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071-200-006
•�,; �. 1 : ,fir 1 .. ..r �.. ,}ye..��.+ri .. .1 �.y i l.F __ ? c' J -.r. _.. ` f :'�` rNb -y n ��'K.. r `.- �r '� � •- � � •.� .- . s 71-20-6 Kenneth Plowman 200'off W/S pri.rd.,app.500'NW of Lumpki 1 Rd., app.12 mi.NE of Mills Ranch Rd., ' Permit #6303-78P,E(util., MH) M/t4, ' n ELEC.6-7G-7f aAl P � ' SUPPORT STRUCTURE REQ. D COMPACTION TEST REQ. N v" 71-20-6- A� Permit. #6,031-78MHI - - .. Issued 1 • n 1 ' 1. i � . • , • 1� ,Ash, 1, .. hr , o• a . � •1 _ ,'__ =',nom � ��� PERMIT NO. 6303-78P,E PERMIT EXPIRES//�/�✓ OWNER Kenneth Plowman CONTR. owner 71-20-6 LOCATION (A.P. ) 200'off W/S pri.rd.,app.500'NW of Lumpkin Rd., ' app.12 mi.NE of Ills Ranch Rd., E-or.bestown : C. C. A; . � r Temp. Power Pole Called PG&E Temp. Elea. Serv. Called PG&E Cv� P, Temp. Gas Serv. Called PG&E ' JOB FINALED .(Date . Vw&r� 1� (Signature) • t DATE e-7 !7REMARKS OR CORRECTIONS ' �Jj\ JiGty/�2 C-4'Al/V(flf (NOTE: An entry must be made on this form each time you visit the job site.) COUNTY OF BUTTE —'DEPARTMENT OF PUBLIC WORKS BUILDING INSPECTIONRECORD " BUILDING BUILDING (Cont'd) PLUMBING Se ck Flre all SA Piping Forlos Para is 1 Floor Ma Bldg. Restroo Finish 2n loor F tins Windows 3rd k0or Sterkwall Siding To out Slab Roof Sheath\na Water PI I Piers Roofing Sewer Garage Fdn. Vents Fixtures Footings Stemwa I i Garage Vents Insulation Water Htr. Heaters Slab Car ort p Footings Prov. for ph sicall - handica ed Conformance of ex. y structure A liances Gas Piping & Test Temp. as Slab Final Sanitation Patio PiREPLACE Final Footin s Footing LECTRI L Masonry Walls Throat Rou h Reinf. Stee Final Fixtures Bond Bea IRE SPRINKLEFU Motors Framin Test Water Htr. Stucco Final Sub anel Mesh MECHANICAL Gird. F141t Prot. Scr ch Heati Servi B n Coo ng T p. Pole nish — Dqtts 4derground erior Lath entllatlon Nennanent oor Closer. Incl nal MOBILEHOME UTILITIES ------------------ Elec. Service 000 4 LJ Elec. Pedestal -41 F6, Iz -�0- / J Water Piping - _ �'�. Sewer .7 - �, Gas Piping 4 JP E E -INSTALLATION - - - - - - - - - - - - - - Support Elec. Continuity - . )p 6 77 Water Piping I,,— fig) ,- -7 �; 4e?x:�__rainage Gas Piping 46 DATE e-7 !7REMARKS OR CORRECTIONS ' �Jj\ JiGty/�2 C-4'Al/V(flf (NOTE: An entry must be made on this form each time you visit the job site.) = MOBILEHOME<INSTALLATION INSPECTION CHECK LIST 1. Is the mobilehome located withquired.separation from -lot lines and buildings and generally conform to plot plan? Yeses oma,_ 2. Does the mobilehome have required clearances above ground? (Sec.5085.) Yes G No 3. Are footings and supports properly sized, spaced, and braced as a approved plans? (Note possible variation at spring shackles.)•(S-ec' 5082 & 5083) Yes No 4. Is the mobilehome level? (Sec. 5088) yes_ NO mo .than a single unit, are crossover connections properly installed? (Sec. 5088) Yes No 6. Water A. Is flex' connector of adequate size and properly installed (1/2" ID mirf.)? (Sec. 5566) Yes v No B. Test - Does water piping withstand working pressure or 50 lbs..air test? Yes No 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 B. Does it have minimum k" per foot slope and is it -properly supported? Ye,sNo C. Are any leaks detected in drainage system after running 3- llons of water through each fikture including washing machine standpipel,.Yes No D,.JW coach is not State of California approved;.does station have required trap and vent? J`h 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 mobilero� as line inlet without reductions other than the mobilehome connector. Yes__ B. Test OK as per following procedure? Yeses No. °r.' Open all appliance connector valves. 2 Shut off appliance burner and pilot valves.` 3.:,, 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. C.. Are all appliance vents properly installed? Yeses No 9. Electrical. A. Is service large enough to provide adequate amperage -to mobilehome (must equal ratiug_of mobilehome with a minimum of 100 amp) and other facilities on lot, i.e., water pumps, garage, cabana, etc.? Yes -4_ B. Is there proper clearances around panels? Yes e_ C. Is power supply cord or feeder assembly properly fused? Yes D. Is continuity test satisfactory as per the following procedure? Ye No A— De -energize electrical wiring system of the mobilehome at the pedestal. 21."' 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. 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 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 /-M API W Length Llb Width /A p/ Vehicle Serial No. CS �60 State Identification No. 4 Additional Information or Comments: Owner G� Mailing Address A' COUNTY OF BUTTE — , DEPARTMENT OF PUBLIC WORKS 7 County Center Drive — Oroville, California 95965 Telephone: 534-4541 APPLICATION AND PERMIT AA (FA ' �/ 6 f T e1,3 � ho N ( / 3 - Contractor U G( IV6—) _ BUILDING SQ. FT. I OCC. I BUILDING VALUATIO Mailing Address 'e' BAL@1 ELECTRICAL Fireplace FEE Total Valuation 600V OR LESS 100 AMP OR LESS Main service EA. ADD'L 100 AMP Telephone No. Permit Fee Main service Building AddressX00 ' S DWELLING OCCUP. 4 ACC. BLDGS. Plan Checking Fee&/or Penalty (MULTI.OUTL T BRANCH CIRCUITS Permit Fee 'Od ( /YG(i. OF 4 a PLUMBING No. @ FEE PERMIT FILING FEE $3.00 Each Trap 1.50 • — Repair drainage or vent piping 1.50 A. P. No. in798 Planning Water piping 1.50 Each gas water heater or vent 1.50 Fe Fire Dept. Fire Zone Use Permit Gas piping system 1 - 5 outlets 1.50 EQA Parking Plans Parcel Declaration Parcel Map 60' R/W Improvements Each additional outlet .30 Building sewer 5.00 Bldg. Plan,� Parcel A val PI cilleox pprovaI Lawn sprinkler system 2.00 NEW. ADDITION ❑ _ UTILITIES ❑ OTHER,M = Single Family ❑ Duplex ❑ Mobil Home 23 ---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 No. Classification Permit Fee 'e' BAL@1 ELECTRICAL PERMIT FILING FEE Main service 600V 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. 4 ACC. BLDGS. NEW CONSTR Nn N.RESIn_ (MULTI.OUTL T BRANCH CIRCUITS $3.00 5.00 2.50 25.00 1.00 )2sq ft Ex. OCCUp OUTLETS OR FIXTIIRES 'e' BAL@1 FIXED APLNS. EX. Occup. (OUTLETSP(RESID.)REA) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 6.25 1 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. ❑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 the abovperty fo section purposes. X e-ment'oned pro ( Date Signature of Permitee or Agent Receipt No. White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant MECHANICAL PERMIT FILING FEE Heating Cooling $3.00 Ventilation Hood 1 1 2.00 Permit Fee $ $ $ 30 TOTAL PERMIT FEE is 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. "ROF UBLIC WORKS 171117,7 DateL " r� Building permit expires Date 6 �"grQ COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS A :••-y 7 County Center Drive - Oroville, California 95965 Telephone: 534-4541 APPLICATION AND PERMIT An authorize representatives of the County of Butte to enter upon the above-mentionedpro ty inspe for ction purposes. I X Date 110-a-4 1 Signature f Permite'e or Agent Receipt No. �V3teV390913 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 be paid. DIRECT F UBLIC WORKS By Date ding permit expires Date /1— BUILDING Owner 9EAIAI67-0 Pl-0W MAJ SQ. FT. OCC- BUILDING VALuAITION Mailing Address 2-351 f-7+ICd, SWL). LC4V15 G� Contractor 0 W AJ EP_ Mailing Address Fireplace Total Valuation Tlephone No. e Permit Fee Building Address 200 �6�F A115 Pa/, ��� APP Plan Checking Fee&/or Penalty Permit Fee �o OF Laxellok1A/ P -D . - AG© PLUMBING No. @ FEE ' / MY. Alf-' OLL5 )e)9AJCd- �, C"' PERMIT FILING FEE $3.00 �r00 Each Trap 1.50 / / - / /�,426&Zl-ball Repair drainage or vent piping 1.50 A. P. No. % % Za i� Zoning & Pla iEach Ater piping 1.50 w gas water heater or vent 1.50 es Sa n Fire Dept. Fire Zone Use P it Gas piping system 1 - 5 outlets 1.50/,9,00 EQA Parking Plans Parcel Declaration Parcel ap 60' R/W Improvements Each additional outlet .30 Building sewer 5.00 %Oc00 Bldg. Plans Recd Par A roval Plans pprovol Lawn sprinkler system 2.00 NEW ❑ ADDITION ❑ UTILITIES OTHER ❑ Permit Fee $ loo $ J 3 fX ELECTRICAL No.1 @ FEE PERMIT FILING FEE $3,00 tOfl Main service 100v OR LESS 5.00 100 100 AMP OR LESS Single Family ❑ Duplex ❑ Mobil Home Others ❑ Main service EA. ADD'L 100 AMP 2.50 r�o Main service OVER600v 25.00 100 AMP OR LESS Main service EA. ADD'L 100 AMP 1.00 NEW OR ADDNST ( ACCLBLDGS.LING CCUP. Y\ 22sgft CONTRACTORS LICENSE LAW I am licensed under the provisions of Chapter 9, Div. 3, of the State of California Business & Professions Code under the name style of: NEW CONSTRULTI-OUTL T NON-RESID (BRANCH CIRCUITS) 2.50ea NEW CONSTR/POWER APPARATUS 8 NON RES D. \SINGLE OUTLET CIR. 50@ 25 EX. OCcuo(OUTLETS OR FIXTIIRES BA@ 100 FIXED APLNS. Ex. Occup. (OUTLETS P(RESID )REAJ 2.00 Temporary service 10.00 Mobile Home Facilities License No. Classificationup Misc. Wiring L6.25 3 P � pp © 1 am exempt from the Contractors License Laws of the State of California. Permit Fee $ % $ -TS-1 MECHANICAL No. @ FEE WORKMEN'S COMPENSATION INSURANCE 1 am aware of the provisions of Section3700 of the California Labor Code which requires every employer to be insured against liability for Workmen's Compensation. ❑I have placed on file with the County of Butte a certificate of Workmen's Compensation Insurance. ©I certify that in the performance of the work for which this permit is issued I shall not employ any person in any manner so as to become subject to the Workmen's Compensation Laws of California. PERMIT FILING FEE $3.00 Heating Cooling Ventilation Hood 2.00 Permit Fee $ $ 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 relatina to building construction, and hereby Land Development Fee TOTAL PERMIT FEE $ L authorize representatives of the County of Butte to enter upon the above-mentionedpro ty inspe for ction purposes. I X Date 110-a-4 1 Signature f Permite'e or Agent Receipt No. �V3teV390913 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 be paid. DIRECT F UBLIC WORKS By Date ding permit expires Date /1— 0v� �� ��s This set of plans and specifications MUST be Z kept on the job'at all times and it is unlawful to pt,p—• c+, •, ►-r'•o rynv chrmges or alterations on some without written permissi.on"from'the Deportment of Public rks, County ..of Bette. he Bldg. Setback shall be 5 ft. from the q; ide property line and 50 ft. from the \9 s;enterline of the road, permitting a maxi- \ mum of a 2 ft. eave overhang but entirely ~� out of all easements. ,posed -� /X d All a'�' utility connections �R y loc�d within 4 ft, shall be - third section outside the rear on the left (road) side f hee hom�0� A permit will 6, required for Elie J home. i le , �! installation of the mobile 0 � hom 0` PM. peptic system anR location e ButteCounty Health be as per quirements. P_t� Re- 3S. 10 Ari- ' Lnce -All Materials & Workmanship Shay Be �� with Recognized Good Practices and �P# 303 7$ ality prescribed for the Specified use in theaBuilding, Plumbing & Mechanical Codes and'�� BUTTE COUNTY onal Electrical Code. � BUILDING DEPARTMENT APPROVED MOB ILEHOME SUPPORT DATA � If other than single wide, _ Mobilehome Mfr. C�Arn`121 ON furnish Setup Model .No. Year 07/ ?/ Width ! (ft.;) Box Length.14 (ft.) Tagalong or`Expando Size ft. x ft. (SHOW SUPPORT DETAILS BELOW) s ' On all mogilehomes manufactured after October•7, 1973; furnish manufacturer's installation manual' -'and structural setup sheets (if not on file with the County of Butte). All center.supports measured from front of mobilehome unless otherwise specified. Footings (check one) Single. t 1. Wood either pressure treated or foundation grade. (in.) (in.) �.-. `r 2. Other (specify) Center support Center support Supports (check one) locations* footing sizes ® 1. Concrete block. x 2. Other (specify) (in.) (in.) 4 ---Tagalong or Expando, show support details. (ft.)(in.) (in.) (in.) 2'� x ._Typical Typical Support (in. (in.) Footing Size®� OAP (ft.)(in.) (in.) (in.) `7 10`' -- Max. Pier Spacing no Ari ''.- (,� -5 ?A' MOverhang (ft.) (in.) (in.) (in.) M,+ X. BUTTE COUNTY BUILDING DEPARTMENT AP-PQOV *If center piers are other than drawn above, D draw in -locations, spacing, and dimensions. -�•- - -- ---------- - ---- -- -... ---- - ---- - :.------- — ---... - -- -- -- - ----- -- ---- -- 1. 2. 3. BUTTE COUNTY DEPARTMENT OF PUBLIC} WORKS 7 County Center Drive, Oroville, CA. PHONE: 534-4541 MOBILEHOME INSTALLATION SHEET Owner's name: Installer's name: , Xk4 N t�, o V,w,.m r� Is the site currently under permit? Yes / x / No ( If yes, furnish permit number �� 3 03 OR Is the site an existing site? Yes / / No (If yes, furnish two (2) plot plans.) 4. Will the mobilehome be located at least 5 ft. away from septic tank and leach fields and clear of all setbacks and easements? Yes / / No ( If no, clarify ) 5. What is the mobilehome electrical rating? ----------------------- 4 Q Amps 6. What is the mobilehome site service rating? --------------------- 2 0 o Amps 7. What is the mobilehome site circuit breaker rating? ------------- 8. Is there any other electric load to be served by the mobilehome site service? --------------------------------------------------- V713 WA'R'S M (If yes, identify the load and s�izee:P �2 (Load) 9. What is the mobilehome site gas pipe size? ---------------------- 5 0 Amp s Yes /X,/ No / / (Amps) (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? LtNdey JC O (ft.) 12. What is the mobilehome gas demand? -=---------------------------- (BTU) (This information not required if pipe length less than 6 ft. on natural gas or less than 50 ft. on LPG.) Al . � tom•: � .,,� '"..s � is s _ -� i ._i s'`