBER ZONING
:7.3_1_1 5 BUILDING PERMIT
OWNTELEPH SQ. FT. OCC. BUILDING VALU N
`P-
OWN R'S MAILING DDRESS
J � S
NT ACTO 'SNAM TELEPHONE
CONTRACTOR'S MAILING ADDRESS
Fireplace
CONSTRUCTION LENDER UNKNOWN
Total Valuation $
LENDER'S MAILING ADDRESS Filing Fee $ 10,00
Permit Fee $
ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ o
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Penalty $
Permit fee $
�VLDING ADDRESS . PLUMBING PERMIT Filing Fee 10.00
V fJ � <+
= (� Each Trap 2.00
T t Repair drainage or vent piping 5.00
6111 A _ Water piping
LOT NO. SUBDIVIS13,?N NAME PARCEL MAP' Each qas water heater or vent 5.00
Gas piping system 1 - 5 outlets
USE OF STRUCTURE Building sewer
SF ❑ Duplex❑ Mobilehom4KOther Lawn sprinkler system 5.00
SPECIFY
TYPE OF WORK Permit Fee $
New ❑ Addition � Remodel Q Utilities E:l� Instal lation9? Other ❑ Contractor
Describe work: 4# ELECTRICAL PERMIT Filing Fee 10.00
.Main service 600V OR LESS
100 AMP OR LESS 5.00
�e. Main service EA. ADD'L 100 AMP 2:50
NEW CONST. (DWELLING OCCUP.D1) 20 sq
OR ADDNS. ACC. BLDGS. I
COWRACTORS LICENSE La
NON-RESID R BRANCH CIRCUITS 2.50 ea
I declare under penalty of perjury (check one): NEw CONSTR. (POWER APPARATUS &I
NON-RESID• SINGLE OUTLET CIR.
❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Business EX. Occup OUTLETS OR FIXTURES_ 50025
and Professions Code and my license is in full force and effect. FIXED APPLNS, OR
icense No. Classification Ex. Occup.(
OUTLETS (RESID.) EA. 2.00
as the owner, or my employees with wages as their sole compen- Temporary 'service 10.00
sation, will do the work,and the structure is not intended or offered Mobile Home Facilities 15.00
for sale. (Sec. 7044) Misc. Wiring 7.50
❑ I, as the owner, am exclusively contracting with licensed contract-
ors. (Sec. 7044)
❑ I am exempt under Sec. , Business and Professions Code Permit Fee $
for this reason Contractor
WORKMEN'S COMPENSATION INSURANCE MECHANICAL PERMIT Filing Fee 10.00
I declare under penalty of perjury (check one): Heating
❑ The permit is for $100.00 (valuation) or less.
❑ 1 have placed on file with the County of Butte Building Department Cooling
a Certificate of Workmen's Compensation Insurance or a Certificate
of Consent to Self -Insure. Hood 3.00
�I shall not employ any person in any manner so as to become subject Ventilation
to the W. C. laws of California.
Notice to Applicant: If after making this statement, should you become subject permit Fee $
to the W. C. provisions of the Labor Code, you must forthwith comply with such
provisions or this permit shall be deemed revoked. Contractor
1 certify that I have read this application and state that the above information Mobile Home Installation Fee $
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. TOTAL PERMIT FEE $ U ,0_ D_
I also agree.1to save, indemnify and keep harmless the County of Butte against OCCOP. GROUP I TYPE OF CONST. PARCEL PD I ND ISSU
all liabi•i S judg nts costs, and expenses which may in any way accrue
againstAai,d Cou in o6nseguence of the granting of this permit..
X Date This permit is hereby issued under the applicable provi-
sions of the Butte County Code and/or resolutions to do
Signature of Applicant — OwnerP�r Contractor ❑ Agent ❑ work indicated above for which fees have been paid.
An OSHA permit is required for excavations over 5'0" deep and demolition or construct- DIR TOR OF UBLIC WORKS
ion of structures over 3 stories in height.
Receipt No. hg / Sl' By. Date
PERMIT EXPIRES Date
WNITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT
AP # 7 '
.
OWNERV,,.';ti ?/% A—)t 7k
PERMIT'�k
MH UTIL.CL N E DATEf'474- 6 3A
INSPECTOR
Z, I
-b*. IT9010,__ -
ELECTRIC
GAS
Support
Struc.
Compaction
Test. eq.
Service
Size
-Other
Load
Tvpe
Pipe
Size
Length
YES NO
YES NO
f
COUNTY OF BUTTE - DEP'AR1'MENT OF PUBLIC WORKS
7 County Center Drive - Oroville,'Californna 95965 - Telephone 916/534-4541
APPLICATION AND PERMIT
PERMIT NO
Adme AA
ASS SSOR PARCEL NUMBER
— /
ZO ING
Xr
BUILDING PER
OWN EM
TELEPHONE
S0. FT. OCC. BUILDI UATION
OWNER'S MAILING AD RESS
eo
CONTRACTOR'S NAME
TELEPHONE
CONTRACTOR'S MAILING ADDRESS
CONSTRUCTION LENDER E
UNKNOWN
Fireplace
Total Valuation $
LENDER'S MAILING ADDRESS
Permit Fee
$
ARCHITECT OR ENGINEER-
a� C
LICENSE NO.
Plan Checking Fee
$
Penalty
$
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Permit fee
$
BUIL ING ADDRE s
ILLc cT Gso
PLUMBING PERMIT
Filing Fee 3.00
�p
Each Trap
2.00
Repair drainage or vent piping
2.00
Water piping
,0
LOT NO.
SUBDIVISION NAMEPARCEL
MAP
p g'— 5_p
EachEach qas water heater or vent
2.00
Gas piping system 1 - 5 outlets
Ori
USE OF STRUCTURE
SF ❑ Duplex[] Mobilehome"V Other
SPECIFY
Building sewer
Lawn sprinkler system
2.00
TYPE OF WORK
New El Addition❑ Remodel❑ Utilities;K Installation❑ Other [_1
Describe work: —
Permit Fee
$
Contractor
ELECTRICAL PERMIT
Filing Fee 3.00
Main service 100 AMP OR00V OR LESS5.00
Main service EA. ADD—L'100 AMP
rv�
2.50NEW
CONST.
OR ADDNS. ( DWEACCLBLDGS.LING CCUP,&)
22 sq ft
CONTRACTORS LICENSE LAW
I declare under penalty of perjury (check one):
❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Business
and Professions Code and my license is in full force and effect.
License No. Classification
I, as the owner, or my employees with wages as their sole compen-
sation, will do the work,and the structure is not intended or offered
for sale. (Sec. 7044)
❑ I, as the owner, am exclusively contracting with licensed contract-
ors. (Sec. 7044)
❑ I am exempt under Sec. , Business and Professions Code
for this reason
NEW CONSTUT
NON-RESID R BRANCH CIRCTITS) 2.50 ea
NEW CONST R. / POWER APPARATUS &+
NON-RESID. %SINGLE OUTLET CIR. /
Ex. Occup(OUTLETS OR FIXTURES BAL@1
AL�10c
FIXED APPLES. OR ``
Ex. OccU P•(ouTLETs (RESID.) EA./ 2.00
Temporary service 10.00
Mobile Home Facilities 15.00 00
Misc. Wiring 6.25
W��` ZZ (35
Permit Fee $ 27 rS_'C�
Contractor
WORKMEN'S COMPENSATION INSURANCE
1 declare under penalty of perjury (check one): I
❑ The permit is for $100.00 (valuation) or less.
❑ I have placed on. file with the County of Butte Building Department
a Certificate of Workmen's Compensation Insurance or a Certificate
of Consent to Self -Insure.
1 shall not employ any person in any manner so as to become subject
to the W. C. laws of California.
Notice to Applicant: If after making this statement, should you become subject
to the W. C. provisions of the Labor Code, you must forthwith comply with such
provisions or this permit shall be deemed revoked.
MECHANICAL PERMIT
Filing Fee 3.00
Heating
Cooling
Hood
2.00
Ventilation
permit Fee
$
Contractor
I certify that I have read this application and state that the above information
is correct. I agree to comply to all County Ordinances and State Laws relating
to building construction, and hereby authorize representatives of the Countyot
Butte to enter upon the above-mentioned property for inspection purposes.
I also agr save, indem fy and keep harmless the County of Butte against
all liab' (ti s, jud m nts, osts, and expenses which ma in A�anywayaccrue✓/again S d CoI a ence o the granting o Is iX Date 2,e
ne
Signature of Applicant — car J Contractor EJ
An OSHA permit is required for excavations over 5'0" deep and demolition or construct-
ion of structures over 3 stories in height.
Mobile Home Installation Fee $
Land Development Fee $
TOTAL PERMIT FEE $
OCCUP. GROUP
TYPE OF CONST.
P,121
PD
HD
ISSUE
This permit is hereby issued under
sions of the Butte County Code and/or
work indicated above for which
DIRECTOR OF UBLIC
By
PERMIT EXPIRES Date
the applicable provi-
resolutions to do
fees have been paid.
WORKS
Date '~ f
~
Receipt No. I.3 ? O Ste%
WHITE-D.P.W., YELLOW-ASSESSOR,PINKPINK-INSPE� GOLDENROD -APPLICANT
BUTTE COUNTY.DEPARTMENT OF PUBLIC WORKS
7 County Center Drive, Oroville, CA.
PHONE: 534-4541
MOBILEHOME INSTALLATION SHEET
y
1. Owner's name:
2. Installer's name:
3. Is the site currently under permit? Yeh/ / No
(If yes, furnish permit number 05-0 2 0 -39 `/40)) OR t
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
(Thisfinformation not red if pipe length less than 6 ft.
or less than 50 on LPG.)
x/641
gas .
(If
no,
clarify
)
5.
:What
is
the
mobilehome electrical rating? -----------------=-----
Amps
6.
What
is
the
mobilehome site service rating? ----------
c�- ® 0 Amps
7..
What
is
the
mobilehome site circuit breaker rating?
------------- Amps
S.
Is there
any other electric load to be served by the
mobilehome
siteservice?
---------------------------------------------------
Yes No
(If
yes, identify the load and size:
(Load) o2Z) (Amps)
----------------------
%'T (in.)
9.
What
is
the
mobilehome site gas pipe size?
10.
What
is
the
type of gas service? -----------------------------
Natural /7 LPG 75�7_
11.
What
is
the
gas pipe length from meter or tank to the mobilehome? 0 (ft.)
12
What
is
the
mobilehome gas demand? ------------------------------
770CC7�7(BTU)
(Thisfinformation not red if pipe length less than 6 ft.
or less than 50 on LPG.)
x/641
gas .
MOBILEHOME SUPPORT DATA
n If other'than single wide,
Mobilehome Mfr._
1_ �1-t_ furnish Setup Model No. Year 70
Width 1 -- (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.
(ft.)(in:) (in.) (in.) 2. ,Other: (specify)
Center support Cent support
locations* foot ng sizes Supports (check on
n.) 1: Concrete block.
•2: Other,. (specify)
(ft.)(in. (Fn)=(in.)
II
(ft.)(in.)
I I
(ft.)(in.)
I - I
(ft.) (in.)
*--Tagalong or Expando,'
show support details.
in. in.
/ - x 30 -- Typical Support
(in. (in.) Footing Size
x
( in.) (in.) j-' G" -- Max. Pier Spacing
(ft.)(in.)
L_x_J
(in.)I (in.)
*If center piers are other than drawn above,
:draw im-locations, spacing, and dimensions.
p4/,,,,j. .-- Max. Overhang
(ft..)(in.) - I113
BUTTE COUNTY
BUILDING DEPARTMENT
APP1?.n\/FD.
P C ' SAitq N4knAlt
130X 465.1, w,S, g,
A
dR0 ✓/«E, C*c/f i 1 4
073 - l3-" 0 , 33-0
tans and specifications MUST Ge
This set of plunl'swful +0ans
kept on the job at r+l! tic'�ess and o 'yam without
make any changes or czlt�r �...s
written permission from the Department of Public
Works, County of Butte.
WEL4 K
ep,M,-r M
'Fi'fF '*%
POWER
t�.
pA0
4100'-+ 4- SFp'nC
TANK
�oPt�y
- W
6
6 S3.3 -C � —�►
7-
,S CAF
w
Loc�fTi oN nt�9
NOTE:—All Materials & Workmanship Shall Be in
Accordance with Reconmized Good Proc •ices and
use in the
of a 'quality prescribed 'Lor 8c hrJigcha ified Codes and
Uniform Building, Plumbing
fhe National Electrical Code.
Utility connections shall be within
4 ft. of :he rnobilehome, either
directly behind or within the rear
half of the roadside (left) of the
mobilehome.
A percout wig 6e required for the
S Y installation of the mobilehome
A setback of 5 ft. from the
Property lines and a setback
�
1 .., .....,�. civ _ � , ^� centerline shall be clear of
��y Sly structure, or equipment excepf
for a 2 ft- eave ov7rhan
Rwa WILL
6o OvOEHE+o Tb
pstM0 NoksC C f" MX
IW OJ u,u,JEX &;Q0 "MA M
&--PidT*i. BdOq'eF"e 13DX
�`f4���
�e BUTTE COUNTY
O BUILDING DEPARTMENT
'APPROVED
PERMIT NO. 3054-80P,E
i
PERMIT EXPIRES
Don Martine
I OWNER
CONTR. owner
_ e
n LOCATION (A.P._1�_�R )
NE/end of Rthmont Crt ,app.650'E.of 'i4Richmont
Dr., 900'N.of Oro Eorbestown Rd., Oroville
,OFFICE COPY
AddressroJT
Temp. Power
Called PG
Temp. Elec. S
Called PG
Temp. Gas Se
Called PG
JOB _
FINALED
(Date)
(Sign ture)
COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS
BUILDING INSPECTION RECORD J
BUILDING
BUILDING (Cont'd)
PLUMBING
Seack
F ewall
Sok Plping
For4
PApets
is Floor
Mai Bldg.
Restr om Finish
2nd Xloor
Fo ins
Windo
3rd Fi`kor
Stem all
Siding
To out
Slab
Roof Sheabong
Water Pi in
Piers
Roofing
Sewer
Garage
Fdn. Vents
Fixtures
Footings
Stemwa I I
Garage Vents
Insulation
Water Htr.
Heaters
Slab
Carport
p
Footings X
Prov. for physical)
handica ed
Conformance of ex.
structure
Appliances
Gas Piping & Test
Temp. Gas
Slab
Final
Sanitation
Patio
VREPOICE
Final
Footin s
FootingEL
CTRICA
Masonry Walls
Throat
Rough
Relnf. Steel
Final
Fixtures
Bond Beam
FIRE SPRINKLERS
Motors
Framing
Test
Water Htr.
Stucco
Final
Subpanels
Meshl
MECHANICAL
Grd. Fau Prot.
Scra h
HeatlnA
Service
B n
Coo g
. Pole
F ish
Du is
3Te
Ude round
In rior Lath
V ntilation
errnanent -
or Closer
anal
final
MOBILEHOME UTILITIES ------------------
Elec. Service
Elec. Pedestal
Water Piping
Sewer
Gas Piping
E OME 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.)
• COUNTY OFBUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO.
' 7 County Centerri)rive - 6roville, California 95965 - Telephone 916/534-4541
APPLICATION AND PERMIT
nA
ASSESSOR PARCEL NUMBER ZONIN ,7S
BUILDING PERMIT
OWNERTEL PHON
SQ. FT. OCC. BUILDING VALUATION
OWNER' AILING ADDRESS
a %` �� `/� {�
f%V a J s
CONTRACTOR'S hrAME TELEPHONE
CONTRACTOR'S MAILING ADDRESS
Fireplace
CONSTRUCTION LENDER
"
UNKNOWN
Total Valuation $
Filin g Fee
$ -4Q-90--
LENDER'S MAILING ADDRESS
Permit Fee
$
ARCHITECT OR ENGINEERLICENSE
NO.
Plan Checking Fee
,b' r,to
Penalty
$
ARCHITECT OR ENGINEER'S MAILING ADDRESS
�--
Permit fee
$ �((�
BUILDING ADDRESS
PLUMBING PERMIT
Filing Fee 10.00
T
_A0JV)11rJ/ 6s -,b 17tit
Each Trap
2.00
Repair drainage or vent piping
5.00
I
Water piping
r0'0
LOT NO.
SUBDIVISION NAME
PARCEL MAP
-
Each qas water heater or vent
5.00
Gas piping system 1 - 5 outlets
o,W
USE OF STRUCTURE
SF El Duplex ❑ Mobilehome® Other
SPECIFY
Building sewer
7(j
Lawn sprinkler system
5.00
TYPE OF WORK
New ❑ Additiop Remodel ❑ Utilities 0 I st�l. tion❑ Other ❑
Describe work: l - �— �'
'
Permlt,Fee
$ , D
Contractor
ELECTRICAL PERMIT
Filing Fee 10.00
Main service 100V OR LESS
100 AMP OR LESS
�00 If
Main service EA. ADD'L 100 AMP
2:50 LQ
NEW CONST. DWELLING OCCUP.5j)
OR ADDNS. ACC. BLDGS. I
20 sq
CONTRACTORS LICENSE LAW
I declare under penalty of perjury (check one): ❑
I am licensed under provisions of Chapt. 9, Div. 3 of the Business
and Professions Code and my license is in full force and effect.
icense No. Classification
ff--,-, as the owner, or my employees with wages as their sole compen-
sation, will do the work,and the structure is not intended or offered
for sale. (Sec. 7044)
❑ I, as the owner, am exclusively contracting with licensed contract-
ors. (Sec. 7044)
❑ I am exempt under Sec. , Business and Professions Code
for this reason
NEW CONSTR -OUTL T
NON -REBID BRANCH CIRC ITS
2.50 ea
NEW CONSTR ( POWER APPARATUS 6 J
NON-RESID. SINGLE OUTLET CIR,
ExOccup OUTLETS OR FIXTURES
.
a � �
ITLEXED APPLNS. OR
Ex. QCCUp.�OUTLETS (RESID•) EA.)
2.00
Temporary service
10.00
Mobile Home Facilities
15.00 /6; 00
Misc. Wiring
7.50
�76I
00
Permit Fe
$
Contractor
MECHANICAL PERMIT
FiIirig Fee 10.00
WORKMEN'S COMPENSATION INSURANCE
I declare under penalty of perjury (check one):
❑ The permit is for $100.00 (valuation) or less.
❑ I have placed on file with the County of Butte Building Department
a Certificate of Workmen's Compensation Insurance or a Certificate
Consent to Self -Insure.
shall not employ any person in any manner so as to become subject
to the W. C. laws of California.
Notice to Applicant: If after making this statement, should you become subject
to the W. C. provisions of the Labor Code, you must forthwith comply with such
provisions or this permit shall be deemed revoked.
Heating
Cooling
Hood
3.00
Ventilation
permit Fee
$
Contractor
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 authorize representatives of the Countyot
Butte to enter upon the above-mentioned property for inspection purposes.
I also agre o save, indem if and keep harmless the County of Butte against
all liabi ' i judg ntsosts, and expenses which may in any way accrue
agains sa' Coun in c sequence of the granting of this permit.
�r
X Date
Signature of App icant — Owner � Contractor ❑ Agent ❑
An OSHA permit is required for excavations over 5'0" deep and demolition or construct-
ion of structures over 3 stories in height.
Mobile Home Installation Fee $
TOTAL PERMIT FEE $
OCCUP. GROUP
TYPE OF CONST.
IPARCELI
PD ND
ISSUE
This permit is hereby issued under
sions of the Butte County Code and/or
work indicated above for which fees
DIRECTOR PUBLIC
BY
PERMIT EXPIRES Date
the applicable provi-
resolutions to do
have been paid.
WORKS
Q j
Date � �v
Receipt No. 6_67 L13
WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT
�COUNTY OF BUTTE - Department of Public Works
7 County Center�Drive, Oroville, CA. 95965 Phone: 916-534-4541
OWNER -BUILDER VERIFICATION.
Attention Property Owner:
An "owner -builder" building permit has been applied for in your nameand bearing
your signature.,
Please complete and return this information in the envelope provided at your
earliest opportunity to avoid unnecessary delay in processing and issuing your build-
ing permit. No building permit will be issued until this verification is received:
1. I personally plan to provide the major labor and materials for construction
of the proposed property improvement (yes or no) VQ S
2.' I (have/have not) / A J ( signed an application for a building
permit.for the proposed work.
3. I have contracted with the following person (firm) to provide the proposed
construction: /
Name -
4.
Address City
Phone Contractors License No.
I plan to provide pox
person to coordinate,
Name
Address
Phone
5. I will provide some of t
persons to provide the w
Name Addres
S ign
of this work, but I have hired the following
mise, and provide the major work:
C ity
ontractors License No.
work but I have contracted (hired) the following
indicated:
Phone ''Type of Work
Social Security number '
Date /0 — /`7— R/
NOTE: This Owner -Builder Verification is sent to you as required by Sections 19831
and 19832 of the California Health and Safety Code.
This verification must be completed and returned to our office before we are
permitted to issue the permit.
i
• COUNTY OF BUTTE,- DEPARTMENT OF PUBLIC WORKS - BUILDING DIVISION
7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE: 916/534-4541
PERMIT APPLICATION DATA SHEET
OWNER
Proposed Building Use-
Building
se_
Permi t. No,
A. P. No.
Permit Fee Based Upon: Complete Contract Price DPW Valuation
her (Explain)
Building Inspector
Date 10—/ q- ? /
At time of permit application, .I was advised the following data must be submitted prior to,permit processing
and�/IS'SUance: DATE RECEIVED APPROVED
1. All items have been submitted. . . . . . . . . . . .
2. Plot plans in duplicate/triplicate. . . . . . . . . . .
3. Complete plans in duplicate. /triplicate. . . . . . . .
4. Complete engineered plans and calcs. . . . . . . . . .
5. Plans with Energy Design Compliance Statement. . . . . .
6. State Energy Forms No.
7 Statement of Intent for Non -Heated and AC Buildings.
8. Fees of $ . . . . . . . .
9. Letter of signature authorization. . . . . . . . . . .
10. Sanitation approval from Health Dept. . .
11. Planning approval for (A) Use: (B) Parking: .
12. Certificate of Workmen's Compensation Insurance. . . . . .
13. Contractor's License Information (no., name style, classif.)
14. Owner -Builder Verification (Given to owner❑, Mail to owner ❑ )
15. Improvements may be required. . . . . . . . . . . .
16. Mobilehome Installation Data. . . . . . . . .
Pre-Insp17. Pre -I ection for Required. Building
request to (Date)
sp q Building Inspector
i` OtherV — Id i A
When you issue the permit, process as follows: Mail to owner. Mail to contractor.
Telephone and hold for pickup at office. Deliver w/inspector.
Other ./ /
Applicant/�A!Q1 1l" -OZ14 DateZ� �
u
Copy of plans sent Health Dept., Fire Dept., Other Date
During the plan checking process, the following data must be submitted prior to permit issuance.
(For required items not checked above at time of application, circle item.)
1. Index permit for above Items No.
2. Additional items required:
(Contractor, Designer, Owner) was advised of above required data by Telephone Mail Other
By
Plans checked by-
Plans
y_Plans approved by
Other
Copy—DPW
Date
Date
Date
_.,
Return to DPW
AGRICULTURAL STATEMENT OF ACKNOWLEDGEMENT
FOR RESIDENTIAL DEVELOPMENT
Section 26-8.1 of the Butte County Code requires this acknowledgement
Abe recorded prior to issuance of a building permit.
S-1-33743
ncF1C:A:� ftF�'�Iv,;�j
S1jjT1E C011twiY-':.\L'.F.
a rf;OR►�5 ��.r,OI,.
The property described herein is adjacent to land or included UV LU 1 1
within an area zoned for agricultural purposes, and residents of CLARK AA_14 -SON
this property may be subject to inconveniences or discomfort arising (;LF_RK-RECORDER
from the use of agricultural chemicals, including, but not limited to herbicides, FEE
pesticides, and fertilizers; and from the pursuit of agricultural operations including,
but not limited to cultivation, plowing, spraying, pruning, and harvesting which occa-
sionally generate dust, smoke, noise, and odor. Butte County has established agricul-
tural zones which have as a priority use for productive agricultural purposes, and
residents within said zones and on adjacent property should be prepared to accept such
inconvenience or discomfort from normal, necessary farm operations.
All that
described as
5 .
n ..
real property situate in the County of Butte, State of California,
follows:
Date: PROP OWNERS:
2%N,*1_y CrA2v4&r 1.141279AJE-
X124 G YA.-W F tA44, 7A) f
State of 6441E ZA114 )
SS.
County of '907 -me- )
Present A.P. N0, r% _'� ) 3 — J
On this the day of _e,1 , 19 O ,
before me, the undersigned Notary Public, personally
appeared ,
J4i__"ZJ XI) _kv-rZe
known to me to be the person(s) whose name(s) er
subscribedto the within instrument and acknowledged
that _77tVtw�t executed the same for the purposes
therein co. ained.
IN WITNESS WHEREOF, I hereunto set my hand and official
seal.
c
dP,
Notaity Public
OFFICIAL SEAL
DOROTHY A. WISE
NOTARY PUBLIC - CALIFORNIA
BUTTE COUNTY
r
My Comm. Expires Aug. 6. 1984
Present A.P. N0, r% _'� ) 3 — J
On this the day of _e,1 , 19 O ,
before me, the undersigned Notary Public, personally
appeared ,
J4i__"ZJ XI) _kv-rZe
known to me to be the person(s) whose name(s) er
subscribedto the within instrument and acknowledged
that _77tVtw�t executed the same for the purposes
therein co. ained.
IN WITNESS WHEREOF, I hereunto set my hand and official
seal.
c
dP,
Notaity Public
Return to DPW
AGRICULTURAL STATEMENT OF ACKNOWLEDGEMENT 91-33743
FOR RESIDENTIAL DEVELOPMENT
OFFICIAL f+E
COUIJ'i
Section 26-8.1of the Butte County Code requires this acknowledgement r3uTTE
j:
be recorded prior to issuance of a building permit. CCRi:S Rc l
The property described herein is adjacent to land or included
z' -n
within an area zoned for agricultural purposes, and residents of CLARK A.NZLSoN
this property may be subject to inconveniences or discomfort arising CLERK -RECORDER
from the use of agricultural chemicals, including, but not limited to herbicides, ' FEE
pesticides, and fertilizers; and from the pursuit of agricultural operations including,
but not limited to cultivation, plowing, spraying, pruning, and harvesting which occa-
sionally generate dust, smoke, noise, and odor. Butte County has established agricul-
tural zones which have as a priority use for productive agricultural purposes, and
residents within said zones and on adjacent property should be prepared to accept such
inconvenience or discomfort from normal, necessary farm operations.
All that real property situate in the County of Butte, State of California,
described as follows:
MIBIT "A"
ORDER V0. 113797
The lane retecvcd to hereip_ls deccriDed as folluva.
2�� et�cad crrP�,�tL• 3enu �7E;�q,tt.k c,.��o��: ..�- .
Butt cog C'3Z 9Bata.
PARCEL A:
Parcel 3. as shown on that certain Parcel Map Dcln; the South
half of Northeast quarter
6oEest�,tMMOaB.quarter flledeini�hel7,
Township 19 North, Range
office of the Recorder, County
ofof Butte,
,tapsatatoPagelSBon
ornfa,
k 68
rcel
October 24, 1978, in
RESERVING. THEREFROM that portiunof a nonexcfesive pshownublic easement
for ingress and egress and for public
on that
Map being the South half of the Northeast quarter
certain parcel
of the Southwest.quarfiledfinetheoofffceSctin 17,TofntlepRecorderh�County of
6 East, M.D.B. 6 M•.
Butte. state 'of California, on October 24. 1978, in Book 68 of parcel
Maps, at page 58.
PARCEL 8: ,
A 60 loot none�cel�►sivt puDlic_Qasaaapt for'iagreas and egress and
for public utilities as shown on that certain Parcel Map being the
tion
South half of Northeast quarter of Southwest ,
q anteriled infthFcoffice
Township 19 north, Range 6 East,
of the Recorder, County of Butte, Stat[ opagea58fornia, on October
24, 1978, in Book 68 of Parcel Maps, s
PARCEL C:
A right of way for road purposes, over the Easterly 60 feet of.the South
half of the Northwest quarter of the Southwest quarter and the Easterly
60 feet'of the Southwest quarter of the Southwest quarter or Section 171
Township 19 North, Range 6 East, M.D.M., lying Northerly of the Oroville-
Forbestown road, .as said road existed on March 10, 1964.
Present A.P. NO. 73 ~ ) 3 — 3 _�
ORDER NO. 113797
EXHIBIT "Au
The -land referred to herein'is described as follows:
}
i
All that certain re -al -property -sit in the County of Butte,
,
State of California, described'as follows:
• i
t
i
PARCEL A:
Parcel 3, as shown on that certain•Parcel Map being the South
Quarter of Section 17,
half of Northeast quarter of Southwest
ein Ae
M.D.B. bSMaCef
Township 19 North, Range�6 East,
California. un
Butte, ofif
,
office of the Recorder-, County of
in Book 68 of Parcel Maps, at page
October 24, 1978,
RESERVING. THEREFROM that portion of a nonexclusive public easement
on that
for ingress and egress and for public utilities, it shown
half of the Northeast quarter
,
certain Parcel. Map being the South
ce
of Section :%, Township 19 North, Range
the Southwest quarter
filed in the office of the Recorder, Councy of
6 East, M.D.B. 6 M.,
'of California, on O ctober 24, 1978, in Book 68 of Parcel
y
.:• `�
Butte, State
Maps, at page 58.cn
PARCEL B:
A 60 foot nonexclusive public easement for ingress and egress an
Parcel Map being t
for pubic utilities as shown on that certain
tion
Southwest gfiledrinfthecoffic
'
South half of Northeast quarter of
M.D.B. b M.►
rn +.
Township 19 North, Range 6 East,
of on Occobe
�.e
of Parcelte. Ttapstate
of the at page 58.
BookCounty
1978Recorder.
24, ,
!^
E PARCEL C:
i
6
A right of way for road purposes., over the Easterly 60 feet 8f.t
;
half of the Northwest quarter of the Southwest quarter and Sec
SSection
1?,
60 feet of the Southwest quarter of the Southwest quarter ofr
Range 6 East, M.D.M., lying Northerly of the Orovil.le-
Township 19 North,
Forbestown road, as said road existed on Marcn 10, 1964.
r
Return to DPW
` AGRICULTURAL STATEMENT OF ACKNOWLEDGEMENT 8133743
° FOR RESIDENTIAL DEVELOPMENT
• O�'FI�:A:� ftEtr�kCaa
iW.F.
BUTTE
Section 26-8.1 of the Butte County Code requires this acknowledgement xsCCRDS R{��.'
be recorded prior to issuance of a building permit. �jj
The property described herein .is adjacent to land or included OLT
within an area zoned for agricultural purposes, and residents of et-ARK4, NFLSPN
this property may be subject to inconveniences or discomfort arisingCLERX-REr'Ofto?
from the use of agricultural chemicals, including, but not limited to herbicides, FES
pesticides, and fertilizers; and from the pursuit of agricultural operations including,
but not limited to cultivation, plowing, spraying, pruning, and harvesting which occa-
sionally generate dust, smoke, noise, and odor. Butte County has established agricul-
tural zones which have as a priority use for productive agricultural purposes, and
residents within said zones and on adjacent property should be prepared to accept such
inconvenience or discomfort from normal, necessary farm operations.
All that real property situate in the County of Butte, State of California,
described as follows:
Date:_�'19���
2%A1*1_tl 6AE; /�12-nyE
State of CAZI X01/4 )
SS.
County of 907-/r )
PROPF .FOWNERS:
.040A i V" ME'
On this the / f a day of : , 19 9/ ,
before me, the undersigned Notary Public, personally
appeared —
OFFICIAL SEAL
_ DOROTHY A. WISE ' —
•� NOTARYPUBLIC- CALIFONT
RNIA known to me to be the person(s) whose name(s) g,&.42 co
r Nry Comm.. ExpiresCBUTTEOU NTY g 6,1984 subscribed to the within instrument and acknowledged o
that executed the same for the purposes �
therein codtained.
IN WITNESS WHEREOF, I hereunto set my hand and official
seal.
c
� m
CP
Notaily Public
Present A.P. NO.
E b 6p Documa"OL
N
2)aV f SA/1�4 /ylArfln6 �D � /1p.�1
r vi
/6/6 oza P*M SGNp. #� This set of plans and, sp cificatiolu,
UST
Ddo v ar,�, mfr-o/�'`��� kept on the 'ob at all times and it i
I
s -f0 -o-7f� make any changss or altera ions on mem
pA�.x 073 -/.3 - 4 �-d written permission from the Depart ub
f
• lic Works, County of Butte fit# � ,f � pjrXWO1��f
Std' 141��iQ�56.' �X Q6S4 W.S.R. p�' Y
00001L,r-EI eA"A NIA b r D IM
qq EY � w>v st!►nDi
NOTE:—All Materials l4vorkmanship. Shall. Be in
Accordance with Recognize, f Good Practices, cu+'
of a quality prescribed for 1 Specif od use in ffi '
Uniform Building, Plumbing & Mechanical Codes and
the National Electrical Code.
A setback of 5 ftfro the
,eaoo
property lines and a etback
F of 50ft. from the roa
centerline shall be cl ar of
structures or equ i.prr ent e:
for a 2 ft. eave overt iang''I
Wa-L
Nowt
- 6M SQ. F?. MIMM 1 / i 1 _
FOR MOBILESo Nnuncs
ti
Cl �Witl
P
Utility connections II
4 ft. of the rnobiiehoP e�fi eer
directly behind or w hin the r
half of the roadside eft) of t E
mobilehome.
1-40K R I ti
i
A permit will, be requir �d for tho
installation of the mo ilehome.�
I
6 sly oo
pj re-e-n0N aF
,�eAIH Aw".) s
T /?jp ►JN SGoP6'—
Ao'f.,
BUT &LUN I 1
BUILDING DEPARTMEN
APPROVED
I
2).V g SA/1 o /y1Ar- jne`
/61A,
6&v/tur, 4q ACAVIV This set of plans
kept on the iob at a
y than -S 0
AAA46Z 073 —/3.4 -,3d make n ermi, on f
writcfen p
Bax 965 1N,S•rZ, lic Works, County
9s9LS. Shall Be in
alerials & YJor',cmons,11P tices and
Al1 M Recognize..a Good
with i. Specrficd . uSe in the
accordance scribed for
of a quality pre plumbing & Mechanical Codes an
Uniform Builionad E ectrical Code-
the N
,; SAC?cam (S3 • � �
the
f 5 ft 'fro l \.
etbsck c tback \ \
;as as \
:..property lines art �^ \
from the roa WE' -
of 5pft. c1 ar of
shall be nt e . t
Centerline r equ�pm
tructures ¢ angr !.
{ora 2 ft. eave over
SQ. FT. MINI Hunts
+
EOR MOBIL . Lop
V •�
a
is
a d sp elflions MUST be '�+ v►
eci i 5
1 times d kss unlaw. to
r Iteratio s on same without
r m thee ar t of Pub t
0
EY ToWi! RD4,d net o
;` W1e#N/DaT'
Gou�cT
Y2---/