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Home My WebLink About058-220-0010 I t� '� ,�` r j MH 4975-75P,F utiRMl PEI -f AO.- P jr E. M MH UTIL. PERMIT NO. PERMIT EXPIRES OWNER Robert Layman .CONTR. owner I LOCATION (A.P. 56-22-11 Z v �W,IS Concow Rd.,2501 N. of'Jade Shop,Concow 4 /76--- 4t/ Tojib, Power Pole—ACA" Called PG&E Temp. Elec. Serv. Called PG&E Temp. Gas Serv, Called PG&E JOB V17 6 1� FINALED (DVre7 (Signat g r P, 4Zatu Y COUN�T,Y 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 5509-75 for the following location: wls Concow Rd. , 250' N. of Jade Shop, Concow Owner Robert Layman '� Owner's Address 2885 Grand Ave., Oroville, CA. 95965 Mobilehome Mfg. Guerdon Ind. Inc. Model unknown year Insignia No. S-2501 Serial No. 220527 It is hereby certified for occupancy at the above described location and may be occupied. Director of Public Works Date 7/1/76 By, �— THIS CERTIFICATE IS VOID WHEN MOBILEHOME IS RELOCATED TO: Building Department FROM: environmental Healtn RE: Sewage and/or Water Clearance cid LJ OWNER LOCATION Has been approved for: SEWAGE DISPOSAL � %l 4AT.,3R SUPPLY 9 S95-775 .sr-,az-lJ Sanitarian Date A .P## COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS i 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 Siding To out Slab Roof Sheathing Water Piping r Piers Roofing Sewer Garage Fdn. Vents Fixtures Footings Garage Vents Water Htr. ttemwall Slab Prov. for physically handicapped Heaters Appliances Carport Footings Conformance of ex. structure Gas Piping & Test s Temp. Gas Slab Final Sanitation Patio FIREPLACE Final Footings Footing ELECTRICAL Masonry Walls Throat Rough Reinf. Steel Final Fixtures Bond Beam FIRE SPRINKLERS Motors Framing Test Water ,tr. Stucco Final Subpanels Mesh MECHANICAL Grd. Fault Prot. Scratch Heatinq Service Brown Cooling Temp. Pole CD Finish Ducts Underground Interior Lath Ventilation Permanent Door Closer Final Final DATE REMARKS OR CORRECTIONS arc ��, ,9 R MOBILLHOME INSTALLATION INSPECTION CHECK LIST �. Is the mobilehome located w�'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) Yes No Are footings and supports properly sized, spaced, and braced as per approved plans? (Note possible variation at spring shackles.) (Sec. 5082 & 5083) Yes//A/ No Is the mobilehome level? (Sec. 5088) Yes No 5/ I,f more than a single unit, are crossovers connections properly installed? (Sec. 5088) YesNo_ L 6 Water ' Is flexible connector of adequate size and properly installed (1/2" ID min.)?Sec. 5566 Yes °� No ( ) Test - Does water piping withstand working pressure or 50 lbs, air test? Yes No �. Backflow - If coach is not State of California approved, does station have backflow device and pressure -relief valve? Yes No Jj. Wastes and Drains / Is connection made with Schedule 40 DWV and have flex connectors at. each end? Yes No j�. Does it have minimum 4" per foot slope and is it properly supported? Yes_ No Are any leaks detected in drainage system after running 3 -gallons of water through each fixture including washing machine standpipeZ,.Yes_2�._ No If coach is not State of California approved, does station have required trap and vent? Yes No G Piping and Gas Vents 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 X No Test OK as per following procedure? Yes No • Open all appliance connector valves. 2,l 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. /+. Connect gas meter to mobilehome with connector, turn on gas, test connections with r soapy water. Are all appliance,vents properly installed? Yes /{ No 9. 'ectrical / ' A• Is service large enough to provide adequate amperage -to mobilehome (must equal rating ,qf mobilehome with a minimum of 100 amp) and other facilities on lot, i.e., water pumps, garage, cabana, etc.? Yes—<No ,Af. Is there proper clearances around panels? Yes No //d. Is power supply cord or feeder assembly properly fused? Yes No /Q % Is continuity test satisfactory as per the following procedure? Yes No ,Y. De -energize electrical wiring system of the mobilehome at the pe estal. // 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. 1 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 the electrical tests, the lot or site service equipment may be approved for energizing. 1 Is job card signed by Health Department for water and sanitation? .01 If everything okay, sign off card and tag services. MOBILEHOME DATA Manufacturer and/or .Namestyle J b 6L 10 O AV 0. C . Length '-_L-7�" Width_ Vehicle Serial No. Z Z / State Identification No. Additional.Informati_on or Comments: COUNTY OF BUTTE — DEPARTIVLNT OF PUBLIC W0.'f$K4S �:. ' - 7 County Center Drive — , Oroville, California 95965 9 75 Telephone: 534-4541 APPLICATION AND PERMIT authorize representatives of the County of Butte to enter upon the above -merit' ned property for inspection purposes. X Date Signature of Pe fteee or Agent Receipt No. /� 7 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. DIRE . OR OF PUBLIC WORKS By Date {permit expires Date ii BUIUANG Owner SQ. FT. OCC. BUILDING VALUATION Mai I i ng Address Telephone No. .Fireplace Contractor Total Valuation Mailing Address �� _ .(CUJ'j2� /`�� Permit Fee Plan Checking Fee &/or Penalty Telephone No G Permit Fee Building Address O / N PLUMBING No. @ FEE PERMIT FILING FEE $3.00 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. ��. �.�� Zoning & Planning Gas piping system 1 - 5 outlets 1.50 Each additional outlet .30 Fqp &- Sa"ke*on Fire Dept. Fire Zone Use Permit Building sewer 5.00 EQA Parking Plans Parcel Declaration Parcel Ma P 60' R/W Im r p ovements Lawn sprinkler system 2.00 d Parcel A royal Plans AVpproval Permit Fee $ $ NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER ® ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 G %S Main service incl. 1 meter Additional meters, each 1.00 - Single Family ❑ Duplex ❑ Mobil Home,® Others ❑ Sub -panel (12 or less) (more than 12) Range, Cook -top or Oven 1.00 Water Heater or Space Heater 1.00 Light fixtures5 baIN10_:E M2 Receps., switches & fix outlets 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 5.00 Temp. Power Pole 5.00 License No.LV`3°33 Y,7 Classification Misc. wiring ❑ 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. ❑ 1 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 Permi 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 &0 CSC TOTALPERMIT FEE $ C authorize representatives of the County of Butte to enter upon the above -merit' ned property for inspection purposes. X Date Signature of Pe fteee or Agent Receipt No. /� 7 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. DIRE . OR OF PUBLIC WORKS By Date {permit expires Date ii COUNTY OF BUTTE Department oz ruolic worxs 7 County Center Drive, Oroyille., California ' PHONE : " 534-4541 U) rt K ro rt 0 K to K r - C M E w If so, specify *For plans and specifications of support system, see other side. O W MOBILEHOME INSTALLATION INFORMATION Lot Facilities Mobilehome Data 1. Plot plan dimensioned, location of mobile 1. Length 6Y Width % and utility connections? Manufacturer Yes X No _ Vehicle Serial No.' a O 2. Electrical.service equipment ampa Insignia Control No. Circuit breaker ampacity ' Feeder assembly ampacity /ljp Permanent Wiring Connection �J,; , Conduit size a r' A-npacity -. Power supply cord (amps) •Gas Receptacle Ampacity 3. inlet size 3. Gas: Natural LPG X Mobilehome connector size Gas .riser size Capacity. 4. Drain inlet size 3 " 4. Drain connector: describe on reverse side 5. I -later risar size 3/y " 5. Water connector: describe on'reverse side 6. Are utility connections located outside 6. Designed loads: the rear 1/3 of the mobilehome within Roof live load d psf. 4 feet of the left wall? Yes -/ No Wind load / S-" psf. If not, sbow dimensions. above. (only for mobilehomes manufactured.after 7..Is the mobilehome clear of septic tank,October 7, 1973) leach fields and located outside public 7. Manufacturer's installation instrttctious? utility easements? Yes X No Yes K No 8. Do you propose to do other work on the 8. Will the mobile home be installed on a property other than the mobilehome separate support structure? installation which will require a permit! Yes No� Yes No� If so, specify *For plans and specifications of support system, see other side. O W .#XAf 0 J' rhe rs ADDITIONAL C012M.7,11TS P/ ain Connector, Describe 3, ` Water Connector, Describe X11= 14A11X1 e 11 �A0V AN: 1 ier.5 COAD BEARING SUPPORT AND VOOTING INFOP-RATION Pier Spacing Used Maximum .Pier Load��'. Maximum Column Load (multi -units only) Soil Bearing Capacity Footing Dimension Uscd TYPE OF PIER. USED Steel Concrete Concrete Block X' Other TYPE OF FOOTING DIATERIAL USED Pressure Treated Wood _ Concrete ✓/ � A/ Redwood (Grade) ' S ,•� Other Approved Type .BUTTE COUNTY BUILDING DEPARTMENT LOAD n IrI\'G - ro �, A P P R O V E D SUnIP.TS . COUNTY OF BUTTE — D&ARTMENT OF PUBLIC WORKS 7 County 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. XDate Signature of'P mite, oQAgent Receipt No./ 3(,p 75 ` 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 HOBLIC WORKS BY Date l0 '7 - 7 7� B ding permit expires Date ra'7' 7 �o BUILDING Owner Q 27 a SQ. FT. I OCC. BUILDING VALUATION Mai I i ng Address so �� U�- , KO /�L�'�+ Telephone No. S3• Fireplace Contractor n/ /e Total Valuation Mai I i ng Address Permit Fee Plan Checking Fee &/or Penalty Telephone No. Permit Fee n Building Address (k/ Co /I L,`/ /� PLUMBING No. @ FEE PERMIT FILING FEE $3.00 •"" asoK' Q Each Trap 1.50 Repair drainage or vent piping 1,50 Water piping ,.1-5T /0— ®— /' Each Each gas water heater or vent A. P. No. -- a ^ / /4 ZZ n Gas piping system 1 - 5 outlets6' Each additional outlet .30 F W4< Sar rtttTF' Fire Dept. FireZone Use Permit Building sewer �ae91T EQA Parking Flans Parcelbel Declaration rP 60' R/W Improvements P Lawn sprinkler system 2.00 LCAT'. Bldg. Plans Rec'd Parcel proval / Plan proval Permit Fee $ $ NEW ❑ ADDITION ❑ UTILITIES � OTHER ❑ ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 Main service incl. 1 meter Additional meters, each 1.00 - Single Family ❑ Duplex ❑ Mobil Home Others ❑ Sub -panel (12 or less) (more than 12) Range, Cook -top or Oven 1.00 Water Heater or Space Heater 1.00 Light fixtures y ��2 10 Receps., switches & fix outlets 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 t 14P Mobil Home Facilities Temp. Power Pole License No. Classification Misc. wiring 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. I certify that in the performance of the work for which this rpt 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. @ FEEPERMIT 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 TOTAL PERMIT FEE $ 551— authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. XDate Signature of'P mite, oQAgent Receipt No./ 3(,p 75 ` 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 HOBLIC WORKS BY Date l0 '7 - 7 7� B ding permit expires Date ra'7' 7 �o N4M UTIL. CLEARED --,- DATE R SUPPORT MXPACTION I-ST)ffiujcu TEST REQ. mo. A.P. NO. MC. GAS YES NO YES INO. _7765 NOTE:—All MPteriols & Workmanship - Shall Be in This set of plans MUST be Accordance with Renocanized Good Practices and of a quality nre�rr"f-A for rhe Specified use in the �' kept on the�i\b at aN times and it is unlawful to Uniform Building, Plumbing & Machanical Codes an' 8 %'� ' ____.make-an-y tees or nitnrnlions on some without written permission from the Department of Public the National Electrical Code. Works, County of Butte. . _ _ Septic system and location ofb�r,id�-►.y '�� ,iato be as per Butte County Health Dept. Re. quirements. , . r A Perrn t w;l! b ri stgllpt• e re vl All utility connections shall be - �► fore , ci located within 4 ft. outside the rear mobs/e%�@h� ` third section of the mobile home on'the left#oad) side of the mobile home.:` ' F • (\YaJ 4 r P� 4'* BUTTE COUNTY `'--- �ThSetback shall b� •from BUILDING- DEPARTMENT the side propetty line and ft. from the centerline of the road, permitting APPROVED a maximum of a 2 ft. eave overhang• �P,