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058-200-070
,,� 58-20-70 MarWkp mind YK N/Si.dirt rd., app. /10'mi.N.ok P4nkston Canyon Rd., app.100'W.of 70, Concow Area Permit #6069-79P,E(util.,Lffi) ELEC./a-lo)q2:!Ly ' / GA S f 2 - / U ,7 ti /L PG --2-14'' �o SUPPORT STRUCTURE REQ. /L/Q COMPACTION TEST REQ. Nd Pe mit#7442-79 I I s s uei Z.,/ k i 6069-7�,E PERMIT NO. PERMIT EXPIRES OWNER Mark Lind owner JCONTR. LOCATION (A.P. 5820=70 N/S pri.drit rd.(Capricorn Way),app.4/10 mi. N.of P' on Canyon Rd., app.100'W.of Hwy 7 Concow Area F� r�ytF Q Temp. Power Pole ti Called PG&E 7,47 Temp. EIec. Serv. "/;Z IcT� Called PG&E ' Gas Serv. Called PG&E JOB FINALED COUNTY,OF BUTTE — DEOART&NT OF PUBLIC WORKS BUILDING INSPECTION RECORD BUILDING BUILDING (Cont'd) PLUMBING Sett@ck Akrewaii So Piping Formk PaNpets 1 s Floor Mai Bldg. Res om Finish ; 2nd loor Foo •n s Windo 3rd FI or Stem II Siding To out Slab Roof SheaNing Water PI in Piers Roofing Sewer Garage Fdn. Vents Fixtures Footings Stemwa I I Garage Vents Insulation Water Htr. Heaters Carport V Footings A dSlab Prov. for ph sical handica e Conformance of ex. structure X A liances Gas PI)ina & Test Temp. Gas Slab Final Sanitation Patio FIRE ACE Final Footin s FootIna E CTRIC Masonry Walls Throat Rou h Relnf. Steel Final Fixtures Bond Bea FIRE SPRINKLE Motors Framing Test Water Htr. Stucco Final Sub anel Mesh MECHANICAL Gird. Failft Prot. Scra ch Heati4a Servic Brq4n Cogfing T p. Pole F nish D cts nder round erlor Lath X ientilation ermanent oor Closer Final final MOBILEHOME UTILIT ES ---j Elec. Service / —( — Elec. Pedestal Water Piping Sewer /,-?--7 �.,� Gas Piping ,t3 2r 3 �7 E OME IN§TA6L TION,- - - - - - - - - - - - - Support vv Water Piping / Drainage i Elec. Continuity 1— — Gas Piping DATE `7 REMARKS OR CORRECTIONS Gas 1 (NOTE: An entry must be made on this form each time you visit the job site.) F'. 7 COUNTY CENTER DRIVE CERTIFICATE OF OCCUPANCY This mobilehome has been installed in accordance with the requirements of the California Administrative Code, Title 25, Chap ter 5, under permit number "' -7? for the following location: Alf -'S e A•4.1kfiCCs1dri Of Owner , A,4 A4,w— f" ,L• ttjk Owner's Addressi4-M Mobilehome Mfg. f�.l �'�"�-.., �.1 Model .'~y Year G�+ Insignia No. Serial No. /7 4415'(. -7 It is hereby certified for occupancy at the above described location and may be occupied. Director of Public Works f� Date yij .! V' AT By THIS CERTIFICATE IS VOID WHEN MOBILEHOME IRELOCATED White - Owner, Yellow - Installer, Pink - D.P.W. MOBILEHOME INSTALLATION INSPECTION CHECK111T 1. Is the mobilehome located with required separation from lot lines and buildings and generally conform to plot plan? Yes (,/R%_ 2. Does the mobilehome have required clearances above ground? (Sec.5085) Yes,,' No 3. Are footings and supports properly sized, spaced, and braced as pay approved plans? (Note possible variation at spring shackles.) (Sec. 5082 & 5083) Yes&� No 4. Is the mobilehome level? (Sec. 5088) Yes, No 5. If more than a single/p Y,*e crossover connections properly installed? (Sec. 5088) Yes No //GG .6. Water A. Is flexible 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& -*"No C. Backflow - If coach is not State of California appro$ es station have backflow device and pressure -relief valve? Yes_ No_ / Y 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 4" per foot slope and is it properly supported? Yea No C. Are any leaks detected in drainage system afterru 1 g 3-ga .lons of water through each fixture including washing machine stand ipe? Yes D. If coach is not State of Calif; -a r does station have required trap and vent? Yes No Gas Piping and Gas Vents A. Connector - Is mobilehome connected to the gas supply with an approved 3/4" mirflij mobilehome connector not more than 6 ft, long? Note: All piping is to:U at la"t as! large as the mobilehome gas line irilet without reductions other than the Voilloms connector. Yes V No 'B. Test OK as per following procedure? Yes",`-<o' es,`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'j/ No c' MOBILEHOME INSTALLATION INSPECTION CHECK111T 1. Is the mobilehome located with required separation from lot lines and buildings and generally conform to plot plan? Yes (,/R%_ 2. Does the mobilehome have required clearances above ground? (Sec.5085) Yes,,' No 3. Are footings and supports properly sized, spaced, and braced as pay approved plans? (Note possible variation at spring shackles.) (Sec. 5082 & 5083) Yes&� No 4. Is the mobilehome level? (Sec. 5088) Yes, No 5. If more than a single/p Y,*e crossover connections properly installed? (Sec. 5088) Yes No //GG .6. Water A. Is flexible 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& -*"No C. Backflow - If coach is not State of California appro$ es station have backflow device and pressure -relief valve? Yes_ No_ / Y 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 4" per foot slope and is it properly supported? Yea No C. Are any leaks detected in drainage system afterru 1 g 3-ga .lons of water through each fixture including washing machine stand ipe? Yes D. If coach is not State of Calif; -a r does station have required trap and vent? Yes No Gas Piping and Gas Vents A. Connector - Is mobilehome connected to the gas supply with an approved 3/4" mirflij mobilehome connector not more than 6 ft, long? Note: All piping is to:U at la"t as! large as the mobilehome gas line irilet without reductions other than the Voilloms connector. Yes V No 'B. Test OK as per following procedure? Yes",`-<o' es,`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'j/ No 9. Electrical A. Is service large enough to provide adequate amperage -to mobilehome (mus;t equal ratios of mobilehome with a minimum of 1 0 amp) and other facilities on lot, i.e., water pumps, garage, cabana, etc,? Yeso_ 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? Yep/ 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 mobilehome 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�/ Length Width Vehicle Serial No. 3 �� State Identification No. / 7 4� T6 Additional Information or Comments: • 1 A� 7 COL NTY OF BUTTE' 0EPkC TMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 . Telephone: 534-4541 APPLICATION AND PERMIT autnonze representatives or the county or tsutte to enter upon the above-mentioned property for inspection purposes. X ��� � Date'9 Signature ofPermileeor Agent Receipt No. 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 ab;�which fees have been paid. DARF—C.TOA OF PJJBLIC WORKS building permit expires Date • BUILDING Owner F 4- L11JT> SQ. FT. OCC. BUILDING VALUATION Mailing Address /��� SC_L145,JT)q ST. Contractor Mailing Address Fireplace Total Valuation Telephone No. Permit Fee Building Address '/(� S ��Q/ (�/�� �D, Plan Checking Fee&/or Penalty Permit Fee G Pit 160e -AJ 14 PO/O PLUMBING No. @ FEE � 1' OG P1 , /Ksr� 4,,, Ili©A j �M )fpp �V /V �l/ T �/V� PERMIT FILING FEE $3.00 Each Trao 1.50 , I A., /00" a, OF #/t/Y -70. do&)&A- epair drainage or vent piping 1.50 A. P. No. 8��.- �� Zoning P. Pic ing Water piping 1.50 Each gas water heater or vent 1.50 F s San' ion Fire Dept. Fire Zone Use Permit Gas piping system 1 - 5 outlets 1.50 EQA Parking Plans Parcel Declaration I PauMa 60' R/W Improvements Each additional outlet .30 Building sewer 5.00 160Bldg. PI s Recd P el Ap p roval lans Approval Lawn sprinkler system 2.00 Irmf NEW ❑ ADDITION ❑ UTILITIES OTHER ❑ Permit Fee $ $ ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 .00 Main service 600V OR LESS 100 AMP OR LESS 5.00 Single Family ❑ Duplex ❑ Mobil Home ff Others ❑ Main service EA. ADD•L 100 AMP 2.50 2,J`� Main service OVER 600V 25.00 100 AMP OR LESS Main serviceEA. ADD'L 100 AMP 1.00 OR AODNSNEW (( CONST. ACCDWELBLDGSCCUP. Y) 2¢Sgft 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 st le of: y NEW RESID. // BRANCH CIRCUITS) NON-RESID, t BRANCH CIRCUITS) 2.50ea NEW CONSTR. (POWER APPARATUS B NON-RESID. SINGLE OUTLET CIR. Ex. Occup(OUTLETS OR FIXTIIRES) g L1� � EOFIXED APPLNS. OR x. CCUp• 2.00 OUTLETS (RESID.) EA) Temporary service 10.00 Mobile Home Facilities 15.00 License No. Classification Mise. Wiring 6.25 G�L V" 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. Cff 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 -1 @ 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 Land Development Fee $ 2, ®C TOTAL PERMIT FEE $ autnonze representatives or the county or tsutte to enter upon the above-mentioned property for inspection purposes. X ��� � Date'9 Signature ofPermileeor Agent Receipt No. 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 ab;�which fees have been paid. DARF—C.TOA OF PJJBLIC WORKS building permit expires Date • COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 7 Col my Center Drive - Oroville, California 95965 •- Telephone: 534-4541 APPLICATION AND PERMIT authorize representatives of the County of Butte to enter upon the above-mentioned property ,for inspection purposes. X 4 -�-�- Date .711-OZ7' Signatureof.Pgrmitee�gant Receipt I 'SSJJ33/ 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. j2? D REC 0 OF PUBLIC WORKS DatAL'L % � V �� Building permit expires Date `"� l` V BUILDING Owner wl L-11JQ SQ. FT. OCC. BUILDING VALUATION Mailing Address 15100 Soffdnw-%f) S'T, . ij/� C?151 —5neN . Contractor 19WAA2547 Mailing Address Fireplace Total Valuation Telephone No. Permit Fee' Building Address Q RR -r Beier AP. q t -� /40 tg mPermit Plan Checking Fee&/or Penalty Fee $ /V • o� PAXsW CALNpo) P-6, 14,PP too 'u) PLUMBING No. @ FEE CbAkZ)ccl PERMIT FILING FEE $3.00 Each Trao 1.50 ,•, �QA.Z'ZiI.J Repair drainage or vent piping 1.50 A. P./No. r� ��-� %o Z Zoning & Planning Water piping 1.50 Each gas water heater or vent. 1.50 F es C. I SfgWn I Fire Dept. Fire Zone Use Permit Gas piping system 1 - 5 outlets 1.50 EQA Parking sans Parcel Declaration Parcel Ma P 60' R/W Im rovements P Each additional outlet .30 Building sewer 5.00 Bldg. Plans Rec'd I Parce proval I PIG proval Lawn sprinkler system 2.00 NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER Permit Fee $ $ h'I R)Je ELECTRICAL No.1 @ FEE PERMIT FILING FEE $3.00 V OR Main service 100 AMP ORSLESS 5.00 Single Family ❑ Duplex ❑ Mobil Home Others ❑ Main service EA. ADD'L 100 AMP 2.50 Main service OVER e00V 25.00 100 AMP OR LESS Main service EA. ADD -L 100 AMP 1.00 NEW OR ADDNST % ACCLBLDGS.LING CCUP. 4\ 20sgft 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: NEW RESID, BRANCH CIRCUITS) NON-RESID ( BRANCH CIRCUITS) 2.50ea NEW CONSTR. /POWER APPARATUS B NON-RESID. (SINGLE OUTLET CIR, Ex. Occuo{OUTLETS OR FIXTIIRES) IB ,@ zsq� FIXED APPLN*S. OR Ex. Occup. OUTLETS (RESID.) EA) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 License No. Classification Misc. Wiring 6.25 ® 1 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. fiT1 I certify that in the performance of the work for which this '►i� 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 !_and i-"alnrLant Fea /hb*Z $ L/O .cc TOTAL PERMIT FEE 4 FOE $ �-%� authorize representatives of the County of Butte to enter upon the above-mentioned property ,for inspection purposes. X 4 -�-�- Date .711-OZ7' Signatureof.Pgrmitee�gant Receipt I 'SSJJ33/ 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. j2? D REC 0 OF PUBLIC WORKS DatAL'L % � V �� Building permit expires Date `"� l` V 5. What is the mobilehome electrical rating? ----------------------- Li0 Amps 6. What is the-mobilehome site service rating? --------------------- Amps 7. What is the mobilehome site circuit breaker rating? ------------- �, `� O Amps 8. Is there any other electric load to be served by the mobilehome siteservice? ---------------------------,------------------------ Yes P</ No (If yes, identify the load and size: ye��'t (Load) �,Q (Amps) 9. What is the mobilehome site gas pipe size? ---=------------------ �, 314 (in.) 10. What is the type of gas service? ----------------------------- Natural / /� LPA Ig 11. What is the gas pipe length from meter or tank to the mobileh6me?±-6%f--�ts1 (ft.) 12. What is the mobilehome gas demand? -`�- �0-- I(Pa p------ Qo 0 (BTU) (This information not required if pipe length less than 6 ft. on natural gas or less than 50 ft. on LPG.) 4 r'1 0 y BUTTE COUNTY DEPARTMENT OF PUBLIC ' WORKS ;.7 _County Center Drive, Oroville, 'CA. PHONE: 534-4541 MOBILEHOME INSTALLATION SHEET 1. Owner's name: ���,,. „f /�/,,, L inn 2.. Installer's name: 3. Is the site currently under permit? Yes / / No • (If yes, furnish permit number t.� )'i OR Is the site an existing site? Yes / / No 7. .(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? ----------------------- Li0 Amps 6. What is the-mobilehome site service rating? --------------------- Amps 7. What is the mobilehome site circuit breaker rating? ------------- �, `� O Amps 8. Is there any other electric load to be served by the mobilehome siteservice? ---------------------------,------------------------ Yes P</ No (If yes, identify the load and size: ye��'t (Load) �,Q (Amps) 9. What is the mobilehome site gas pipe size? ---=------------------ �, 314 (in.) 10. What is the type of gas service? ----------------------------- Natural / /� LPA Ig 11. What is the gas pipe length from meter or tank to the mobileh6me?±-6%f--�ts1 (ft.) 12. What is the mobilehome gas demand? -`�- �0-- I(Pa p------ Qo 0 (BTU) (This information not required if pipe length less than 6 ft. on natural gas or less than 50 ft. on LPG.) 4 r'1 0 y . t MOBILEHOME SUPPORT DATA Mobilehome Mfr.loo If other than single wide, f G./��� I furnish Setup Model No. A011A Year %9G� Width- (ft.) /Box Length* I44 (ft.) Tagalong or Expando Size/ _ft. x IY,4 ft. (SHOW SUPPORT DETAIL BELOW) On all mobilehomes manufactued after October 7, 1973; furnish manufacturer's installation manual and structural setup !heets (if not on file with the County of Butte). All center supports measuredrom front of mobilehome unless otherwise �cified. (f .)(in.) Center s port location * (ft.)(in.) (ft.)(in.) (ft.)I (An.) (in.) (i .) Cente support foo ng sizes (in.) x ,in.) (in.) (in.) (\i.n.) (in.)j (in.) Footings (check one) Single © 1. Wood either Apressure treated oz foundation grade. 2. Other (specify) Supports (check one) 1: Concrete block. El 2. Other (specify) �*- -7Tagalong or Expando,' show support details. X -- Typical Support n.) (in.) Footing Size � U (ft.) (in.) O BUTTE COUN'i Y 4UILDING DEPARTMEN i APPROVE[ 7,1jC(a/7 *if center piers are other than drawn above, draw in -locations, spacing, and dimensions. -- Max. Pier Spacing -- Max. Overhang COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 695 Oleander Avenue, Chico. — Phone 343-4211, Ext. 70 7 County Center Drive, Oroville — Phone 534-4541 Skyway and Elliott Road, Paradise — Phone 877-3435 ILDING OR PROPERTY ADDRESS A routine Inspection indicates that the following violations of County Ordinance exist at the .above address and should be corrected. Please notify this office when correction of work is completed. If you have any question pertaining to this matter, or need additional explanation, please contact this office immediately. X Ca ^i yc:�-O Pe A& /,IV G ooce Al Inspector Date c aayo^ MUST bt I ;this set of plans and specifications 1 kept on the job at all times and it is unlawful tr 'n -or or alterations on same witho ,i �f-`� 0 -a - 07 - C� I 3 make any than; writiten .permission from the Department of Pub- r of - Butte. c nc Works. County Pw d e 3 i 1 r I hall Be � NOTE: ---All Materials & Workmanship S 0;Accordance with Recognized Good Practices and 1 ej of a quality prescribed for the Specified use in the I V0, c *iiemcA Uniform Building, Plumbine3 & Mechanical Codes and I 4he Notl6ridl Electrical, Code. I I , I i l - - 1 I I l AO utility connections shall be located within 4 ft. outside the rear Aird section of the mobile home on the left (road) side of the mobile home. The Setback shall be 5 ff. floor th® side property line and 50 ft, from the centerline of the road, permittin a ►nuns of a 2 ft. eave overhangg maxi - out of an easemen#s. but entirely /, Lei 03 F'? ? 3. 9 3 iz allot IQ* w;/s 6e °f f/� Pe94iP Septic system and location 46W4- "as 6W4-" - -a*- -1--6ww# to be as per Butte County Health Dept.. Re- quirements. (od69- 7q BUTTE GOUNT'r BUILDING DEPARTMEN APPROVED n