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005-406-012
T PERMIT NO. jr,123-77B i PERMIT EXPIRES , OWNER ames Bolton 2� ,r 3 3Ole / gle CONTR. owner ' y LOCATION (A.P. 46-136-12 e k F/2 ' 4 788 California St., Chico . X63 5 /(o Z 3737- y0 / 2- F �5 OC�o 75 DD ,_ s ova soea• 25'00 ;�. x F 1 Temp. Power Pole Called PG&E Temp. Elec. Serv. — i� J Called PG&E / Temp. Gas Serv. r Called PG&E v_I ,,: JOB FINALED (Date) (Signature) I . A.4 Setback Forms Main Bldg. Footings Stemwal l Slab Piers Garage Footings Stemwa I I Slab Carport Footings Slab Patio Footings Masonry Walls Relnf. Steel COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS BUILDING INSPECTION'RECORD BUILDING BUILDING (Cont'd) PLUMBING Firewall Soil Pi 1. Parapets 1st Floor Restroom Finish 2nd Floor Windows 3rd Floor Siding To out Roof Sheathing Water Piping Roofing Sewer Fdn. Vents Fixtures Garage Vents Insulation Water Htr. Heaters Prov. for physically handicapedy Conformance of ex. structure Appliances Gas Piping& Test Temp. Gas Final Sanitation FIREPLACE Final Footin LE RS i-raming Test Stucco Final Mesh MECHANICAL Scratch Heating Brown Cooling Finish Ducts Interior Lath Ventilation Door Closer Final DATE REMARKS OR CORRECTIONS_ Motors Water Htr. Subpanels Grd. Fault Pro Service Temp. Pole Undergroun� Permanent Final (NOTE: An entry must be made on this form each time you visit the job site.) ELECTRICAL �✓s�`d� - /�1y - 77 PERMIT NO. 124-77P,E PERMIT EXPIRES / V OWNER James Bolton CON TR. owner LOCATION (A.P. 46-136-12 788 California St., Chico . y Temp. Power Pole Called PG&E Temp. Elec. Serv:!7 oltii Called PG&E 7 Temp. Gas Serv. 7 Pol Called PG&E oZ 1711-1 7 JOB y FINALED (Date) (Signature) r �✓s�`d� - /�1y - 77 PERMIT NO. 124-77P,E PERMIT EXPIRES / V OWNER James Bolton CON TR. owner LOCATION (A.P. 46-136-12 788 California St., Chico . y Temp. Power Pole Called PG&E Temp. Elec. Serv:!7 oltii Called PG&E 7 Temp. Gas Serv. 7 Pol Called PG&E oZ 1711-1 7 JOB y FINALED (Date) (Signature) 9. Electrical A Is service large enoi,gl. to provide adequate amperage to ,%nobi�rcl,ome. (must equal rating of mobi.lehotae with i::;ia.i um of 100 amp) and other faciliti_c!s on lot, i.e., water pumps, garage, caoana atc.:- Ycs4 No� li. Is them proper clearances around panels? 'Yes No C. Is power supply cord or feeder assembly properly fused? Yes No Is continuity test satisfactory as per the following procedure? Yes_Z, No� De -energize electrical wiring system of the mobilehome At the pedestal. ,/ Drake sure that the power supply cord or feeder assembly conductors, including neutral conductor, have been disconnected. �! Swch all breakers and switches in the mobilehome to the "on" position. Connect one -load of a test instrument to the mobilehome grounding conductor and , ,. �:Ljii}• tic U"t,.ci . ,.gnu i:U ear:,, iiiuu'ile„CiiiiE: Siipf)iy CUiluucto'i, i.lii:luulYig YtEui.Y'dt Z , V. A11 nor. -current, carrying metal parts of the mobilehome (aluminum siding, gas line, -w,ater line), including fixtures and appliances, shall be tested for continuity from such equipment and the grounding conductor. 6. Upon completion of the above procedure, the power supply cord or feeder assembly conductors shall be connected to the site service equipment. A further continuity te:=;t shall then be siade between t.he�grounding electrode and the chassis of the Mobilehome. Upon satisfactory completion of theelectrical tests, the lot or site service equipment T --.Lay be approved for energizing. 01 T job card si nci by health Departmeat forfwater and sanitation? �.;., If everything okay, sign off card a.nd t.a, s��.rvices. MOB TL L;lOME _DATA / rlarnafacturf� r and/or Namestyle k� � _/"/_i5, Length_ Width Vehicle Serial No. P,20 State Identification No. '- Ide_�tional Info --nation or Comments: 91 ii0}31 ,1?IiUt°fl RIS7'ALLAT10b INSPECTION CHECK LIST 1. Is the mobilehom, located required separation from lot lines and buildings and generally con{orirL to plot plan? .Yc:; No 2. Doe:.; the m-)bil.ehome have. required clearances above ground? (Sec.5085) Yes X No 3 Are footings and supportsproperly`-sized, spaced, and braced as per approved plans? (Note possible variation at spring shackles.) (Sec, 5082 & 5083) Ye,,,/'N_ No 4. Is the mobilehome level.? (Sec. 5088) Yes4 No L' If more than a single unit, are crossover connections properly installed? (Sec. 5088) v Yes No 5, Water A. Is flexible 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>INo C. Backflow - If coach is t ate of California approved, does station have backflow device and pressure -relief valye Yes— No 7. Wastes and Drains A. Is connection made with Schedule 40 DWV and have flex connectors at each end? Yes—x No B. Does it have minimum I," per foot slope and is it properly supported? YesY No �I C. Are any leaks detected in drainage system after running 3 -gallons of water through each fixture including trashing machine standpipe? Yes No7�_ D. If coachis t State of California approved, does station have required trap and vent? Yes No 8. Gas Piping and Gas Vents \L A. Connector - Is mobilehome connected to the gas supply with an approved 3/4" minimum mobilehome connector not more than 6 ft, long? Note: All piping is to be at least as large as the moVlehome gas line inlet without reductions other than'the mobilehome connector. Yes No B. Tes OK as per following procedure? YesNo Open all appliance connector valves. off appliance burner and pilot valves. �. 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. Connect: gas meter to mobilehome with connector, turn. on gas, test connections with soapy water., C. Are all appliance vents properly installed? Yes No COUNTY OF BUTTE •+ DEPARTMENT OF PUBLIC WORKS "`` 7 COUNTY CENTER DRIVE OROVILLE, CALIF. - 534-4541 SERTIFICATE OF OCCUPANCY This obilehome has been installed in accordance with the reqquirements of the California Administrative Code, Title 25, Chapter 5,,.under permit number �%r' '2 ' 7.7 for the following location: -76 b < ffl-fit r -- C Al Q ) �l �,�wner �e"� A� s-,1 L tf� 1 � pp L— Ho � Owner's Address Mobilehome Mfg.Model Year Insignia No. ` 1 U R9S f Serial No. — 1r It is hereby certified for occupancy at the above described location and may be occupied. Director of Public Works Date � _ .� By— of4 c C -I THIS CERTIFICATE IS VOID WHEN MOBILEHOME IS RELOCATED White - Owner, Yellow - Installer, Pink - D.P.W. I a TO: Building Department FROM: Environmental Health RE: Sewage-and/orwater Clearance OvRIER LOCATIO141 Has been approved for: DISC OSAL 4AT ER S UP '.LY ^^'� S95-775 Sa itaria n Date A.P. COUNTY"'_F BUTTE — DEPARTMENT OF PUBLIC WORKS BUILDING INSPECTION RECORD BUILDING BUILDING (Cont'd) PLUMBING Setback Firewall Soil Piping Forms Parapets 1st Floor Main Bldg. Restroom Finish 2nd Floor Footings Windows _ 3rd Floor Stemwall Siding To out Slab Roof Sheathing Water Piping -2- Q� Piers Roofing Sewer Z- 3 - Garage Fdn. Vents FixturesFootings StemwaII Garage Vents Insulation Water Htr. Heaters �"----` Slab Carport Footings Prov. for physically handica ed Conformance of ex. structure Appliances Gas Piping &Test Temp. Gas Slab Final Sanitation Patio 'FIREPLACE Final Footings Footing ELECTRICAL Masonry Walls Throat Rou h �^ Reinf. Steel Final Fixtures �---�— Bond Beam FIRE SPRINKLERS Motors Framing Test Water Htr. Stucco Final Subpanels i `7 Mesh MECHANICAL Grd. Fault Prot.. - Scratch Heating Service Brown Cooling Temp. Pole Finish Ducts Underground Interior Lath Ventilation Permanent Door Closer Final Final D. _REVARKSO. CORRECYONS % i _ c Jf V00, J90>�a ( �E alj ror��i�� �p/� ��✓s��/tel/�,✓ S�'.fr� d<y��1 z`� °K� S_A1j/'4 oXJ (NOTE: An entry must be made on this form each time you visit the job site.) i COUNTY OF BUTTE — DEPARTMENT OF PUBLIC W 7 County Center Drive —' Oroville, California 95965 Telephone: 534-4541 APPLICATION AND PERMIT �ypa7 7 R BUILDING Owner �� SQ. FT. OCC. BUILDING VALUATION Mailing Address Telephone No. Fireplace / Contractor £'/✓ ©f Total Valuation Mailing Address / B �g /Z��G7fi Permit Fee PIanCheckingFee &/orPenal ty C Teleehone o. , Permit Fee $ Building Address PLUMBING No.1 @ FEE PERMIT FILING FEE J$3.00 ` Each Trap 1.50 C� Repair drainage or vent piping 1.50 Water piping 1.50 Each gas water heater or vent 1.50 A. P. No. /1 — JZ Zoning & Planning Gas piping system 1 - 5 outlets 1.50 Each additional outlet .30 es Salleiori Fire Dept. FireZone Use Permit Building sewer 5.00 EQA Plans Declaration Parcel M�app 60' R/W Improvements Lawn sprinkler system 2.00 Bldg. P eed Parcel Appr v�"al Plans p� _' Permit Fee $ NEW R1 ADDITION ❑ UTILITIES ❑ OTHER ❑ ELECTRICAL No.1 @ FEE PERMIT FILING FEE $3.00 4 0V OR L Main service 1000 AMP ORSLESS 5.00 Main service EA. ADD•L 100 AMP 2.50 Single Family ❑ Duplex ❑ Mobil Home Others ❑ Main service OVER 600V 100 AMP OR LESS 25.00 Main service EA. ADD'L 100 AMP 1.00 NEW CONST./DWELLING OCCUP. & OR ADDNS. ACC. BLDGS. ) 22sgft NEW CONSTR. MULTI -OUTLET NON-RESID. BRANCH CIRCUITS) 2.50ea NEW CONSTR (POWER APPARATUS &) NON-RESID, SINGLE OUTLET CIR. CONTRACTORS LICENSE LAW I am licensed under the provisions of Chapter 9, Div. 3, of the State of California Business & Professions Code under the name � style of: � n � n� /{ G� /fir' � Ex. Occup(OUTLETS OR FIXTURES) BAL�1 09 EX. QCCU /FIXED AP(RESID.) EAPLNS. OR P•\OUTLETS ) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 License No. Classification Misc. Wiring 6.25 ❑ I am exempt from the Contractors License Laws of the State of California. Permit Fee $ WORKMEN'S COMPENSATION INSURANCE 1 am aware of the provisions of Section3700 of the California Labor Code which requires every employer to be insured against liability for Workmen's Compensation. /I have placed on file with the County of Butte a certificate of Workmen's Compensation Insurance. I to an certify that in the performance of the work for which this ermit is issued I shall not em P employ y person in any manner so as to become subject to the Workmen's Compensation Laws of California. MECHANICAL @ I FEEPERMIT —No.1 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 Ars a_ Q I TOTAL PERMIT FEE $ 0( above-mentio,peq property for inspection oses. X Date Signature of Pe/_ mitee or Agent Receipt No. / X�� IJ'— 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 OFASUNLIC WORKS ilding permit expires Date —� — JV COUNTY OF BUTTE — DEPARTMENT OF PUBLIC KS 7 County Center Drive — , Orovi Ile, California 95965 Teleplione: 534-4541 /``.✓ ��7� APPLICATION AND PERMIT re e BUILDING OwnerS- S0. FT. OCC. BUILDING VALUATION Mailing Address O k. , V /� (� Telephone No. Fireplace Contractor Total Valuation Mailing Address Permit Fee Plan Checking Fee &/orPenalty Telephone No. _ Permit Fee D� Building Address / — PLUMBING No.1 @ FEE PERMIT FILING FEE J$3.00 Each Trap 1.50 CSG/ Repair drainage or vent piping 1.50 Water piping 1.50 Each gas water heater or vent 1.50 A. P. Zoning & Planning Gas piping system 1 - 5 outlets 1.50 Each additional outlet .30 F015 -s ion Fire Dept. Fire Zone Use Permit Building sewer 5.00 EQA Parking Plans Declaration Parcel Map 60' R/W Improvements Lawn sprinkler system 2.00 Parcel Approval Plans ApprovalPermit Fee $ $ NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER 14 ELECTRICAL No.1 @ FEE PERMIT FILING FEE J$3.00 /t f /j�G � "V/,- Main service 100 AMP OR00V OR LESS5.00 Main service EA. ADO'L 100 AMP 2.50 Single Family Duplex ❑ Mobil Home ❑ Others ❑ Main service R 600V OOEAMP OR LESS 25.00 Main service EA. ADD'L 100 AMP 1.00 NEW CONSDWELING OR ADDNST ( ACCLBLDGS. OCCUP. &) 20sgft NEW CONSTR. MULTI -OUTLET NON-RESID. ( BRANCH CIRCUITS) 2.50ea NEW CON5TPOWER APPARATUS & NON- R. RESID. (SINGLE OUTLET CIR. CONTRACTORS LICENSE LAW , I am licensed under the provisions of Chapter 9, Div. 3, of the State of California Business & Professions Code under the name style of: Ex. Occup(OUTLETS OR FIXTURES)BAL @@2501 Ex. Occup. (OUT LETSP(RESID )FIXED ALNS.REA) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 License No. Classification Misc. Wiring 6.25 INI 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. 0 ® I certify that in the performance of the work for which this permit is issued I shall not employ any person in any manner so as to become subject to the Workmen's Compensation Laws of California. MECHANICAL No.1 @ I 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 relatingTOTAL to building construction, and hereby authorize t t' f PERMIT FEE $ L F1 sen- (ves o the County of Butte to enter upon the above-mentioned property for inspection purposes. X X Date /`✓/'7 Signature of Permitee or Agent Receipt No. Zi 0 70 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 en paid. DIRECTO 0 PUBLIC WORKS By Date l ! z=7 7 uilding permit expires Date / / Z —7 COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORK; 7 County Center Drive . Oroville, California 95965 Telephone: 534-4541 APPLICATION AND PERMIT iayz above-mentioned property for inspection purposes. X X Date/- 77 Signature of/Permitee or Agent Receipt No. White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant I his 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 aid. DIRECTOR PU LIC WORKS By Date %- �:-717- i 7 7 ilding permit expires Date 2-c-, `7 BUILDING Owner £s �� SQ. FT. OCC. BUILDING VALUATION Mailing Address G Teles hone No. " Fireplace Contractor _ Total Valuation Mailing Address Permit Fee Plan Checking Fee&/or Penalty Telephone No. Permit Fee Building Addressp PLUMBING No.1 @ FEE PERMIT FILING FEE J$3.00 Each Trap 1.50 G� Repair drainage or vent piping 1.50 ntng YaEitica}V Water piping 4-40 Each gas water heater or vent A. P. o. 7i A?gig & Planing LA Gas piping system 1 - 5 outlets d.5A14 Each additional outlet .30 Fizs I vile �i E' Fire Dept. FireZo Use Permit g sewer egg Q EQA Parking Declaration Pa cel Map 60' R/W Improvements Lawn sprinkler system 2.00 Bldg. PI s Rec'd 15arcel Approval PIonsprovol Permit Fee $ l $ NEW ❑ ADDITION ❑ UTILITIES ® OTHER ❑ ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 O Main service 100 AMP OR01V OR LESS5.00 (� Main service EA. ADD'L 100 AMP 2.50 Single Family ❑ Duplex ❑ Mobil Home Others ❑ Main service 10 OVER600V oR LESS 25.00 Main service EA. ADD•L 100 AMP 1.00 NEW CONSOR ADDNST ( ACCLBLDGS.—DWELING OC &) 20sgft NEW CONSTMULTI.OUTLET NON.RESI D. (MULTI CIRCUITS) 2.50ea NEW CONSTR. /POWER APPARATUS & NON.RESID. %SINGLE OUTLET CIR. CONTRACTORS LICENSE LAW I am licensed under the provisions of Chapter 9, Div. 3, of the State of California Business & Professions Code under the name style of: /- �J s Jf Ex. Occup(OUTLETS OR FIXTURES)50 @25a BAL@1 Ex. Occup. ( OUTLETS P(RESID IKEA) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 6 License No.Classification ® I am exempt from the Contractors License Laws of the State of California. Misc. Wiring 6.25 Permit Fee 46." WORKMEN'S COMPENSATION INSURANCE I am aware of the provisions of Section 3700 of the California Labor Code which requires every employer to be insured against liability for Workmen's Compensation. ❑ I have placed on file with the County of Butte a certificate of Workmen's Compensation Insurance. I certify that in the performance of the work for which this permit is issued I shall not employ any person in any manner so as to become subject to the Workmen's Compensation Laws of California. MECHANICAL No. @ FEE PERMIT FILING FEE $3.00Heating 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 anthnri�c rcn roco..r�ti.. e.. ..� •.,, n....-... TOTAL PERMIT FEE above-mentioned property for inspection purposes. X X Date/- 77 Signature of/Permitee or Agent Receipt No. White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant I his 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 aid. DIRECTOR PU LIC WORKS By Date %- �:-717- i 7 7 ilding permit expires Date 2-c-, `7