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plr�,='. .';_ ._,,_ .w: ._ __.,.. ��` _. -�"'+i--�.- �•*,. =L � °'�,—� "`. �•-+... �v'. ...-�..�^....-K��e. ....����" � _ 't--•---•-�. -'.`"'fir - AP 5g-16-2 � RAY GILES ` %/-/6 - 7,E-Piocg 1�6! N sl s Jordan .1 Rd. , 4 mi. �a° d om ��[ it Concow Rd., Oroville _ Permit# 2950 5P E(utLL. &M) -ELEC- GAs/ SUPP RT S RUCaRE REQ.W nn { COMPACTION TEST RBZ. �- V M-16-26 # h i contr: Kentwood Mobile Home Sales, Chico 11-/0- ® PermiE #6003-76MHI i Issued i l . r yj t s' 0 9 Ab. IL'it M ra. � �J C.! I `Mi UTIL. 2950-75 P,E PERMIT NO. P E i M MH UTIL. PERMIT NO. -77 Y PERMIT EXPIRES. .i OWNER Ray Giles owner �CONTR. -1 -OCATION (A.P. 58-16-26 s/s Jordan Hill Rd., 1/4 mi. W. of Oroville-Concow Rd., Concow r ,t ' s 1� ,t Temp. Power Pole Called PG&E / Temp. Elec. Serv.1 Called PG&E " C' 4 Temp. Gas Serv. _ 70 ` Called PG&E G '� BB 16'FINA.LED //—A6 -740 # . (Date) (Signature) t • a' z 9. Electrical A. Is sei icc l.ari,.:e enoklgl. to provide ;:idequat_c amperage to mobilehome (must equal rating of mob i.lelionic- with a. :::in.ij::um of 100 amp)) and other faciliticis on lot, i.e., water pumps, g.:ira;e, cab•nna, crc.:- Yes No / `• B. Is them proper clearances around panels? Yes_ No r/ C. Is power supply cord or feeder -assembly properly fused? Yes_ No n. Is continuity test satisfactory as per. the following procedure? Yes C-1/140 _ l.. De -energize electrical wiring, system of the mobilehome at the pedestal 2. Plaice 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 `1 -:ad of a test lnsrrument to the mobilehome grounding conductor and appy the Oiu.@'i a.cau i.0 e.aCi1 LIIUUL.ICLIUIIte S1iDpty CUnULiCtO , including neuLral. 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 shah!. be connected to the site service equipment. A further continuity te._L shall then be made between -the grounding electrode and the chassis of the 11.0bilehome.. 'UDOI1 satisfactory completion of the electrical tests, the lot or site service egiji.pment may be approved for. energizing. ;.;, I:> job card si-ned by Health Department for hater and sanitation? 11. If everything okay, sign off card and t.a; services. NOBTLEiJORE DATA r,anufacturer and/or Namest:yle Length tTidth Vehicle Serial No. State Identification IQo:C _ ^.detitional Information or Comments: e t ii0}3Ii,}?Ii0itl? TNS`CALLA'} ION INSPECTION CHECK LIST 1. Is the mobilehome locateil wi.th required separation from lot lines and buildings and general].; conform to plot plan? Yes 1/'No_ 2. Does the mobilehome have.,required clearances above ground? (Sec.5085) Yes Ko 3. Are foot:in,,s and supports properly sized, spaced, and braced as er approved plans? (Note possible variation at spring shackles.) (Sec. 5082 & 5083) Yes y No_ 4. Is the mobilehome level.? (Sec. 5088) Yesv No 5. If more than a single unit, are crossover connections properly installed? (Sec. 5088) Yes-L/No S. Water. A. Is I xl'ble 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 6 -No C. Backflow - If coach is m ate of California approved, does station have backflow device and pressure -relief vale ? es No 7. Wastes and Drains A. Is connection made with Schedule 40 DWV and have flex connectors at each end? Yesy No B. Does it have minimum per foot slope and is it properly supported? YesV No C. Are any leaks detected in drainage system after runnin�galIons of water through each fixture including was hi g machine standpipe? Yes No D. If coach is not State i alifornia 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 mobi home gas line inlet without reductions other than the mobilehome connector. Yes V No n/ B. Test OK as per following procedure? Ye sX/ 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-LZNo P T 1 1 t l� r` T COUNTY OF BUTTE — DEPARTMENT,OF 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 Sidinq To out Slab Roof Sheathing Water Pipin�-�j� . 7— 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 Temp. Gas Slab Final Sanitation Patio FIREPLACE Final Footings Footing ELECT ICAL 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 r� � N hL h e4 w � R COUNTY OF BUTTE "= DEPARTMENT OF PUBLIC WORKS 7 County Center Drive — Orovi Ile, California 95965 60013-76 %� /� 2 76 Telephone: 534-4541 (� lJ l/ �J- APPLICATION AND PERMIT 7 X Date /0 - oe- A� Si ature�+of Permitee or Agent Receipt No. -/ `7 �5.2A? White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant utu mune wunty coae anaior resolutions to do work indicated above for which fees have been paid. DIRECTOR OF PUBLIC WORKS By 17 - Dated%� C permit expires Date�3/77 BUILDING Owner ` I �� "s SO. FT. OCC. BUILDING VALUATION Mailing Addr s Telephone No. Fireplace Contractor Od ,�� Total Valuation nU Mailing Address Et`' Permit Fee Plan Checking Fee&/or Penalty .� l Telephone No. 3 �l 2I Permit Fee $ Building Address PLUMBING No.1 @ FEE PERMIT FILING FEE J$3.00 ' �Cj CEach ,� 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. 1���G - Z� Zoning &Planning Gas piping system 1 - 5 outlets 1.50 Each additional outlet .30 F Fire Dept. Fire Zone Use Permit Building sewer 5.00 EOA I PPlans Iarkin Declare ion Parcel Map 60' R/W Improvements Lawn sprinkler system 2.00 Bldg. Ions Recd Parcel Ap oval Plans pproval Permit Fee $ $ NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER [— ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 _ S' l/ elm t .� 2 •— Main service 1000V OR L 0 AMP ORSLESS 5.00 Main service EA. ADD'L 100 AMP 2.50 Single Family ❑ Duplex ❑ Mobil Home Q -___-Others ❑ Main service OVER 600V 1100 AMP OR LESS 25.00 Main service EA. ADO'L 100 AMP 1.00 NEW CONST. DWELING OR ADDNS. ( ACC`BLDGS. OCCUP. &) 2¢Sgft NEW CONSTR. MULTI -OUTLET NON.RESID, ( BRANCH CIRCUITS) 2.50ea NEW CONSTR. POWER APPARATUS &) NON -R ES I 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 Code under the name style of:{� r �� ©A Igo( Ex. Occup(OUTLETS OR FIXTURES) BALD Ex. Occup. (PR OUTLETS (RESID )E A) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 License No. -2%S 6J_3'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 Wo en'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. @ I FEE PERMIT FILING FEE J$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 nrOnErfv fnr insnpr Linn mirnnece 01 (X TOTAL PERMIT FEE $ 30 i This permit is hereby issued under the applicable provisions of X Date /0 - oe- A� Si ature�+of Permitee or Agent Receipt No. -/ `7 �5.2A? White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant utu mune wunty coae anaior resolutions to do work indicated above for which fees have been paid. DIRECTOR OF PUBLIC WORKS By 17 - Dated%� C permit expires Date�3/77 M C K61 Z AON 'to, SmaOM onend d0 *Id30 aiins 10 AINf100 R _• .;moi _ _ • 'MOAILEHOMF=S11PPbRT DATA J 1, � . _-..•_._.__ ._ _ �-__._........._.-^ ,�ar.��p `1.>�te.l N�. I '-/ 1Y�a�: s t. Mobilehome Mfr. C 2 Width 3 (ft.) Length �0. (ft.) •F• ize/U -ft.x ft. ` (Draw support details below) On all mobilehomss manufactured after October 7, 1973, furnish manufacturer's installation manual and structural setup sheet:: (if not an .file with the County of Butte). Sin le -W Foot ins- (check .ane)VIM ; 1. Wood either pressure treated or Center Center Support /j fdn. grade. Support Footing Sizes Locations (in.) � .. 2. Concrete Pad. y a 3. Other, specify in: in. - - _ _ -7_ _ _ I supports (check one) 1. Concrete block (--'-1 x 20L ! 2. Concrete piers (ft inl 'in; ("in. �.. , l �r 3. Steel piers T % :►. Other, specify y1 - -3-.. Typlo.zl ;7-upport (� E. in. �X� �-n • )fin • ) (in.) (in.) .. Max. rtes spneing ww ft.) (in.) n., :. (in.)(in•) ' Max. �-� th�erhang *If center piers are other than drawn above, draw in locations, spacing, anc 'dimensions. BUTTE COUNTY BUILDING DEPARTMENT' APPROVED. 1. Owner's name 2. Installer's r . wJ- BUTTE COUNTY UE PAMUFNT OF PTIBLTC Wt11ihS 7 County%enter ilr iv_ e�{7rov illu,_ C_+_ MOBILEHOME INSTALLATION SHEET 3. Is the site currently under permit? Yes / / No / (If yes, furnish permit number ! J U � 7b ) OR Is the site an existing site? Yes / / No L_1.- (If yes, furnish two (2) plot plans.) 4. Will the molrilehume i:, ll,c. tL-d %it. l.c:a: r tt. away frau septic tank and leach f elds and clear of all setbacks and Faae;ncnf :;'� � e::; / �� ro / (If no, clarify -_ ) 5. What is the mobilehome electrical rating ----------------------- 6. What is the mobilehorrre, site Sen icC, r.,ilAn;;? ------------------------ 7. What is the mobilehcmre OS.tc- e l-rctilt brnnluor rritl.'nl;? ---------"_-- 8. Is there any other electr.i-r: lr,;t({ to t)e l•y the mobilehone cD ! 4%MPs t 'Yes site service? ----------------------------------------------------- (If yes, identify the load and size: (Load) (��; s► 9. What is the mobilehome site gas pipe size? ---------------------- ( .l 10. What is the type of gas service? ----------------------------- Natural / / LPC >�y 11. What is the gas, pipe length from. mr.trat- or t:a.nk to the mohilehome? (ft.) 12. What - -----------------'----------- 'is the rnr�hil.ehcmr� l;a+�: r.lCm�.tnd? ---- (This information not: rcrluired if pipe length less than 6 ft. on natural gas or less than 50 ft. on LPG.). COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS 7 County Center Drive — Orovi Ile, California 95965 Telephone: 534-4541 APPLICATION'AND PERMIT " / 2BY•/ Date Receipt No. ,/ 37 7,,--2 � White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant B/r-dingpermit expires Date BUILDING Owner SQ. FT. OCC. BUILDING VALUATION Mailing Address OJ r ,/� Telephone No. 'Go I(EFireplace Contractor 47 Total Valuation Mailing Address Permit Fee Plan Checking Fee&/or Penalty Telephone No. Permit Fee Building Address 61e, 262 A LL PLUMBING No.1 @ FEE PERMIT FILING FEE J$3.00 o®Q 0U I I e C X % 01' 2 Each Trap 11.50 Repair drainage or vent piping 1.50 Water piping Each gas water heater or vent 1.50 A. P. No. Zoni n Gas piping system 1 -5 outlets /d00 Each additional outlet .30 FjkJ VJQ.- S on Fire Dept. Fire Zone Use Permit Building sewer —666 /()•CJS EQA Parking Parcel Plans Declaration Parcel Map 60' R/W Improve lents Lawn sprinkler system 2.00 104APPIans Rec'd I Parcel Approval Plans Approval Permit Fee $ �� $ NEW ❑ ADDITION ❑ UTI LITIESa OTHER ❑ ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 DO Main service incl. 1 meter Additional meters, each 1.00 Sub -panel (12 or less) (more than 12) Single Family ❑ Duplex ❑ Mobil Home Others ❑ Range, Cook -top or Oven 1.00 Water Heater or Space Heater 1.00 Light fixtures b I 02 Receps., switches & fix outlets 20%25 m 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 Facilities 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 $ ,co $ 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 authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. X Y��J AL -4 �f" Date � �� s, P-;- — elle... TOTAL PERMIT FEE $� 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 LIC WORKS l // " / 2BY•/ Date Receipt No. ,/ 37 7,,--2 � White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant B/r-dingpermit expires Date