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065-040-016
R 65-04-16 David Carr ���� �p/���� E/S Hupp-Cou ol-en_ Rd., 00 yds off Coutolenc,.Magalia Permit #4967-79P,E(u_�il.,MH) � ELEC . /0- - iGao GAS SUPPORT STRUCTURE REQ. COMPACTION TEST REQ. ,At:— ��y� 65-04-16 Contr: arad 5re Modular Concepts P rmit #5077-79MHI`}' p Issued o �--7 / i 06Sw-O�4 I f i r cfli u� l O jam, s3 OERMIT N0. 4967-79P,E b i PERMIT EXPIRES }OWNER Dana Carr Ns CONTR. owner r LOCATION (A.P. 65-04-16 ) 4 • E/S Hpp Coutolenc Rd., 500 yds off Coutolenc, Magalia L� ti �r a ' 1Z• �, t Y • f t Temp. Power Pole Called PG&E Temp. Elec. Serv. © a �t t Called PG&E U 72, ZV 'Im- 4t 4 ij Temp. Gas Serv. Called PG&E a, ' JOB ' .� ' FINALED - (Da e) r (Signal) 1.1 E SPRIN Stucco Final Subpanel MyFnIsh h MECHANICAL Grd. Fa, It Prot.. h Heatin Servic Cool i g Te p. Pole Du s U der round Lath tinal llation ermanent t_ oor Closer nal ' MOBILEHOME TILT IES ---------------- Elec. Service/43.43/)� lec. Pedestal 1 Water Piping la,(D 1(V Sewer Gas Piping hdRl3l6EUQME INSTAULAT ON - - - - - - - - - - - - - Support Elec. Continuity Water Piping IS Drainage Gas Piping DATE REMARKS OR CORRECTIONS - / 'V/'�r,A O'f � OTE: AnQntry must be made on this form each time you visit the job site.) � y COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS g` BUILDING INSPECTION'AECORb 1 h BUILDING BUILDING (Cont'd) PLUMBING Sel4ack FNrewall Soil spin , Forlh PAPPets i A Ioor Mai Bldg. Res oom Finish 2nd or Foohngs Windo s 3rd Flo Stem - Ii Siding To out Slab Roof Sheething Water PlPlngN Piers Roofing Sewer ' Garage Fdn. Vents Fixtures Footings Garage Vents Water Htr. Stemwa`II Insulation Heaters t Slab Prov. for ph sic ly A liances ! Carport handica ed Conformance of ex. Gas Pipin &Test ' Footings structure Temp. Gas Slab Final Sanitation Patio F LACE Final Footings Footing ELECTRICA Masonry Walls Throat Rough Reinf. Steel Final Fixtures E SPRIN Stucco Final Subpanel MyFnIsh h MECHANICAL Grd. Fa, It Prot.. h Heatin Servic Cool i g Te p. Pole Du s U der round Lath tinal llation ermanent t_ oor Closer nal ' MOBILEHOME TILT IES ---------------- Elec. Service/43.43/)� lec. Pedestal 1 Water Piping la,(D 1(V Sewer Gas Piping hdRl3l6EUQME INSTAULAT ON - - - - - - - - - - - - - Support Elec. Continuity Water Piping IS Drainage Gas Piping DATE REMARKS OR CORRECTIONS - / 'V/'�r,A O'f � OTE: AnQntry must be made on this form each time you visit the job site.) �. _ �•.. � /�" IN� .��� l -��, , Q 1� ��� � ��� �� ie 3/�a ®� � N� 5��� �� G MOBILEHOME INSTALLATION INSPECTION CHECK LIST 1. Is the mobilehome located with required separation from lot lines and buildings and generally conform to plot plan? Yes _-No, .2. Does the mobilehome have required clearances above ground? (Sec.5085) Yes No 3. Are footings and supports properly sized, spaced, and braced as per 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 No ' 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 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 No B. Does it have minimum 'k" 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 No 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 inlet 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 9. Electrical r A. Is service large enough to provide adequate•amperage-to mobilehome (must equal rating,of mobilehome with a minimum of 100 amp) and other facilities on lot, i.e., water pumps, garage, cabana, etc.? Yes___., No B. Is there proper clearances around panels? Yes_ No_ 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 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 Length Width, Vehicle Serial No. State Identification No. Additional Information or Comments: 13- N //21 SE //4; SEC. / • I , TEYP 23 N R. 3 E O3 ' FRIENDLY FOR ES T 33 019,4C I SUB Lot 9 R/S 47.3O �32 n �oh z � o. s e•� w � . Is.02 2,5 X67 as 6f eo Go 2.1744c 3 4. 644c ZO I 4 R (o O^ o 1 0 05 23 w" 2. O ac \ \ 5 /s . i a 3 o G b a^ e e 82 4C q ` i 4 ti 2. JAc 4b/ �J r`4.24 AC p so' J."82 4c u�'� 240 2 4 .+� 4 6 y1 • tqj 0 P`'�/ / O O 2.894c./.82Ac 51 y N f 7440 \ m\\ �Z� t0 0 �Go,9; !\ ca 2B J.754cb J 4.29 AC. =� -.; :. r:.:n r -,.,.. _ '.�t' ` n G ' 1y ? •,.• 2 • S O.0 43'30 • W •� . 2. 4 6 ac. b N its. i9 W i PM 485 PM 42/95 t COUTOLENC /4 CEMETERYO � � ? ` 46 Dds 204 3- o / 52 4 C. . r • • .....Yr.wr -a..areMr••I.WW+ ..r... N Yo. W - _ - --,• • _ • -_ -- ..r i e ..gra . . .- -- _ r r_ e - -. COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 7 COUNTY CENTER_ DRIVE OROVILLE, CALIF. - 534-4541 - CERTIFICATE OF OCCUPANCY x This mobilehome has been installed in accordance with the requirements of the California Administrative Code, Title 25, Chapter 5, under permit number -�� `/Afor the followin,g,location: Owner Owner's Address J�w' Mobilehome Mfg.]' Model _ Year Insignia No. Cq ! 3 Y 70(' V)Serial No. It is hereby certified for occupancy at the above described location and may be occupiedA - Director of Public Works Date JC, I ` 4 B Y 0% t THIS CERTIFICATE IS VOID WHEN MOBILEHOME IS RELOCATB' White - Owner, Yellow - Installer, Pink - D.P.W. i COUNTY OF BUTTE —` DE�PART�ENT OF PUBLIC WOR S 7 County Center Drive, — Oroville, California 95965 Telephone: 334-4541 APPLICATION AND PERMIT / BUILDING Owner SQ_ FT. OCC. BUILDING VALUA N Mailing Address Telephone No. Contractor Mai I i ng Address ne No. Building Address A�. P. No. — �� 6 Zoni g anning Fines M' -C. Fire Dept. Fire Zone Use Permit EQA Parking Plans eclaration p p rcel Parcel Ma 60' R/W Im rovement Bldg. Plans L Recd Parcel' royal Plan pproyal NEW.[] A DITION ❑ UTILITIES ❑ OTHER &;4, Am. Zta,,yd fal Single Family ❑ Duplex ❑ Mobil Home a Others ❑ CONTRACTORS LICENSE LAW I am licensed under the provisions of Chapter 9, Div. 3, of the State of Californiausiness & Professions Co a under t e name style of: 44 11% LI4 1. "e"b tr License No.WX Classification—,e_- WW 6 Fireplace Total Valuation Permit Fee P I an Checki ng 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 r Lawn sarinklet.system Permit Fee I"' @1 ELECTRICAL PERMIT FILING FEE Main service 600V OR LESS 100 AMP OR LESS Main service EA. ADD•L 100 AMP Main service OVERe00v 100 AMP OR LESS Main service EA. ADD'L 100 AMP NEW CONST. OR ADDNS. ` DWELLING OCCUP. S ACC. BLDGS. NEW CONSTR. .n._RFSIn. (MULTI.OUTL T BRANCH CIRCUITS $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 FEE Ex. OCCUR OUTLETS OR FIXTIIRES I"' @1 EX. OCCUp C FIXED APPLNS. OR • 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 Workmen's Compensation. 53�,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 represent es of the County of Butte to enter upon the above-meptioned pa5p ty for inspection purposes. X Dat Signature o ermitee or Agent Receipt No. White-D.P.W. flow -Assessor — Pink -Inspector — Goldenrod -Applicant Cooling $3.00 Ventilation Hood 00 Permit Fee $ Land Development ree $ TOTAL PERMIT FEE $ 3 O This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated abo for which fees have been paid. I4R. OR OF PUBLIC WORKSUP V7 _ Date Building permit expires Date /6 S—B� COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS 7 County Center Drive r Oroville, California 95965 .Telephone: 534-4541 / 1 / 7 -7 Q APPLICATION AND PERMIT �<[ / _ BUILDING SQ. FT. I OCC. I BUILDING VALUATION 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 Owner PERMIT FILING Mailing Address Main service 800V OR LESS 100 AMP OR LESS Main service �lephong Contractor CSU� � OVER soov 100 AMP OR LESS Mai I i ng Address EA. ADD•L 100 AMP NEW CONST. (DWELLING OR ADDNS. OCCUP. 4 ACC. BLDGS. Telephone No. Building AddressE _. pL A. P. N0. A 5_0 Zo.:XgNa g Fes W� S- tion Fire Dept. Fire Zone Use Perm t EQA P Plans Pla��ns� Parcel Declaration Parcel Ma p 60' R/W Im rovemen.s p Bldg. Plons'Qec'd Parc I r Plans pprovol NEW ❑ ADDITION ❑ UTILITIESK OTHER ❑ Single Family ❑ Duplex ❑ Mobil Home Ja 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 of: License No. Classification _ BUILDING SQ. FT. I OCC. I BUILDING VALUATION 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 800V OR LESS 100 AMP OR LESS Main service EA. ADD -L 100 AMP Main service OVER soov 100 AMP OR LESS Main service EA. ADD•L 100 AMP NEW CONST. (DWELLING OR ADDNS. OCCUP. 4 ACC. BLDGS. NEWC ONSTR. elms-RPSIn_ /MULTI.OUTL T l BRANCH CIRCUITS Ex. OCCUD(OUTLETS OR FIXTIIRE EX. Occup ( FIXED APPLNS. OR • OUTLETS (RESID.) EA Temporary service Mobile Home Facilities Misc. Wirinq IS11 am exempt from the Contractors License Laws of the State of California. Permit Fee MECHANICAL WORKMEN'S COMPENSATION INSURANCE PERMIT FILING FEE I am aware of the provisions of Section3700 of the California Labor Heatinq 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 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 Date Signatureof Pe mltee orJ(Agent Receipt No. �U G� — White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant Coo I i 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 )OSCI ft 2.00 10.00 15.00 61(J 6.25 ,Ob $ - 50 $ Z&Lop @ FEE $3.00 Ventilation Hood 1 2.00 Permit Fee $ $ Land Development Fee $ O;i87� TOTAL PERMIT FEE $ fW 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 %' ZE Building permit expires Date �z ,. BUTTE COUNTY DEPARTMENT OF PUBLIC WORKS 7 County Center.Drive, Oroville, CA. {-PHON&: 534-4541 MOBILEHOME INSTALLATION SHEET r 1. Owner's name: Lki 0 2. Instal.ler's name: C' � � ,/� �.7 6 e., 3. I's the site currently under permit? Yes / / No /IX/ .( If yes, furnish permit number ) OR Is the site an existing site? Yes / / No /x/ (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 /x / No (If no, clarify ) 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) (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.) MOB ILE-H ME SUPPORT DATA _ , n / J If other tha<single wide, ' Mobile.. Mfr GZ/Q _ furnish Setup Modiel No, -2 &—d -� Year., Width} (ft.) Box Length (ft.) Tagalong or Expando Size ft. x ft. (SHOW SUPPORT DETAILS BELOW) On all mobilehomes manufactured after October 7, 1973, furnish manufacturers 'installation manual and structural setup sheets (if not on file with the County of Butte). All center supports measured.from front of mobilehome unless otherwise -specified. Footings (check one) Single 0' 1. Wood either Apressure treated or foundation grade. (ft.)(in:) (in ��( 02. Other (specify) 7 l`i V 1 Center support Center support locations* footing sizes Supports (check one) (in.) a1: Concrete block. rc / 2. Other (specify) (in.) (in.) (in.) (in.) R Tagalong or Expando,' show support details. I %Z x,,J6 -- Typical Support (in.) (in.) Footing Size (ft.)(in.) (in.) (in.) S 6 -- Max. Pier Spacing (ft.)(in.') Max. Overhang (ft.) (in.) (in,) (in.) (ft.)(in.) QUITE COUNTY CILDIN; DEPARTME App "� .,. r dove *if center piers are other than drawn above, draw in lneatinns_ anacinQ. and dime tsions. %VAI ,