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041-400-027
41-40-27 L. W. Harris N/S Addy Ln.,app.48A'W.of Clark Rd., app.7/10 m' N.of Cl ar Cr.Cemetary Rd. Paradise V; "# ijaso/o Permit #6837-76P,E(relocate util.on exis si e/ IH) ELEC. /7 GAS 3Al SUPP RT STRUCTURE REQ. A/V CaTACTIM TEST REQ. Aro --- 41-40-27 contr: Gene Schmitt Mei Serv., Chico Permit #146-77MHI Issued 77 i `V I r t� rr I N r. 0 -G2-7 1� ! ;r 1, i� • a � d 1 r} .'t 1� t� t� ' .in e _.-� yZ� r li�:(7"j 'w, f . wrt ... M: ��� �.�. � tea.. Lt :. , � E s. PERMIT NO. 68'87 76P,E PERMIT EXPIRES ZA��1L OWNER L. W. H Harris CONTR. Owner LOCATION (A.P. 41-40-27 NIS Addy Ln.,app.480'W..of.Clark Rd.,app. 7/10 mi. N.of Clear Creek Cemetary Rd., Paradise • qr r �1 F,r 1 , .ori! . 1 Temp. Power Pole Called PG&E Temp. Elec. Serv. Called G&E Temp. as Serv. alled PG&E /FINAL ' ED (D Ef e) ,, Q (Signa re) •{' � Is -- ' � -'--- -- ---- - - �----- ------ - --' - -- - - --v--'-----�- - ------- --' �K^ «~ ' COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 7 COUNTY CENTER DRI OROVILLE, CALIF. - 534-4541 CERTIFICATE OF OCCUPANCY This mobilehome has been installed in accordance with of the Ca i pr� i , Administrative Code, Title 25, Chaptei number, 5� / ' or the following location: r, Owner 4re e iS the requirements 51 under permit W- 5/0 - -27- Owner's 7. Owner's Address A.air 177 X OR001 C. i. Mobilehome Mfg. Model Year 76' Insignia No. -2 V 7%2 2, -I,/ 79z 3 Serial NoJW S13 15-27 It is hereby certified for occupancy at the above described location and may be occupied. Director f Public Works Date—// -Z3—//77 BY . (Y" THIS CERTIFICATE IS VOID WHEN MOBILEHOME IS RELOCATED w COUNTY OF BUTTE — DEPARTMENT OF, PUBLIC WORKS. " BUILD NG INSPECTION RECORD .BUILDING BUILDING (Cont'd) PLUMBING Setback Fire all Soil Piping Forms Para is 1st Floor Main B14. Restro Finish 2nd Floor Footin Window 3rd Floor Stemwalk Siding To out Slab Roof Shea lng Water Pipingr Piers Roofing Sewer Garage Fdn. Vents Fixtures Footings Garage Vents Water Htr. Stemwal I Insulation Heaters Slab handica r phslally A I lances Carport Conformancdde of Gas Piping& Test ' '17_1 7 Footings structure Temp. Gas Slab Final Sanitation Patio REPLACE Final ` Footings Footing ELELVTRICAL Masonry Walls Throat Rou h ' Relnf. Steel Final Fixtures f Bond Beam FIRE SP INKLERS Motors Framing Test Water Htr. Stucco Final Subpanels r Mesh MECHANICAL Grd. Fault Prot. Scratch Heating Service Brown Cooling Temp. Pole Finish Ducts Under round —f 7-77 Interior Lath Ventilation Permanent Door Closer Final Final D/AjTE REMARKS OR CORRECTIONS 44 �5 G P� f (NOTE: An entry must be made on this form each time you visit the job. site.) I•i0B7iJ"110'M-E' INSTALLATIDN INSPECTION CHECK LIST 1. Is the. mobilehom,: located x''.'i required separation from lot lines and buildings and generally conform to plot plan?," Ycs-�No— 2. Does the mobil-ehome have required clearances above ground? (Sec.5085) YeX No 3. Are footings and supports properly sized, spaced, and braced � er approved plans? (Note possible varication at spring shackles.) (Sec. 5082 & 5083) YeNo_ 4. Is the mobiletiome level.? (Sec. 5088) YesY'No_ 5. If rkorp han a single unit,.are crossover connections properly installed? (Sec. 5088) Yes No S. Water A. Is fl xilble connector of adequate size and properly installed (1/2" ID min.)? (Sec. 5566) Yes Z No B. Test - Does water pipin withstand working pressure or 50 lbs, air test? Ye>L No C. Backflow - If coac s not State of California approved, does station have backflow device and pressure-relie lve? Yes No 7. Wastes and Drains A. Is connection made with Schedule 40 DWV and have flex connectors at each end? Yesz,No_ B. Does it have minimum ," per. foot slope and is it properly supported? Ye SX No C. Are any leaks detected in drainage system after runnin 3 alIons of water through each fixture includin washing machine standpipe? Yes_ No D. If coach is n 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 mob ehome gas line inlet .without reductions other than the mobilehome connector. Yes No 1, B. Test OK as per following procedure? Yes�Pdo 1. Open all appliance connector valves. 2. Shut off appliance burner and pilot valves. 3. Air test with manometer to 10"-14" water column, or test with slope gauge (minimum 6oz.-maximum 8 oz.) calibrated in tenth pound increments. Test for 10 min, without drop. 4. Connect: gas meter to mobi.lehorne with connector, turn. on gas, test connections with soapy water. C. Are all appliance vents properly installed? Yes"'�[N0 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 tI1en be made between he ;rounding electrode and the chassis of the 1110bilehome. Upon sat'i_sfactory completion -of the electrical tests, the lot or site service equipment may be approves( for energizing. ;.0, Is job card signed by Health Departmeat for water and sanitation? 1.1.. If evs_rything okay, sign off card and t.a services. MOB IL.E1 [0-^.i: DATA Manufacturer and/or Namest/yl.e ��L U V 12 c x �S � 11ength l9 Width 2 7 Vehicle Serial No. Y % 7 Z7_ 2�?�7-� State Identif.icat i_on No. 152-1 g 7 - _ 4ddttional Informat..ion or Cornlnents: 9. Electrical A. Is service large er..oilgli to provide adequate unlperage to nlobilcliome. (must equal rating of mobilehome (aitll :a :::inh—.um cV. 00 amp) and other faciliti_c.s on lot, i.e., water pumps, garage, camrla, et L:.:' Yes No li. Is ther--� proper clearances around panels? YeSX No C. Is power supply cord or feeder assembly properly fused? YeSX NoT_ D. Is continuity test satisfactory as per the following procedure.? YesNo 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 Irad of a test instrument to the mobilehome grounding conductor and app ly the oi.. ei I ---3 - - ll TtIUU L.LCII-iae Supply Coriluctor, i11i:1i1U111g neui.ral. 5. All nor. -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 tI1en be made between he ;rounding electrode and the chassis of the 1110bilehome. Upon sat'i_sfactory completion -of the electrical tests, the lot or site service equipment may be approves( for energizing. ;.0, Is job card signed by Health Departmeat for water and sanitation? 1.1.. If evs_rything okay, sign off card and t.a services. MOB IL.E1 [0-^.i: DATA Manufacturer and/or Namest/yl.e ��L U V 12 c x �S � 11ength l9 Width 2 7 Vehicle Serial No. Y % 7 Z7_ 2�?�7-� State Identif.icat i_on No. 152-1 g 7 - _ 4ddttional Informat..ion or Cornlnents: COUNTY OF BUTTE — `DEP,O'RTMENT OF PUBLIC WORKS 7 County Center Drive — Orov'iIIe, California 95965 Telephone: 534-4541 APPLICATION AND PERMIT au orize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. X 'G�"F /c Z-&ad4� Date Sigp60lYof Permmiteee or Agent Receipt No.I�a U 6/ 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 BUtkftg permit expires Date / BUILDING Owner is SQ. FT. OCC. BUILDING VALUATION Mailing Address E -! D .�� Telephone No. ✓ Fireplace Contractor Total Valuation Mailing Address -Permit Fee Plan Checking Fee &/or Penalty Telephone No. Permit Fee y Building Address .t%z PLUMBING No. @ FEE PERMIT FILING FEE $3.00 p, 7 Each Trap 1.50 j C� //�.� , ��� �d Repair drainage or vent piping 1.50 Water piping 1.50 Q p /r Each gas water heater or vent 1.50 A. P. N Q — Zoning & Planning Gas piping system 1 - 5 outlets 1.50 U , d O Each additional outlet .30 FeEVJ I Fire Dept. Fire Zone Use Permit Building sewer 5.00 pv EQA Parkin PlansBldg. Declare ion Parcel M 60' R/W Improve ents Lawn sprinkler system 2.00 Plans Rec'd Parcel pproval Plans pproval Permit Fee $ NEWADDITION ❑ ❑ UTILITIES OTHER ❑ ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 , Qv r i Main service io00o AMP V OR LESS 5.00 sine Main service EA. ADD•L too AMP 2.50 Single Family ❑ Duplex ❑ Mobil Home 19 Others ❑ OVMain service 1100EAMP OR LESS 25.00 Main service EA. ADD•L too AMP 1.00 NEW CONST. DWELLING OcCUP. & OR ADDNS. ACC. BLDGS. ) 22Sgft NEW CONSTR. MU-TI.OUTLET NON.RESI D. BRANCH CIRCUITS) 12.50ea NEW CONSTR. /POWER APPARATUS & NON.RESID. ISINGLE 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@25 Ex. Occup. ( FIXED APP LNS. OR OUTLETS (RESID.) EA) 2.00 Temporary service 10.00 Mobile Home Facilities 15.004,0 License No.Classification Misc. Wiring 6.25 © I am exempt from the Contractors License Laws of the State of California. Permit Fee $ Is, 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 th ' TOTAL PERMIT FEE s 6C au orize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. X 'G�"F /c Z-&ad4� Date Sigp60lYof Permmiteee or Agent Receipt No.I�a U 6/ 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 BUtkftg permit expires Date / `J .•is-. COUNTY OF BUTTE — DPPARTMENT OF PUBLIC WORKS 7 County Center Drive — (57oville, California 95965 1-��-77 Telephone: 534-4541 APPLICATION AND PERMIT umpiese La. VVS v. LIC Gounty 01 Butte to enter upon the above-mentioned property for inspection purposes. %XDate' Signature of Permitee or Agent _ Receipt No. 'f ��� S 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 Dat BY � e_ tiding permit expires Date �—��� �' BUILDING Owner a�/` S SO. FT. OCC. BUILDING VALUATION Mailing Address Telephone No. Fireplace Contractor SA -A Total Valuation Mailing Address Permit Fee Plan Checking Fee&/or Penalty iI Tele one Permit Fee Building Address s PLUMING No. @ FEE PERMIT FILING FEE $3.00 (/ Each Trap 1.50 L Repair drainage or vent piping 1.50 % Water piping 1.50 Each gas water heater or vent 1.50 A. P. No. dj� �— Zoning 8 Planning Gas piping system 1 - 5 outlets 1.50 Each additional outlet .30 Fee W Fire Dept. Fire Zone Use Permit Building sewer 5.00 EOA plans Decla anon Parcel Map/ 60' R/W Improvements Lawn sprinkler system 2.00 Bldg. Plans c'd Parcel Appr�l Plan pproval Permit Fee $ NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 Main service i00V OR 00 AMP ORSLESS 5.00 Main service EA. ADD•L too AMP 2.50 Single Family ❑ Duplex ❑ Mobil Home Others ❑ Main service R 600V 1000EAMP OR LESS 25.00 Main service EA. ADD•L 100 AMP 1.00 IOR NEW CONST. DWELLING OCC. & ADDNS. ACC. BLDGS. UP ) 20sq ft NEW CONSTR. MULTI -OUTLET NON-RESID. ( BRANCH CIRCUITS) 12.50ea = -ZA NEW CONSTR. (POWER APPARATUS & NON RES,D. SINGLE OUTLET CIR, CONTRACTORS LICENSE LAW I am licensed under the provisions of Chapter 9, Div. 3, of the State of California Business & Professions Conder the name Style Of' _ > 'r Ex. Occup(OUTLETS OR FIXTURES) BAL@-'I� Oq FIXED APPLNS, OR - Ex. Occup.(OUTLETS (RESID.) EA) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 License No, b��r3� � Classification �— �� Misc. Wiring 6.25 ❑ I am exempt from the Contractors License Laws of the State of California. Permit Fee $ WORKMEN'S COMPENSATION INSURANCE 1 am aware of the provisions of Section3700 of the California Labor Code which requires every employer to be insured against liability for Workmen's Compensation. ❑,I have placed on file with the County of Butte a certificate of Workmen's Compensation Insurance. I Io an certify that in the performance of the work for which this ermit is issued I shall not em P employ y person in any manner so as to become subject to the Workmen's Compensation Laws of California. MECHANICAL No. @ FEEPERMIT 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 $ umpiese La. VVS v. LIC Gounty 01 Butte to enter upon the above-mentioned property for inspection purposes. %XDate' Signature of Permitee or Agent _ Receipt No. 'f ��� S 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 Dat BY � e_ tiding permit expires Date �—��� �' MOBILEHONE SUPPORT DAL -k Mobilehome Mfr.. S21- V i R C R k. S T Setup Model No. Year 76 Width o? (ft.) Length .. /.'0 (ft:) ExpandoSize ft.x ft. (Draw support details below) . On all mobilehomp,§�;manufactured after October 7, 1973,' furnish manufacturer's installation manual and structural setup sheets :(if. not .on file with the County of Butte). Center Support Locations S.in le . ....... Footings -(check.one) V. U /✓/ 1. Wood :either AU pressure treated or Center Support `: ::. :,. ::-.:fdn. `grade.:: Footing Sizes (in.) .. ` /,` 2. ::Concrete pad. 3. :Other,.,specify Supports (check one) Concrete block x / / 2. Concrete piers cc ...... 3. Steel piers / /.4. Other, specify . Typical Support Pin a X 3� Footing Size in. ..(in.) (in.) .................. _ .... . �.. Max. Pier. Spacing / aZ X t341t,— — (in.) (in.) �e *If center piers are other than drawn above, draw in locations, spacing, and dimensions. X Over) hang BUTTE COUNTY BUILDING DEPARTMENT APPROVED 0 BUTTE COUNTY DEPARTMENT OF PUBLIC WORKS 7 County Center Drive, Oroville,.CA. PHONE: 534-4541 MOBILEHOME INSTALLATION SHEET 1.' Owner's name: WU) lel k Ale �. � dT ,q 1 2. Installer's name: 15IIFA)) S'ifhl " 7 T /79 � ni �• 3. Is the site currently under permit? Yes /-7/ No _L (If yes, furnish permit number ) 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 / No / / (If no, clarify ) 5. What is the mobilehome electrical rating? ----------------------- a . �O D Amps 6. What is the mobilehome site service rating? --------------------- 7. What is the mobilehome site circuit breaker rating? ------------- 8. Is there any other electric load to be served by the mobilehome O 0 Amps /00 Amps site service? ----------------------------------------=---------- Yes / / No / --7 (If yes, identify the load and size: (Load) (Amps) 9. What is the mobilehome site gas pipe size? ---------------------- —(in.) � 10. What is the type of gas service? ----------------------------- Natural / / LPG 71 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 ft. on natural gas or less than 50 ft. on LPG.). A oAf A3o k cl J7� l S �ff.. from the I/ Setback shall be ft, from The $4dq line and a mitting a TnO " ide PrOpertY ;enterline of the road P but entpy i�eh! mum of a 2 ft. eave overhang out of all easements. /Vo c- t� This set of plans and specificntPons MUST be �'�nt on thA inti at all times and it is unlawful to rl—nes or r4f-t rr.,f ons on some without w-i'fen permission from the Department of Public Works, County of Butte. I NOTE: All Materials & Workmanship Shall Be in Accordance wiih Recognized Good. Practices and of a quality prescribe:;! for the Specified use in the Uniform BuLding, Piur►ibing & Mechanical Codes and the National Electrical Code. 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. JA'<��8' A permit will be*required for the Garay c installation of the mobilehome. 4Z 4 / S " UTTE COUNTY BUI DING. DEPARTM APPROVED �. So f� 14d<�.y'S %acv