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030-211-004
�`� � _ . , - ` � � ,• � � � r30 -211 C . J. STAFFORD - 'T 715 .Oro -Dam Blvd West," Oiovi'l-le.• - REDMAYNE, J.A. 866-678 1 Permit #793-76 ,E ,MH)& B (remove porti ELEC. � `-- roof structu I -� GAS ex.�l� SUPP T TR CTURE REQ. / g' 1715 Merced Ave . , Oroville COMPACTION TEST REQ. p n.(reroof(o- 6 �; 30-211-4 ` f �CONTR': _ Be-ich*Mob 6 Home Sales, Chico dPermit #1203-76MHI ; Issued 1 L, 17' ttiFlll f 1 -•�4ii 9• x y 4 7 • 1 M 4 M Q CN : �- ,r- s Rr.ptil . ,MH { .PERW4T NO. 793-76B P, F. O1 PERMIT EXPIRES WNER C. J. Stafford CONTR. _ owner LOCATION (A.P. 30-211-4 ) 1715 Oro Dam Blvd. West, Oroville 1 w O' Temp. Power P le Called P &E liip. Ele .Serv. Call PG&E tTemp. as Serv. ( C lied PG&E I J INALED t (Date) (Signature) { bond BeamFIRE COUNTY OF BUTTE — DEPARTMENT..,OF PUBLIC WORKS BUILDING INSPECTM RECORD Motors BUILDING BUILDING (Cont'd) PLUMBING Setback Firewall Soil Piping Forms Parapets 7 s.t_ F loor Main Bldg. Restroom Finish 2nd Floor Footings ( Windows 3rd Floor Stemwall Siding To out Slab Roof Sheathing Water Piping Piers Roofing Sewer Garage V Fdn. Vents Fixtures Footings A Garage Vents Water Htr. Stemwall Slab Prov. for physically handicapped Heaters Appliances Carport Footings Conformance of ex. structure Gas Piping & Test .� e Temp. Gas Slab Final Sanitation Patio FIREPLACE Final Footings Footing ELECTRICAL MasonryWalls Throat Rough Reinf. Steel Final ` FiYfurac bond BeamFIRE PRINKLERS Motors Framing Test Water Htr. Stucco Final Subpanels Mesh A MFChANICAL Grd. Fault Prot. Scratch Heating Service Brown Cooling. Temp. Pole Finish Ducts Underground Interior Lath V Ventilation Permanent Door Closer Final Final �i%/� Slzll 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 7 COUNTY CENTER DRIVE OROVILLE, CALIF. - 534-4541 CERTIFICATE OF OCCUPANCY This mobilehome has been installed in accordance with the reqquirements of the California A ministrative Code, Title 25, Chapter 565 nder permit number �%3y�— /%� for the follow'ng location: %��- -iLO Owner t - Owner's Address Mobilehome Mfg. Model Year/?70 Insignia No. ,s0% ry -6- X Serial No. 39-27.3( �- 7 It is hereby certified for occupancy at the above described location and may be occupied. By Of Public Works Date y THIS CERTIFICATE IS VOID WHEN MOBILEHOME IS RELOCATED MOBILEHOME INSTA;6LAT.TAN INSPECTION CHECK LIST 1. Is the mobilehome locatedtvi h 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) YeNo 3. Are footings and supports properly sized, spaced, and braced as er approved plans? (Note possible variation at 'spring shackles.) (Sec. 5082 & 5083) Yes X No 4. Is the mobilehome level? (Sec. 5088) Yes _X No 5. If Rore than a single unit, are crossover connections properly installed? (Sec. 5088) Yes No 6. Water A. Is flexible connector of adequate size and properly installed (1/2" ID min.)? (Sec. 5566) YesNo B. Test - Does water piping withstand working pressure or 50 lbs. air test? Yes"V No C. Backflow - If coach is not State f California approved, does station have backflow device and pressure -relief valve? Yes 7. Wastes and Drains A.' Is connection made with Schedule 40 DWV and have flex connectors at each end? YesX No B. Does it have minimum 'k" per foot slope and is it properly supported? YesX— No C. Are any leaks detected in drainage system afteu ing 3 -gallons of water through each fixture including washing machine standpipe? s No D. If co ch is not State of California approved, do s station have required trap and vent? YesX 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 mobilehome gas line inlet without reductions other than the mobilehome connector. Yes,N 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 withmanometer 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? YesN/ No 0 9. Electrical A. Is service large enough to provide adequate amperage -to mobilehome (must equal rating of mobilehome with a minimum o.f 00 amp) ,and oer facilities on lot, i.e., water pumps, garage, cabana, etc.? Yes" No B. Is there proper clearances around panels? YesX, No C. Is power supply cord or feeder assembly properly fused? Yes.YNo D. Is continuity test satisfactory as per the following procedure? YesX 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 ro.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 Namestyle 1/ Length 4c7 I Width 7;---/0 Vehicle Serial No.�(� State Identification No. 39' 3T 737 Additional. Information or Comments: COUNTY OF BUTTE — . DEPARTMENT OF PUBLIC WORKS 7 County Center Drive ' - Orovi lie, California 95965 7/ Telephone: 534-4541 / ((J APPLICATION AND PERMIT •- �rwcnuu vca v� uic %,Vwlly Ui ouuc LU CIIICI Uf/U11 trIC above- ned property for inspection purposes. X��VZZD to 7G Signature of Permitee or Ag ^� Receipt No. White-D.P.W. —Yellow-Asses�d -Inspect r — 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 3 6 Building permit expires Date A�,2Xz _ BUILDING Owner o S-_ ,rR �-�O SQ. FT. OCC. BUILDING VALUATION Mai I i ng Address 1 57' ® R (VI 8 L V B _ LO ff97 001, Telephone No. V 3 VFireplace Contractor "-3 l Total Valuation Mai I i ng Address Permit Fee Plan Checking Fee &/or Penalty Telephone No. Permit Fee Building Address lS (�` (} W� PLUMBING No. @ FEE PERMIT FILING FEE $3.00 � Each Trap 1.50 © Repair drainage or vent piping 1.50 Water piping y =Ed ap Each gas water heater or vent 1.50 A. P. No.3 O — ^- �` Zng 8 Planning Gas piping system 1 - 5 outlets 1.50 gg Each additional outlet .30 Fees S i Fire Dept- FireZone Use Permit Building sewer ; 5.90 O .C9 p EQA Parking Plans Parcel Declaration Parcel Ma P 60' R/W Im roents P ve Lawn sprinkler system 2.00 ` P�oY Pla Recd B+dy Parcel roval Plans Approval Permit Fee $ 53-02L �1 NEW ADDITION ❑ UTILITIES OTHER ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 , pQ Main service 100 AMP OR00V OR LESSL� 5.00 1 J Main service EA. ADO'L too AMP 2.50 Single Family ❑ Duplex ❑ Mobil Home Others ❑ Main service OVER e00v 25.00 100 AMP OR LESS Main service EA. ADD'L 100 AMP 1.00 NEW CONST. OR ADONS. ( DACCLBLDGOCCUP, &) 2¢sq ft NEWNON.RESID R ( BRANCH CIRCUITS 2.50ea NEW CONSTR. POWER APPARATUS tk ( 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) BAL21 (FIXED FIXED A Ex. Occu PLNS.P 1RE51 D,)OR EA) 2•0C Temporary service 10.00 Mobile Home Facilities v 15.00 License No. Classification Misc. Wiring 6.25 ❑'ram 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. Elhave placed on file with the County of Butte a certificate of 'workmen's Compensation Insurance. 21 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 •- �rwcnuu vca v� uic %,Vwlly Ui ouuc LU CIIICI Uf/U11 trIC above- ned property for inspection purposes. X��VZZD to 7G Signature of Permitee or Ag ^� Receipt No. White-D.P.W. —Yellow-Asses�d -Inspect r — 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 3 6 Building permit expires Date A�,2Xz _ ra V { COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Orov(Ile, California 95965 Telephone: 534-4541 APPLICATION AND PERMIT ��---- au t orize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. X C Date alb' %C Sign ure of Permi tee or Agent Receipt No. A1.5 - J 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 OFAI BLIC WORKS BY - 1Iding permit expiresDate BUILDING Owner SO. FT. OCC. BUILDING VALUATION Mailing Address Telephone No. Fireplace Contractor Total Valuation Mailing Address Z5_ O S d.o d Permit Fee Plan Checking Fee&/or Penalty t Tel ephg�tyg •7 J / Permit Fee Building Address/ "O PLUMBING No. @ FEE PERMIT FILING FEE $3.00 !il/�. r Each Trap 1.50 Repair drainage or vent piping 1.50 Water piping 1.50 Each gas water heater or vent 1.50 A. P. No.Q .- 1 Zoning & Planning Gas piping system 1 - 5 outlets 1.50 Each additional outlet .30 Fees W.C. Fire Dept. Fire Zone Use Permit Building sewer 5.00 EOA Plans Parkin Declare ion Parcel Map 60' R/W Improvements Lawn sprinkler system 2.00 Bldg. Pla�'d I Parc pproval Plan pproval Permit Fee $ NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER ❑ ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 Main service 100 AMP OR0V OR LESS5.00 %93 -7(> Main service EA. ADD'L too AMP 2.50 Single Family ❑ Duplex ❑ Mobil Home 14Others ❑ OVER 600V Main service 100 AMP OR LESS 25.00 Main service EA. ADD'L too AMP 1.00 NEW CONST. OR AODNS. ( ACCLBLDGS.CCUP. &) 2¢Sgft NEW CONSTR. 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 \ Ex: Occup(OUTLETS OR FIXTURES)@� BAL@1 Ex. Occup. (OUTLETS' PRESID )REA) 2.00 Temporary service 10.00 Mobile,Home Facilities 15.00 License No. 2 TZB1igClassification Misc. Wiring 6.25 ❑ I am exempt from the Contractors License Laws of the State of Cal ifomia. 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. XI 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 em P to an employ y 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 h ; f , TOTAL PERMIT FEE Is 36 au t orize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. X C Date alb' %C Sign ure of Permi tee or Agent Receipt No. A1.5 - J 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 OFAI BLIC WORKS BY - 1Iding permit expiresDate .i BUTTE COUNTY DEPARMENT OF PUBLIC WORKS 7 County Center Drive, Oroville, CA. PHONE: 534-4541 1. Owner's name: 2., Installer's na MOBILEHOME INSTALLATION SHEET 3. Is the site currently under permit? Yes / / No , (If yes, furnish permit number 7L, =- OR i y '-• �� Is the site an existing site? Yes /L4--' No (If yes, furnish two (2) plot plans.) A. Will the mobilehome be located at least 5 Lt. away from septic tank and leach fields and clear of -all setbacks and easements? Yes 144 -----No / ! (If no, clarify ) 5. What is the mobilehome electrical rating? -------- --------------- C7 Amps 6. What is the mobilehome site service rating? _____________________ / d Amps 7. What is the mobilehome site circuit breaker. rating? -------------- S-0 Amps 8. Is there any other electric load to be served by the SRobil.ebome site service? -----------_ __..______________--------- (If yes, identify the load. and size: 30 (Load) 9. What is the mobilehome site gas pipe size? -_--____-..,______- 10. What is the type of gas service? ------------------------------ Na 11. What is the gas pipe length from.me':er or tank to the mobilehome? 12 What is the mobilehome gas demand.? ---- -- --------------------- Yes No (Amps) n.) .ral / LPG t -A! (This information not requir:ec[ if pipe length less than 6 ft. on natural gas or less than 50 ft, on LPG.) AT go' (ft.) . (BTU) MOBILEHONE SUPPORT DATA Mobilehome Mfr. _r_Z�41 Setup Model No. 1�jQ(OZ.P:S Year Width z,70 (ft.) Length ..ZW3 (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 Arf �,.Wood :either pressure treated or Center Support .enter fdn.'-grade.: upport Footing Sizes Iocation(in.) Z.:Concrete pad. - 3.;Other,.-specify kF kin k in. in. .Supports (check one; /�?' 1.�Concrete block 2. Concrete piers (ft n1 -(in.-)-(in.) T1 3. Steel piers .. ...... .... .. . ......... .. .. . 4. Other, specify ... ......... .. 41 .... ...... Typical Support Footing Size x Max. Pier. ..... Spacing ft.)(in. Phi) (in.)(in.) r "Max. Overhang -1 43-it.) *If center piers are other than drawn above, draw in locations, spacing, and dimensions. 'BUTTE C0-URTY BUIMING Dr-PAaTWNT A M I f -AX PROVED Shal! Be in This set of plans e��-- I` MUSS �A NOTE:— -All M ferirls & Workmanship - seat on the iob at all +irnes and. it is unlawful to Accordance with Recognized C ood Practices and . ' rral a any chrnges car alterations on same without of a quality proscribed for the Specified use in the written permission from t!to Department of Public Uroorm Building, Plumbing & Machanical Codes and Wor!;s, County of tte. th National E16ctrical Code. �� �/I, p Pa-yy -IV TButte ou quirem nts. in - feta ion t=:5 to be da P'pr - of eat h. Dopt. Ivl