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066-270-051
r 66-27-51 - Herman Troche 25 Fritz Ct., lot 358, CC#4, Magalia contr: Fuller Const., Magalia Permit # 3-78P,E(uti1.AffI) ELEC. ' GAS Q SUPPORf S RUCTURE REQ. RdO OMPACTION TEST REQ, 66-27-51 Contr: McMillan MH Sales, Par Permit #5293-78M/�HI %� ,5 -7. /l►�G //����7 Issued r 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, under permit number % > ' for the following location: %' Owner Owner's Address ^�'^ 12 Mobilehome Mfg. .��/�y Model Year' Insignia No!1'9�"," V�• "/ V V41 Serial No. It is hereby certified for occupancy at the above described location and may be occupied. Director of Public Works Date /' By . r THIS CERTIFICATE IS VOID WHEN MOBILEHOME IS RELOCATED 0 White - Owner, Yellow - Installer, Pink - D.P.W. MOBILEHOME INSTALLATION INSPECTION CHECK LIST �lL Is the mobilehome located wit required separation from lot lines and buildings and generally conform to plot plan? Yes--I,-"No Does the mobilehome have required clearances above ground? (Sec.5085) Yes"L- o �.KAre footings and supports properly sized, spaced,,and braced as per pproved plans? (Note possible variation at spring shackles.) (Sec. 5082 & 5083) Yes o Is the mobilehome level? (Sec. 5088) Yes � No_ 75./ If o e than a single unit, are crossover connections properly installed? (Sec. 5088) �v Yes No Water A. Is fle le connector of adequate size and properly installed (1/2" ID min.)? (Sec. 5566) Yes No B.- Test - Does wateri in withstand working pressure or 50 lbs, air test? Yes No_ P P g BackfIf coach is not State of California approved, does station have backlow device and p/�Ye-relief valve? Yes_ No— b4-Wastes and Drains s 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? Yes -=No_ OC-f4re any leaks detected in drainage system after running 3- lons of water through each fixture including washing machine standpipe? Yes No Ix If co "s not•State of California approved, does station have required trap and vent? Yes Gas.Piping and Gas Vents A. Connector - Is obilehome connect mobilehome conne for not more tha large as the mob lehome gas li� connector. Yes No the.gas supply with an approved 3/4".minimum 6 ft. long? Note: All piping -is to be at least as let without reductions other than the mobilehome i B. .Test OK as per fol owing pr cedurei Yes No 1. Open all applia ce co ector valves. 2. ShX) o f applianc urner and.pilot valves. 3. Air e t with m om ter to 10";14" water column; or test with slope gauge (minimum © 6oz.-maximum 8 oz.) alibrated in tenth pound increments. Test for 10 min'. without drop: r 4. Connect gas meter tom ilehorqe.with'connector, turn on gas, test connections with .soapy water. C. Are all appliance vents prope*ly installed? Yes No - 9. Electrical A. Is service large enough to provi adequate amperage -to mobilehome (must equal rating of mobilehome with a minimum of 1 amp) and other facilities,on lot, i.e., water pumps, garage, cabana, etc.? Yes No B. Is there proper. clearances around panels? Yeses No_ C. Is power supply cord or feeder assembly properly fused? Yes_ No , dIs continuity test satisfactory as per the following procedure? 'If 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 C Gf /:(J� — fel-% �% /17d Length Width Vehicle Serial No. State Identification No. //9 /5,/,P / /�7 Additional Information or Comments: / 024)0 644V SMI Vol Ali 14 /�� ij`D C, fj — �/� c%� S d1JiGzr u1i,2�, �__// PERMIT NO. 4431-_78P,E,. PERMIT EXPIRES OWNER Herman Troche 60NTR. Fuller onst . Magalia LOCATION (A.P. 66-27-51 25 Fritz Ct., lot 358 , CC#4, Magalia 0 ti. f w ry y t' iuJ E�1 it u ?'I Temp. Power Pole Called PG&E Temp. Elec. Serv. Called PG&E 11 Temp. Gas Serv. Called PG&E ° JOB FINALED 0 ��r�2 V (Date) (Signature P COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS BUILDING INSPECTION RECORD BUILDING BUILDING (Cont'd) PLUMBING S Aoa c F ewall Soil Pi ing For4 Par ets I'SidingTo 1st FI•or Mai Bldg. Rest om Finish 2nd Flo r Fo tins Windo 3rd Floor. Ste all out Slab Roof Shea Ing Water Piping Piers / Roofing Sewer Garage Fdn. Vents Fixtures Footings ! % Stemwal l Garage Vents Insulation Water Htr. Heaters Slab Carport Footings Prov. for ph sical handica ed Conformance of ex. structure Appliances Gas Piping &Test Temp. Gas Slab Final Sanitation Patio F Lh E P LNA CE Final N Footings Footing E CTRICAL MasonryWalls Throat Rou h Reinf. Steel Final N Fixtures Bond Beam FRE SPRINKLERS Motors Framing Test Water Htr. Stucco Final Subpanels/ Mesh MECHANICAL Grd. Faapf Prot. ScratqK Heatina Service Bron Cooling Te p. Pole FI Ish Ducts In rior Lath Ventll tion oor Closer Fina MOBILEHOME UTILITIES ...... Ele . Service -,:Z- Water ,Water Piping j. / Sewer E ME INSTALLATION - - - - - - - - - - - - - Support Water Piping _;X // 7 7,P ftZ�-2 Drainage DATE I REMARKS OR CORRECTIONS ,Final Elec. Pedestal - Gas Piping Elec. Continuity Gas Piping './'q_T- ee K -- (NOTE: — (NOTE: An entry must be made on this form each time you visit the job site.) �y COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WOR t' 7 County Center Drive — Oroville, California 95965 '/?-7� I Telephone: 534-4541 I APPLICATION AND PERMIT authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. X C Date Signature of Permitee or Agent Receipt No. an� 56- / 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 OFP JBJIC WORKS By — Date %®_-3 -7,? B ding permit expires Date 7 I BUILDING Owner SQ. FT. OCC. BUILDING VALUATION Mailing Address Telephone No. Contractor s` Mailing Addres Fireplace Total Valuation _ Telephone o.� _ Permit Fee Building Address Plan Checking Fee &/or Penalty Permit Fee PLUMBING No.1 @ FEE PERMIT FILING FEE $3.00 Each Trap 1.50 Repair drainage or vent piping 1.50 _ A. P. No. C "2 Zoning & Planning Water piping 1.50 Each gas water heater or vent 1.50 SaRirtalien FireDept. FireZone Use Permit Gas piping system 1 - 5 outlets 1.50 EQA Parking Plans I Parcel Declaration Parcel Map 60' R/W Improvements Each additional outlet .30 Building sewer 5.00 Bldg. Plo Rec s d vl Parc rooI P s pproval Lawn sprinkler system 2.00 N ❑ ADDITION ❑ UTILITIES ❑ OTHER Permit Fee $ $ ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 Main service 600V OR LESS 100 AMP OR LESS 5•�� Single Family ❑ Duplex E]Mobil Home JE[ 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 CONSTOR ADDNS. \ ACCLBLDGSCCUP. "\ r2PSgft / 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: Z.4<9"- NEW °NSTR BRANCH CIRCUITS) NON-RESID. (MULTI BRANCH CIRCUITS) 2.50ea NEW CONSTR. POWER APPARATUS 8 NON.RESID. SINGLE OUTLET CIR. Ex. OCCUD(OUTLETS OR FIXTIIRES g L 1� 01 FIXED APPLWS. OR Ex. Occup.(OUTLETS (RESID.) EA) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 License No.3 ZCt_ `l Classification Misc. Wiring 6.25 ❑ I am exempt from the Contractors License Laws of the State of California. Permit 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. ��pave 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. @ FEE PERMIT FILING FEE $3.00 Heating Cooling Ventilation Hood 2.00 Permit Fee 'r $ $ 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 FAe $ TOTAL PERMIT FEE $ o authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. X C Date Signature of Permitee or Agent Receipt No. an� 56- / 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 OFP JBJIC WORKS By — Date %®_-3 -7,? B ding permit expires Date 7 I COUNTY OF -BUTTE — DEPABTMENT OF PUBLIC WORKS 'f 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-mentioned property for inspection purposes. Date7-27-78- 'gnature f Permitee or Agent Receipt No., 3 q 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. A QMEC3f09OF PUBLIC WORKS J DA ArAff, Vuildi.ng permit expires Date BUILDING % OwnerHerman Troche SQ. FT. OCC. BUILDING VALUATION Mailing Address Telephone No. Contractor Fuller Construction, Inc. Mailing Address P.O. BOX 509 Fireplace Total Valuation ,I Ma alfa Ca. 41873-0669—Permit Telephone No. Fee Building Address CCI Lot $ r1tZ Ct. Plan Checking Fee&/or Penalty Permit Fee Ma alfa C PLUMBING No. @ FEE PERMIT FILING FEE K $3.00 Each Trap 1.50 Zoning YAriftc-49A Onild Repair drainage or vent piping 1.50 ^ 7 `�� A. P. No. �6--2-7-5 PCZ Water piping 4 -ed' Each gas water heater or vent 1.50 F" i io Fire Dept. Fire Zone Use Permit Gas piping system 1 - 5 outlets 1.50 EQA Parking arcel Plans Declaration Parcel p 60' R/W Improvements Each additional outlet .30 Building sewer K(,1 d�,/Q�a�s Recd Parce A roval PI pproval Lawn sprinkler system 2.00 NEW ® ADDITION ❑ UTILITIES ® OTHER ❑ Permit Fee $ $ ELECTRICAL No. @ FEE PERMIT FILING FEE K $3.00 r 600V OR LESS Main service 100 AMP OR LESS 5.00 Single Family ❑ Duplex ❑ Mobil Home Others ❑ Main service EA. ADD'L 100 AMP X 2.50 r' MINIMUM n �� EOR hIOBfLES Main service OVER 6 O 25.00 100 AMP OR LESS Main service EA. ADD'L 100 AMP 1.00 NEW OR ADDNST ACCLBLOGS.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 o: style of: y Fuller Construction, Inc. T NEW RESID. BRANCH CIRCUITS NON.RESID. � BRANCH CIRCUITS 2.50ea NEW CONSTR. POWERAPPARATUS 6 NON-RESID. SINGLE OUTLET CIR. Ex. Occup{OUTLETS OR FIXTtIRES g L 11 x. CCU FIXED APPLNS. OR EO p•(OUTLETS (RESID.) EA) 2.00 Temporary service 10.00 P.O. BOX 5��0 Ma lia Ca. 554 �"9T'� Mobile Home Facilities 15.00 ——' License No. 34()9!97 Classification A Misc. Wiring 6.25 ❑ I am exempt from the Contractors License Laws of the State of California. Permit Fee $ S 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. . MECHANICAL Nol FEE PERMIT FILING FEE $3.00 Heating Cooling Ventilation Hood 2.00 Permit Fee $ $ I certify that 1 have read this application and state that the above information is correct. 1 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-mentioned property for inspection purposes. Date7-27-78- 'gnature f Permitee or Agent Receipt No., 3 q 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. A QMEC3f09OF PUBLIC WORKS J DA ArAff, Vuildi.ng permit expires Date