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027-060-061
t ::%NEW it ut1�MF�i PE,RMIf N 5012-75P,F } ` a Y 4 E r. I _ M MH UTI L. ,JPERMfT NO. �. rERMIT EXPIRES OWNER Richardson, Carl 4CONTR. owner LOCATION (A.P. 27-06-4.1 � 1 ,s: de Private rd. ,1000 NE of intersec- _ icon of 2 private rds.,1600' ,o Olive --Ave., Palermo _ .ejfej. Te p. Power Po+e ' Called PG&E emp. Elea Serv. Called PG&E Temp. Gas Serv. Called PG&E JOB FINALED (Date) (Signature) COUNTY OF BUTTE = DEPARTMENT 05' PUBLIC WORKS BUILDING 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 Siding To out Slab Roof Sheathing Water Pipinga� J� Piers Roofing Sewer Garage Fdn. Vents Fixtures Footings Garage Vents Water Htr. Stemwall Slab - Prov. for physically . handicapped Heaters Appliances ` Carport Footings Conformance of ex. structure Gas Piping & Test Z. — ?w Temp. Gas Slab Final Sanitation Patio FIREPLACE Final Footin s 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 DATE REMARKS %OR CORRECTIONS �,t MOBILEHOME INSTALL N INSPECTION CHECK LIST ry 1. Is the-mobilehoine located, wit requiredseparation from lot lines and buildings and generally conform to.plot plan?, Yes No ' 2. Does the mobilehome have required clearances above ground? (Sec.5085) Yes `- No 3. Are footings and -supports properly sized, spaced, and braced as�approved plans? (Note possible variation at spring shackles.) (Sec, 082 & 5083) Yes el_No 4. Is the mobilehome level? (Sec. 5088) Yes No 5. Lf r than a single unit, are crossover connections prop y installed? (Sec.'5088) Yes No 6. Water A. Is f1,e3,�le connector of adequate size and properly installed (1/2" ID min.)? (Sec'. 5566) Yes No Test - Does water piping withstand working or 50 lbs, air test. Ye i�No C. Backflow - If coach 'is notCe�ts— ateCaliforn ra approved, does station have backflow device and pressure -relief valve?!/ --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 " per foot slope and is it properly supported? Yes 44o . C. Are any leaks detected in drainage system after running 3- 'llons, of water through each fixture including washing machine standpipe? Yes. No D. If ZN is not �tateo ornia approved,- does station have required trap and vent? Yeso , 8. Gas Piping and Gas Vents A. Connector - Is.mobilehome'connected to the gas supply with -an approved •3/4" minimum mobilehome connector W t more than 6 ft., long?' Note: All piping is to be at least as large as the mobil' a gas line inlet without reductions other than the mobilehome connector. Yes .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 , O'Z . )' calibrated in tenth pound increments,. , Test for 10 min. 'without drop. v 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 of 'Ob amp) and, other, facilities on lot, i.e., water pumps, garage, cabana, etc.? YesfNo B. Is there proper clearances around panels? .Yes "°`" No C. Is power supply cord or feeder assembly properly fused? Yes `✓ No_ /' D. Is continuity test satisfactory as per the following procedure? Yes—. No 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 m.obilehome 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 � Manufacturer and/or Namesty 1,%- Lergth, Width , Vehicle Serial No. State Identification No. Additional,Informati_ or Co ents: 3 r� COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS ��� 7 County Center Drive - Oroville, California 95965 Telephone: 534-4541 APPLICATION' AND PERMIT auinonze representatives of the county of butte to enter upon the above-mentioned property for inspection purposes. Xate ignature136767. of Permitee or Agent Receipt No. /-3G 7t! 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 above for which fees have been paid. DIRECTOR OF VDBLIC WORKS BY .. � ,/- ilding permit expires Date BUILDING Owner SQ. FT. OCC. BUILDING VALUATION Mailing Address Y (AJ + /� t //09 W 7J 10 / s t Telgpne ng�� (o (J Fireplace Contractor t Total Valuation Mai I i ng Address Permit Fee Plan Checking Fee &/or Penalty Telephone No. Permit Fee $ Building Address �'�' �f®t� 6F PLUMBING No. @ FEE PERMIT FILING FEE $3.00 R> lD 6- O � _XXt TfC% 0 t®" tooA Each Trap 1.50 top -/TV- O4OS'Ab , Y D i ` © Repair drainage or vent piping 1.50 Water piping / /� otlULr U �' A� 6 Each gas water.heater or vent 1.50 A. P. No. /! \ Zo n & Gas piping system 1 - 5 outlets Each additional outlet .30 F W.C_ tion FireDept. FireZone Use Permit Building sewer .6:•9b' / Q'— EQA Parking Parcel Plans Declaration Parcel Map 60' R/W Improvements Lawn sprinkler system 2.00 gl �f (� n et'd arcel proval Plans Approval Permit Fee $ s73 -T-- NEW ❑ ADDITION ❑ UTILITIES OTHER ❑ ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 Main service incl. 1 meter Additional meters, each 1.00 Sub -panel (12 or less) (morethan 12) - Single Family ❑ Duplex ❑ Mobil Home Others ❑ Range, Cook -top or Oven 1.00 Water Heater or Space Heater 1.00 Light fixtures 'e2 I(�2 Receps., switches & fix outlets 1 12 In 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: Hood, Ex. Fan or F.A. Furn. Motor 1.00 Evap. cooler, gar. disp. or D.W. 1.00 Air conditioner or heat pump Water pump Mobil -Home eif Temp. Power Pole 5.00 License No. Classification Misc. wiring I am exempt from the Contractors License Laws of the State of California. Permit Fee $ a $ 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 $ $ 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 TOTAL PERMIT FEE $ SS _ auinonze representatives of the county of butte to enter upon the above-mentioned property for inspection purposes. Xate ignature136767. of Permitee or Agent Receipt No. /-3G 7t! 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 above for which fees have been paid. DIRECTOR OF VDBLIC WORKS BY .. � ,/- ilding permit expires Date _V/ • COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS 7 County Center Drive — Urov)Ile, California 95965 O� 15 APPLICATION Telephone: 534-4541 / APPLICATION AND PERMIT r ---- the tsutte county code and/or resolutions to do work indicated /J above for which fees have been paid. X / �C''L''� bate 'S'�%-S DIRECTOR OF UBLIC WORKS Ager Signature of Permitee or Age + P rry�j'I BY Date--/ z— l— 71 Receipt No. >f ( J White-D.P.W. — Yellow-A'sseksor — Pink -Inspector — Goldenrod -Applicant ilding permit expires Date /z-- %-% �n BUILDING Owner c SQ. FT. OCC. BUILDING VALUATION Mailing Address Telephone No. Fireplace Contractor Total Valuation Mailing Address C Permit Fee Plan Checking Fee &/or Penalty ' n Tel hone No. � ---• Permit Fee Building Address1' PLUMBING No. @ _FEE PERMIT FILING FEE $3.00 e. Each Trap 1.50 f Repair drainage or vent piping 1,50 Water piping 1.50 r Each gas water heater or vent 1.50 A. P. N,si ^-- (/ Zoning & Planning Gas piping system 1 - 5 outlets 1.50 Each additional outlet .30 F Vs W.. Sani Fire Dept. Fire Zone Use Permit Building sewer" 5.00 EQA Parking Plans I Parcel Declaration Parcel Ma P 60' R/W Im provem is Lawn sprinkler system 2.00 Bldg. PI s Recd Parcel App I al Plan Approval Permit Fee $ $ NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 Main service 1$°V OR o AMP ORLESS5.00' Main service EA. ADD•L ,Oo AMP 2.50 Single Family ElDuplex ❑ Mobil Home Others ElMain Main service OVER 6 OR L- 25.00 service EA. ADD'L soo AMP 1.00 f ✓ NEW CONST. (( DWELLING OCCUP. & OR ADD NS. l ACC. BLOGS. 2Psq ft NEW CONSTR. _MULTI -OUTLET NON-RESID, ( BRANCH CIRCUITS) 2.50ea ®- Z d- NEW CONST R. (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: / e _ Ex. Occup(OUTLETS OR FIXTURES) eocLALC�z5m1 B E. QCCU FIXED APP LNS. OR x _ P•(OUTLETS (RESID.) EA) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 j License No. i F `7 aD 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. 23-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 $3.00 Heating Cooling Ventilation Hood 2.00 Permit Fee .$ $ 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 ahnvP-mantinnari nrn rt., f- i .to TOTAL PERMIT FEE This permit is hereby issued under the applicable provisions of r ---- the tsutte county code and/or resolutions to do work indicated /J above for which fees have been paid. X / �C''L''� bate 'S'�%-S DIRECTOR OF UBLIC WORKS Ager Signature of Permitee or Age + P rry�j'I BY Date--/ z— l— 71 Receipt No. >f ( J White-D.P.W. — Yellow-A'sseksor — Pink -Inspector — Goldenrod -Applicant ilding permit expires Date /z-- %-% �n 'BUTTE COUNTY DEPARTMENT OF.PUBLIC WORKS 7 County Center Drive, Oroville,-CA. PHONE: 534-4541 MOBILEHOME INSTALLATION SHEET 1. Owner's name: 2.. Installer's name: 3. Is the site currently under permit? Yes / No (If yes, furnish permit number jQ./Z = s ) 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 / i/ No (If . no, clarify ) 5.. What is the mobilehome electrical rating? -------=--------------- /s U..Amps 6. What is the mobilehome site service rating? --------=------------ Y ) e) Amps. 7. What is the mobilehome site circuit breaker rating? ------------- -G n Amps 8. Is there any other electric, load to be served by the mobilehome r site service? --------------------------------------------------- Yes / / No /!//' (If yes, identify the load and size:: (Load) (Amps) 3/C 9. What, is the mobilehome site gas pipe. size? ------=--------------- in 10. What is the type of gas service. -- Natural / / LPG 1;4 11. What is the gas pipe length from meter or tank .to the mobilehome?ys°s iwl't) s'y (ft.). 12. :What is the mobilehome gas demand? --------=------------=-------- �---(BTU) (This information )�iot,,requr`ecl! if pipe` length less than 6 ft. on natural gas or less than 50 ft, on LPG MOBILEHOME SUYrUKY DATA Mobilehome Mfr..CAxf ZZ Setup Model No. Year IV Width ,2 `/ (ft.) Length .. G 4% (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). a� m Center Center Support Support Locations Footing Sizes (in.) j0- o zy x 30 • in. in. in. rrd _ x . S in le — Footings- ( check . one) i /7T 1. Wood either . pressure treated or fdn.:grade.: / 2. .Concrete pad. 3. Other, specify Supports (check one) 7_ Concrete block 2. Concrete piers 3. Steel piers •. ....... .. 4. Other, specify -.1 Typical Support Footing Size in. ��/ TV I 4 Max. Pier. 'tL _ G Spacing i.n0 ft. in.) Pin.�:Ln.) 2Yx 3c f�i— - (in.) Overhang *If center piers are other than drawn above, draw in locations, spacing, and dimensions. BUTTE COUNTY BUILDING DEPARTMENT APPROVED v;4; W',/orrkrmr.sbir) Shall Be in NOTE:—All Mrete. �r iT�d �,�<,�! pr -calces and Accordo..rce w'+h i' r of a quc!lity pre'c "{urn4�in °r c+1'e. Machanical Codes and Uniform Building, Pg the National Electrical Code. This set of plansMUST be kept on the ioh at all ti- ^ns rnd it is unlawful to make any chancres or alter-k4�ns on same without written permission from the Department of Public Works, County of Butte. The 0* Setback shall be 5 ft. from the side property !ire and 50 ft. from Septic system and location aft the centerline of +he roar, permitting iRg d ent to be as per a maximum of v 2 ft, cave overhang. Butte CountyHealth Dept. Re- quirements. �. , 4W IS -6 t 4 -'741 All utility cornertiar,s shall be located within 4 R'. cu'sidle the rear r' third section of the rnoSlle home on the left (road) side of the mobile r� home. A Perini f Will be ►nsti`o ration of the mob �ehoom f1 e, BUTTE COUNTY BUILDING DEPARTMENT APPROVED % E� 192A7- Evaw No. • 1026 Low No. MM9M RECORDED MAIL TO: William P. Cummings 797 Boyd Road' Pleasant Rills, California r, MML TAX STATEMENTS TO: above i Arruwrrrwerwr VA M11 i.71AW0M� im COUNTYER AECOA rj COUNTY RECORDER SSW Ni 1?Ot PAM OOCVMINTANY TRANSFIX TAS S L L . UV XX COMPUTtO ON PULL VALUa OF PROPSRTII COW49VW COMPUTSO ON PULL VALua LISS LOINS ANO aNCUMSRANCSS R�IIfINO AT TIMI OP SALS J GRANT DIED FOR A VALUABLE CONSiOERATION, receipt of whidr Is hw&v #nowlydOPd, JAMES A . FDWARD3, a single man hareby GRANTM to WILLIAM F. CUM!'IN4 and L: ANN CUVMINGS, his wife, as Joint Tenants sir red pAvaH M qn City of unineorpore'ted Cowl" of Butte . Sher of Como nig, cher%% s The Easterly 1128.87 feet of the following described parcel of land: All that portion of section 4. Township lA North. Range 4 East, M. D. B & M., lying Easterly oC Additbnto Subdtvton No. 1 of the Palermo Citrus Tractand be}.ng shown is Lot B on a Map of PAlermo and Sthliviston 1 and 2 with Addition to No. 1'of the Palermo Citrus Tract, recorded in the office of the County Recorder of the County of Butte, State of California, September 17, 1888, lying Southerly of the Easterly extens+on of the ceaterline of Bohemia Avenue as shown on said Subdivision Map. EXCBPPING TffEREFROM the Southerly 1407.50 feet as measured along the Easterly line of said Lot B. ALSO FXC7PTING T4FPr?RCH all that tiortion lvtrmr Northerly of the centerline of the existing road. RESFRVTNO TRPREPROM a right of way for mad and utility ourposes 30 feet on each side of the centerline of the existing road. TOr)wTRrR WITH a right of way for road and tttaity purposes 30 feet on each side of the oenterline of the existing road, extending Westerly to a oo'et on the Easterly boundary line of Citrus Avenue. Embiu-saty 24th. U)70 ST aMr PO1A COUNTButte ' on !larch S, 11170 hdwr ria M WrMVIrd` r mw Prtmo an rad fr W ft%,=oOOft +p*rw Jamem A- FArlardn trlrrMtrrrwerPwa_ Mmmme to =A J. L=M"Mlard r as PPHN kwrwww M rlwoNod'd 0M M'!T�SytlflrilC' .. he =mond sn wns "um" MITN iM w% 0M" q CALSONNA FOR Nr (TVs" or PrOn" - � M" r+or Air/ dIW wrodd Moe Cr OW MAIL TAX STATEMENTS S AS DIRECTED ASOVICK16M 179 oww 14