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HomeMy WebLinkAbout064-650-003P. f�L.F Marvin n/s Nimshew Rd. app..l m: west of •-Skyway ermit ..2289--73 • •-(private••garage- on- -t- % --mobile-home-lot 64-65-03 Permi,t #305;,77B(deck/MH) i fdQQ 64-65-03 i Permit #3385-75P,E(util, MH) ELEC . J�/d /00 • _ GAS /,2 Y,176 SUP STRUCT REQ. COMPACTION TEST REQ. 0� 64-65-03 Permit #5400-75MHI Issued 64-65-3 Leon Marvin 6047 Partridge Way, Magalia contr: James McLaughlin, Magalia Permit #3198-81E replace exis.r elec . serv. f COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive Oroville, ,California 95965 - Telephone 916/534-4541 APPLICAf10NAND PERMIT ). PERMIT NO. ASSESSOR ..ARCEL n Ir"7f t� BUILDING PERMIT - OWNOZ,/'� y� C; r 1 I h TELEPHONE 3 -03e SQ. FT. OCC. „ BUILDING VALUATION OWNS MAI ING AD�SS A/ i O r C7yCTOR'S NAME ELEPHONE f0VINr CO TRACTOR'S AILING ADDRESS YV Fireplace CONSTRUCTION LENDER Q UNKNOWN Total Valuation $ Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER Al LICENSE NO. Plan Checking Fee $ Penalty $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Permit fee $ BUILDING ADDR,ESS a l 4 Y JJ/ PLUMBING PERMIT Filing Fee 10.00 t'-1 V Each Trap 2.00 Repair drainage or vent piping 5.00 1i� J 7a Water piping LOT NO. SUBDIVISION NAME 9PARCEL MAP Each qas water heater or vent 5,00 Gas piping system 1 - 5 outlets USE OF STRUCTURE •� SF ❑ Duplex ❑ Mobi lehome � Other SPECIFY Building sewer Lawn sprinkler system 5.00 TYPE OF WORK,,-/ New ❑ Addition E�Remodel ❑ Uti lities I� 1 stal lation ❑ Other ❑ Describe work: e_ I—A x IS I p,Q I 7�,./�� VX I r V I� Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service j00 AMP ORLESS5.00 ^y g V ��2a Main service EA. ADD'L 100 AMP 2.50 NEW CONST. /DWELLING OCCUP.y) OR ADDNS, ( ACC. BLDGS. 22 sq ft w CONTRACTORS LICENSE LAW I declare under penalty Of perjury (check one): ❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. ' License No. Classification ❑ I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑X I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONSTR U I -OUTLET 2.50 ea NON.RESID BRANCH CIRC ITS NEW .CONI (POWER POWER APPARATUS . D NONRESD. SINGLE OUTLET CIR / 50@25c Ex. Occup OUTLETS OR FIXTURES IBAL@100 Ex. Occup.(OUTLE TS P(RESID,)REA. 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 AS-, O Misc. Wiring 7.50 Permit Fee $ Contractor MECHANICAL PERMIT Filing Fee 10.00 WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. 0 I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: if after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply With such provisions or this permit shall be deemed revoked. Heating Cooling Hood 3.00 Ventilation permit Fee S Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the County of� Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against said County in consequence of the granting of this permit. �- ! �� % X //f YTit_;+ +� Date ""`�� Signature of Applicant — owner F-1Contractor❑ Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ , A TOTAL PERMaT FEE $ S () OCCUP, GROUP TYPE OF CONST. PARCEL PD HO ssuE This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which DRE NOH OAF PUBLIC By PERMIT EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS f Date I " Receipt No. r� l" WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT COUNTY OF BUTTE -DEPARTMENT OF PUBLIC WORKS PMNO 7 County Center Drive - Oroville, California 95965 - Telephone 916/534-45 �! APPLICATI(blN"ANI) PERMIT ASSES R y�R� L NU;BD 3 /� (, BUILDING PERMIT OWN TELEPHONE SO. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADD SS 1 CO T TOR' NAME g ELEPHONE ' *2 LCO T ACTOR'S AILING ADDRESS ( Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation Is Filing Fee $ 10,00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Penalty $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Permit fee $ BUILDING ADD;7S PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Repair drainage or vent piping 5.00 Water piping LOT NO. SUBDIVISION NAME9PARCEL MAP Each qas water heater or vent 5.00 Gas piping system 1 - 5 outlets USE OF STRUCTURE SF ❑ Duplex❑ Mobilehometr-'Other SPECIFY Building sewer Lawn sprinkler system TP-00 TYPE OF WORK New❑ Addition Remodel❑ UtilitiesE� I stailation❑ Other❑ Describe work: 2. S r Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 00V OR LESS 1 100 AMP OR LESS 5.00 o cL O i 1 Fr --7 Main service EA. ADD'L 100 AMP 2.50 NEW CONST. / DWELLING OCCUP.5i OR ADDNS. \ ACC. SLOGS. _ 2Q sq ft CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): ❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. License No. Classification ❑ I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ''I, as th6 owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NON -RESIT R BRANCH CIRCTITS 2.50 ea NEw CONSTR. /POWER APPARATUS 6) NON.RESID. SINGLE OUTLET CIR, 80@25C Ex. OCCUR(OUTLETS OR FIXTURES BAL.@1 FIXED APPLNS. OR EX. OCCUp.�O UTLETS (RESID.) EA. 2.00 Temporary service 10.00 Mobile Home Facilities 15.00�a Misc. Wiring 7.50 :-.1 Permit Fee $ Contractor WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ 1 have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. ® I shall not employ any person in any manner so as to become subject to the W! C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. MECHANICAL PERMIT FiIirig Fee 10.00 Heating Cooling Hood 3.00 Ventilation permit Fee S Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue againQs Cy t in o e ence of the granting of this permit. X Date PA'.1V_1P/ Signature f Applicant — Owner ❑ Contractor ❑ Agent ❑ An OSHA permit is req, ired for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stCries Mobile Home Installation Fee $ TOTAL PERMIT FEE , OCCUP. GROUP I TYPE OF CONST. I PARCEL PD I HD I ISSUE This permit is hereby issued under sions of the Butte County Code and/or work indicated• above for which D PUBLIC O� By PERMIT EXPIRES Daten the applicable provi- resolutions to do fees have been paid. WORKS Date, -' A— ,iinn'height. Receipt No. �� lo 1"- WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT % PERMIT NO: 305-7,7B PERMIT EXPIRES %4?z /-!n9ool OWNER L. F. Marvin ,CONTR. owner �LOCATION (A.P. N/S.Magalia Nimshew Rd., 9/10 mi.W.of Skyway, Mqp Temp. Power Pole Called PG&E Temp. Elec. Serv.,/--- Called PG&E Temp. Gasf�Serv. Caofd PG&E p LOB FINALED (Signa t,&fi6) COUNTY OF BUTTE — DEPARTMEMT'OF^PUBLIC WORKS . BUILDING INSPECTION RECORD BUILDING BUILDING (Cont'd) PLUMBING Setback Firewall Soil Piping Forms Parapets 1st Floor Main Bid Restroom Finish 2nd Floor Footin Windows 3rd Floor Stemwall Siding To out Slab Roof Sheathing Water Piping Piers Roofing Sewer Gara a Fdn. Vents Fixtures Footings Stemwal I Garage Vent Insulation Water Htr. Heaters Slab Carport Footings Prov. fored ysically handica Confor ance of ex. strut re Appliances Gas Piping & Teit Temp. Gas Slab Final Sanitation Patio 141REPILACE Final Footings Footing ELECTRICAL Masonry Walls Throat Rou h Reinf. Steel Final Fixtures Mesh Scratch Brown Finish Interior Latt Door Closer DATE SPR!jfKLERS =CHANICAL Cooling Ducts Ventilation Final REMARKS OR CORRECTIONS .." Sub anel Grd. Fa It Prot. Service/ Teryk. Pole Un er round P nnanent Fink . (NOTE: An entry must be made on this form each time you visit the job site.) .Y a COUNTY OF BUTTE - DtPARTMENT OF PUBLIC WORKS 7 County Center,Driv6— Oroville, California 95965 ��� / �f� Telephone: 534-4541 APPLICATION AND PERMIT M ` <�---- BUILDING OwnerSQ. FT. OCC. BUILDING VALUATION �-J Mailing Address - Telephone No. Fireplace Contractor Total Valuation Mailing Address Permit Fee Plan Checking Fee &/or Penalty Telephone No. Permit Fee $ p© Oi Building Address PLUMBING No. @ FEE PERMIT FILING FEE $3.00 /So / % 9//ff Each Trap 1.50 r Repair drainage or vent piping 1.50 Water piping 1.50 Q� Each gas water heater or vent 1.50 A. P. No. /!/� Zoning & Planning Gas piping system 1 - 5 outlets 1.50 Each additional outlet .30 Fe W. a FireDept . Fire Zone Use Permit Building sewer 5.00 EQA Parking Parcel Plans Declaration Parcel Ma P 60' R/W Im provements Lawn sprinkler system 2.00 Bldg. ans Recd �arcel Approval Plans Approval Permit Fee $ $ NEW la ADDITION ❑ UTILITIES ❑ OTHER ELECTRICAL No.1 @ I FEE PERMIT FILING FEE J$3.00 �C Main service 100V OR 00 AMP ORLESS5.00 Main service EA. ADD'L 100 AMP 2.50 Single Family ❑; Duplex ❑ Mobil Home Others ❑ Main service 1100EAMP oR LESS 25.00 Main service EA. ADD•L 100 AMP 1.00 NEW CONST- OR ADDNS. ( DWEA//CCNEW LBLDGLINGOCCUP. &) 2¢Sgft NON•RESID R l BRANCH CIRCUITS) 2.50ea NEW CONSTR. POWER APPARATUS &1 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: Ex. Occup(OUTLETS OR FIXTURES) BA@L��i` 09 Ex. Occup.FIXED APPLNS. OR (OUTLETS (RESID.) EA) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 License No. Classification Misc. Wiring 6.25 I am exempt from the Contractors License Laws of the State of California. Permit Fee $ $ WORKMEN'S COMPENSATION INSURANCE 1 am aware of the provisions of Section3700 of the California Labor Code which requires every employer io 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 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 @ I FEEPERMIT FILING FEE J$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 f the County of Butte to enter upon the abo e-menfi prop F r inspection purposes. v ,Z Date Si no re of Permit a or Agent Receipt WV.;�a.n P _ Vefl...._e_'_---- �-�------. TOTAL PERMIT FEE $ 0a 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 BLIC WORKS By Date l— Z6 —77 .Id :..n MH til. PERMIT NO. 3385-75P,E c P E M MH UTIL. 'PERMIT NO. PERMIT EXPIRES OWNER Leon Marvin CON TR. ;LOCATION (A.P. 64-65-03 ) n/ s Nimshew Rcl. , 1600' W. of Carnegie Rd.. s Maga. Fr •-4 / 51A�� 1j. a,1 l Temp. Power Pole Called PG&E Temp. Elec. Serv. Called PG&E . Temp. Gas Serv. Called PG&E 00 .Ios ! FINALED (Date) (Signatu e) V/ COUNTY OR BUTTE — DEPARTMENT OF PUBLIC WORKS BUILDING INSPECTION RECORD BUILDING BUILDING (Cont'd) PLUMBING Setback r /3 --%' Firewall Soil Piping, Forms Parapets 1st Floor M in Bldg. Fkestroom Finish 2nd Floor F tings Wi ows 3rd Floor ---- Stem all Sidin To out Slab Roof Sheat Water Piping _ /3 -- 'i 7 Oyt Piers Roofing Sewer eq Garage Fdn. Vents Fixtures Footings Garage Vents i Water Htr. Stemwall Slab Prov. for I sically handica oeed Heaters ---- Appliances Carport Footings Con mance of ex. structure Gas Piping & Test Temp. Gas Slab Final .r / — 7 7 Sanitation Patio _ FIREPLACE Final Footings Footing f r Vtc ICA , Masonry Walls Throat Rou h Reinf. Steel _ I Fixtures FIRE SPRINKLE Framing Stucco Test Final Water Htr. Subpanels Mesh M H ICAL Grd. Fault Prot. Scratch Heating Service 3 Brown Cooling Temp. Pole - Fin! Ducts Underground Interi r Lath Ventilatio Permanent Doo Closer Final Final DATE REMARKS OR CORRECTIONS ke 9 i�� C� 1,13, 777-e- ACA©w ;ACA CA' G I A c. 7-o Av r-rh , C4, p ���% ~ � --/ �� ��q. INTER -DEPARTMENT ROUTE SLIP To FROM DATE IF RUSH. OR SPECIAL. 60 INDICATE BELOW 3'. When recorded mai I- to:` Leon F. Marvin Sarah Marvin Nimshew Road Magalia, California 95954 ()FF1(;W_ f0' ,• COflDS Mi 11`1� 1�"-CtLIF %110VALLEY THIE PUND 1"iGNOW COMWAA, FEB 13 1136 Aft 1916 r Af b LOUIS',` KILUE*IeDER NOTICE LIMITING WATER USE COUNTY REMRDER FEE NOTICE IS HEREBY GIVEN by LEON F. MARVIN and SARAH 21920 MARVIN, husband and wife, that the water provided to the mobile home situated on the parcel of property more parti- cularly described in Exhibit "A" which is attached hereto and incorporated herein by reference as though, fully set forth, has its source on a well located on adjacent property more particularly described in Exhibit "B" which is attached hereto and incorporated herein by reference as though fully set forth and is for the sole use and enjoyment of GRANTOR. Said rights do not run wit} the land and will be terminated upon the sale by ,EON F. MARVIN and SARAH MARVIN of that parcel of property described in Exhibit "AIS. This Notice is intended to give actual and constructive notice of such limited water use conditions to any subsequent purchaser of that parcel of land more particularly described in Exhibit "A". 1. STATE OF CALIFORNIA) ss. COUNTY OF, BUTTE I T On 'December 22, 19,75 before me, the undersigned, a Notary'Public ih,and for &aid' -State, persona 1:'.appeared LEON F. MARVIN and SARAH MARVIN",'11k;-hown .to me to be the pers6ns whose names. subscribed to the within ins acknowledged and acknowdged thate theyexecutedthe same. WITNESS my hand and official seal. e -A FIC11�1, SEAL, fflrl LER NOTARY PUBLIC GLORIA A. V NOTARY PUBLIC - CALIFORNIA BUTTE COUNTY Ic My comm. enires NOV 23, 1979 ii 5757 Almond St., Paradise, CA 95969 C_ "I IT"- 1 !"i'TON: -Vii zlia;: Cortaill I -Cal propcvt�Y situate ill tilclCounty of, Butte, :Mate Of cribcd as O]C U a lo I. lows a,t tilic is st CjL;ar-C.Cr C 0 17 1 r SCCt i01-1 1.11, C ;h, i C) 'r t, I 3 iL',,st J B Ci' '.."i ad -11',; ;�-Ll o I I I C 0" C� I S"-C'Cly ) I C . - ZE •t11011CO follo�%,J. , lino G. :,iilci Sect- 0.1 14, 0' 171 00 Eor. ")'3�.'.'16 Sol C t', Z:,! C Cu i 7 .mast and parallel zu c:ic ,...:1st and i'O:csl- CU11LO-Cl. . L110 Ci; I - S i cc oil lilt TOr 285.06 fect -,:c. ti -IC true p'ci-nt Or• 1,';1'C..1 0 al -I (A' 110 rO ill L1O!;C]:1JLDO"-saia 'cruc l) o:L nt c) 1: i) c -'a c n u :1N o 47" E a s t for r 29 2 S :* o u u .lost an a,:aliol to Lao ��Iosterly �ondlurylinco--said Sec -,:Jan A4 Ur pep 3 -' 7 9 1 1C c, t t o a Joint in t;'! 0, C 0 11t a r i 111 C 01 Z 1e :• i,uo- a 11 i a :L S 'A I e v., CO ri-C o --,C 0 .,7,D 01.., -eriinc of s�,.i "oad Sout'i 0 - i ng a 1 on i e C:. n t 0 l:) SS :i9Si i0: 26S. 6 -.1. fcot ; t -c -,,,,cc S'outl;i 800 291 3i:-11 C,I, s4a -L" roau ccateriii e and Nort,'%, 0' i7l 00" East and p a -1- a C i :.0 e S te 1- 1 y b0";1', L! a r n a of s a J d S e c t- i on f o r 354.38 -1­eet zo tae true Oi:",L 0i 1) 011 111,1 lilt, R Wi li-1 tae riltrl,,t of .'v;ay 10r ro-dway and public Utility -pur-poses to 0 us e d i1 Co;-l"r.1011 Otilers .Over -, S'L-,4j_ n 01 land 60 fect i;-, wAJdt4'-,, ly.-*Lj-,.., 3J o or, citaor side o--!-' 't,�'le 71E'oiioai-.-lg "'oscribod centerline: T T V ,, -'10 '�.0 -least coraer 01, "; above ove descrJoed parcel and,: , Illi i/Ce S 0 U t "-1 :::J° -J-11 47!1 't'iest Or 292.25 t4he11ce South 0' 171 0011 4,10, s t Or 3J ,Jv it C. t t0 a point Ln the cc lite 1- 1 i" C U'1 t-lile 1 i a -,N, inish'a IV C C, U., I t y oac alncl taa and o said road centarlirle . 4-A All that certain real property situate in the County of Butte, State of California, described as follows: L portion of the Southwest quarter of SOction 14, Township 23 North. jange 3 East,M.U.U. & M., moro particularly described as followsf COMMENCING at the 102st quarter corner of said Section 14; thence following niong thn Wobterly boundary of said Section 14, South 01 17 00 West 332.36 Met; thunce North 29' 41' 47" Vat parallel to tho East and West centerlinr,-.. of'sKa Sc6tion 14, 319.75 Met to the true point of beginning for the parcel heroin Ononribed; Mnce from said true point of beginning, continuing North 59' Oil 47 East 257.50 feet; thenco North 0" 17 00" East 33MG feet to z-: poWL in the East and Went cantfes. linc of said SectWn H; thence South 80 411 17 kcat Yong said centerlina 257.50 feet to a point; thence South 00 171 00 Wost 336.36 feat to the true point of baginning. A&SERVING TIMREFROM is right of way for road and public utility purposes ovar the Southerly 30.00 feet thereof. TOGAT2ER UYTH a right of way for road and public utility purposos to be used in %. :KA others over a strip of land 60.00 feet in width lying 30.00 feet on cither side of the -following described line: Pj% -* 2 SO P'nromNIXG at the Southeast corner of the above parcel; thence South G.qljl—"TN '12 47" Wont 202.25 feet; thence South 0' 171 00" oest 354,30 feet to a point . irg Zin tho centerline of the Magalia-Nimshew County Road and the end of said TIC, canterline. �AXCEPYXNG FROM,said right of way any portion there6f lying within the abovoL 84 "' describad parcel. RZOPUNG THEREPROM all oil, mineral, gos and other b-.�,,- wlhzatso- cv6r un `e known that may be within op under the parcel 6f land herainabovo Aoscribod below a depth of 500 feat, without howaver, the right of surface entry. I j v COUNTY OF BUTTE aV r l —7 DEPARTMENT OF PUBLIC WORKS 695 Oleander Avenue, Chico — Phone 343-4211, Ext. 7) 7 County Center Drive, Oroville — Phone 534-4541 'r 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. C a Inspector — Date j 1. 3 3 e5'-75 �F -�-;5--yc)u-7s,x-I�-(Z SECONDARY JOBS • No full-time employee sha; activity which is incompa- such employee who engages for compensation shall in of such activity. The aclr Personnel Director, who w. istrator whether or not s County employment. SMOKING Provisions have been made during their working day. their supervisor to learn Employees are not allowed ing nursing stations, hose less authorized by the di, COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 7 COUNTY CENTER DRIVIP 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 t` number ' �Iq � _ 'for the following location: �V �/ ��� l G�/. C%1tiv►�r_ /,o �� . .vf�/'.:/��. rs',af� f'tl-Lr ,rss Owner -/- P/(''IQ' lh V Owner's Address A//Al qa.0 a14 Mobilehome Mfg. ��'�'�� %l/�l•� Model ''// z,n Year Insignia No. �7 % . Serial No. 17 J % 1 It is hereby certified for occupancy at the above described location and may be occupied. Date Director of Public Works 2112 By THIS CERTIFICATE IS VOID WHEN MOBILEHOME IS RELOCATED MOBILEHOME INSTALLATION INSPECTION CHECK LIST 1,e• Is the mobilehome located witl required'separation from lot lines and buildings and generally conform to plot plan? •YesNo J'2. Does the mobilehome have required clearances above ground? (Sec.5085) Yes/ No 3. Are footings and supports properly sized, spaced, and braced as pe approved plans? (Note possible variation at -spring shackles.) (Sec. 5082 & 5083) Yes v No 7' npnr-- 4. Is the mobilehome level? (Sec. 5088) Yes 1, .1 No 7 5. If more than aunit, are crossover connections properly installed? (Sec. 5088). Yes No 6. Water A. Is flexible connector of adequate size and properly installed (1/2" ID min.)? (Sec.. 5566) Yes /. \To B. Test - Does water piping withstand working pressure or. 50 lbs, air test? Yes 1," No - C. Backflow - If//��c�ac is not State of California approved, does station have backflow device and pressure��livalve? Yes 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 4" per foot slope and is it properly supported? Yes P", No C. Are any leaks detected in drainage system after running 3 -gallons of water through each ! fixture including washing machine standpipe?..Yes No e D. If coach ;; t State of California approved, does station•have required trap and vent? Yes 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 beat least as large as the mobil home gas line inlet without reductions other than the mobilehome connector. Yes No B. Test OK as per. following procedure? YesC No GAS Lest41 ')K/CCAc��` 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 9. E1iectrical 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 L -"No B. Is there proper clearances around panels? Yes !/No C. Is power supply cord or feeder assembly properly fused? Yes 1�No D: Is continuity test satisfactory as per the following procedure? YesNo 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 �rB,a+ 7-- .� /fie s Length.. Width / Vehicle Serial No. 14 �6 i / State Identification No. 7 )Z !j Additonal.Information or Comments: COUNTY OF. BUTTE — QEFARTMENT OF PUBLIC WORKS' / �7� /157 County Center Drive — Oroville, California 95965 y (� Telephone: 534-4541 APPLICATION AND PERMIT out, wi,cc 17VIVOcniau vc ui lilt: VUWIIy ui 01.11.1t; lU UNLUF UpUll LHU above-mentioypl prop y for inspection purposes. ~X G Si nature of Permi Receipt o.� White-D.P.W. - Yellow/As T.c _I e6 Date Z */>-0/7J or Agent sessor — 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 OFUBLIC WORKS Date_ -3-2 j_~ 7/ uiIding permit expires Date _ 7 -`Z, -77 BUILDING Owner /C i�07y SO. FT. OCC. BUILDING VALUATION Mailing Address c/�� Z9/�2 Tele hone No. 229 Fireplace Contractor Total Valuation Mailing Address Permit Fee Plan Checking Fee &/or Penalty Telephone No. Permit Fee Building Address/s w PLUMBING No. @ FEE PERMIT FILING FEE $3.00 O 00 64Xf Each Trap 1.50 O Repair drainage or vent piping 1.50 Water piping 1.50 Each gas water heater or vent 1.50 A. P. No. Zoning &Planning Gas piping system 1 - 5 outlets 1.50 Each additional outlet .30 F W. Fire Dept. Fire Zone Use Permit Building sewer 5.00 EQA Parking Plans Parcel Declaration Parcel Ma 60' R/W Im rovements p Lawn sprinkler system 2.00 Bldg.P Parcel A�proval Plans pproval Permit Fee $ NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER ((]� ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 j/2 y,t 335 — 7,T Main service incl. 1 meter 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 2U 1Wd2 Receps„ switches & fix outlets 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 Mobil Home Facilities 5.00 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 $ $ 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. ti 1 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. @ FEEPERMIT 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 TOTAL PERMIT FEE $ 30 out, wi,cc 17VIVOcniau vc ui lilt: VUWIIy ui 01.11.1t; lU UNLUF UpUll LHU above-mentioypl prop y for inspection purposes. ~X G Si nature of Permi Receipt o.� White-D.P.W. - Yellow/As T.c _I e6 Date Z */>-0/7J or Agent sessor — 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 OFUBLIC WORKS Date_ -3-2 j_~ 7/ uiIding permit expires Date _ 7 -`Z, -77 1. 2: 3. 4. 5. 6. 7. COUNTY OF BUTTE Department of Public works 7 County Center Drive, Oroville, California PHONE:.534-4541 th = MOBILEHOME INSTALLATION INFORMATION rn rt n 0 rt O rt t1 F' - C (D E Lot Facilities Mobilehome Data Plot plan dimensioned, location of mobile 1. Length S"o' Width /O and utility tonne tions? Manufacturers Yes No Vehicle Serial No. '�� 9/ Electrical. service equipment ampacity, Insignia Control Na. �/,7 2411,t Circuit breaker ampacity 2.' Feeder assembly'ampacity Permanent Wiring Connection Conduit size O Ampacity Power supply cord (amp c Receptacle Ampacity 3. Gas inlet size Gas: Natural LPG X Mobilehome connector sizes Gas riser size -7/1-/ Capacity Drain inlet size `� 4. Drain connector: describe on reverse side 47ater riser size !-j 5. Water.connector: describe on'reverse side Are utility connections'located outside 6. Designed loads: the rear 1/3 of the mobilehome.within Roof live load psf. 4 feet of the left wall? Yes X No [Mind load psf. If not,- show dimensions. above. (only for robilehomes manufactured after Is the mobilehome clear of septic tank, October 7, 1973) leach fields and located outside public 7. Manufacturer's installation instructions? utility easements? Yes )( No Yes No Do you propose to do other work on the g. Will the mob11& home be installed on a property other than the mobilehome installation which will require a permit! separate support structure? Yes Yes No X --No If so, specify *For plans and specifications of support system, see other side.- LOAD BEARING SUPPORTS ADDITIONAL COif,%'."'dTS Drain Connector, Describe_ 3 " _ S , Water'.' Connector, Describe ;7,�k LOAD BEARING SUPPORT AND i� OUTING INFOATION Pier Spacing Used S�l Maximum Pier Load _ ;"4n Maximum Column Load (multi -units only) S Soil Bearing Capacity. Footing Dimension Usod, /.•3y.+ lot )VA&^" TYPE OF PIER? USED t Q Steel Concrete Concrete Block X Other TYPE OF FOOTING MATERIAL USED Pressure Treated Wood Concrete p� r Redwood (Grade) Other Approved Type a �` BU7TE COUNTY BUILDING DEPARTMENT APPROVED COUNTY OF BUTTE — , DEPARTMENT OF PUBLIC 7 County Center Drive — Oroville, California 95965 Telephone: 534-4541 APPLICATION AND PERMIT 13,3 ;�5� 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. Vr X Date Si nature Sf Pe iitee or Agent ReceipeNo. f,_S y !S w White-D.P.W. — Yello -Assessor — Pink -Inspector — Goldenrod -Applicant Gv TOTAL PERMIT FEE $ �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. DIRECTOR OF PUBLIC WORKS By Date Building permit expires Date BUILDING Owner Lr SQ. FT. OCC. BUILDING VALUATION Mailing Address O Telephone No. Fireplace ContractorTotal Valuation Mailing Address Permit Fee Plan Checking Fee &/or Penalty Telephone No. Permit Fee Building Address,. PLUMBING No.1 @ FEE PERMIT -FILING FEE $3.00 4 Each Trap 1.50 V71 A_ Repair drainage or vent piping 1.50 Water piping Each gas -water heater or vent' 1.50 A. P. No. _ Zoning Gas piping system 1 - 5 outlets Each additional outlet .30 F S n Fire Dept. Fire Zone Use Permit Building sewer _r EQA Parking Plans arcel Declaration Parcel Ma p 60' R/W Im rov ents p Lawn sprinkler system 2.00 r= Bldg. Plans Recd Pa pproval Plans pproval Permit Fee $ NEW ❑ ADDITION.[] 'UTILITIES OTHER ❑ ELECTRICAL No.1 @ FEE PERMIT FILING FEE $3.00 Main service incl. 1 meter ir_ p Additional meters, each `1.00 Sub -panel (12 or less) (more than 12) Single Family ❑ Duplex ❑ Mobil HomeLQWJ Others ❑ Range, Cook -top or Oven 1.00 y, _ F—� Water Heater or Space Heater 1.00 Light fixtures b a2 10 Receps., switches & fix outlets 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. d i sp. or D.W. 1.00 Air conditioner or heat pump Water pump Mobil Home Facilities 5.00 Temp. Power Pole 5.00 License No. Classification Misc. wiring ® 1 am exempt from the Contractors License Laws of the State of California. Permit Fee $ WORKMEN'S COMPENSATION INSURANCE 1 am aware of the provisions of Section3700 of the California Labor Code which requires every employer to be insured against liability for Workmen's Compensation. ❑I have placed on file with the County of Butte a certificate of Workmen's Compensation Insurance. I certify that in the performance of the work for which this LR 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 1 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-mentioned property for inspection purposes. Vr X Date Si nature Sf Pe iitee or Agent ReceipeNo. f,_S y !S w White-D.P.W. — Yello -Assessor — Pink -Inspector — Goldenrod -Applicant Gv TOTAL PERMIT FEE $ �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. DIRECTOR OF PUBLIC WORKS By Date Building permit expires Date