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061-490-016
r r I Gary Trickett I hat ��% J� app.80.0�'W.of Foreman Creek mi. S OroQuincy Rd . , Oroville Permit # 269-79P,E(util.,MH) ELEC. �. GAS SUPPOR STRUCTURE REQ. �/L f y COMPACTION TEST REQ. Contr•'Hiltons Mobile Ho service,Mag. Per 6812-79MHI / Issued �%=-� % 9 1 �R / II ���'�i Ed Trickett ��Q�p���8 pp. .o Foreman Creek Rd., i mi. S.of Oro Quincy Rd., Oroville Permit #7223-79B(newcpen deck/MH) 'ermit#916-83B,E(new pri garage) r !z 411 t f ( PERMIT NO. 916-83B31E a PERMIT �EXPIRES OWNER GARY E. TRICKETT i owner CONTR. ASSESSOR PARCEL 71-08-77 LOCATION 800' W Foreman Crk Rd, mi S of _ i Oro Quincy Hwy BC a t� s.. s �3 Temp. Power Pole _ Called PG&E ' Temp. Elec. Service Called PG&E t ( Temp. Gas Servici Cal led PG&E V JOB FINALED (Date) Ctr l( • Signature l/ rfI C V =OK - 0 = Not OK { - = Not Applicable MOBILEHOMES MISCELLANEOUS = Not Ready Date MOBILEHOME UTILITIES (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Soils; Special MH Support -Sketch Date DECKS, COVERS, CARPORTS, ETC. (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements _ 2. Footings; Size -Depth -Spacing -Connectors 3. Sewer; Location -Test -Fall -C/0 -Concrete 3. Decks; Girders and/or Joists -Decking -Bracing -Stairs -Rails e 4. Water; Location -Test -Easement Needed (Sketch) 4, Wood Awn.; Posts-Beams-Rftrs.-Connec.-Shthg.-Rfg.-Bracing_ 5. Electricity; Location-Clearances-Grnd.-/ / Amp -Concrete _ 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Gas; Location -Test -Wrap:/ /"L"ft./ /"Nat.or/ /"L"ft./ /"LPG 7. Utility Clearance ----- 6. Carports: Windows -Doors 7. Elec. Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Date Card-BIDate MOBILEHOME INSTALLATION (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements Card -BI Date _ Date Card -BI Date POOLS (Plans) OK except #'s 1. Setbacks -Easements _ 2. Footings; Size -Spacing -Marriage Line 2. Soils; Compaction -Structure Stability 3. Gas; MH Test -Demand -Valve -Connector 3. Pool Structure; Steel -Connections -Thickness -Dead Men -Lining 4. Electricity; MH Test -Crossovers -Breakers -Clearances _- 4, Elec.; Receptacles and Lighting; Distances-GFI 5. Drain; MH Test -Fall -Flex Connector 5. Elec.; Pool Lighting; 15 volts-GFI 6. Water; MH Test -Regulator -Connector 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 7. Water and Sewer Connected -C/0 to Grade -HD Approval 7. Elec.; Bonding; Metal w/5' -Circulating Equipment -Heater 8. Gas and Electricity Tagged 9. Exits; Insp.-Sketch 8. Elec.: Grounding; Equip. w/5' -Circulating Equip. -Pool Lghtg. Boxes -Enclosures -Panel boards -Ins. to Main in Conduit 10. Cert. of Occupancy 9. Health Department Approval 10. Plumb; Cir. Test -Water Supply Test Card B -I Date Card -BI Date Card -BI Date Card -BI Date Card B -I Date Card -BI Date Card -BI Date Card -BI Date = OK = Not OK = Not Applicable RESIDENTIAL (Single and Duplex) = Not Ready Date UNDERF R (Pigs) OK except#'s Date FRAMING (Continued) _10rToning 2. requirements -Setbacks -Easements Ftg., Main; Soils-Steel-Elec. Grnd.- / /" Ftg. Depth 48. 49. Property Line Firewall & Openings Ext. Doors -One 3' -Check Garage -3rd story, 2 exits Garage; Soils -S - /% -/" Ftg. Depth 50. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 4. Ftg., Porches & Decks; Soils -Steel- / /" Ftg. Depth 51. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers 5. Stemwalls, Main; Steel-Blockouts-Wrapped-Slab 52. Siding -Nailing -Veneer 6ASTemwalls, Garage; Steel-Blockouts-Wrapped-Slab 53. Stucco Mesh -Drip Screed-Fdn. Vents-Underfir. Access 7. Piers -Fireplace Ftg.-Steel 54. Glazing Area -Glass Protection -Skylights -Plastic _ 8. D.W.V.: Fall -Fittings -Test -2 way C/O -Sewer Test 55. Shear Walls; Nailing -Bolts 9. Gas Pipe; Size -Anchors 10. Water Pipe; Test -Anchors -Regulator -Service Test 11. Electric; Underground 12. Plenums & Ducts; Clearance -Material -Support -Ins. 13. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date C -Bl Date -F- and -BI Date Date FINA tans) OK except #'s Card -BI Date Card -BI Date Date PLUMBING (Permit) OK except #°s Ext. Steps -Door & Sidelight Protection -Landings 57_ CmnkP [latartnr -@tearance-Comb. 14. Water Ht.; Vent -Access -Combustion Air 58. FurnAir -Connector - n Garage; Above Floor -Ducts -Meeh. Protection 15. Water Pipe; Test & Anchors -Nail Protection 16. D.W.V.; Test-Fttngs & Anchors -Nail Protection S9 g 17. Shower Pan; Test, First Floor -Tub Access 60. a ix u es & Tub Access 18. Test Tub & Shower, 2nd Floor -Tub Access 61. Ele nel; Breaker Sizes -Labels _ 19. _Gas Pipe; Size & Anchors 62. 63. Stairs & Rails Fireplace or Stove; Clearances -Hearth 64. Elec. Outlets at Wood Panel; Int. & Ext. Card -BI Date Card -BI Date it. Fiptfance; Grnd.-Air Gap -Cooking Clearance Card -BI Date Card -BI Date 66. Elec. Outlets & Re eptacles at Kit. Counter Date ELECTRICAL Permit OK except #'s 67. Ga tre Door; Swing -Landing -Closer 68. A.C. Duct 'i -Garage -Damper --- 20. Fixture & Transformer Clearance -Ins. Protection 69. Wtr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V.- I ve F oor-Meth. Protection - 21. Elec. Receptacles Spacing -Lights &Switches at Doors 70. Plb., Elec. & Mech. Equip. Listed for Location 22. Size Boxes & No. of Conductors -Stapled 71. EI p ac es in Garage; (G.F.I.)-Romex Protec. 23. Romex Installed Close to Edge of Studs & C.J. -__ --- 24. Equip. Ground made up w/Mech. Fasteners -Bond Gas & Water 72. t Insulation -Foam -Looked in Attic EJ Yes 73. Guar eck Construction -Post Caps - 25. 2 Appliance Circuits in Kitchen & Conductor Size 74. Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance Looked under Yes -_ - _26. 27. 28. Subfeed Wire Size i / ga. Cu or AI-A.C. Wire Size / / ga. Cu or AI Range Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or Al, Insulated Neutral -Yes 1No Service -Riser Conductors & Ground -Main Disconnect 75. Foliowin instid.: Drive Yes No; Walks g ❑ ❑ [I Yes ❑ No; Planters ❑Yes EJ No 76. Stucco, 29. Equip. Clearances; Panels-Motors-Mech. Equip. - 77. A C tt-r UL onnect-Clrnces-Brkr. & Cond. Size -115V Outlet _ 30. Clothes Closet Light -Shower Light - 78, yanrc Above Roof Plbg.-Appliance-Firepl.-Clearance to Opngs. --- ------ ----- Card B -I Card B -I _-- -------------------- - __--.------.-._--___-_---_-_-__-_ Date _ Card -BI Date Date Card -BI Date 79. Water Well; Disconnect, Electrical, Plumbing 8 im; G.F.I. Receptacle -Underground 81. hout House 82. ' �ilac¢�P�ctin� Date MECHANICAL (Pernit) OK except #'s 83. Corrections rom Previous Inspections 84. Ga - gged; Gas -Electric - 31. A.C. Ducts: Insulation &Support - 85. Water & Sewer ionn9VT9Zr--C/O to Grade -HD Approval 32.Vent 33. 34. Fan; Exhaust above Insulation _. _Condensate Drain _& OveriIo_w; Size & Grade _ Furnace -Vent; Access -Comb. Air -Return Air Vent -115V outlet 86, Lnergy('-^ plia a rortificate-Other Certific s r1, R& � Card -BI .Ca d -B -I 35. - Attic Access & Platform if Furnace in Attic -- - -- - -- - - - - - Date Card -BI Date Date Card -BI Date d- tee 5 -1,7V5, Card -BI Date Card -BI �7 Date Card -BI Date _ Card -BI Date Card -BI Date Date FRAMING(Plans) OK except #'s Comments at Final: 36. 37. 38. 39. 40. Sills; Proper Material & Anchors Walls; Studs -Nailing, Spacing & Bracing -Plates -Sound Bearing Walls over Girders & Floor Nailing_ Draft Stop in Walls (rat proof) Fire Stops; Furred Ceilings -Stairs -Chases -Tub _ 41. 42. 43. 44. 45 46. 47. Header & Beam -Size & Bearing Hangers -Post Caps -Anchors -Connectors Cing. Joist-Rfir. Ties-Puriin-Roof Brac.-Truss-Shihng.-Rfng. Fireplace Ties or Type A Flue -Fireplace Throat Attic Access: Size & Romex Protect ion -Draft _Stop -Ins. Baffles _ Bdrm. Windows or Exiting Doors-_Sill_Hgt. & Dim_ ensions__ Garage Fire Protection Framing _ - (NOTE: An entry must be made each time you visit jobsite) 0 r ' a ZP W i O L./ v F 104Y 0fi/, . (2hfle l/tov lfdaI ll 0 1/ f 4 e lK �vt es -a -V " COUNTY OF BUTTE -.DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Orovillea-Califol; is 959(15 - Telephone 916/534-4541 APPLICATION,AND PERMIT PERMIT NO. A Z4_ 25/ ASSESSOR PA© ®Q EL NUMBER --7 7 ZONI ^ 'LJ -1 BUILDING PERMIT OWNEA ( TELEPHONE V . SQ. FT. OCC. BUILDING VALUATION OWNER'§MAILINq ADDRESS 3 91) CONTRACTOR'SNAMETELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ Filing Fee $ 10.00 LENDER'S MAILING ADDRESS 1 Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Penalty $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Permit fee $ BUILDING ADDRESSf /2— ^t- PLUMBING PERMIT Filing Filin Fee 10.00 Fee J Trap 2.00 Solar Water Heater 20.00 A -r 0 &A-elgIter piping 5.00 LOT NO. SUBDIVISION NAME PAR EL MAP Each qas water heater or vent 5.00 Gas piping system 1 - 5 outlets 5.00 USE OF STRUCTURE SF ❑ Duplex ❑ Mobi lehome ❑ Otherr_ a ` Gni SPECIFY Building sewer 5.00 Mobile Home S I G I W I 10-00e4 TYPE OF WORK New Kr'**Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe work: — Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 600V OR LESS t00 AMP OR LESS 10.00 Main service EA. ADD'L 100 AMP 2.50 NEW CONST. I DWELLI O P.& OR ADDNS. % ACC. B GS. 2/z¢sgft CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): ❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. License No. Classification ❑ I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONSTR. if MULTI.OUTLET 2.50 ea NON-RESID, BRANCH CIRC ITS NEW CONSTR. POWER APPARATUS &) NON.RESID. SINGLE OUTLET CIR. Ex. Occu 2D@50a P�o OR FIXTURES BAL030 FIXED A FIXED APP LNS, OR Ex. -Occup. OUTLETS (RESID.) EA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 Permit Fee $ '® Contractor MECHANICAL PERMIT Filing Fee 10.00 WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. ❑ I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Heating Cooling Hood 3.00 Ventilation permit Fee $ Contractor 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 Countyot Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue agains id Count in co of t granting of this permit. Date �/� l �,-- Signature Applicant — Owner ! Contractor ❑ Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ TOTAL PERMIT FEE $ /� OCCUP. GROUP M_I TYPE of CONST. ' V— AJ PARCEL PD H ISSU This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which DIRECTOR OF PUBLIC By PERMIT EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS Date q'�/ /� �� Receipt NO. _ _M es � O V WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT I PERMIT NO. 7223-79B PERMIT EXPIRES r OWNER Ed Trickett CONTR. owner 71-08-77 LOCATION (A.P. ) App.800'W.of Foreman O.eek Rd., z mi.S.of Oro Quincy Rd., Oroville a i, t r a, -t � V ,(yA A Temp. Power Pole Called/PG&E Temp./Elec. Serv. Called PG&E Temp. Gas Serv. Called PG&E JOB FINALED (Date) (Signature) r-larning >1 4r Test Water Htr. Stucco Final Subpanels Mesh ME HANICAL Grd. Fault Prot. Scratch Heating Service Brown Cooling Temp. Pole Finish Ducts Underground Interior Lath Ventilation Permanent Door Closer Final Final MOBILEHOME UTILITIES - - - - - - - - - • - - - - - - - - Elec. Service Elec. Pedestal Water Piping Sewer Gas Piping MOB16EHOME INSTALLATION - - - - - - - - - - - - - - Support Elec. Continuity Water Piping Drainage Gas Piping DATE REMARKS OR CORRECTIONS (NOTE: An entry must be made on this form each time you vislt the job site.) COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS BUILDING INSPECTION RECORD BUILDING BUILDING (Cont'd) PL' MBING Setback Firewall Soil Plping Forms Parapets- 1st Floor Main Bldg. Restroom Finish 2nd Floor Footings Windows 3rd Floor Stemwall Siding To out Slab Roof Sheathina Water Piping Piers Roofing Sewei Garage . Fdn. Vents Fixtures Footings Stemwa I I Garage Vents Insulation Water Htr. Heaters Slab Carport Footings Prov. for physically handica ed Conformance of ex. s re Appliances Gas Piping & Tlest Temp. Gas Slab Ina1 -2— Sanitation Patio FIREPLACE Final Foot in s 72 Footing I ELECTRICAL r-larning >1 4r Test Water Htr. Stucco Final Subpanels Mesh ME HANICAL Grd. Fault Prot. Scratch Heating Service Brown Cooling Temp. Pole Finish Ducts Underground Interior Lath Ventilation Permanent Door Closer Final Final MOBILEHOME UTILITIES - - - - - - - - - • - - - - - - - - Elec. Service Elec. Pedestal Water Piping Sewer Gas Piping MOB16EHOME INSTALLATION - - - - - - - - - - - - - - Support Elec. Continuity Water Piping Drainage Gas Piping DATE REMARKS OR CORRECTIONS (NOTE: An entry must be made on this form each time you vislt the job site.) COUNTY OF BUTTE DEPARTMENT -OF PUBLIC WORKS 695 Oleander Avenue, Chico — Phone 343-4211, Ext. 70 7 County Center Drive, broville — Phone 534-4541 Skyway and Elliott Road, Paradise — Phone 877-3435 CORRECTION INWOTICE BUILDING OR PROPERTY ADDRESS i 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. Inspector 0, Date COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 695 Oleander,Avenue, Chico — Phone 343-421#, Ext. 70 7 County Center Drive, Oroville — Phone 534 -4541.- -Skyway and Elliott Road, Paradise — Phone 877-3435 CORRECTION NOTICE BUILDING 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. F3 p$$' 7223.7 f I r i APP'o 5 TA I P-9 a -In -7 xteemT s/ye- PErz F/F&,D i --U s p. Inspector Date COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS 7 County Center Drive . - Oroville, California 95965 � -' Telephone: 534154174 —2 APPLICATION AND PERMIT , BUILDING Ownern T SO. FT. OCC. BUILDING VALUATION � Mai I i ng Address rn '5 U (Lo Telephone No. Contractor �,f/�, Mailing Address Fireplace Total Valuation Telephone No. Permit Fee S Building Address 1 Plan Checking Fee &/or Penalty Permit Fee to. 12, 44u, 5 D 0/21c)— PLUMBING No.1 @ FEE PERMIT FILING FEE $3.00 Each Trap 1,50 d�0r Repair drainage or vent piping 1.50 I A. P. No. [ -C>�- 77 Z Zoning & Planning Water piping 1.50 Each gas water heater or vent 1.50 Feles / W1e. Sat Fire Dept. Fire Zone I Use Permit Gas piping system 1 - 5 outlets 1.50 EQA Parking Parcel Plans Declaration Parcel Map 60' R/W Improvements Each additional outlet .30 Building sewer 5.00 Bldg. Plans Recd Parcel Approval Pla Approval Lawn sprinkler system 2.00 NEW ADDITION ❑ UTILITIES ❑ OTHER ❑ permit Fee $ $ ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 Main service 600V OR LESS 100 AMP OR LESS 5.00 Single Family ❑ Duplex ❑ Mobil Home Others ❑ Main service EA. ADD•L loo AMP 2.50 �J a d'CR—ems__ Main service OVER eoov LESS 25.00 100 AMP OR Main service/ EA. ADD'L 100 AMP 1.00 NEW CONS.T ACCLBLDGSCCUP. S (DWELING OR ADDNS\ 20sq ft / 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: %r MULTI -OUTLET NEW CONSTR. BRANCHCIRCUITS NON.RESI D, (BRANCH CIRCUITS) 2.50ea NEWCONSTR. POWER APPARATUS a NON -RESID, (SINGLE OUTLET CIR. Ex. Occuo(OUTLETS OR FIXTI RES) g L� Ex. QCCU FIXED APPLNS. OR Occup. (RESID,) EA) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 License No. 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. rM I certify that in the performance of the work for which this LP�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 $ $ 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 $ TOTAL PERMIT FEE $ -' authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. X �y' Date Signature of Permitee or Agen Receipt No. 3(;C I 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 By Date B tiding permi�expir�esDate v r 5269-79P,E PERMIT NO. PERMIT EXPIRES OWNER Gary Trickett CONTR. owner LOCATION (A.P. 71-08-77 ) ' y App.800'W.of Forean Creek Rd., i mi.S.of ' Oro Quincy Rd., Oroville r y •R t t t Temp. Power Pole r Called PG&E Temp. Elec�$erv. JV 7� Called PG&E Temp. as Serv. alled PG&E /JO v ` FINALED / (Date) ' �9 (Sig ure) mesir I I MECHANICAL I Grd. FaOlt Prot. Sc tch I Heatbfg Servl B wn I Co ng I T p. Pole Finish COUNTY OF BU127E — DEPARTMENT OF PUBLIC WORKS BUILDING INSPECTION RECORD X I Aderground- BUILDING BUILDING (Cont'd) PLUMBING Se ackFNewall oor Closer Nzinal Sok Pipin For PaXpets 1 skF Ioor Mak Bldg. Rest om Finish 2nd Xloor Fo ins Windoh 3rd FI r Stem all Siding To out Slab Roof Shea In Water Pi In Piers Roofing Sewer Garage Fdn. Vents Fixtures Footings Stemwal I Garage Vents Insulation Water Htr. Heaters Slab Carport p Footings Prov. for physics handicaped Conformance of ex. A structure Appilances Gas Piping &Test Temp. Gas Slab Final Sanitation Patio FIRE ACE Final Footings Footing ECTRICA Masonry Walls Throat Rough Reinf. Ste Final Fixtures Bond Be FIRE SPRINKLE Motors mesir I I MECHANICAL I Grd. FaOlt Prot. Sc tch I Heatbfg Servl B wn I Co ng I T p. Pole Finish I DLIts X I Aderground- 19ferlor Lath ntilation &emanent oor Closer Nzinal Inal MOBILEHOME UTILITIES Elec_ Service 7 Z Elec, Pedesta Water Piping — - Sewer Z? Gas Piping MOBILEMOBILEH ALLATI N - - - - - - - - - - • - - - Support lie Elec. Continuity 7 Water Piping Drainage kvloll Gas Piping - r DATE REMARKS OR CORRECTIONS (NOTE: An entry must be made on this form each time you visit the job site.) 9. Electrical A. Is service large enough to provide adequate amperage -to mobilehome (must equal rating of mobilehome with a minimum of.k00 amp) and other facilities on lot, i.e., water pumps, garage, cabana, etc.? Yes i/ No B. Is there proper clearances around panels? 'Yes t, No_ C. Is power supply cord or feeder assembly properly fused? Yes 4�- No— D. Is continuity test satisfactory as per the following procedure? Yes ANO 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 "ori" position. 4. Connect one lead of a test instrument.to the mobilehome grounding conductor and I pply 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. State Identification No. 41-61 Additional Information or Comments: e MOBILEHOME` *INSTALLATION INSPECTION CHECK LIST 1. Is the mobilehome located witlyrequired separation from lot lines and buildings and generally conform to plot plan? Yes V No_ 2. Does the mobilehome have required clearances above ground? (Sec. 5085) Yest/ No .3. Are footings and supports properly sized, spaced, and braced as per approved plans? .(Note possible variation at spring shackles.) (Sec. 5082 & 5083) Yes_ No 4. Is the mobilehome level? (Sec. 5088) Ye.s o_ 5. If more han a single unit, are crossover connections properly installed? (Sec. 5088) Yes 4L" No 6. Water A. Is feeble 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_ Backflow - If coach is not State of California approved, does station have backflow device 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? YesjZNo B. Does it have minimum 4" per foot slope and is it properly supported? Yes � N/o_ C. Are any leaks detected in drainage system after running 3 -gallons of water thropgh 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. .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 No B. :Test OK as per following procedure? Yes_ No 1. Open all appliance connector vf.lves. 2. Shut off appliance burner and pilot valves. 3. Air test with manometer to 10":14" water column or test with slope gauge (minimum 0 6oz.-maximum 8 oz.) calibrated in tenth pound increments. Test for 10 min. without drop. 4. Connect gas meter to mobilehoiqe.with connector, turn on gas, test connections with .soapy water. C. Are all appliance vents properly installed? Yes_ No s`, 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 /-Y/ 2-- " 759 for the following location: 4-Oy-I1✓ 'ROOf— I Q-1' T �5 t_ sP,sapfrsr �,✓(itt t' C� �. � ,so c� . •+� r2�.) �r�ia t . �r An, Owner-,ems- Owner's wner ,.ems -Owner's Address r' Mobilehome Mfg.Model Year Insignia No. E97j,; 561 -TL rD Serial No. It is hereby certified for occupancy at the above described location and may be occupied. ' Director,,of Public Works Date / `f By/ THIS CERTIFICATE IS VOID WHEN MOBILEHOME IS RELOCATED White - Owner, Yellow - Installer, Pink - D.P.W. COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS 7 County Center Drive — Oroville, Caiifornia 95965 , Telephone: 534-4541 APPLICATION AND PERMIT Sa�9 7� 0 BUILDING Owner 'TA� I 64_E7`1 SQ. FT. OCC. BUILDING LUAT MailingjAAddress *-3 A4 )gY�1+1 %2 UA1/ r -A¢ C/l �� � . 7 /2_6 Y4jVne�d,U Contractor IQ t}e I Mailing Address Fireplace Total Valuation Telephone No. Permit Fee Building Address A a bcor OF Ry. 11-&W Plan Checking Fee&/or Penalty Permit Fee i S O��► WK" PD. PLUMBING No. @r�FEPERMIT FILING FEE $3.00Each TraD 1.50 O _OLII 6Repair drainage or vent piping 1.50 ^1�t A. P. No. I " [/ p ��7 - ,engk& Finning Water piping 1.50 Each gas water heater or vent 1.50 Ftle-_sjw S ion Fire Dept. Fire Zone Use Permit Gas piping system 1 - 5 outlets 1.50 EQA Parking Plan I Paroel Declaration P e Ya P' I 60_',WW I Improvements Each additional outlet .30 Building sewer Bld . PIVs Recd '* Parcel Approval I Plans Approval NEW ❑ ADDITION ❑ UTILITIES OTHER ❑ Lawn sprinkler system 2.00 Permit Fee $ S3.0a $ �Z3 ci ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 3, Main service 800V OR LESS 100 AMP OR LESS 5.00 6;G .o D Single Family ❑ Duplex ❑ Mobil Home Others ❑ Main service EA. ADD'L 100 AMP 2.50 Main service OVER 600V 100 AMP OR LESS 25.00 Main service/ EA. ADD'L 100 AMP 1.00 NEW CONST. OR ADDNS. ACCLBLOGS.LING CCUP. Y� 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 NONRESID, MULTI.O CR T .CONS 1 BRANCH CIRCUITS/ 12.50ea NEW CONSTR. (POWER APPARATUS 5 NON.RESID. SINGLE OUTLET CIR. Ex. OCcuo(OUTLETS OR FIXTIIRES 1 50@25 FIXED APPLNS. OR Ex. Occup.(OUTLETS (RESID.) EA) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 , 00 License No. Classification Misc. Wiring 6.25 eu, Pump —a—1t? 9-.00 I am exempt from the Contractors License Laws of the State of California. Permit Fee $ 91 Q $ WORKMEN'S COMPENSATION INSURANCE I am aware of the provisions of Section3700 of the California Labor Code which requires every employer to be insured against liability fpr 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 L2.00 Hood 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. X Signature of Pe%tee or Agent Date Land Development Fee $ &V 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. DIR OR OF UBLIC WORKS / �� � ^ �� Receipt No. L 16 Z— � White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant Ipermit expires Date COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS — BUILDING DIVISION 7 County Center Drive — 0roville, California 95966—.Tejepehone__534-4541 PERMIT APPLICATION DATA SHEET Permit No. OWNER p rte'( T"2 lCle-1 C-- - f T A.P. No. '7 1 _ n u _-7"7 Proposed Building Use Permit fee based upon: Complete Contract Price ,Other/ (explain) Building Ir At time of �- issuance: DPW Valuation pector �--�� Date SZ - -2 7 _'7`1 permit application, I was advised the following data must be submitted prior to permit processing and/or DATE RECEIVED APPROVED 2. 3. 4. 5. 6. 14. 15 16 All items have been submitted................................................................... Plot plans in duplicate/triplicate............................................................ Complete plans in duplicate/triplicate................................................... Complete engineered plans and calcs..................................................... Plans with Energy Design Compliance Statement ............................ State Energy Forms No. .................... Statement of Intent for Non -Heated& AC Buildings ................... Feesof $.................................................. Letter of signature authorization............................................................. Sanitation approval from 012-0 Health Dept.... i Planning approval for ............. f Certificate of Workmen's Compensation Insurance ........................ Contractors License Information (no., name style, 01 classification) ............................... Improvements may be required. Contact Land Development Section of Dept. Public Works (see addressbelow)................................................................................................. Pre -inspection for required. Pre-inspec. request to Other bldg. inspector (date) When you issue the permit, process'as follows: Mail to owner Mail to contractor. Telephone and hold for pickup at office. Deliver w/inspection. Other `T} t. Applicant -./.��" Date g!::�-- Copy of plans sent Health Dept., Fire Dept., - Other Date During the plan checking process, the following data must be submitted prior to permit issuance: (For required items not checked above at time of application, circle item.) 1. Index permit for above Items No. 2. Additional items required: (Contractor, Designer, Owner) was advised of above required data by Telephone Mail Other r� By Date Plans checked by Date ;Plans approved by /� Date — -;-- OTHER: OTHER: Coov/DPW COUNTY OF BUTTE — QEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, Camornia 95965 Telephone: 534-4541 '„I APPLICATION AND PERMIT hl BUILDING Owner` SQ. FT. OCC. BUILDING VALUATION I Mailing Address 3/ �Telep}lon Contractor el - izti Mailing Address 16de 2241 Fireplace Total Valuation �hor�}e�N , Permit Fee Building Address! / Plan Checking Fee &/orPenalty Permit Fee W'V/ PLUMBING No. @ FEE PERMIT FILING FEE $3.00 Each Trap 1.50 Repair drainage or vent piping 1.50 � A. P. No. *+ 0 Zoning & Planning Water piping 1.50 Each gas water heater or vent 1.50 FC F s Wc� Saoit n I Fire Dept. Fire Zone Use Permit Gas piping system 1 - 5 outlets 1.50 EQA Parking Plans I ParcelEach I Declaration I Parcel Map 60' R/W I Improvements additional outlet .30 Building sewer 5.00 Bldg. ans Recd I Parcel Approval Plans Approval Lawn sprinkler system 2.00 NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER ❑ Permit Fee $ M1Y T,- v&1-4A*1/a26 ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 Main service 600V OR LESS 100 AMP OR LESS 5.00 Single Family ❑ Duplex ❑ Mobil Home ❑ Others ❑ Main service EA. ADD•L 100 AMP 2.50 Main service OVER 25.00 100 AMPP OR LESS O Main service EA. ADD'L 100 AMP 1.00 NEW OR ADDNST %ACCLBLDGS.LING Ccup- S� 22sgft 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 Ie f: y /' / �'/- TLET NEW CONSTR BRANCH CIRCUITS) NON-RESID � BRANCH CIRCUITS/ 2.50ea NEW CONSTR. (POWER APPARATUS 9 NON.RESID. SINGLE OUTLET CIR. Ex. Occup (OUTLETS OR FIXTIiRES B L@; EX. OCCU FIXED APPLNS. OR p•(OUTLETS (RESID.) EA) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 l License Noi�v Classification �-�/ Misc. Wiring 6.25� ❑ I am exempt from the Contractors License Laws of the State of Cal ifomia. Permit Fee $ $ WORKMEN'S COMPENSATION INSURANCE I am aware of the provisions of Section3700 of the California Labor A ' h I b• d II ' b• I' MECHANICAL FNo.F @ FEEPERMIT FILING FEE $3.00 r4Heating Co a wc requires every emp oyer to a Insure aga(nst a I Ity for Workmen's Compensation. I have placed on file with the County of Butte a certificate of Workmen's Compensation Insurance. ElI certify that in the performance of the work for which this permitis issued 1 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 above-mentioned property for inspection purposes. X Date ignatu74. f Permitee or Agent( Receipt No. L T White-D.P.W. - Yellow -Assessor - Pink -Inspector - Goldenrod -Applicant Coo I i 1 Venti Iation Hood 1 1 2.00 Permit Fee $ $ e-- $ TOTAL PERMIT FEE is 7`� This permit is hereby issued under the applicable provisions of the Bu a County Code and/or resolutions to do work indicated abo f r which fees have been paid. IRE OF PIJRLIC WORKS —Date -11-6 Building permit expires Date — r` _3 ._ COUNTY OF B�►JT�TE'r-' DEPARTMENT_OF PUBLIC WORKS —BUILDING DIVISION - . ., �. 7xC6t1j,nty Center Drive — 0roville, California 95965 Teleph=oneT,534-4541 s- - r, PERMIT APPLICATION DATA SHEET Permit No. OWNER %'rc)L --I A.1 jZejc y // A.P. No. 7,1--- e 7 Proposed Building Use , _- Permit fee based upon: Complete Contract Price —'DPW Valuation O=th'er (explain) i Building Inspect( At time of perm issuance: ' '"� 1. All items have been submitted................................................................... 2. Plot plans in duplicate/triplicate............................................................... 3. Complete plans in duplicate/triplicate................................................... 4. Complete engineered plans and calcs..................................................... 5. Plans with Energy Design Compliance Statement ............................ 6. State Energy Forms No. .................... 7. Statement of Intent for Non -Heated & AC Buildings ................... 8. Fees of $.................................................. 9. Letter of signature authorization............................................................. 10. Sanitation approval from Health Dept.... 11. Planning approval for ............. 12. Certificate of Workmen's Compensation Insurance ........................ 13. Contractors License Information (no., name style, classification) ............................... Improvements may be required. Contact Land Development Section of Dept. Public Works (see addressbelow)................................................................................................. Pre -inspection for required. Pre-inspec. request to bldg.inspector (date) Other r �,:�;� °�_ `_ Date t_applcation, I was advised the following data must be. submitted,`prior to permit processing and/or DATE RECEIVED APPROVED 14 15. 16. When you issue the permit, process as follows: Mail to owner Mail to contractor. V Telephone 7 7- v� �'�% and hold for pick-up at office. i Deliver w/inspection. Other Applicant,/ -c am ~ Date P. F � Copy of plans sent Health Dept., Fire Dept., Other Date— During ateDuring the plan checking process, the following data must be submitted prior to permit issuance: (For required items not checked above at time of application, circle item.) 1. Index permit for above Items No. 2. Additional items required: (Contractor, Designer, Owner) was advised of above required data by Telephone Mail Other By Date Plans checked by Date Plans approved by Date OTHER: Copv/DPW MOB ILEHOME SUPPORT DATA If other than 's ingle wide, / Mobilehome Mfr. furnish Setup Model No. ac) � k _ 5— Year Width(ft.) Box Length �6 6)- (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 center supports measured from t of mobilehome unless otherwise specified. ' Footings (check one) ' Single 1. Wood either Ajob Apressure treated or foundation grade. (ft.)(in:) (in.) (in.) 2. Other (specify) Center support Center support locations* footing sizes Supports (check one) (in.) 1: Concrete block. (ft.)(in.) (in.) (in.) (ft.)(in.) (in.) (in.) (ft.)(in.) (in.) (in.) Q x (in.) (in.) (in.) *If center piers are other than drawn above, draw in -locations, spacing, and dimensions. El L Other (specify) Tagalong or Expando,' show support details. I /,2x -:5C) -- Typical Support (in.) (in.) Footing Size Max. Pier Spacing �i -- Max. Overhang BUTTE COUNTY BUILDING DEPARTMENT APPROVED X81 o-�--79 BUTTE COUNTY DEPARTMENT OF PUBLIC WORKS - 7 County Center Drive, Oroville, CA. PHONE: -534-4541 MOBILEHOME INSTALLATION SHEET 1. Owner's name: 2. Installer's name: yjG�TG#Af e/ tC' 6- 3. Is the site currently under permit?Yes /�./ No (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 ) 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.) 5. What is the mobilehome electrical rating? ------------------t - co -Co Amps P 6. What is the mobilehome site service rating? --------------------- 02.00 Amps 7. What is the mobilehome site circuit breaker rating? ------------- Amps 8. Is there any other electric load to be served by the mobilehome siteservice? --------------------------------------------------- Ye`s No (If yes, identify the load and size: (Load) (Amps) 9. What is the mobilehome site gas pipe size? ---------------------- (in.) 10. What isthe 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? ------=----------------------- (BTU) (This information not required 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 Oroville ----- 534-4541 ELECTRICAL INFORMATION FOR DE -RATING MOBILEHOMES Owner Location //V/ 14 S R P"�7_ Mobilehome Installation Permit No. /e 6v; / /AF FILL IN INFORMATION FOR ITEMS 1 THRU 10 Watts 2 1. Width x Box Length �� x'3 2. 2 Kitchen Appliance Circuits ................. = 3,000 .3. 1 Laundry,Circuit ........ = 1,500 4. Ovens . , . ........ �.� .... _ / 1 uo 5. Cook Stove Top ......... ... .. .. = 6. Hot Water Heater ................ ... = 7. Dishwasher & Disposal ....................... 8. Clothes Dryer ................................ = S 0 9. Other (specify, i.e., motors exhaust fans, etc.) Sub=total - Watts .... 5%�v First 10,000 watts @ 100% ................................ = 10,000 Remaining � O watts @ 40% .......... 10. Air Conditioner �� O o watts @100%.. = % uy ) q(o o Largest Demand Central Heat System c a G o o watts @ 65%.. = TOTAL DEMAND WATTS REQUIRED ............. "Demand Watts Required" 230 ........ .... = AMPS De -rate Mobilehome to ...... AMPS BUTTE COUNTY BUILDING DEPARTMENT APPROVED COOK ASSOCIATES ENGINEERING CONSULTANTS 2060 PARK AVENUE OROVILLE. CALIFORNIA 95965 PHONE (916) 533.64.57 October 15, 1979 REPORT OF CONTROLLED COMPACTED FILL PROJECT: Edwin Trickett Mobile Home -Pad Foreman Creek Road A.P. 71-03-77 Re: 79536 GENERAL. Compacted fill was placed to provide support for a mobile home. The maximum depth of compacted fill is about 3 feet. DESCRIPTION OF FILL Prior to placement of fill, the area to receive structural fill was cleared of weeds and debris. The material used for the fill was imported to site and consisted of gravelly clayey silt. Fill was placed in loose layers about six inches in thickness and compacted by wheel rolling. Water was added to the fill prior to .placement of additional fill. During construction of the mobile home pad, fill was placed outside the structural fill. This fill was not tested during grading and is considered to be a non-structural fill. A typical cross-section (Plate 1) depicting this condition is attached. The approximate extent of the grading is shown on the attached drawing "Location of Density Tests". TESTING Field density tests were taken.at frequent'in tervals near the fill surface. Representative samples of the soil were taken to the laboratory for compaction tests. The compaction tests were performed in accordance with the laboratory standard ASTM 1557 Method. B The relative density of the fill was determined from the compaction tests. Where tests indicate insufficient -compaction the material was removed, recompacted and retested. The location of the field density tests are shown on the attached drawing. The results of the tests are given on the table "Summary of Tests" CONCLUSIONS Based on intermittent observation, it is concluded that the structural fill was placed in an orderly and efficient manner and that the field density tests are representative of the structural fill placed. It is our opinion that all portions of the structural fill are compacted to at least 90% of the maximum density, in accordance with the requirements of the County of Butte. COOK ASSOCIATES B Y Lew Hiatt Civil Engineer RPL/cab 0 Q The W*. Se side properi cenfer'Ine of mum of a 2 1 out of all 0, o' NP., NN 0sha11 figA ide the r at utility connections located w*,in 4 4 the outsmobile home ft i third ser -Tion M0,01 on the left (road) side 04 the home. PARCEL 3 2.12 AC sepi'le cyst Bta—ffe County I quirernenig. 'N az jyV A �54' 0 tQ� PARCCL 2 Loi AC. e- 70.30 This set of pfans and Speelfic0rOnt Ikep+ on The i0b at all firnes and it It tlbiaW U' any ct"nI' rr'+;0nS On M 41 ,writtenrMis*1 qes or a TP O n from Vhe Deport pes I' 0 Works, CounlY Of Dut+` 0 RX TO ORO - Qull'icy W 1441 0.P, 481 88* 16, -3o" 20T I r. No 81 4 LLGVEIND FOUND 1/2" REBAR R.C.E. 9:365 SET F,14" I.P. L.S. 3728 UISS F 6(j, rig. 50' BLO)(l SETBACK LN, 0 CALSOLAI ED POINT ONL: GO! INTY F U R V E YO R'S 0 E RTI FICA I t A e o F T HI !'_� tiEa P HAS F3__-E`j NITH THE REQJ1RE.1AE'4T3 OF S__EC,`IOrj 1,15 'r- ,)F THE C M A �d IL k L. AY 3 R Y P 1 4 2 2 4 C'OUNTY ork-TrianshiP Shau Be In NOT E—All �/Jaterials & W AcCurconce it'lRecognized Good Practices and lwl f?jed use in the o,f o qualily prescril',)ed For 41 -he SPeCi Uniform 8161'Jing, Plumbing & MeCh"'C'"' Cada' and the �,Jcfionnll Elecirical Cf)da- be to '/4 REOORDER I S (CERTIFICAIL DAY O_ 197 FiL-ED FOR RE!'ORO THIS �A. 1kj Kioo v OF MAP3 AT P GE AT THEE S3 E R 1,A L N 0. BUILDING DEPARTSM V% r%