HomeMy WebLinkAbout064-230-017., 64-23-17 -7 - w
Charles DeLoach,
� - 10 Carnegie Rd.., lot 86,-PP#14, M.Wlia "j-
contr: Tri -V Const., Paradise
Permit -#4 -7 P,E(uti1,. ,MH) u"
ELEC. // r j
GAS }
SUPPORT STRUCTURE REQ. !
�. COMPACTION TEST REQ.
64-23-17
t
�. ntr :SOS.�m1mH-S•er,,-• -Par-Paradise. s ,
ermit #1381-78 I �- -
ssued
-64-23-17 °
contr:'Donald William Qri, Paradise t
Permit.#5183-78B(new private garage &
open decks/MH)' IJ t
64-23-17
" contr: Acro-Lume, Oroville.
P rmi�9-79B(new -2-_awnings/MH)1'
12�
I
• I
J/
• - 1
r
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PERMIT NO. 3Ly- /yfi
PERMIT EXPIRES
OWNER Charles DeLoach
Acro-Lume, Oroville
CONTR.
a 64-23-17
LOCATION (A.P. )
15 -Carnegie Rd. ,. lot 86, PP#14, Magalia
4
jM
s
4 -
Temp. Power Pole
c
Called PG&E
Temp. Elec. Serv.
Called PG&E
Temp. Gas Serv.
Called PG&E
` 1
JFINA�
OB
LED / 7"'7)p
(D e y
(Signature)
COUNTY OF BUTTE • DEPARTMENT OF PUBLIC WORKS
• BUILDING INSPECTI06-RECORD• `.
BUILDING
BUILDING ( nt'd)
PLUM G
Setback
Firewall
Soil Piping
Forms
Parapets
1st Floor
Main Bldg.
- Restroom Finish
2nd Floor
Footings
Windows
3rd Floor
.Stemwali
-Siding
To out
Slab
Roof Sheathin
Water Piping
Piers
Roofing
Sewer
Garage
Fdn. Vents
Fixtures
Footings
StemwaI I
Garage Vents
Insulation
Water Htr.
Heaters
- Slab
Carport
Footings
Prov. for phed sically
handica
Conformance of ex. •
structure
Appliances
Gas Piping &Test
Temp.' as
Slab
Final79
rFIREPLACE
Sanitation
Patio
Final
Footings 17— 7,01,
Footing
EL TRICAL
Masonry Walls
Throat
Rou h
Reinf. Steel
Final
Fixtures
Bond Beam
FIRk SPRINKLERS
Motors
Framing
Test
Water Htr.
Stucco
Final
Subpanels
Mesh
M CHANICAL
Grd. Fault Prot.
Scratch
Heating
Service
Brown
Cooling
Temp. Pole
Finish
Ducts
Under round
Interior Lath
Ventilation
Permanent
Door Closer
Final
Final
MOBILEHOMEUTILTIES ------------------ Elec- Service
Elec. Pedestal
Water ng
Sewer
Gas Piping
EHOME 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 visit the job site.)
COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS
,7 County Center Drive • ''M►Oroville, California 95965
Telephone: 534-4541
APPLICATION AND PERMITn
_ BUILDING
SO. FT. 7 OCC. I BUILDING VAIIIIATinN
Fireplace
Total Valuation
Permit Fee
Plan Checking Fee &/or Penalty
Permit Fee
PLUMBING
PERMIT FILING FEE
Each Trap
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. / DWELLING OCCUP. Si
S
191—
@ FEE
$3.00
1.50
1.50
1.50
1.50
1.50
.30
5.00
2.00
$3.00
5.00
2.50
25.00
1.00
FEE
EX. OCCUp(OUTLETS OR FIXTIIRESIBAL
250
@10Q1
Owner
2.00
Mailing Address
10.00
Mobile Home Facilities
Telephone No.
Contractor
6.25
Mai I i ng Address j 3-7
Tele hone No.
4F
Building Address
r
P. No G ,;L 3 _/
Ail; _& Planning
Fs
W
Fire Dept.
Fire Zone
Use Permit
EOA Parking
Plans
I Parcel
Declaration
Parcel Ma P
60' R/W
Im r
p oveme is
Bldg. PI 4 s Recd
Parcel A royal
Plans Approval
NEW (2 ADDITION ❑ UTILITIES ❑
OTHER
N
67
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 f:
MRO �(� 1
4_uM
—7
License No. Classification
0—
_ BUILDING
SO. FT. 7 OCC. I BUILDING VAIIIIATinN
Fireplace
Total Valuation
Permit Fee
Plan Checking Fee &/or Penalty
Permit Fee
PLUMBING
PERMIT FILING FEE
Each Trap
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. / DWELLING OCCUP. Si
S
191—
@ FEE
$3.00
1.50
1.50
1.50
1.50
1.50
.30
5.00
2.00
$3.00
5.00
2.50
25.00
1.00
FEE
EX. OCCUp(OUTLETS OR FIXTIIRESIBAL
250
@10Q1
FIXED APPLNS. OR
EX. OCCU p.(
P•\OUTLETS (RESID.) EA)
2.00
Temporary service
10.00
Mobile Home Facilities
15.00
Misc. Wirina
6.25
U I am exempt from the Contractors License Laws of the State of California. Permit Fee
WORKMEN'S COMPENSATION INSURANCE MECHANICAL
PERMIT FILING FEE
I am aware of the provisions of Section3700 of the California Labor Heating
Code whic uires every employer to be insured against liability
for Wor en'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.
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 lapresentatives of the County of Butte to enter upon the
abo e4 -men pro ert for Inspection purposes.
X. bate
Signature of Permite r Agent
Receipt No. le- Z2.3
White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant
Cooling
$3.00
Ventilation
Hood 1 1 2.00
Permit Fee $ $
Land Development Fee $
TOTAL PERMIT FEE is J
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.
DIRECTO F BLIC WORKS
49
BY Date—
(ding permit expires Date
PERMIT NO. 5183-78B
PERMIT EXPIRES
,,OWNER Charles DeLoach
Donald William Carr, Paradise
r 'J
CONTR.
All 64-23-17
,,,LOCATION (A.P. )
10 Carnegie Rd., lot 86, PP#14, Magalia,,
i
f w
L
t _
1 a.
t Temp. Power Pole
Called PG&E
Temp.FElec. Serv.
Called PG&E
Temp. Gas Serv.
Called PG&E
/n,
NALED
- (Date) �CwN
(Signal e)
COUNTY OF BUTTE - DEPARTMENT70F PUBLIC WORKS
BUILDING INSPECTION! RECORD
-• t '
' BUILDING
BUILDING (Cont'd)
-PLUMBING
Setback
Firewall
Soil Piping
- Forms
Parapets '
1st Floor
Main Bldg.
Restroom Finish
2nd Floor
Footings
Windows
3rd Floor
Stemwall
Siding
To out
Slab.
Roof Sheathing
Water Piping
Piers
Roofing ' fes'
Sewer
Garage
Fdn. Vents
Fixtures
Footings p ut.79C7Garage
Vents "•"'•�
Water Htr.
Stemwall
Insulation
Heaters
Slab
Prov. for physically
Appliances -`
Carport
handica ed
Conformance of ex.
Gas PI In & T t
Footings
structure
Temp. Gas
Slab
Final
Sanitation
Patio ';-
FI PLACE
Final
Footin s -
Footing
ELECTRICAL
Masonry Walls
Throat
Rou h
' Relnf. Steel
Final
Fixtures c
Bond Beam
FIRg SPRINKLERS
Motors'
Framing (
Test
Water Htr.
Stucco k
Final
Subpanels/
Mesh
MECHANICAL
Grd. Faud Prot..
Scratch
Heating
Service
Brown
Cooling c
Temp Pole "
Finish
Ducts
Unde round -
Interior Lath
Ventilation
Pe anent
Door Closer
Final
Final
MOBILEHOMEU LITIES-------------- --- Elec. Servic
Elec. tedestal
Water Piping
Sewer
Gas Pi ing - _.
1 E ME INSTALLATION
- - - - - - - - - - - - - Support
Elec. Tontinuity
Water Piping
Drainage
GasP ping
DATE
REMARKS OR CORRECTIONS
t
r
(NOTE: An entry must be made on this'form each time you visit
the job site.)
COUNTY OFeBUTTE — DEPARTMENT OF PUBLIC WORKS
7 County Center Drive Orovi I le, California 95965
Telephone: 534-4541
APPLICATION AND PERMIT AA 110• >
Owner
Mailing Address
Telephone No.
Contractor mlG
Mailing Address
elephon No.
Building Address
CONTRACTORS LICENSE LAW
I am licensed under the provisions of Chapter 9, Div. 3, of the
State o alifornia Business & Professions Code under the name
t� style f:
X
License No.,%2li,E'V,i Classification 4R
_ BUILDING ' I t
SQ. FT. OCC. I BUILDING VALUATION
Fireplace I I X
Total Valuation 9c
Permit Fee
Plan Checking Fee &/or Penalty
Permit Fee
PLUMBING
PERMIT FILING FEE
Each TraD
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
rl)
$3.00
1.50
1.50
1.50
1.50
1.50
.30
5.00
2.00
FEE
Permit Fee
ELECTRICAL No.
@ FEE
A. P.P16. (!J�7
J ��7
Main service 100 AMP ORSLESS
Zoning & Planning
s
2.50
S
i` Fire Dept.
Fire Zone
1.00
Use Permit
EQA
Parking
sans
Parcel
Declaration
Parcel Ma p
60' R/W
Im rovements
p
dg. Plans Recd
FIXED APPLNS. OR
EX. OCCU p• OUTLETS (RESID.) EA)
Parce4pprovol
Plans Approval
NEW
ADDITION ❑
UTILITIES ❑
OTHER ❑
6.25
Single Family ❑
❑
Mobil Home
Others
/Duplex
CONTRACTORS LICENSE LAW
I am licensed under the provisions of Chapter 9, Div. 3, of the
State o alifornia Business & Professions Code under the name
t� style f:
X
License No.,%2li,E'V,i Classification 4R
_ BUILDING ' I t
SQ. FT. OCC. I BUILDING VALUATION
Fireplace I I X
Total Valuation 9c
Permit Fee
Plan Checking Fee &/or Penalty
Permit Fee
PLUMBING
PERMIT FILING FEE
Each TraD
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
rl)
$3.00
1.50
1.50
1.50
1.50
1.50
.30
5.00
2.00
FEE
Permit Fee
ELECTRICAL No.
@ FEE
PERMIT FILING FEE
$3.00
Main service 100 AMP ORSLESS
5.00
Main service EA. ADD'L 100 AMP
2.50
Main service OVER
100 AMPP OR LESS O
25.00
Main service EA. ADD'L 100 AMP
1.00
NEW CONST DWELING
OR ADDNS. ACCLBLDGS,CCUP. S�
20sgft
NEW CONSTR. MULTI.OUTL T
NON.RESID BRANCH CIRCUITS
2.50ea
NEW CONSTR. POWER APPARATUS 8
RESID. (POWER
NON- ( OUTLET CIR.
EX. OCcuo(OUTLETS OR FIXTIIRES
5BAL @ 10S0A@L
FIXED APPLNS. OR
EX. OCCU p• OUTLETS (RESID.) EA)
2.00
Temporary service
10.00
Mobile Home Facilities
15.00
Misc. Wiring
6.25
❑ 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 Workme s Compensation.
ave 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.
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
XSignature of Permii�teeor Agent Date
Receipt No. l�a o.,?
White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant
Cooling
$3.00
Ventilation
Hood 1 1 2.00
Permit Fee $ $
Land Development Fee $
TOTAL PERMIT FEE I $ d
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.
DIRECT F PUBLIC WORKS
III
Date '7—?ding permit expires Date
COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS
• 7 County Center D'ri've Oroville, California 95965
Telephone: 534-4541
APPLICATION AND PERMIT
0 1
BUILDING
Owner �i
SQ. FT. OCC. BUILDING VALUATION
Mailing Address
Telephone No.
c
Contractor S a
J'Fireplace
Mailing Address ��
Total Valuation
T e hone No.
- % j�/��
Permit Fee
Building Address
Plan Checking Fee&/or Penalty
Permit Fee
Aq X2
PLUMBING No. @ FEE
A
PERMIT FILING FEE $3.00
Each Trap 1.50
Repair drainage or vent piping 1.50
A. P. No. (p -� �%
Zoning & Planning
Water piping 1.50
Each gas water heater or vent 1.50
F
'"SaRfCartfvrt•
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. ns Recd
Parcel royal
Plan rovol pp
Lawn sprinkler system 2.00
NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER
permit Fee $
$
ELECTRICAL No.1 @ I FEE
7,.
PERMIT FILING FEE $3.00
Main service 100 AMP 00V OORSLESS 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. AOD'L 100 AMP 1.00
OR ADDNS// CONST. ACC,OWE-BLOGS.OCC UP. Y) 2¢Sgft.
CONTRACTORS LICENSE LAW
I am licensed under the provisions of Chapter 9, Div. 3, of the
State of California Business & Professions Code under the name
style of:rr j
<. � 4 S • ftAC,1pj 011� "6t._!c � �C,.
NEWNONRESID. BRANCH CIR T
.CONST BRANCH CRCUITS 12.50ea
NEW CONSTR. /POWER APPARATUS 8 i
NON.RESID. (SINGLE OUTLET CIR.
Ex. OCCUD(OUTLETS OR FIXTIIRES) gA'L
PKEA) 2.00
Ex. Occup. OUT ETS (RESID )
Temporary service 10.00
Mobile Home Facilities 15.00
^p
License No. gni@� Classification�p�
Misc. Wiring 6.25
❑ I am exempt from the Contractors License Laws of the State of California.
Permit Fee $
$
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
for Wo en'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. @ FEE
PERMIT FILING FEE $3.00
Heating
Cooling
Ventilation
Hood 2.00
Permit Fee $
Is
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
la�elel3meF Feei9l�
$
TOTAL PERMIT FEE
$
authorize representatives of the County of Butte to enter upon the
above-mentioned property for 3 -.->inspL��
ection purposes.
Xat-
� -
D e
Sign ure of Permi ee or Agent
Receipt No. o Z '
White-D.P.W. — Yeflow-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
llding permit expires Date
COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS
7 County Center Drive ,— Orovi lie, California 95965
Telephone: 534-4541
APPLICATION AND PERMIT
.+uu�ui,c i Nicaci ILGLlvCd UI 1I1V %,UUflly UI Butte to enter upon the
above- Toned properrtty for inspection purposes.
X Date
Signature of Permitee Agent
Rece 4No.
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 P IC WORKS
By Date
rg permit expires Date
BUILDINGIrl
Owner u� - i
SQ. FT. OCC. BUILDING VALUATION
Mailing Address
Telephone No.
Fireplace
Contractor
Total Valuation
Mailing Address t/YY71'
Permit Fee
Plan Checking Fee&/or Penalty
/� a
elephonN
7'7 - o P3 �S:�
Permit Fee $
Building Address
-
PLUMBING No. @ FEE
PERMIT FILING FEE $3.00
/
lo L- 14e 011
Each Trap 1.50
71'Repair
drainage or vent piping 1.50
Water piping—u
Each gas water heater or vent 1.50
A. P. No. �
T_
ZO"! g
Gas piping system 1 - 5 outlets 1.50
Each additional outlet .30
F
W<. -it
ons
Fire Dept.
Fire Zone
Use Permit
Building sewer 58t7 1p `
EQA
Parking
Declaration Parcel Map
60' R/W
Improve ents
Lawn sprinkler system 2.00
� �
Bldg. 041n's Rec'd
d"
a�el Ap oval
Plans Approval
Permit Fee $ r
$ '
NEW❑ ADDITION ❑ UTILITIES OTHER ❑
ELECTRICAL No. @ FEE
PERMIT FILING FEE $3.00 '
LE1 ORSS
Main service 100 AMP 5.00
Main service EA. ADD'L 100 AMP 2.50
Single Famil u lex ❑ Mobil Home Others ❑
Main service OVER 600V
100 AMP OR LESS 25.00
Main service EA. ADD'L 100 AMP 1.00
• �
• %i0pDD'Ll��Q
NEW CONST. DWELLING OCCUP, &)
OR ADDNS. ( ACC• BLDGSFOR , 2�sgft
NEW CONSTR. MULTI -OUTLET
NON-RESID, BRANCH CIRCUITS) 2.50ea
`
NEW CONSTR. !POWER APPARATUS &
NON.RESI D. (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
style of:
/��y,
Ex. Occup(OUTLETS OR FIXTURES) BAL-1
Ex. Occu104
p. FIXED APPLNS, OR
Ex. EA) 2•00
p•(DUTLETS I
Temporary service 10.00
Mobile Home Facilities 15.00 S
License No. 01 10%
;�/ Classification
Misc. Wiring 6.25
❑ I am exempt from the Contractors License Laws of the State of California.
Permit Fee $ 3--
$ :1 515-
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.
certify that in the performance of the work for which this
permit Is issued I shall not employ any person in any manner
so as to become subject to the Workmen's Compensation Laws of
California.
MECHANICAL No. @ FEE
PERMIT FILING FEE $3.00
Heating
Cooling
Ventilation
Hood 2.00
Permit Fee�a $
$
I certify that have read this application and state that the above
information correct. I agree to comply to all County Ordinances
and State aws relating to building construction, and hereby
�i4kAo t'" V '
v
CIS- "
TOTAL PERMIT FEE
$ 73
.+uu�ui,c i Nicaci ILGLlvCd UI 1I1V %,UUflly UI Butte to enter upon the
above- Toned properrtty for inspection purposes.
X Date
Signature of Permitee Agent
Rece 4No.
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 P IC WORKS
By Date
rg permit expires Date
MOBILEHOME SUPPORT DATA
Mobilehome Mfr.('„�/ o� lf���- Setup Model No.,Sl,�e--_� Year'�,t _
Width (ft.) Length. .mac (.ft.)' .``Expando .Size ft.x ft.
(Draw support det.ails.below).,
On all mobilehomes manufactured after October 7, 1973, furnish manufacturer's installation
manual and structural setup sheets. .(if not on f,ile•with the, County of Butte).
Sin le Footings-(check..one)
/ �l�J . Wood. either
pressure treated or
Center Center Support m fdn. grade.
Support Footing Sizes
Locations (in.) Z_jj-2..Concrete pad.
j - . / / 3. Other,: specify
P6�jx_5ri
Supports (check one)
1. Concrete block
! ► l07 x__�4 2. Concrete piers
(ft in (in.)(in.)
Steel piers
4. Other, specify
Typical Support
Footing Size
Pd
( in. IL.Zxv i �in. in.
.(in.)(in.)
Max. Pier
Spacing •
ft• .:ins)
(in.) (in.) !e' — Max.
Overhang
2, X 36
*If center piers are other th awn above,
draw in locations, spacing, and dimension's. BUTTE COUNTY
BUILDING DEPARTMENT
APPROVED.
I
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:
3. Is the site currently under permit? Yes No
( If yes, furnish permit number 3 Z - by ) 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 A-< No
(This information not required if pipe length less than 6 ft. on natural gas
or less than 50.ft.. on LPG.)
( If
no, clarify
)
5.
What
is
the mobilehome
electrical rating? -----------------------
Amps
6.
What
is
the mobilehome
site service rating? ---------------------
9p�
Amps
7.
What
is
the mobilehome
site circuit breaker rating? -------------fid
Amps
8.
Is there
any other electric load to be served by the mobilehome
site
service? ---------------------------------------------------
Yes /
/
No /2_.,L
(If
yes, identify
the load..and size: (Load)
(Amps)
9.
What
is
the mobilehome
site gas pipe size? ----------------------
(in.)
10.
What
is
the 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, 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 for the following location:
Owner
Owner's Address
Mobilehome Mfg. Model Year
Insignia No. '7 Serial No.
It is hereby certified for occupancy at the above described location and
may be occupied.
Date
w'
Director of Public Works
By
THIS CERTIFICATE IS VOID WHEN MOBILEHOME IS RELOCATED
White - Owner, Yellow - Installer, Pink - D.P.W.
F3�RM1T,!N/O. 432-78P,E
lo? -r17 4?
PERMIT EXPIRE 4at
}Charles DeLoach
OWNER'
COMT{it Tri V Const., Paradise
lOCAT,l4?t (A.P.; 64-23-17
.'.1Q Carnegie Rd., lot 86, PP#14, Magalia
f:
Temp. Power Pole
Called PG&E
Temp. Elec. Serv.
Called PG&E
Temp. Gas Serv.
Called PG&E
00
W-OOOJO B %
r FINALED J
(Date)
(Si gnat
M
Fo tin s
Stem all
Slab
Piers
Garage
Footings
Stemwa I I
Slab
Carport
Footings
Slab
Patio
Footings
Masonry Walls
Reinf. Steel
COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS
BUILDING INSPECTION RECORD
BUILDING BUILDINGf(Cont'd)
y
.PLUMBING
FiXewall
Sdkl Piping
Par4pets
1 t Floor
Restr om Finish
2n Floor
Window
3rd Noor
Sidina
To out
Roof SheAging
Water Pipiha
Roofing
Sewer
Fdn. Vents
Fixtures
Garage Vents
Insulation
Water Htr.
Heaters
Prov. for ph sical
—handicapped
Conformance of ex.
structure V
Appilances
Gas Piping & Test
Temp. Gas
Final
Sanitation
REP ACE
I Final
Foots
Fixtun
Motors
Mesh / I / MECHANICAL \ I Gird. FaGlt Prot.
Hea
F 1sh Dy&s
In rior Lath entilation
or Closer J#Inal
MOBILEHOME UTILITIES --------•--------- Elec- Service 7 i
Water Piping Sewer
BI EME INSTALLATION - - - - - - - - Support
Water Piping Drainage
DATE REMARKS OR CORRECTIONS
ServI96
T mp. Pole,
oder round
Permanent
Final
s
Elec. Pedestal
Gas Piping
Elea. Continuity
Gas Piping
(NOTE: An entry must be made on this form each time you vislt the job site.)
ECT
` - 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_ No
2. Does'the mobilehome have required clearances above ground? (Sec.5085) Yes V No
3. Are footings and supports properly sized, spaced,•dnd braced as p -approved plans?' (Note
possible variation at spring.shackles.) (Sec. 5082 & 5083) Yes_ No
4. Is the mobilehome level? (Sec. 5088) Yes/ No_
5. If more than a single unit, are crossover connections' -properly installed? (Sec. 5088)
Yes "o
6. Water
A. Is flexible connector of adequate size and properly installed (1/2" ID min.)? (Sec. 5566)
Yes ✓No
B. Test Does water piping.withstand.working pressure or•50 lbs. air test? Yes C ---No,
C. 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 i --,No
B. Does it have minimum '" per foot slope and is it properly supported? Yes "� No
C. Are any leaks detected in drainage system after running 3 -gallons of water through each
fixture including washing machine standpipe? Yes_ Nom%
D. 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" minimum
mobilehome connector not more than -6 ft, long? Note: All piping -is to be at least as
large -as the mobilehome gas line i" et without reductions other than the mobilehome
connector. Yes No
B. Test OK as per followinproced re? Yes_ No_
1.. Open all appliance c nnect r valves.
2. Shut off appliancAbeioan,
pilot valves.
3. Air test with man0"-14" water column, or test with slope gauge (minimum
6oz.-maximum 8'ozed in tenth pound increments. Test for 10min. without
drop.'
4. Connect gas meterome with connector, turn on gas, test connections with
soapy water.
C. Are all appliance vents properly installed? Yes No
9. Electrical
A. Is service large enough to provide adequate amperage -to mobilehome (must equal rating of
mobilehome with a minimum of X00 amp) and other facilities on lot, i.e., water pumps,
garage, cabana, etc.? Yes V No
B. Is there proper clearances around panels? Yes No
C. Is power supply cord,or feeder assembly properly fused? Yes_L_ o_
D. Is continuity test satisfactory as -per the following procedure? Yes _v No_
1. De -energize electrical wiring system of the mobilehome at the pedestal.
2. Make sure that the power supply cord or feeder assembly conductors, including neutral
conductor, have been disconnected.
3. Switch all breakers and switches in the mobilehome to the "on" position.
4. Connect one lead of a test instrument to the mobilehome grounding conductor and
apply the other lead to each mobilehome supply conductor, including neutral.
5. All non-current, carrying metal parts of the mobilehome (aluminum siding, gas line,
water line), including fixtures and appliances, shall be tested for continuity from
such equipment and the grounding conductor.
6. Upon completion of the above procedure, the power supply cord or feeder assembly
conductors shall be connected to the site service equipment. A further continuity
test shall then be made between the grounding electrode and the chassis of the
mobilehome. Upon satisfactory completion of the electrical tests, the lot or site
service equipment may be approved for energizing.
10. Is job card signed by Health Department for water.and sanitation?
11. If everything okay, sign off card and tag services.
MOBILEHOME DATA
Manufacturer and/or Namestyle /�i,,,; A P -P -t j �
Length 1rD Width
Vehicle Serial No.
State Identification No. & d,57'3 33
Additional Information or Comments: