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z"% 27-04-910M.679 D. Harden � WIS Dresher Tract Rd., app.3/4 mi.S.of Lower Wyandotte Rd., Oroville Permit 409-79P,E(util. MH) ELEC. M-10 4 S T UPPORT STRUCTURE REQ. IMPACTION TEST REQ. 27-04—MIMig Contr: OroVille Trailer S. es Permit #3397-79MHI Issued A- // -7 q 1� _ Q� ``_ It 0 S�RZ�77 /11-*% • ; PEN(T N0. 2409-79P,E / PERMIT EXPIRES OWNER J. D. Harden dONTR. owner 27-04-19 LOCATION (A.P. ) W/S Dresher Tract Rd., app.3/4 mi.S.of Lower Wyandotte Rd., Oroville t I. {jF j} 1 1 Temp. Power Pole Called PG&E -Elec. Serv.-----L�/ Called PG&E Temp. Gas Serv. ' Called PG&E JOB { FINALED f (Date) (Signature _ r { 7 �) I COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS BUILDING INSPECTION RECORD .� BUILDING BUILDING (Cont'd) PLUMBING tback r4rewall Soil P4ping F ms PaVpets 1st Noor in Bldg. Res oom Finish 2nd F or ootin s Windo s 3rd Flo St mwall Siding To out Sla Roof ShAhing Water Pi in Piers Roofing Sewer Garage Fdn. Vents Fixtures Footinak Garage Vents . Water Htr. Stemwa I I Insulation N Heaters Slab Carport Footings Prov. for ph vi handica ed Conformance of ex. structure Appliances Gas PI in &Test Temp. Gas Slab X Final A Sanitation Patio F E ACE Final Footin s Footing E ECTRIC Masonry Walls Throat Rou h Reinf. Stee Final Fixtures 4 Bond Bea IRE SPRINKLE Motors Framing Test X if Water Htr. Meshl I I MECHANICAL N I Grd. Fa t Prot. Sbr ch I Heatini X I Servicif Injbrlor Lath door Closer MOBILEHON Water Piping MOBS Water Piping DATE CooVhg X Tqfhp. Pole Du is nderground V ntilation/Permanent Inal :�tlnal FUTILITIES ................... Elec. Service Elec. fei Sewer 9Gas Piping F A ATI • N - - - - - - - - - - - - - - Support Elec. Continuity Drainage REMARKS OR CORRECTIONS 61t/77 effi? 70 cpe-v (NOTE: An entry must be made on this form each time you visit the job site.) `y COIJNT-Y•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 5, under permit number .3�� 7—79for the following location: Owner � v Owner's Address Mobilehome Mfg. / Modelilr44 411+' &ZWYear Insignia No. 71 A Z Serial No. 4-7;5; '71-'2 /- 19 It is hereby certified for occupancy at the above described location and may be occupied. Director of Public Works r Date 13 = THIS CERTIFICATE IS VOID WHEN MOBILEHOME IS RELOCATED WKVYgUow - Installer, Pink - D.P.W. 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) Yeg/ 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 o 4. Is the mobilehome: level? (Sec. 5088) Yes t/ No_ 5. If mor Vt�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 C. Backflow - If coach is not State of Cal' ornia approved, does station have backflow device and pressure -relief valve? Yes No A1- 7. -Wastes and Drains A. Is connection made with Schedule 40 DWV and have flex connectors at each end? Yes_4,,,No B. Does it have minimum 4" per foot slope and is it properly supported? Yes t, No C. Are any leaks detected in drainage system after running 3 -gallons of water through each fixture including washing machine standpipe? Yes_ No 1A D. If coach t 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 mobilehom line inlet without reductions other than the mobilehome connector. Yes_ No B. Test OK as per followin 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 minimum oAo' amp) and other facilities on lot, i.e., water pumps, garage, cabana, etc.? Yes _ , B. Is there proper clearances around panels? Yes V No_ C. Is power supply cord or feeder assembly properly fused? Yes_l,/No D. continuity test satisfactory as per the following procedure? Yes_ No De -energize electrical wiring system of the mobilehome at the pedestal. 12. Make sure that the power supply cord or feeder assembly conductors, including neutral / conductor, have been disconnected. �. 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. LA/ 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 Jsuch 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. MOBnEHOME DATA Manufacturer and./or Namestyle Length�JWidthQ-� Vehicle Serial No. � !?Z� State Identification Additional Information or Comments: p COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS 7 County Center Drive — Oroville, California 95965 Telephone: 534-4541 APPLICATION AND PERMIT / Owner "ACK WOE Mailing Address Telephone No. Contractor Q P.O Yf L1 -•E ` R.A i LE9 5,4LES Mailing Address ' 7qO FF -ATNF - P, R IVEA '&VO Building Address Y__ A. P. No. a7 / Zoning & Planning FliesI Wei nS�Ti a i`6,R I Fire Dept. Fire Zone Use Permit EQA Parking Parcel p p Plans DecParcel Ma 60' R/W Im rovements laration Bldg. ans Recd Parcel roval Plan pproval NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER ❑ ,V11 -T- fi�� SPA -tvo 9 - 77 Single Family ❑ Duplex ❑ Mobil Home ❑ Others ❑ _ BUILDING _ SQ. FT. I OCC. I BUILDING VALUATION Fireplace Total Valuation Permit Fee Plan Checking Fee &/or Penalty Permit Fee PLUMBING PERMIT FILING FEE Each Trap Repair drainage or vent piping Water piping Each gas water heater or vent Gas piping system 1 - 5 outlets Each additional outlet Building sewer Lawn sprinkler system Permit Fee NEW CONSTRES,., (MULTI.OUTLET NON.RESI D. 1 BRANCH CIRCUI' ELECTRICAL PERMIT FILING FEE Main service 600V OR LESS 100 AMP OR LESS Main service EA. AOD'L 100 AMP Main service OVER 600V 100 AMP OR LESS Main service EA. ADD'L 100 AMP NEW CONST. ( OR ADDNS_ \ DWELLING OCCUP. 4 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 style of: �Qd///L� %�/✓/L�%1 S/Q��S NEW CONSTRES,., (MULTI.OUTLET NON.RESI D. 1 BRANCH CIRCUI' NEWCONSTR. POWER. APPARATU= NON -RESID. (SINGLE OUTLET CIF Ex. Occuo(OUTLETS OR FIXTIIR FIXED APPLNS. OR Ex. Occup. OUTLETS (RESID.) E Temporary service Mobile Home Facilities License No. 261965 Classification Misc. Wiring ❑ I am exempt from the Contractors License Laws of the State of California. Permit Fee MECHANICAL 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 or orkmen's Compensation. I have placed on file with the County of Butte a certificate of Workmen's Compensation Insurance. f PERMIT FILING FEE Heating Cooling F1 A FEE $3.00 1.50 1.50 1.50 1.50 1.50 .30 5.00 2.00 @ FEE $3.00 5.00 2.50 25.00 1.00 )¢sgft 2.50ea 0 @ 250 IAL 01 2.00 10.00 15.00 6.25 $ @ FEE $3.00 ❑ I certify that in the performance o the work for which this Ventilation permit is issued I shall not employ any person in any manner so as to become subject to the Workmen's Compensation Laws of Hood 1 1 2.00 California. 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 re ting to building construction, and hereby authorize represent Ives of the County of Butte to enter upon the above-mentioned p operty for inspection purposes. 7 7'-'4:9)X Date 4 Si n ure of P mitee or Agent Receipt{(lo. 44-!r 7 Z White -D. W. - Yellow -Assessor - Pink -Inspector - Goldenrod -Applicant ee $ Cs.pc TOTAL PERMIT FEE $ OO© This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above tafwhich fees have been paid. DE T F PUB IC WORKS y Date `r�r Building permit expires Date BUTTE -COUNTY DEPARTMENT OF PUBLIC WORKS 7 County Center Drive, Oroville, CA. PHONE: 534-4541 o MOBILEHOME INSTALLATION SHEET 1. Owner'sname : 2. Installer's name: 3. Is the site currently under permit? Yes No • (If yes, furnish permit number ) OR o 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 / / No (If no, clarify ) ( ) 5. What is the mobilehome electrical rating? ----------------------- �a U Amps 6. What is the mobilehome site service rating? --------------------- 61) Amps 000 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 / / No (If yes, identify the load and size: (Load) (Amps) 9. What is the mobilehome site gas pipe size? ---------------------- %..�. (in.) w---------- / LPG/ / 10. What is the type of gas service? ------------ Natural/ 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 it. on natural gas or less than 50 ft. on LPG.) MOBILEHOME SUPPORT DATA -V If other than single wide, Mobilehome Mfr.0�/�IAA/ IAV AfOAP furnish Setup Model No. 106 C Year �1 /'6� Width � (ft.) Box Length 0 (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) Single 1. Wood either A A pressure treated or foundation grade. 0 0 (ft.)(in.) (in.) (in.) 2. Other (specify) Center support Center support Supports (check one) locations* footing sizes (in.) l: Concrete block. �3 / O�� x 2. Other (specify) (ft.)(in.) (in.) (in.) -(-Tagalong or Expando, show support details. (in.) (in.) Ig x30 -- Typical Support (in.) (in.) Footing Size (in.) (in.) j 67 -- Max. Pier Spacing Max. Overhang (ft.Vin.) (in.) (in.) (ft.)(in.) *If center piers are other than drawn above, :draw in. -locations, spacing, and dimensions _ u BUTTE COUNTY BUILDING DEPARTMENT APPROVED COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 Telephone: 534-4541 APPLICATION AND PERMIT a�09 79/ authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. X Datej6(2,7,67 Signature of Permiteee or Agent eceipt No. *t 3 �� 7 White-D.P.W. - Yellow -Assessor - Pink -Inspector - Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated abr which fees have been paid. 77DIR6CJ;OR OFiPUBLIC WORKS V Building permit expires Date S ` BUILDING Owner SQ. FT. OCC. BUILDING VACTIO Mai I i ng Address Z t �. 3 Telephone No. Contractor Mailing Address Fireplace Total Valuation Telephone No. Permit Fee Building Address uj s Plan Checking Fee&/or Penalty Permit Fee PLUMBING No. @ FEE (3�PERMIT FILING FEE $3.00 ,p Each Trap 1.50 Repair drainage or vent piping 1.50 A. P. No. 2 7 .--t? 41 — 9 A ' S Zonis PI ping Water piping 1.50 d, too Each gas water heater or vent 1.50 s WC" S n Fire Dept. Fire Zone Use Permit Gas piping system 1 - 5 outlets 1.50 EQA Parking Pians Parcel Declaration Parcel Map 60' R/W Improvements Each additional outlet .30 Building sewer 5.00 , (jFj LAW'9Plans Recd Parc royal ✓ Plans Approval Lawn sprinkler system 2.00 NEW ❑ ADDITION ❑ UTILITIES 0, OTHER ❑ Permit Fee $oi' ��qp .2 OC ELECTRICAL No.1 @ FEE PERMIT FILING FEE $3.00 Main service 100 AMP OR00V OR SLESs 5.00 r 06 Single Family ❑ Duplex J] Mobil HomeJK Others ❑ Main service EA. ADD'L 100 AMP 2.50 ^� Main service OVER 600' 25.00 100 AMP OR LESS Main service/ EA. ADD'L 100 AMP 1.00 OR ADDNS. \ ACCNEW CONST. DWELBLDGS.LING CCUP. �) 20sgft 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 y le of: NEW CONSTR BRANCH CIRCUITS) NON -REBID BRANCH CIRCUITS 2.50ea NEW CONSTR (POWER APPARATUS 0 NON-RESID. SINGLE OUTLET CIR. Ex. Occup(OUTLETS OR FIXTI1RES'1 g L25 E x. OCCU FIXED APPLNS. OR p•(OUTLETS (RESID.) EA) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 ,QQ Lic se No. Classification Misc. Wiring 6.25 I am exempt from the Contractors License Laws of the State of California. Permit Fee $ A3r,5v $ 61 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 orkmen'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 L2.00 Hood 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 $ authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. X Datej6(2,7,67 Signature of Permiteee or Agent eceipt No. *t 3 �� 7 White-D.P.W. - Yellow -Assessor - Pink -Inspector - Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated abr which fees have been paid. 77DIR6CJ;OR OFiPUBLIC WORKS V Building permit expires Date S ` \--7 I . is e, of pians and specifications MUST 'bf kepf' on: the job at al.ht;ts and it is unlawf�!l fl r make afly�changes r�r�.`I•�t�t�ns on same withc,;, writf en permi sion from the Department of PuE lic Wocics, Cpunty �f' utile; .r 'A 'NOTE.—All Materials & Workmanship Sh a in ' Accordance with Recognized Good Prac i as and of a quality prescribed for the Specified us in tib �- Uniform Bim'. liQpFIiumbing & Mechanical C es arid'! t 39 l i All utility connections shag 6 located within 4 ft, outside the rear third section of the mobile home on the left (road) side of the mo;IF /09 dVprrb o-, .� -6-, �Uepifc-sysfern aria 1,IG fi 5 to Count Q® aOUP4 FL MINIfv1U�,A quirements. Y 1-ieal+h��" e . FOt M® It S wily-k {r�r _ nstallatior e9u►Sc 'rO, he "If -ll Ci f :ocx�GA�. wAIC� C Setback shall be 5 ft. from the fide property line and 50 ft. fro,.! the R�'A�'� ''P! el3 p :r. r�o� `' { ' ' 3 centerline of the road F.� =.�•� - �. , permiti•is;;, a maxi- D N �E 1� f car /9/alp 4`r ' L mum:.of.a-2--ft, eave--overhang but ertY relji out of all easements. 0A P Bul-TI WILDING IN -7 OPuNTY DEPARTMEN ()VF[)