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HomeMy WebLinkAbout079-200-031Warrennbrose 2609 Rhaetoi AT Orbv Permit #525-79P(gtil. ,MH) .57 EEEC . 1Q-1 — 7 GAS 2 !.�-'7 ��- PP RT STRUCTURE EEQ, leto CGPACTION TEST REQ. yp contr:'Loyd's Elec., Oroville Permit #16 9-79E (elec . & yard it MH) NEW O�WQNE�R SESTER AVERY 2609 Phagton W lot e Contr: .nc In ge MH 00001-1 9Permit 7 7 /525- Issue `/` SESTER AVERY- C Contr: Feather River Homes, Y.0 Permit#$7591- 9MHI Issued /Va`� -2 9 Permit #389-80B(new open deck/MH) csn'�lo /Y/J/d 98-1582 P TOMAN, Phyllis 2609 Phaeton Way, Orovill"' ( (meter relocation), Dan,;HEal ' Fi oP L -7/z4 711-e .' r 4 . r. t 036-78-0-031 98-1582.P TOMAN, Phyllis 2609 Phaeton Way, Oroville ((meter relocation) Dan.HEal '7_ OFFICE COPY Addres 42 -e ✓ ` GAS Meter By r6=.-- Date ELECTRIC ` Meter By Date '�— . ...+....,,.....w..--.+:a.wrr=ra•'.r: c;.z:.'::+��'7Firr :wr's�,..-• . _ -.,....-w--.,.. s-w.nrz;,..r•.. r..-.+c,--_�wrt-...,,.,, ,zero• .may-�.+.•.-e i COUNTY OF BUTTE -DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION ► 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541•- PERMIT No. (Rev. 12/96) APPLICATION AND PERMIT 2 �� ASS ESSOR PARCEL NUMBER 36-780-031 i ZONING . BUILDING PERMIT OWNER PHYLISS 4Q a Ynoni TELEPHONE ; $34-0240 SO. FT. OCC. BUILDING VALUATION GWNEF S f0Il1NGC DRESS !<l groN WAY OROVIL-LE CA CONT �iAY��s Ida T 345-2142 CONTT2166 UWAYBIAN RD. CHICO CONSTRUCTION LENDER 's Fireplace LENDER'S MAIUNG ADDRESS Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee $ ARCHITECT OR ENGINEERS MAIUNG ADDRESS Plan Checking Fee $ BUILDING ADDRESS 2609 PHAETON WAY Energy Plan Checking Fee $ $ PERMIT FEE $ LOT NO. SUBDNISIONS NAME PARCEL MAP PLUMBING PERMIT Fling Fee 20.00 Each Trap 7.00 USEOFSTRUCTURE s SF O Duplex ❑ Mobilehome ❑ Other SPECIFY Solar or heat pump water heater 23.00 Water piping 15.00 Each gas water heater or vent 15.001 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities 0 Installation ❑ Other ❑ PG&E METER RELOCATION Describe Work: Gas piping system 1 - 5 outlets 15.00 15.00 Building sewer 15.00 Mobile Home: I S I GI W I@20.00 PERMIT FEE $ 35.00 ELECTRICAL PERMIT Fling Fee 20.00 600VOR LESS Main Service zo.A OR LESS 23.00 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 C - t- Lic. NO. :5"� OWNER -BUILDER DECLARATION I hereby affirmunder p`enalty.of perjury that I *ern'exeinpt 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. O 1 am exempt under Sec. Business and Professions Code for this reason Main Service TO 46. 00 CCU000A NEW CONST. DWELLNG OCCUP. DWE200ALLING OR ADONS. & ACC. BUDS. so SO 3.5¢FT. Noµq�IpT MULTI.BRANCHOUTLU @7.50 POWER APPARATUS S SINGLE OUTLET CIR. OU TLET OR FIXTURES Ex. Occup. 20 @ 1.00 SAL @ .50 AP PUNS. OR Ex. Occup. 6FIX.(RESD.)EA 5.00 Temporary Service "23.00 Mobile Home Facilities 20.00 J Misc. Wiring 23.00 PERMIT FEE $ 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. Ur 1 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' comf ensation insuranceycarrier and policy number are: Carrier ''"__44''y-, e MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEt $ Policy Number A_1111 C 4Y 7 Z,9 `7 Cr 44' (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, l 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: ? .e ,� 1 Date f1 -7 -;—of X �C�C > / / Sig"natu�e' of Applicant - O Owner .O'Contractor ❑ Agen % An OSHA permit is required for excavations over 5'0" deep and demolition or construction of structures over 3 stories in height.. /% Mobile Home Installation Fee $ Energy Inspection Fee $ Occ ,-, CONST. TYPE TOTAL FEE $ 35.00 HAZ. D. FEES IMP I FLOOD CDF PARCEL I PD HD ISSUE This permh is'hereby issued under the Butte CountyCode and/or indicated above for Which fees have J J I By ( ill PERMIT EXPIRES ON I the applicable provisions Resolutions to do work been paid. Date 7. ``,� Dsfe ReceiptNo. L���7'�. ica WHITE-O.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive Oroville, California 95965 • Telephone (530) 538-75A'- PERM J, No. (Rev. 12/96) APPLICATION ANDPERMIT b v� ASSESSOR PARCEL NUMBER 36-780-031 ZONING BUILDINGPERMIT OWNER PHYLISS T-R� Tb Mon TELEPHONE 534-0240 SO. FT. OCC. BUILDING VALUATION GWNE7(Z9 PR TON WAY OROVILLE CA COHR6C 11 's MAL PLUMBING TELE 35PHONE142 cO'nSr"'WTUTAN RD. CHICO CONSTRUCTION LENDER Fireplace LENDER'S MAILING ADDRESS Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ BUILDING ADDRESS 2609 PHAETON WAY Energy Plan Checking Fee $ $ PERMIT FEE $ LOT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Fling Fee 20.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome ❑ Other SPECIFY Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15.00 Each as water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities IN Installation ❑ Other ❑ Describe Work: PG&E METER RELOCATION Gas piping stem 1 - 5 outlets 15.00 5.00 Building sewer 15.00 Mobile Home I S I G I W @20.00 PERMIT FEE $ 35.00 ELECTRICAL PERMIT Fling Fee 20.00 800V LE Main Service p A OR LESS 23.00 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.POWER License Class 3 b Lic. No. 39 3 S I OWNER -BUILDER DECLARATION 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 Main Service 200A TO 1000A 46.00NEW CONST. DWELLING OCCUP. OR ADDNS. a Acc. S. SO 3.50F : NEW R ONST. MULTI.OUTLET @7,50 APPARATUS a SINGLE OUTLET CIR. EX. OCCU . OUTLET OR FDRURES 00 BAL @ 1 0 ED API Ex. Occup. o. tRRES D °E. 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wirina 23.00 PERMIT FEE $ 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' rformance of the work for which this permit is issued. Aphavmpensation, as provided for by section 3700 of the Labor Code, for the eand will maintain workers' compensation insurance, as required by Section 3700 of the Labor gode, for the performance of work for which this permit is issued. My workers' co n'o insurance rrier an olicy number are: Carrier Policy Number — (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 w rs' compensation provisions of section 3700 of the Labor Code, I shall f rth ith comply with those provislorls. X OJADate / Z Sig ature of Applicant - ❑ Owner Contractor ❑ Agen An OSHA permit is required for excavations over 5'0" deep and demolition or construction of structures over 3 stories in height.Cy p go MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST. TYPE TOTAL FEE $ 35.00 HAz. D FEES IMP I FLOOD I COF PARCEL I PDHD ISSU This permit is hereby issued under of the Butte County Code and/or inch bo for hich fees have By PERMIT EXPIRES ON the applicable provisions Resolutions to do work been paid. Date n 7 - Date Receipt No. WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT � 5:e(�{....��y,{I ,"any-�,i..0 {,�r IS-+ -it L�-A"'Hie..rl.�..irr�7.�,d'�+1�•-a�-fit ,+�'Ft�� °� 'al"7KFF'i�v'F�; .1.�.+},i-��_++5�"-".'-,�..1 Y. _ mN COUNTY OF BUTTE DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 COUNTYXENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE (916) 538-7541 ' PERMIT APPLICATION DATA SHEET OWNER: ASSESSOR PARCEL ER: Proposed Building Use: 2 - F'. Building Inspector: Date: At �Aitep e . it application, I was advised the following data must be submitted prior to permit processing and/or issuance: Date Received By ms have been submitted -------------------------------------------------------------------------------------- E12. Plot plans, 3/4 sets, signed by the preparer of plans. ------------------ ------------------------------------------ El ---------------------------------------------------------- ❑ 3. Complete plans, 3/4 sets, signed by the preparer of plans. ------- ---------------------------------------------- ❑4. Engineered plans, 3/4 sets, with wet signature on plans. All engineering must be shown on plans. -------- ❑ 5. Engineered truss details and layout in duplicate (required prior to plan review) No faxes! ------------------ ❑6. Energy Design Compliance and supporting documentation. ---------------------------------------------------- ❑ 7. Statement of Intent for Non -Heated and A/C Buildings. --------------------------------------------------------- ❑ 8. Hazardous Material Form. ------------------------------------------------------------------------------------------ ❑9. Manufactured Home data and installation instructions including Tie Down Specifications .------------------ ❑ 10. Fees of $------------------------------------------------------------------------------------- ❑ 11. Impact fees as shown on the attached schedule. --------------------- ❑ 12. California Department of Forestry plan approval/fees--------------- 1113. ------------- ❑13. Flood elevation certificate. ------------ --------------------------------- ❑ 14. Sanitation and plot plan approval Health Department. ❑ 15. City of Chico plumbing permit. ❑ 16. Plot plan and business license approval from the City of Biggs- ---------------------------------------------- 1117. --------------------------------------------- ❑17. Planning approval for (A) Use: (B) Par fi-a �, -------------------------- El 18. Contact Land Development about ❑ Improvements, ❑Draga cel. - --------------------- r, ❑ 1.9. Encroachment Permit for driveway (construction approval prior to occupancy).----c�� y- --------- 020. Pre -inspection for required Request to Building InspectorIn ❑21. Contractor's license information. (Number, Name Style, Classification). ------------------------------------ 0 22. Workers' Compensation carrier and policy number. ----------------------------------------------------------- ❑23. Owner -Builder Verification (Given to owner ❑, Mailed to owner 0) - --------- L-'-____ ------------------------ 024. Letter of signature authorisation. 4 ❑25. Recorded copy of Agricultural Acknowledgment Statement. 1126. Letter of intent on building use. -------------------------------- 027. Manufactured Home utility clearance. ----- ❑28. Existing violations and/or expired permits. 029. 0433 A, ❑Grant Deed, ❑ M.H. Title, ❑ Check to H.C.D $ E130. Other: (Date) When you issue the permit, process as follows ❑ Mail to owner, ail to conte . tor. - 4." d1 El Telephone and hold for pickup at % oce. ❑Defer th " jector �pplican. ! M' ate: 7 Copy of Haz-Mat form sent ❑ Health Department, ❑ Fire Department, ❑ Air Pollution Date: By: Copy of plans sent ❑ Health Department, ❑ Fire Department, ❑ Other: Date: By: 1. Index permit application for the above items numbered: ❑ Plan Check List 2. Additional items required: Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ Building Division counter, by Date: Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ Building Division counter, by Date: Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ Building Division counter, by Date: T' Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ Building Division counter, by Date: Plans reviewed by: Date: ,'. Plans approved by: Date: Sets of plans on hold in ❑ Plan Cabinet; to; AP. folder. Note transfer by: Date: Yellow Copy - Department of Development Services; Building Division. z..4 - 389-80B -PERMIT NO. L.:lvw PERMIT EXPIRES -71 OWNER Sester G. Avera owner CONTR. LOCATION (A.P. 8-12-31 2609 Phaeton Dr., lot 31, Carriage Manor, Oroville i r Temp. Power Pole Called PG&E Temp. Elec. Serv. Called PG&E Temp AGas Serv. Called PG&E /10B 2 � FINALED wd (Date) v I i (Signatur ;Stucco COUNTY OF BUTTE — DEPARTMEN-r OF PUBLIC WORKS BUILDING INSPECTION RECORD Subpanels BUILDING BUILDING (Cont'd) PLUMBING Setback Firewall Soil Piping Forms Parapets 1st Floor Main Bldg. Restroom Finish 2nd Floor Footings Windows 3rd Floor Stemwall Siding To out Slab Roof Sheathing Water Piping Piers Roofing Sewer Garage Fdn. Vents Fixtures Footings Stemwa I I Garage Vents Insulation Water Htr. Heaters Slab Carport po Footings Prov. for physically handica edy Conformance of ex. e Appliances Gas Piping & Test Temp. Gas Slab Final Sanitation Patio R OPLACE Final Footings Footing ELECTRICAL Masonry Walls Throat I Rou h Reinf. Steel Final I Fixtures Bond Beam FIRE SPRINKLERS I Motors ;Stucco Final Subpanels Mesh MECHANICAL Gird. Fault Prot. Scratch Heating Service Brown Cooling Temp. Pole Finish Ducts Underground Interior Lath Ventilation Permanent Door Closer Final Final MOBILEHOME UTILITIES ---- •------------Elec_ Water Piping Service Sewer Elec. Pedestal Gas Piping OBILEHOME =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 OF BUTTE — DEPARTMENT OF PUBLIC WORKS _ 7 County Center Drive..,— - Orville, California 95965 Telephone: 534-4541 APPLICATION AND PERMIT al autnorize representatives or the uounty or tsutte to enter upon the above-mentioned property for inspection purposes. lip Xpn�'1 Date Ed Signature of�Per�ee��� 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 PUBLIC WORKS ByDate Building permit expires Date l — 7 0 �� BUILDING Owner SES f%� SQ. FT. OCC. BUILDING VALUATION S� o p O Mai I i ng Address��p D �q 79Q� ,o e , o�6//leph =e Contractor Mailing Address Fireplace Total Valuation Telephone No. Permit Fee O!J Building Address 9&01 P)gAEMAI NZ , P I an Check i ng Fee &/or Pen aIty Permit Fee S, p a7 5 b'c PLUMBING No. @ FEE 6,4ro#4 67 PERMIT FILING FEE $3.00 Each Trap 1.50 , ' / T / �L Repair drainage or vent piping 1.50 A. P. No. $' 12.31 ZonI Ing Water piping 1.50 Each gas water heater or vent 1.50 Fe C. ( n Fire Dept. Fire Zone . Use Permit Gas piping system 1 - 5 outlets 1.50 EQA Parking Plans Parcel Declaration Parcel Map 60' R/W Improvem is Each additional outlet .30 Building sewer 5.00 Bldg. P s Recd Parcel Ap roval Plans Approval Lawn sprinkler system 2.00 NEW ADDITION[] UTILITIES ❑ OTHER Permit Fee $ $ IZ) EGe_ ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 Main service 600V OR LESS 100 AMP OR LESS 5•�� ^ / Single Family Duplex Mobil Home L� 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 CONST.( OR ADDNS. ACCLBLDGS.CCUP. 4') 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 style of: :� TLET NEW CONSTR BRANCHMULTI-OCIRCU NON-RESID l BRANCH CIRCUITS) 2.50ea NEWCONSTR. (POWER APPARATUS .&, NON-RESID. `SINGLE OUTLET CIR. Ex. Occup(OUTLETS OR FIXTIIRES 5 L 250 , 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 Ik 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. Micertify 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 $ $ 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 Land Development Fee $ TOTAL PERMIT FEE $ autnorize representatives or the uounty or tsutte to enter upon the above-mentioned property for inspection purposes. lip Xpn�'1 Date Ed Signature of�Per�ee��� 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 PUBLIC WORKS ByDate Building permit expires Date l — 7 0 �� 3s' ,ScurN 5� CRSFf✓1 �I ' This s f Of b eu and, Specifications MUST he kept on he job t aH times and it is unlawY to m64e an chanq s or olterf-4*nns on some w` Mu* writton ermissi from the Department of Pdit Warta, ounty Butte. t , Pit i H i kn 01 of a q& Uniform 'the Not eriab & WorbnOnsl,ip Shag 16 in Recognized- Good pracirces and :ribed for Ae Specifiied use in the Plumbing & Mochaniaat CodK rival Code. &ENC'AVCRy a I, 0 9 P140Y^0n/ oRIVO sLGAS F, li M 35 Z oC a a G — Q Z 8o ''4UTTCOUNT) BUDDING D ARD AIJk6VE O r N V RI of a q& Uniform 'the Not eriab & WorbnOnsl,ip Shag 16 in Recognized- Good pracirces and :ribed for Ae Specifiied use in the Plumbing & Mochaniaat CodK rival Code. &ENC'AVCRy a I, 0 9 P140Y^0n/ oRIVO sLGAS F, li M 35 Z oC a a `, — Q 3gq 8o ''4UTTCOUNT) BUDDING D ARD AIJk6VE V A setback of 5 ft. from the property lines and a setback - ,r of from the road o centerline shall be clear of 25, structures or equipment except for A ? ft. eave overhang. of a q& Uniform 'the Not eriab & WorbnOnsl,ip Shag 16 in Recognized- Good pracirces and :ribed for Ae Specifiied use in the Plumbing & Mochaniaat CodK rival Code. &ENC'AVCRy a I, 0 9 P140Y^0n/ oRIVO sLGAS F, li M 35 Z oC a a `, — Q 3gq 8o ''4UTTCOUNT) BUDDING D ARD AIJk6VE woR 1-H S re L -E -r APO jr- 140 S I I 4;� ,to% A lk sum cl 01*..M BUILDIIIN G Dr. -PART~ APPROVED 0 e- EA 6 7 J. A 0 iFY Cy &/V-- A vriz1v 40 0..7 — /0 //..j E mov-0:"v / v iF- (f ARR I A. 0, AIVCP,- /-Cr--Ii *PC 'A, I , kY,X. 13RAejNtl-- 'e- i �'v X 0 R A 0-; ti 40V r�C.� ",r 41 LIRACES roo e , r sum cl 01*..M BUILDIIIN G Dr. -PART~ APPROVED 0 e- EA 6 7 J. A 0 iFY Cy &/V-- A vriz1v 40 0..7 — /0 //..j E mov-0:"v / v iF- (f ARR I A. 0, AIVCP,- /-Cr--Ii *PC 'A, 40V r�C.� sum cl 01*..M BUILDIIIN G Dr. -PART~ APPROVED 0 e- EA 6 7 J. A 0 iFY Cy &/V-- A vriz1v 40 0..7 — /0 //..j E mov-0:"v / v iF- (f ARR I A. 0, AIVCP,- /-Cr--Ii *PC 'A, ee=4 of c�} OROVILLE, CALIF013;;IA, GENERAL CLAIM CLAIMANT: Lincoln Village Mobile Homes ADDRESS: 2628 .Lincoln Blvd. CITY & STATE: Oroville, CA. 95965 IMPORTANT: December 19, 1979 SEE INSTRUCTIONS DATE OF CLAIM: ON REVERSE SIDE SUBMIT CLAIM TO. DEPARTMENT RECEIVING GOODS OR SERVICES DATE I DESCRIPTION OF CLAIM (DESCRIBE FULLY TO AVOID DELAY) AMOUNT Contractor not going to install mobilehome for owner (S. Avery) - MN.-InstattatiOn Fe #6873-79 -.Rec.;eipt #29895 *.P 8-12-3E MH installation permit fee ----- $40.00 Retain 173 of fee --------------. TOTAL REFUND DUE ----------------$26.67 :. $26.67 TOTAL $26.67 I, the undersigned, declare under penalty of perjury that the services or articles claimed have en p rformed or.delivered, and that this claim is true and correct as stated. 1j �( Dated. this ...................... day of ....... 1�/.., at..../;,../, ......^Calif. ......... `X. ti... ignatur of Claim t I, the undersigned, hereby certify that, to the best of my knowledge, the services or articles specifi d above have been performed or de- livered and that there is a Budget Appropriation ❑ or Specific Board Approval 0 (Check one) for the same. Dated this 19th de of December 19. 79 at Oroville calif. .................................... Y .......,..................... ..... .................................................................................................................. Department Head or Authorized D eputyI Dept. Exp. Code ............................................ Code................................................PAY.ABLE FROM..:................................................................................:........ FUND DO NOT WRITE BELOW THIS LINE - AUDITOR'S USE ONLY VENDOR I DEPT.. CODE &SUB. i PROJ. SUB. OBJ. CLAIM I NO. INVOICE NO. j INVOICE DATE DISC. GROSS AMOUNT ENCUMB. I SUB -DIST. I ••- _. COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS 7 C t C t D 0 iI Calif rn'Ia 95965 oun y en er rl Ve — roV e, 0 Telephone: 534--;541 APPLICATION .1hD AERMIT Owner SLS k AUL / Mailing Address 3� JX Contractor Zi Ac&LN Vj Mai I i ng Address Q_ (Cla, I a /&ur_ccC C. Building Address 'Z&0q P 31 Teleph_ape No. Liv a/fILoTel h D�.i e`y 9 AG�� �A-Y G �l�Drrif2- A. P. No. ^/�� oL Zoillirta & Planning F44_ W!C. jSa on Fire Dept. Fire Zone Use Permit ParkingParcel EQA Plans I Declaration Parcel Map 60_R/W I Improvements Bldg. Plans Recd I Parcel A val I Plon+ogp-proval NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER ❑ 117 1417 ak A0 u- 57.`�_-- 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 sarinkler system Permit Fee ELECTRICAL PERMIT FILING FEE -V R ESS Single Family ❑ Duplex ❑ Mobil Home ❑ Others ❑ Main service 100 AMP OR LESS Main service EA. ADD'L 100 AMP Main service OVER 600V 100 AMP OR LESS Main service EA. ADD'L 100 AMP NEW CONST. DWELLING OCCUP. N OR ADDNS. ACC. SLOGS. 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 f: )� `� _ Yf III 8:6,1w V. UI Az ( lei NEW RESID, / BRANCH CIR T NON .RESI D, 1 BRANCH CIRCUITS NEW CONSTR (POWER APPARATUS 6 NON-RESID. SINGLE OUTLET CIR. Ex. OCCUD(OUTLETS OR FIXTURE: FIXED.APPLNS. OR Ex. Occup.(OUTLETS (RESID.) EA Temporary service Mobile Home Facilities 1 L 2q 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. MECHANICAL PERMIT FILING FEE Heating Cooling $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 50ea 2.00 10.00 15.00 6.25 @ $3.00 FEE FEE LJ 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 1 1 2.00 California. Permit Fee If $ $ I certify that I have read this application and state that the above information is correct. 1 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 above5Sign.,-.fP;it;e y for inspection purposes. x Date ` or Agent Receipt No. � F%F� White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant LZfZ $ TOTAL PERMIT FEE $ Z16 I— 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 Building permit expires Date Date 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 5, under permit number 7s -X/— 7s" for the following location: Mobilehome Mfg.��4 Model �y Year Insignia No. /tx/ Serial No. ZV f e!W75� It is hereby certified for occupancy at the above described location and may be occupied. Date13 y Director -of Public Works s THIS CERTIFICATE IS VOID WHEN MOBILEHOME IS RELOCATED White - Owner, Yellow - Installer, Pink - D.P.W. }I PERMIT NO. 525-79P PERMIT EXPIRES �/r✓/r OWNER WARR .N T _ AMRROS . t CONTR. oWner LOCATION (A.P. 8-12-31 ) 2646. Monte Vista Awe, Space 31, oroville i . f . R t t " p r w a Temp. ower Pole Called PG&E Temp Elec. Serv.' Called PG&E ZD� /Z Te�p. Gas Serv. — Called PG&EOB FINALED (Date) G (Signa e) CIOUNTY, OF BUTTE — DEPARTMENT OF PUBLIC WORKS r BUILDING INSPECTION RECORD BUILDING BUILDING (Cont'd) PLUMBING S11back kewaII Soil Piping Fo s - PaNpets 1st Floor Ma)p Bldg. Res om Finish 2nd Floor F tins Windo 3rd Floor Ste all Siding To out Slab _ Roof Shaking Water Piping Piers Roofing Sewer Garage Fdn. Vents Fixtures Footings Garage Vents Water Htr. Stemwal I Insulation Heaters Slab Prov. for physicary Appliances handicapped Carport Conformance of ex. Gas Piping & Test Footings structure Temp. Gas Slab Final Sanitation Patio FIRE ACE Final Footings Footing E ECTRICAL Masonry Walls Throat Rough Relnf. Steel Final Fixtures Bond Beam FIRE SPRINKLE Motors Framing Test Water Htr. Stucco Final Sub ane Mesh MECHANICAL X Grd. FAR Prot. Scratch Heating Sery e Brown Cooling emp. Pole Finish Ducts /Underground Interior Lath Ventilation Permanent Door Closer Final Final MOBILEHOME UTILITIES ----------•------- Elec_ Service �,Z, Elec. Pedestal 77 /54 77 Water Piping Z Sewer s. �� Gas Piping E M STALLATION-------------- Support Elec. Continuity Water Piping2— Z! 7 Drainage Gas Piping G DATE REMARKS OR CORRECTIONS R/,2- 2-J -71' z L S/ 71 (NOTE: An entry must be made on this form each time you visit the job site.) r MOBILEHOME INSTALLATION INSPECTION CHECK LIST. - 1, Is the mobilehome located with equired separation from lot lines and buildings and generally conform to plot plan? YesN o 2. Does the mobilehome have required clearances above ground? (Sec.5085) Yes -No 3. Are footings and supports properly sized, spaced, and braced as pePlapproved plans? (Note possible variation at spring shackles.) (Sec. 5082 & 5083) Yes— No 4. Is the mobilehome level? (Sec. 5088) Yeses No_ 5. If mor than a single unit, are crossover connections properly installed? (Sec. 5088) Yes_ NO— .6. Water A. Is flee Me 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 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 4" per foot slope and is it properly supported? Yes C. Are any leaks detected in drainage system after running 3- Vllons of water through each fixture including washing machine standpipe? Yes No 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" mii►.firrtl mobilehome connector t more than 6 ft. long? Note:,.All•piping is to.ba'..at least as .large as the mobile me gas line inlet without reductions other than the iaobilekme s connector. Yes No B. Test OK as per following procedure? YesNo- 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 --t/ No 9. Electrical A. Is service large enough to provide adequate amperage -to mobilehome (must equal rating of mobilehome with a minimum"of 1 O:arip) and other facilities on lots=i.e., water pumps, garage, cabana, etc.? Yes: 1/ No B. Is there proper clearances around panels? Yes,/ No C. Is power supply cord or feeder assembly properly fused? Yes i,. �Nol D. Is continuity test,satisfactory as per•the following procedure? Yes No v 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 testedlfor.continui,ty 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 o.f::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 and tag services. J MOBILEHOME DATA - Manufacturer and/or Namest''y//le Length `'" Width Vehicle -Serial No. A0V7r I ©, �-' State Identification No. 43 2 - Additional Information or Comments: Owner weuy-�-&.,, Mailing Address -3�?_4 Contractor Mailing Address Building Address Z4 COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS 7 County Center Drive — Oroville, California 95965 A Telephone: 534-4541 APPLICATION AND PERMIT j e Telephone No. A. P. o.02-12, Zon s s `Fess SOOTFire Dept. Fire Zone Use Permit E Parking Parcel Parcel Ma .60' R/,W Improvements Plans Declarations P p ovements Bldg. Ions Recd Parcel roval Plan pproval NEW F1ADDITION [:]UTILITIES OTHER ❑ Single Family ❑ Duplex ❑ Mobil Home 00 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: License No. Classification _ BUILDING SQ. FT7T 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 ELECTRICAL PERMIT FILING FEE Main service 800v OR LESS 100AMP OR LESS Main service EA. ADO'L 100 AMP Main service OVER 100 AMPP OR LESS Main service EA. ADD'L 100 AMP NEW CONST -(DWELLING OR ADDNS. OCCUP. 9 ACC. BLDGS.` NEW CONSTR. NON.RESID. (MULTI -OUTLET BRANCH CIRCUITS $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 NON-RESIO. %SINGLE OUTLET CIR. EX. Occui)(OUTLETS OR FIXTIIRES 50@250 BAL@1 FIXED ALISIS Ex. Occup.(OUTLETSP(RESID )REA) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 6.25 ® I am exempt from the Contractors License Laws of the State of California. Permit Fee $ MECHANICAL No. @ WORKMEN'S COMPENSATION INSURANCE PERMIT FILING FEE $3.00 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 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. Date �^ ��` % Signature of Permitee or Agent Receipt No. 11 � 7 ``> White-D.P.W. – Yellow -Assessor – Pink -Inspector – Goldenrod -Applicant Cooling FEE Z __— 'J_ FEE _— 'J— FEE Ventilation Hood 1 2.00 Permit Fee $ $ Land Development Fee $ ;Z �.-- 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. ,gIECT2ReF P Btl.IC WORK/SS BY Date v Building permit expires Date COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 Telephone: 534-4541 APPLICATION AND PERMIT �"' � J -� uua��v�i�c icNlcocllaaaal vco VI UIV VVUIIIy VI OUtlo lV CIILCl UpvII Lim above-mentioned property for inspection purposes. Xle• AiQ.r-^+ Date'% 7" icj gnature of, Permitee or Agent Receipt No. 1k; 2%.-4:' 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 PUBLIC WORKS Byy-Z- K 4142� , Date 7- %7 Building permit expires Date BUILDING Owner h 1 „�� SQ. FT. OCC. BUILDING VALUATION Mailing Address • IJACI -1 Telephone No. Contractor Mailing Address a (�, Fireplace Total Valuation � Telephone No. Permit Fee Building Address' �"�- Plan Checking Fee&/or Penalty Permit Fee PLUMBING No.1 @ FEE 3, PERMIT FILING FEE $3.00 Each Trap 1.50 Repair drainage or vent piping 1.50 e` A. P. No. a Z n5 g Planning Water piping 1.50 Each gas water heater or vent 1.50 Fiete' � '"C. atien Fire Dept. Fire Zone Use Permit Gas piping system 1 - 5 outlets 1.50 EQA Parking Plans Parcel Declaration Parcel Map 60' R/W Improvements Each additional outlet .30 Building sewer 5.00 Parcel Approval Plans Approval Lawn sprinkler system 2.00 NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER Permit Fee $ $ ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 Main service 100v OR LESS 100 AMP LESS 5.00 J Sin Single Famil ❑ Duplex ❑ Mobil Home ® Others 9 Y ❑ -L Main service E4. ADD100 AMP 2.50 2,SQ _7 Main service OVER e 25.00 100 AMP O OR LESS Main service EA. ADD'L 100 AMP 1.00 NEW OR ADDNST % ACCLBLDGS.LING CCUP. S) 2¢sgft CONTRACTORS LICENSE LAW I am licensed under the provisions of Chapter 9, Div. 3, of the State of California Busines & Professions Code under the name st le of: y NEW CONSTR BRANCH CIRCUITS) NON-RESID BRANCH CIRCUITS) 2.50ea NEW CONSTR. POWER APPARATUS & NON-RESID. SINGLE OUTLET CIR. Ex. Occuo(OUTLETS OR FIXTURES 5 L� Ex. QCCU FIXED APPLNS. OR p• OUTLETS (RESID.) EA) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 License No. %Z Classification d -i Misc. Wiring 6.25 ❑ I am exempt from the Contractors License Laws of the State of California. Permit Fee $ zswz $ 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 El 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. @ I FEEPERMIT FILING FEE $3.00 Heating Cooling Ventilation Hood 2.00 Permit Fee $ $ 1 certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby Land Development Fee $ TOTAL PERMIT FEE $ l� uua��v�i�c icNlcocllaaaal vco VI UIV VVUIIIy VI OUtlo lV CIILCl UpvII Lim above-mentioned property for inspection purposes. Xle• AiQ.r-^+ Date'% 7" icj gnature of, Permitee or Agent Receipt No. 1k; 2%.-4:' 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 PUBLIC WORKS Byy-Z- K 4142� , Date 7- %7 Building permit expires Date COUNTY.OF BUTTE — .DEPARTMENT OF PUBLIC WORKS �7 Courily Center Drive - Oroville, California 95965 Telephone: 534-4541 APPLICATION AND PERMIT authorize representatives of the County of Butte to enter upon the above -me ioned property for inspection purposes. X Da Signature of Permitee or A Receipt No. I 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 which fees have been paid. ' D rF PUIC WORKS B 7 M/iMilDate Building permit expires Date .> —�Q ' BUILDING Owner =_T._7E/2 /Way SQ. FT. OCC. BUILDING VALUATION Mailing Address Telephone No. Contractor FeAvia72 i we(2 eS 10C Mailing Address %-7-L 0NSC077 (2-0 Fireplace Total Valuation ' ` v Q TV Telephone No ' v Permit Fee Building Address i�o� %'b� wA Plan Checking Fee &/or Penalty Permit Fee PLUMBING No.1 @ FEE PERMIT FILING FEE J$3.00 Each Trap 1.50 p� ebutLLC' Repair drainage or vent piping 1.50 A. P. No ��i _ T Zoning & Planning Water piping 1.50 Each gas water heater or vent 1.50 Fs W. Sion Fire Dept. Fire Zone Use Permit Gas piping system 1 - 5 outlets 1.50 EQA Par ing Parcel Fns Declaration parcel Ma P 60' R/W Im rovements P Each additional outlet .30 Building sewer 5.00 Bldg. Plans Rec'd P a r c e royal Plan pprovaI Lawn sprinkler system 2.00 NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER permit Fee $ l4l: Fbie 1311't: 5225 --^799 ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 600V OR LESS 5•QO Main service 100 AMP OR LESS Single Family ❑ Duplex ❑ Mobil Home Efr 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 CONST DWELING OR ADDNS. ACC` BLDGS.0 CUP. 4') 24; sq ft 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: ,,QQ �%-r#49� )ezyLi0IyieS, .rifle_ NEW RESID. BRANCH CIR T NON.RESID. ( BRANCH CIRCUITS) 2.50ea NEW CONSTR. (POWER APPARATUS & li NON-RESID. SINGLE OUTLET CIR. Ex. Occuo(OUTLETs OR FIXTIIRES B L@; Ex. OCCUp ( FIXED APPLNS. OR \ 2 00 OUTLETS (RESID.) EA/ Temporary service 10.00 8-7.2 OX,/ %T% Mobile Home Facilities 15.00 ?/ License No. 36 .2S Classifications -' (« 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 $3.00 Heating Cooling Ventilation Hood 2.00 Permit Fee $ $ 1 certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby L e op "C -Fee $ 4JO a TOTAL PERMIT FEE Icc $ �� authorize representatives of the County of Butte to enter upon the above -me ioned property for inspection purposes. X Da Signature of Permitee or A Receipt No. I 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 which fees have been paid. ' D rF PUIC WORKS B 7 M/iMilDate Building permit expires Date .> —�Q MOB ILEHOME S"JPPORi DATA If other than single wide, Mobilehome Mfr.=\52WLAD{JZE furnish Setup Model No. Year 6r6 Width(ft.) Box Length (ft.) Tagalong or Expando Size ft. x ft.- (SHOW t.(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. 1✓�� Footings (check one) Single . 1. Wood either pressure treated or foundation grade. (ft.)(in.) (in.) (in.) Center support Center suppo;:t locations* footing sizes (in.) (ft.)(in.) (in.) (in.) 2. Other (specify) Supports (check one) 1: Concrete block. JN 2. Other (specify) lam—Tagalong or Expando,' show support details.. r � aD (ft.)(in.) (in.). (in.) X -- Typical Support (in.) (in.) Footing Size (ft.)(in.) (in.) (in.) !j -- Max. Pier Spacing R . (ft.) (in.) '6Y_xJU l ' ( , )(Max. Overhang (in.) (in.) (ft.)( � an I (ft..) BUTTE COUNTY, BUILDING DEPARTMEN' APPROVED *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 1 MOBILEHOME INSTALLATION SHEET 1. Owner's name: JSTE�� 2. Installer's name: o _ 3. Is the site currently under permit? Yes 7V7- / No '.(If yes, furnish permit number 6�151-79 ) 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 clear of all setbacks and easements? Yes / / No ( If no, clarify 5. What is the mobilehome electrical rating? ------------------------ 6. ---------------------=6. What is the mobilehome site service rating? --------------- 7. What is the mobilehome site circuit breaker rating? ----- __7t, 8. Is there any other electric load to be served by the.,mobilehome site service? -----------------------------------------�---------- (If yes,.identify the load and size: (Loam 9. What is the mobilehome site gas pipe size? ---------------------- 1 0. What is the type of gas service? __---------------------------- N 11. What is the gas pipe length from meter or tank to the mobilehome? 12. What is the mobilehome gas demand? --____-----_®----------------- (This information not required if pipe length less than 6.ft. or less than 50 ft. on LPG.) and leach fields and ZA?t 1- Amps Amps Amps Yes / / No (Amps) (in.) tural 71 LPG (ft.) (BTU) on natural gas