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061-560-029
�t CQ t - 5 "Dal r �O '.1. !ol - 7 - CERTIF ICAT OF COMPLIANCE-- 12/20/78 John Tate i�"al �%/0/9� 200'S.on pri.rd., app.800'on Mann May, off Ponderosa Way, app.1200'N.of Wagon Wheel Way, Berry Creek Pamit #4659-79P,E(uti1.,MH) GAS SUPPORT STRUCTURE REQ.�yp C COMPACTION TEST REQ. Ami/ d -- - Permit V4660-79NHI Issued7f -3.ohlkPtj 1 f ' COUNT OF'BUTTE — DEPARTMENT OF, PUBLIC WORKS BUILDING INSPECTION RECORD R BUILDING_ BUILDING (Cont'd) PLUMBING etback [. r F wall So Pipin ms PApets 1s Floor n Bldg. < Restr m Finish 2nd loor tin s Windo 3rd Lhor Ste all Siding To out Slab A Roof Sheaf%Ing Water PI in Piers Roofing X Sewer Garage Fdn. Vents X Fixtures ' Footings Stemwa I I Garage Vents Insulation Water Htr. Heaters Slab Carport Po Footings X Prov. for physical handica ed Conformance of ex. structure Y Appliances s Gas Piping &Test Temp. Gas Slab Final Sanitation Patio IREP ACE Final Footinqs Foot inn Ft -TRU -11 Heinf. stee Final Fixtures Bond Bea FIRE SPRINKLE Motors Meshf MECHANICAL Grd. F It Prot.- Scralch Heatlh Servl Brg&n Coo ng TAP. Pole nish Dujfts der round rior Lath Vintilation a anent oor Closer Inal final MOBILEHO UTILITIES ------•----------- Elec_ Seq-g.U5 Elec. Pedestal / 2 � Water Piping NgI16EHOME G j MUALLATION--------------Support:�2r= Sewer � Gas Pipin Elec.Continuit :=. Water Piping / Z. '7 Z 7 Drainage Gas Piping DATE REMARKS OR CORRECTIONS ep / Z-- 2 4-' /�--7y - Q ©� 4�7 (NOTE: An entry must be'made on this form each time you visit the job site.) 0 PERMIT N0. 4659-.7.9P�,E PERMIT EXPIRES John Tate OWNER CONTR. owner LOCATION (A.P. 62-47�Y�' �� ) 200'S.on pri.rd., app.800•'.on Mann Way,off Ponderosa Way, app.1200'N.of Wagon Wheel Way, Berry Creek �a J ti M Temp. P..b'wer Pole Called PG&E Tem rElec. Serv. % failed PG&E ✓ w Temp. Gas Serv. Z ? Z Called PG&E ijoB Z 7 % FIN FINALED (Dat 01 (S' Wt re) �71 47. 1 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 ""41LL 72' for the following location: Owner— Owner's wner Owner's Address -�- �---- r' Mobilehome Mfg. i`` mss- -eta Model 2 IS Z Year 4� `� Insignia No. �� % � !i 5 Serial No. 2 41 It is hereby certified for occupancy at the above described location and may be occupied. Director. of Public Works Date % C ? y By _ r THIS CERTIFICATE IS VOID WHEN MOBILEHOME IS RELOCATED White - Owner, Yellow - Installer, Pink.- D.P.W. . OUNTY 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 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. Inspector f Date Z �i 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 Cje:-2 Length -_.6 Q Width /2- 170M,-10 RA-riAl Nn Fr - State 2— State Identification No. � l® � 5 Additional Information or Comments: 9. Electrical = A. Is service large enough to provide adequate ampe.rage-to mobilehome (must equ rating.of mobilehome with a -minimum of 10 amp) and other .facilities.on lot, i.e., wat pud ps, garage, cabana, etc.? Yes_/No B. Is there proper clearances around.panels? ,Yes -.or feeder fused? Yes No C.- Is '.ower supply cord assembly properly .D. 'Is continuity test satisfactory as per the following. procedure? Yes 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 condudtor, including neutral. .f 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 Cje:-2 Length -_.6 Q Width /2- 170M,-10 RA-riAl Nn Fr - State 2— State Identification No. � l® � 5 Additional Information or Comments: rt MOBILEHOME INSTALLATION INSPECTION CHECK LIST } 1. Is the mobilehome located wit required separation from lot lines and buildings and generally conform to plot plan? Yes e" No 2. Does the mobilehome have required clearances above ground? (Sec.5085) Yesr/No 3. Are footings and supports properly sized, spaced, and braced -as perapproved plans? (Note possible variation at spring shackles.) (Seca 5082 & 5083) Yes ✓No 4. Is the mobilehome level? (Sec. 5088) Yes_ If more than a single unit, are crossover connections properly installed? (Sec. 5088) Yes No' 6. Water:. A. Is fle*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_,L1eo 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? Yes_,.e�o B. Does it have minimum k" per foot slope and is it properly supported? Yes ✓ No C. Are any leaks detected. in drainage system after running 3-g Ions of water through each fixture including washing machine standpipe?,.Yes No If coach is not State of California approved; does station have required trap and vent? Yes No 8. Gas Piping and Gas Vents A. Connector - Is mobilehome connected to the gas supply with an approved 3/4" minimuii mobilehome connector not more than 6 ft. long? Note: All piping is to be at.least as large as the mobile me 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 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 No COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS 7 County Center Drive — Oroville, California 95965 'Yr Telephone: 534-4541 / APPLICATION AND PERMIT _ BUILDING /a!-/-/-. SQ. FT. I OCC. I BUILDING AL ATION Fireplace Total Valuation Permit Fee P I an Checking Fee &/or Penalty Permit Fee PLUMBING PERMIT FILING FEE Each Trao Repair drainage or vent piping Water piping Each gas water heater or vent Gas piping system 1 - 5 outlets Each additional outlet Building sewer Lawn sprinkler system Permit Fee Owner '-3b40 1 �/��� PERMIT FILING Mailing Address ISO -00N CA13K //��,,��� LJGNn D�=-L- P" C �F—S_/ Main service Telephone No. Contractor 0WAJ�y� OVER 600V 100 AMP OR LESS Mailing Address EA. ADD'L 100 AMP NEW CONST. OR ADDNS. ` DWELLING OCCUP. y ACC. BLDGS. Telephone No. Building Address 2-001a �JI �y /�'Tr�oi 4'P�e �, rg ©N MANN � A- (_Tt p&wo SToLe) OF C fbNQEQ C-) SA W,4`f APP 11,Co' A) 0 F A. P. plo. Cp Zoning & anning Fes I WVC. . qqrJnAyion Fire Dept. Fire Zone Use ermit EQA Parkin PI s Parcel Declaration I Parcel p 1 60' R/W Improveme Bldg. P Kn. Recd Parcel Approval Plan pproval NEW ❑ ADDITION ❑ UTILITIES OTHER ❑ Single Family ❑ Duplex ❑ Mobil Home Others ❑ 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: _ BUILDING /a!-/-/-. SQ. FT. I OCC. I BUILDING AL ATION Fireplace Total Valuation Permit Fee P I an Checking Fee &/or Penalty Permit Fee PLUMBING PERMIT FILING FEE Each Trao Repair drainage or vent piping Water piping Each gas water heater or vent Gas piping system 1 - 5 outlets Each additional outlet Building sewer Lawn sprinkler system Permit Fee ELECTRICAL PERMIT FILING FEE Main service 600V OR LESS 100 AMP OR LESS Main service EA. ADD'L 100 AMP Main service OVER 600V 100 AMP OR LESS Main service EA. ADD'L 100 AMP NEW CONST. OR ADDNS. ` DWELLING OCCUP. y ACC. BLDGS. NEW CONST. RESIO_ NON.R (MULTI-OUTL T l BRANCH CIRCUITS Ex. OCCUD(OUTLETS OR FIXTURES ( FIXED APPLNS. OR EX. OCCUp • OUTLETS (RESID.) EA) Temporary service Mobile Home Facilities Misc. Wiring License No. Classification mIm I am exempt from the Contractors License Laws of the State of California. Permit Fee MECHANICAL WORKMEN'S COMPENSATION INSURANCE PERMIT FILING FEE 1 am aware of the provisions of Section3700 of the California Labor Heating 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 Cooling Workmen's Compensation Insurance. f f -�9 0® 11Vff *7M 11 • 1 $3.00 5.00 2.50 25.00 1.00 M& • ?.50ea o @ zs¢ IAL@1 2.00 10.00 15.00 5.,a 6.25 a $ 2q 5 @ FEE $3.00 Nj I cert) y that In the performance o the work for which this Ventilation /' LAKpermit is issued I shall not employ any person in any manner so as to become subject to the Workmen's Compensation Laws of Hood 1 1 2.00 California. 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- tioned property or inspection purposes. ^ieDate Signature o Permitee or Agent eipt No. ZgdZ� White-D.P.W. – Yellow -Assessor – Pink -Inspector – Goldenrod -Applicant Land Development Fee $ 25 cc) TOTAL PERMIT FEE $ KG .150 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 PUBLIC WORKS By Date 6 — B ilding permit expires Date I CObNTY �F BUTTE - DEPARTMENT OF PUBLIC WORKS r 7 County Center Drive — Qrovi Ile, California 95965 a Telephone: 534-4541 APPLICATION AND PERMIT autnonze representatives or the county or tsutte to enter upon ine above -m tinned propert for inspection purposes. ' T— Date - Signature "of Permi tee or Agent R ceipt No. 2yo-- hit..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 7hich fees have been paid. F PUB IC WORKS Date/_l Building permit expires Date /l — 's BUILDING I F1 Owner a 4o -tAri-e SQ. FT. OCC. BUILDING VA U T Mailing Address REP-" CPQ Ge -0 bc-L " ^ ffrc r 2nK-y `L/CE T phone No. Contractor Mailing Address ' Fireplace Total Valuation Telephone No. Permit Fee Building Address 20.M1 Qfli PPT,Pa Aa0a x Plan Checking Fee&/or Penalty Permit Fee SOI L ®pl A,4041 INTIDS?06) PLUMBING No. @ FEE ©K PoODe s t'� 1' �Pnaox l�-CXJ lTt PERMIT FILING FEE $3.00 Each Trap 1.50 WAGoN WWS;E—G U/4 yQy C Repair drainage or vent piping 1.50 /_2- ^r `�_ �� n A. P. o. l� �i Zoning &Planning Water piping 1.50 Each gas water heater or vent 1.50 FeesI L-101 W. C. &pita�tmT� Fire Dept. Fire Zone Use Permit Gas piping system 1 -5 outlets 1.50 EQA Parking Plans Parcel Declaration Parcel Map 60' R/W Improvements Each additional outlet .30 Building sewer 5.00 Bldg. Parcel A Plans Approvol Lawn sprinkler system 2.00 NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER Permit Fee $ iA t ,e &p ! � .r 7 ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 Main service 600V OR LESS 100 AMP OR LESS 5•�� 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 CONST. LBLOGS.LING CCUP. 'i)20Sgft OR ADDNS. \ ACC 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 CONSTR NON BRAANCC OUTL T -RESID (BRH CIRCUITS 12.5.0ea NEW CONSTR. (POWER APPARATUS B NON-RESID. SINGLE OUTLET CIR. Ex. Occup (OUTLETS OR FIXTIiRES B L@; FIXED A Ex. Occup. ( OUT ETS PLINIS (RESID )REA) 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 $ $ MECHANICAL No. @ 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. gKI 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. PERMIT FILING FEE $3.00 Heating Cooling Ventilation Hood 2.00 Permit Fee $ $ I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby is o - OC TOTAL PERMIT FEE $ :?,o 00 autnonze representatives or the county or tsutte to enter upon ine above -m tinned propert for inspection purposes. ' T— Date - Signature "of Permi tee or Agent R ceipt No. 2yo-- hit..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 7hich fees have been paid. F PUB IC WORKS Date/_l Building permit expires Date /l — 's MOBILEHOME SUPPORT DATA If other than single wide, Mobilehome Mfr. C 6 2n4ld 1' ' furnish 'Setup Model No: Year Widthy_(ft.) Box Length S S (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 front of ' mobilehome' unless otherwise specified. Footings (check. one) Single 1. Wood either pressure treated or 4 foundation grade. x (in.) (in.) 2. Other (specify) (''o lir re f'e Center suppo Center su port locations* footing s zes Supports (check one) 1: Concrete block. ® 2: Other ( specify) //rE�f Pci li/o Orl (ft.)(in.) (in.) (in.);/ Provide- adequate bracing. *--Tagalong or Expando,' r show -support details. (ft.)(in.) (i .) (in.) (ft.)t (iry.) (in.)' '(k.) .. L X J (in.)l (in.) *If center piers are other than drawn above, draw in. -locations. snacing. and dimensions. Typical Support (in.) (in.) Footing -Size �- -- Max. Pier Spacing Max. Overhang I(:ft/.)(in.) BUTTE COUNTY DUILDING DEPARTMENT ApP&PVE BUTTE COUNTY DEPARTMENT OF PUBLIC WORKS, 7 County Center Drive, Oroville, CA. _ PHONE:1 534-4541' \ ' MOBILEHOME INSTALLATION SHEET 1. Owner's name: J0 h,,7 .Po) 2. •Installer's name: Mn ti 3. Is the,s'ite:currently under permit? Yet / / No /+ / (If yes, furnish permit number '�� i_- 7,9 - {�, 4 - •) OR FIs the site an existing site? Yes / / No (If yes, furnish two (2) plot plans.) 4. Will.the mobilehome be located at least 5 ft. away from septic tank and leach fields and clear of all setbacks and easements? Yes-/ / No (If no,_ clarify ) 5. What is the mobilehome electrical rating? ----------------------- 00 Amps 6.•.What is the mobilehome site service rating? --------------------- 100 Amps 7.. What is the mobilehome site circuit breaker rating? ---------:---- Amps 8.. Is there any other electric load to be served by the mobilehome i site service? -------------------=------------------------------- Yes L—L No (If yes, identify the load and size: (Load); (Amps) 9. What is the mobilehome site gas pipe size? --------- ----- ��(i •) 10. What is the type of gas'service?----------------/the ------- Natural / / LPG / / 11. What is the gas pipe length from meter or tank toobilehome? � (ft.) 12. What is the mobilehome gas demand?------------;�----------------- (BTU) (This information not required if pipe 1 or less than 50 ft. on LPG.) less than 6 ft. on natural gas d�Y -TUPIT TO: Public Works Land Devzlopmen t Section O •.0 OF f �:vi CERTIFICATE 0 F CG;LP LI'u'CE Issued to: Don Mann P. 0. Box 11 Berry Creek, CA 95916 BIJ77 r" 141 PUBLICwou SEC LJ •12.21; T f i ma. COUNT NMIE -EE �71.i.47 This Certificate of Compliance is hereby issued by the County of Butte to certify that the land division which created the parcel of property identified below complies with the applicable provisions of the. Subdivision Map Act and of Chapter 20 of the Butte County Code. 1. Property location: bloomer Mountain area. 2. Assessor's Parcel Number: Description: All that certain property located. in the Count!- of 'Butte, State of California, more particularly described as follows: n A portion of Section 31, Township 21 North, Range.5 East, K.D.B. & iii., more partic- ularly described as follows: Co=-.nencing at.the Northeast corner of said Section 31; thence South 0040'05'.'.East, alon; the Easterly boundary line of said Section 31, 577.84 feet to the true point of beginning for the parcel herein described, thence continuing South 0°40'05" East along the Easterly boundary line of said Section 31, a distance of 257.21 feet,. more or less, to the Northeast corner of that certain parcel of land described in the Deed to Steve Warner recorded March 2, 1972 in Book 1740 of Butte County Official records, at page 636; thence leaving said East boundary line, along the Northerly line of said Warner parcel, North 89°54'41" West, 660.0 feet; thence North 0°40'05" I -lest, 257.21 feet to the Southwest corner of that certain parcel of land described in the Deed to John B. Wood recorded December 30, 1971 in Book 1724 of Butte County Official Records, at page 608; thence South 89°54'41" East; along the Southerly line of said Wood par- c. ar cel, a distance of 660.0 feet to Che point -of beginning. TOGETHER WITH a right of way for road and public utility purposes over a strip of land 60.0 feet in w.i.dth,'.lying 30.0 feel, on each side of the following described line: Commencing at the Northeast corner of said Section 31; thence South 0°40'05" East, along the East boundary line of said Section 3.1,.577.84 feet to the beginning of said line; thence leaving said East boundary live,, North 89°54'41" West, 2269.81 feet, more or less, to the centerline of Ponderosa Way add the end of said line. EXCEPTING THEREFROM that portion lying within the parcel of land above described. Issuance .of this Certificate is conditional. upon the following conditions which .have been .mposed pursuant to the-But.te County Code ,hapter 20-166 and Government Code, Section 66499.35 (b), to protect public health and public safety. .-None. County of Butte Subdivision Violation Cottee rx E OF DOCG!VS. N �( C,1 t, , 0 1 . CD t� 4ZP all rp C r �o- a c