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064-710-030
-' 64-71-30 en` Smith 7 %eo 1 O,Par go Ct.,&Moduiar PPS Magaliaontr: Paradis Concepts,Para. c �+ ermit X1118-77P,,E(util.,MH) ' LEC. GAS t UPPOR ,.STRU.CTURE,.REQ. r COMPACTION .TEST REQ. �� I:C/�' e 64-71-30 #' 't--,c©ntr: Paradise -Modular ConceptsPar ` Permit #2459=77MHI , Issued- S::,-5/_)%� I VA- T - - ' PERMIT N0:' 1118-77P,E PERMIT EXPIRES OWNER Ben Smith CONTR. Paradise Modular Concepts, Paradise LOCATION (A.P. 64-71-30 20 Fargo Ct., lot 69, PP#2, Magalia • i' t N t?4 v. Temp. Power Pole Called PG&E Temp. Elec. Serv. Called P.G&E Temp. Gas Serv. /,,6 Called PG&E BINALED (D e) } (Si tune) 4 , i , i0B1-i,l?Ii0M-E 'INSTALLAT'I(M INSPECTION CHECK LIST 1. Is the mobilehome located �a�i.lay�eciuired separation from lot lines and buildings and generally conform to plot. plan?" Yes !/ No ?_, Does the m )L- il.ehome have required clearances above ground? (Sec.5085) Yes 3. Are foot.in;s and supports properly sized, spaced, and braced as pe proved plans? (Note possible variation at spring shackles.) (Sec,508 & 5083) Ye No 4. Is the mobilehome level.? (Sec. 5088) Yes_ No� 5. If mornhan a single unit, are crossover connections properly installed? (Sec, 5088) Yes G' No 5. Water A. Isfl i.ble connector of adequate size and properly installed (1/2" ID min.)? (Sec. 5566) Yes No B. Test - Does water piping withstand working pressure or 50 lbs, air test? Yes No C. Backflow - If coach is not S5A0 ifornia approved, does station have backflow device and pressure -relief valve? e° 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 per foot slope and is it properly supported? Yes No C. 'Are any leaks detected in drainage system after ru3-gallons of water -through each fixture including washing machine standpipe? Yes No D. If coach is not St'eornia 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° -P;6 •ft. long?', Note:,-' .All piping is to� be at least as large as the mobilehome gas line.'=inl-et.without reductions other than the mobilehome connector, Yes__ No B. Test OK as per following procedure? Yes_ No 1. Open all appliance connector valves. 2. Shut off appliance burner and pilot valves. 3. Air test with manometer to 10"-14" water column, or test with slope gauge (minimum 6oz.-maximum 8 oz.) calibrated in tenth pound increments. Test for 10 min, without drop. 4. Connect: gas meter to mobilehome with connector, turn. on gas, test connections with soapy water. C. Are all appliance vents properly installed? Yes No l 9. Electrical - A. Is service enokigl. to provide adequate amperage to mobilchome. (frust equal rating of mobilehome faith a. ::;inu;:um Of IOSLamp) and other faciliti_�!s on lot, i.e., water pumps, garag e, cabana, etu.? Yes No_ B. Is ther--� 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_A No 1. De: -energize electrical -Tiring systciu 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 lo. --id of a test instrument to the mobilehome grounding conductor and apply tlje other a.E:au i.0 each rauul.LCuuuie supply conuuctur, 111Cl'uUl1:tg neui.ral. 5. All nor, -current, carrying metal parts of the mobilehome (aluminum siding, gas line, ,inter line), including fixtures and appliances, shall be tested for continuity from such equipment and the grounding conductor. 6. Upon completion of: t_he above procedure, the power supply cord or feeder assembly conductors shat) be connected to the site service equipment. A further continuity te::;C shall then be made between the grounding electrode and the chassis of the ri.obilehome. Upon sa i_sfactory completion of the electrical tests, the lot or site, service equipment may be approved for energizing. Q, 1,; job card si-nEd by Ilealth Departmeat for water and sanitation? 11. If everything okay, sign off card and t.a; services. ' OBILE;?O.t L DATA Manufacturer and/or Namestyle Length Width —!r— Vehicle Serial No.� State Identification No. ^.&,, Ltional Infor-:nation or Comments: Setback Forms Main Bldg. Footings StemwaI I Slab Piers Garage Footings Stemwa I I Slab Carport Footings Slab Patio COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS BUILDING INSPECTION RECORD BUI'LD114G 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. forphysically handica ed Conformance of ex. structure Appliances Gas Piping &Test Temp. Gas Final Sanitation FIREPLACE Final Throat ELECTRICAL Bond Beam FIRE SPRINKLERS Motors Framing Test Water Htr. Stucco Final Subpanels Mesh MECHANICAL Grd. Fault Prot. Scratch Heating Service Brown Cooling Temp. Pole Finish Ducts Underground ' Interior Lath Ventilation Permanent Door Closer Final Final MOBILEHOME UTILITIES --------.------ Elec_ Service Elec. Pedestal Water Piping Sewer Gas Piping E OME IN LLATI - - - - - - - - - - - Support . ' Elec. Continuity ; Water Piping Drainage Gas Piping U y1 DATE REMARKS OR CORRECTIONS (NOTE: An entry must be made on this form each time you visit the job site.) -�-� � �.'Jj`•:ii-..r;�,,,e,:;.r'"'`v;;�j'�ir-;a,r�:c�.d`�r.�.��"'�r-������=-�-`1:Y'}'Y'`'�i"-+1a„�"`"�.� 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—un' der permit numbefor the following location: ���✓�� Owner +° J �A Y 6 % el Owner's Address — P,<) . /f•� `moi / - Jf.�f- ' / / �1�'� Mobilehome Mfg. 17///nl-Pr?�7 /--6� , Model Year 7 Insignia No. �� % /!P), 41 44a ,) Serial No.. It is hereby certified for occupancy at the above described location and may be occupied. Director of Public Works/ Date T P� 1 f $ e y �% `y ✓ted THIS CERTIFICATE IS VOID WHEN MOBILEHOME IS RELOCATED COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 7 County Center Drive -, Oroville, California 95965 QltAJelephone: 534-4541 APPLICATION AND PERMIT authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. Xl Z Va,2-Q�_Date 5 Signature of PAio6itee or Agent Receipt No. J6 5-;6,J6 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 PUBLIC WORKS By Date_Z—!V- 77 li ding permit expires Date Z_ V -701P BUILDING Owne SQ. FT. OCC. BUILDING VALUATION Mai I i ng Address Telephone No. Fireplace Co r Total Valuation Mailing Addres s Permit Fee Plan Checking Fee &/or Penalty Telephone�la. / 77 d' Permit Fee $ Building Addres PLUMBING No.1 @ FEE PERMIT FILING FEE $3.00 7 - - Each Trap 1.50 Repair drainage or vent piping 1.50 Water piping 1.50 Each gas water heater or vent 1.50 '1 A. P. No (p - %�- �/ Zoning & Planning Gas piping system 1 - 5 outlets 1.50 Each additional outlet .30 Fees1*1 8su leftn Fire Dept. Fire Zone Use Permit Building sewer 5.00 EQA I Parking Plans Parcel Declaration Parcel Ma P 60' R/W Improvements p ovements Lawn sprinkler system 2.00 Bldg. Pla Recd I Parcel oval Plans A of Permit Fee $ $ NEW ❑ ADDITIO ❑ UTILITIES ❑ OTHER ELECTRICAL No.1 @ FEE PERMIT FILING FEE $3.00 Main service sooV oR LESS 5,00 100 AMP OR LESS Main service EA. ADD'L 100 AMP 2.50 Main service 111R 100 AMP600V OR LESS 25.00 Single Family ❑ Duplex ❑ Mobil Home Ind Others ❑ Main service EA. ADD'L 100 AMP 1.00 NEW CONS. DWELING OR ADDNST ( ACCLBLDGS.CCUP. &) 20sgft NEW CONSTR. MULTI -OUTLET NON.RESID. ( BRANCH CIRCUITS) 2.50ea NEW CONST. POWER APPARATUS .&) D. (SINGLE OUTLET CIR. NON•RESI R 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)@@'M BAL�1 Ex. Occup. (OUTLETS PIRESID)REA) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 /L License N Classification Misc. Wiring 6.25 ❑ I am exempt from the Contractors License Laws of the State of California. Permit Fee $ $ MECHANICAL No. @ FEE WORKMEN'S COMPENSATION INSURANCE 1 am aware of the provisions of Section3700 of the California Labor Code which requires every employer to be insured against liability for Workmen's Compensation. jp( 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. 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 TOTAL PERMIT FEE $ - authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. Xl Z Va,2-Q�_Date 5 Signature of PAio6itee or Agent Receipt No. J6 5-;6,J6 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 PUBLIC WORKS By Date_Z—!V- 77 li ding permit expires Date Z_ V -701P MOBILEHOME SUPPORT DATA Mobilehome Mfr. .�-Pin> G7/ Setup Model No. /-//3- %Aar i. Width 3Y (ft.) Length cp (fit.)' Expando Size ID ft.x -1-0 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 tho my of Butte).. Single Footings (check one) AI /Wood either ? pressure treated or Center Center Support A fdn. grade. Support Footing Sizes Locations (in.) 2. Concrete pad. Ct x 3. Other, -specify in. in. j Supports (check one) / W--T-.--Concrete block !3 _�O ���x3�i i / / 2. Concrete piers (ft) in) (in.)(in.) 3. Steel piers 4. Other, specify _ -. ) Typical Support �-�.� O� Footing Size r '.4 Max. Pier -�- Spacing E 1 (ft.)(in. ( i Vf t.) -Tin.) tiff_. (in.) (in.) c = i _ Max. Overhang �o If centerP iers are other th�rawn above, draw in locations, spacing, and dimensions. BUTTE COUNTY BUILDING DEPARTMENT 1. Owner's name: 2. Installer's na BUTTE COUNTY DEPARTMENT OF PUBLIC WORKS 7 County Center Drive, Oroville, CA. PHONE: 534-4541 MOBILEHOME INSTALLATION SHEET 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.) 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 service? --------------------------------------------------- ) No / (If yes, identify the load and size: (Load) (Amps) 5. What is the mobilehome electrical rating? ----------------------- ZS Amps 6. What is the mobilehome site service rating? --------------------- Amps 7. What is the mobilehome site circuit breaker rating? ------------- 75 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) (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.) Owner Mailing Address Contractor�� Mailing Address (g 3-7 Building Address COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 7 County Center Drive, OtoviIle, California 95965 Telephone: 534-4541 APPLICATION AND PERMIT Telephone No. U U 2�v 97 � L going Wrificafion On, A. P. No. 61Y-7/-30 ` Z o Fe t01JY S FireDept. FireZone Use Permit EQA Parking arcel cel a 60' R/W Im rovements Plans Declarattiion� P P BI n Recd "Parcel Approval PlanprovaI NEW ❑ ADDITION ❑ UTILITIES OTHER ❑ Single Family ❑ Duplex ❑ Mobil Home FJ Others ❑ $M SQ. FT. MINIMUM 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: i License Classification 0!!�'/' 1-7 _ BUILDING J / SQ. FT. I OCC. I BUILDING VAL ATION 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 @ FEE $3.00 �- 1.50 1.50 /0- 1.50 1.50 .30 2.00 $3.00 5.00 2.50 25.00 1.00 20sq ft 33 C - FEE Ex. CCUp OUTLETS OR FIXTURES �q BAL@' 1 Ex. Occup. OFUT LE P(RES(D IKEA) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 S Misc. Wiring 6.25 ❑ 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 which requires every employer to be insured against liability for Wor en's Compensation. I have placed on file with the County of Butte a certificate of Cooling Workmen's Compensation Insurance. ❑I certify that in the performance of the work for which this Ventilation permit is issued I shall not employ any person in any manner so as to become subject to the Workmen's Compensation Laws of Hood California. Permit Fee I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and Stateaws relating to building construction, and hereby authori resentatives of the County of Butte to enter upon the W abov -rnabov -m ioned property for i ction purposes. Date � 4-77 Signature of //Permie te�or} ent Receipt No. /b O I0 �, White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant @ FEE $3.00 0 h /f 111 AV &IL2 e TOTAL PERMIT FEE $ 73 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 P BLIC WORKS By _ Date�� ui Iding permit expires Date I,—