HomeMy WebLinkAbout027-280-03527-28-%--�,'.135'
( Jo �W. Sasser
8070 Gr.er Ave., Oroville
Permit #3'9 1-78P,E�util. ,Mu)
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e E LEC .8" 12.
GAS
SUYY K'1' b'1'KUI:'lUKE
COMPACTION TEST
Contr: Hammen s Repair, Sacto-.'7j
Permits #'5148-78MHI
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' 3911-78P,E
;PE.aMIT N0:
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PERMIT EXPIRES
OWNER John W. Sasser
_'ONTR. owner -
�� 27-28-21 & 27
V.00ATION (A.P. )
I 8070 Grier Ave., Oroville
N
Temp. Power Pole
P
Called PG&,E
Temp. Elea Se v.
Called PG&E
Temp. Gas Serv. �S
Calle PG&E
JOB
FINALED
(Date)
(Signature) . ,/ 1
Forms
Main BI
Footin
Stemwal I
Slab
Piers
Garage
Footings
Stemwa I I
Slab
s
COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS
BUILDING INSPECTION RECORD
BUILDING �� BUILDING (Cont'd) PLUMBING
Fire all
Soil Itiping
Para is
1 st Xloor
Restrok Finish
2nd Nor
Windows
3rd FloNr
Siding
To out
Roof Sheath
Water Pi in
Roofing
Sewer
Fdn. Vents
Fixtures
Garage Vents
Water Htr.
Insulation
Heaters.
Prov. for physical
handicapped
Conformance of ex. V
structure
Appliances
Gas Piping & Test
TemD. Gas
Slab Final Sanitation
Patio IRE LACE Final
Footings Footing
LECTRI L
Masonry Walls Throat Rough
Reinf. Steel Final Flwhera-a
trona tseaMr I /FIRE SPRINKLEIJS I Motors d X
or Lath
Water Piping
ra—
�OBILEHOI
Water Piping
Grd. FAult Prot.
t;oowhg Ipmp. Pole
D is finderground
ntl lationPermanent
Final Final
TIES - - - - - - - - - - - - - - - - - - Elec _ Service ® Elec . Pedestal Mmni
o / + Sewer Gas Piping
LATION - - - - - - - - - - - - - - Support Elec. Continuity
A�b.C,-4-41k)-t— Drainage Gas Piping
,;DATE a REMARKS OR CORRECTIONS
® COW- i s
(NOTE: An entry must be made on this form each time you visit the job site.)
n
MOBILEHOME INSTALLATION INSPECTION CHECK LIST
1. Is the mobilehome located wit required separation from lot lines and buildings and generally
conform to plot plan? Yes - Vo_
2. Does the mobilehome have required clearances above ground? -(Sec. 5085) Yesfv�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_4ZNo_
4. Is the mobilehome level? (Sec,. 5088) YesVNo_
5. If more than a single unit, are crossover connections properly installed? (Sec. 5088)
Yes_ No
6. Water
A. Is fle ible connector of adequate size and properly installed (1/2" 1D min.)? (Sec. 5566)
Yes7No
B. Test - Does water piping withstand working pressure or 50 lbs. air test? Yes_ No
C. Backflow - If coach is not State of California approved, does station have backflow device
and pressure -relief valve? Yes_ No_ IVA
7. Wastes and Drains /�
A. 'Is connection made with Schedule 40 DWV and have flex connectors at each end? Yes b NO_
B. Does it have minimum 4" per foot slope and is it properly supported? Yes4ZN9
C. Are any leaks detected in drainage system after running 3 -gallons of water through each
fixture including washing machine standpipe? Yes_ No
D. If coach is not State ^ 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 mobiline 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.
2'. Shut off appliance'burner and pilot valves.
3. Air test with manometer to 10"014" water column; or test with slope gauge (minimum
® 6oz.-maximum 8 oz.) calibrated in tenth pound increments. Test for 10 min. without
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. No
„$” -- 3 9/1-7 8' �.
9. Electrical
A. Is service large enough to provide adequate amperage -to mobilehome (must equal rating of
mobilehome with a minimum of 10- amp) and other facilities on lot, i.e., water pumps,
garage, cabana, etc.? Yes_ No_
B. Is there proper clearances around panels? Yes v No_
C. Is power supply cord or feeder assembly properly fused? Yes No_
D. Is continuity test satisfactory as per the following procedure? Yes ✓ No_
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
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.
6. 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_�°�
Vehicle Serial No.
State Identification No.
Additional Information or Comments:
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A 91
Owner
Mailin ddresve-?,4�_-f
oe
Contractor
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Mai I i ng Address
Building Address
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COUNTY OF BUTTE - DEPARTMENT OF PUBLIC W R .'
7 County Center Drive - Oroville, California 9596
Telephone: 534-4541
APPLICATION AND PERMIT09 r �O
BUILDING
If i I SQ. FT. I OCC. BUILDING VALUATION
Jr
99*9 Wficafion OnIll P
A. P. No.&1✓1 -� �la A�
T
elephone No.
p Fire Dept. Fire Zone Use Permit
EQA I Parking
Pians
Parcel Parcel Ma 60' R/W I Improvements
Plans Declaration p
Bldg. P16r'f%c'd I Parcel7pproval I Plans Approval
NEW ❑ ADDITION ❑ UTILITIES OTHER ❑
Single Family ❑ Duplex ❑ Mobil Home Others ❑
50.0 SQ. FT. MINIMUM
LES
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
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 the
above-mentioned property for inspection purposes.
X(14 111 D�L - Date
Signature of ermit or Agent
Receipt No. 7(-S
White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant
Fireplace
$
Total Valuation
@
Permit Fee
$3.00
Plan Checking Fee &/or Penalty
5.00
Permit Fee
2.50
PLUMBING
No. @ 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
Gas piping system 1 - 5 outlets
1.50
Each additional outlet
.30
Building sewer
5.00 of
Lawn sprinkler system
2.00
Permit Fee
$
ELECTRICAL No.
@
PERMIT FILING FEE
$3.00
Main service 600V OR LESS
100 AMP OR LESS
5.00
Main service EA. ADD'L 100 AMP
2.50
Main service OVER 600v
100 AMP OR LESS
25.00
Main service EA. ADD'L 100 AMP
1.00
NEW CONST. / DWELLING OCCUP. 4'\
.,� __ 4.
Ex. OCCUPtOUTLETS OR FIXT11RES
50 0250
BAL Qr 1
Ex. QCCU // FIXED APPLNS. OR
p• 1 OUTLETS (RESID.) EA)
2.00
Temporary service
10.00
Mobile Home Facilities
15.00 �.
Misc. Wirinq_ „
6.25
Permit Fee $
MECHANICAL No @ FEE
PERMIT FILING FEE $3.00
Heating
Cooling
Ventilation
Hood 1 2.00
Permit Fee $ $
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.
DIRECTOR QfTUBLIC WORKS
BY Date -7-7 — 7T
Buil ing permit expires Date
�m
NOTE:—All Materials & Workmanship Shall Be in
Accordance with Recognized Good Practices and
of a quality prescribed for the Specified use in the
Uniform Building, Plumbing & Machonical Codes and
the National Electrical Code.
this set of pians and specifications MUST
kept on the job at all times and it Is unlawful to
make any changes or alterations on same without
written permisson from the Department of Public
works, County of Butte.
_dk�
Septic system and location
Butte County Health .-D10 ept. Re-
quirements.
All utilitypermit wilt be required for the
located within 4 ft Co tsidons e the rear of the mobilehome,
third section of the mobile home
on the left (road) side of the mobile
home.
MIK
The W14. §etback shall be 5 ft. from the
side property line and 50 ft. from the
centerline of the road, permitting d maxi-
mum of a 2 ft. eave overhang but entirely
out of all easements,
cye dtl , ,0
#37// 9
BUTTE COUNTY
BUILDING DEPARTMENT
APPROVED
L
COUNTY OF BUTTE — DEFAOTMENT OF PUBLIC WORKS
7 County Center Drive - Oroville, California 95965
Tel ephone:, 534-4541
APPLICATION AND PERMIT
authorize representatives of the County of Butte to enter upon the
above-mentioned property for inspection purposes.
XDate -
Signatur oof'PP r 'tee or Agent
Receipt No. ` V " `�
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
ii S.I L _ ..:
Iding permit expires Date F-11 —l9
BUILDING
Owner Ofi�� 111J, 1194S S e2
SQ. FT. OCC. BUILDING VALUATION
Mailing Address
Telephone No.
Contractor !l%.S S G PAI
Mailing Address la K/T R LD.
Fireplace
Total Valuation
c
J R-e.fzIq mew —1b C,+ 958 38
,�1
RX�`� A 3
Permit Fee
Building Address
Plan Checking Fee&/or Penalty
Permit Fee
a
O
PLUMBING No. @ FEE
PERMIT FILING FEE $3.00
Each Trap 1.50
Repair drainage or vent piping 1.50
- a 8 / -4, D
A. P. No.
Zonis &Planning
Water piping 1.50
Each gas water heater or vent 1.50
11-
F
Fire Dept.
Fire Zone
Use Permit
Gas piping system 1 - 5 outlets 1.50
EQA
Parking
Plans
Parcel
Declaration
Parcel Map
60' R/W
I Improvements
Each additional outlet .30
wilding sewer -
5.00
Bldg. s Recd
Parcei royal
Plans Xpproval
Lawn sprinkler system 2.00
NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER
Permit Fee $
$
ELECTRICAL No. @ FEE
77 7Y
PERMIT FILING FEE $3.00
Main service e00v OR LESS
100 AMP OR LESS 5.00
Single Family ❑ Duplex ❑ Mobil Home KI -1 Others ❑
Main service EA. ADD'L 100 AMP 2.50
Main service OVER 600V 25.00
100 AMP OR LESS
Main service EA. ADD'L 100 AMP 1.00
NEW CONSOR ADDNST ( ACCLBLDGS.LING OCCUP. 4'\ 20sq ft
/
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
le of: l
�/� AZseius al.oAlf'! T'n-Ii C-<
NEW CONRES, D, MULTI -OUT LET
NON-RESID BRANCH CIRCUITS) 2.50ea
NEW CONSTR (POWER APPARATUS 6
NON.RESID. SINGLE OUTLET CIR.
Ex. Occup {OUTLETS OR FIXTIIRES g 25
EX. OCCU FIXED APPLN5. OR
Occup. OUTLETS (RESID.) EA/ 2.00
Temporary service 10.00
Mobile Home Facilities 15.00
License No. n ns -e!2 � Classification - a
Misc. Wiring 6.25
❑ 1 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.
LI 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. 1 agree to comply to all County Ordinances
and State Laws relating to building construction, and hereby
A
L /N, 1
$ 30
TOTAL PERMIT FEE
$ 30
authorize representatives of the County of Butte to enter upon the
above-mentioned property for inspection purposes.
XDate -
Signatur oof'PP r 'tee or Agent
Receipt No. ` V " `�
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
ii S.I L _ ..:
Iding permit expires Date F-11 —l9
MOBILEHOME SUPPOkT DATA
If other than single wide,.
Mobilehome Mfr. �,cl�C furnish Setup Model No. Year
Width _(ft.) Box Length (ft.) Tagalong•or Expando Size ft. x ft.
(SHOW 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).
e
All center supports measured from front of
mobilehome unless otherwise specified.
Footings (check one)
,,Single, 1. Wood either
Apressure treated.o
foundation grade.
x
( .)(in:) (in.) (in. El 2. Other (specify)
Center upport Center pport
locat ns* foo/tin sizes Supports (check one)
(1 •)
El1: Concrete block.
x 2. 0th r (specify)
t7fla /U
(ft.)(in.) (in.) (in.)
Tagalong or Expando,
show support details.
/41 x /-y -- Typical Support
in.) (in.) Footing Size
(ft (in.). (in (in.) -- Max. Pier Spacing
,A (ft.)(in.)
X -- Max. Overhang
(in.) (in.
(ft.)(in.)
BUTTE COUNTY
3UILDING DEPARTMENT
APPROVED, .
*If center piers.are other than drawn above,.
.draw in --locations, spacing, and dimensions.
BUTTE COUNTY DEPARTMENT OF PUBLIC WORKS
7 County Center Drive, Oroville, CA.
PHONE: 534-4541
MOBILEHOME INSTALLATION SHEET
1. Owner's name: %� „ �r1 SQSS-e r
2. Installer's name: /41 n J.� �'. ^) qq ee�J a i T �Nr` c.r i, r -�
3. Is the site.currently under permit? Yes No _L
(If yes, furnish permit number ) OR
Is the site an existing site? Yes / / No 7
(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? ----------------------- Amps
6. What is the mobilehome site service rating? --------------------- J OO Amps
7. What is the mobilehome site circuit breaker rating? ------------- /40 0 Amps
8. Is there any other electric load to be served by the mobilehome-
siteservice? --------------------------------------------------- Yes / / No / /
(If yes, identify the load and size: WP t� (Load) (Amps)
9. What is the mobilehome site gas pipe size? ---------------------- •Z �r (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?
12. What is the mobilehome gas demand? ------------------------------
43 , (ft.)
(This information not required if pipe length less than 6 ft. on natural gas
or less than 50 ft. on LPG.)
(BTU)