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HomeMy WebLinkAbout063-100-003AP 63-10=3 .GEORGE HISCOCK 5001 off w/s Nopel Way, app. 600 S. _ past Heidi Way, Forest Ranch . Permit# 1055-75P00 ,E(util., MH) c�"��- - ELEC.1�, 4/1 `7/ / 0" GAS " OK I - - -SUPPORT -STRUCTURE COMPACTION TEST REQ. G CONTR: Kentwood MH Sales, Chicoh/lz Permit# 110 75-7 I sau.ed7S 63-10-03 Contr : Bech MEI Sales, Chico Permit #5g57-77MHI (exist site) Issued / -z/-6 7 - I ti v • MH U t i • PERMIT NO. 1055-75P,E ,Z6, P E M MH UTIL. PERMIT NO. PERMIT EXPIRES 7L °bWNER George Hiscock yCONTR. F 4LOCATION (A.P. 63-10-03 ) 001 off wls Nopel Way, 600' S. past Heidi Way, ore st Ranch t� 2g C r• 1„ f 11 Temp. Power Pole Called PG&E Temp. Elea Serv. �� �� z Called PG&E Temp. Gas Serv. Called PG&E '1-1/10 B FINALED_ (Date) (Signal COUNTY OF BUTTE — DEPARTMENT -OF PUBLIC WORKS BUILDING INSPECTION RECORD ' •'4t~ BUILDING Setback Forms Main Bldg. Footings Slab Piers =---- Garage Footings Stemwa I I Slab Footings Slab---- Patio Footings —' Masonry Walls Reinf. Steel Bond Beam Framing Stucco Mesh Scratch Brown —^ Finish Interior Lath Door Closer NG (Cont'd) Firewall Restroom Finish N Windows Siding Roof Sheathing Roofing Fdn. Vents Garage Vents Prov. for physically handicapped Conformance of ex. structure Final FIREPLACE Footing Throat Final FIRE SPRIN EF Test Final MECHANICAL Heating Cooling Ducts Ventilation Final /DATE REMARKS OR CORRECTIONS PLUMBING Soil Piping 1st Floor 2nd Floor 3rd Floor To out Water Piping Sewer Fixtures Water Htr. Heaters Appliances Gas Piping & Test Temp. Gas Sanitation Final EL Fix Water Htr. Subpanels Grd. Fault Pr( Service Temp. Pole Undergrouni Perman nt Fina T TO Building Department FROM Environmental Health RE: Sewage and/or Water Clearance to Al _ c ER LOC ATION Has been approved for S�WAGE DISPOSAL S/ TX A.. TER SUPPLY ,- /0- o A. P# MOBILEHOME INSTALLATION INSPECTION CHECK LIST 1. 'Is the.mobilehome located with ✓required separation from lot lines and buildings and generally conform to plot plan? Yes o 2. Does the mobilehome have required clearances above ground? (Sec.5085) Yes'® No 3. Are footings and supports properly sized, spaced, and braced as proved plans? (Note possible variation at spring shackles.) (Sec. 5082 &•5083) Yes No p ap 4. Is the mobilehome level? (Sec. 5088) Yes ,� 4 5. If more than a e unit, are crossover connections properly installed? (Sec. 5088 ) YewN o-- 6. 6. Water A. Is flex' a connector of adequate size and properly installed (1/2" ID min.)? (Sec. 5566). Yeses No B. Test Does water piping withstand wo rking pressure or 50.1bs. air test? Yes- No C. Backflow - If coach is n tat of Cam is approved, does station have backflow device and pressure -relief val e. Yes_ No 7. Wastes and Drains A. Is connection made with Schedule DWV and have a connectors at. each end? Yes / No r, B. Does it have minimum" per foot slope and is it properly supported? Yeslf__No C. Are any leaks detected in drainage system after running 3- s of water.through each fixture including washing machine standpipe? .Yes No. If coac i Sate of California a roved, does station have required trap and vent? Yes No;� 8. as Vents A. Connector - Is mobilehome connected to the gas supply with an approved 3/4" minimum mobilehome connector not more than 6 ft. long? Note: All -piping is to be at least as large as the mobilehome gas line thlet without duc ions e 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 ,oss XT - __C, o6___t_______.__ ._ 9. Electrical A. Is service large enough to provide adequate amperage -to mobilehome (must equal rating of mobilehome with a minimum of Damp) and other facilities on lot, i.e., water pumps, garage, cabana, etc.? Yes No B. Is there proper clearances around panels? Yes " No 1107 C. Is power supply cord or feeder assembly properly fuseVsJ We' D. Is continuity test satisfactory as per the following pr 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. S. 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 .4" 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. Additional Information or Comments: N i COUNTY 01= BUTTE '— APARTMENT OF PUBL KS 7 County Center Drive • — Oroville, California 9596 Telephone: 534-4541 APPLICATION AND PERMIT 09 BUILDING Owner Q� G SQ. FT. OCC. BUILDING VALUATION Mailing Address Telephone No. Fireplace Contractor EjVW p O ©ryyc Total Valuation �S+ Mailing Addre�� S" /��Ox C/ Permit Fee Plan Checking Fee &/or Penalty C, Tele one No. .� 2 Permit Fee Building Address 40 ' GAJZ2 __171 17PLUMBING No. @ FEE PERMIT FILING FEE $2.00 Each Trap 1.50 Repair drainage or vent piping 1.50 Water piping 1.50 Each gas water heater or vent 1.50 �� O� A. P. No. D Zoning & Planning Gas piping system 1 - 5 outlets 1.50 Each additional outlet .30 Fie ire Dept. Fire Zone Use Permit Building sewer 5.00 EQA Parking Plans Parcel Declaration Parcel Ma P 60' R/W ImprovementsLawn sprinkler system 2.00 Bldg.Pla+ Recd Parcel proval Pla pproval Permit Fee N W ❑ ADDITION ❑ UTILITIES OTHER I& 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 balfd10 Receps., switches & fix outlets CONTRACTORS LICENSE LAW I am, licensed under the provisions of Chapter 9, Div. 3, of the State of California Business & Professio s Code under the name styl of: I 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. %4� ��'-- 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. 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.1 @ FEE PERMIT FILING FEE J$3.00 Heating Cooling Ventilation Hood 2.00 Pelgil 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 �s%.9' IDr /�K� TOTAL PERMIT FEE above-mentioned propertjy for inspec/tiori purposes. X ` C✓� yrs Date Si4aturee off�jPermitee or Agent Receipt No. LE,L49� _1127- 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 0 PUBLIC WORKS S BY Date / —��� ?J c�:��� 7� uildjn.....g permit expires Date .................... .................. COUNTY OF BUTTE - Department of Public Works 7 County Center Drive,'Oroville, California ' PHONE: 534-4541 I be o This set of plans and specif'crytions MU. - - d' it is u make any changes or alteratio s on Sana Paw al is Utility �, written permission from the De artmen wi of P out blic I Works, County of Butte. . �f 20' rsy � d c� N w n w min cn rt H M rt w to . 5' rt a w N• rt f7 o (j 0 N 7 W F+ ID µ rL 0 If r � The -W. Setback shall be 5 ft. from the side property line and 50 ft. frnrM -the centerline of the road, permittinc.: a maximum of a 2 ft. eave overhang. Length MOBILEHOME INSTALLATION INFORMATION Lot Facilities Mobilehome Data 1. Plot plan dimensioned, location of mobile and utility connections? Yes X No 2. Electrical.service equipment ampacityzw Circuit breaker ampacity �(p Permanent Wiring Connection Ampacity Receptacle VeL' Ampaci.ty 3. Gas:. Natural LPG k Gas riser size �/� `' 4. Drain inlet size 3 5. Z''ater riser size 3 6. Are utility connection's located outside the rear 1./3 of the mobilehome within 4 feet of the left wall? Yes ">! No If not,. show dimensions. above. 7. Is the mobilehome clear of septic tank, leach fields and located outside public utility easements? Yes \ No 8. Do you propose to do other work on the property other than the mobilehome installation which will require a permit? Yes No�_ If so, specify 1. Length 3 7 Width / U Manufacturer i�IECI Vehicle Serial No. s y36 7 Insignia Control No. 2. Feeder assembly ampacity Conduit size -- Power supply cord (amps) Sc� ASU O� 3. Gas inlet size 9/V 11 Mobilehome connector size Capacity. _ 4. Drain connector: describe on reverse side 5. Water connector: describe on reverse side 6. Designed loads: 1 Roof live load %���'sf.1 C�'(r AAS Wind load L sf . l (only for mobi ehoiies manufactured after October 7, 1973) 7. Manufacturer's installation instructions? Yes No—K 8. Will the mobile home be insta .'l.ed o a separate support structure? Yes No *For plans and specifications of support system, see other side LOt1JT BEARI`'G SuPPORTS Y ADDITIONAL COQ M.7';TS ii Drain Connector, Describe S SC/J 7� C VLA L,--,/2 Water Connector, Describe_�Ln r� r . >• Cc %�/?�'1 -7-C i k4 -- LOAD BE%i:ING SUPPORT AND V OOTING INFORMATION Pier Spacing Used ' Maximum Pier Load ,ge. Maximum Column Load.(mu'ti-units only) Soil Bearing Capacity Footing Dimension Usod TYPE OF PIEI? USED Steel Concrete Concrete Block -K Other TYPE OF FOOTING MATEZIAL USED Pressure Treated Wood --h_ Concrete Redwood (Grade) Other Approved Type F=lz �K 01 BUTTE COUNTY BUILDING DEPARTWENT APPROVED 41 -- COUNTY OF BUTTE — DEPART-MENT OF PUBLI 7 County Center Drive' — Oroville, California 9596 Telephone, 534-4541 APPLICATION AND PERMIT BUILDING Owner©� S C SQ. FT. OCC. BUILDING VALUATION Mai I i ng Address ' .lam"7_4 1411 Telephone No. Fireplace Contractor Total Valuation Mailing Address Permit Fee Plan Checking Fee &/or Penalty Telephone No. Permit Fee $ $ Building Address Soo 0 R'Wo 0i,F_k PLUMBING No. @ FEE PERMIT FILING FEE 000 A00 A PPX 6o IS P.4:} 7 f UJ Each Trap 1.50 F- 0 .44 AIC14 Repair drainage or vent piping 1.50 Water piping M114 1 4-5e 0.0 E) Each gas water heater or vent 1.50 A. P. No. Zoni Gas piping system 1 -, 5 outlets / N 1.50 ani Each additional outlet .30 F Sa ion Fire Dept. Fire Zone Use Permit Building sewer -4,89 p EQA Parking Plans Parcel Declaration Parcel Ma p 60' R/W Im rove ents P Lawn sprinkler system 2.00 • � � LPd�. Plan 'c—d Parcel A ovol Plan pproval Permit Fee $ 3 QQ $ NEW ❑ ADDITION ❑ UTILITIES OTHER EJELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 5,f�� Main service incl. 1 meter p f� Additional meters, each 1.00 Sub -panel (12 or less) (more than 12) Single Family ❑ Duplex ❑ Mobil Home Others ❑ Range, Cook -top or Oven 1.00 Water Heater or Space Heater 1.00 Light fixtures [:;ba10 10 Receps., switches & fix outlets 2U 25 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 h DO Mobil Home Facilities 15.00 15,.9Z Temp. Power Pole 5.00 License No. Classification Misc. wiring I am exempt from the Contractors License Laws of the State of California. Permit Fee $ 12.17.00 $ 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 thisLnL 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 TOTAL PERMIT FEE $ Of auuwrnce representatives of the county of Butte to enter upon the above-mentioned property for inspection purposes. X04 f Date 5ignatur `Permitee or Agent Receipt No. 1.2 /a:� yff 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/PIBLIC WORKS BY Date uilding pe=t Date............�/..7r.7..0.... -1 i L i. J- L t UJ LL: -71 4 I I a.lI I Ir 4l j - T- 'tttt nL-H _TW T 4- 4 "09 kT rf .1 4 T'l I Mug Spec L j, -.11 " "n'i 4 el �-O-lrqf me 0, Public T .4 i. Ic 'p T be t. ou:nfy He i. f - - `�' R6- 4 41 4 Et .4 r t - r a f6duiod �;�! Lj prope-Hy Iltne cind115,04t.i �#m'- +I 1 4 J+ -t 4-4 Jh dihe of iNe road-,, per!r��',fln -W lffiuffi—o -'! ff-p— . 9. fa o�er "�q i It t I fA t 7 nn -bpfsid'e. rq .*fe8-wffMn 4 ff. f6etr T. 14 4--1 6j. The -0911 d' Sid 4he + aft e of t I R i It D's G EPA -4 r 144 141 R P. -L L ego f '�".3 GF,(946,E Hlseccl< /9,53,,5- IYVAIT-EPA kf HA /V W)l /a D (2- A I 965 FIR STREET • CHICO, CALIFORNIA 95926 • TELEPHONE 916-342$319 �� Robs Anderson s Rolls CML ENGINEERS December 20,,1977 Butte County Department of Public Works 7 County Center Drive Oroville, California 95965 Attention: James Glander Subject: Mobile Home Foundation George Hiscock, Owner Building Permit No. 1055-75 �j J Gentlemen: In accordance with -bur discussion with Frank Kirker about the requirements for a compaction test, we made an in-place density test in the fill area adjacent to the mobile home. As we reported in our letter of December 12, 1977, the in-place dry_ density was only 720 of optimum. After discussing the tests with Mr. Hiscock and your office, we made an inspection of. the site and building foundation this morning.. According to Mr. Hiscock and his neighbor, -Mr. Sells, all of the foundation piers supporting the mobile home are located on the original pad which was constructed three years ago. Based upon our inspection of the foundation and the surrounding surface drainage,'we do not .believe that the,soils present a threat to the structural stability of the mobile.home, although some differential settlement may occur. Small amounts of differential settlement will not damage the mobile home, and may be readily corrected with pier height adjustments. Butte County Department of Public Works December 20, 1977 Page 2 In conclusion, we believe that soils under the mobile home are adequate to preserve the structural integrity of the mobile home. If you have any questions, or need any additional information, please call. Very truly yours, ROLLS, ANDERSON & ROLLS (a, C). C40, Ray D. Rolls R.C.E. #18036 RDR:lep cc: Mr. George Hiscock vas �ti LL6l t ,i YJ�`•� 01 0and'o 'ldaa s�aon aline d0 ;aNnoo d. 965 FIR STREET • CHICO, CALIFORNIA 95926 TELEPHONE 916-342-8319 ' Molls ;n� 1 Rolls CML ENGINEERS December,12; 1977 Butte County -Department of . Public' Work's. 7 County Center.Drive Oroville,:California,.95965 Attention: James.Glander Subject: Compaction'Test Results' George Hiscock, Owner - Building Permit No. 1055-75 Gentlemen,• Enclosed is a copy -of the compaction test report for.the.subject- property. As indicated'on:the report, the.in-place dry density was only -72% of optimum, and -the moisture content was 32.6%. The -optimum -moisture content for this soil is 24%, and,the'material must.be air-dried to near that moisture content before'90 of optimum density can. be achieved., Tf you have any qu:estions,about this test, or if you need any, additional'information, please call. - RDR:dcm Enclosures cc:'.George Hiscock Very truly yours, ROLL.S,..ANDERSON & ROLLS Ray D Rolls /a- /_�- -7"7 glVocial 17 bVd ria'111101161914 ZZ61 e s)i?jom 011and 3-uns :io A, :'0 'ld3q Nnoo tj in.ric'afs on & po";a s CML ENGINEERS 965 FIR STREET / CHICO, CA 95926 OPTIMUM DENSITY TEST Job Name GORGE 1 L SCOCK Job No. -7 -7 12 Job Location B C g � -Date FORST �>a��1CH y� ,�, �. 12-1 --7-7• Soil Classification: Test Method: Std. Proctor Mod.AASHO�_ Calif. Impact SUMMARY Optimum Dry Density = ( 00. O p.c.f.; Opt. Moisture = 2q-% 96 95% Rel. Compaction = gam, p_ p.c.f.; 90% Rel. Comp.= C�.O , p p.c.f. F= D x 62.4 or'C x E Signed: I- G J a F H 1+I Note: Weights in grams unless otherwise noted. Sand Calibration A.) Volume of cone = /ZQZ C.C. B.) Wt. Sand = ) 6 40 gm. Unit Wt. Sand= B.x 62.4 = Q5. 1 p.c.f. A SAMPLE DATA Trial No. - 1. Z 3 4 Water used. c.c. _ A Wt. Wet Soil + .Mold - 3(, 77 3700 3587 3399 B Wt. Mold = 9816 0/ IAIA 18/(, C Net Wt. Wet Soil = Z 1 / 8 4 1771 1563.3 D Vol. Mod. Proctor Mold - c.c. = 944 944 i9.4 Calif, Im act- Ta.m er Reading= E Calif. Impact ..Factor "B" Kg., _ F Wet Density - .c.f. - 0.37 124 S¢ // 7.07 /01 MOISTURE TEST Wt. Wet Soil + Tare = "rZ 27-j. T S 293 T45 —'-)-54- 7_73 2-95 Wt. Dry Soil + Tare - 3 -4 ZO6 ZSS G, Wt. Water = O. S SO 4B 5L0 Wt. Tare = t (' 48 H Wt. Dry Soil = 197 / 60"'v I Moisture % = 21.6 Z5. 4 30.0 J. Dry Density - .c.f. = 98.9 99.3% 90.0 7,7 SUMMARY Optimum Dry Density = ( 00. O p.c.f.; Opt. Moisture = 2q-% 96 95% Rel. Compaction = gam, p_ p.c.f.; 90% Rel. Comp.= C�.O , p p.c.f. F= D x 62.4 or'C x E Signed: I- G J a F H 1+I Note: Weights in grams unless otherwise noted. Sand Calibration A.) Volume of cone = /ZQZ C.C. B.) Wt. Sand = ) 6 40 gm. Unit Wt. Sand= B.x 62.4 = Q5. 1 p.c.f. A .� Rolls Rnclerson s Polls CML ENGINEERS 965 FIR STREET / CHICO, CA 95926 RELATIVE COMPACTION TEST JOB NAME G �jg�(�JL-�1y��C1l�/S JOB NO. 7 7 I G 2 JOB LOCATION IFORE-SY RA -f rf"t BY: Ji DATE //-29--77' SOIL /29c%%- SOIL CLASSIFICATIONS S-100 (Rev.67) Test Date Test No. Test Location A SAND DATA Wt. of Sand (Begin) = 8455-> B Wt. of Sand (End) _ S C Wt. of Sand in°Cone D Total Wt. of Sand Residue = / E Wt. Sand in Hole = / 4 3 F Sand Density_, pcf y SAMPLE DATA Wt. Soil + Tare = 7 Tare = G Net Wt. Soil = y In place Wet Density, pcf = S S Estimated Moisture, % j Estimated Dry Density, pcf = .MOISTURE TEST Tare No.- o. Wt. Wt. Wet Soil + Tare Wt. Dry Soil + Tare K Wt. Water Wt. Tare = L Wt. Dry Soil I Moisture, = 32-6 31.7 J SUMMARY In place Dry Density, pcf = 72-,0_5-72-5-5 M Opt. Dry Density, pcf qOpt. Moisture, = 4 o N Relative Compaction, REMARKS: Time: Mileage. D= B+ C J= H 1+I j+ H l+i Signed: Note: Weights in grams unless otherwise noted. L = G x F E N= J M S-100 (Rev.67) .. 95 V N 90 Job No. -1-1 1 C�2 �� RO//S Job Name G -GO r''ca i s roc i` I-frxk son Rn n c ROHS _ CML ENGINEERS Date j 2— 1-77 Chico, California Page of By MOISTURE pEN S ITY., CURVE 20 2 Z 2 f 26 28 30 Mvistvre 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 withthe requirements of the California Administrative Code, Title 25, Chapter 5, under permit nu� '7 er��s 7— %' for the following location: rJCI d7 ?= A In v c/ » /- M -Y1' S' -'Z,- 1 i, : - 46:: i% -Del. Vwner -- se Owner's Address /8-3 _� CA-L-- Mobilehome Mfg. U .0 Model Year77— 0094- Insignia 1Vo. L O % S0 No.& o s -o R It is hereby certified for occupancy at the above described location and may be occupied. Director of Public Works Date Z13-017 B r THIS CERTIFICATE IS VOID WHEN MOBILEHOME IS RELOCATED White - Owner, Yellow - Installer, Pink - D.P.W. ,4 COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 7 COUNTY CENTER DRIVE OROVILLE, CALIF. - 534-4541 \ ,l CERTIFICATE OF OCCUPANCY This mobilehome has been installed in accordance with the reqquirements of the California Administrative Code, Title 25, Chapter 5, under permit number45 y7 — -7for the following location:', e--t!? rpt Owner Owner's Address Mobilehome Mfg. Model Year/ / Insignia No. L l� '7 ��% �,y SSerial No./� It is hereby certified for occupancy at the above described location and may be occupied. , -f- Director Director of Public Works,01 Date ��� % % gy-f<. THIS CERTIFICATE IS VOID WHEN MOBILEHOME IS RELOCATED White - Owner, Yellow - Installer, Pink - D.P.W. i C COUNTY QF BUTTE �d V-7 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, underrpermit numbers -T7-7� for the following location:' 12� �t /f��'+� .41,,- ,-L 11-Aa%1- / arm' 'C�Z ��� �� : // �.� ✓ - J//JWA1,o Owner Ce-EF-70'� 6Z 05 s C f1Ir /c Owner's AddressCA-L- Mobil�� a Mfg. U,O� Modell ,�/ Year 77 Insignia No. LAP 7 S8erial� O EV No.1�/ 0-7 ':Z-0 95— It is hereby certified for occupancy at the above described location and may be occupied. Director of Public Works,4 Z��/• Date � � By. � ---1 THIS CERTIFICATE IS VOID WHEN MOBILEHOME IS RELOCATED White - Owner, Yellow - Installer, Pink - D.P.W. �7-� 7 PERMIT NO. 5857-77MHI existing site' mo PERMIT EXPIRES OWNER GEORGE HISCOCK CONTR. $ETCH MORTT.F. HOME SALES. x LOCATION (A.P. 63-10-03 ) 500' off W/S of Nopel Way, 600' S past Heidi Way, Forest Ranch / e Temp. Power Pole Called PG&E Temp. Elec. Serv. Called PG&E Temp. Gas Serv. Called PG&E JOB —/ � 7 (Date)CJ (Signature). Setback Forms Main Bldg. Footings Stemwal I Slab Piers Garage Footings Stemwa I I Slab Carport Footings Slab Patio Footings Masonry Wall; Reinf. Stee Bond Beam COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS BUILDING INSPECTION RECORD BUILDING BUILDING (Cont'd) PLUMBING Firewall Soil Piping Parapets 1st Floor Restroom Finish 2nd Floor Windows 3rd Floor Siding To out Roof Sheathing Water Piping Roofing `' Sewer Fdn. Vents Fixtures Garage Vents Insulation Water Htr. Heaters Prov. for ph sically handica ed Conformance of ex. structure Appliances Gas Piping &Test Temp. Gas Final Sanitation FIREPLACE Final Stucco Mesh Scratch Brown Finish Interior Lath Door Closer MOBILEHOME UTIL Water Piping MOl3ILEURMLJ,NmST Water Piping 44- DATE - 11 -11-177 DATE 11-111770 'ION ------------- % % c%.-, Drainage REMARKS OR CORRECTIONS (NOTE: An entry must be made on this form each time you visit the job site.) L E Throat Rou h Final Fixtures FIRE SPRINKLERS Motors Test Water Htr. FI nal Subpanels MECHANICAL Grd. Fault Prot. HeatingService Cooling Temp. Pole Ducts Underground Ventilation Permanent Final Final Elec. Elec. Pedestal - Sew Gas Piping Support — Elec. Continuity 7 Drainage Gas Piping 'ION ------------- % % c%.-, Drainage REMARKS OR CORRECTIONS (NOTE: An entry must be made on this form each time you visit the job site.) L /,�9IR s'1 REET CHICO, CALIFORNIA 95926 TELEPHONE 916-342$319 _ Rolls.. CIVIL ENGINEERS December 12 , 1977 Butte County Department of Public Works 7 County Center Drive Oroville, California 95965. Attention: James Glandes Subject: Compaction Test Results George Hiscock, Owner Building Permit No. 1055�-75 Gentlemen:. Enclosed is a.copy,of the compaction test report for the subject property. As indicated on the'report, the in--place dry density was only 72% of optimum,.and the moisture content was 32.6%. The optimum moisture content for this soil, is 24%, and the-material. must be air dried to near that moisture content before 90% of optimum density can be achieved. If you have any questions about this test, or if. you need any. additional information, please call.. Very truly yours,. ROLLS, ANDERSON,& ROLLS RaylD. Molls RDR:dcm Enclosures cc: George Hiscock ZT"7/7 � 9.trical, � A�Is service large enough to provide adequate amperage -to mobilehome (must equal rating of mobilehome with a minimum of 100 amp) and other facilities on lot, i.e., water pumps, garage, cabana, etc.? Yes No_ B. Is there proper clearances around panels? Yes_ No_ i Is power supply cord,or feeder assembly properly fused? Yes No D. Is continuity test satisfactory as per the following procedure? Yes_ 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 PF �-7 Manufacturer and/or Namestyle < / Length W idtO, Vehicle Serial No. a04-4-- & Identification No. Additional Informa io or 41- 1 MOBILEHOME INSTALLATION INSPECTION CHECK LIST 1. Is the mobilehome located with fired 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 L__No 3. Are foot*ngs and supports properly sized, spaced, and braced asperoved plans? (Note possible variation at spring shackles.) (Sec. 5082 & 5083) Yes_ No / No_ 4. Is the mobilehome level? (Sec. 5088) Yes 2_ 5. If morean a single unit, are crossover connections properly installed? (Sec. 5088) Yes_ No 6. Water A. Is flex'connector of adequate size and properly installed (1/2" ID min.)? (Sec. 5566) Yes No B. Test - Does water pipi/e: hstand working pressure or 50 lbs, air test? Yesi­ C. Backflow - If coach of California approved, does station have backflow device and pressure -relief v es_ No_ 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 k" per foot slope and is it properly supported? Yeo C. Are any leaks detected in drainage system after running 3 -gallons of water through each fixture including wa hing machine standpipe? Yes No� D. If coach is Zn 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" minimum mobilehome connector not more than 6ft. long? Note: All piping is to be at least as large as the mobilehgas line inlet without reductions other than the mobilehome connector. Yes.i-No B. Test OK as per following procedure? Yes_L No ` 1. Open all appliance connector valves. 2.CIT-off appliance burner and pilot valves. 3. -A' st 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. onnect gas meter to mobilehome with connector, turn on gas,•test connections with soa water PY _ C. Are all appliance vents properly installed? Yes No COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS 7 County Center Drive — 0mville, California 95965 Telephone: 534-4541 APPI WAMN AND PERMIT EQA I Plans I Declaration I Parcel Map I 60' R/W I Improvements ta5­9_7? _ BUILDING SQ. FT. I OCC. I BUILDING VALUATION Fireplace I Parcel royal Total Valuation Permit Fee Owner (�; C ORq e 14 ;'.s; C_ OCr�G Mailing Address 35 cIA",fo�_Je �U1z n�u JRR/\ �t JJ C A i ( f}- I o -•i PERMIT FILING FEE Telephone No. Contractor 1.50 Repair drainage or vent piping 1.50 Mailing Address 1.50 ,�C 0 F- 1.50 Gas piping system 1 - 5 outlets 1.50 Telephone No. S- 7V Building Address Building sewer 5.00 Al 0 D AD f u! (4_ % o-- S o &,1 04.5 -- J A yL—Eo Q t f i, R A,/ c t4 FIXED APP LNS. OR Ex. Occup.(0UTLETS (RESID.) EA) 2.00 Temporary service 10.00 A. P. No. Mobile Home Facilities Zoning & Planning Fed Misc. Wiring Fire Dept. Fire Zone Use Permit ❑ I am exempt from the Contractors License Laws of the State of California. Parking Parcel $ 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. ,Q I have placed on file with the County of Butte a certificate of orkmen's Compensation Insurance. I certify that in the performance of the work for which this permit is issued I shall not em p to an employ y person in any manner so as to become subject to the Workmen's Compensation Laws of California. MECHANICAL No. EQA I Plans I Declaration I Parcel Map I 60' R/W I Improvements ta5­9_7? _ BUILDING SQ. FT. I OCC. I BUILDING VALUATION Fireplace I Parcel royal Total Valuation Permit Fee Permit Fee NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER Plan Checking Fee &/or Penalty @ I FEE Permit Fee $ PLUMBING No.1 @ FEE PERMIT FILING FEE J$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 Gas piping system 1 - 5 outlets 1.50 Each additional outlet .30 Building sewer 5.00 Lawn sprinkler system 2.00 Bldg. ns Recd I Parcel royal I Plan�proval Permit Fee NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER ELECTRICAL No.1 @ I FEE PERMIT FILING FEE $3.00 t \ S h 600V OR LESS Main service 100 AMP OR LESS 5.00 Main service EA. ADD'L 100 AMP 2.50 Single Family ❑ Duplex ❑ Mobil Home Others ❑ Main service OVER OEAMP OR LESS 25•00 Main service EA. ADD'L 100 AMP 1.00 NEW CONST. DWELLING 0CUP. & OR ADONS. ( ACC. BLDGS. ) 2¢sgft NEW CONSTR. MULTI -OUTLET NON-RESID. BRANCH CIRCUITS)2.50ea NEW CONSTR. POWER APPARATUS & NON.RESID. (SINGLE OUTLET CIR. CONTRACTORS LICENSE LAW I am licensed under the provisions of Chapter 9, Div. 3, of the State of California Business & Professions Code under the name St Ie O : Y (� / ^�/fpm" a,Q/�^ Ex. Occup(OUTLETs OR FIXTURES) @@1 109 FIXED APP LNS. OR Ex. Occup.(0UTLETS (RESID.) EA) 2.00 Temporary service 10.00 S 411) 1�Ce1,g Vi%Ar_ C/,/, is (j Mobile Home Facilities 15.00 ,o License No. 2k/O•-1 ��/ Classification c_ �o 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. ,Q I have placed on file with the County of Butte a certificate of orkmen's Compensation Insurance. I certify that in the performance of the work for which this permit is issued I shall not em p to an employ y 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 $ 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-mme/ent��ioonjn��ed property for inspection purposes. late �` Signature of Permitee or Agent Receipt No. 0 7 White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant S t 3-0 60 TOTAL PERMIT FEE $,?v 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. UBLIC WORKS Date 64AZ g-permit expires Date _ // 0 l% QAUNiY OF BUTTE DEPT, OF PUBLIC WORKS Nov 8 1977 AM PM 718 A 1001112111213141516 ilk ,.t i `�- 'f .. ;* t � r� :r�= ;___t'' �. i `�- 'f .. Y 1i MOBILEH06 'VPPO.RT DATA Mobilehome .Mfr. �ji� y / ) `/�%fL Setup Model No. (30,-( Width _(ft.) Length _ (.ft.) Expando .Si e _ x ft. (Draw 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) . d ! i, Sin le �; Footings -(check one) ARI fm✓1. Wood. either A pressure treated or �ente Center Support fdn. grade. Suppor Locati ns Footing Sizes (in.) in: (1fIT-in� (in .) (in . ) (EE- t in. T k�­- (in.)(in.) 2.. Concrete pad. \ / / 3. Other,: specify Supports (check one) yLl. Concrete block 2. Concrete piers 3. Steel piers 4. Other, specify Typical Support .� Footing Size in:) in. �6 O 14 i '� �'t Max. Pier Spacing ink} (in.) (.) 'q".' ! '�: t �• Max. �x3 0 Overhang *If center piers are other than drawn above, draw in locations, spacing, and dimensions. BUTTE COUNTY BUILDING DEPARTMENT APPROVE® BUTTE COUNTY DEPARTMENT OF PUBLIC WORKS 7 County Center Drive, Oroville. CA. PHONE: 534-4541 MOBII,EHOME INSTALLATION SHEET 1. Owner's name: 2. Installer's name: 3. Is the site currently under permit? Yes /77 No ( If yes, furnish permit number %�l?/ ) OR zl pp 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 ) 5. What is the mobilehome electrical rating? --------------------- Q Amps 6. What is the mobilehome site service rating? --------------------- /Q® Amps 7. What is the mobilehome site circuit breaker rating? ------------- ao Amps 8. Is there any other electric load to be served by the mobilehome (This information not required if•pipe length less than 6 ft. on natural gas or less than 50 ft.. on LPG.)' siteservice? --------------------------------------------------- ------------------ Yes / / No C&4,--44 J (If yes, identify the load..and size: (Load) (Amps) 3��_(in.) 9. What is the mobilehome site gas pipe size? ---------------------- 10. What is the type of gas service. Natural / / LPG 11. What is the gas pipe length from meter or tank to the mobilehome? 1W (ft.) ,A 12. What is the mobilehome gas demand? ------------------------------ /2 0 V O(D'(BTU) (This information not required if•pipe length less than 6 ft. on natural gas or less than 50 ft.. on LPG.)' 63-/0-3 COUNTY OF BUTTE Department of Public Works 7 County Center Drive Oroville ----- 534-4541 A- ELECTRICAL INFORMATION FOR DE -RATING MOBILEHOMES Owner 00_0I_o0- -I S Location Mobilehome Installation Permit No. % FILL IN INFORMATION FOR ITEMS 1 THRU 10 Watts 1. Width A x Box Length qe- x 3 = 31%S7o 2. 2 Kitchen Appliance Circuits ................. = 3,000 3. 1 Laundry Circuit ............................ 1,500 4. Ovens ........................................ _ 5. Cook Stove Top ................................ 6: Hot Water Heater, .............................. _ 7. Dishwasher & Disposal = 8. Clothes Dryer ................................ _ S-0 06 9. Other (specify, i.e., motors, exhaust fans, Te y etc.) Sub -total - Watts ..... % First 10,000 watts @ 100% ................................ = 10,000 Remaining watts @ 40% ........................ 10.' Air Conditioner watts @100%.. _ ) Largest Demand = Central Heat System watts @ 65%.. _ ) TOTAL DEMAND WATTS REQUIRED ............. / / S --b V "Demand Watts Required" + 230 ............ _ S6,61 i AMPS De -rate Mobilehome to .................................... AMPS BUTTE COUNTY BUILDING DEPARTMENT APPROVED