HomeMy WebLinkAbout065-430-02565-43-25
' Arron Chilcoat' -
110.Torey Pine Rd., lot 61, PP#3, }FL
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Maga.Ids
lia �� • �-
contr . Aiken & Fairbanks Paradise
Permit #3774-79P,E(util.,MH) a A
-7—
ELEC. ao_,
t1C1=?9
GAS
GAS
SUPPORT STRUCTURE REQ --k,d
COMPACTION TEST REQ. �U
. "`65-43-25 s�
•�.� - M Contr. SOS MH, Chico
Permit #4451
Issued
Issued
65-43-25
r�
Permit #5879-79B(new open deck/MH) s`h
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Lo CWD
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PERMIT NO. 5879-79B
PERMIT EXPIRES
OWNER Aaron E. Chilcoat
owner
CONTR.
LOCATION (A.P. 65-43-25
110 Torrey Pine Rd., lot 61, PP#3, Magalia
v?
� �le
-.
'310
Temp.
s QS a�
Temp. Power Pole
Called PG&E
Temp. Elea Serv.
Called PG&E
Temp. Gas Serv.
r Called PG&E
JOB —e
FINALED i
(Date) �.
(Signature)
•
COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS
BUILDING INSPECTION RECORD
Grd. Fault Prot.
BUILDING BUILDING (Cont'd)
PLUMBING
Setback
- Firewall
Soil Pipin
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
Stemwal I
Garage Vents
Insulation
Water Htr.
Heaters
Slab
Carport
Po
Footings
Slab
Prov. for phsically
handicaped
Conformance of ex.
structure
Final
Appliances
Gas Piping & Test
Temp. Gas
Sanitation
Patio
FIREPLACE
Final
Footings
Footing
ELECTRICAL
Masonry Walls
Throat
Rough
Reinf. Steel
Final
Fixtures
Bond Beam
FIRE SPRINKLERS
Motors
Framing
Test
Water Ht►.
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
MOBILEHOME INSTALLATION - - - - - - - - - - - - - -
Support
Elec. Continuity
Water Piping
Drainage
Gas Piping
DATE REMARKS OR CORRECTIONS
iai
i-VII11-0 � acs:
(NOTE: An entry must be made on this form each time you visit the job site.)
y• ,
COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS
7 County Center Drive - C{oville, California 95965
Tel eph`one: 534-4541
APPLICATION AND PERMIT
A
Out r roII Ce repr. entauves or me t,ounty or tsutte to enter upon the
above-mentioned property for inspection purposes. c�
X � w Date, /
Signature of Peerrmitee or Agent
Receipt No. �1` �v
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.
DIRECT F PUBLIC WORKS
By Date F—.2 % - 7 9
Bu ding permit expires Date
BUILDING JIN
Owner 17E CXdC 0 A 77
SQ. FT. OCC. BUILDING VALUATION
-2 -o
Mailing Address Q -TW (J �,� R ,
nv /"C /Y/- % ,
one
Tel p 7_ �7 7
9 J
Contractor
Mailing Address
Fireplace
Total Valuation
Tlephone No.
e
Permit Fee
Building Address ex
Plan Checking Fee &/or Penalty
Permit Fee
PLUMBING No.1 @ FEE
PERMIT FILING FEE $3.00
Each TraD 1.50
Repair drainage or vent piping 1.50
1
A. P. No. -- --�zS_ Zo ing Planning
Water piping 1.50
Each gas water heater or vent 1.50
ids
W!6.
S ton
Fire Dept.
Fire Zone Use Permit
Gas piping system 1 - 5 outlets 1.50
EQA
Parking
Plans
Plaice!
Declaration
Parcel Map
60' R/W
Improveme
Each additional outlet .30
Building sewer 5.00
Bldg. Plans Recd
Parcel A royal
Plans tpproval
Lawn sprinkler system 2.00
NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER &a7
Permit Fee $
$
ELECTRICAL No. @ FEE
PERMIT FILING FEE $3.00
Main service 600V OR LESS
100 AMP OR LESS 5.00
Single Family ❑ Duplex ❑ Mobil Home 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 1.00
NEW
OR ADDNST % ACCLBL GS.CCUP. B) 20sgft
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
st le of:
Y
NEW RESID. BRANCH CIRCUITS)
NON.CONST � BRANCH CIRCUITS/ 2.50ea
NEW CONSTR. POWER APPARATUS 9
NON.RESID. SINGLE OUTLET CIR.
Ex. Occup (OUTLETS OR FIXTIIRES BAL�1
Ex. OCCU ( FIXED APPLNS. OR
p•OUTLETS (RESID.) EA) 2.00
Temporary service 10.00
Mobile Home Facilities 15.00
License No. Classification
Misc. Wiring 6.25
1 am exempt from the Contractors License Laws of the State of California.
Permit Fee $
$ 77-
MECHANICAL No. @ FEE
WORKMEN'S COMPENSATION INSURANCE
1 am aware of the provisions of Section3700 of the California Labor
Code which requires every empbyer to be insured against liability
for Workmen's Compensation. -
E] 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
x permit is issued I shall not employ any person in any manner
s 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
Land Development Fee
$
TOTAL PERMIT FEE
$
Out r roII Ce repr. entauves or me t,ounty or tsutte to enter upon the
above-mentioned property for inspection purposes. c�
X � w Date, /
Signature of Peerrmitee or Agent
Receipt No. �1` �v
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.
DIRECT F PUBLIC WORKS
By Date F—.2 % - 7 9
Bu ding permit expires Date
Owner:���
Address: 2
Tenant: --
Building Location:
Type of Inspection requested:
BUTTE COUMT"Y DEPARTMENT OF PUBLIC WORKS
`SPECIAL INSn1CTIOr; RFPORT�
Q
/
1. Housing ,
€ 2. Financing ! /
eu 4. Other (specify)
Present use of buildinQ-!6
A. Sanitation Ii-ausin:
A. P.
Date of Inspection? 17/ �Q
Inspecttzlk�����
ZIP
Ll 3. Change of Occupancy to
1. Water closet:
2. Lava tory :-
?. Bathtub or sM'iower:-
4. Kitchen sink:
S. Hot and cold vater to fixtures:
6. Heating facilities:
7. Natural Light and ventilation: -
8. Room and space requirements:
9. Bedroom window or door for second ex t°:
10. Infestation o insects, vermin., or ro :::'zt -- -
11. Connection to se -wage disposal.: -
12. Connection t7 mater supply:
13. Rubbish and garbage facilities:
14. Comments -
B. Structural
1.. Ps.<ers and footings:
2. Floor constnicti.on:
3. Wall construction:_—_
4. Ceiling and roof constriicty_on:
5. Fi;rs.places:�—
C. Electri-.tai.
i. Serle-icc: n.nd r,;-oun3:
2.
—
3. Pusi:ig:—_-w
4.
D. Plumbic
1and vented:
3. Cass },caLin;--
4.
E. Other
1. Maintenance and repair:
2. Fire hazards:
3. Safety hazards:
4. Weather protection:'
S. Underfloor and attic ventilation:
6. Comments:
F. Commercial Buildings
1. Roof covering:
2. Distance to property lines:
3. Physically handicapped:
4. Restroom floors and walls: _
S. Exits:
6. Improvements: -- -
7. Zoning:_ _
8. Comments: --------
G. Field Problems or Violations
1. =o—b or%violation 'giv comp eta description) :
2. Wh#Lt action taken (give c iiple e description) :
3. What action recommend d:
7-7 A. lnforriation /only - fil.e.
B. Hold for teal (10) days, then write leiter.
�<C. Write letter.
77D. Other:
711
_
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Jaly ,21, 1980
i�raa A4.: Cliiicost RE: Mobilehome complaint
2804 Trousdale Drive (A.P. 65-43-25)
•Burliogaie i CA MM,
Dear Mrs. =•Ciiilcoat:
With reference to the above subject and the complaint
jyou filed with the
State of California Department of Rousing and Community,Development concerning
the mobilehome utilityjinstillation,on you property at 110 Torey Pine Rd in
Para4Ese Pines, our building inspector reviewed the property on July 17,.1980
and found no violations or hazards existing as referred to in your complaint.
Should you have any further questions concerning this matter, please contact
this office.
Yours very truly,
Clay Castleberry
j Director of Public Works
+ J.F. Qlander
JFG:ds ' Chief Building Inspector
cc: Dept. of ,Rousing & Com a;, Developajnt'
Division of Codes & Steodards--*bilehome Section
P.O. Dox 3V1, Sacramento, CA 95801
Attn: Arnold Rackney�
cc: Paradise office '
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FILE NO.
BUTTE COUNTY (For Action 1, 2, 3)
Public Works Dept. (For Information t/)
Director
Dep. Dir. +
Sec.
Rd. & Br. Mtce.
Shop
Equip. &Yards
Ref. Disp.
Bldgs. & Grds.
Bldg. Insp. Admin.
D & C/Traffic
Const.
Rd. Des.
Br. Des.
Sur. &Loc.
i
Rd. & Br. Mtce.
Shop
Equip. &Yards
Ref. Disp.
Bldgs. & Grds.
Bldg. Insp. Admin.
D & C/Traffic
Const.
Rd. Des.
Br. Des.
Sur. &Loc.
Mapping
Drng./Permits
Sub. Checking
Right of Way
i
STATE;OF CALIFORNIA EDMUND G. BROWN JR., Governor
DEPARTMENT OF HOUSING AND COMMUNITY DEVELOPMENT
Division of Codes and Standards t
Mobilehome Section
P.O. Box 31
Sacramento, 95801
(916)739-2801
July"14, 1980..---.f--,e,. w•s.�+x n-,. c...w.�r-+yrs; �. .
Fran M. Chi coat
2804 Trousdale • Dr
Burlingame, ..CA -•95954
i
v _. �De°ar!Mrs:'--Chilcoat :
Thank: you for your recent correspondence to this office.
In order to expedite' the , investigation of.your complaints.,
we have.forwarded your letter to,the following agency:
Butte County Building Department
F17,County °Center'Dr..
Qroville_,. r CA .95965
You should be hearing from--this,'a'gency in the near future.
Sincerely,
Arnold Hackney
x,
Mobilehome Complaint Center
AH:daa
cc: .Butte Co. Building Dept.
S- Li
') )h , U
HCD 421 (Rev 4/80)
a
1
9
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srborn �11�n�� nc�
r
File No.
BUTTE COUNTY (For Action 1, 2,3)
Public Works Dept. (For Information ✓)
Director
Dep. Dir.
Sec.
Rd.'& Br. Mtce.
Shop & Yards
1
Bldg. Insp. Admin.
D&C / Traffic
Const.
Rd. Des.
Br. Des.
Sur. & Loc.
Transp.
R/W
Mapping
Land Dev.
Ref. Disp.
Drng. / S.I.
Sub. & Pcl. Maps
Permits
S
J%
� ,,•- ._ _ Y - .-.�. Division of Compliance-
.- "`MOBILEit OME-CONSUMER COMPLAINT
-
. ..
,, ' .? l.F '� ,.. c:r ,.«. _ _ .. �,.� ,
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t . +•=" FOR DEPARTMENT USE ONLY. -77
'
• . 1 wish to file t6wlaint against the licensee named below.-I,under -
Dlr./Dm./pltg./Dist. No.
I
• stand that !Iii Department of Motor Vehicles does not represent private
ACR Number Assigned '7
�v citizens seekin= return of their money or otlrer personal remedfea.-
.
y
`CONTRACT,.,_.,H6C.D.No.
PLEASE SEND* COPIES OF -YOUR -`PURCHASE OR®ER'
MARC Code
AND CONDI TONAL. SALES f:!w ..�..;...- �.
,t
-
,.
PERSON FILING Name -/��/ �/�,� I%% •'
Business Phone Number, ( )
COMPLAINT i ATy- .. r�iAmT /1 IDDF.'-
Addres�/'J�= •��1�.1r l/� . City, L `�f/ i�rHome Phone Nu tuber (/
1
; ,Location of Mobilehome (� 3
. City ✓�aa/9,e_ - C%9
NAME OF Busines- amee"P----;°�ra e 1 M/ Jam -'Phone Num bei
DEALER= —=
Addr s 0,QAQrriC�n!C�":ter'
/
l
NAME OF Business Nam ON 45, ~ �� Phone Number
i
_
MANUFACTURER Address
City.
Make e_
_VEHICLE - Yr. Model -.Serial
Number -O 900 -' /57- O 4/6 r ----
License Number-..S,faZZ -Z-Tab Number-
Yr. Reg. -State-
Date of -Dealer Report of Sale Number---
` Date ofG��o icy
Occupancy
Department of Housing insignia number or,HUD label number-•-•--- -
-Date of Mfg.
Salesperson-- --�� -� • -�--
LIST YOUR COMPLAINT (Include copies of any papers you have)»-�----�- ,r•- t
OutP- ? !9617,4077
4 1
'.�'c` w T'"r2. _ �✓"" GU fro L v
AT5 TWA
IHAVE ALSO MPrivate_ Attorney-firt .., District Attorney, -C Other- —,i/
CONTACTED: •Name. r
Phone»
freely and voluntarily give this affidavit to the CaliforniaDepartment
I. of Motor Vehicles. t further certify the in given is true and correct .i die best of my knowledge and that 1 wilt testify to these. facts
•{k- ^If requested to do so in any action brought by the Department of Motor Vehicles against the licensee: - -• -
,'4 Sijiture of Complain ✓'� - '�'~' Driver's Liceose Humbei Q�- Z -
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,`... • TI TC �1 MCN TN DAY VE i
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HUD INFORMATION CARD N - . ; ;�_•
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I $ELLER6 NAME Farad mines Mobile Home Sales
1', . Box WI:1 Na alfa Calif ,
•' $FIFER'$ ADDRESS p p 1 1a � 95954 ' • , J
PURCHASERS NAME
�r & Mrs • A . E . Chilcoat
...
PURCHASER'S MAILING ADORE SB STREET 2804Trnllqri a,le ��iug i'�,•
r'• CITYBU r l 1 nga m a STAT0G a 1 f,IP CODE 9-LkalO
(vobile
PURCNASER'SArOME ADDRESS STREET _ i n Tor_
r -e- 123 ,g Read
plditteren: ;ommadmgaddreml: C17Y Kaga-1 1 a
STATE _•.ca ZIP CODE 5 4•
.w DATE Of SALE TO PURCHASER: MO. July DAY 9YEAR -1 ► ,
r TO BE FILLED IN BY MANUFACTURING PLANT digg
1 :f
• DATE Of MANUFACTURE: MO. Ji^ty DAY YEAH 979 � s ., '• I• ,
' HOME'S SERIAL NO.* 0800190454 CA TI A&B
... �� BRAND NAME Titan MODEL SNO. Q 1 � TYPE M� H , � ' • ,. �, 1., ki t ,:+) r � •ry'r, 1 tl'�, I v f r 1 r,•� ' �P�' I
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ZONES FOR'MIMICM MOME 18 EOUIPPED
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!'I'v CUSTOMER MAY CHOOSE PERSON FROM WHIi INSURANCE IS1O5TAINED.,-'v,'
INSURANCE COVERAGE• r' A`
NUMBER,.
,
VERAG OF MONTilc 4
_T
PRICE
i , 1-4
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1, OPTIONAL ftAlyipmENT,,
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M LE HOMEOWNER'S,- -. - " - - Z ' " - ' '.. ; f:1". 1, u 1 1 1 �1
COST 9F.SET-UPFA1!TsNorciaj, I
6 _kwo 0
FIRE A EFT-CAC--
FIRErI
AND TH OMPREHENSIVE
A T
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P1 t-!7.
PERSONAL EFFECTS A: w- ,r+., J d'
•t". Ll' 1�'Al
Other Insurance Desi
101A1. PREMIUM for lrsvromv io"veragaiii Ili lly 0 obta4w Itorn, 0, -r , _1A ITEMS ;it.
through "liar 0%, F
MV (If"coihiolit):
INN'C 0 NNnLKA Cat b
COST OF IINSURANCE NCOi
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(1)..CASH'PRICE')", $
�6
USE.) TRADE -1 'I
i: :SIG'•♦ .r
ALLOWANCE,
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v nwily ch 1; -i vt14l DU
./W 00"4 qSS:,BA1,
�6,9 the Wsbioncillited abovo.:Thej�h-o' -61' ABOVE;
1c* 01 �g�pl OF stfoetti
sA oi pier to procure W; FF t4l
balm
NET ALLOWANCE j
The narii of Ili# A
pent or Orokii b
me Mas
od in by Purcher
i n h fs' oni h -and � Fair i I
INITIAL DOWN
PAYMENT REC'
D I., L40
—CASH —AGREED r -
UNLESS A CHARO 0 TH!$,4ORIEMENI FOR PUBLIC'LlAi
.WARNING:'
INCW ED IN
BEFORE DELIVERY-" olf-, �tq A;6 -.f-_ 4
.'OR PROPERTY DA"05. 4t1"NCj,*1 PAYMENINOR SUCH,COVERA I 1�.N f,
(2) LESS BUYER'S DP�VN,PAYMENT4`�
BY THIS AGREEM r
Iva Cod' 90 " i ;:.I
Cul
ANT)Iet. 298 f
01 s rip It?,v i ilq t A
Contractor is rAu 3 ';yNPAID BALANCE OF SALE*PRICF,';q1,
fired �j la�v to j -, -,o., .. . -1.1.* $ be fictinsci and rog4lotii, q hiiii! on
A, 17
ate, Licenii Boom,pyl queitfii�.!'' Sol I
concerning contract 4.1,611�EWi ";"y
contractor t
MC41 w referied to' th6 I
v"A
ross Is to (v.? $
iiirh64.,'bdd �. I , I %,q' ',1' j41`P
tracfgn Pato Licenjim, Scturd,� t §X',p icial Faiiii
102 11 , ecly)-�,-:j-.
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it
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impel t, 0i 60�j
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all. 1114i'tow"01iii
FINANCE CHARGE
!-'AhNUAL*PERCEN'TAGE'R
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it bNi 111101 got 1141. 1 J -k
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01".) all �b
'FORMISAN, NO
VMTAND THISjilgypP.0y, I?., l O"like-d
month cont -c( I s;Tj j -f-
!och tf�xcesslva m. in
WAY A'CREDIT. AGREEMENVAS DERNED1N REG;:V`A SE I
TRIAL
ON6414S'
foml o•: KNOWN AS A $E"Ty-1t�0�JEMFjjj-.jS' Z
HE REQUIRE MUIVINIILY-, UNDER5!00D�-, THAT
fALIFOkNIA'Cit 6FMENT)")'."�� ;TII
SUBJECf,
EDIT AGI I ji 'ji kCES�SARY, RRfC ..j
"�"AD��.j; ME N is tNC
NET PAYOWTO BE MADE Al Nik'tik Ol"§EPLE�ENT" I 226.6f),
1, liumilist q;oj cqrtfiv that os I Wei he
6 matter 01 -fed In he bad hereof 6W 141 part of this 6
�Abeslero twoorpof a' of4 of -h .0 son 1.0011, onioncitpIred; I&I (We$ her. restraint, the oni I
?1?, riled �obpvriiip•four,jf
'haq trader, iroltlith.,
,411�8,oi fi�o inswrong do Purchased the lati Test' 11, 1
�Iafvcf above, Pwch d ti the, terms at &a 1 .710 0
CFO vision of this thio -Iii no oQuipmeni and Ucosewips
lot eac g,oph and proM'orrortpem4wel-amilartil troding,'in,i k1ii ih,i
L severabl9if or;j pa jtv 11 toliffer! �
�01o�,APTofid. the ismolvilrof L "i-11hoi
sh?
RECEIPT FILLED-iN COPY O`F-'THIS"i6REE.ME'
NT IVHERCOY, ACIN(_?
W1.0GED'i"
vF 3'. - :.. , " ; .11, Y. THE PPRCHASER,
rI Not ri Shari and Act,01:1111,1111,11 ify aft Offsi of thti DEALER 0lf4Ih j
0
-§IGNED Tt.
j
PURCHAS
,J, .•Apero•ed.Svbl«Itoaeepto 1,
. nu`:SION
.:Slr
i't ;f�
al #iAa�tleg i1boA
pr fin
F.i.GtSER.
ORM I OOC-3 '"l—Alutwithawth"nupir" 1911 NP!TEADDI Atl`�*MS REVEItSi
CALIfORNtAREES
F`
, to I'y
-LEVERING ACT, ':f"
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o 3774-79P;E
PERMIT NO.
O �v
PERMIT EXPIRES '• ,_�
Aaron Chilcoat
OWNER
CONTR. Aiken & Fairbanks, Inc., Paradise
'I LOCATION (A.P. 65-43-25 )
110 Torey Pine Rd., lot 61, PP#3, Magalia
4
1,
�P
1
r '• Al
1.
„ Temp. Power Pole
Called PG&E
Temp. Elea Serv. to
Called PG&E
Temp. GasServ.
ailed PG&E
d0B
r FINALED Z71
`
. (Date)
(Signatur
COUNTY OF BUTTE
DEPARTMENT OF PUBLIC WOAS'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, under permit
number `-trt for the following location:
Owner—
Owner's
wner Owner's Address
Mobilehome Mfg,` Model Year
Insignia No. ��' j * Serial No.
It is hereby certified for occupancy at the above described location and
may be occupied.
Director of Public Works
Date ' By
THIS CERTIFICATE IS VOID WHEN MOBILEHOME IS RELOCATED
White - Owner, Yellow - Installer, Pink - D.P.W.
COUNTY OF BUTTE = DEPARTMENT OF PUBLIC WORKS
r
BUILDING INSPECTION RECOR`d
BUILDING BUILDING (Cont'd)
firewall S I Pining
t Floor
2n Floor
3rd loor
To out
Water PAng
Sewer
Fixtures
Water Htr.
Heaters
Appliances
Gas Piping & Test
Temp. Gas
Sanitation
Final
Marg Bldg.
Res oom Finish
F tins
Wind o s
SteAwall
Siding
Slab
Roof She thin
Piers
Roofing
Garage
Fdn. Vents
Footings
Stemwa I I
Garage Vents
Insulation
Slab
Carport
Footings
Prov, for physica I)
handica ed
Conformance of ex.
structure
Slab
Final
Patio
F
Footings
Footing
isonry Walls
Throat
Reinf. Steel
Final
nal
PLUMBING
F
L
Coo ng T p. Pole
D is nder round
th entilation ermanent
r(Final knal
MOBILEHOME UTILITIES �a(,� Elec_ Service u BOG Elec. Pedestal
Water Piping Sewer _ l Gas Piping
M0816EHOME IN TAL -ATION - - - - - - - - - - - - - - Support Elec. Continuity
Water Piping '742-7/7 qM Drainage Gas Piping
DATE REMARKS OR CORRECTIONS
(y
.,e
(NOTE: An entry must be made on this form each time you visit the job site.)
up]
N
9. Electrical -- —'-- A. Is service large enough to provide.adequhte amperage -to mobileaome (must equal rating of
mobilehome with a minimum of 100 amp) and other facilities on lot, i.e., water pumps,
garage, cabana, etc.? Ye No
B. Is there proper clearances around panels? Yes `F- No
C. Is power supply cord or feeder assembly properly_fused? Yes TO
D. Is continuity test satisfactory as per.the following procedure? Yes No T:
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. �r
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.
1
5'. ,All non-current, carrying metal partsof the mobilehome (aluminum siding, gas line,
water line), including fixtures and appliances, shall be tested for continuity from
such equipment and the grounding conductor.
f f
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.
t
MOBILEHOME DATA
Manufacturer and/or Namestyle G(Lin
Q
Length Width 4 1
Vehicle Serial No.
State Identification No.
Additional Information or Comments:
u
t
MOBILEHOME INSTALLATION INSPtCTION CHFlCK LIST
1. Is the mobilehome locatedwith 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)—c-
es 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`o
4. Is the mobilehome level? (Sec. 5088) Yes No 1
5. If We than a single unit, are crossover connections properly installed? (Sec. 5088)
YesNo_
6. Water
A. Is xible connector of adequate size and properly installed (1/2" ID mtn.)? (Sec. 5566)
Yes No
B. Test - Does water piping withstand working pressure or 50 lbs. air test? Yes Vo
C. Backflow - If coas not State of California approved, does station have backflow device
and pressure -relief ave? Yes No
7. Wastes and Drains
A. Is connection made with Schedule 40 DWV and have flex connectors at each end?e§ No
B. Does it have minimum k" per foot slope and is it properly supported? Yeso
C. Are any leaks detected in drainage system after,ping 3 gallons of water through each
fixture including washing machine standpipe? Yes
D. If coach not State of Ca-ifornia approved, does station have required trap and vent?
Yes No
8. Gas Piping and Nas Vents
A. Connector - s mobil/mennected to the gas supply with an approved 3/4" minimum
mobilehome c nectore than 6 ft. long? Note: All piping is to be at least as
large as the o"hlineinlet without reductions other than the mobilehome
connector. Ye NB. Test OK as per ollocedure? Yes_No. 1. Open all app ianctor valves.
2. Shut off appl�oce burner and pilot valves.
3. Air test with anometer to 10"-14" water column, or test with slope gauge (minimum
6oz.-maximum 8 z.) calibrated in tenth pound increments. Test for 10 min. without
drop.
4. Connect grmeter to mobilehome with connector, turn on gas, test connections with
soapy wat .
C. Are all appliance vents 1\roperly installed? Yes_ No.
COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS ^
7 County Center Drive, - Oroville, California 95965
Telephone: 534-4541
APPLICATION AND PERMIT /yC
" X
BUILDING
Owner �� ������
SQ. FT. OCC. BUILDING VrIl UATION
Mai I ing Address
Telephone No.
Contractor &gw a&4✓X-5 (
Mailing Address �lo>a�
Fireplace
Total Valuation
TeJephon o
Permit Fee.
Building Address /AJL_ .)
Plan Checking Fee &/or Penalty
Permit Fee
PLUMBING No.1 @ FEE
PERMIT FILING FEE $3.00
Each Trap 1.50
/'U0i
Repair drainage or vent piping 1.50
/
A. P. No. (p�^ ` �- S
I
Zoning a anning
Water piping 1.50 ''
Each gas water heater or vent 1.50
tion Fire Dept.
FireZone
Use ermit
Gas piping system 1 - 5 outlets 1.50
EOA
Parking
Plans
ParcelEach
I Declaration
I Parcel p
1 60' R/W
Improvements
additional outlet .30
Building sewer 5.00 40
Bldg. Pla Recd
s
Parcel oyal
p r
Plan Approval
Lawn sprinkler system 2.00
NEW ❑ ADDITION ❑ UTILITIES OTHER ❑
Permit Fee $
s
ELECTRICAL No. @ FEE
PERMIT FILING FEE $3.00 ,00
Main service 100V OR LESS
100 AMP OR LESS 5•00
Single Family ❑ Duplex ❑ Mobil Home 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 OR ADDNST ( ACC."'BLDGSLING CCUP. 4'\ 20sgft
/
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: `�
�%
Xm- 62, C-
NEW CONSTR. (MULTI.OUTL T
NON•RESID `BRANCH CIRCUITS) 2.50ea
'
NEWCONSTR. POWER APPARATUS 6
NON •RESID. (SINGLE OUTLET CIR.
Ex. Occuo(OUTLETS OR FIXTIIRES g L�
Ex. OCCup ( FIXED TS (RESAPPLNS. OR
OUTLETS (RESID.) EA 2•00
Temporary service 10.00
Mobile Home Facilities
�i
License No. --W J� 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 Worrk�kmen's Compensation.
vvU,_P lave 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
Land Development Fee
$
TOTAL PERMIT FEE
$ 4
authorize repr enta e - he County of Butte to enter upon the
above-ment' . pr ert for Inspection purposes.
KX Date
Signature of Permit.e Agent
Receipt No. J^
White-D.P.W. - Yellow -Assessor - P' k -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.
DIREC70 PUBLIC WORKS
By
Bu ding permit expires Date v �o
COUNTY OF BUTTt — DEPARTMENT OF PUBLIC WORKS
7`County Center Drive .- Oroville, California 95965 �(Fl-
`telephone: 534-4541
APPLICATION AND PERMIT
authorize representatives of the County of Butte to enter upon the
above-mentioned property for inspection purposes.
X Date
ig at r of er.rt. e or�g����
Receipt S
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
abov o which fees have been paid.
C R OF P BLIC WORKS
JAI, �274
Date QQ
Building permit expires Date ����'a J
BUILDING
Owner 0U� j,�.�.LC,pA�
SO. FT. OCC. BUILDING VA UATION
Mai I i ng Address
Tell e-+pho'n eeN9o.
Contractor �.0•�j, ("IQ�I�
il� J--WIL�
Mailing Address IZ4-
3r -e.(5
Fireplace
Total Valuation
_
C C,A (co C� � 9 S67
T ��
Permit Fee
Building Address 110 ICY �//��
Plan Checking Fee &/or Penalty
Permit Fee
' PLUMBING No.1 @ FEE
PERMIT FILING FEE $3.00
Each Trap 1.50
PP A4 kf k-` A
Repair drainage or vent piping 1.50
c
A. P. No. �Q�` �� ���7
�- t
oni�{g & Planning
Water piping 1.50
Each gas water heater or vent 1.50
F
-90r3ite4ien
1 Fire Dept.
Fire Zone
Use Permit
Gas piping system 1 - 5 outlets 1.50
EQA
Parking
Plans
Parcel
Declaration
Parcel Map
60' R/W
Improvements
Each additional outlet .30
Building sewer 5.00
Bldg. Plan ec'd
Parcel rovalPla
proval
Lawn sprinkler system 2.00
NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER
Permit Fee $
$
A4 lel r-6 9 U jl (, -
ELECTRICAL No.1 @ FEE
[L —
TT
PERMIT FILING FEE $3.00
600V OR LESS
Main service 100 AMP OR LESS 5.00
Sirigle Family ❑ Duplex ❑ Mobil Home Others ❑
Main service EA. ADD'L 100 AMP 2.50
Main service OVER
100 AMPP OR LESS 25,00
Main service EA. ADD'L 100 AMP 1.00
OR ADDNST % ACCL BLOGS.CCVP. Y) 22sq ft
CONTRACTORS LICENSE LAW
I am licensed under the provisions of Chapter 9, Div. 3, of the
State of California Busines & rofessio s Code under the name
style of:
hkiXe IV
NEW CONSTR MULTI.OUTL T
NON-RESID ` BRANCH CIRCUITS) 2.50ea
NEW CONSTR. (POWER APPARATUS .&,
NON-RESID, SINGLE OUTLET CIR.
Ex. OCCUR{OUTLETS OR FIXTIIRES B L@;
FIXED APPLS, OR
Ex. OCCUp.�NOUTLETS (RESID.) EA) 2.00
Temporary service 10.00
Mobile Home Facilities 15.00
License Nq,.�Z '9 7 c go C Classification
Misc. Wiring 6.25
am exempt from the Contractors License Laws of the State of Cal ifomia.
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.
❑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 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
LaTvd Development e `
TOTAL PERMIT FEE
106
$30
authorize representatives of the County of Butte to enter upon the
above-mentioned property for inspection purposes.
X Date
ig at r of er.rt. e or�g����
Receipt S
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
abov o which fees have been paid.
C R OF P BLIC WORKS
JAI, �274
Date QQ
Building permit expires Date ����'a J
x
MOBILEHOMF SUPPORT DATA
If other than single wide,
Mobilehome Mfr. furnish Setup .Model No. D J 2 Year
Widtha�(ft.) ox' Length (ft)'' 'Tagalong or ExSize ft. x ft.
(SHOW 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).
All center supports measured from front of ;
mobilehome unless otherwise specified.'� `
4P.(�vY►`71 pazt Footings (check one)
Single
1. Wood either
Apressure treated of
foundation grade..
x .
ft.)(in;) (in.) (in.) 2. Other (specify)
Cen er support Center support
1 cations* footing sizes Supports (check one)
(in.)
�1: Concrete block.
3Q . 2: Other (specify)
(ft.)(in.) .(in.) (in.)
<--Tagalong or Expando,'.
show support details.
( t -)(iii-) (in.) (in.)
Pin
x C7 -- Typical Support
. (in.) Footing Size
(f .)(in.) (in.) (in.) C� -- Max. Pier Spacing
--
L-�--� J Max. Overhang .
( t. (in.) (in,) (in.)
(ft.)(in:). ,
SUTTE COUNTY .
BUILDING DEPARTMEN
•; .. A p ,
ROVED
*If centeriers are other than drawn bo
p n r wn a ve,
draw in -locations, spacing, and dimensions.
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? Yeses/ No
(If yes, furnish permit number ) OR
Is the site an existing sire? 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
)
5.
What
is the mobilehome electrical rating? -----------------------
p?��j Amps
• 6.
What
is the mobilehome site service rating? ---------------------
Amps
7.
What
is the mobilehome site circuit breaker rating?
-------------
L Amps
8.
Is there
any other electric load to be served by the
mobilehome
siteservice?
---------------------------------------------------
Yes _L
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 77
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.)