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%9 4 4/c�W,� 66-27-34 Wilda & Britton Ford (Sullivan) 25 Mooz Ct., lot 443, CC#4, Magalia contr: Fuller Const., Magalia Permit 117 . 8P,E(uti1.MH) ELEC . J `I GAS SUPPORT S 1 RbV a m, 7,LEA. --- COMPACTION TEST REQ. -yLa (eh^ 66-27-34 Contr: CharlesJohnson, Sacto Permit #3431-78MHI" Issued 0 � J 9. Electrical . • -- ,:, -- _• .-----_--_ A. Is service large enough to provide adequate amperage -to mobilehome (must equal rating of mobilehome with a minimum of /T 00 amp) and other facilities on lot, i.e., water pumps, garage, cabana, etc.? YesNo e B. Is there proper clearances around panels? Yes L/ 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. 7,303 State Identification No. Additional Information or Comments: 0 MOBILEHOME INSTALLATION INSPECTION CHECK LIST 1. Is the mobilehome located wit 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 t.,/No- 3. / No 3. Are footings and supports properly sized, spaced, and braced as per approved plans? (Note possible variation at spring shackles.) ^(S/ec. 5082 & 5083) Yes Al No 4. Is the mobilehome level? (Sec. 5088) Yesv No 5. If moue/ than a single .unit, are crossover connections properly installed? (Sec. 5088) Yes ✓ No 6. Water A. Is f7le 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 4" per foot slope and is it properly supported? Yest,No C. Are any leaks detected in drainage system after running gallons of water through each fixture including washing machine standpipe? Yes Nov 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 1'ne inlet w:thout reductions other than the mobilehome connector. Yes No \ B. .Test OK as per following proceduVrpivyot No :1. Open all appliance connecto. 2. Shut off appliance burner avalves. 3. Air test with manometer to 10"41\ water column or test with slope gauge (minimum 0 6oz.-maximum 8 oz.) calibrate�7r`1in �nth pound increments. Test for 10 min. without drop. 4. Connect gas meter to mobileYome.with \onnector, turn on gas, test connections with .soapy water. , C. Are all appliance vents properly installed? Ves No. I c PERMIT/hO. 722-78P,E PERMIT EXPIRES / 'OWNER Wilda & Britton Ford (Sullivan) `CONTR. Fuller Const., Magalia LOCATION (A.P. 66-27-34 ) 25 Mooz Ct., lot 443, CCYK , Magalia �s 4 _1 Temp. Power Pole Called PG&E Temp. Elec. Serv. �` D Called PG&E Temp. Gas Serv. Called PG&E JOB 9 © �, g FINALED (Date) G (Signature COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS BUILDING INSPECTION RECORD BUILDING A BUILDING (Cont'd) ewa l l Malik Bldg. Rest om Finish Fo tins Windo Ste all Siding Slab Roof Shea in Piers Roofing Garage Fdn. Vents Footin s Garage Vents Stemwa I I Insulation Slab Carport Footings V Prov. forphysical handica ed Conformance of ex. structure Slab A Final Patio F EP ACE Footin s Footing isonry Walls Throat Reinf. Steel Final -A Mesh MECHANICAL Scrah Heatl 96 Bntn Cnn nn Finish X I D is I erior Lath N I yfntilation oor Closer anal MOBILEHOME UTILITIES ----------•------- Elec. Service / Water Piping Sewer % MOSILEHQME INSTALLATION ----- Support Water Piping Q Drainage / DATE REMARKS OR CORRECTIONS - aid { PLUMBING butl Pipin t t Floor 2n Floor 3rd Noor To out Water Pip\19 Sewer Fixtures Water Htr. Heaters Appliances Gas Piping & Test Temp. -Gas Sanitation Final Fixtures Motors Water Htr. Subanel Grd. F It Prot. Servs TjAp. Pole nder round Permanent Final Elec. Pedestal Gas Piping Elec. Continuity Gas Piping (NOTE: An entry must be made on this form each time you visit the job site.) 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 dministrative Code, Title 25, Chapter 5, under permit numberfor the following location: ,.Owner i.t3 �'c l.a .�- /j,�.`' :� J. Owner's Address'_ Mobilehome Mfg. Model Year • IL Insignia No —AW139. 44�. Serial No. , es It is hereby certified for occupancy at the above described location and may be occupied. Director of Public Works t Date ry Y .. ` , 1. THIS CERTIFICATE IS VOID WHEN 1OBILEHOME IS FTELOCATED r. �0 t - 1 White -Owner, Yellow -Installer, Pink - O.P.W. , COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS 7 County Center Drive -+- 'Oroville, California 95965 Telephone: 534-4541 APPLICATION AND PERMIT l BY ate 3-1--7� Receipt No. ccm l a & 7 White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant Building permit expires Date l BUILDING IV I Owner Wilda &Britton Ford (Sullivan) SQ. FT. OCC. BUILDING VALUATION Mailing Address Telephone No. Fireplace Contractor Fuller Construction, Inc. Total Valuation Mailing Address P.Q. $OX 09 5 Permit FeePlan Checking Fee&/or Penalty Magalia, Ca 95954 ��1-015988 Permit Fee $ Building Address cc4 ilot 443 PLUMBING No. @ FEE PERMIT FILING FEE XX $3.00 Moos Court Each Trap 1.50 Magalia, Ca' 95954 Repair drainage or vent piping 1.50 Water piping X (1 A. P. No. Cp �O ZO 9• Each gas water heater or vent 1.50 Gas piping system 11'"- 5 outlets 1.50 Each additional outlet .30 F / Wird I i Fire Dept. Firezone Use Permit Building sewer 4.-60' EQA Parking Plan Parcel Declaration Parcel Ma p R/W Le Im rovers s p Lawn sprinkler system 2.00 Bld'. ftls (\2ec'd Parcel App al Plans Approval Permit Fee $ $ NEW ® ADDITION ❑ UTILITIES] OTHER ❑ ELECTRICAL No. @ FEE PERMIT FILING FEE U $3.00 Main service 110V OR LESS Xx 5.00 4-1- 100 AMP OR LESS Main service EA. AOD'L 100 AMP 2.50 Main service OVER 600V 25.00 100 AMP OR LESS - Single Family ❑ Duplex ❑ Mobil Home ® Others ❑ Main service EA. ADD'L 100 AMP 1.00 /�/� 500 f? SQ. MINIMUM NEW OR ADDNSCONST. A/CCLBLDGLING OCCUP. &) 20sg ft NEW NON •RESID CONSTR.% BRANCH CIRCUITS) 2.50ea EOR MOBILES NEW NON-RESID CONSTR.(SINGLE OUTLETPOWER TCIR,& 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: Fuller Construction, Inc. Ex. Occup(OUTLETS OR FIXTURES) BAL01 FIXED APLNS. OR Ex. Occup.(POUTLETS IRESID.) EA) 2.00 Temporary service 10.00 P.O. Box 509 Magalia, Ca 95954 Mobile Home Facilities 15.00 License No. 3'6997 Classification A 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. 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 $ S 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. ryabove X,�Date /� //4 L 0 TOTAL PERMIT FEE $ This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated for which fees have been paid. DIRECTOR OF PLJ,B,)_IC WORKS l BY ate 3-1--7� Receipt No. ccm l a & 7 White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant Building permit expires Date l COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive •— 'Oroville, California 95965 Telephone: 534-4541 APPLICATION AND PERMIT authorize representatives of the County of Butte to enter upon the above-mention.qo property f r ins ction purposes. X Date 6 �� Signature of P7/1 tee or Agent Receipt No. 7 % �% 67 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. DIREC R OF P LIC WORKS By Date -parmfiriv permit expires Date _ �-�_ —_�� BUILDING ' Owner �� v S v �� SQ. FT. OCC. BUILDING VALUATION Mailing Address "9 h t1/Q• Telephone No. Contractor Mailing Address G 4t c Fireplace Total Valuation Teleph^neatg.7 Permit Fee Building Address Plan Checking Fee&/or Penalty Permit Fee PLUMBING No.1 @ FEE PERMIT FILING FEE $3.00 Each Trap 1.50 C Ar Repair drainage or vent piping 1.50 �7 A. P. No. Cp —� Zoning & Planning Water piping 1.50 Each gas water heater or vent 1.50 F ` 4e. Fire Dept. Fire Zone Use Permit Gas piping system 1 - 5 outlets 1.50 EQA Parking Plans Parcel Declaration Parcel Map 60R/W ' Imp ents Each additional outlet .30 Building sewer 5.00 Bldg.` ans Recd Parcel A roval Plans Approval Lawn sprinkler system 2.00 NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER Permit Fee $ is 72-7_ ELECTRICAL No.. @ FEE PERMIT FILING FEE $3.00 00V OR LE Main service 100 AMP ORSLESS 5.00 Single Family ❑ Duplex ❑ Mobil Home tZ Others ❑ Main service EA. ADD'L 100 AMP 2.50 Main service OVER e00v 25.00 100 AMP OR LESS Main service EA. AOD'L 100 AMP 1.00 NEW OR ADDNST %ACCLBLDGSLING OCCUP. &'\ 22sgft 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) RESID. � BRANCH CIRCUITS) 2.50ea ..NON NEW CONSTR. (POWER APPARATUS .&, NON RESID. SINGLE OUTLET CIR. 250 Ex. OCCUD(OUTLETS OR FIXTIIRES g Lt� Ex. Occu FIXED APPLNS. OR p• OUTLETS (RESID.) EA) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 �9 License No. 9� %'�3 Classification Misc. Wiring 6.25 ❑ I am exempt from the Contractors License Laws of the State of - Cal ifomia. 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. -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 FEE PERMIT FILING FEE $3.00 Heating Cooling Ventilation Hood 2.00 Permit Fee $ $ Q CC3 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 Land Development Fee $ TOTAL PERMIT FEE $ authorize representatives of the County of Butte to enter upon the above-mention.qo property f r ins ction purposes. X Date 6 �� Signature of P7/1 tee or Agent Receipt No. 7 % �% 67 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. DIREC R OF P LIC WORKS By Date -parmfiriv permit expires Date _ �-�_ —_��