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064-350-003
64-35-3 William Hefner 45 Decatur Dr., lot 258, PP#4, Magalia contr:. Sierra Dev. & C onst., Magalia Permit 1.2ti7?-78P,E(util�. ,MH) ELEC ."9 GAS _ SUPP R STRUCTURE REQ. V40 COMPAE TES RE . 64-35-3 Contr: SOS MH -Ser, Paradise Permit #16.-7 MHI Issued V' — F k 64-35-3 William Hefner 45 Decatur Dr., lot 258, PP#4, Magalia contr:. Sierra Dev. & C onst., Magalia Permit 1.2ti7?-78P,E(util�. ,MH) ELEC ."9 GAS _ SUPP R STRUCTURE REQ. V40 COMPAE TES RE . 64-35-3 Contr: SOS MH -Ser, Paradise Permit #16.-7 MHI Issued V' — w c .�t.:, v V L �I � 5 ` � 1 , x J ry 4f r. MOBILEHOME DATA Manufacturer and/or Namestyle i Length" ` J �t Width o� 7 `• Vehicle Serial No. State Identification No. Additional Information or Comments;' T 0 9. Electrical 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. 0{1 lot, i.e. , water pumps, garage, cabana, etc.? Yes No B. Is there proper clearances around panels? Yes No C. 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 f'ested for continuity from such equipment and the grounding conduct6r. w 6. Upon completion of the above procedure, the power supply cord'or feeder assembly conductors shall be connected to the -.site servile 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 Length" ` J �t Width o� 7 `• Vehicle Serial No. State Identification No. Additional Information or Comments;' T 0 t N1,nBILE.HOME INSTALLATION INSPECTION CHECK LIST 1. Is the mobilehome locatedh required separation from lot lines and buildings and generally conform to plot plan? YesNo 2. Does the mobilehome have.required clearances above ground? (Sec.5085) Yes4No_ 3. Are footings and supports properly sized, spaced, and braced as per anroved plans? (Note possible variation at spring shackles.) (See. 5082 & 5083) Yes_ 4. Is the mobilehome level? (Sec. 5088) Ye\ No 5. If m e'.than a single unit, are crossover connections properly installed? (Sec. 5088) Yeso_ 6. Water A. Is f able connector of adequate size and properly installed (1/2" ID min.)? (Sec. 5566) YesNo B. Test - Does water piping withstand working pressure or 50 lbs. air test? YesK, No C. Backflow - If co s not ate of,Ca fornia approved, does station have backflow device and pressure -relief v s No 7. Wastes and Drains000 ` A. Is connection 4ade with Schedule 40 DWV and have flex connectors at each end? Y �, No B. Does it have minimum k" per foot slope and is it properly supported?.YeX No C. Are any leaks detected in drainage system after runni gallons of water through each fixture inclu g washing machine standpipe? Yes Nq D. If coach is of State of California approved, does station have required trap and vent? Yes No !\ A 8. Gas Piping and Gas Vents A. Connector - Is mobile\connect cted to the ga supply with ari approved 3/4" minimum mobilehome connector han 6 ft, lon ? Note: All piping is to be at least as large as the mobilehoe ililet with t reductions other than the mobilehome connector. Yes_ No B. Test OK as per followure? Yes No 1. Open all appliancr valves 2. Shut off appliance burner an pil valves. 3. -Air test with manometer to 10"- " 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 mobilegome withc�Qnnector, turn on gas, test connections with soapy water. / C. Are all appliance vents propely installed? Yew No 7., COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 7 COUNTY CENTER DRIVE I OROVILLE, CALIF. - 534-4541 .f CERTIFICATE OF OCCUPANCY This mobilehome has been installed in accordance with the requirements of the lif�orgia— inistrative Code, Title 25, Chapter 5, under permit numbee •'PPP'- '1 fo the fo owing location: `�_� Owner Owner's Address Mobilehome Mfg. Model Year Insignia No. 619-l1/`% ,l !l /9' Serial No. It is hereby certified for occupancy at the above described location and may be occupied. Director of PublicWorks Date By 9 -- THIS CERTIFICATE IS VOID WHEN M0141ILEHOME IS RELOCATED White - Owner, Yellow - Installer, Pink - D.P.W. COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS .•�. e. BUILDING INSPECTION RECORV. ✓ BUILDING BUILDING-(Cont'd). \ PLUMBING NEemlical FIN wall S k l Piping Para ets AA Floor g. Restro' m Finish 2nd loor ' s Window �, 3rd F � or l Siding \ To out Slab Roof Sheat ng Water Pi in Piers Roofing Sewer Garage Fdn. Vents Fixtures Footings Garage Vents Water Htr. \ StemwaI I Insulation Heaters Slab x, Prov, for physicall '� Appliances V 4 Carport handica ed - p Conformance of ex. Gas PI Ing & Test \ 3:Footin s structure Temp. Gas Slab A Final Sanitation \ Patio IREP�CE Final Footin s FootingELECTRICA �� Masons Walls Throat Rough \ Reinf. Steel Final \ Fixtures \ Bond Bea ' FIRE SPRINKLEF& Motors \ Framing Test Water Ht/ \ Stucco X Final Sub an Is Mesh MECHANICAL Grd. Wault Prot. \ Scrallh Heat Sery e Bro n Coo ng \ T mp. Pole F ish D is nder round filArlor Lath mtllation Permanent door Closer]finalJ/,Final MOBILEHOME UTILITIES----------- ------ Elec. Service Elec, Pedestal 6 -7 N 71 Water Piping ✓ Sewer 2L Gas Piping KLL _QPjLEM IN TALLATION - - - - - - - - - - - - - Support Elec. Continuity ^7. el Water Piping L Drainage Gas Piping [SATE REMARKS OR CORRECTIONS o (NOTE: An entry must be made on this form each time you visit the job site.) . -COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WOR S � 9�� 7 County Center Drive — Oroville California 95965 Telephone: 534-4541 APPLICATION AND PERMIT auinorize representatives of the county of t3utte to enter upon the above-mentioned property for inspection purposes. �r ["Date ?2- �/� �.' 61Signature of Permitee o Receipt No. /7452 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. /"'1),DJRECTftR,0F PURWC WORKS Building permit expires Date BUILDING Owner S SQ. FT. OCC. BUILDING VALUATION Mailing Address Telephone No. Contractor Mailing Address _Total -.Fireplace Valuation Pak I Tele hone No . Permit Fee Building Address Plan Checking Fee&/or Penalty Permit Fee PLUMBING No.1 @ FEE PERMIT FILING FEE $3.00 Each Trap 1,50 �� Repair drainage or vent piping 1.50 / A. P. No. (O— Zoning & Planning Water piping 1.50 Each gas water heater or vent 1.50 Neesa__C* Sanitat'io� Fire Dept. Fire Zone Use Permit Gas piping system 1 - 5 outlets 1.50 EQA Parking Plans Parcel Declaration Parcel Map 60' R/W I Improvements Each additional outlet .30 Building sewer 5.00 Bldg. ans Recd Parcel A Plans oval Lawn sprinkler system 2.00 NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER permit Fee $ $ V- B -' J ELECTRICAL No. @ FEE •Main PERMIT FILING FEE $3.00 service 600V OR LESS 100 AMP OR LESS 5•00 Single Family ❑ Duplex ❑ Mobil Home oe'Others ❑ Main service EA. ADD'L 100 AMP 2.50 Main service OVER 600V 25.00 100 AMP OR LESS Main service/ EA. ADD•L 100 AMP 1.00 NEW CONST.DWELING OR ADDNS. ( ACCLBL GS.CCUP. 4) 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 style of: _ rS_ ��� '� �e�l?V NEW CONSTR BRANCH CIRCU NON-RESID. ( BRANCH CIRCUITS) 2.50ea , NEW CONSTR POWER APPARATUSB, NON-RESID• SINGLE OUTLET CIR, @ 254t Ex. OCCUI)(OUTLETS OR FIXTIIRES B 1FIXED ALNS. Ex. Occup. ( OUT ETS P(RESID,)REA) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 ,, License No.g R'96f&19 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. �Ta 1ve placed on file with the County of Butte a certificate of Workmen's Compensation Insurance. lecertify 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. @ I 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 AA, Is -30, TOTAL PERMIT FEE $ 1 0111 auinorize representatives of the county of t3utte to enter upon the above-mentioned property for inspection purposes. �r ["Date ?2- �/� �.' 61Signature of Permitee o Receipt No. /7452 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. /"'1),DJRECTftR,0F PURWC WORKS Building permit expires Date 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 ) OR Is the site an existing site? Yes / / No (If yes, furnish two (2) plot plans.) Ir 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 /ice/ No (If no, clarify �- ) - ,•». --":s--i'..�f .___,_,;....,a.. �. --.. ....ti.._ .c. -..., -r t+. t ,.da .;.a..-•,.. ,1-..... ..� _ _„w"...,. t-. ,,, _ _ i.. �_ T .. r :o-..�.. � '.«. (-:..wr.r-s..w`... -:swah�.' �' - �y:^�n-"..ate-,x�,.+.^,F`,.,hs,..e'tic:*� R'�.".m-"�!�F+r�t�+.+rtrini.."'pt".�,R."i♦. - r,♦r.,+- ..'+-�-'-*:s+r ..,..�^. �«-�T. � v 5. What is the mobilehome electrical rating? -------------------- Amps - 6. What is.the mobilehome site service rating? -----=- ------ ='-- Amps 7. What is the mobilehome site circuit breaker rating? ------------ %� Amps 8. Is''there any. other .electric load to be served by the mobilehome site service? ----------,-----------------,--------------- ------- Yes / / No (If yes, identify the load..and size: (Load) s) 9. What, is the mobilehome site gas pipe size? ----------------- --- L (in.) 10. What is the type of gas service? -------------.---------- ----- Natural / / LPG -//---f 11. What is the gas pipe length"from meter or tank to t mobilehome? ft,) 12, What is the mobilehome gas demand? --------------- -------------- (BTU) (This information not required if pipe lengt less�th 6 ft tray g - or less -than 50 -.ft.. on LPG.) t 1' MOBILEHOME SUPPORT DATA Mobilehome Mfr. Lep/2_,.1 1. Setup Model No. Year Width _(ft.) Length -(.ft.) .-Expando .Size ft.x ft. (Draw support details below).. On all mobilehomes manufactured after October'7, 1973, furnish manufacturer's installation manual an structural�sheets. .(.if not on .file with the. County Butte) . *N - Sin le t �� "� Footings (check one) _ / u7 1. Wood. either i pressure treated or C nter Center Support fdn. grade. S pport Footing Sizes W Lo ations (in.) � 2..Concrete pad. r,, 1 x / / 3. Other,:specify in. i j iri. •b Supports (check one) Concrete block 2. Concrete piers (!ft Tn� �(in.)(in.) . 3. Steel piers 4. Other, specify j____ ( In ttx ` --- Typical Support t li Footing Size (3n. . (in.) I j { -Gil MSpacingr (in.)(in.) �. , �� Max. Overhang T *If center piers are other than drawn above, draw in locations, spacing, and dimensions. BUTTE COUNTY BUILDING DEPARTMENT APPROVED %a- COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS ' 7 County Center Drive — Droville, California 95965 Telephone: 534-4541 APPLICATION AND PERMIT ,7k n tur - Tent Date ►► l.S� ....,. 1., 1. 11— BY Signature of Permitee or Agent Date Receipt No. / :7 —7:�K ` 7 White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant Building permit expires Date �6— 6 —7 BUILDING Owner SO. FT. OCC. BUILDING VALUATION Mailing Address ' Telephone No. Fireplace Contractor r LA Pu U Total Valuation Mailing Address7 �G�' Permit Fee Plan Checking Fee &/or Penalty► ep one o 'I eQVf t Permit Fee $ Building Address ViQ PLUMBING No. @ FEE PERMIT FILING FEE J$3.00 Vp MAGA 1,'A VA tir. ff um" '4 Each Trap 1.50 • /� (' ol div Repair drainage or vent piping 1.50 Water piping 1.50 ar QO Each gas water heater or vent 1.50 •� �^ „^ ^Z A. P. No. ` / J j� Zoe Gas piping system 1 - 5 outlets 1.50 Each additional outlet 30 Fges vo Saot on Fire Dept. Fire Zone Use Permit Building sewer 5.00 EDA Parking Plans Parcel Declaration Parcel Ma P 60' R/W Im rovements P Lawn sprinkler system 2.00 Bldg. PQ.dt^ Rec'd ParApproval plan proval Permit Fee $ QlJ $ NEWADDITION ❑ ❑ UTILITIES OTHER ❑ ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 O10 Main service io00V OR o AMP ORLESS5.00 5 Main service EA. ADD'L too AMP 2.50OVER Single Family ❑ Duplex ❑ Mobil Home Others ❑ 600V Main service 1100 AMP OR LESS 25.00 Main service EA. ADD'L too AMP 1.00 C NEW CONST. OR ADDNS. DACCLBLDGS.LING CCUP. &) 20sgft NEWNON•RESID R ( 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 style of: J 6d Lik- ✓►'I Ex. Occup(OUTLETS OR FIXTURES)BAL@1 @�Q oo Ex. Occu FIXED APPLNS. OR P•(OUTLETS (RESID.) EA) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 6c0 Li -ense 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. 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 $ $ 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 -me tinned property for inspection purposes. (JJ,� D r' � -. > > P/ TOTAL PERMIT FEE $73 10 This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. fIIRGr TnD nG D( (CH (r wnoLIc n tur - Tent Date ►► l.S� ....,. 1., 1. 11— BY Signature of Permitee or Agent Date Receipt No. / :7 —7:�K ` 7 White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant Building permit expires Date �6— 6 —7 dpQ$i�iici+fiorts-AiMUST`be:: vept on the lob oi.OR iiffies and it is unlawful to,. mAe any changes• os elt•rationron same without .17 ijAKE Td /oG/i` written peen"issfiaa from i6 boporfinent of Public. ' 41. P L O r q. tiG' fly:' i 9f M E.' W"W -A%f•i NES 12, R S66W&k-'skafl be E W-frarri the. nt'.:riine, of the read;; perMittin`g o oxi- I�N� • uV ATEA !.;.I ; urrm�of a 2 ft. eave overhang•but en 'rely �. 1 ,SE?nC .�.y.,�QD&A4, TA()V- i o t to e _ sr };� � /J ,i ra.- Ff .;OA' �. 0ir i��'T e;aTo•..N a �: Wom Fp. Ely— .` � .•�' .�, �Z � %. \�� SKS 'A(S:, %, '��� ;•I .W � ] 0. .y �!.., . •: „' fir' ,:: '�.•: A; � ¢ O'• t .-zj. �O/ ® •. Q CLI F a'Lvim. so'� • t`. " a . de Me /. heti . MUM 'Pt ,�, R�TURAI -C© NRS, r ` 77 ,C (�IOTt<:A3ve�c�, eC<a�".•.mr�nsp Sib. ;,:,' , s A DRESS,___._. r Accordance V� , .:i :: Kti.tcc_;ntzc� ' �'�idd t'ractices sand . of a qualify of i i:6 Specifics use in the Sy Uniform (3uilcii ,g; ` 1� :�inq& i>+9echanicrsl Codes and 4PPROVAL FOR LOT DEVELOPMENT. ONLY the NO ticoai Glee ric' cf Cecla• - ; I LEVATIONS .MUST BE-:-.,:-'SUBMITTED ,PRIOR STRUCTURAL APPR6vAL , . BUTTE COUNTY , BUILDING DEPARTMENT ' TERRA t*v tOPM Fa Alb q59 P.O. BOX 776 MAGA`''CAPPRO\PHONE ll F►73.17 ..