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Home My WebLink About072-270-021{ _ :. - 72-27-21 FRED HOLT `�• SIS Hurlto� Rd $ app 2 • mi . E of Old School. Permit ,E (uti1 MH) (100 � nn ELEC caT'7-- GAS.4 NL 6: W SUPPORT STRUCT jjln - COMPACTION TEST AUn 72-27-21 Perna�1#509S-7%RI JI sued O w rte. qc N r PERMIT NO. �4L�/2969-79P,E Y PERMIT EXPIRES OWNER FRED HOLT ,:CONTR. nwnPr `,LOCATION (A.P. 72-27-21 ) SIS Hurlton Rd, app 2 mi. E of. Old School Name on mailbox 1'. } l Temp. Power Pole Called PG&E Temp. Elea Serv. Called PG&E Temp. Gas Serv. /2%, C1j4L Called.P"&mE JOB . FINALED v 30 % _(Dat a (Signature) PLUMBING ELECTR Mesh COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS BUILDING INSPECTION RECORD BUILDING BUILDING (Cont'd) Setback Firewall Soil Piping Forms Agrapets V Floor Main Bldg. Re troom Finish 2n Floor Foote s Win ws 3rd Noor StemwAJ Siding To out Slab Roof Sh athing Water Pipi Piers Roofing Sewer —Garage Fdn. Vents Fixtures Footings StemwaI I Garage Vent Insulation Water I t Heaters Slab Carport p Footings Prov. forph sic Ily handica ed Conformance of ex structure Appliances Gas Piping & T Temp. Gas Slab Final - Sanitation Patio FIR LACE Final Footings Footing L� Masonry Walls Throat Rough Reinf. Steel Final Fixtures Bond Beam FIRE SPRINKILEN Motors Framing Test Water Htr. Stucco Final Subpanels PLUMBING ELECTR Mesh MECHANICAL Grd. Fault Prot. Scratch Heating Service Brown Cooling Temp. Pole Finish Ducts Underground Interior Lath Ventilation Permanent Door Closer Ainal Final MOBILEHOME UTILITIES ------------------Elec. Service Elec. Pedestal Water Piping _ Sewer — Gas Piping✓ ZQJLd&WL.1N1nSTALL TI N - - - - - - - - - - - - - - mm.Water upport Elec. Continuity Piping Fr –9f Drainage Gas Piping s;7 DATE— �l2— 2 REMARKS OR CORRECTIONS /A-5 -10/H aor� LA)Fd-tJ "o Sup �v_o L� V (NOTE: An entry must be made on this form each time yob visit the job site.) 9. Electrical A. Is service large enough to provide adequate amperage -to mobilehome (must equal rating of mobilehome with a minimum.of1.00 p) -'and other.1acilities on lot, i.e., water pumps, garage, cabana, etc.? Yes oto_ - — B. Is there proper clearances around panels? Yes_ — — C. Is power supply cord or feeder assembly properly fused? Yes No D. Is,Aontinuity test satisfactory as per.the following procedure? Yes -'--7 �No -� be -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. 3. 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. 5. All non-current, carrying metal parts of the mobilehome (aluminum siding, gas line, water line), including fixtures and•appliances, shall be tested for continuity from such equipment and the grounding conductor. ,' 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 Length Width f Vehicle Serial No. `'%�� State Identification No. b/74 Additional Information or Comments: MOBILEHOME :INSTALLATION. INSPECTION CHECK LIST 1: Is the mobilehome located with uired separation from lot lines and buildings and generally conform to plot plan? Yes_ o 2. Does the mobilehome have required clearances above ground? (Sec.5085) Yes ll�__No W„, e footings and supports properly sized, spaced, and braced as per approved plans? (Note possible variation at spring shackles.) (Sec. 5 82 & 5083) Yes_ No 4. Is the mobilehome level? (Sec. 5088) Yes. No Il, f more than a single unit, are crossover connections properly installed? (Sec. 5088) Yes_ No_ 6. Water A. Is flex' e connector of adequate size and properly installed (1/2” ID min.)? (Sec. 5566) Yes_ No_ B. Test - Does water piping withstand working pressure or 50 lbs. air test? Yes_z_ o 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_L1_1Ko B. Does it have minimum k" per foot slope and is it properly supported? Yes"�No C. Are any leaks detected in drainage system after running 3- ons of water through each fixture including washing machine standpipe? Yes N._ 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 No B.Test OK as per following procedure? Yes_ No 1. Open all appliance connector valves. Shut off appliance burner and pilot valves. 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 L/ drop. 4. Connect gas meter to mobilehome with connector, turn on gas, test connections with soapy water. C. Are all appliance vents properly installed? Yes_ Owner FREP MOLT Mailing Address Wmocep COUNTY'QUTTE DNARTMENT OF PUBLIC WORKS 7lount�!Center Drive — Oroville, California 95965 _ Telephone: 534-4541 G� ) APPLICATION AND PERMIT J / BUILDING SQ. FT. OCC. BUILDING VALUATION I - 2f QI v ? Telephone No EX. OCcuo(OUTLETS OR FIXTIIRE: FIXED APPLNS. OR Ex. Occup. OUTLETS (RESID.) EA Temporary service Contractor luz Misc. Wiring I am exempt from the Contractors License Laws of the State of California. Mailing Address 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. MECHANICAL Fireplace Heating Total Valuation Cooling Telephone No. Permit Fee Building Address 5 1402LTw go APP, 2 mi, Plan Checking Fee&/or Penalty Permit Fee PLUMBING No. @ FEE PERMIT FILING FEE $3.00 Each Trap 1.50 Repair drainage or vent piping 1.50 A. P. 2''Z�—� 2� -Z'2-Water Zoning & Planning piping 1.50 Each gas water heater or vent 1.50 F/sl W I SQJK'pn FireDept. Fire Zone Use Permit Gas piping system 1 -5 outlets 1.50 EOA Parking Pia Parcel Declaration Parcel Map 60' R/W Improve ents Each additional outlet .30 Building sewer 5.00 Bldg. Ions Recd Parcel 4proval PI s Approval Lawn sprinkler system 2.00 NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER F&K Permit Fee $ ryi rix Fd ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 Main service 100 AMP OR00V OR SLESS 5.00 Single Family ❑ Duplex ❑ Mobil Home Others ❑ Main service EA. ADD'L loo AMP 2.50 Main service OVER eoov 100 AMP OR LESS 25.00 Main service EA. ADD•L 100 AMP 1 1.00 NEW CONST. ( OR ADDNS. ACCLLING BLDGS,CCUP. 4') 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: NEW CONSTR /MULTI.OUTL T NON.RSI T l\ BRANCH CIRCUITS E NEW CONSTR. POWER APPARATUS B NON.RESID. SINGLE OUTLET CIR. EX. OCcuo(OUTLETS OR FIXTIIRE: FIXED APPLNS. OR Ex. Occup. OUTLETS (RESID.) EA Temporary service Mobile Home Facilities 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. I have placed on file with the County of Butte a certificate of Workmen's Compensation Insurance. MECHANICAL PERMIT FILING FEE Heating Cooling 2.00 10.00 15.00 6.25 $3.00 FEE LlI certify that in the performance of the work for which this Ventilation permit is issued I shall not employ any person in any manner so as to become subject to the Workmen's Compensation Laws of Hood 1 1 2.00 California. 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-mentioned property for inspection purposes. X A A, .f= Date 7 2 Signature of PerAtee or Agent Receipt No. 2 4 21) White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant Lend BQYei�nmant Geo $ O,co TOTAL PERMIT FEE $ Q This permit is hereby issued under the applicable provisions of the B County Code and/or resolutions to do work indicated L21R%Tn0F h fees have been paid. P BLIC WORKS 7 Date " Building permit expires Date �� _-'a r✓' MOBILEHOME SUPPORT DATA If other than'single wide, Mobilehome furnish Setup Model No. Year /.9L% Width /12 (ft.) Box LengthL5�- _(ft.) Tagalong or Expando Size ft. x ft. (SHOW SUPPORT DETAILS BELOW) On all mobilehomeg 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 1. Wood either AApressure treated or . M 1. foundation grade. x (ft. (in:) (in.) (in. 2. Other (specify) Center su ort Center s port location * footing sizes Supports (check one) ( in 1. Concrete block. x El 2 Other (specify) (ft.)(in. (in.) <---Tagalong or Expando,' show support details. (ft.)(in.) (in.) (in.) x 0 -- Typical Support (in.) (in.)' Footing Size x ( f .)(in.) ( . ) (in.) t, �ec -- Max: Pier Spacing xi-- Max. Overhang (ft.) (in.) (in.) (in.) ft.:):(in.) Am BUTTE COUNT -Y BUILDING DEPARTMEN � AOPROVED'. *If center piers are other than drawn above, draw in lncatinns. snacin¢_ and dimenc;nna_ BUTTE'COUNTY DEPARTMENT OF PUBLIC WORKS 7 County Center Drive, Oroville, CA. PHONE: 534-4541 MOBILEHOME INSTALLATION SHEET 1. Owner's name: - fly Co rk 2. Installer's name: 6 ea T 3. Is the site currently under permit? Yes / / No :7 (If yes, furnish permit number�� ) OR Is the site an existing site? Yes 17No (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 / ✓fes No (If no, clarify ) 5... What is the mobilehome electrical rating? ----------------------- 30 Amps 6. What is the mobilehome site service rating? --------------------- 1;2 Amps 7. What is the mobilehome site circuit breaker rating? ------------ 3 v Amps 8. Is there any other electric ad to be served by the mobilehome siteservice? ----°? --------------------------------- ------ (If yes, identify the load and size: (Load) Yes No / (Amps) 9. What is the mobilehome site gas pipe size? / .(in.) 10. What is the type of gas service? ----------------------------- Natural / / LPG 177 11. What is the gas pipe length from meter or tank to the mobilehome? (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.) - -• COUNTY OF BUTTE —.'DEPARTMENT OF PUBLIC WORKS 74County Center Drive - Oroville, California 95965 Telephone: 534-4541 APPLICATION AND PERMIT 91 q 17Y ' BUILDING Owner SQ. FT. OCC. BUILDING VAL N Mailing Address S O 3 rj I Te epho e o Fireplace Contractor Total Valuation Mailing Address Permit Fee Plan Checking Fee &/or Penalty Telephone No. Permit Fee $ Building Address PLUMBING No. @ FEE PERMIT FILING FEE $3.00 �0 m` Each Trap 1.50 Repair drainage or vent piping 1.50 Water piping 1.50 ,Lontng Verification O1tl)t of Each gas water heater or vent 1.50 A. P. No. - 7 — '� Zo r Gas piping system 1 - 5 outlets 1.5U Q Each additional outlet .30 Fees S on Fire Dept. Fire Zone Use Permit Loo Building sewer 5.00 EQA Parking PIa Parcel 13 60' R/W Im ro ents p Lawn sprinkler system 2.00 Bldg an Parcel Approval P s Approval Permit Fee $ $ NEW ❑ ADDITION ❑ UTILITIES OTHER ❑ ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 V OR L Main service 1000 AMP ORSLESS 5.00 Main service EA. ADD'L too AMP 2.50 Single Family ❑ Duplex ❑ Mobil Home Others ❑ OVER 600V Main service 00 AMP OR LESS 25.00 Main service EA. ADD•L too AMP 1.00 /Yi NEW CONST. DWELLING OCCUP. & OR ADDNS. ACC. BLDGS. ) 20sgft NEWCONSTR. 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: 4 Ex. Occup(OUTLETS OR FIXTURES)@L BAL@2561 Ex. QCCU 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 W rkmen'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 EE $ 1 i a.l+la..ac ua, vcJ V II— VUUllly Ul pUllc LU OIIICI UPUII r11C above-mentioned property for inspection purposes. X All" -Date /- ,&- Zr_ Signature of Permitee or Agent Receipt No. / '0 V7Cx / _-) 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. DIRECTOJR.OF PUBLIC WORKS By ate Bui ding permit expires Date F� ed ),►a�j 800 937G Oiee1A4r4- NOTE:—AII Materials & Workrlanship Shall Be in Accordance with Recognized Gnnd Pr^.ntices and of a qualify prescrilapri for She Specified use in the Uniform Building, Plumbing & Machanical Codes and the National Electrical Code. II 1,4 The Sq. Setback shall be 5 ft. from the side property line and 50 ff. from the cenferline of the road, permi ing a maxi- mum of a 2 ft. eave overhang but entirely out of aA easements. /111 utility connections shall b A pe��,i;'• will .b re` _fired • �, a �, ' located within 4 ft. outside the rear l $ion of eR obilehoM&I third section of the mobile homF on the left (road) side of the mobile w�►� home. S,9fo14& Septic system and location i to be as per .� Butte County Health Dept. Re- quirements. - finis set of plans and specifications MUST be (opt on the job at all times and it is un ewful to make any changes or alterations on same without written permisson from the Department of Pub& Works, County of Butte. — SMl.o6 �i'— BUTTE COON -h BUILDING DEPARTMEN', APPROVED r DECLARATION REGARDING LOTS OR PARCELS I certify that as owner of the property acquired by deed in Volume Page ,3 o3 Official Records of Butte County, (AP# %a � 7, -.2- I am requesting permission to build or install an additional living unit on -this property. I will not divide the aforementioned property for sale, lease, rent, or financing unless all applicable land division laws and map requirements are com- plied with. I am conversant with the present zoning -regulations affecting the aforementioned property, and declare that I shall not violate same. I represent that the proposed use of.the additional living unit is v and that further. I shall not change this proposed use of the additional living unit unless and until I receive written approval therefor from the County of Butte. I fully understand that pursuant to Chapter 20 of the Butte County Code and §11535 et seq of the Business and Professions Code that if I, in the future, sell, lease or finance the area on or adjacent to said improvement without fully complying with the applicable laws -and ordinances, that I shall be guilty of a misdemeanor and therefore, subject to the aforesaid penalties and imprisonment pursuant to law. Further, this statement shall be properly acknowledged and recorded at the request of the County of Butte. OFFICIA' RECORDS BUTTE vCt�NTY, r e� n�4 v WORDS gE!�11�� ; .: � J • i�N y� � 18 OU X978 Owner - - lOUISE t.LUctd�EF, .s ,� .937 4 COUNTY RECOndEi` EE S= �(LQp '4 . �S�G S� Address AQ T GQAA?1,, E - Wl 1 �%U o Date N0 pOGUM� ORI_WA` - - - - - - - - - - - - - - - - . - - - - - - - - - - - - - - - - - . - - - - - - - - STATE OF CALIFORNIA ) ss COUNTY OF On this day of %,,,g,. i¢y , 197 8 before me, .z�,�oA F• ��c�So^/ , a Notary Public in and for the County of `18e.;- �->✓ "_ State of California, residing therein, duly commis- sioned and sworn, personally appeared known to me to be the person whose name .,s subscribed to the within instrument and acknowledged to me that he executed the same. IN WITNESS WHEREOF I have hereunto set my hand and affixed my official seal in the County of the day and year in this certificate first above written.. S96-1275 �Qa+• °O 1y OFFICIAL SEAL LINDA F WIMON � -- c::-,2 s ® " a° NOTARY PUBLIC • CALIFORNIA NOtar Public BUTTE COUNTY y - FOR MY COMMISJION EXPIRES OCT. 17, 1978 COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 7 COUNTY CENTER DRIVE OROVILLE, CALIF. - 534-4541 CERTIFICATE OF OCCUPANCY This mobilehome has been installed in accordance with the requirements of the California Administrative Code, Title 25, Chapter 5, under permit number for the following location: Owner Owner's Address Mobilehome Mfg. Model' c 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 RELOCATED White - Owner, Yellow - Installer, Pink - D.P.W.