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HomeMy WebLinkAbout026-241-01913angbl- renewal/4755- PERMIT NO. 4440-79MHI existing site PERMIT EXPIRES OWNER DON SADLER CONTR. Lincoln Vilbge LOCATION (A.P. 26-241-33 �,. 1826 S Villa, Palermo 4 1 L t f m rt H I J t i Temp. Power Pole Called PG&E Temp. Elec. Serv. Called PG&E Temp. Gas Serv. / Called PG&E JOB FINALED ' '� J i (Dat ( ignature) 9.` Electrical A. Is service large enough to provide adequate amperage -to mobilehome (must equal rating of ,mobilehome with a minimum of x;96 amp) and,other facilities on lot, i.e., water pumps, garage, cabana, etc.? Yes ✓ No B. Is there proper clearances around panels? Yes /140 C. Is power supply cord or feeder assembly properly fused? Yes, No D. Is continuity test satisfactory as per the following procedure? Yes/estali—. 1. De -energize electrical wiring system of the mobilehome ai the pe 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. MOBILEHOME DATA 9 ^ Manufacturer and/or Namestyle Length SSP Width Vehicle Serial No. State Identification No5 2`7 , Additional Information or Comments: MOBILEHOME INSTALLATION ,INSPECTION CHECK LIST 1. Is the mobilehome located witN equired separation from lot lines and buildings and generally conform to plot plan? Yes_ _ 2. Does the mobilehome have required clearances above ground? (Sec.5085) Yes�o 3. Are footings and supports properly sized, spaced, and braced as pe approved plans? (Note possible variation at spring shackles.) (Sec. 082 & 5083) Yes t/ Nc 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 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 C. Backflow - If coach is not Stat of California approved, does station have backflow device and pressure -relief valve? YeoNo 7. Wastes and Drains A. Is connection made with Schedule 40 DWV and have flex connectors at each:�No_ ? es�No B. Does it have minimum 4' per foot slope and is it properly supported? Yes_ C. Are any leaks detected in drainage system after running 3- allons of water through each fixture including washing machine standpipe? Yes. No D. If co�afh is not State of California approved, does station have required trap and vent? Yes o 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 me gas line inlet without reductions other than the mobilehome connector. YesAe"_ 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, tur /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 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 for the following location: Owner Owner's Address Mobilehome Mfg. Model Year Insignia No. Serial No. It is hereby certified for occupancy at the above described location and may be occupied. Director of Public Works Date By THIS CERTIFICATE IS VOID WHEN MOBILEHOME IS RELOCATED White - Owner, Yellow - Installer, Pink - D.P.W. COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS RUING 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 Sidinq To out Siab Roof Sheathing Water Piping Piers Roofing Sewer Garage Fdn. Vents Fixtures Footings Stemwa I I Garage Vents Insulation Water Htr. Heaters Slab Carport Footings Prov. for physically handica ed Conformance of ex. structure Appliances Gas PipingTest Temp. Gas Slab Final Sanitation Patio FIREPLACE Final Footings Footing ELECTRICAL Masonry Walls Throat Rough Relnf. Steel Flnal Fixtures Bond Beam FIRE SPRINKLERS Motors Framing Test Water Htr.... Stucco Final Subpanels Mesh MECHANICAL Gird. Fault Prot. Scratch Heating Service . Brown Cooling Temp. Pole Finish Ducts Underground Interior Lath Ventilation Permanent Door Closer Final Final MOBILEHOME UTILITIES ------------------ Elec. Service Elec. Pedestal Water Piping I Sewer Gas Piping MQ§16EMOME INSTALLATION - - - - - - - - - - - - - - Support Elec. Continuity Water Piping V — r `' Drainage Gas Piping40-7 _ DATE REMARKS OR CORRECTIONS (NOTE: An entry must be made on this form each time you visit the job site.) Ll COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS' 4 7 County Center Drive — Oroville, California 95965 Telephone: 534;4541 D APPLICATION AND PERMIT autnonze representatives or ine t�ounty or butte to enter upon the abo-m rationed property for inspection purposes. 1 * 2 x /Date W2 Sig ture of Permitee or Agent Receipt No.�C h White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the But County Code and/or resolutions to do work indicated abov or hich fees have been paid. C OF P BLIC WORKS Date Z•_,2- —� Building permit expires Date _ %— fid S�- BUILDING Owner ({A AD LuX '• SQ. FT. OCC. BUILDING V ATIO ' Mailing Address I1AA phone2Nlo`. Contractor 77 cl /Old l = / J Mailing Address rQ LaY L) (,Aelw D �L.�l..l Fireplace Total Valuation Tele hone No. cw, L—ft. Permit Fee Building Address ���� �� Plan Checking Fee&/or Penalty Permit Fee A/cag _f1olm. UILLf; 3f PLUMBING No.1 @ FEE �. �/1/Y,� L�Nl•J5� i'1 U�� LL11�` OT PERMIT FILING FEE $3.00 Each Trap 1,50 Repair drainage or vent piping 1.50 / n L/_ // �� A. P. No., (p .__, of �J — Zoning 8 Planning Water piping 1.50 Each gas water heater or vent 1.50 Fire Dept. FireZone Use Permit Gas piping system 1 - 5 outlets 1.50 EQA Parking Plans Parcel Declaration Parcel Map 60' R/W Improvements Each additional outlet .30 Building sewer 5.00 Bldg. oras Rec'd Parcel ,oval Plans Approval Lawn sprinkler system 2.00 NEW ❑ ADDITION ❑ UTILITIES ❑// OTHER ❑ Permit Fee $ JUI at l� i /�(innL6q_nam ELECTRICAL No.1 @ FEE 6� 5 �� PERMIT FILING FEE $3.00 Main service 100 AMP OR01V OR LESS5.00 Single Family ❑ Duplex ❑ Mobil Home Lkoj 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 OR ADDNST ACCLBLOGS.LING CCUP. 4) 20 sq ft CONTRACTORS LICENSE LAW I am licensed under the provisions of Chapter 9, Div. 3, of the State f California Business & Professions Code under the name style 1 iL..IM►le jAA / j /// (� �ypyy`� hl i r ( , + NEW RESID.CONST/ BRANCH CIRCUITS) NON-RESID, 1 BRANCH CIRCUITS/ 2.50ea NEWCONSTR. POWER APPARATUS 0 NON •RESID, (SINGLE OUTLET CIR. EX. OCCUD(OUTLETS OR FIXTIIRES 50@25 Ex. Occup (FIXED APPLNS. OR- • OUTLETS (RESID.) EA/ 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 /y License No. �7 Classification Misc. Wiring 6.25 ❑ I am exempt from the Contractors License Laws of the State of California. Permit Fee $ $ MECHANICAL No. @ 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 orkmen'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. PERMIT FILING FEE $3.00 Heating Cooling " 6 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 Qo _scm TOTAL PERMIT FEE autnonze representatives or ine t�ounty or butte to enter upon the abo-m rationed property for inspection purposes. 1 * 2 x /Date W2 Sig ture of Permitee or Agent Receipt No.�C h White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the But County Code and/or resolutions to do work indicated abov or hich fees have been paid. C OF P BLIC WORKS Date Z•_,2- —� Building permit expires Date _ %— fid S�- • I I `....r*•-- \...war.. J �CJ��. ' !_3- ...+�'"-..+W--'. This s of plans and specifications MUST be kept on • ie job e+ r -II times and it is unlawful to &'44WIN make am ch,a~� ^� c!.- ah rcfions on same w, houi written rm's_-",c" jrcm She Department of Pub- (24W,5 lic Wor , County of Butte. A + II uti i;�r connactions shall be' l sated wifIlin 4 ft. outside the rear t ird sMc;ion of the mobile home the left (road) side of the mobile home. i. ! 'he Old -g- Setback shal,• be 5 ft. f"Orr► the !? j,c a p.-oper;y .line and 50 ft, from the yen+eriine of the road ,'nuns of a 2 ft. eave overhang g but entirely Out of all easements. 7 Q, Y-C(((o 6U r T f=--C)UN f r a '�!l;.DING DEPARTHEVI 5. What is the mobilehome electrical rating? ----------------------- r 6. What is the mobilehome site service rating?- --------------------- 7. What .is the mobilehome site circuit breaker rating? ------------- 1'10 Amps ' mps Amps 8-. Is there any other electric load to be served by the mobilehome site service? --------------------------------------------------- Yes 7W No BUTTE COUNTY DEPARTMENT OF PUBLIC WORKS AU 7 County Center Drive, Oroville, CA. PHONE: 534-4541 size: J (Load) (Amps) 9. MOBILEHOME INSTALLATION SHEET is the mobilehome'site gas,pipe f>1, Owner's; `name (in.) 10. What is the:type of gas.service?------------------------------- 2'.. Installer's name: ,:LINCOLN VILLAGE MOBILE HOMES 11. 3. •Is,the site. currently under permit? Yes /- / No or tank to the mobilehome? 4 (If.yes, furnish permit number ) OR r :What Is. the; site an existing site? YesNo, (BTU) .. r' (If yes, furnish two (2) plot plans.) ' if pipe length less than 6 ft. on natural gas 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 � / / y (If no, clarify ) 5. What is the mobilehome electrical rating? ----------------------- r 6. What is the mobilehome site service rating?- --------------------- 7. What .is the mobilehome site circuit breaker rating? ------------- 1'10 Amps ' mps Amps 8-. Is there any other electric load to be served by the mobilehome site service? --------------------------------------------------- Yes 7W No AU (If yes, identify the load and size: J (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? 4 (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.) MOB ILEHOME SUPPORT -IATA s, If other than single wide, y� �'� Mobilehome Mfr. t7 [ furnish Setup Model No. moi' Year Width Q*q (ft.) Box Length (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;) Center support locations* — (ft".) ('in.) m . Ir (f t.) (in.) «. (ft.)(in.) (ft.Vin.) (in.) (in.) Center support footing sizes (in.) 4! (in.) (in.) a) (in.) (in.) (in.) (in.) Footings (check one) Single 1. Wood either pressure treated or foundation grade. 2. Other o (specify) Supports (check one) 1: Concrete block. EI 2. Other (specify) * —Tagalong or Expando, show support details. -- Typical Support in.) (in.) Footing Size *If center piers are other than drawn above, draw in -locations, spacing, and dimensions. -- Max. Pier Spacing -- Max. Overhang CSU' -TE COUN? r dUILDING DEPARTMEW APPROVED r COUNTY OF BUTTE Department of Public Works 7 County Center Drive Oroville ----- 534-4541 Location 1 �a Is o u► L.0 A Mobilehome Installation Permit No. ' 4-q- 0 ,? 9 FILL IN INFORMATION FOR ITEMS 1 THRU 10 Watts 1. Width C2 / x Box Length x 3 = /10 -3 _Z 2. 2 Kitchen Appliance Circuits = 3,000 3. 1 Laundry Circuit ............ = 1,500 4. Ovens ......................................... _ 5. Cook Stove Top .................... _ 6. Hot Water Heater 7. Dishwasher & Disposal ........................ _ !(O U 0 8. Clothes Dryer ................................ 9. Other (specify, i.e., motors, exhaust fans, etc.) r r Sub -total -,Watts ..... L First 10,000 watts @ 100% ........ ........................ = 10,000 Remaining 1 watts @ 40'/a ................. .. _ �� S-3 10. A _ watts @100'/0.. _ 4999 Largest Demand = Central Heat System X40 watts @ 65%.. _ TOTAL DEMAND WATTS REQUIRED ............. "Demand Watts Required" , 230 ............. . _ c,J .J AMPS 5UTTE COUNTY Arles De -rate Mobilehome to .............. BUILDING DEPARTM9W LINCOLN VILLAGE + � +0 2628 LINCOLN BLVD. y OROVILLE..CA. 95965 918.634-7774 BUTTE COUNTY VEPARTMEN%F PUBLIC WORKS "SPECIAL INSEE211qLREPORT Owner: A. P. Address----._ Date of Inspection Tenant: Building Location: / Type of Inspection requested: Housing C/ 2. Financing Other (specif, Preg-ent use. cf build Inspector 3. Change of Occupancy to A.A. sanitation Ljia 1. Vater closet: 2. Lavatory -,- Bathtub or shower: 4. Kitchen sink: 5. Hot and cold water to fixtures: 6. Heating 31:zriiities: 7. Natural light and venfilation: 8. Rocnin and space requirements: 9. Bedroom window or door for second exit: 10. Infestat,4on of insects, vermin., or rod-�—Its. 11. Connection to sewage.disposal: 12. Connect -..Lon to "water supply: 13. Rubbish and garbage fac-Ulties: 14. Comments: B. Structural 1. P1.ers and footings: 2. Floor consi-niction: .3. Wall construction:_ 4. Ceiling and roof construction: 5 F, irc..placesi 6. CcrTnent*s: C. Electrical 1. Servicc; and f-,-ound - 2. Receptacles: --- 3. Fus ag: 4. C(rmm-nnts: D. P IyEb ink connect(,*d and vented: 2. c3a.s wit er 3. Gas 1 cating 4. E. Other 1 Maintenance and repair: 2. Fire hazards: 3. Safety hazards: 4. Weather protection: 5. Underfloor and attic ventilation: 6. Comments: — F. Commercial Buildings 1, Roof covering: 2. Distance to property lines: 3. Physically handicapped: 4. Restroom floors and walls:_ 5. Exits: 6. Improvements: 7. Zoning: 8. Comments: G. Field Problems or Violations 1. Problem or •violation (give complete description): 2. What action taken (give complete descript:.axi) 3. What action recommended: 77A. fnforaation only -- fiLe. B. Hold for tea (10) days, then write letter, C. Write letter. /7 D. Other: ` tALl�`v .EIRE �. REPORT FC -18 - REV. 1-79 o2'Y•U`" L Q 3 z�'� D,5���� , 77 ( MILES DIRECTION []FROM A IN NTL. FOREST, FIRE )DIST.. CITY 8 STREET NO.. ETC. —I— -- I'- '_Rro �a0 S fi/L�Q CAUSE (Starts in CDF Direct Protection Area only) (_ LIGHTNING T D DEBRIS ❑ PLAY W/FIRE [_] CAMPFIRE [] ARSON ( MISCELLANEOUS ( 1 SMOKING 1`1 EOUIPMENT IPROPERTY USE (Starts in CDF Direct Protection Area only) DOMESTIC .❑•UTILITY: OTHER ❑ RANCH -FARM REISE TYPE ❑ DUMP �O-FIREf FALSE ALARM � STOP GOTO t0' ❑ AILDLAND ❑ UTILITY, ELECT ❑ NON WILDLAND QA RESPONSIBILITY (AT ORIGIN) DIRECT " PROTECTION `;" STATUTORY RESPONSIBILITY TOTAL '� I :J STATE ' MAP ✓ REF. ONE STATE ZONE "' ❑ DISTRICT t 0 ❑ - STATE ❑ CITY © ❑ LOCAL (Contr3Ct) _ ❑ COUNTY \% ❑ LOCAL (Non -contract) ❑ U.S.F.S. LOCAL ZONE ❑ B.L.M. - LOCAL (Contract) El B.I.A. O❑ LOCAL (Non -contract) 1:1N.P.S. ®❑ FEDERAL ZONE ❑ OTHER FEDERAL a ❑ MISCJOTHER ❑ OTHER CAUSE (Starts in CDF Direct Protection Area only) (_ LIGHTNING T D DEBRIS ❑ PLAY W/FIRE [_] CAMPFIRE [] ARSON ( MISCELLANEOUS ( 1 SMOKING 1`1 EOUIPMENT IPROPERTY USE (Starts in CDF Direct Protection Area only) DOMESTIC .❑•UTILITY: OTHER ❑ RANCH -FARM ❑ FOREST INDUSTRY ❑ DUMP ❑ RECREATION ❑ ROAD ❑ OTHER INDUSTRY -COMM ❑ UTILITY, RAILROAD ❑ AILDLAND ❑ UTILITY, ELECT ❑ NON WILDLAND TIMBER VOR.YOUNG GROWTH WILDLAND VEGETATION (Except Timber R Young Growth) AGRICULTURAL PRODUCTS (Except Timber 8 Young Growth) DWELLING VOR CONTENTS VEHICLES & CONTENTS OTHER TOTAL A $DAMAGE $ r 00. 00. 00. 22,600. 00. 00. 00. $ X7,000. SIZE ES BURNED (CDF Direct Protection Area only) STATUT. RESP. OF C.D.F. D.P.A. ACRES BURNED STATE U.S.F.S. B.L.M. B.I.A. B.O.R. OTHER FED OTHER TOTAL ON ARRIVAL (CDF Direct Protection Area only) 3 VEGETATION FIRE 1 ❑ OTHER (GO TOIO)) DISTANCE (Origin to head) AC. FEET WEATHER (Est. at scene) g WIND DIRECTION FROM TEMPERATURE ! M.P.H. I •F 10 Over p!e©se�--�.b C.D. F.- 7540-130-011 is iIF PERMIT NO. I� DPERMIT EXPIRES . 1OWNER Don Sadler ;•CONTR. Holmes Mobile Home Serv.,'Oroville !° 26-241-3 11 1 LOCATION (A.P. ) Ii 1826 So.Villa, Palermo t F • s Temp. Power Pole Called PG&E y Temp. Elec. Serv. Called PG&E f% • • • Temp. Gas Servf Called P &E JOB FI ED (Date) I (Signature) j Finish COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS BUILDING INSPECTIM RECORD Underground BUILDING BUILDING (Cont'd) 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 Sewer Garage Fdn. Vents Fixtures Footings Stemwa I I Garage Vents Insulation Water Htr. Heaters Slab Carport Footings Prov. for physically handica edy Conformance of ex. structure Appliances Gas Piping &Test Temp. Gas Slab Final Sanitation Patio FIREPLACE Final Footings Footing ELECTRICAL Masonry Walls Throat Rough Reinf. Steel Final Fixtures Bond Beam FIRE SPRINKLERS Motors Framing Test Water Htr. Stucco Final Subpanels Mesh MECHANICAL Grd. Fault Prot. Scratch Heating Service Brown Cooling Temp. Pole Finish Ducts Underground Interior Lath Ventilation Permanent Door Closer Final Final MOBILEHOME UTILITIES ------------------ Elec. Service Elec. Pedestal Water Piping Sewer Gas Piping OBILEHOME INSTALLATION - - - - - - - - - - - • - - Support Elec. Continuity Water Piping Drainage Gas Piping DATE REMARKS OR CORRECTIONS �S �/� � �j��✓��-� lam, oe .. l02-� ��- Ili�Q�no a�,QrQo— i15� s-ne-Y�o-�e, v (NOTE: An entry must be made on this form each time you visit the job site.) `J COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO. 7 County Center Drive - Oroville, California 95965 - Telephone 916/534-45APPLICATION -AND PERMIT ASSES0(0 PARC L UMB ZONING BUILDING PERMIT owN C�. d, TELEPHONE SO. FT. OCC. BUILDING VALUATION O.W R'S MAILING 'ADDRESS t ' V t / I O / L/TEPHONE CONT CT R'S NAME s vi Ce �ELE -C TR CTOMAILING ADD ESS _� �.- Izl Fireplace CONSTRU,CTIO LE DER N 1/ Total Valuation is Filing Fee • $ 10.00 LENDER'S MAILING ADDRESS Permit Fee t % $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Penalty $ ARCHITECT OR ENGINEER'S MAILING A DRESS Permit fee $ I0 BUILDING 7D ESS p` l(a �� V PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Repair drainage or vent piping 5.00 elro) 0 Water piping LOT NO. SUBDIVISION NAMEPARCEL MAP Each qas water heater or vent 5.00 Gas piping system 1 - 5 outlets USEOFSRUCTURE [:1SF Duplex❑ Mobilehome Other SPECIFY Building sewer Lawn sprinkler system 5.00 TYPE OF WORK New ❑ Addition ❑ Reemp-del Utilities ❑ Installation ❑ Other Describe work: f AU -- V► -,n QA �7.� SS'� Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service DOOV OR LESS 100 AMP OR LESS 5.00 Main service EA. ADD•L 100 AMP 2.50 NEW CONST. ( DWELLING OCCUP.51 OR ADDNS. \ ACC. BLDGS. 20 sq ft 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. g/ -� / / Classification "II -- / �� __ � [� ❑ 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) 1 ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONSTR.I.OUTLET 2.50 ea NON-RESID BRANCH CIRC TS NEW CONSTR ( POWER APPARATUS &I NON-RESID. SINGLE OUTLET CIR. DO a z5¢ Ex. Occup OUTLETS OR FIXTURES BAL�1 Ex. OCCUp.�OUTLETS PI RESID.)REA. 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 7.50 Permit Fee $ Contractor MECHANICAL PERMIT Filing Fee 10.00 WORKMEN'S COMPENSATION INSURANCE I 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. Heating Cooling Hood 3.00 Ventilation Permit Fee S Contractor I certify that I have read this application and state that the above information 1s correct. 1 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 liabil'ties, judgments, costs, and expenses which may in any way accrue against a' C my in co �A�of granting of this permit. X Date Signature 'o Applicant - Owner ❑ Contractor IV 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 $ TOTAL PERMIT FEE $ /� r �� OCCUP. GROUP I TYPE OF CONST. I PARCEL PD HD ISSUE This permit is hereby issued under the applicable provi- sions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. CTQR OF PUBLIC WORKS ' I' BY ` Date-"�� PERMIT EXPIRES Date_ (c11 Receipt No. `Tf7�l7 WHITE-O.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT COUNTY OF BUTTE `'DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 "Yei ephtne:,534-4541 -7y APPLICATION AND PERMIT authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. X Date Signature of Per tea 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 By Date 5p- BL p- �� y Building permit expires Date BUILDING Owner00A c �n a 1�. SQ. FT. OCC. BUILDING VALUATION Z A—, Mailing Address VE�Zco Telephone No. Contractor&[VtkV_S tIvWQS\l.t Styi7�1L Mailing Address3,Lk` ��C.i Fireplace Total Valuation Tele hone No. �i.l�BSaI Permit Fee Building Address /�^„ , > ` l'Z�c/ S �,! iL`\ Plan Checking Fee&/or Penalty Permit Fee °` 2ifi/lZ� PLUMBING No. @ FEE PERMIT FILING FEE $3.00 Each Trap 1.50 Repair drainage or vent piping 1.50 A. P. No.Z —�3 Z(� " y Zoning a Planning Water piping 1.50 Each gas water heater or vent 1.50 Fes � G S n Fire Dept. Fire Zone Use Permit Gas piping system 1 - 5 outlets 1.50 EQA Parking Plans Parcel ,Declaration Parcel Map 60' R/W Improvements Each additional outlet .30 Building sewer 5.00 Bldg. Plans Recd Parcel Approval Plans Approval Lawn sprinkler system 2.00 s NEW ADDITION ❑ UTILITIES ❑ OTHER ❑ Permit Fee $ $ oV=a� ELECTRICAL No. @ FEE o " 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 600V 25.00 100 AMP OR LESS Main service EA. ADD'L 100 AMP 1.00 NEW CONST.( DWELLING OCCUP. ") 20 sq ft OR AODNS. ACC. BLDGS. 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: e� e ` ^ �'�C km,roS VVk®Q610E ��7�+Onl ���+� NEW CONSTR UTL T NON.RESID BRRANANCCHHCIRCUITS 2.50ea NEW CONSTR (POWER APPARATUS & NON.R ESI D. SINGLE OUTLET CIR. Ex. Occup {OUTLETS OR FIXTIIRES B L@; FIXED APPLNS, OR Ex. Occup.(OUTLETS (RESID.) EA) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 3 �� _�7^� i License No. Classification Misc. Wiring 6.25 ❑ I am exempt from the Contractors License Laws of the State of California. Permit Fee $ $ MECHANICAL No.. @ 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. 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 Land Development Fee $ TOTAL PERMIT FEE $ % G authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. X Date Signature of Per tea 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 By Date 5p- BL p- �� y Building permit expires Date PtRMITi NO. 3832-76P,E PERMIT EXPIRES OWNER Ronald Sadler CONTR. ozler s •. LOCATION (A.P. 26-241-3 " N/S So. Villa, app.175'E.of Occidental Ave., Palermo lea yam. G Temp. Powe Pole Called G&E jTeE. Serv. - Serv. PG&E (Date (Signature) 1 Y Y. J e 17 .F Temp. Powe Pole Called G&E jTeE. Serv. - Serv. PG&E (Date (Signature) 1 MOBILEHOME INSTALLATION INSPECTION CHECK LIST 1 Is the mobilehome located with required separation from lot lines and buildings and generally conform to -plot plan? Yes Y No 2. Does the mobilehome have required clearances above ground? (Sec. 5085) Yesx- No 3. Are footings and supports properly sized,' spaced, and braced as per -e-T",pIans? (Note possible variation at,spring shackles.) (Sec. 5082 & 5083) Yes__ o 4. Is the mobilehome level? (Sec. 5088) Yes No 5. I.yam- ��� onnections properly installed? (Sec. 5088) Yes No 6. Water A. Is flexible connector of adequate size and properly installed (1/2" ID m_in.)? (Sec. 5566) Yes „ No B. Test - Does water piping withstand working pressure or.50 lbs, air test? Yes No C. B a ck+1vw—Tffor'r a pproved, 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 1 — ,B. Does it have minimum k" per foot slope and is it properly supported? YesX No C. Are any leaks detected in drainage system after running ,3- allons of water through each fixture including washing machine standpipe? Yes No D. If ornia 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 mobi�ehome gas line inlet without reductions other than the mobilehome connector. Yes No B. Test OK as per following procedure? YesL 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 ade�uate amperage to mobilehome (must equal rating of mobilehome with a minimum1:00 amp) and other facilities on lot, i.e., water pumps, garage, cabana, etc.? Yes No B. Is there proper clearances around pane s? Ye SX No C. Is power supply cord or feeder assembl properly fused? Yes kNom D. Is continuity test satisfactory as per he following procedure? YesNo 1. De -energize electrical wiring systea of the mobilehome at the 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 inithe mobilehome to the "on" position. 4. Connect one lead of a test.instrumeht to the mobilehome grounding conductor and p apply the other i ' COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 7 COUNTY CENTER DRIVE OROVILLS, 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 4/91P— 76 for.the following location: Owner— Owner's wner Owner's Address ��-� • Yom-�b Mobilehome Mfg. /D:Model Year %moi' Insignia No. /62IY3 Serial No. It is hereby certified for occupancy at the above described location and may be occupied. Director/ of Public Work-s��� Date � / s' -' . " By .1��trx r �<i .�'K", THIS CERTIFICATE IS VOID WHEN MOBILEHOME IS RELOCATED COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS BUILDING INSPECTION RECORD Masonry Walls Throat Reinf. Steel Final Bond Beam FIRE SPRI KLERS FramingTest e, Stucco Final S Mesh MECH yICAL Scratch HeatingS Brown Cooling 1 Finish Ducts Interior Lath Ventilation Door Closer Final k DATE REMARKS OR CORRECTIONS ia V11 ®� s /oe - Rou h Fixtures Motors Water Htr. ub anels Grd. Fault Pot. ervice 3 Temp. Pole Underground Pennanen Final %D t (NOTE: An entry must be made on this form each time you visit the job site.) 0 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 Piers Roofing Sewer , Garage Fdn. Vents Fixtures Footings StemwaI l Garage Vents Insulation 1 Water Htr. Heaters Slab Carport - .Footings Prov. for physically handlcappe Conformance of ex. ' structure Appliances Gas Piping & Test Temp. Gas Slab Final Sanitation .Patio FIREF LACE Final G 25,2ti Footings Footing _ • ELECTRICAL Masonry Walls Throat Reinf. Steel Final Bond Beam FIRE SPRI KLERS FramingTest e, Stucco Final S Mesh MECH yICAL Scratch HeatingS Brown Cooling 1 Finish Ducts Interior Lath Ventilation Door Closer Final k DATE REMARKS OR CORRECTIONS ia V11 ®� s /oe - Rou h Fixtures Motors Water Htr. ub anels Grd. Fault Pot. ervice 3 Temp. Pole Underground Pennanen Final %D t (NOTE: An entry must be made on this form each time you visit the job site.) 0 + COUNTY OF BUTTE ' — UrPARTMENT OF PUBLIC WORKS 7 County Center Drivel _ U'Poville, California 95965 Tel ephone: 534-4541 APPLICATION AND PERMIT tn aUuwncc IeP eScniaLIVe5 UI ine County Ui Butte to enter upon the above-mentioned property for inspection purposes. Date Signature of Permitee or Agent [� Receipt No. z/ _ 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 OFAUBLIC WORKS BY u uIIding permit expires Date BUILDING Owner SQ. FT. OCC. BUILDING VALUATION Mai I i ng Address L O'? p_461 AJ w /o /� C�V%LLQ ` 1�4. Telephone No. s� �`�� Fireplace Contractor i12 Total Valuation Mailing Address 0 Permit Fee Plan Checking Fee &/or Penalty Telephone No. Permit Fee A A Building Address ! Ole O� �H A�.• PLUMBING No. @ FEE PERMIT FILING FEE $3.00 3 � / -4157. 0�. SCG%�,I�/ili Each Trap 1.50 Repair drainage or vent piping 1,50 Water piping 1-s0 /0,00 2onIng Verification ••: Each gas water heater or vent 1.50 / �, A. P. No. 6 — ^Zon 9Each Gas piping system 1 - 5 outlets t.w o. 0 a additional outlet 30 FqVs �ritall FireDept. FireZone Use Perrnit Building sewer 5.00 /D.C) 0 EQA Parking Plans Parcel Declaration arcel Ma P 60' R/W ImprovementsLawn sprinkler system 2.00 Bldg. Plaln's"Rec'd Parcel val Pla royal Permit Fee $ $ 3� 0 NEW ❑ ADDITION ❑ UTILITIESfil OTHER ❑ ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 3Q Main service V OR LE io00o AMP ORSLESS 5.00 S! O O Main service EA. AOD'L 100 AMP 2.50 2-5 Single Family ❑ Duplex E] Mobil Mobil Home 0 Others Main service OVER 600V 10AMP OR 25.00 Main service EA.. ADD'L 1000 AMP MP 1,00 NEW CONST. DWELLING OCCUP. & OR ADONIS. ACC. BLDGS. ) 20sgft NEW CONSTR MULTI -OUTLET NON-RESID. ( BRANCH CIRCUITS) 2.50ea NEW CONSTR POWER APPARATUS & NON-RESID. (SINGLE OUTLET CIR. CONTRACTORS LICENSE LAW 1 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) @1 101 Ex. OccUP•(FIXED APPLNS. OR OUTLETS (RESID.) EA) 2•�0 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 $ O j� 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 correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby TOTAL PERMIT FEE r! aUuwncc IeP eScniaLIVe5 UI ine County Ui Butte to enter upon the above-mentioned property for inspection purposes. Date Signature of Permitee or Agent [� Receipt No. z/ _ 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 OFAUBLIC WORKS BY u uIIding permit expires Date J COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS 7 County Center Drive OroviMe, California 95965 Telephone: 534-4541 APPLICATION AND PERMIT rap / authorize representatives of the county of Butte to enter upon the above -menti d -property forins ction purposes. Date Signature of Permitee or Agent Receipt No. 4,�y White-D.P.W.--TYellow-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 Date �� wg permit expires Date �%,7 BUILDING Owne LA L SQ. FT. OCC. BUILDING VALUATION Mailing Address •' © %���lq� (A)q ® c C Tel 3 s3vi Fireplace Contractor Total Valuation Mailing Address Permit Fee Plan Checking Fee &/or Penalty Tlephone No. e Permit Fee $ Building Address � S V `� /1�5�� ® ' PLUMBING No. @ FEE PERMIT FILING FEE J$3.00 ", 26.0 %GI< Z/V`T 4_ Each Trap 1.50 ge Repair drainage or vent piping 1.50 Water piping 1.50 Each gas water heater or vent 1.50 A. P. No. — pC [ — 3 Zoning &Planning Gas piping system 1 - 5 outlets 1.50 Each additional outlet .30 Fees W.0 FireDept. FireZone Use Permit Building sewer 5.00 EQA Parking Plans Parcel Declaration Parcel Ma P 60' R/W Im rovements P Lawn sprinkler system 2.00 Parcel A4ffoval sAppo Permit Fee $ $ NEW ADDITION ❑ UTILITIES ❑ OTHER IIC ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 _ S^ ��-^f b� ' f�2 �� ` 1p Main service i°o°o AMP ORLESS5.00 Main service EA. ADD'L too AMP 2.50 Single Family ❑ Duplex ❑ Mobil Home Others ❑ Main service R 600V 1OOOEAMP OR LESS 25.00 Main service EA. ADD'L too AMP 1.00 NEW CONST. DWELLING OCCUP. &) 20sgft OR ADONIS. ( ACC. BLDGS. NEW CONST R. 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)@� BAL@1 Ex. Occu FIXED APPLNS. OR P• OUTLETS (RESID.) EA) 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 $ t $ 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. (41 I certify that in the performance of the work. for which this J�1 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 7— /dam TOTAL PERMIT FEE $ Q db authorize representatives of the county of Butte to enter upon the above -menti d -property forins ction purposes. Date Signature of Permitee or Agent Receipt No. 4,�y White-D.P.W.--TYellow-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 Date �� wg permit expires Date �%,7 MOBILEHOME SUPPORT DATA Mobilehome Mfr. _ i,�,r_��,�J Setup Model No. '—"- Year Width Z;,2 (ft.) . Length'' la (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). . - Single . -� Footings- (check. one) / 1. Wood. either pressure treated or fdn.�grade. 2. Concrete pad, / / 3. Other,: specify Supports (check one) 1. Concrete block. 2. Concrete piers 3. Steel piers 4. Other, specify ('r *If center piers are other than drawn above, draw in locations, spacing, and dimensions, Typical Support Footing Size Max. Pier Spacing ft. �Unj.) Max.' .Overhang BUTTE COUNTY BUILDING DEPARTMENT APPROVED BUTTE COUNTY DEPARTMENT OF PUBLIC WORKS 7 County Center Drive, Oroville, CA. PHONE: 534-4541 MOBILEHOME INSTALLATION SHEET 2. Installer's name: -; 3. Is the site currently under permit?. Yes /`,c No (If yes, furnish permit number ) OR Is the site an existing site? Yes / / Noj (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 X/ .'No / / ( If no, clarify ) 5. What is the mobilehome electrical rating? ------------------------- Amps 6. What is the mobilehome site service rating? --------------------- /040— Amps 7. What is the mobilehome site circuit breaker rating? ------------- 3'2) 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? --------------------- 10. What is the type of gas service? ---------------------------- 11. What is the gas pipe length from meter or tank to the mobil 12. What is the mobilehome gas demand? ----------------------- (This information not required if pipe length less th Lor•,less` than 5Q,ft.. on -LPG.) �J J V .f I, t/ I - � (in.) Natural / / LPG ? - 13 V /0 (BTU) 6 ft. on natural gas A& r r I /,.5 .11 k Do"t-4 Bother' w 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. 4\0 1106a � • N`���9 �ekbcve ° ad, Pepe ho�9• ropey {he coeo4e o o ► permit will 6e req ' ed fo e x .2 i allation of the rr i ome. r 46 I Septic system and location to be as per Butte County Health Dept. Re- quirements. vTY TMW fp SO uTh 011,14 Thls set of plans NOTE -,—All `vlaierials & Workmanship Shall Be in kept on the Eob' at all tim MUST be Accordance with Recognized Good Practices and s unlawful to of a quality prescribed for the Specified use in the '"aka any changes or alterations on same without Uniform Building, Plumbing & Machanical Codes and written C rmisson from the Department of public the National Electrical Code. Wof� ty of butte,