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026-100-001
Katherine Brown 26-10-1 App.300 N.of pri.dr., 500 W.of inters. of North Villa & Wyman, Palermo Permit #4411-79P,E(util. MH) ° E LEC . g-�-:?g —� GAS �'--],-7cf ,(, P 3/ 9-'/'/ SUPPORT STRUCTURE REQ. ,yo COMPACTIONTTEST REQ. N/Q 26-10-01 Permit. x#4412-.7q--MHI Issued N PERMIT NO. r 4411-79P;E PERMIT EXPIRES OWNER Katherine Brown owner CONTR. LOCATION (A.P. 26 -ID -1 App.300'N.of pri.dra,,app.500'W.of inters. r of North Villa & Wyman, Palermo t . t Temp. Power Pole Called PG&E Temp. Elec. Serv. Called PG&E s Serv. _ '�K- -3- Y I J Called PG&E' -fit-- lv JOB FINALED ' (Date) k (Signature) COUNTY OF BUTTE _ DEPARTMENT OF PUBLIC WORKS �. BUILDING INSPECTION RECORD BUILDING BUILDING (Cont'd) PLUMBING Setl@ck IFirewall A SnAkPininn Main%Bldg. R Croom Finish 2nd loor Foo 'n s Win ws 3rd or Stem II Sidin To out Slab Roof SWeathing Water PI i Piers Roofing Sewer Garage Fdn. Venth Fixtures Footings Stemwal I x Garage V nt*k Insulation X Water Htr. Heaters Slab Carport p Footings Prov. for ph siIly handicaped Conformance of ex structure Appliances Gas Piping & Test Temp. as Slab Final V Sanitation Patio FI LACE Final Footin s Footing EJEECTRICN- Masonry Walls Throat Rough Reinf. Steel( Final Fixtures Bond Bea ARE SPRINKLE Motors Framing Test Water Htr. Stucco Final Sub ane Mesh MECHANICAL Grd. F It Prot. Scr ch Heatirtj Servi Brjfwn Coollig T mb. Pole Injbrior Lath or Closer MOBILEHOME UT LITI WaterPiping '% M IN TA Water Piping DATE / ' 17, ZG N�Final Winal • Elec. Serviceal— Sewer.) l— i Sewer Piping N -------------- Support ec-Continuity Drainage Gas Piping ��_��REMXRKS OR CORRECTIONS �✓ �f�� .� -.mac%��� c���Zz,'r� '� ,a.:��'�- .:'tee 6�� Cc�'`�" .�'Q'ru,� (NOTE: An entry must be made on this form each time you visit the jcb site.) COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 7 COUNTY CENTER DRIVE OROVILLE, CALIF. - 534-4541 CERTIFICATE OF OCCUPANCY This mobilehome has been installed in accordance with the requirements of the California Administrative Code, Title 25, Chapter 51 under permit number 1--J /,.7. .-*,2� for the following location: j Owner Owner's Address Mobilehome Mfg. /� - - - - - � Model Year V Insignia No. 2K,c Serial No. -a U It is hereby certified for occupancy at the above described location hnd may be occupied. Director'of Public Works ` Date J By THIS CERTIFICATE IS VOID WHEN MOBILEHOME IS RELOCATED White - Owner, Yellow - Installer, Pink - D.P.W. MOBILEHOME INSTALLATION INSPECTION CHECK LIST C Is the mobilehome located witrequired 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. 3. Are footings and supports properly sized, spaced, and braced as per. -approved plans? (Note possible variation at spring shackles.) (Sec. 5082 & 5083) Yes �o 4. Is the mobilehome level? (Sec. 5088) Yes �' No_ 5. If mor han a single unit, are crossover connections properly installed? (Sec. 5088) Yes_ No_ 6. Water A. Is flex' le 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 No C. Backflow - If coach is not Stat f 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 �e" per foot slope and is it properly supported? Yes�No C. Are any leaks detected in drainage system after running 3-g ons of water through each fixture including washing machine standpipe?.Yew No! l D. If c h 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" minimum mobilehome connector not more than 6 ft. long? Note: All piping is to be at least as large as the mobile ome gas line inlet without reductions other than the mobilehome connector. Yes_ No B. Test OK as per following procedure? YesZNo 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. /Nq C.. Are all appliance vents properly installed? Yes 9. Electrical A. Is service large enough to provide adequate amperage -to mobilehome (must equal rating of mobilehome with a minimum of 0 amp) dnd other facilities on lot, i.e., water pumps, garage, cabana, etc.? ;Yeso_ B. Is there proper clearances around panels? Yes No C. Is power supply cord or feeder assembly properly fused? Yes_�o D. Is continuity test satisfactory as per the following procedure? Yes o 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 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. MLEHOME DATA ���� Manufacturer and/or,Namestyle 1���� Length5"3 Width Z49 Vehicle Serial No. State Identification No, Additional Information or Comments:, r 0 COUNTY OF BUTTE A"DEQARTMENT OF PUBLIC WORKS 7 County Center Drive — Oroville, California 95965 Telephone: 534-4541 APPLICATION AND PERMIT authorize representatives of the County of Butte to enter upon the above-mentioned property.for inspection purposes. X 7� Signature of Permitee or Agent Receipt No. o 55 6'` 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 aboyd,vr which fees have been paid. DIRE R OF UBLIC WORKS 7- L�,f Date Building permit expires Date 7 BUILDING Owner LW -1gGe1 6 96bW /v SO. FT. OCC. BUILDING VALUAT ON Mailing Address P0907"2:16 A ` nrrV � Telephone No. Contractor n/ Mailing Address Fireplace Total Valuation Telephone No. Permit Fee Building Address AMP 3oo 1 ,) Pie✓ l tl An op Plan Checking Fee &/or Penalty Permit Fee INCH l Cori 1 W OP IAAePS6C7-1 VT PLUMBING No.1 @ FEE orAt„�,ar401u. ,L,t„`'m�,. 1 /`ti Y� W T U PERMIT FILING FEE $3.00 OQ Each Trap 1.50 1 %�� Z �J�mYTtV (pt4iY1U Repair drainage or vent piping 1.50 A. P. No. .L. ` ©! oning & .ng Water piping 1.50 �, Each gas water heater or vent 1.50 F Iles I W.LC_J S10tion I FireDept. FireZone Use ermit Gas piping system 1 -5 outlets 1.50 Oa EQA Parking Plans Parcel Declaration Parce ap 60' R /W Improveme is Each additional outlet .30 Building sewer 5.00 1Q.00 Bldg. Plans Recd P,rck/Approval Plans Approval Lawn sprinkler system 2.00 NEW ❑ ADDITION ❑ UTILITIES 0' OTHER ❑ Permit Fee $ 3360 is 3 Cc ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 3,,00 600V OR LESS Main service 100 AMP OR LESS 5.00 57,00 Single Family ❑ Duplex ❑ Mobil Home 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. ACC. LBL GSLING CCUP. Oil 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: NEW CONSTR /BRANCHMULTICIR-OUTLET ` NON-RESID. `BRANCH CIRCUITS/ 2.50ea NEW CONSTR. POWER APPARATUS e NON.RESID, SINGLE OUTLET CIR, Ex. Occup(OUTLETS OR FIXTtiRES) 5 L� Ex. Occup. (OUTLETS P(RESID FIXED ALNS.OR2.00 Temporary service 10.00 Mobile Home Facilities 15.00 License No. Classification Mis . Wirin 6.25 IrNne I am exempt from the Contractors License Laws of the State of California. Permit Fee $ .SO $ 261 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. @ F_EE 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 State Laws relating to building construction, and hereby Land Development Fee $ .d0 TOTAL PERMIT FEE $ qand authorize representatives of the County of Butte to enter upon the above-mentioned property.for inspection purposes. X 7� Signature of Permitee or Agent Receipt No. o 55 6'` 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 aboyd,vr which fees have been paid. DIRE R OF UBLIC WORKS 7- L�,f Date Building permit expires Date 7 COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS Y 7 County Center Drive - Oroville, California 95965 Telephone: 534-4541 APPLICATION AND PERMIT 0U111U11LC ICF/I1:JCIIL0LIVVb UI UIC UUUIIIy UI 61.11.1C IU Cnler UpUn Ine above -me tioned property for inspection purposes. X C1 A &31!21 Date ` / Signature of Permitee or Agent Receipt No. 2 s56 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 abov r which fees have been paid. JtlPtg" OF PUBLIC WORKS Dat � Building permit expires Date _T_ 9—,?s BUILDING Owner rAT14a7R_/N ; ReOWN SO. FT. OCC. BUILDING VALUA Mailing Addresspo Rox 2J710 IeE le�0 q55 6� Telephone No. Contractor ? Mailing Address �� Firep lace Total Valuation T ephone No t Gl Permit Fee n Building Address ®� A /l) R(� %-�J Plan Checking Fee&/or Penalty Permit Fee L)tf( 14 1 S 500'W Or (NT64K %/G A) PLUMBING No.1 @ FEE �1 N • v'u4 4 k a M wnn) /" W`� ►'i�� PERMIT FILING FEE $3.00 Each Trap 1,50 1 `%� �% 1/ /"AO�rnd Repair drainage or vent piping 1.50 A. P. No. 2 - to Q/ `� ning &Planning Water piping 1.50 Each gas water heater or vent 1.50 Fees :C. S to FireDept. Fire Zone Use Permit Gas piping system 1 - 5 outlets 1.50 EOA Parking Plans Parcel Declaration Parcel Map 60' R/W Improvers Each additional outlet .30 Building sewer 5.00 Bldg. Plan ec'd Parc royal P PProval Lawn sprinkler system 2.00 NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER Permit Fee $ MH7r O,e , 'Ir 01--7 ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 Main service 600V OR LESS 100 AMP OR LESS 5.00 Single Family ❑ Duplex ❑ Mobil Home Others ❑ Main service EA. ADD•L 100 AMP 2.50 Main service OVER 25.00 100 AMPP OR LESS O Main service EA. ADD'L 100 AMP 1.00 NEW CONST.( OR A.D.S. ACCLBLDGS.LING CCUP. S� 2�SgR 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 st le of: :( NEW CONSTR (MULTIBRANCH CIR - NON-RESID BRANCH CIRCUITS 2.50ea NEW CONSTF;L POWER APPARATUS 6 NON.RESID. SINGLE OUTLET CIR, EX. OCcup{OUTLETS OR FIXTIIPES 50@259� BAL@1 Ex. Occu FIXED APPLNS. OR p•(OUTLETS (RESID,) EAJ 2.00 Temporary service 110.00 Mobile Home Facilities 15.00 License No. Classification Misc. Wiring 6.25 rvr 1 am exempt from the Contractors License Laws of the State of Califomia. Permit Fee $Lni $ 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. ❑1 have placed on file with the County of Butte a certificate of Workmen's Compensation Insurance. 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 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 $ g✓d0O TOTAL PERMIT FEE 3d 0U111U11LC ICF/I1:JCIIL0LIVVb UI UIC UUUIIIy UI 61.11.1C IU Cnler UpUn Ine above -me tioned property for inspection purposes. X C1 A &31!21 Date ` / Signature of Permitee or Agent Receipt No. 2 s56 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 abov r which fees have been paid. JtlPtg" OF PUBLIC WORKS Dat � Building permit expires Date _T_ 9—,?s BUTTE COUNTY DEPARTMENT OF PUBLIC WORKS i 7 County Center Drive, Oroville, CA. PHONE: 534-4541 ! MOBILEHOME INSTALLATION SHEET 1. Owner's name: 2. Installer's name: �4) --S C- 3. 3. Is the site currently under permit? Yes / No (If yes, furnish permit number the mobilehome ) 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 /c--/ No (If no, clarify ) 11. What is the gas pipe length from meter or tank to the mobilehome? (ft.) 12. :What is the mobilehome gas demand? ------------------------------ (BTU) (This information not required if pipe length less than 6`ft on natural gas or less than 50 ft. on LPG.) 5. What is the mobilehome electrical rating? ----------------------- mps 6. What. is the. mobilehome site service rating? --=------------------ Amps 7. What is the mobilehome site circuit breaker rating? ------------- O 0 Amps 8. Is there any other electric load to be served by the mobilehome ; site service? --------------------------------------------------- Yes / / No (If yes, identify the load and size: (Load); (Amps) 9. What is the mobilehome site gas pipe size? -------------- 3W .__(in.) 10. What is the type of gas service? ----------------------------- Natural MZ LPG 11. What is the gas pipe length from meter or tank to the mobilehome? (ft.) 12. :What is the mobilehome gas demand? ------------------------------ (BTU) (This information not required if pipe length less than 6`ft on natural gas or less than 50 ft. on LPG.) MOBILEHOME SUPPORT DATA If other 'than single wide, Mobilehome Mfr./��--A was? . furnish Setup Model No. C/C Year��7 Width—A C/ (ft.) Box Length 15 (ft.) Tagalong or Expando. Size ft. x ft. (SHOW SUPPORT DETAILS BELOW) On all mobilehomes manufactured after October 7, 1973, furnish manufacturer's installation manual and structural setup sheets (if not on file with the County of Butte). All center supports measured from front of mobilehome unless otherwise specified. (ft.)(in;) (in.) (in.) Center support Center support locations* footing sizes (in.) 3' o x3o (ft.)(in.) (in.) (in.) Footings (check one) Single Wood'either pressure treated or foundation grade. 2. Other (specify) Supports (check one) Concrete block. F] 2. Other (specify) <-Tagalong.or Expando, show support details. (ft.)(in.) (in.) (in.) x 3 -- Typical Support. S �i p (in.) (in.) Footing Size T i / (ft.)(in.) (in.) (in.) -- Max. Pier Spacing (ft.)(in.) S'b-0 Max. Overhang (ft.)I (in.) (in.) (in.) (ft.)(in.) BUTTE COUNTY 3UILDING DEPARTM607 APPROVED j *If center piers are other than drawn above, �-- draw in locations, spacing, and dimensions. p ~ f 4 T" t� NOTE—All Materials & Workmanship Shall Be in d G d Pr eices and I I Accordance with Recognize oo a < of a quality prescribed for the Specified use in the h Udtf*TM Bulling, Plumbing & Mechanical Codes and A permit will be're • fie National. Electrical Code. installation of the irnnknred for the a� mob'I h All utility connections shall bo located within a ft. outside the regP r4 section of the mobile hoMQ on the left (road) side of them 6110 home. This set of plans and specifications MUST be kept on the job at all +i -nes cxnd it is unlawful to MCH anv chonges or alterations on same without ` written• permission from the Department of Public I Works, County -of Butte. � e ome. F. Cb ' The 1M. Setback shall be 5 ft. from the side property line and So ft. from the centerline of the road, permitting a maxi- mum of a 2 ft. eave overhang but entirely out of aU easements. rt 1 1 Septic system and location odd'' be as per g County Health Dept. Re - 44// -877 e- 44//-877 BUTTE COUNTY BUILDING DEPARTMENT APPROVED