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26-10-23 III-Na yd x. Frye ' 1780 alermo Rd., Ya1erino _ --- + _. .. - Permit #3908 80P,E(utit.,MH) ELEC .(AS DR z 1 SUHDRT S RUCTU REQ . 1---- a ! COMPACTION TEST R �Qv r.' I �k 26-10�3� ntr- H Sir, OR07. e 80Perm MHI �� f ; ed—��0x - .rr i I , i� Y��l.-;c. r PERMIT NO.. PERMIT EXPIRES ZZW / OWNER Lloyd K. Frye CONTR. nwner 11, `.LOCATION (A.P:_ 26-10-23- ) —-Palermo Rd., lot 2, Palermo P E I' y Temp. Power Pole Called PG&E . Temp. Elec. Serv. - If ll Calle PG&E Temp. as Serv. Z (Balled PG&E� /OB Q Q FINALED a COUNTY OF BUTTE _ bEPARTMENT OF PUBLIC WORKS BUILDING INSPECTION RECORD (NOTE: An entry must be made on this form each time you visit the job site.) BUILDING BUILDING (Cont'd) Ak I PLUMBING Se ack F�,ewaII oil Piping For4 Pa " pets \\st Floor Mal Bldg. Rest om Finish d Floor Fo tins Windo k'6 3r ,Floor Ste , all Sidin To ou', Slab Roof She thin Water Pkn Piers Roofing N Sewer Garage Fdn. Vents I Fixtures Footings Stemwall Garage Vents Insulation Water Htr. Heaters f Slab Carport Footings Prov. for physic ' ly Conformance of ex.\ structure V Applianceshandicapped%• Gas Piping & Tes / Temp. Gas % Slab Final Sanitation Patio FIR LACE Final , Footings i Footing EL&CTR AL Masonry Walls Throat \ Rough Relnf. Steel Final Fixtures /ri 1 Bond Bea FIRE SPRINKL Motors %r11 Framing Test Water Htr. 1 ' Stucco r Final - Subpanels 1, Mesh! MECHANICAL Grd. Fautfprot. Scr4' ch HeaJ(ng Service Brown Co ling Te . Pole Fjlnish D cts Unfieraround Injerlor Lath fientilation ermanent oor Closer Final Plinal MOBILEHOME TILITIE------ ------ Elec. Service Elec. Pedestal �- ( Water Piping �� 0 Sewer Gas Piping WOBILEHOMr= I f Water Piping f IN LATIO - - - - - - - - - = - - Support `� Drainage Elec. Continuity 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 695 Oleander Ave., Chico — 343-4211, Ext. 70 7 County Center Or., Oroville — 534-4541 Skyway and Elliott Rd., Paradise — 877-3435 CORRECTION NOTICE ....................J.7.....'7..4e,(1A ............................... Building or Property Address A routine inspection indicates that the following violations of County Ordinance exist at the above address and should be corrected. Please notify this officle when correction of work is completed. If you have any question pertaining to this matter, or need additional explanation, please contact this office immediately. ................................1 _.........,.................................................... .............. .................................................... -41i�T ....... ........................................................................................................................ ......... . . ... ol 0 . if ..... 0z ....... - . - . ......... Date.......L.�...a. Inspector ... .................. ......................... Do Not Remove This Tog (ADD - Al COUNTY OorBUTPE 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 for the following location: //7-/ Owner Owner's Address -�-• rte "E-- Mobilehome Mfg. Model Year / Insignia No. �� 1 Serial No. It is hereby certified for occupancy at the above described location and may be occupied. I Director of Public Works Date �IBY- THIS yTHIS CERTIFICATE IS VOID WHEN MOBILEHOME IS RELOCATED White - Owner, Yellow - Installer, Pink - D.P.W. 9. Electrical A. Is service large enough to provide adequate amperage to mobile1ioiue (must equal rating of mobilehome with a minimum of 1,100 p and '8ither facilities on. lot, i.e. ; water pumpN�,� garage, cabana, etc.? Yes_l�No B. Is there proper clearances around panels? Yes_ o_ C. IsP ower supply cord or feeder assembly properly fused?' Yes t_ o_ � D. Is continuity test satisfactory as per the following procedure? Yes 1. De' -energize electrical wiring system of the mobilehome atthe pe estal. 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 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 tag -services. MOBILEHOME DATA Manufacturer and/or Namestyle Length S 2- Width %Z Vehicle Serial No. 7 3 41 State Identification No. G�l���d r Additional Information or Comments: a MOBILEHOME INSTALLATION INSPECTION CHECK LIST r I. ► I 1.- Is the mobilehome located with 3Zquired separation from -lot lines and buildings and generally conform to plot plan? - Yes o 2. Does the mobilehome have required clearances above ground? (Sec.5085) Yes L—No 3. Are footings -and supports properly sized, spaced, and braced aspg approved p1'ans? (Note possible variation at spring shackles.) (Sec. 5082 & 5083) Yes No_ 4./ Is the mobilehome level? (Sec. 5088) Yes_ No_ �! If more than a single unit, are crossover connections properly installed? (Sec. 5088) . Yes_ No_ 6.. Water A. Is fle 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 7/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 -L-11/0 B. Does it have minimum 4" per foot slope and is it properly supported? Yes O-P3o C. Are any leaks detected in drainage system after running 3- Ions of water through each g fixture includingwashing 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" minimum mobilehome connector �t more than 6 ft. long? Note: All piping is to be at least as large as the mobile me gas line inlet without reductions other than the mobilehome connector. Yes No B. Test OK as per following procedure? Yes-Pdo / 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 n 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, California 95965 Telephone: 534-4541 APPLICATION AND PERMIT aU IVIILc IcFJICJCII (ally c0 UI IIrC I�UUIIIY UI DUMC lU VIRVl UPU11 UIc abo -mentioned prop rte for in pection purposes. 8 X DateA/7/80 Signature o Permitee or A en 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 By �iDate_^'���8`' BAding permit expires Date X_ /_Z__ BUILDING Owner L • K • F R Y E SQ. FT. OCC. BUILDING VALUATION Mai I i ng Address 1 774 PALERMO ROD. PALERMO, CA. 95968 �*gj �JJh_JG/8 Contractor S & H MOBILE HOME SERVVCE Mailing Address5250 OLIVE HIGHWAY Fireplace Total Valuation O R O V I L L E CA. ��ti, o ,�1 `TjtS-jU�O Permit Fee Building Address 1774 PALERMO ROAD , P A L E R M O, C A Plan Checking Fee &/or Penalty permit Fee $ PLUMBING No.1 @ FEE PERMIT FILING FEE J$3.00 Each Trap 1.50 Repair drainage or vent piping 1.50 A. P. No. 026-10-0-023-0 Zoning & Planning Water piping 1.50 Each gas water heater or vent 1.50 FZ s on Fire Dept. FireZone. Use Permit Gas piping system 1 •• 5 outlets 1.50 EQA Parking Plans Parcel Declaration Parcel Ma P 60' R/W provements Improvements Each additional outlet .30 Building sewer 5.00 Bldg. ns Recd Parcel AEeroval Plans Aproval Lawn sprinkler system 2.00 NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER Permit Fee $ $ r— 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 OV100EAMP OR P OR LESS 25.00 Main service EA. ADD'L 100 AMP 1.00 NEW OR ADD NST ACCLBL GS.LING CCUP. Y\ 2¢Sgft / 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: Y S & H MOBILE HOME SERVICE NEW CONSTRES'., MULTI -OUTLET NON-RESID. BRANCH CIRCUITS) 12.50ea NEW CONSTR (POWER APPARATUS 8 NON•RESID. (SINGLE OUTLET CIR. Ex. Occuo (OUTLETS OR FIXTURES) g L 1@ CO Ex. OCCU FIXED APPLNS. OR P• OUTLETS (RESID.) EA) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 380866 C 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 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 correc I agre to comply to all County Ordinances aid State Laws rellVting to� building construction, and hereby $ TOTAL PERMIT FEE $ aU IVIILc IcFJICJCII (ally c0 UI IIrC I�UUIIIY UI DUMC lU VIRVl UPU11 UIc abo -mentioned prop rte for in pection purposes. 8 X DateA/7/80 Signature o Permitee or A en 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 By �iDate_^'���8`' BAding permit expires Date X_ /_Z__ BUTTE COUNTY DEPARTMENT OF.PUBLYC WORKS 7 County Center Drive-, Oroville, CA. PHONE: 534-4541 « P MOBILEHOME INSTALLATION SHEET 1. Owner's name: L. K. F R Y E 2. Installer's name:S & H MOBILE-*HOME SERVICE 3. Is the site currently under permit? Yes / / No 7777 (If yes, furnish permit number ) OR Is the site an existing site?: Yes 7KT/- 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 %% No (If no, clarify ) 5. What is the mobilehome electrical rating?----------------------- 50 Amps 6. What is the mobilehome site service rating?.--------------------- 71= ;k� Amps 7. What is the mobilehome site circuit breaker rating?------------- Amps 8. Is there any other electric load to be served by the mobilehome site service? --------------------------------------------------- Yes /X./' No (If yes, identify the load and size: WATER PUMP (Load) (Amps) 9. What is the mobilehome site gas pipe size? ------------------ ---4 (in. 10. What is the type of gas service? --------------------------- Natural / / LPG 11. What is the gas pipe length from meter or to the mobilehome. (ft 12. :What is the mobilehome arid?----=------------------------- (BTU) (This in irmation not required if pipe length less than 6 ft. on natural gas or 1 s than 50 ft. on LPG.) CD l�e BUTTE COUNT BUILDING DEPRRTMENl APPROVE ) MOBILEHOME SUPPORT DATA If other -,than single wide, Mobilehome Mfr. CHAMPION HOME BU i L o E R S furnish Setup Model No. 100 Year 1981 Width 12 (ft.) Box Length 59 52(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. Footings (check one) QX 1. Wood either pressure treated or foundation grade. 2. Other (specify) Supports (check one) ® 1; Concrete block. El 2. Other (specify) (ft.) in:) (in.) (' .) Center sup rt Center suppor locations footin sizes (i .) Q —L x --T Y-- (ft.)(in.) I. (in.) (in.) (ft.)(in.) (ft.A (iri•) (in\) (in.) (in.)1(in ) S ingle *If center piers are other than drawn above, draw in --locations, spacing, and dimensions. Tagalong or Expando, show support details. `p�, x 30 -- Typical Support (in.) (in.) Footing Size -- Max. Pier Spacing (ft.)(in.) r--` � I -- Max. Overhang in -V/ COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS P R I O.�►� 7 -County Center Drive - Oroville, California 95965 - Telephone 916/534-4541 moi' APPLICATION AND PERMIT Afl I ASSESSOR P RCEL NUMBER ZONING BUILDING PERM OWNER / TELEPHONE SO. FT. OCC. BUILDING VALUATION OWNER'S MAILI ADDRESS s CONTRACTOR'S NAME ELE HONE lop CONTRACTOR'S MAILING ADDRESS CONSTRUCTION LENDER UNKNOWN Fireplace @ Total Valuation W LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER Gp ' �" LICENSE NO. Plan Checking Fee .$ Penalty $ ARCHITECT OR ENGINEER'S MAILING ADDRESS �- Permit fee $ BUILDING ADDRESS 7.90 epe4c C�p PLUMBING PERMIT Filing Fee 3.00 Each Trap 2.00 Repair drainage or vent.pi,ping 2.00 Water piping Or®d LOT NO. z SUBDIVISION NAMEPARCEL MAP &I Each qas water heater or vent 2.00 Gas piping system 1 - 5 outlets la. e0 USE OF STRUCTURE SF❑ Duplex❑ Mobilehomeo Other SPECIFY Building sewer 07& C90 Lawn sprinkler system 2.00 TYPE OF WORK New❑ Addition ED Remodel❑ Utiilii iess Installation ❑ Other ❑ Describe work: Permit Fee $. �.C10 Contractor ELECTRICAL PERMIT Filing Fee 3.00 Main service io°°V OR o AMP ORLESS 5.00 c) Main service EA. ADD'L too AMP 2.50NEW CONST. OR ADDNS. ( ACCLBLDGS.LING CCUP,&\ I 2¢Sgft X CONTRACTORS LICENSE LAW I declare under penalty of perjury (check One): ❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect: License No. Classification I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) I am exempt under Sec. , Business and Professions Code for this reason NEW CONSTR ULTI-OUTLET NON.RESID BRANCH CIRC ITS 2.50 ea NEW NON•CONSTRESID. (R ROW& WSINGLE OUTLET CIRER APPARATUS .&) 50 25t Ex. Occup(OUTLETS OR FIXTURES BA! D tOs FIXED APPLNS. OR Ex. Occup.(OUTLETS (RESIC.) EA,) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 6,25 Permit Fee $ �S Contractor WORKMEN'S COMPENSATION INSURANCE 1 declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. ® I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. MECHANICAL PERMIT Filing Fee 3.00 Heating Cooling Hood 2.00 Ventilation permit Fee $ Contractor 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. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against said County in consequence of the granting of this permit. X Signature of A licont - Owner � Contractor ❑ Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ Land Development Fee $ 2 c©O TOTAL PERMIT FEE OCCUP. GROUP I TYPE OF CONST. PAROL PD HDI1SS� This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which DIRECTOR OF UBLIC BY 9�' PERMIT ,EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS Date r ` •-� �- Receipt No.�3 WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT 3i►,S + plans'and specifications MUST b@ NOTE:=All Materials & Workmanship Shall Be 4� Thissetof p Accordance with Rvcor-niaeA Good practices anal kept ®n the pab as or a,tQ rfn1, times � on sar+na Without, of a quality prescribed. for the Snecified use in the make, My changeUniform Building, Piumb�ng & Machanical Cedes and wr�ce permission from the'Department of Public the National Electrical. Code. Wow, County of Butte. } r Ln I Al i Utility connections shall 6@� WOW 4 ft, of the mobilchOM, @if 0 -j directly behind or withitj the W �. half of the roadside (left) of tht mobitehorne. tori O , e' earnest wiz be uired for the ®f.. t moble Aome, ISO A�sc�ff��fii.i , ®U`TE COUNTY �, Ifiimt I � IiE1 t�RP ,RTMrNI of 5�. ffam % MO BUIL® centerline shall ba @i@i'IF of'APPROVED �tmctures or 6gYl Glif for a: 2 int, cava *V(5F i$% ®00- 6 q DO 4VC>/ ,'.ONO