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072-210-026
J 72-21-26 Robert Woodcock W/ ri.rd. ,app. 4 mi.S i ,2 .E.of Mt Ida, Oroville Permit 41 8-76P,E(u 1.,14H) �' B ELEC . 10,04 �9 i GAS 14 SUPPO T STRUCTURE RE (� COMPACTION TEST REQ. 7 1-26 contr: Oakmont im-lopolle Home e Chico Permit 4160 -76MHI Issued - 7 I i I i raft r i• - � HERMIT NO. 5708-76P,E I PERMIT EXPIRES OWNER Robert Woodcock CONTR., owner LOCATION (A.P. 72-21-26 b � v� / K w W/S pri.rd.,app.4 mi.S.of 0-� n Rd., z mi. E.of Mt Ida,..Oroville 4 Temp. Pow r Pole � Calle PG&E�/-_�- 7G Temp. E ec. Serv. Cal d PG&E Temp. Gas Serv.`� C I I ed F0� ��, � , JO FI ALED (Date) C �. (Signature) COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 7 COUNTY CENTER DRIVE OROVILLE, CALIF. - 534-4541, CERTIFICATE OF OCCUPANCY This mobilehome has been installed in accordance with the requirements of the California Administrative Code, Title 25, Chapter 5, under permit number 6036-76 for the following location: Ta/s of grivrate road 1/4 mi. S. of Olive Hwy., k mi. E. of Mt. Ida Rd.,Oroville Owner Robert Woodcock Owner's Address Box 9215, Old Olive Hwy. , Oroville Mobilehome Mfg. Redman MH Inc. Model Kirkwood Year1976 Insignia No. CAL 005662 & Serial No. 52G3MBTG CAL 005663 It is hereby certified for occupancy at the above described location and may be occupied. Director of Public Work 3/29/77 c Date By THIS CERTIFICATE IS VOID WHEN MOBILEHOME�d RELOCATED COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS BUILDING INSPECTION RECORD BUILDING BUILDING ( nt'd) PLUMBING Setback ! — 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 Pi in -� Piers Roofing Sewer Garage Fdn. Vents Fixtures Footings StemwaI I Garage Vents Insulation Water Htr. Heaters Slab Carport Footings Prov. for phy n o Conffor edmance of ex. sically Cr structure Appliances Gas Piping es & Tt — >% Temp. Gas Slab Final Sanitation Patio F FIREPLACE Final Footinas Bond Framing Test Stucco Final Mesh MECHANICAL Scratch Heating Brown Cooling Finish Ducts 'Interior Lath Ventilation Door Closer Final DATE- REMARKS OR CORRECTIONS_ ELECTRICAL Rou h 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.) 9. Elcctr.ical A. Is service large erottgl. to provide .adequate amperage. to mobilchome. (must equal rating of mobilehome with a ::tit'th-tjm of 100 amp) anal other faciliti-E!s on lot, i.e., welter pumps, garaoe, cabana, etc."r' Yes No 1;. Is there. proper clearances around panels? Yes—K No C. Is power supply cord or feeder assembly properly fused? Ye S4 No_ D. Is continuity test satisfactory as per the following procedure? Y"eso!_ 1. De. -energize electrical wiring, syste:a of the mobilehome at the pe'deesstal. 6 Make sure that rhe power supply cord; or feeder assembly conductors, including neutral cond,,ctor, have been disconnected. 0 3 Switch all brealcers and switches in the mobilehome to the "on" position. C.� Connect one l-s:ad of a test instrument to the mobilehome grounding conductor and •, ,. app Ly the oLtu? lad to each roof -i'lcttuute supply Cutl�tticL-o , ilii liiirlit� �leuLrdi. All non-current, carrying metal parrs of the mobilehome (aluminum siding, gas line, water line), including fixtures and appliances, shall be tested for continuity from such egiiipment- and the grounding conductor. Upon completion of: the above procedure, the power supply cord or feeder assembly VI conductors shall be connected to the site service equipment. A further continuity te:,C ,-,hall then be made between t.;te grounding electrode and the chassis of the mobilehome. UDOn satisfactory completion of theel.ectrical tests, the lot or site service equipment may be approved for energizing. Is Job card si-ned by health Departmeat for water and sanitation? 1.:.. If everything okay, sign off card and ta; s::rvices. MOBTLEiIOM.L: DATA Manufacturer and/or?�lames?:yle �'� da�B �D'd �S /��i' , ��0-00f\ Length Ja— �"-- Width C�'7 Vehicle Serial No. State Identification No._� � ��. •Z �� L- 6 -3 r.dc Ltional Infoi-mat:ion or Comments: 'M0B1:1,1?IIOLiE INSTALLA'1'fON INSPECTION CHECK LIST ' 1. Is the. mobilehome located w1,01 required separation from lot lines and buildings and generally conform to plot Llan? Y.c:>No� 2. noes, the mobilehome have required clearances above ground? (Scc.5085) Ye0�_ No 3. Are foot:int,s and supports properly sized, spaced, and braced aj; per approved plans? (Note possible variation at spring shackles.) (Sec. 5082 & 5083) YeS No 4'. Is the mobilehome level.? (Sec. 5088) YesK No� 5. -If more thana single unit, are crossover connections properly installed? (Sec. 5088) YesCLC--N0 5. Water A. Is flexible connector of adequate size and properly installed (1/2" ID min.)? (Sec. 5566) YesXNc B. Test - Does water piping withstand working pressure or 50 lbs, air test? YesANo C Backflow - If coach is not State of California approved, does station have backflow device and pressure -relief valve? Yes No 7. Wastes and Drains A. Is connection made with Schedule 40 DWV and have flex connectors at each end? Yes No B. Does it have minimum per foot slope and is it properly supported? Yes No C. Are any leaks detected in drainage system after runninggallons of water through each fixture including gashing machine standpipe? Yes_ No 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 lineinlet without reductions other than the mobilehome connector. Yes X, No B. Test OK as per following procedure? YesX_ No til! Open all appliance connector valves. hut off appliance'burner and pilot valves. it 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. �onnect: gas meter to mobilehome with connector, turn. on gas, test connections with soapy water. C. Are all appliance vents properly installed? Yes No TO: Building Department FROM: 'Environmental Healtn RB: Sewage and/or Water Clearance Has been approved for: SS'4kGE DISPOSAL /D -off ;2 -71- ,fM.3, . SUPPLY / -10 - ]� S95-775 COUNTY OF BUTTE = DERARTMENT OF PUBLIC WORKS 7 County Center Drive — Oroville, California 95965 �7o �J %%/_6 Telephone: 534-4541 / APPLICATION AND PERMIT X Date Signature off-P"ermitere�or Agent Receipt No. White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTORC PUBLIC WORKS BY Date B . Iding permit expires Date /0-7- 7 7 BUILDING Ownerte SQ. FT. OCC. BUILDING VALUATION Mai l i ng Address :M0 Tj�l-e ho=e No. v Fireplace Contractor 4 Total Valuation Mai I i ng Address Permit Fee Plan Checking Fee &/or Penalty Telephone No. 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 /0,00 ming .Verification Only Each gas water heater or vent 1.50 /r ` —Z A. P. No. ei Zoning & PI ingadditional Gas piping system 1 - 5 outlets 1.50 outlet 30 Fe 8�-�• S (o Fire Dept. Fir one Use Permit Building sewer 5.00 ipQ EQA I Parkin Plan s Declarration Par I 60' R/W Improvements Lawn sprinkler system 2.00 BI g Recd DoT Parcel Approval Plans Approval Permit Fee $ , $ NEWADDITION ❑ ❑ UTI LITIES OTHER ❑ ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00, 00 Main service 500V OR LESS 100 AMP OR LESS 5.00 Oe) �SV Main service EA. ADD'L 100 AMP 2.50OVER Single Family ❑ Duplex ❑ Mobil Home Others ❑ 600V Main service 100 AMP OR LESS 25.00 Main service EA. ADD'L 100 AMP 1.00 NEW CONi;—T. DWELLING OR ADDNS. ( ACC. BLDGS.CCUP, &) 2�Sgft NEW CONSTR. MULTI -OUTLET NON.RESID. ( BRANCH CIRCUITS) 2.50ea NEWCONSTR. (POWER APPARATUS & NON .R ESI D. SINGLE O LET 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: 14' /; O 6 Ex. Occup(OUTLETS OR FIXTURES)@25C 109 Ex. Occu FIXED APPLNS, OR P•(OUTLETS (RESID.) EA) 2.00 Temporary service 10.00 - Mobile Home Facilities 15.00 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 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 $ $ I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above-mpntinneri nrnnorty fnr ine =o tlnn . TOTAL PERMIT FEE $ Z This permit is hereby P y issued under the applicable provisions of X Date Signature off-P"ermitere�or Agent Receipt No. White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTORC PUBLIC WORKS BY Date B . Iding permit expires Date /0-7- 7 7 COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Orovill�l California 95965 Telephohe:534*541 APPLICATION AND PERMIT cNl aacliiaU ves UI LIIC UUurltY UI dune W enter upon the above-mentioned property for inspection purposes. X ('T. ��F+ Date Signature of Permitee or Agent Receipt No. X5-y0v G/ 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 OK -PUBLIC WORKS BY � ate %/—l�r7�v 11dina permit expires Date ��'�"'7 7 BUILDING OwnerC p %3 �%'� ��/� ���V�h SQ. FT. OCC. BUILDING VALUATION Mailing Address Telephone No. Fireplace Contractor 0,41e- /9? 0617- 11"lO a. F Total Valuation Mailing Address Permit Fee Plan Checking Fee &/or Penalty Telephone No. 3 3 _ :?2 1? Permit Fee Building s)( Addres�/:!5—' - �� C74C PLUMBING No. @ FEE PERMIT FILING FEE $3.00 t l ry 0 Z// � `L Each Trap 1.50 5 � - � ��� � �/� S Repair drainage or vent piping 1.50 � c�tfi� A' .77 �, VF /%7TlO4 del, Water piping 1.50 Each gas water heater or vent 1.50 A. P. No. L �'"� Zoning 8 Planning Gas piping system 1 - 5 outlets 1.50 Each additional outlet .30 Fe W . etielr FireDept. FireZone 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 Bldg.Plans Rec'd Parcel A PP oval Plan pproval Permit Fee NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 ^ ��7,�J ® /'r/� la- J— V �(/(/i/ OJT n service s00v OR LESS Maiei100 AMP OR LESS 5.00 Main service EA. ADD'L 100 AMP 2.50 Single Family ❑ Duplex ❑ Mobil Home Others ❑ OVR 60 Main service 100E EAMP OR LESS 25.00 Main service EA. ADD -L. 100 AMP 1.00 NEW CONST- OR All.... DACCLBLDGLINGOCCUP. &) 2¢sgft NEW CONSTR. MULTI -OUTLET NON.RESID. BRANCH CIRCUITS) 2.50ea NEW CON5TPOWER APPARATUS & NON.R. 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: �/i�/ K _04!i QAl% C.. /� Py Ex. Occup(OUTLETS OR FIXTURES)�� BAL@1 Ex. Occu FIXED APPLNS. OR P-( 2.00 OUTLETS (RESID.) EA) Temporary service 10.00 Mobile Home Facilities 15.00 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. f� 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 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 1A,2 7 G yA -7-1 07 0 3 v 0 TOTAL PERMIT FEE $ 30 'J� cNl aacliiaU ves UI LIIC UUurltY UI dune W enter upon the above-mentioned property for inspection purposes. X ('T. ��F+ Date Signature of Permitee or Agent Receipt No. X5-y0v G/ 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 OK -PUBLIC WORKS BY � ate %/—l�r7�v 11dina permit expires Date ��'�"'7 7 MOBILEHOME SUPPORT DATA Mobilehome Mfr. noel yy'� Dbile' 4f+_s ,,�,�[ Setup Model No. /,Year Width �� .(ft.) Length (ft.) Expando Sizer 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). - Sin le - Footings--(check.-one) M In 1. Wood either —�- pressure treated or Center Center Support p fdn. grade. Support Footing Sizes Locations (in.) 2. Concrete pad. /� 3. Other,: specify Supports (check one) 1. Concrete block �x / / 2. Concrete piers (ft)_ in (in) 3. Steel piers 7-1 4. Other, specify Typical Support ....a X30 Footing Size ( in. x © n. in. (in.)(in.) d - _ ) E' Max Pie r Spacing in.) p3n. i S (in.) (in.) Max. f Overhang BUTTE COUNTY *If center piers are other than drawn above, draw in locations, spacing, and dimensions. BUILDING DEPARTMENT APPROVED A— ,. .. . y BUTTE COUNTY DEPARTMENT OF PUBLIC WORKS 7 County Center Drive, Oroville, CA. PHONE: 534-4541 MOBILEHOME INSTALLATION SHEET ' 1. Owner's name: 1S t3 ew r A jgiY41 rA121/;oL Atloe (coc c 2. Installer's name: 0,4, r9e tlr Ileoi`C lle"e C.-eA,r 3. Is the site currently under permit?. Yes No (If yes, furnish permit number *',474?n/4 - ) 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 7_ ./ No (If no, clarify & ) 5. What is the mobilehome electrical rating? ----------------------- Amps 6. What is the mobilehome site service rating? --------------------- 017470 Amps 7. What is the mobilehome site circuit breaker rating? ------------- IAO Amps 8. Is there any other electric load to be served by the mobilehome site service? --------------------------------------------------- Yes ;V/_ No (If yes, identify the load and size:e- 11 gyOW (Load) 02 47_(Amps) 9. What is the mobilehome site gas pipe size? ---------------------- '� (in.) 10. What is the type of gas service? ----------------------------- Natural / / LPG r'�v/ 11. What is the gas pipe length from meter or tank to the mobilehome? �l1'f (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.) NOTE:—ATI Materials & Workmanship Shall Be in Accordance with Recognized Good Practices and of a quality prescribed for the Specified use in the Uniform Building, Plumbing & Mechanical Codes and the National Electrical Code. this set of plans s MUST be cept on the job at all times and it is unlawful to ,Hake any changes or alterations on same without written permisson from the Department of Public Works, County of Butte. ----- -"- The Imo. Setback shall be 5 ft. from the side property line and 50 ft. from the centerline of the road, permitting a maxi- mum of a 2 ft. eave overhang but entirely out of all easements. Septic system ars Wi4d_ Butte County Health Dept. per quirements. I , 1 1 T ,5" 7d ,� - 7 � G All utility connections shall be located within 4 ft. outside the rear third section of the mobile home on the left (road) side of the mobile home. A permit will be required for the installation of the mobilehome. BUTTE COUNTY BUILDING DEPARTMENT APPROVED r