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069-090-023
GILBERT HOSKING G4 -o9 Z3 6 Hanging Txee Ct., lot46, 2A, Oro. Permit# 1374-75P,E(util., MH)� ELEC. GAS -m29- 7Jf SUPPORT STRUCTURE REQ._ COMPACTION TEST REQ. ' hct CONTR: Twin Cities Trailer Sale ,Marys - ,Permit 2264-75 MHI A �ville Issued - %�z - _AP-- 0N� tN/Perrprises., Sacramento Permt# 4090-75B covered deck & awn, contr:B & D Industries, Sacto. Permit #662�7B(lst.,.renewal f r permit #4090-75) P.1" 3G9 -a9 -Z,3 Contr:,B & D Industries, Sacto Permit ##1023-78B(2nd. renewal/ 4090-75) I' "a 5,23 069-090-023 SCRUBY, DAVID 04-3366 6 HANGING TREE CT, OROVILL CONT: OWNER UPGRADE TO 200 AMP SERVI INP%E n �1,•1- RA�=22� ttca4rittd) 366 m Hangino�Tree acnUby Daved- 114lace Ex skp� b �ront Dass.,. . U BUTTE COUNTY INTERDEPARTMENTAL CORRESPONDENCE DELIVER TO LAST PERSON NAMED DATE NAME DEPT. I DATE NAME DEPT. BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT 24 HOUR INSPECTION #: (530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO) OFFICE #: (530) 538-7541 FAX#: (530)538-2140 i WEBSITE: www.buttecounty.neAdds LICENSED CONTRACTORS DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. License Class: License Number: Date: Contractor. OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors' State License Law for the following reason (Sec. 7031.5 Business and Professions Code: Any city or county which requires a permit to construct, alter, improve, demolish, or repair any structure, prior to its issuance, also requires the applicant for such permit to file a signed statement that he or she is licensed pursuant to the provisions of the Contractor's State License Law (Chapter 9 commencing with Section 7000) of Division 3 of the Business and Professions Code) or that he or she is exempt therefrom and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500).): I, as owner of the property, or my employees with wages as their 'tole compensation, will do the work, and the •structure is not intended or offered for sale (Sec. 7044, Business and Professions Code: The Contractors' State License Law does not apply to an owner of property who builds or improves thereon, and who does such work himself or herself or through his or her own employees, provided that such improvements are not. intended or offered for sale. If however, the building or improvements are sold within one year of completion, the owner -builder will have the burden of proving that he or she did not build or improve for the purpose of sale.): ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business and Professions Code. The Contractors' State License Law does not apply to an owner of property who builds or improves thereon, and who contracts for such projects with a contractor(s) licensed pursuant to the Contractors' State License Law.). ' ❑ I am Exempt under Article 3 of the Bu ess and P fes�o sions Code Date: Owner: WORKERS' COMPENSATION DECLARATION / I hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. O I have and will maintain workers' compensation insurance, as required by Section 3700 the Labor Code, for the performance of the work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier: Policy #: 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 workers' compensation laws of California, and agree that if, I should become subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with hose provisions. Date: 11 �[oF-t- Applicant: WARNING: Failure to secure workers' compensation coverag" unlawful, and shall subject an employer to criminal penalties and one hundred thousand dollars ($100,000), in addition to the cost of compensation, damages as provided for in Section 3706 of the Labor code, interest, and attorney's fees. CONSTRUCTION LENDING AGENCY I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued (Sec 3097 Civ.) Address: PERMIT NO,r BP043366 J Date: 11/24/2004 APN:069-090-023-000 Site Address: 6 HANGING TREE CT ORO IMap Index: Description: UPGRADE FROM 100 AMP TO MP SVC Owner: SCRUBY DAVID & VICKIE 50 WALLY B LN OROVILLE, CA 95966-5632 (530) 589-9187 Applicant: SCRUBY DAVID & VICKIE 50 WALLY B LN OROVILLE, CA ' 95966-5632 (530) 589-9187 i Contractor: License #: Architect: Engineer: Total 'Square Ft: Valuation: Census Code: OFFICE COPY Address Me - DaTe ELECTRIC �" t Meter By Date• � { I X V� I � / 0 S. F. � $0.00 This permit i hereby issued under the applicable provisions of the Butte County CodR anrVpr Resolutions o do work indicated above for which fees have been paid. By: vl.� �LrT-I 1�� Date: I 1 •J4 -©4 PFR IT F PIRFS AN• ` 1 4 ' 0!S- ❑ 1 hereby certify that the use of this facility shall comply with Sections 25505, 25533, and 25534 of the California Health and Safety Code, which regulate the storage, handling and use of hazardous materials. ❑ Notification in accordance with Section 19827.5 of California Health & Safety Code is not applicable to the scheduled construction of this project. ❑ Attached are copies of the required E.P.A. notification forms. I hereby certify that I have read this application, that the above information is correct, and that I am the owner or the y a thorized agent of the owner. I agree to comply with all county and state laws relating to building construction. I acknowledge it is unlawful to alter the su tance of any fficia form or docum Butte County. I hereby authorize representatives of Butte County to enter upon the above mentioned property for inspection oses. Print Name: _ J C(U Signature: Date: tZ ❑ Contractor ❑ Agent for Owner ❑ Aon for Contractor BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT 24 HOUR INSPECTION #: (530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO) OFFICE #: (530) 538-7541 FAX#: (530)538-2140 WEBSITE: www.buttecounty.neAdds PERMIT NO. BP043366 LICENSED CONTRACTORS DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of Issued Date: 11/24/2004 APN: 069-090-023-000 the Business and Professions Code, and my license is in full force and effect. License Class: License Number: Site Address: 6 HANGING TREE CT ORO Date: Contractor. Map Index: Description: UPGRADE FROM 100 AMP TO 200 AMP SVC p . OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors' State License Law for the following reason (Sec. 7031.5 Business and Professions Code: Any city or county which requires a Owner: SCRUBY DAVID & VICKIE permit to construct, alter, improve, demolish, or repair any structure, prior to its issuance, also requires the applicant for such permit to file a 50 WALLY B LN signed statement that he or she is licensed pursuant to the provisions of OROVILLE CA the Contractor's State License Law (Chapter 9 commencing with Section , 7000) of Division 3 of the Business and Professions Code) or that he or 95966-5632 she is exempt therefrom and the basis for the alleged exemption. Any (530) 589-9187 violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500).): I, as owner of the property, or my employees with wages as their le compensation, will do the work, and the structure is not intended or offered for sale (Sec. 7044, Business and Professions Applicant: SCRUBY DAVID & VICKIE Code: The Contractors' State License Law does not apply to an owner of property who builds or improves thereon, and who does 50 WALLY B LN such work himself or herself or through his or her own employees, OROVILLE, CA provided that such improvements are not intended or offered for 95966-5632 sale. If however, the building or improvements are sold within one year of completion, the owner -builder will have the burden of (530) 589-9187 proving that he or she did not build or improve for the purpose of sale.). ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business and Professions Code. The Contractors' State License Law does Contractor: not apply to an owner of property who builds or improves thereon, and who contracts for such projects with a contractor(s) licensed pursuant to the Contractors' State License Law.). ❑ I amxempt under Article 3 of the Bu ess and P fons Code �z . q &104 Date: Owner: License #: WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by Section 3700 of the Labor Code, for the performance of the work for which this permit Architect: is issued. Engineer: ❑ 1 have and will maintain workers' compensation insurance, as required by Section 3700 the Labor Code, for the performance of the work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier: Total Square Ft: 0 S. F. Policy a: Valuation: $0.00 Census Code: 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 workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with hose provisions. Date: I 4 Applicant: KIN A WARNING: Failure to secure workers' compensation coverage) unlawful, and shall subject an employer to criminal penalties and one hundred thousand dollars ($100,000), in addition to the cost of compensation, damages as provided for in Section 3706 of the Labor code, interest, and attorney's fees. 4-I S 64O 55 — (I • DA. •Qq- - CONSTRUCTION LENDING AGENCY This permit i hereby issued under the applicable provisions of the Butte County Code and/or I hereby affirm that there is a construction lending agency for the of the work for which this is issued 3097 Civ.) Resolutions Jo do work indicated above for yvhic fees have been paid. performance permit (Sec , -- , 11--,)4-o4 Name: By: Date: PER IT )EIPIRES ON: Address: Date ❑ 1 hereby certify that the use of this facility shall comply with Sections 25505, 25533, and 25534 of the California Health and Safety Code, which regulate the storage, handling and use of hazardous materials. - ❑ Notification in accordance with Section 19827.5 of California Health 8 Safety Code is not applicable to the scheduled construction of this project. ❑ Attached are copies of the required E.P.A. notification forms. I hereby certify that I have read this application, that the above information is correct, and that I am the owner or the y a thorized agent of the owner. I agree to comply with all county and state laws relating to building construction. I acknowledge it is unlawful to alter the su tance of any fficia form or docum Butte County. I hereby authorize representatives of Butte County to enter upon the above mentioned property for inspectionZses. Print Name: ,, Sc(z Signature: Date: �—(:T,-- , 0 O er ❑ Contractor ❑ Agent for Owner 0 Ant for Contractor 1e3�rS. a� •x�sska.� i.1^ur.�c.�.x�.��„a.�'�. .u�zvs:,ni+a�;r,...a <.x;. r. �:�>�u^c r�..: :r��a� Attention Property Owner: An "owner -builder" building permit has been applied for in your name and bearing your signature. Please complete and return this information at your earliest opportunity to avoid unnecessary delay in processing and issuing your building permit. No building permit will be issued until this verification is received. k 1. I personally plan to provide the major labor and material for construction of this proposed property improvement: YES NO [ ]. X 2. 1 HAVE HAVE NOT [ ] signed an application for a building permit for the proposed work. I have contracted with the following person (firm) to provide the proposed construction: NAME: _ ADDRESS: PHONE: CONTRACTOR'S LICENSE NO: I plan to provide portions of the work, but I have hired the following person to coordinate, supervise, and provide the major work: NAME: _ ADDRESS: PHONE: CONTRACTOR'S LICENSE NO: I will provide some of the work but I have contracted (hired) the following persons to provide the work indicated: NAME ADDRESS PHONE TYPE OF WORK SIGNED:`� !�/� A PROPERTY OWNER: `" )"DATE: ( I NOTE: This Owner -Builder verification is required by Section 19831 and 19832 of the California Health and Safety Code. This verification must be completed and returned to our office before we are permitted to issue the permit. Rev'd 11/4/2004 Butte Couni( Department of Development Services ADMINISTRATION' BUILDING' GIS ' PLANNING 7 County Center Drive Oroville, CA 95965 (530) 538.7541 Telephone (530) 538.2140 Facsimile e'"`..sv:^.+-`Yr'• y,�SM T.�"'`..stixi.r!-.aY .,.,,xi'�3F✓1�—r�!Wtpfi�,.v Y *V,�' ,�.,"" ,,.{` 3 ,OWNER EVIL' EtIN',ORMAEIONa Dear Property Owner: An application for a building permit has been submitted in your name listing yourself as the builder of the property improvements specified. For your protection you should be aware that as "owner -builder" you are the responsible party of record on such a permit. Building permits are not required to be signed by property owners unless they are personally performing their own work. If your work is being performed by someone other than yourself, you may protect yourself from possible liability if that person applies for the proper permit in his or her name. Contractors are required by law to be licensed and bonded by the State of California and to have a business license from the city or county. They are also required by law to put their license number on all permits for which they apply. If you plan to do your own work, with the exception of various trades that your plan to subcontract, you should be aware of the following information for your benefit and protection: o If you employ or otherwise engage any persons other than your immediate family, and the work (including materials and other costs) is $200 or more for the entire project and such persons are not licensed as contractors or subcontractors, then you may be an employer. o If you are an employer, you must register with the state and federal government as an employer and you are subject to several obligations including state and federal income tax withholding, federal social security taxes, workers' compensation insurance, disability insurance costs, and unemployment compensation contributions. o There may be financial risks for you if you do not carry out these obligations, and these risks are especially serious with respect to workers' compensation insurance. o For more specific information about your obligations under federal law, contact the Internal Revenue Service (and, if you wish, the U.S. Small Business Administration). For more specific information about your. obligations under state law, contact the Department of Benefit Payments and the Division of Industrial Accidents. If the structure is intended for sale, property owners who are not licensed contractors are allowed to perform their work personally or through their own employees, without a licensed contractor or subcontractor, only under limited conditions. A frequent practice of unlicensed persons professing to be contractors is to secure an "owner -builder" building permit, erroneously implying that the property owner is providing his or her own labor and material personally. Building permits are not required to be signed by property owners unless they are performing their own work personally. Information about licensed contractors may be obtained by contacting the Contractors' State License Board in your community or at 1020 N Street, Sacramento, California 95814. Please complete and return the enclosed owner -builder verification from so that we can confirm that you are aware of these matters. The b'i ilding permit will not be issued until the verification is returned. A"o Mic el C. Vieir , C.B.O. Ma ager, Building Inspection 1 NOTE: This Owner -Builder IlT rmation is required by Section 19830 of the California Health and Safety Code. PERMIT NO.,,_- 409Q_7rt � P E MH UTIL. PERMIT NO. -7 PERMIT EXPIRES Y �p `OWNER Gilbert Hoskings CONTR. B & D Enterprises, Sacramento :LOCATION (A.P. 34-66-23 6 Hanging -Tree Ct., lot 46, KR#2A, Oroville } W r 1, R Temp. Power Pole Called PG&E Temp. Elec. Serv. Called PG&E Temp. Gas Serv. r Called PG&E JOB FINALED (Da W �el (Signature) Z COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS - BUILDING INSPECTION RECORD' BUILDING BUILDING (Cont'd) PLUMBING Setback Firewall Soil Piping Forms Parapets 1st Floor Main Bldg. Restroom Finish 2nd Floor Footings Windows 3rd Floor Stemwall Sidina To out Slab Roof Sheathing Water Piping Piers Roofing Sewer Garage Fdn. Vents Fixtures Footings Garage Vents Water Htr. Stemwall Slab Prov. for physically handicapped Heaters Appliances Carport Footings Conformance of ex. structure Gas Piping & Test Temp. Gas Slab Final Sanitation Patio FIREPLACE Final Footings Footing ELECTRICAL Masonry Walls Throat Rough Reinf. Steel Final Fixtures Bond Beam FIRE SPRINKLERS Motors Framing Test Water Htr. Stucco Final Suboanels Mesh MECHANICAL Grd. Fault Prot. Scratch Heating Service Brown Cooling Temp. Pole Finish Ducts Underground Interior Lath Ventilation Permanent Door Closer Final Final DATE REMARKS 05 CORRECTIONS x14 s -e i s�afCL���I�� d�Gc . zTs y f� (, . 6 I l G G e- 4e.-- c ,6��0,,, u- Pr/- yd9 <1 1: C CIL . s /0-OL' las .� KJ % ���N G>Gl�ra J� a`tc� �gc1./S _ 1" ti1v a� COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS 7 County Center Dfte' 1 OroviIIe, California 95965 Telephone: 534-4541 APPLICATION AND PERMIT -7f dq BUILDING Owner(n4 / / 62A A os SQ. FT. OCC. BUILDING VALUATION Mai I i ng Address Telephone No. Contractor S 41Fireplace Mailing Address Total Valuation Telephone No. Permit Fee Z Building Address '1 h Q— "C, Plan Checking Fee&/ rPenalty Permit Fee 1� /1+10b PLUMBING No.1 @ FEE PERMIT FILING FEE J$3.00 Each Trao 1.50 VDU Repair drainage or vent piping 1.50 r. A. P. No. —� Zonin 8 Planning Water piping 1.50 Each gas water heater or vent 1.50 F es Wk 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 ns ec I Parcel A roval Plans Approval Lawn sprinkler system 2.00 NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER Permit Fee $ $ ELECTRICAL No.1 @ 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 <i4, klAto hi VQ 25.00 100 AMP OR LESS Main service OVER 600V7D Main service EA. ADO'L 100 AMP 1.00 NEW OR ADDNST % ACCLBLDGS.LING Ccup, S+1 2¢sgft 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: I � � �1 ►>V 3 (JCC--• NEW CONSTRESJ" MULTI.OUTL T NON-RESID BRANCH CIRCUITS/ 2.5Oea NEW CONSTR. POWER APPARATUS a NON-RESID• SINGLE OUTLET CIR. Ex. OCCUD(OUTLETS OR FIXTURES g @L EX. Occup C FIXED RE S, OR 2.00 OUTLETTSS (RESID.) EA) Temporary service 10.00 Mobile Home Facilities 15.00 License No.2�9-S�Z Classification G �+' Misc. Wiring 6.25_ I am exempt from the Contractors License Laws of the State of California. 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. 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 INo4 @ FEE 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 tate Laws relating to building construction, and hereby ty of Butte to enter upon the aut ori representa"Ons aboVe-mntion p n purposes. X Land Development Fee $ TOTAL PERMIT FEE $ 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. ECT R OF PUBLIC WORKS Date - Signature of Permitee or Agent BY Date Receipt No.� White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant Building permit expires Date '� J COUNTY OF BUTTE, — DEPARTMENT OF PUBLIC WORKS 7 County Center Drive ' —' Uroville, California 95965 Telephone: 534-4541 APPLICATION AND PERMIT GULIIUIIGC ICfI1e5eI1LdUVeS UI uIe wunty UI OULLt! w enter upon the Thi#s permit is hereby issued under the applicable provisions of above-mentioned property for inspection purposes. the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. Xate Ly �, DIRECTOR 0 PUBLIC WORKS Signature of Per tee or Agent 1 %� A By Date it 1 i Receipt No. J O �%�] White-D.P.W. — Yellow -Assessor — Pink Inspector — Goldenrod -Applicant �iling permit expires Date �6J / BUILDING Owner Gilbert Hosking SO. FT. OCC.1 BUILDING VALUATION Mailing Address 01 Telephone No. Fireplace Contractor B&D Industries Total Valuation Mailing Address 2555 Evergreen St. Fee Permit it Fee PlanngF &/ Pen Ity Sacramento, CA. 95815 Te��=��+1 Permit Fee $ O De Building Address 6 Hanging Tree Ct. , Oroville PLUt4BK4G No.1 @ I FEE PERMIT FILING FEE $3.00 Each Trap 1.50 Repair drainage or vent piping 1.50 Water piping 1.50 Each gas water heater or vent 1.50 A. P. No. 4-66-23 Zoning &Planning Gas piping system 1 - 5 outlets 1.50 Each additional outlet .30 Fes C.on Fire Dept. re Zone Use Permit Building sewer 5.00 EQA Parking Plans I Parcel Declaration Parcel Ma p 60' R/W Improvements p Lawn sprinkler system 2.00 B ans Recd I Parcel Approval Plans Approval Permit Fee $ $ NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER EJ ELECTRICAL No.1 @ FEE PERMIT FILING FEE $3.00 1st Renewal of B.P. #4090-75 Main service 601V OR L AMPORLESS 5.00 Main service EA. ADD'L 100 AMP 2.50 Main service OVER 600V 25.00 100 AMP OR LESS Single Family ❑ Duplex ❑ Mobil Home Rt Others ❑ Main service EA. ADD•L 100 AMP 1.00 Awning & Covered Deck NEW CONST. ( DWELLING OCCUP. &) 22sgft OR ACDNS. ACC. BL NEW CONST R. (MULTI -OUTLET NON•RESID. ( BRANCH CIRCUITS) 2.50ea • NEW CONSTR. (POWER APPARATUS .&) NON -RES,D. (SINGLE OUTLET CIR. CONTRACTORS LICENSE LAW I am licensed under the provisions of Chapter 9, Div. 3, of the State of Califo nia Business & Professions Code under the name ® style of: j Ex. Occup(OUTLETS OR FIXTURES)@29¢ BAL@1 Ex. Occup ( FIXED RES. OR • OUTLETTSS (RESID,) EA) 2•00 Temporary service 10.00 Mobile Home Facilities 15.00 - License N 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. I I have placed on file with the County of Butte a certificate of �- orkmen's Compensation Insurance. F -1I 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 1 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 TOTAL PERMIT FEE $ F GULIIUIIGC ICfI1e5eI1LdUVeS UI uIe wunty UI OULLt! w enter upon the Thi#s permit is hereby issued under the applicable provisions of above-mentioned property for inspection purposes. the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. Xate Ly �, DIRECTOR 0 PUBLIC WORKS Signature of Per tee or Agent 1 %� A By Date it 1 i Receipt No. J O �%�] White-D.P.W. — Yellow -Assessor — Pink Inspector — Goldenrod -Applicant �iling permit expires Date �6J / 1, 6� INA / yp-(�H-Yoojd�o I 1, 6� INA / yp-(�H-Yoojd�o Yip i COUNTY OF BUTTE — DEPARTMENT OF PUBLIC 7 County Center Drive' —' Oroville, California 95965 Telephone: 534-4541 y APPLICATION AND PERMIT auuwiicc IcNiwLoperty UI 111C VUMIIY UI butte IU enter upon lne abov -me lone for inspection purposes. X Date Pig ture oof[PeVitep�orC gent Sq Receipt No. `oJJ / _-4 !7!: e, C/ 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/PUBLIC WORKS By Dated` uitding permit expires Date BUILDING Owner /Yt �t 6IL J_ h� C 110,5 Y/ /C-_,� SQ. FT. OCC. BUILDING VALl1ATION S7 () 3r Mai I i ng Address Telephone No. Fireplace Contractor > TK'ff�)(VST Z 6, S Total Valuation Mailing Address,i-'�� h r�% 7 � � � �� � Permit Fee Plan Checking Fee&/or Penalty Telephone No. fl/�U_, (, 4• -� Permit Fee Z - Building Address PLUMBING No. @ FEE PERMIT FILING FEE $3.00 6 / I` ���` CS1 • �>( I , `-� 7 -��� li _ Each Trap 1.50 Repair drainage or vent piping 1.50 Water piping 1.50 Each gas water heater or vent 1.50 A. P. No.— (p — Zoning & Planning Gas piping system 1 - 5 outlets 1.50 Each additional outlet .30 F J W-< FireDept. FireZone Use Permit Building sewer 5.00 EQA Parking F51�ann�ss Parcel Declaration Parcel Map 60' R/W Improvements Lawn sprinkler system 2.00 Bldg. Plan1011ec'd Parc pprovol I P pproval Permit Fee $ NEW"K ADDITION ❑ UTILITIES ❑ OTHER ❑ = ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 �� c �n Main service incl. 1 meter '= /S7 " t.Q l a /Q_— Additional meters, each 1.00 Sub -panel (12 or less) (morethan 12) Single Family ❑ Duplex ❑ Mobil Home S, Others ❑ Range, Cook -top or Oven 1.00 Water Heater or Space Heater 1.00 Light fixtures60 (d25 Receps., switches & fix outlets 25LIM 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 styl�._o3: t1•!-U���� Hood, Ex. Fan or F.A. Furn. Motor 1.00 Evap. cooler, gar. disp. or D.W. 1.00 Air conditioner or heat pump Water pump Mobil Home Facilities 5.00 Temp. Power Pole 5.00 License No. Classification Misc. wiring - ❑ I am exempt from the Contractors License Laws of the State of California. 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. ve placed on file with the County of Butte a certificate of Workmen's Compensation Insurance. r -1I certify that in the performance of the work for whicli 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 11 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 Ordinancesi;r and State Laws krelating to building construction, and hereby TOTAL PERMIT FEE $ ��` ' auuwiicc IcNiwLoperty UI 111C VUMIIY UI butte IU enter upon lne abov -me lone for inspection purposes. X Date Pig ture oof[PeVitep�orC gent Sq Receipt No. `oJJ / _-4 !7!: e, C/ 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/PUBLIC WORKS By Dated` uitding permit expires Date end S)Ib ,,' O11811d dO 'Id-303-na :;O A-'NnOO •L, MH Util. PERMIT NO. 137,4-75P,E P E M MH UTIL. -PERMIT NO. T PERMIT EXPIRES —�✓ �/ t ,WNER Gilbert Hoskins CONTR. - -_ yLOCATION (A.P. 34-66-23 6 Hanging Tree Ct., lot 46, KR#2A, Oroville Temp. Power Pole Called PG&E Tenw. Elea Serv. S� Zc4 - 7 Called PG&E T.=p. Gas Serv. - 5� - �- A = '7-S Called PG&E VdbB FINALED - --7 (Date > 1 i at ) Z. Reinf. Steel COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS BUILDING INSPECTION RECORD Fixtures Bond Beam BUILDING BUILDING (Cont'd) Motors PLUMBING Setback Firewall Soil Piping Final Forms Parapets 1st Floor Grd. Fault Prot. Main Bldg. Restroom Finish 2nd Floor Brown Footings Windows 3rd Floor Ducts Stemwall Siding To out Permanent Slab Roof Sheathing Water Piping — 2 J '? Piers Roofing Sewer — 5 - Garage Garage Fdn. Vents Fixtures Footings Garage Vents Water Htr. StemwaII Slab Prov. for physically handicapped Heaters Appliances Carport Footings Conformance of ex. structure Gas Piping & Test A' �2Lq Temp. Gas Slab Final Sanitation Patio FIREPLACE Final Footings Footing ELECTRICAL Masonr Walls Throat Rou h — 7— Z. Reinf. Steel Final Fixtures Bond Beam FIRE SPRINKLERS Motors Framing Test Water Htr. Stucco Final Subpanels Mesh MECHANICAL Grd. Fault Prot. Scratch Heating Service Brown Cooling Temp. Pole Finish Ducts Underground Interior Lath Ventilation Permanent Door Closer Final Final DATE REMARKS OR CORRECTIONS �- Z8 -7.5J rUv�l � � Ccs �.7� �`H vyJ t/ lilt' GL`J t�- J '0 COUNTY OF BUTTE — �51PARTMENT OF PUBLIC W • 7 County Center Drive — Orfoville, California 95965 Telephone: 534,4541 APPLICATION AND PERMIT aumuncC ruyresenraiives of the County of Butte to enter upon the above-mentioned property for inspection purposes. X 04Lvr Date `3 4s 7_5 Signature of Permitee or Agent Receipt No. 10y Z1 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 BLIC WORKS By Date 1�.� ilding permit expires Date...................1...................k BUILDING Owner�Xle� SQ. FT. OCC. BUILDING VALUATION Mailing Address �r v L Telephone No. Fireplace Contractor Total Valuation Mailing Address Permit Fee Plan Checking Fee &/or Penalty Telephone No. Permit Fee $ $ Building Address PLUMBING No.1 @ FEE PERMIT FILING FEE 3, e-0 fih f Each Trap 1.50 QlL Repair drainage or vent piping 1.50 Water piping 1.50 /0,1-0 l /1 Each gas water heater or vent 1.50 A. P. No — �j �,� ` /Zai Gas piping system 1 - 5 outlets 1.50 6 &U Each additional outlet .30 FedeftfJkn*W Fire Dept. Fire Zone I Use Permit Building sewer 5.00 ,o td'p EQA Parking Plans Parcel Declaration Parcel Ma P 60' R/W Improvements P Lawn sprinkler system 2.00 LL BVFg.A! s Re� Parce ApL 00proval Plan pproval Permit Fee $ 33 NEW ❑ ADDITION ❑ UTILITIES ©OTHER ❑ ELECTRICAL No.1 @ FEE PERMIT FILING FEE 1 $3.00 *—U Gck/ Main service incl. 1 meter Additional meters, each 1.00 Sub -panel (12 or less) (more than 12) Single Family ❑ Duplex ❑ Mobil HomeOthers ❑ Range, Cook -top or Oven 1.00 O <� FL s p L ^ Water Heater or Space Heater 1(00 Light fixtures bal 10 Receps., switches & fix outlets 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: Hood, Ex. Fan or F.A. Furn. Motor 1.00 Evap. cooler, gar. disp. or D.W. 1.00 Air conditioner or heat pump Water pump Mobil Home Facilities 5.00 js ®-0 Temp. Power Pole 5.00 Licens No. Classification Misc. wiring am exempt from the Contractors License Laws of the State of California. 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. ❑ I have placed on file with the County of Butte a certificate of Work en's Compensation Insurance. 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 $ $ 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 TOTAL PERMIT FEE $ J aumuncC ruyresenraiives of the County of Butte to enter upon the above-mentioned property for inspection purposes. X 04Lvr Date `3 4s 7_5 Signature of Permitee or Agent Receipt No. 10y Z1 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 BLIC WORKS By Date 1�.� ilding permit expires Date...................1...................k rhQ ftw Setback sha-11 be 5 ft. from` the side property line and 50 ft-. from the centerline of the road, permitting 3 M'ayirnurn of a' 2 ft. ov&hano :ws set of plans MUST b. LOT 46 .. . k@pt. on the` job at all firhes; and Twice any it it unlawful to UNIT 2A y changes.6r alterations on same.with 0S1.rIIV4:5 Witten Pbrmisson from' the Deipartment. of 'P, bjc,4 Works, County of Butte. 0 0-1 All utility_ connections shall be located within 4 ft. outside the rear third section of the mobile h on the left (road) side of th home. e I e"(%O jot WX 0e. o \teqx" � -\\ be 0 % 0 kVe ok Cv 0 3i Septic system and location `X410**'AMS�Vt to be aper Butte County Health Dents Rp- oijirerrients. f. LP, T I? \T\ 00 fl� ., 0. .o a,s 25 0 0, AA-11=1— BUTTF= COUNTY BUILDING DEPARTMENT APPROVED DR. L -OYD :y;. COOK ED, D. JOE E. COOK W F. DAN _!. COOK C. E. f 'i a ®O ASSOCIATES ENGINEERING_ - _CONSULTANTS - 2060 PARK AVENUE OROVILLE. CALIFORNIA 95985 Ur,..xr.,`_,:___,T �•. PHONE (916) 533.6457 . G�iY •~�`r C:. L'FGR vi1 F. E. NEV.0A P. E• OREGON P. E. - ' April 30, 1975 Jim Glander Butte County Department of Public Works 7 County Center Drive Oroville, California Re: CA -75258 Dear Jim: Compaction test results taken on completed fill are enclosed for;:.; _ Brisbrine - K'RE lArr"2'"� ..-- "Hosking KRE 2A #46 A location map.for each is also attached. Very truly yours, COOK ASSOCIATES Ron McElroy Associate.Engineer RMc/cap Enclosures DR. L -OYD :y;. COOK ED, D. JOE E. COOK W F. DAN _!. COOK C. E. C ®C] JOB: NO. 752-5-3 ENGINEInRING CONSULTANTS 'OROVILLE. CALIFORNIA ,r ASTM D1556 IN PLACE MOISTURE DENSITY DETERMINATION t est I lumber A apporotus TL V:-, NC. lumber B Z 4 rJf� ;and Density _bs. /ft.3 C �Sq,S7 �pparat fs f ond Be ore D ! apparatus 'f iand After E ;and j� l7 iJ ..one ii Hole F 1 y w ianone' d G � Z a f , !r (7� ;and sole H io J C7 ioleme I 01 V" 1V o'. w 0 ►c) 1 ,go ;ail J P o5 4-2�3Z3 8 4G J se��,e r Iri� K T bs. /ft.33 Vet L { / t l"a-Z,.,. _bs. /ft.3 )ry M f� I M L I* Moisture NJ j 1� ,411 t L ,an Sumber ' 0 ' P1 I 23 2 D 5 ;ample Wet ion ,l, iomple Dry Q1 V Tan gams R (^ I / -7f • :burve Max _ s. A. S F D- E H= F- G I H L (453.6) (C) N m P- QL M x 100 M y 0- R N+ 100 T S x 100 Use Other Side 3yy For Remarks Date R=/C L �6 T 95/. 8 1, z4 /4 ` 7 oat` ` 1. N ,► tir ✓ 4 .-leo k 3 o � P.U. •�1'� .. �\ r °. \ ��• . /50'x` . zo EE COURT ................ r ................... i ..............r 111111 . . .. . . ..... 11•.�. r1r11/11. 11• .5.. � .r•t �� •�• /Vr •.11111• _. . 0 Ilk ` - COUNTY OF BUTTE — DEPARTMENT.OF PUBLIC WO K a�41- 7Q5-' 7 County Center Drive - — Oroville, California 95965 Telephone: 534-4541 APPLICATION AND PERMIT authorize representatives of the Gounty of Butte to enter upon the above-mentioned property for inspection purposes. V X (� Date Signature of Permitee or A t� Receipt No. Z 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. DIRECTO F PUBLIC WORKS By / Date, ' Z 7-7J wilding permit expires Date s BUILDING Owner / ` �� yl� SQ. FT. OCC. BUILDING VALUATION Mai I i ng Address Telephone No. Fireplace Contractor T Total Valuation Mailing Address _ g y.�G �C��-vim Permit Fee Plan Checking Fee&/or Penalty Telephone No. ZY2-_R—ZX— Permit Fee Building Address PLUMBING No. @ FEE PERMIT FILING FEE $3.00 Each Trap 1.50 Repair drainage or vent piping 1.50 Water piping 1.50 Lof -XG Each gas water heater or vent 1.50 A. P. No. — —p�3 Zoning 8 Planning Gas piping system 1 - 5 outlets 1.50 Each additional outlet .30 -SaRitatieR Fire Dept. Fire Zone Use Permit Building sewer 5.00 EQA Parking Plans Parcel Declaration Parcel Ma p 60' R/W Im rovements p Lawn sprinkler system 2.00 €Sidcf Plans Recd 1 Parc Approval P ns Approval Permit Fee $ $ NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 /V,6*7414Ar1,) ..Fo,� .� �v�T J3 —7.5� Main service incl. 1 meter Additional meters, each 1.00 Sub -panel (12 or less) (more than 12) — Single Family ❑ Duplex ❑ Mobil Home 0 Others ❑ Range, Cook -top or Oven 1.00 Water Heater or Space Heater 1.00 �2 Light fixtures b 120 Receps., switches & fix outlets Pa 5 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: Hood, Ex. Fan or F.A. Furn. Motor 1.00 Evap. cooler, gar, disp. or D.W. 1.00 Air conditioner or heat pump Water pump Mobil Home Facilities 5.00 Temp. Power Pole 5.00 License No. °2 278 07 Classification Misc. wiring ❑ I am exempt from the Contractors License Laws of the State of California. Permit Fee $ is 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. Fhave 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 $ 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 &Z" L, � 6-.l9%� • oc #$Cz TOTAL PERMIT FEE authorize representatives of the Gounty of Butte to enter upon the above-mentioned property for inspection purposes. V X (� Date Signature of Permitee or A t� Receipt No. Z 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. DIRECTO F PUBLIC WORKS By / Date, ' Z 7-7J wilding permit expires Date s LOT 4G UNIT 2A This -set of plans and spec!Pc,4116ns MUST be kept on the lob at 011 flrnes and it is unlawful,to ma!t,altercations on some without Z X AICE-1? malr,' any changes written permission from the Department of Public —20 Works, County of Butte- 00 - A0 Tbo4gell. Sef6ack shall be 5 ft. from ku the side property line and So ft. from f he centerline of the road, permimi a maximum of a Zft, eove ov, 2 v 'PIP � �O 0 /.0 0 -.AA -1,47 - BUTTE COUNTY BUILDING DEPARTMENT APPROVED ,E7�--CO 411e 7- t� COUNTY OF BUTTE - Department of Public Works 7 County Center Drive, Oroville, California r PHONE: 534-45,41 H _. Q0 ' Length =`� MOBILEIiOME INSTALLATION INFORMATION' Lot Facilities f H 1. Plot plan dimensioned, location of mobile. 1. - Length? Width o2,C� .�. anduti "ty connections? utility Manufacturer �� cn x Yes No Vehicle Serial No. •4 2. Electrical. service equipment ampacity 2�- . Insignia Control No. y Circuit breaker ampacity 40 20 Feeder assembly.apacity jr(t Permanent Wiring Connection_ min F� W � Power supply cord. Samps)_— K Receptacle ...:.' " padity '�""' 3.. Gas inlet size 3. Gas: Natural LPG 5'+ 5e H ' . l cu F=- n 4. � 4. Drain connector: describe on.raverse side 5. Water riser. size/u " 5. Water connector: describe on *reverse side. 6. Are utility conneceiidns located outside. 6.. Designed loads: mobilehome the rear 1/3 of the mobilehome w'thin F, Roof live load. � � psf. H 4 feet of the left wall? Yes Wind .load /-5- psf. If not, show dimensions .above. (only for robilehomes manufactured after 7. Is the mobilehome clear of septic tank, October 7, 1973) leach fields and located outside public 7. Manufacturer's installation instructions? M utility easements? Yes No Yes No i 8. Do you propose to do other work on the 8. Will the mobile home be insta11ec1 on a 1 property other than the mobilehome installationwhic H _. Q0 ' Length =`� If so, specify *For plans and specifications of support system; see other side. MOBILEIiOME INSTALLATION INFORMATION' Lot Facilities r Mobilehome Data.It H 1. Plot plan dimensioned, location of mobile. 1. - Length? Width o2,C� .�. anduti "ty connections? Manufacturer �� cn x Yes No Vehicle Serial No. •4 2. Electrical. service equipment ampacity 2�- . Insignia Control No. y Circuit breaker ampacity 40 2. Feeder assembly.apacity Permanent Wiring Connection_ ,Goch Conduit size Ampacity Power supply cord. Samps)_— Receptacle ...:.' " padity '�""' 3.. Gas inlet size 3. Gas: Natural LPG Mobilehome conn�eYLnr size.' Gas riser. size �`�j� Capacity 4. Drain inlet sizes f%Q 4. Drain connector: describe on.raverse side 5. Water riser. size/u " 5. Water connector: describe on *reverse side. 6. Are utility conneceiidns located outside. 6.. Designed loads: mobilehome the rear 1/3 of the mobilehome w'thin Roof live load. � � psf. 4 feet of the left wall? Yes Wind .load /-5- psf. If not, show dimensions .above. (only for robilehomes manufactured after 7. Is the mobilehome clear of septic tank, October 7, 1973) leach fields and located outside public 7. Manufacturer's installation instructions? utility easements? Yes No Yes No 8. Do you propose to do other work on the 8. Will the mobile home be insta11ec1 on a 1 property other than the mobilehome installationwhic separate support structure? will require a permit: yes No Yes No If so, specify *For plans and specifications of support system; see other side. o��il�'rs a'F z�Qs AX LOAD BEARING . SUPPOZTS ADDITIONAL COI ,%1.7';TS Drain Connector, Describe Water Connector Describe C'o/ a2 :Q/ V� LOAD BEARING SUPPORT AND '200T N �NFORrIATION N Pier Spacing Used_ Maximum Pier Load ^., Column Maximum Column Load (multi -units only) Supports Soil Bearing Capacity. Footing Dimersion L'sc.,d`_ 0' TYPE OF PIER USED �! Steel Concrete Concrete Block L/ Q Other TYPE OF -FOOTING MATERIAL USED Pressure Treated Wood Concrete Y �— °A edwood (Grade) c: Other Approved Type a BUTTE COUNTY QUIF `NG DEPARTMENT - wol ew al APPROVED 140#1Z ter. w� 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,_K No 2. Does the mobilehome have required clearances above ground? (Sec. 5085) Yes_K 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) Yep 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 -2L No B. Test - Does water piping withstand working. pressure or 50 lbs. air test? Yes.Z_.No C. Backflow - If coach is not State of California ap roved, does station have backflow device and pressure -relief valve? Yes No Al 7. Wastes and Drains A. Is connection made with Schedule 40 DWV and have flex connectors at each end? Yes V No B. Does it have. minimum 4" 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 X 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 x'—No 6' -Test OK as per following procedure? Yes��No Open all appliance connector valves. e��. Shut off appliance burner and pilot valves. c3'-_ 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. Connect gas meter to mobilehome with connector, turn on gas, test connections with soapy water. Are all appliance vents properly installed? Yes( No. 2�6y-�� 9.� Electrical— / 374.7) -W' A. _.._. A. Is service large enough to provide adequate amperage -to mobilehome (must equal rating ,of mobilehome with a minimum bf 100 amp)+and other facilities on lot, i.e., water pumps, garage, cabana, etc.? Yes -4 No B. Is there proper clearances around panels? Yes No ' C. Is power supply cord or feeder assembly properly fused? Yes'No D. 7s� continuity test satisfactory as per the following procedure? Yeses No ✓l De -energize electrical wiring system of the mobilehome at the pedestal. Make sure that the power supply cord or feeder assembly conductors, including neutral conductor, have been disconnected. Switch all breakers and switches in the mobilehome to the "on" position. Connect one lead of a test instrument to the mobilehome grounding conductor and apply the other lead to each mobilehome supply conductor, including neutral. C,,K. 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. ( 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 compltetion 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. �y�r�� �o 588 % State Identification No.�j/�"? Additional Information or Comments: