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Home My WebLink About069-130-008David M. .Keesling -,� �O ~7 58 Lodgeview Dr. loitl , KR# Oro. Permit �k 7 9-76P,E(u.,MH) ELEC .� I�' . (o S GAS SUPP RT STRUCTURE REQ. IVO COMPACTION TEST REQ. CONTR: Carneros Mobile Transport, Na ermit #2786-76MHI Xssued_c:2 contr: Duralum, Sactamento Per t #5173-'7 B(new deck & awning/MH) yea 1 ��%� 69-13-8 F1 rpcer'mit#2802-85B, ontr: Doyle Carter ^��VE(new garage) 1018ap5 Y_t r Rol CMI CWD IMMI t r PERMIT NO. 2802-85B,E PERMIT EXPIRES OWNER DAVID M. KEESLING CONTR.. Doyle W. Carter ASSESSOR PARCEL 69-13-8 3 LOCATION Lodgeview Dr, Oro • � r :i i i Temp. Power Pole r t Called PG&E Temp. Elec. Service f' j Called PG$F Temp. Gas Se Cal led PC JOB FINALEI Signature I V ='OK ' - O = Not OK - = Not Applicable MOBILEHOMES * = Not Ready MISCELLANEOUS Date MOBILEHOME UTILITIES (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements Date DECKS, COVERS, CARPORTS, ETC. (Plans) OK except #'s 1. Zoning Requirements -Setbacks -.Easements 2. Soils; Special MH Support -Sketch 2. Footings; Size -Depth -Spacing -Connectors 3. Sewer; Location -Test -Fall -C/O -Concrete 3. Decks; Girders and/or Joists -Decking -Bracing -Stairs -Rails 4. Water; Location -Test -Easement Needed (Sketch) 4. Wood Awn.; Posts-Beams-Rftrs.-Connec.-Shthg.-Rfg.-Bracing 5. Electricity;. Location-Clearances-Grnd.-/ / Amp -Concrete 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Gas; Location -Test -Wrap:/ /"L"ft./ /"Nat. or/ /"L"ft./ /"LPG 6. Carports; Windows -Doors 7. Utility Clearance 7. Elec. Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Date Card -BI Date MOBILEHOME INSTALLATION (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements Card -BI Date Date Card -BI Date POOLS (Plans) OK except #'s 1, Setbacks -Easements 2. Footings; Size -Spacing -Marriage Line 2. Soils; Compaction -Structure Stability 3. Gas; MH Test -Demand -Valve -Connector 4. Electricity; MH Test -Crossovers -Breakers -Clearances 5. Drain; MH Test -Fall -Flex Connector 3. Pool Structure; Steel -Connections -Thickness -Dead Men -Lining 4, Elec.; Receptacles and Lighting; Distances-GFI 5. Elec.; Pool Lighting; 15 volts-GFI 6. Water; MH Test -Regulator -Connector 7. Water and Sewer Connected -C/O to Grade -HD Approval 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 7. Elec.; Bonding; Metal w/5' -Circulating Equipment -Heater B. Gas and Electricity Tagged 8. Elec.; Grounding; Equip. w/5' -Circulating Equip. -Pool Lghtg. Boxes -Enc losures- Pane lboards-Ins. to Main in Conduit 9. Health Department Approval 9. Exits; Insp.-Sketch 10. Cert. of Occupancy 10. Plumb; Cir. Test -Water Supply Test Card B -I Date Card -BI Date Card -BI Date Card -BI Date Card B -I Date Card -BI Date Card -BI Date Card -BI Date = OK = Not OK a = Not Applicable RESIDENTIAL (Single and Duplex) = Not Ready Date UND LOOK Plans OK exce t#'s Date FRAMING Continued Zoning requirements -Setbacks -Easements "" 48. Property Line Firewall & Openings Soils-Steel-Elec. Grnd.- / /" Fig. Depth boors -One 3' -Check Garage -3rd story, 2 exits tg., Garage; Soils -Steel- / ;L4!' Fig. Depth 50._Stairs Width -Headroom -Rise -Run -Landing -Fire Protection -4 -.Fly., Porches & Decks; Soils -Steel- / /" Ftg. Depth 51;,Pf wood.on,Roof Overhang -Attic Vents -Rafter Outriggers alls, Main; Steel-Blockouts-Wrapped-Slab 5 iding-Nailing-Veneer Stemwalls, Garage; Steel-Blockouts-Wrapped-Slab 51:. -Stucco M sh-Drip Screed-Fdn. Vents-Underfir. Access 7. Piers -Fireplace Ft .-Steel 54•,_Gla7ing Area -Glass Protection -Skylights -Plastic 8. D.W.V.: Fall -Fittings -Test -2 way C/O -Sewer Test 9. Gas Pipe; Size -Anchors 55. Shear Walls; Nailing -Bolts 10. Water Pipe; Test -Anchors -Regulator -Service Test 11. Electric; Underground 12. Plenums & Ducts; Clearance -Material -Support -Ins. 13. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples C 'rd=Bl _/Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date/ y Card -BI Date Date FINAL,(Plans) OK except q's Card -BI Date Card -BI Date Date PLUMBING (Permit) OK except q's 14. Water Ht.; Vent -Access -Combustion Air 15. Water Pipe; Test & Anchors -Nall Protection 5 Ext. Steps -Door & Sidelight Protection -Landings 57._.Smoke.Detector 5§--Euraace; Vents -Clearance -Comb. Air -Connector - In Garage; Above Floor-Ducts-Mech. Protection 16. D.W.V.; Test-Fttngs & Anchors -Nail Protection 50 --Bedroom Exiting Fixtures & Tub Access 17. Shower Pan; Test, First Floor -Tub Accessft-1mr-F4-Bath 18. Test Tub & Shower, 2nd Floor -Tub Access Elec. Trim & Subpanel; Breaker Sizes -Labels 19. Gas Pipe; Size & Anchors 62_S1airs.&_Rails 63r•FFreptace-or Stove; Clearances -Hearth 64. -Elea. -Outlets at Wood Panel; Int. & Ext. Card -BI Date Card -BI Date i . A liance; Grnd.-Air Gap -Cooking Clearance Card -BI Date Date Card -BI Date ELECTRICAL Permit OK except q's 667-MeMoUttets & Receptacles at Kit. Counter Garage Fire Door; Swing -Landing -Closer 88--A-C-D'at°t-in Garage -Damper Fixture &Transformer Clearance -Ins. Protection 69.-Wtr.-fftr-Vents-Clearance-Comb. Air-Connector-P.R.V.- In Garage; Above Floor-Mech. Protection ¢9!Elec. Receptacles Spacing -Lights & Switches at Doors 7 . & Mech. Equip. Listed for Location Size_Boxes & No. of Conductors -Stapled 7 lec. Receptacles in Garage; (G.F.I.)-Romex Protec. 7Q---Foam-Foam-Looked in Attic ❑ Yes 3%Romex Installed Close to Edge of Studs & C.J. g,.fEquip. Ground made up w/Mech. Fasteners -Bond Gas & Water 7 r ai s &Deck Construction -Post Caps -25.2 Appliance Circuits in Kitchen & Conductor Size X-26, Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga. Cu or Al nts & Crawl Hole Door -Drainage & Wood -Earth Clearance Looked under Floor ❑ Yes -2T.-Range Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or Al, Insulated Neutral []Yes❑No nstld.: Drive 73^�°❑Yes E) No; Walks El Yes [I No; Planters ❑Yes ❑No -Z8':--Service-Riser Conductors & Ground -Main Disconnect 7 o, Brown -Finish 29. -Equip. Clearances; Panels-Motors-Mech. Equip. 77_-AvG-U q;.Disconnect-Clrnces-Brkr. & Cond. Size -115V Outlet 30:-^G'lothes Closet Light -Shower Light ove Roof; Plbg.-Appliance-Firepl.-Clearance to Opngs. 79. ll; Disconnect, Electrical, Plumbing -E-lec. Trim; G.F.I. Receptacle -Underground B-� Date Card BI Date 84v-b'artttMtion throughout House Card 8 I Date Date Card -BI Date MECHANICAL (Permit) OK except q's 31. A.C. Ducts; Insulation & Support 82. Glass Protection orrections from Previous Inspections as T st-Meters Tagged; Gas -Electric 85 ater & Sewer Connected -C/O to Grade -HD Approval 32. Vent Fan; Exhaust above Insulation 8 nergy Compliance Certificate -Other Certificates 33. Condensate Drain & Overflow; Size & Grade 34. Furnace -Vent; Access -Comb. Air -Return Air Vent -115V outlet 35. Attic Access & Platform if Furnace in Attic Card -BI A Date and -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Comments at Final: Date FRAMING Plans OK except q's ills; Proper Material & Anchors all • Studs -Nailing, Spacing & Bracing -Plates -Sound 3 ea ' ails over Girders & Floor Nailing 39t r op in Walls (rat proof) 40 ire s; Furred Ceilings -Stairs -Chases -Tub 41^ er & Beam -Size & Bearing 42. ars-Post Caps -Anchors -Connectors 4 CI -Rflr. Ties-Purlin-Roof Brac.-Truss-Shthng.-Rfng_._ 4 ace Ties or Type A Flue -Fireplace Throat 4 A cess; Size & Romex Protection -Draft Stop -Ins. Baffles 4 m. Windows or Exiting Doors -Sill Hgt. & Dimensions 47 Garage Fire Protection Framing (NOTE: Anentrymust be made each time youvisit jobsite) r t COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PESM.IT N . 7 County Center Drive - Oroville, Californiga 95965 - Telephone 916/534-4541 APPLICATION AND PERMIT ASS R ARCEL NUMB ZONING BUILDING PERMIT ERv7r�7G ` �ee�i4 TELEPHONE SO. FT. OCC. BUILDING VALUATION OWNS MAIL =ES ADDV CSGs/ �C/ CSVI TRACTO NAME TELEPHONE ol.S L R OR'S MAILING ADDRESS ;� ,r!/� Fireplace C NSTRUC ION ENDER UNKNOWN Total Valuation Is Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Penalty $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Permit fee $ 0A ac BUILD!ADDRESS PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Solar Water Heater 20.00 Water piping 5.00 LOT NO. _ SUBDIVISION NAME // / ,, .deo>� PARCEL MAP 1 Each qas water heater or vent 5,00 Gas piping system 1 - 5 outlets 5.00 USE OF STRUCTURE SF ❑ Duplex ❑ Mobi lehome ❑ Other SPECIFY Building sewer 5.00 Mobile Home S I G I W I 1 110.00 e TYPE OF WORK New [/Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe work: r2-° X �/1-e-e Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service e00V OR LESS 100 AMP OR LESS 10.00 Main service/EA, ADD'L 100 AMP 2.50 NEW CONSTDWELLING 0 OR ADDNS. ( ACC. BLDGS. 21/20sgft CONTRACTORS LICENSE LAW I declare u er penalty of perjury (Check one): I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. ��Q A / License No. ��`� O Classification ❑ I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) - ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONSTR. U TI -OUTLET 2.50 ea NO N.RESID BRANCH CIRCUITS) NEW CONSTR. ( POWER APPARATUS &) NON.RESID. SINGLE OUTLET CIR. 20050a Ex. Occup(o OR FIXTURES SAI -0300 FIXED TS (REAPPLS, OR FIXED EX. Occup. OUTLETS (RESID.) EA, 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 Permit Fee $ all V 0 Contractor MECHANICAL PERMIT FiIingFee 10.00 WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ Th permit is for $100.00 (valuation) or less. have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. ❑ 1 shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Heating Cooling Hood 3.00 Ventilation permit Fee $ Contractor 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 Countyot Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against lities, judgments, costs, and expenses which may in any way accrue again al_ County in cons hen9ranting of this permit. X � Sign". -r. -of Applicant — Owner [IContractor[Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ TOTAL PERMIT FEE $ OCCUP. GROUP I TYPE OF CONST. PARCEL PD [__!41:71 This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which DIRE 1fOR OF PUBLIC By. ,v PERM T EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS Date !X� �J_ /r✓ Receipt No. �� WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT �xrsi�Nq C.oac� -I' �, p �o vi V v` 1-4 x z v Y e Z �, rr,4 r) (A \01 I COP IX- NOTE:—An Materials & War' Accordance with Recognized of a quality Prescribed for the Uniform Building, Plumbing & M the Nationd Eectrical Code. o---- mashi�Shce�� o 'oo P c is an echo d h $pe afield Lse icali t�odew or► v This set of plans and specific kept on the job at all times and make any chonges or alter++ons o written permission from the ! Works, County of Butte. i ns W)ST ht a oq � �d T i✓71-L-7_T_"`._�-::G".O_C_A.T_!d/�CS__.i4.? ` 0-'.7-!-7-0--'5-'--Cii L E_ ;_.. ' LOT .136 UNIT 1 W A setback of 5 ft. from the orope'rty lines and a setback I of 50ft. from the road centerline shall be clear of structures or equipment except nor a 2 ft. eave overhang. 14) 01 0 a 0 �UTTE COUNTY Ali,, ING DEPARTMENT PPROVED Z-/ All IV .Stv.os... WA&L tl fzb -WIAI 5' 114 OV. U&I Of 5 MIL 9W- 14 3A44 rM n" i Provide 1/2" x 10" anchor bolts @ b' O.C. max. and within 112" of joints. r-�-E " S)ab b PERMIT NO. 5173-76B PERMIT EXPIRES OWNER D.. Keesling CONTR. Duralum, Sacramento LOCATION (A.P. 34-62-8 � 58 Lodgeview, lot 136,'KR#lC, Oroville 0 Temp. Power Pole Called PG&E Temp. EI �Serv. Cal d PG&E Temp Gas Serv. ailed PG&E JOB FINALED I 1 - / - 7L (Date) (Signa re COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS BUILDING INSPECTION RECORD BUILDING BUILDING (Cont'd) PLUMBING - Setback / / — / —7L Firewall Soil Piping Forms Parapets 1st Floor Main Bldg. Restroom Finish 2nd Floor Footings Windows 3rd Floor StemwaII 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 Footings Prov. for phy sically handica ed Conformance of ex. structure A' liances Gas Piping & T Temp. Gas Slab Final Sanitation Patio % FIREPLACE Final Footings Footing Masonry Walls Throat Rough 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 (NOTE: An entry must be made on this form each time you visit the job site.) ELECTRICAL COUNTY OF BUTTE - DEPARTaEN4T OF PUBLIC WORKS 7 County Center Drive — proville, California 95965 Telephone: 534-4541 APPLICATION AND PERMIT BUILDING Owner D. KEESL I NG SQ. FT. OCC. BUILDING VALUATION 270 Mailing Address 58 LODGEV I EW N. 10 X 2 DECK 48 2 II X 68 AWNING KELLY RIDGE, OROV I LLE Telephone No. /0 �® - Contractor Mailing Address P •0. BOX 261249 SACRAMENTO Building Address Telephone No. ic. Low 13� A. P. No. 8(4 •Q? Zoning& Planning F)V< I VC. I Fire Dept. Fire Zone Use Permit EQA Parking Parcel el M 60' R/W Improvements Plans Declaration /� P p ovements Bldg. Plans Recd ��el f1pproval ns Approval NEW YJ ADDITION ❑ UTILITIES ❑ OTHER ❑ Single Family ❑ Duplex ❑ Mobil Home Others ❑ 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: License N Q%* -Q Classification I am exempt from the Contractors License Laws of the State of California. 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. 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 t6 above -menti property for inspection purposes. XZ Date Slgnot re of Permitee or Agent Receipt No. - S a S3�g White-D.P.W. — JCA— Pink -Inspector — Go_denrod-Applicant Total Valuation I Permit Fee _ Plan Checking Fee &/or Penalty Permit Fee PLUMBING PERMIT FILING FEE Each Trap Repair drainage or vent piping Water piping Each gas water heater or vent Gas piping system 1 - 5 outlets Each additional outlet Building sewer Lawn sprinkler system Permit Fee BAL@1 @L,, ELECTRICAL PERMIT FILING FEE Main service 601v OR LESS 100 AMP OR LESS Main service EA. ADD'L 100 AMP Main service OVER 600V 100 AMP OR LESS Main service EA. ADD'L 100 AMP NEW CONST. ( OR ADDNS. DWELLING OCCUP. & ACC. BLDGS. NEW CONSTR. NON-RESID, /MULTI.OUTLET l BRANCH CIRCUITS NEW CONSTR(POWER NON RES D. APPARATUS & SINGLE Ol1TLET CIR. $3.00 1.50 1.50 1.50 1.50 1.50 .30 5.00 2.00 $3.00 5.00 2.50 25.00 1.00 !¢ sq ft !.50ea E >- o FEE FEE Ex. Occup(OUTLETS OR FIXTURES BAL@1 @L,, EX. OCCU FIXED APPLNS, OR p• OUTLETS (RESID.) EA) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 6.25 Permit Fee $ MECHANICAL No. @ FEE PERMIT FILING FEE $3.00 Heatino I Cooling I I I I Ventilation Hood 1 1 2.00 Permit Fee $ $ Liu f L1C A �� L A ✓S ' �C> TOTAL PERMIT FEE $ This permit is hereby issued under the applicable provisionS,01f�� the Butte County Code and/or resolutions to do work indic above for which fees have bee paid. DIRECTOR F UBLIC WORKS BY Dated / (e % 0 uilding permit expires Date �6 77 PERMIT NO. 1719-76P;E PERMIT EXPIRES ,�(—/6 7 7 .;OWNER David M. Keesling j CONTR. owner LOCATION (A.P. 34-62-8 i 58 hdgeview Dr., lot 136, Mil, Oroville 0 r ' F �p 0 y Y. i 1 y Temp. Power Pole Called PG&E Temp. Elec. rv. Called G&E —// 7L Temp. as Serv. lied PG&E FINALED_— l8 /C Al !T (Date) (Signatu ) COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS BUILDING INSPECTION RECORD BUILDING - BUILDING (Cont'd) PLUMBINr, Masonry Walls Reinf. Steel Bond Beam Framing Stucco Mesh Scratch Brown Finish Interior Lath Door Closer DATE FIRE SPRINKLERS MECHANICAL Heating Cooling Ducts Ventilation Final REMARKS OR CORRECTIONS Rough / Fixtures Motors Water Htr. Subpanels Grd. Fault Prot. Service Temp. Pole Underground Permanent Final (NOTE: An entry must be made on this form each time you visit the job site.) L Setback ZQ "2 Firewall Soil Piping Forms Parapets 1st Floor Main Bldg. Restroom Finish 2nd Floor Footings Windows 3rd Floor Stemwall Sidinq To out Slab Roof Sheathing Water Piping ' 'ZO 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 ELECTRIC Masonry Walls Reinf. Steel Bond Beam Framing Stucco Mesh Scratch Brown Finish Interior Lath Door Closer DATE FIRE SPRINKLERS MECHANICAL Heating Cooling Ducts Ventilation Final REMARKS OR CORRECTIONS Rough / Fixtures Motors Water Htr. Subpanels Grd. Fault Prot. Service Temp. Pole Underground Permanent Final (NOTE: An entry must be made on this form each time you visit the job site.) L 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 51 under permit number for the following location: Owner Owner's Address ' , Mobilehome Mfg. Model Year Insignia No. 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*ELOCATED 9. Electrical A. Is service large enough to provide adequate amperage. to mobilehome (must equal rating of mobilehome with a minimum of 1:00 amp) and other facilities on lot, i.e., water pumps, garage, cabana, etc.? .Yes B. Is there proper clearances around panels? Yeses No C. Is power supply cord or feeder assembly properly fused? Yes 4No_j D. Is continuity test satisfactory as per the following procedure? Yes _Lo 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 11 me supply conductor, including neutral. apply the other lead to each T�l.oblle e�. 5. All non-current., carrying metal part's 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,ithe 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 y � � Ver /`� I/Manufacturer and/or Namest le, ' Length -,64 Width 7_ �1 Vehicle Serial No. State Identification No. -c`3 /503 Additional:Informati_on or Comments: - r MOBILEHOME INSTALLATION INSPECTION CHECK LIST 1: Is the mobilehome located with required separation from lot lines and buildings and generally �o conform to plot plan? Yes 2. Does the mobilehome have required clearances above ground? (Sec.5085) Yes— 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 4�-_No 4. Is the mobilehome level? (Sec. 5088) Yes— No .5. If more than a single unit, are crossover connections properly installed? (Sec. 5088) Yes "o 6. Water A. Is flexible connector of adequate size and properly installed (1/2" ID min.)? (Sec. 5566) Yes 4,�--N o B: Test - Does water piping withstand working pressure or. 50 lbs, air test? Yeses 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— oB. B.. Does it have minimum k" per foot slope and is it properly supported? Yes /--No C. Ate any leaks detected in drainage system after running 3_P llons of water through each fixture including washing machine standpipe? Yes No 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. Con ector - Is mobilehome connected to the gas supply with n approved 3/4" minimum mob ehome connector not more than 6 ft. long? Note: 1 piping is to be at least as large as the mobilehome gas line inlet without reductions other than the mobilehome connect Yes No B. Test OK as per llowing procedure? Yes No 1. Open all apple ce connector valves.. 2.. Shut off appliance b er and pilot alves. 3. Air test with manometer to "- water column, or test with slope gauge (minimum 6oz.-maximum 8 oz.) calibrat in tenth pound increments. Test for 10 min. without drop. 4. Connect gas meter to mo ilehome with nnector, turn on gas, test connections with soapy water. C. Are 411 appliance vent properly installed? Yes No. COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS 7 County Center Drive Ocgwille, California 95965 Telephone: 534-4541 �]O/ —% APPLICATION AND PERMIT / authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. Dat / $i na r o Permitee or Receipt No. Da 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,R OF PUBLIC WORKS By Date A;68 7C - permit expires Date _SA5�/T7 BUILDING Owner David M. Keesling SQ. FT. OCC. BUILDING VALUATION Mailing Address Telephone No. Fireplace Contractor Carneros Mobile Transport Total Valuation Mailing Address 1290 El Capitan Permit Fee Plan Checking Fee &/or Penalty NApa, California 94558 elephone No. T 252-2411 Permit Fee $ Building Address 58 Lodgeview HKIR Drive PLUMBING No.1 @ FEE PERMIT FILING FEE $3.00 Oroville, California 95965 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.Gas 34-62-08 Zoning 8 Planning piping system 1 - 5 outlets 1.50 Each additional outlet .30 F W Semta++Qn FireDept. FireZone Use Permit Building sewer 5.00 EQA Parking Plans Parcel Declaration Parcel Ma P 60' R/W ImprovementsLawn sprinkler system 2.00 Bldg. loni� s Recd Parcel Ap ovol Plons provol Permit Fee $ $ NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 Installation�- For -e ral 11 0 �747'7� 600V OR LESS Main service 100 AMP OR LESS 5.00 Main service EA. ADD'L 100 AMP 2.50 Main service R 600V 100 EAMP OR LESS 25.00 Single Family ❑ Duplex ❑ Mobil Home 0 Others ❑ Main service EA. ADD'L 100 AMP 1.00 NEW CONST. DWELING OR ADDNS. ( ACCLBLDGS.CCUP. &) 20sgft NEW CONSTR. MULTI -OUTLET NON.RESID. BRANCH CIRCUITS)-2.50ea NEW CONSTFi. (POWER APPARATUS &) NON.RESI D. SINGLE OUTLET CIR. CONTRACTORS LICENSE LAW I am licensed under the provisions of Chapter 9, Div. 3, of the State of California Business & Professions Code under the name style of: Carneros Mobile Transport Ex. Occup(OUTLETS OR FIXTURES) 50 BAL� Ex. Occup. (OUT LETSP(RES(D.)REA) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 License No. 259158 Classification C-61 Misc. Wiring 6.25 ❑ I am exempt from the Contractors License Laws of the State of California. Permit Fee $ $ 77— 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. @ 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 Mobile Home Installation 30.00 TOTAL PERMIT FEE $ 30.TO authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. Dat / $i na r o Permitee or Receipt No. Da 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,R OF PUBLIC WORKS By Date A;68 7C - permit expires Date _SA5�/T7 A BUTTE COUNTY DEPARTMENT OF PUBLIC WORKS 7 County Center Drive, Oroville, CA. PHONE: 534-4541 MOBILEHOME INSTALLATION SHEET 1. Owner's name: David M. Keesling 2. Installer's. name:. Carneros Mobile Transport 3. Is the site. -currently under.permit? Yes /x / No (If yes, furnish permit number 1719-76 ) OR Is the site an existing site? Yes:/ / No /x / (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 /x / No (If -no, clarify ) 5. What. is the mobilehome electrical rating? ---------------=------- 200 Amps 6. What is the mobilehome site service rating? --------------------- 200 Amps 7. What is the mobilehome site circuit breaker rating? ------------- - ZOO Amps 8. Is there -any other electric load to be served by the mobilehome site service? -------=----------------------------------- ------ Yes / / No /x / (If yes, identify the load and size: (Load) ---- (Amps) f 9. What is the mobilehome site gas pipe'size?--------------------- ---- (in.) 10. What -is the type of gas service? ----------------------------- Natural. / /- LPG 11. What is the.gas pipe length,.from meter or tank to the mobilehome? ---- (ft.)_ 12. What is the mobilehome gas demand. ----------- ---- (BTU) f (This infbrma.tion not...r..equired if pipe length less than 6 ft. on natural. gas. or less than -50 ft. on LPG.) ? 10 ' j 01 00 MOBILEHOME SU rr0KT DATA Mobilehome Mfr. Mountain Valley "' Setup Model No. 3BR F&R 28A Year 76 Width 24 (ft.) Length .. 66 (ft.) -Expando Size — ft.x ft. ` (Draw support details below) On all mobilehomes manufactured after October 7, 1973, furnish manufacturer's.installation manual and structural setup sheets (if not on file with the County of Butte). SFootings--(check.one) -D I (in.) (in.) Max. Pier. ............ ... 5 _ 6 Spacing • x3p tt. in. in.)4_ 1 I _ 2 30 .i (in.) (in.) %� riax. 1 .- 0 Overhang --- x — in. *If center piers are other than drawn above, - draw in locations, spacing, and dimensions. BUTTE COUNTY ^' BUILDING DEPARTMENT APPROVED /x/ 1. Wood either . A i i pressure treated or Center Center Support fdn.'grade. Support Locations Footing Sizes (in.) / 2. Concrete pad. =)k 243. Other,`specify �.in. in. Supports (check one; /x/ 1. Concrete block 0 24 x30 2. Concrete piers ft in1 . (in:) -(in.) .. ....... . 3. Steel piers .. ........ .... .. 4. Other, specify ... 12 30� Typical Support ' . . .24x x Footing Size Y� in . 30 .............. . i ) (in.) (in.) Max. Pier. ............ ... 5 _ 6 Spacing • x3p tt. in. in.)4_ 1 I _ 2 30 .i (in.) (in.) %� riax. 1 .- 0 Overhang --- x — in. *If center piers are other than drawn above, - draw in locations, spacing, and dimensions. BUTTE COUNTY ^' BUILDING DEPARTMENT APPROVED 1 Y t. COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WO �K •, 7 County Center Drive — Oroville, California 95965 7 Telephone: 534-4541 / 715' 7� APPLICATION AND PERMIT authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. X a`te Signature of Permitee or Agent Receipt No. .1+15/ 7 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 PI�BLIC WORKS ding permit expires Date BUILDING Owner a o 117 do SQ. FT. OCC. BUILDING VALUATION Mailing Ad ress Te ephone o. Fireplace Contractor Total Valuation Mai I i ng Address Permit Fee Plan Checking Fee &/or Penalty Telephone No. Permit Fee Building Address PLUMBING No.1 @ FEE PERMIT FILING FEE $3.00 ,00 7 4' e Lei Each Trap 1.50 Repair drainage or vent piping 1.50 Water piping Qp _4 Each gas water heater or vent 1.50 A. P. No` _=f 'Z ZO" Gas piping system 1 - 5 outlets 1.50 Each additional outlet .30 ,rod's &Wuvon Fire Dept. Fire Zone Use Permit Building sewer EQA Parking Plans Parcel Declaration parcel Ma p 60' R/W Im r p ovements Lawn sprinkler system 2.00 Bldg. dons Recd Parc proval PI n Approval Permit Fee $ 23,(p0 $CC NEW ❑ ADDITION ❑ UTILITIES OTHER ❑ ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 Main service V OR LE 100 AMP ORSLESS 5.00 0 Main service EA. ADD'L 100 AMP 2.50 �® Single Family ❑ Duplex ❑ Mobil Home EK Others ❑ Main service OVER 600V 100 AMP OR LESS 25.00 Main service/ EA. ADD'L 100 AMP 1.00 3�0 _ �/J� L -Oe OR ADDNSNEW T ( DDWELLIN GOCCUP. &) 20sgft NEW CONSTR MULTI.OUTLET NON-RESID, ( BRANCH CIRCUITS) 2.50ea NEW CONSTR. POWER APPARATUS & NON.RESID, (SINGLE OUTLET CIR. CONTRACTORS LICENSE LAW I am licensed under the provisions of Chapter 9, Div. 3, of the State of California Business & Professions Code under the name style of: Ex. Occup(OUTLETS OR FIXTURES)@tea BALC91 Ex. Occu FIXED APP LNS. OR p• OUTLETS (RESID.) EA) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 tg,0p License No. Classification 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 W •kmen's Compensation Insurance. 1 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 $ $ I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby TOTAL PERMIT FEE $4g C authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. X a`te Signature of Permitee or Agent Receipt No. .1+15/ 7 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 PI�BLIC WORKS ding permit expires Date "this set of plans 'kept on the lob at all times and it is u wful tot - mril•e anv changes or alterations on written permission from apartment of Public Works, County of Butte._ - The Setback shall be 5 ft, fro the side property line and 50 ftm} n the centerline of the road, p a maximum of a 2 ft. eave overhang 0 All utility conrsections shall be located wi' Hn .4 ft. outside the rear third section of the mobile home on the left (road) side of the mobile home, Z77..%Z.17_7_-Y: 4:_OC.9T_/_Q/�/S_�.?E_ ,:;', 4 -:=_'?F7e-0X:=:NOT-T-O SC,,9CE� NOM—All Materials , & Workmanship Shall Be 'n Acrordra�-ce with Rer.minized _ Good- Practices a '4a act" +,jprercr-bed for the Specified use in the IIniform Buil"ling, Plumbing & Machanical Codes and the National Electrical Code. LOT 13G UNIT 1 70.0. - I D -- TgA. Cz! r BUTTE COUNTY BUILDING DEPARTMENT APPROVED GO�N— "- I'