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k42FOHN 2126 Elm St., Vico Permit# 1389-75P,E(uti-I., NH) ME—. �S- I - *7 S- Ip p4x� GAS Z7- i -7S- alp( v W .6M 2�M SUPPORT -STRUCTURE-! . 'Y% -O COMPACTION TESY'REQ. VW L CONTR- Kentwood M11"Sales, Chico rermi;# 1674— I Issued 7-T 16 0 0 • S M� NH Uti1. /��9-7.s- `PERMIT NO. 1389-75P,E ss t P E M { MH UTIL: 1PERMIT NO. 1 % / } b }� PERMIT EXPIRES ��—/f —/ OWNER John D. Stone CONTR. LOCATION (A.P. 1,.6-206-2o ) �t. 2126. Elm St. , Chico 4i s Temp. Power Pole Called PG&E t Temp. Elec. Serv. ?-S 4 Called PG&E Temp. Gas`Serv. Called_,,PG&E i JOB r '' —7 FINALED (Date) -/ lit -4, (Signat re) COUNTY OF BUTTE — DEPARTMENT -01F PUBLIC WORKS BUILDING INSPECTION RECORD BUILDING BUILDING (Cont'd) A. PLUMBING Setback - .. Firewall Soil Piping Forms Parapets \ 1st Floor Main Bldg. Restroom Finish 2nd Floor ` Footings Windows 3rd Floor StemwaII Siding To out Slab Roof Sheathing Water Piping Piers Roofing Sewers--� — Garage Fdn. Vents X Fixtures Footings Garage Vents Water Htr. — Stemwall Slab Prov. for physically handicapped Heaters Appliances Carport JV Footings A Conformance of ex. structure Gas Piping & Test Temp. Gas --�-- Slab Final Sanitation Patio FIREPLACE Final Footings Footing ELECTRICAL Masonry Walls Throat Rough 27 Reinf. Steel Final Fixtures ` Bond Beam FIRE SPRINKL S Motors "'-- Framing Test N Water Htr. Stucco Final Subpanels Mesh MEafiANMAL Grd. Fault Prot. L Scratch Heatinq Service Brown ooling Zenw. Pole Finish ucts A Underground -=----� Interior Lath Antilation Permanent Door Closer Final Final DATE REMARKS OR CORRECTIONS 0 i MOBILEHOME INSTALLATION INSPECTION CHECK LIST 1. Is'themobilehome located with required separation from lot lines and buildings and.general.ly conform.to plot plan?, Yes No .2. Does the mobilehome have required clearances above ground? (Sec.5085) Yes V No 3. Are footings and supports properly sized, spaced, and braced as per proved plans? (Note possible variation at spring shackles.) (Sec. 5082 & 5083) Yes No 4. Is the mobilehome level? (Sec. 5088) Yes' t/No ' 5. If more than a single unit, are crossover connections properly installed? (Sec. 5088) Yes 6. Water CJQ'C� 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 C. Backflow - If coach is not State of California approved, does station have backflow device and pressure -relief valve? Ye 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 '' No C. Are any.leaks detected in drainage system after running3-ga ns of water through each fixture including washing machine standpipe?,.Yes No D. If coach is not State of California approved, does station have required trap and vent? Y.es._ 8.. Gas Piping and Gas Vents A. Connector - Is mobilehome connected to the gas supply with an approved 3/4" minimum mobilehome connector not more than 6 ft. long? Note: All piping is to be at least as large as the mobile a gas line -inlet without reductions. other than the mobilehome connector. Yes No B. Test OK as per following procedure? Yes "_-;o_ 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, urn on gas, test connections with soapy water. C. Are all aDDliance vents Dronerly installed? Yes No 9: Electrical A. A. Is service large enough to prov'de adequate amperage -to mobilehome (must equal rating'',%of mobilehome with a minimum of 0 amp). and 'other.facilities on lot, i.e., water pumps, garage, cabana, etc.? Yes No B. Is there proper clearances around panels?. Yes t. �140 C. Is power supply cord or feeder assembly properly fused? Yeses No D. Is continuity test satisfactory as per the following procedure? Ye O.' No 1. De -energize electrical wiring system of the mobilehome at the pedestal. Z. Make sure that the power supply cord or feeder assembly conductors, including neutral conductor, have been disconnected. 3. Switch all breakers and switches in.the mobilehome to the "on" position. 4. Connect one lead of a test. instrument to the mobilehome grounding conductor and apply the other lead to each mobilehome supply conductor, including neutral. 5. All non-current, carrying metal parts of the mobilehome (aluminum siding, gas line, water line), including fixtures and appliances, shall be tested for continuity from such equipment and the grounding conductor. 6. Upon completion of the above procedure, the power supply cord or feeder assembly conductors shall be connected to the site service equipment. A further continuity test shall then be made between the grounding electrode and the chassis of the mobilehome. Upon satisfactory completion of the electrical tests, the lot or site service equipment may be approved for energizing. 10. Is job card signed by Health Department for water and sanitation? 11. If everything okay, sign off card and tag services. MOBILEHOME DATA Manufacturer and/or Namestyle Length 6,62 Width Vehicle Serial No. /s State Identification No. (0 Additional Information or Comments: COUNTY OF BUTTE — DEPARTMENT OF PUBLIC S i 7 County Center Drive — OroviIIe, California 95965 Tel eghond: 534-4541 APPLICATION AND PERMIT v iieviese LQL ves V� Lhe County ui Butte to enter upon the above-mentioned property for inspection purposes. x Date Sig aturee offPPerrmitee or Agent Receipt No. ! ` v34-7 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 UBLIC WORKS BY Dates..-...— J wilding permit expires,Date...............S BUILDING Owner�yl 5�3�J(� SO. FT. OCC. BUILDING VALUATION Mailing Address G/A, Telephone No. Fireplace Contractor �l�U p I F� Sp es Total Valuation Mailing Address ? 6&)x �� Permit Permit Fee Feeing Planit eck Fee&/or Penalty l(� Teo ne No. � �cyZ( Permit Fee Building Address PLUMBING No. @ FEE PERMIT FILING FEE J$2.00 1-- S I Each Trap 1.50 )�L Repair drainage or vent piping 1.50 Water piping 1.50 Each gas water heater or vent 1.50 A. P. No. A P (q—),vQ Zoning & Planning Gas piping system 1 - 5 outlets 1.50 Each additional outlet .30 F •Serii•tatiM .Fire Dept. Fire Zone Use Permit Building sewer 5.00 EDA ParkPlaing Declaration Parcel Map 60' R/W Impro ements Lawn sprinkler system 2.00 Ions Recd Parcel Ap oval Pla Approval Permit Fee $ $ NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER,0 ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 ns, o A) Main service incl. 1 meter Additional meters, each 1.00 Single Family ❑ Duplex ❑ Mobil Home Others ❑ Sub -panel (12 or less) (more than 12) Range, Cook -top or Oven 1.00 Water Heater or Space Heater 1.00 Light fixtures bal Bio Receps., switches & fix outlets 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 Y style pfe_`-T6uoo1 .MO&,(C 9/vie JAS (_ Hood, Ex. Fan or F. A. Furn. Motor 1.00 Evap. cooler, gar. disp. or D.W. 1.00 Air conditioner or heat pump Water pump Mobil Home Facilities 5.00 Temp. Power Pole 5.00 License No. 2%SSS 3 C_bl� Classification_ Misc. wiring . ❑ I am exempt from the Contractors License Laws of the State of Califomia. 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. 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 to p y an y 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 e $ 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 0,n t TOTAL PERMIT FEE iieviese LQL ves V� Lhe County ui Butte to enter upon the above-mentioned property for inspection purposes. x Date Sig aturee offPPerrmitee or Agent Receipt No. ! ` v34-7 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 UBLIC WORKS BY Dates..-...— J wilding permit expires,Date...............S V COUN'TY OF BUTTE — DEPARTMENT OF PUBLIC 7 County Center Drive — Orovi Ile, California 95965 / Tele0ofre` 534-4541 APPLICATION AND PERMIT all LIIOFLe Iep esetltQUveb of the County of Butte to enter upon the above-mentioned property for inspection purposes. X -ate—// Signature of�Pjermitee�iorAAgent Receipt No.� o� 4no-_ / 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,RUBLIC WORKS BY � Date ��"'� 0' :? -,7 flding permit expires Date............................................ BUILD NG Owner D �� SQ. FT. OCC. BUILDING VALUATION Mai I i ng Address S� / ;6one No. Fireplace Contractor Total Valuation Mailing Address Permit Fee Plan Checking Fee &/orPenalty Telephone No. Permit Fee c� ,�-- Building Address��� � J PLUMBING No. @ FEE PERMIT FILING FEE (ND c-- © E /'►l 3 Each Trap 1.50 S- r S 2/f1,0 Repair drainage or vent piping 1.50 Water piping 1.50 10, C9 _ / C Q 4 Each gas water heater or vent 1.50 A. P. No. Zoni QAT Gas piping system 1 - 5 outlets 1.50 10,06 Each additional outlet .30 F a tion Fire Dept. FireZone Use Permit Building sewer •6-99- a(a EQA Parking Plans Parcel Declaration Parcel Ma P 60' R/W Im ro ements P Lawn sprinkler system 2.00 N_Ydg. Plans Recd Par pproval s Approval Permit Fee $ $3 (j( NEW ❑ ADDITION ❑ UTILITIES g OTHER ❑ ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 00 Main service incl. 1 meter S 0 Additional meters, each 1.00 Single Family ❑ Duplex ❑ Mobil Home g Others ❑ Sub -panel (12 or less) (more than 12) Range, Cook -top or Oven 1.00 Water Heater or Space Heater 1.00 Light fixturesbal a?o Receps., switches & fix outlets 20 (a 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: Hood, Ex. Fan or F. A. Furn. Motor 1.00 Evap. cooler, gar. disp. or D.W. 1.00 Air conditioner or heat pump Water pump Mobil Home Facilities 5.00 Temp. Power Pole 5.00 License No. Classification Misc. wiring / I am exempt from the Contractors License Laws of the State of California. Permit Fee $-:21/1 00 c 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. fO 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. 1 certify that I have read this application and state that the above information is correct- I agree to comply to all County Ordinances and State Laws relating •to building construction, and hereby MECHANICAL No. @ FEE PERMIT FILING FEE $3.00 Heating Cooling Ventilation Hood 2.00 Permit Fee TOTAL PERMIT FEE S t all LIIOFLe Iep esetltQUveb of the County of Butte to enter upon the above-mentioned property for inspection purposes. X -ate—// Signature of�Pjermitee�iorAAgent Receipt No.� o� 4no-_ / 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,RUBLIC WORKS BY � Date ��"'� 0' :? -,7 flding permit expires Date............................................