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Home My WebLink About025-240-045' 25-24-45 obert N. Pesnell N Palermo Rd.,app.2OOO'E.of Power- house ill Rd., Palermo Permit0-75P,E(uuil.,MH) ELEC . .� 13 GAS SUPP R STRUCTURE COMPACTION TEST REQ, -�4-4 Permit 44741 Permit iss I:.(.inst./,38,30_,76) d 4� 1 i �N�Lo N �'�tI y'�'�'�...:J7diY�.ren4:�.4M'`'�'^'"'.7�Yn`�.'41v-b� ..�•�Z�:r:S'•"� ar: 'i Y'�'�iY^MW[��•,w�s'T..xyr 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 r of the California Administrative Code, Title 25, Chapter 5 under permit number 7-V1 76 for the following location: Owner -Owner's Address Mobilehome Mfg. Model zA" Year 12Z��l Insignia No. 1-3.ice 5_,-f'9 t- 9D Serial No. 445-6e v �X It is hereby certified for occupancy at the above described location and may be occupied. Director of Public Works Date _ 9/��/%� $y THIS CERTIFICATE IS VOID WHEN MOBILEHOME IS RELOCATED " by COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS BUILDING INSPECTION RECORD BUILDING BUILDING (Cont'd) PLUMBING Setback Firewall Soil Piping Stucco Forms Parapets 1st Floor MECHANICAL Main Bldg. Restroom Finish 2nd Floor Service Footings Windows 3rd Floor Finish Stemwall Siding To out Ventilation Slab Roof Sheathing Water Piping I Final z 7 %/41,11. Piers Roofing Sewer Garage Fdn. Vents Fixture Footings StemwaI l Garage Vents Insulation Water Htr. Heaters Slab Carport Footings Prov. for physically handica ed Conformance of ex. structure Appliances Gas Piping & Test�oZD Temp. Gas Slab Final Sanitation / . Patio FIREPLACE Final / 7 Footings Footing ELECTRICAL Masonry Walls Throat Rough Relnf. Steel Final Fixtures Bond Beam FIRE SPRINKLERS Motors Framing Test Water Htr. Stucco Final Sub anels Mesh MECHANICAL Grd. Fault Pr I. Scratch Heating Service Brown Cooling Temp. Pole Finish Ducts Underground Interior Lath Ventilation Permanen Door Closer Final I Final z 7 %/41,11. Ow DATREMARKS OR CORRECTIONS r U 'GPG -3 y �%/�3 �%l�. O� '`�8�-��•c�-tic. �1:2�0 ,. x/02 7 &rte oe i (NOTE: An entry must be made on this form each time you visit the job site.) APERMIT NO. 3930-76P,E PERMIT EXPIRES ^AWNER Robert N. Pesnell CONTR. owner 'LOCATION (A.P. 25-24-45 � J _-N/S.Palermo Rd., app. 2000'E.of Power House r"Hill Rd., Palermo 01 } e i I� Temp. Power Pol Called PG& Temp. Elec. rv. ��7 . Called &E Temp. G Serv. Cal d �E : JO FI ALED �� /7 ' (Date) (Signature) t MOBILEHOME INSTALLATION INSPECTION CHECK LIST 1: Is the mobilehome located wit required separation from lot lines and buildings and generally conform to -plot plan? Yes No 2. Does the mobilehome have required clearances above ground? (Sec. 5085) Yes No 3. Are footings and supports properly sized, spaced, and braced as per approved plans? (Note possible variation at spring shackles.) (Sec, 5082 & 5083) Yes No 4. Is the.mobilehome level? (Sec. 5088) Yes) No 5. I.f my:�e than a single unit, are crossover connections properly installed? (Sec. 5088) Yes, No No 6. Water A. Is able connector of adequate size and properly installed (1/2" ID min.)? (Sec. 5566) YesNo B: Test - Does water piping withstand working pressure or.50 lbs, air test? YesX- No C. Ba - Tf cuacir t5 noEa a cyVrUV6d, 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? YesX No B. Does it have minimum k" per foot slope and is it properly supported? Yes I No C. Are any leaks detected in drainage system after running 3 -gallons of water through each fixture in washing machine standpipe? Yes No;k D. If California d, does station have required trap and vent? Yes - No 8. Gas Piping and Gas Vents A. Connector - Is mobilehome connected to the gas supply with an approved 3/4" minimum mobilehome connector not more than 6 ft, long? Note: All piping is to be at least as large as the mobilehome gas line inlet without reductions other than the mobilehome connector. YesT No B. Test OK as per following procedure? Yes No 1. Open all appliance connector valves 2. Shut off appliance burner and pilot valves. 3. Air test with manometer to 10"-14" water column, or test with slope gauge (minimum 6oz.-maximum 8 oz.) calibrated in tenth pound increments. Test for 10 min, without drop. 4. Connect gas meter to mobilehome with connector, turn on gas, test connections with soapy water. C. Are all appliance vents properly installed? YeS No 9. Electrical A. Is service large enough to provide adequate amperage -to mobilehome (must equal rating of mobilehome with a minimumo 100 amp) and other facilities on lot, i.e., water pumps, garage, cabana, etc.? Yes No B. Is there proper clearances around panels? Yesx No C. Is power supply cord or feeder assembly properly fused? Yes No_ D. Is continuity test satisfactory as per the following procedure? Yesx No 1. De -energize electrical wiring system of the mobilehome at the peTdeesstal. 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 mobileliorae 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. y '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 theelectrical 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 tagr'services. MOBILEHOME DATA Manufacturer and/or Namestyle f Length (,0 Width ,V Vehicle Serial No. -- l Y --?e:2 State Identification No. Additional.Information or Comments: COUNTY OF BUTTE DEPARTME41IT OFPUBLICWORKS 7 County Center Drive - Croville, California 95965 Telephone: 634-4541 = 7� APPLICATION AND PERMIT /' ��...4, �� .,�."'y .' �U"l W CIIICI UIJUII ulc This permit is hereby issued under the applicable provisions of above-mentioned property for inspection purposes. the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR UBLIC WORKS X , i' ;�� l ,u v_ -,.rte �t Date b 7 C� —•� Signature of Permitee r Agent r B Date- / �� / / C v Receipt No. J White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant wilding permit expires Date�� BUILDING Owner 13- P/✓E 'LZ- SQ. FT. OCC. BUILDING VALUATION Mailing Address 30-7 oA, CXPW2F5S 2c1_ fin,, / 0/20 �fLL-L CA. Telephone No. S 35�-��s/� Fireplace Contractor g�fl-• Total Valuation Mailing Address lAlfvPermit Fee Plan Checking Fee &/or Penalty Telephone No. Permit Fee Building Address N S F /'i4� !=I2�'J7 A4 No. @ FEE PERMIT PERMIT FILING FEE $3.00 _ �/ n /�/ CSO ® Fte �" , C7� J LA"ex HOU( a Each Trap 1.50 /�� 1" /�'G� AGc�'- ✓�'� O 04 • Repair drainage or vent piping 1.50 Water piping 1-66'Y0,0 �gning Yer(ficatiotl - tilyI Each gas water heater or vent 1 1.50 sGas A. � .} -� �- �Zj � Zonl I 1�0 piping system 1 - 5 outlets/.9.00 Each additional outlet .30 ,P./No. Fe6� C. .-S&ion Fire Dept. Fire Zone Use Permit Building sewer 5,66 .� EQA Parkin Plans I Declaration Parcel p 60' R/W Improvements Lawn sprinkler system 2.00 Bldg. Plans Recd Porce pproval Plons pproval Permit Fee $ 3 O Q(, NEW ❑ ADDITION ❑ UTILITIES OTHER ❑ ELECTRICAL No.1 @ I FEE PERMIT FILING FEE 1$3.00 O Main service soov OR LESS • 100 AMP OR LESS 5.00 O Main service EA. ADD'L 100 AMP 2.50 0 Single Family ❑ Duplex ❑ Mobil Home Others ❑ Main service VER 600V 10 0 AMP OR LESS 25.00 Main service EA. ADD•L loo AMP 1.00 NEW CONS. DWELING OR ADDNST ( ACCLBLDGS.CCUP. &) 2¢sgft 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: L""p �"horc� N/'• d Ex. Occup(OUTLETS OR FIXTURES)@25a BA109 (FIXED Ex. Occu FIXED APPLNS. OR (RESID.) EA) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 t�•0 License No. Classification Misc. Wiring 6.25 DOI am exempt from the Contractors License Laws of the State of California. Permit Fee $ 21 7. $ 2- L 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. ❑ WI have placed on file with the County of Butte a certificate of orkmen's Compensation Insurance. of I certify that in the performance of the work for which this permit is issued I shall not employ any person in any manner so as to become subject to the Workmen's Compensation Laws of California. MECHANICAL No. @ FEE PERMIT FILING FEE $3.00 Heating Cooling Ventilation Hood 2.00 Permit Fee $ $ 1 certify that I have read this application and state that_the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby TOTAL PERMIT FEE $ 7 ��...4, �� .,�."'y .' �U"l W CIIICI UIJUII ulc This permit is hereby issued under the applicable provisions of above-mentioned property for inspection purposes. the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR UBLIC WORKS X , i' ;�� l ,u v_ -,.rte �t Date b 7 C� —•� Signature of Permitee r Agent r B Date- / �� / / C v Receipt No. J White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant wilding permit expires Date�� COUNTY OF BUTTE DEAR MENT OF PUBLIC WORKS 7 County Center Drive- = Ur6viIle, California 95965 Tel ephone:• 534-4541 APPLICATION AND PERMIT autHOFZe representatives of the county of Butte to enter upon the above-mentioned property for inspection purposes. X Date —24 Signature of Per itee or Agent Receipt No. White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR OF PUBLIC WORKS uflding permit expires Date — -IT— y"?'" %7 BUILDING OwnerWo Piz s �L/ SQ. FT. OCC. BUILDING VALUATION Mailing Address ZX ple v, TelepFlo g p�! C1 (�(� l� Fireplace Contractor Z Ly Total Valuation Mailing Address Permit Fee Plan Checking Fee &/or Penalty Telephone No. Permit Fee $ Q Building Address /(� /L/�!O PLUMBING No. @ FEE PERMIT FILING FEE J$3.00 doo O %C% r' A zle 114L99.Each Trap 1.50 / n c( (• Repair drainage or vent piping 1.50 Water piping 1.50 Each gas water heater or vent 1.50 A. P. No. �� Zoning & Planning Gas piping system 1 - 5 outlets 1.50 Each additional outlet .30 W.C. .Sii.iaiLon Fire Dept. Fire Zone Use Permit Building sewer 5.00 EQA Parking Plans ParcelParcel Declaration Ma P 60' R/W Imp Provements Lawn sprinkler system 2.00 B .iPtParcel A rovol Pans Approval Permit Fee $ $ NEW ADDITION ❑ UTILITIES ❑ OTHER ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 3 930^ Main service 10000V OR L 00 AMP ORSLESS 5.00 Main service EA. ADD'L 100 AMP 2.50 Single Family ❑ Duplex ❑ Mobil Home [R Others ❑ OVR 600V Main service 100E EAMP OR LESS 25.00 Main service EA. ADD'L 100 AMP 1.00 NEW OR ADDNST ( ACCLBLDGLING OCCUP. &) 2¢sgft 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: Ex. Occup(OUTLETS OR FIXTURES)50 @2-94t BAL@1 Ex. Occu FIXED APP LNS. OR P•(OUT LETS (RESID.) EA) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 License No. Classification Misc. Wiring 6.25 JQI 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 I shall not employ any person in any manner so as to become subject to the Workmen's Compensation Laws of California. MECHANICAL No. @ FEE PERMIT FILING FEE $3.00 Heating Cooling Ventilation Hood 2.00 Permit Fee $ $ 1 certify that I have read this application and state that the above Im. information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby 1-4-1; Al) TOTAL PERMIT FEE $ �C autHOFZe representatives of the county of Butte to enter upon the above-mentioned property for inspection purposes. X Date —24 Signature of Per itee or Agent Receipt No. White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR OF PUBLIC WORKS uflding permit expires Date — -IT— y"?'" %7 BUTTE COUNTY DEPARTMENT OF PUBLIC WORKS 7 County Center Drive, Oroville, CA. PHONE: 534-4541 MOBILEHOME INSTALLATION SHEET 1. Owner's name: / ) ��^'� � �/7 R 2. Installer's name: i 3. Is the site currently under permit?. 'Yes No (If yes, furnish permit number ) OR Is the site an existing site? Yes / / No (If yes, furnish two (2) plot plans.) 4. Will the mobilehome be located at least 5 ft. away from septic tank and leach fields and clear of all setbacks and easements? Yes / 1�_/ .No 11. What is the gas pipe length from meter or tank --to the mobilehome? 1 (ft.) 12. What is the mobilehome gas demand? ------------------------------ f( X -31P (This information not required if pipe length less than 6 ft. on natural gas 1A!4?;,or,''less(than'/50 ft!ton -LPG.) (BTU) (If no, clarify ) 5. What is the mobilehome electrical rating? -------------------G--- Q Amps 6. What is the mobilehome site service rating? --------------------- <!f)Z:) Amps 7. What is the mobilehome site circuit breaker rating? ------------- Q."' fps 8. Is there any other electric load to be served by the mobilehome site service? ----------- --------------------------------- Yes / 4-4- ---No (If yes, identify the load and size: (Load) (Amps) 9. What is the mobilehome site.gas pipe size? -------------------=-- in. 10. What is the type of gas service? ----------------------------- Natural / / LPG / 11. What is the gas pipe length from meter or tank --to the mobilehome? 1 (ft.) 12. What is the mobilehome gas demand? ------------------------------ f( X -31P (This information not required if pipe length less than 6 ft. on natural gas 1A!4?;,or,''less(than'/50 ft!ton -LPG.) (BTU) MOBILEHOME SUPPORT DATA Mobilehome Mfr. Setup Model No.*.51/J-Q1r 0 Year l/ Width (ft.) Length - (ft.) -Expando Size ft.x ft. (Draw support details below) On all mobilehomes manufactured after October 7, 1973, furnish manufacturer's installation manual and structural setup sheets (if not.on .file with.the County of Butte). - Sin le Footings (check.one) Wood either A' pressure treated or Center Center Support fdn-. grade. Suppo t Footing Sizes Locations (in.) Concrete pad. �qn. 3. •Other,: specify ." Supports (check one) X4'-1. Concrete block FHT 2. Concrete piers 77 3. Steel piers 4. Other, specify Typical Support Footing Size ( in. e Max. Pier Spacing t. in.) .an�.n. ) - Overhang BUTTE COUNTY *If .center piers are other than drawn above, BUILDING DEPARTMENT draw in locations, spacing, and dimensions. APPROVED All utility connections shall be located within 4 ft. outside the rear third section of the mobile home on the left (road) side of the mobile home. Septic system and ovation of build- ing drain stub -o to be as per Butte County Hialth Dept. Re- qu i remen ts. V) This set of pians ands Xcificafions MUST be kept on the job at all time and it is unlawful to make anychanges or alterations on same without written permisson from the Department of Public Works, County of Butte. -. x The Bldg. Setback shal be 5 ft. from the side property line c nd 50 ft. from itting the centerline voverhang. rm a maximumf a 2 Etre e 3Pj o{ �Q Jh . a � o .v NOTE:—All Materials & Workmanship Shall Be in A.cnordance with Recoani7 d Good Practices and. of a c]u^!itv nrescriberf for he Specified use in the Uniform BuAclinq, Plumbing Machanical Codes. and 46 Motional Electrical Cod4. . 4 BUrTe COUNTY WLDI N G DEPARTMENT r7_0ROVED 6 t , All utility connections shall be located within 4 ft. outside the rear third section of the mobile home on the left (road) side of the mobile home. Septic system and ovation of build- ing drain stub -o to be as per Butte County Hialth Dept. Re- qu i remen ts. V) This set of pians ands Xcificafions MUST be kept on the job at all time and it is unlawful to make anychanges or alterations on same without written permisson from the Department of Public Works, County of Butte. -. x The Bldg. Setback shal be 5 ft. from the side property line c nd 50 ft. from itting the centerline voverhang. rm a maximumf a 2 Etre e 3Pj o{ �Q Jh . a � o .v NOTE:—All Materials & Workmanship Shall Be in A.cnordance with Recoani7 d Good Practices and. of a c]u^!itv nrescriberf for he Specified use in the Uniform BuAclinq, Plumbing Machanical Codes. and 46 Motional Electrical Cod4. . 4 BUrTe COUNTY WLDI N G DEPARTMENT r7_0ROVED 6