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065-410-019
65-41-19 . FPab:er fjordvick/01,-117j 30 Oakleaf Ct, lot 118, PP#3, Magalia contr: Feather River,Const., Magalia Permit #4708-77P,E(util.,* ELEC.���2� 27 S GAS SUPP T SIOCTURP, REQ. 140 COMPACTION TEST REQ.`,yro S OEfd�3i/yj65-41-19 it #.»3.5-77MHI(for #4708-77) Issued /'�-�(� -- 7_3? I 1 1 i 65-41-19 . FPab:er fjordvick/01,-117j 30 Oakleaf Ct, lot 118, PP#3, Magalia contr: Feather River,Const., Magalia Permit #4708-77P,E(util.,* ELEC.���2� 27 S GAS SUPP T SIOCTURP, REQ. 140 COMPACTION TEST REQ.`,yro S OEfd�3i/yj65-41-19 it #.»3.5-77MHI(for #4708-77) Issued /'�-�(� -- 7_3? I PERMIT NO. 4708-77P,E S IYSPERMIT EXPIRV OWNER _- Pater liordvick CONTR. Feather River Const., Magalia LOCATION (A.P^ 65-41-19 � J 30 Oakleaf Ct., lot 118, PP#3, Magalia , •i s y r i i ti! 7 i • 1� Temp. Power Pole Called PG&E _ Temp. Elec. Serv. 3 ��� 77 Called PG&E ! Te p. Gas Serv. S Called PG&E JOB f FINALED (Date) �. (Signature) l est Mesh IMECHANICAL Grd. Fault Prot. Scratch Heatin ' . Service Brown Cooling•. Temp. Pole Finish Ducts Underground/ Interior Lath Ventilation Permanent Door Closer Final Final MOBILEHOME UTILITIES ----•-------- Elec_ Service d-�5i % �06 Elec. Pedestal Water Piping �,.57 Sewer Gas Piping E ME I STALLATION - - - - - . - - - - Support I t3L'j Elec. Continuity,3 Z % , Water Piping '3 Drainage G- Gas Piping DATE REMARKS OR CORRECTIONS L -// 16711 �. G� w o-�e.t �e c� � �-Lr '�'" pC -Ay ivJ-Z?fI (NOTE: An entry must be made on this form each time you visit the job site.) COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS BUILDING INSPECTION.RECORD BUILDING BUILDING (Co t'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 Sewer Garage Fdn. Vents Fixtures Footings Stemwa l l Garage Vents Insulation Water Htr. Heaters Slab Carport Footings Prov. for physically handicapped Conformance of ex. structure Appliances Gas Piping &Test Temp. as Slab Final Sanitation Patio F REPLACE Final Footings Footing ELEICTRICAL Masonry Walls Throat Rou h Relnf. Steel Final Fixtures Bond Beam I=lRd SPRINKI FRS Untnm est Mesh IMECHANICAL Grd. Fault Prot. Scratch Heatin ' . Service Brown Cooling•. Temp. Pole Finish Ducts Underground/ Interior Lath Ventilation Permanent Door Closer Final Final MOBILEHOME UTILITIES ----•-------- Elec_ Service d-�5i % �06 Elec. Pedestal Water Piping �,.57 Sewer Gas Piping E ME I STALLATION - - - - - . - - - - Support I t3L'j Elec. Continuity,3 Z % , Water Piping '3 Drainage G- Gas Piping DATE REMARKS OR CORRECTIONS L -// 16711 �. G� w o-�e.t �e c� � �-Lr '�'" pC -Ay ivJ-Z?fI (NOTE: An entry must be made on this form each time you visit the job site.) r MOBILEHOME INSTALLATION INSPECTION CHECK LIST 1. Is the mobilehome located w" h 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) Y s No' 3. Are footings and supports properly sized, spaced, and braced as per approved plans? (Note possible variation at spring shackles.) (Sec. 5082 & 5083) Yea!,,/_'No ('V Is the mobilehome level? (Sec. 5088) Yes)L No 5. If more thalla single unit, are crossover connections properly installed? (Sec. 5088) Yes No 6. Water A. Is?xible connector of adequate size and properly installed (1/2" ID min.)? (Sec. 5566) . Yes -`4 No Test - Does water piping withstand working pressure or 50 lbs. air test?.Yes No C. Back 0- If coach is not State of California approved, does station have backflow device and pre sure -relief valve? Yes_ No 7. Wastes and Drains A. Is connection made with Schedule 40 DWV and have flex connectors at each end? Yes --K No O -B Does it have minimum" per foot slope and is it properly supported? YesNo Are any leaks detected in drainage system after runnin 3 -gallons of water through each fixture including washing machine standpipe? Yes No D. If coach is n ate of California approved, does station have required trap and vent? Yes No 8. Gas Piping and G s Vents A. Connector - Ise mobilehome connected to the gas supply with an approved 3/4" minimum mobilehome conn!Vt or not more than 6 ft. long? Note: All piping is to be at least As large as the mob'lehome gas line inlet without reductions other than the mobilehome connector. Yes No B. Test OK as per folloin!g procedure? Yes_ No 1. Open all applianc connector valves. 2. Shut off applianc bN4rner and pilot valves. 3. Air test withma omete to 10"-14" water column, or test with slope gauge (minimum 6oz.-maximum 8 z.) cal rated in tenth pound increments. Test for 10 min. without drop. 4. Connect gas me to mobileme with connector, turn on gas, test connections with soapy water. C. Are all appliance vents properly installed? Yes_ No r: 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 on lot, i.e., water pumps, garage, cabana, etc.? YesNo_ 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_l�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 theelectrical 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 G L Vehicle Serial No.. State Identification No. Additional Information or Comments: 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 Californiadministrative Code, Title 25, Chapter 51 under permit number S!§-36 77. for the following location: n3a 04eZ.C5 :&As Owner A/wt o U/Ck / Owner's Address Mobilehome Mfg..Sly L Z1,1k' Model •Year Insignia No. ��- iA �/� Serial No. It is hereby certified for occupancy at the above described location and may be occupied. Director of Public Works 0 Date 10/ 3e By - / • l"�(�U�At THIS CERTIFICATE IS VOID WHEN MOBILEHOME IS RELOCATED COUNTY 60 BUTTE DEPARTMENT OF PUBLIC WORKS 7 COUNTY CENTER DRIVE%:, OROVILLE, CALIF. - 534-4541 CERTIFICATE OVOCCUPANCY . This mobilehome has been installed in accordance with the requirements of 'the California Administrative Code, Title 25; Chapter 5, under permit number s_? Tr, for the following location: e` Owner /1 /V(1Pf n ,,r v Owner's Address Mobilehome Mfg. woe/. „I Model Year -2 Insignia No. 411 / . a / s/ Serial No. k 17- V o It is hereby certified for occupancy at the above described location and may be occupied. Director of PublicWorks Date By 411A ; THIS CERTIFICATE IS VOID WHEN MOBIL'EHOME IS RELOCATED COUNTY OF BUTT, — DEPARTMENT GF PUBLIC WOR 7 County Center Drive 'Orovilie, California 95965 �0 =��% Telephone: 534-4541 / APPLICATION AND PERMIT b T'117 authorize representatives of the County of Butte to enter upon the above,meentioned property for inspection purposes. X C� C �- Date Signature of Per Itee or Agent Receipt No./ -7 0 2'Ao 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 VUBLIC WORKS By a Date o— -- % -t%UdinT permit expires Date 10 6-7 BUILDING Owner SQ. FT. OCC. BUILDING VALUATION Mailing Address • Telephone No. • Fireplace Contractor Total Valuation //v Mailing Addres* Permit Fee Plan Checking Fee &/or Penalty T le ne � e. Permit Fee $ Building Address PLUMBING No. @ FEE PERMIT. FILING FEE $3.00 3 Each Trap 1.50 O © l:� Ltl p Repair drainage or vent piping 1.50 Water piping 1.50 1 Each gas water heater or vent 1.50 A. P. No. �� �� r Zoning &Planning Gas piping system 1 - 5 outlets 1.50 Each additional outlet .30 F, W. Sa�rilat'vrr FireDept. FireZone Use Permit Building sewer 5.00 EQA Parking Plans Parcel Declaration Parcel Ma p 60' R/W Im prove ants Lawn sprinkler system 2.00 Bldg. �Rec'd Parcel Appro al Plan 41Approval Permit Fee ,$ NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER 0� ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 ' .-A/..100 Main service 6001 OR LESS 5,00 AMP OR L ESS 7 Q Main service EA. ADD'L 100 AMP 2.50 Main service 100 AMP OR LESS 25.00 100 AO Single Family Duplex ❑ Mobil HomeOthers ❑ Main service EA. ADD'L 100 AMP 1.00 NEW CONST DWELING OR ADONS. ( ACCLBLDGS. OCCUP. &) 20 sq ft NEW CONSTR. MULTI -OUTLET NON.RESID. ( 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: . ( � / y,^ '� Ex. Occup(OUTLETS OR FIXTURES)50 @251 109 EOccup.(FIXED APPLNS. OR ) Ex. OUTLETS (RESID.) EA 2•00 Temporary service 10.00 Mobile Home Facilities 15.00 License No l 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 I 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. 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,meentioned property for inspection purposes. X C� C �- Date Signature of Per Itee or Agent Receipt No./ -7 0 2'Ao 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 VUBLIC WORKS By a Date o— -- % -t%UdinT permit expires Date 10 6-7 MOBILEHOME SUPPORT DATA Mobilehome Mfr. . Setup Model No.Zz: wear Width �(ft.) �/ength .c�0 :.. -(ft.) Expando' Size �ft.x �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 .the County of Butte). — Sin le - �. Footings (check.'one) j _ :12KI. Wood.. either . pressure treated or Center _.Support fdn. grade. Support Footing Si es Location (in. [, 2. Concrete pad. x / / 3. Other,: specify . n. i:_ in. map(. Supports (check one) Concrete block x --j / / 2. Concrete piers .ft5-Zi (in.)(in.) 3. -Steel piers 4. Other, specify Typical Support Footing Size . n. in. in. .(in.)(in.) D i i Max. Pier Spacing n. in. n.) . ;!. ft. in.) _ � �) (in.) ( Max. Overhang *If center piers are other than drawn above, draw in locations, spacing, and dimensions. -9UTTE COUNTY BUILDING DEPARTMI�pq, APPROVED 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. /l//� No ( If yes, furnish permit number 7 7Q 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 a ( If no, clarify ) 5. What is the mobilehome electrical rating? ----------------------- % Q Amps 6. What is the mobilehome site service rating? --------------------- /,� Amps 7. What is the mobilehome site circuit breaker rating? ------------- / 00 Amps 8. Is there any other electric load to be served by the mobilehome site service? --------------------------------------------------- Yes / / (If yes, identify the load and size: (Load) 9. What is the mobilehome site gas pipe size? ---------------------- 10. What is.the type of gas service? ----------------------------- Natural / / LPG /cam 11. What is the gas pipe length from meter or tank to the mobilehome? (ft.) No / / _(Amps) 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.). MAIN COACH 2400 2400 TIP -OUT ROOM 750 750 35013,350 4' -("MAXIMUM 0—PIER LOCATIONS AND REQUIRED CAPACITY IN POUNDS FIG.I 3 CABLE -14/2 WIG NM CABLE CONNECTION TO BE MADE WITH WIRE NUTS (YELLOW SCOTCHLOK OR EQUIVALENT) TIP- MAIN OUT UNIT HINGE FLEXIBLE UNDER FLOOR CONDUIT JUNCTION BOX FIG. 2 TIP OUT ROOM FIELD INSTALLATIONk= The home and factory tip -out assembly was de- 3. Secure inside prefinished facia to exterior wall of„i signed as a unit; thus, satisfactory performance!- of main unit with provided screws at re -drilled holes both is contingent on correct setup procedure as in facia. Cap screw holes with provided decorator I :`-fir✓”` follows: plugs. Fi{cry, THE HOME MU$T BE IN ITS FINAL LEVEL POSITION 4. Fill gaps between main unit and tip -out framing on ; t WITH ALL PIER SUPPORTS AND TIE -DOWNS IN outside with provided fiberglas insulation on both PLACE PRIOR TO TIP -OUT INSTALLATION. the sides and the top. a� 1. Position and install piers and footings (See Fig. 1). 5. Install roof and sidewall flashing as per Fig- The pier loads indicated are for a maximum roof ure 8 (Refer to Single Wide Roll-out Room Field live load of 30 P.S.F. Installation Steps 14 through 18 for general ° 2. Carefully lower tip -out onto piers and level unit by requirements). adjusting height of outer piers. 6. Connect tip -out room electrical circuit into main "t;?=t. NOTE: AS THE HOME MAIN FLOOR HAS BEEN electrical system (Refer to Fig. 2). LEVELED, DO NOT ATTEMPT TO LEVEL TIP -OUT 7. If this home is required to be tied down, refer to FLOOR BY JACKING UP MAIN HOME FLOOR. page 9 for expando room anchoring requirements. MAIN COACH 2400 2400 TIP -OUT ROOM 750 750 35013,350 4' -("MAXIMUM 0—PIER LOCATIONS AND REQUIRED CAPACITY IN POUNDS FIG.I 3 CABLE -14/2 WIG NM CABLE CONNECTION TO BE MADE WITH WIRE NUTS (YELLOW SCOTCHLOK OR EQUIVALENT) TIP- MAIN OUT UNIT HINGE FLEXIBLE UNDER FLOOR CONDUIT JUNCTION BOX FIG. 2 r �C:�UNTY OF -BUTTE, — . DEPARTMENT OF PUBLIC WORKS 7 County Center,Drive _ 'Uroville, California 95965 Telephone: 534-4541 K APPLICATION AND PERMIT autnonze representatives or the county or ttutte to enter upon the above-ment'oned property for inspection purposes. X Date �$i nature of Perrmiitee or Agent e/ceipt No. L a ( r White-D.P.W. — Yellow -Assessor — Pink-rnspector — 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 BLIC WORKS By Date j� 72 ate ��ll�'�(� — B 'ding permit expires D BUILDING 7 1 1' Owner 04' Do is ([_ SQ. FT. OCC. BUILDING VALUATION Mailing Address Telephone No. Fireplace Contractor 0E k- Cb11 Total Valuation Mailing Addressp, /)64 Permit Fee P I an Checki 1fg Fee &/or Penal ty elephone Ny \p C Permit Fee Building Address PLUMBING No. @ FEE PERMIT FILING FEE $3.00 r Each Trap 1.50 V --a3, �O 31 Repair drainage or vent piping 1.50 Water piping J i✓ Zotffing ViElrificS*nAnly Each gas water heater or.vent 1.50 A. P. No. Gas piping system 1 - 5 outlets 1.50 Each additional outlet .30 Fe W C a pt. Fire Zone Use Permit Building sewer v� EQA Parking Plans Parcel Declaration Parcel Ma 60' R/W Im rovements P Lawn sprinkler system 2.00 Bld fJ&as ec'd Parcelpproval PI Approval Permit Fee $ V 3 r $ 3 r NEW ❑ ADDITION ❑ UTILITIESX OTHER ❑ ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 ' Main service 600v OR LESS 5.00 — 100 AMP OR LESS Main service EA. ADD'L 100 AMP 2.50 - Single Family ❑ Duplex ❑ Mobil Home Others ❑ Main service OVER s O .25.00 100 AMP OR LESS Main service EA. ADD'L 100 AMP 1.00 NEW CONST. DWELLING OR ADDNS. ( ACC. BLDGS.CCUP. &) 20sgft NEW CONSTR. MULTI.OUTLET NON-RESID. ( BRANCH CIRCUITS 2.50ea NEW CONSTR. (POWER APPARATUS.&J NON-RESID. (SINGLE OUTLET CIR. CONTRACTORS LICENSE LAW I am licensed under the provisions of Chapter 9, Div. 3, of the State of California -usiness & Professions Code under the name style of: � {� Ex. Occup(OUTLETS OR FIXTURES)@' BAL@1 FIXED APPLNS. OR Ex. Occup.( OUTLETS (RESID.) EA) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 S License No.. B 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. 14 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 $ $ 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 +� VN Q JkL4 TOTAL PERMIT FEE $ autnonze representatives or the county or ttutte to enter upon the above-ment'oned property for inspection purposes. X Date �$i nature of Perrmiitee or Agent e/ceipt No. L a ( r White-D.P.W. — Yellow -Assessor — Pink-rnspector — 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 BLIC WORKS By Date j� 72 ate ��ll�'�(� — B 'ding permit expires D