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056-250-052
a 56-25-52 -J a7rfie § 'H Wallace W/S 32,att Stage, d. Inters., Fopest Ranch Permit #6748-77P,E.utiMM) 'ELEC. L2 -g- A - t3 /16 f -7 v '22 SUPPORT A S )pG'STRUCTM E C 'M MPACTION TEST REQ. 6L25-52 Permit #j8'-78MH,k(Ken od MH Sales) 1r//6/7A0 Issued ssued 0 .1 0 J (IS 7 " s PERMIT NO. a'.—$748=77P,E PERMIT EXPIRES OWNER James H. Wallace CONTR. owner LOCATION (A.P.-%r25-52 ) W/S Hwy 32, @ Stage Rd,intersection, Forest Ranch i 1 y T i r 9 M1 fi Temp. Power Pole— ole Called Called PG&E Temp. Elec.j rv. CalledPG&E Temp.Gas Serv. Called PG&E JOB O FINALED (Dat (Signa e) ._ Al- COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS. BUILDING INSPECTION RECORD BUILDING BUILDING (Cont'd) A PLUMBING Se ckewaII S I Piping For Pa ets 1 Floor Mai Bldg. Rest om Finish 2n Floor Fo tins Windo 3rd k0or ti Stem all Sidina To out Slab Roof Shea in Water P1 1 Piers Roofing Sewer Garage Fdn. Vents Fixtures Footin s Garage Vents Water Htr. Stemwal I Insulation Heaters Slab Prov. for phsical Appliances handica ed Carport Conformance of ex. Gas PI in &Test Footings V structure V -Temp. Gas Slab A Final r Sanitation Patio REP ACE Final Footin s Footing ECTRIC L Masonry Walls Throat Rough Reinf. Steel Final Fixtures Bond Beam FIRE SPRINKLE Motors Framing Test Water Htr. Stucco Final Subpanel Nil /Bn MECHANICAL Gird. F It Prot. Heati Servi96 Coo ng T mp. Pole D is nder round Inth entilation Permanent oor Closer Final Final MOBILEHOME UTILITIES .................. c. Service ���� Elec. Pedestal ` Water Piping r�T' ca. ewe -._° r /y7iai/Q� Gas Piping ILEHOME INSTALLATION Support Elec. Continuity Water Piping Drainage Gas Piping DATE REMARKS OR CORRECTIONS -Lo." JT\1A o � �o (NOTE: An entry must be made on this form each time you vislt the job site.) t 9. Electrical A. .Is service large enough to provide adequate amperage -to mobilehome (must equal rating of mobilehome with a minimum cf X00 amp) and other facilities on lot, i.e., water pumps, garage, cabana, etc.? Yes �/ No 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 De -energize electrical wiring system of the mobilehome at the pedestal 2;-�Rake sure that the power supply cord or feeder assembly conductors, including neutral conductor, have been disconnected. d--�Switch all breakers and switches in the mobilehome to the "on" position. 7+. Connect one lead of a test instrument to the mobilehome grounding conductor.and apply the other lead to each .nobilehome supply conductor, including neutral. 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. .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 theelectrical 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. r MOBILEHOME DATA / �,� Manufacturer and/or Namestyle A _IS c...' Length_ Width Vehicle Serial No. State Identification No. Additional Information or Comments: (9 41A �tJr4 IYI/�/ c/�CLL (l�D.R tC. c;Tcc90rt.� � C'o F'� TE, Cao22reTionLs o Al �Y1 f j cl-rlk,7 f R,5,s- 'P2�orL `lam �/ CE;CT. ©f OCC 7-4G GAsg.C.e_c, T- MOBILTHOME INSTALLATION INSPECTION CHECK LIST 1. 'Is the mobilehome located withxequired separation from lot lines and buildings and generally conform to plot plan? Yes 9-*" No_ 2. Does the mobilehome have.required clearances above ground? (Sec.5085) Yes_UNo_ 3. Are footings and supports properly sized, spaced, and braced as pe approved plans? (Note possible variation at spring shackles.) (Sec. 082 & 5083) Yes_ No 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 50D air test? Yes No A� Backflow - If coach is not State of California approved, does station have backflow device !4 V 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 B. Does it have minimum k" per foot slope and is it properly supported? Yes (/No_ C. Are any leaks detected in drainage system after running 3 -gal ns of water through each fixture including washing machine standpipe? Yes_ No If coach is not 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 mobile a gas line inlet without reductions other than the mobilehome connector. Yes, No B. .Test OK as per following procedure? Yes No Open all appliance connector valves. Shut off appliance burner and pilot valves. 3,1' --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. Connect gas meter to mobilehome with connector, turn 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 5, under permit number �""' -'` for the following location: L11A /ftr}uf Owner 4 / L Owner's Address 7,2 4� Mobilehome Mfg.. —Model Year -27 Insignia Nof?AL_ /.34,1,4, 0Serial No. Y 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 COUNTY OF BUTTE — DEPARTP,AENT OF PUBLIC 7 County Center Drive - Oroville, California 95965 Telephone: 534-41541 APPLICATION AND PERMIT 06? men one property or inspection purposes. Date of P.;;e or Agent 7,&Signoture pt No. —_ � d� White-D.P.W. — Yel�sess ink -Inspector — Goldenrod -Applicant the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRE R OF P BLIC WORKS By t� Date g permit expires Date �—'"/ BUILDING Ownerd�JES SQ. FT. OCC. BUILDING VALUATION Mailing Address % T 57-. AIC ►"1 tC Telephone NQQ —7 2—y771 Fireplace Contractor Total Valuation Mai I i ng Address N i t/ Permit Fee Plan Checking Fee &/or Penalty Telephone No. Permit Fee $ Building Address sPLUMBING 6 r`t� No. @ FEE PERMIT FILING FEE $3.00 G p Af1�e ✓ , bio Each Trap 1.50 Repair drainage or vent piping 1,50 _ _ p Ir e- S — i rftrldi t7 Water piping D,O® ach gas water heater or vent 1.50 A. P. No �(o . j^� 7M05 Gas piping system 1 - 5 outlets I;= X80 Each additional outlet .30 F s S tion Fire Dept. Fire one Use Permit Building sewer D.DO EQA Parking Parcel Plans Declaratio 60' R/W I Improvements Lawn sprinkler system 2.00 Bldg. PI ns Rec'd P cel A roval Plans App val Permit Fee $ 33• $ 33 NEW❑ ADDITION ❑ UTILITIES OTHER ❑ ELECTRICAL No. @ FEE PERMIT FILING FEE J$3.00 r p Main service 100 AMP ORRV OR SLESS 5.00 pjrp Main service EA. ADD'L too AMP 2.50 p Single Family ❑ Duplex ❑ Mobil Home V3- Others ❑ Main service R 600V 1100EAMP OR LESS 25.00 Main service EA. ADD'L too AMP 1.00 ,•L��MINIMUM NEW CONST. DWELING OR ADDNS. ( ACCLBLDGS.CCUP. &) 22sgft NEW NON -RESIT R (BRANCH CIRCUITS) '2.50ea -- MOBILB NEW CONST. POWER APPARAS & NON- R RESID. (TUSINGLE 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: -no H#P , OD Ex. Occup(OUTLETS OR FIXTURES)50 @25C 109 Ex. Occu FIXED APP LNS. OR p•(OUTLETS (RESID.) EA) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 S.60 License No. Classification Misc. Wiring 6.25 FT I am exempt from the Contractors License Laws of the State of California. Permit Fee $ 6• sD $ �� O 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. ❑ 1 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. 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 d above- tl; f MECHANICAL No.1 @ FEEPERMIT FILING FEE $3.00 Heating Cooling Ventilation Hood 2.00 Permit Fee $ .L/3 Nd e u M p L I 'FC:1-1 $ TOTAL PERMIT FEE $ This permit is hereby issued under the applicable provisions of men one property or inspection purposes. Date of P.;;e or Agent 7,&Signoture pt No. —_ � d� White-D.P.W. — Yel�sess ink -Inspector — Goldenrod -Applicant the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRE R OF P BLIC WORKS By t� Date g permit expires Date �—'"/ NOTE:—All Materials & Workmnnshin Cltnll Be in Accordonce `with ' c� Hued Gnn,4 P,1-41ces and of a qualitynre�cr% fns A,. 4z,, +cPa ��sP in f{,� . Uniform Buildina, Oltor,'- ,_ Q• .4ry^h�n;c„I lVa i AP the Nntinnol FIQ,+rim 4';Ae This set of plans and specifications MUsi w kept, on the job at all times and it is urrlew+,,l tc _= make any changes or alterations on same without written permisson from. the Uepartment of Public Works, County. of Butte. A4691 The BlJW. Setback shall be 5 ft. from fhe side property line and 50 -ft. from the centerline of the road, permitting a maxi- mum of a 2 ft. eave overhang but entirely out of aR- easements. Septic system and location o - i - t to be as per Butte County Health Dept. Re- quirements. e- quirements. C - • t ; Ftp,= d i;-4VC 1` ^11I Utility co '. ections shall be p. �il 1c�tated within 4 t, outside the rear r� - ------_ .. } third section of the mile home on .the left (road) side of the mobile home. q pernhit will be required for the insia�a4t1Qn of the mobilehome ; Vi CZP__� _ _..... _ ._. ...... .. _ - I l e. BUTTE COUNTY BUILDING DEPARTMENT <} APPROVED Order No, pscrow No. 29741 LS �•. �� Loan No. BOFFICA t. n'�C4;RUS is- I .. 40JNY1 01 IF , IW VAW'tU ANO ttCR h COMM WHEN RECORDED MAIL TO: JAN24 1133 AN I974 James Hs Wallace LUO:SE KLULl'TO 1725 Locust St. COUNTY RECORD0 i Chico, Calif. 95926 :17751 FEE SPACE ABOVE THIS LINE FOR RECORDER'S USE MAIL TAX STATEMENTS TO: pOCIAIAENT'ARY TRANSFER TAX t....Z.w75 ............................ Wallace X. Computed On the consideration, or value of property conveyed; QR .James H. Co on the consi rat or value less liens or encumbranc 1725 Locust St, remaininpat C_ Chico Calif . 95926►, Valley Title w. Slpneture of Deplarent or. Agent cietormininp ax —:Flan N+lme r GRANT DEED FOR A VALUABLE CONSIDERATION, receipt of which is hereby acknowledged, - .'t, SANFORD K. HANN and ESTHER K. HANN, .husband and wife • JpiIN :i . LO N, and ANN J. LAGAN, husband and wife ;. hereby GRANT(S) to JAMES 1j. WALLACE a• d WINIFRED E. WALI,ACE, E hqsb.aicid is and wiiie as Joint enants the real property in the City of unincorporated t County of Butte State of California, described as DESCRIPTION ATTACKED TO THE REVERSE HEREOF 01. r Dated December 27, 1973 STATE OF CALIFORNIA J COUNTY OF ss. Butte a r4 A 11ann w Esr,ner A, Bannr John IJOgan On Dec - 27, 1973 C. before me, the undersigned, c� No�pry P b1�' in nd for said nn . Agan C State, personally peered 'pan?orc Wo!"Hann, g ther K. waling John - M. Logan, Ann waanitssstwquuunutFttutgquutnmwwlt n OFFICIAL" SEAL .C: o UsL a , CRYSTAL fU, HARMON known to me to be the person .-X-- whose nwne S ICY' e. NOT. Rr :.70UC — G MOORNIA C PRINCIPAL �OFNSE IN TNs ( si,l0criwo to the within Instrument end, acknowledged' that ;: couPTY,Pf au", . } Wax vIecuted the same` F . *rJConifntPEroe1 �zpilert 1uly i5, i!97T •WITNF$S my hent# and o1061e( Rept. , lifinpuH�lltmMll>r l� $iplit)ur<<. 1, "t as` (This erM . fQF dfficies notpria{ S."D 06, y� �u r•S _ i,..i i .:. i y. "IOOZ 110/69) MAIL, TAS STATIEMENTS AS D.9r-' 4 ABt�V sej.,... All that' certain real -property situate in s the CountyofButte,' State., of California, described as follows: A portion of the North half of the North 'half of the Northeast quarter of Section 32, Township 24 North, Range 3 East, M. D. B. & M., in Butte County, State of California, described as follows: CON'LMENCING at a point from which. the Northeast corner of said'32 Section bears South 800 491 11" East 1084.75 feet, said point is also distant 80.00 feet Northwesterly, measured radially from the base line at Engin- eer's Station "Cl"9+00.00 of the Departmcntof Public Works 19-55 Survey from Forest Ranch to Lookout road III-But--:47-B,C (I)along a curve to the 'right with a radius of 2420.00 feet, through an angle of 100 071 2111, an arc length of 427.54 feet(the chord of Which curve bears South 260 031. 56" West 426.99 feet);, thence (2)South 310 071 36" West 278.32 feet; thence North 46.00 feet; thence East and parallel to the North line ofsaid ' Section 32 to a point on the Northwesterly line of California State: lligliway 32 to"a point; thence West. parallel to the North . line of said Section 32 to a- Point, inthe East line of the Northwest quarter of the Northvi'est, quarter' olt._'the INort4east quarter of said Section* 32; thence north alon said East, line, a 'distance of 170.00 ,feet to the true point Of beginn 'i '9 for tli&-parcel herein described; thence fromsaid 'true point of beginftLnu continuing North along said line 135 t.00 feet to a point ..'thence East parallel to' the North line o£ said Section 32 to a point �_ on the Northwesterly line of the California State- Highway 32; thence Sout-11-j- westerly along said Northwesterly line t6 the No . rtheast' corner of that parcel of land conveyed by Sanford I:. Hann . et al to -John H. Goekler, et ux recorded March 13, 1970, in Book, 1806, of official Records, at page'' 1.9; thence West along the North line. of said Goek-ler' parcel to the true point of beginning. TOGETHER t-,TITH a non-exclusive easement for road an utility Purposes 60.00 f and feet in width lying parallel to and Northwesterly line of California State Elighw .. contiguous to the Southerlv line of the herein described par. . ay 12, beginning on the South- westerly cel and running thence South - parallel to said Highway -32 to -the Northerly line of the . access road heretofore conveyed-othe. State of California in Deed recorded November 17, 1961, in Boo'- , ed 1: 1149, Of Official Records, at page 478. I C) CD Uf Fwn (19 nnc"MFNT COUN_;�OF,8UTTE — DEPARTMENT OF PUBLIC WORKS 7 Cctztnty Center Drive — Urovilie, California 95965 Telephone: 534-4541 �® APPLICATION AND PERMIT SigAture of Permitee or Agent By Date ^� Receipt No. White-D.P.W. — Yellow-Assess/r — Pinrnspector — Goldenrod -Applicant Building permit expires Date BUILDING Owner —S",es SQ. FT. OCC. BUILDING VALUATION Mailing Address Telephone No. Fireplace Contractor SAS Total Valuation Mailing Address v Q Permit Fee Plan Checking Fee &/or Penalty Telephone No. Permit Fee $ Building Address PLUMBING No. @ FEE PERMIT FILING FEE $3.00 2 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. -!mgJ �.�Z Zoning & Planning Gas piping system 1 - 5 outlets 1.50 Each additional outlet .30 F es Sa+a4w m I Fire Dept. Fire Zone Use Permit Building sewer 5.00 EQA Parking Plans Parcel Declaration Parcel Ma P 60' R/W Improvements provements Lawn sprinkler system 2.00 Bldg. ons Recd L[ Parcel iippr PI�Approval Permit Fee � $ NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER ® ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 N 6 Main service i°00V OR 0 AMP ORSLESS 5.00 Main service EA. ADD'L 100 AMP 2.50 Single Family ❑ Duplex ❑ Mobil Home ® Others ❑ Main service OVER 600V 25.00 100 AMP OR LESS Main service EA. ADD•L 100 AMP 1.00 NEW OR ADDNST ( ADWECC. BLDGS.LLING CCUP. &) 22sgft 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 & rofessions Code under the name st 1 of: Qk Cat 00"Temporary Ex. Occup(OUTLETS OR FIXTURES) 50 BA@� TS (RE S, OR Ex. Occup.(OUTLETS (OUTLETS (RESID,) EA) 2.00 service 10.00 Mobile Home Facilities 15.00 n� License No. ;.�JJ��S Classification Misc. Wiring 6.25 17 ❑ 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 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 above-mentioned property for inspection purposes. �above Va._ r,,.,. F� 5.1� TOTAL PERMIT FEE $ This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated for which fees have been paid. DIRECTOR OF,�+'UBLIC WORKS SigAture of Permitee or Agent By Date ^� Receipt No. White-D.P.W. — Yellow-Assess/r — Pinrnspector — Goldenrod -Applicant Building permit expires Date J T7 11101161 Le FIN UR 6 NVF SAVOM 0118nd dO •ld3G 311nO 10 AINWO 1. Owner's name: 2. Installer's na BUTTE COUNTY DEPARTMENT OF PUBLIC WORKS 7 County Center Drive, Oroville, CA. PHONE':. 534-4541 MOBILEHOME INSTALLATION SHEET 3. Is the site currently under permit? Yes / / N'/oo (If yes, furnish permit number Z ' 7 ) 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? ----------------------- U AmpsO 6. What is the mobilehome site service rating? --------------------- 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) (APs) 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? (ft.) 12. What. is the mobilehome gas demand? ----------------------------- (This -------- (This information not required if'pipe length less than 6 ft. on natural gas or less,than 50 ft. on LPG.) MOBILEHOME SUPPORT DATA If other t1tari single wide, qgp Mobilehome Mfr. I a N a 2 furnish Setup Model No. Year 77 Width_ 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 eenter supports measured from front of mobilehome unless otherwise specified. 0 Z3U (cin.) Center support locations* (ft.)(in.) 3 4Jv (ft.) (in.) (ft.Vin.) (in.) (in.) Center support footing sizes (in.) 9(xTO]' (in.) (in.) f3 0 _ (in.) (in.) (in.) (in.) TIW730 (in.Min.) Footings (check one) Single 1. Wood either .A pressure treated or foundation grade. E] 2. Other (specify) Supports (check one) 1: Concrete block. 2, Other (specify) *If center piers are other than drawn above, draw in—locations, spacing, and dimensions. Tagalong or Expando, show support details. /Z -- Typical Support (in. (in.) Footing Size -= Max. Pier Spacing (ft.)(in.) -- Max. Overhang (ft.)(in.) BUTTE COUNTY BUILDING DEPARTMENI APPROVED