HomeMy WebLinkAbout027-290-020�>Douglas A. Smith 2 3eAO
WIS Grier Ave., apR.660'S of Macintosh,
oroville
Permit #4005-79P,E(Nut-�U.,M,H)
GAS
SUPPORT STRUCTURE
�COMPACTION TEST REQ.
it #4 7 qpLrI
_Issued Yf-1;2-3-79 9
~-
� ------- ------' ~ w����
`
�
\
/
^ >
`
�
~
`
.
\
>
)
,
�>Douglas A. Smith 2 3eAO
WIS Grier Ave., apR.660'S of Macintosh,
oroville
Permit #4005-79P,E(Nut-�U.,M,H)
GAS
SUPPORT STRUCTURE
�COMPACTION TEST REQ.
it #4 7 qpLrI
_Issued Yf-1;2-3-79 9
~-
� ------- ------' ~ w����
`
�
\
/
^ >
./
'
�
'-
-~-
'
�>Douglas A. Smith 2 3eAO
WIS Grier Ave., apR.660'S of Macintosh,
oroville
Permit #4005-79P,E(Nut-�U.,M,H)
GAS
SUPPORT STRUCTURE
�COMPACTION TEST REQ.
it #4 7 qpLrI
_Issued Yf-1;2-3-79 9
~-
� ------- ------' ~ w����
`
-3
1PERMIT NO. 4005-79P,E
rt.
i
PERMIT EXPIRES
OWNER Douglas A. Smith
"CONTR. owner
LOCATION (A.P. 27-29-13 )
W S Grier a 660'
/ Ave., pp. S.of Macintosh,Oro.
I
a -
i
i
I -
Temp. Power Pole
Called PG&E
Temp. Elec. Serv. L
! . Called PG&E
Temp. Gas Serv.
1 Called PG&E
JOB
FINALED
(Date
(Sign ure)
r
` COUNTY OF BUTTE — DEPARTt_MENT OF PUBLIC WORKS
.� . a
` BUILDING INSPECTION RECORD
BUILDING BUILDING (Cont'd) PLUMBING
Sepack FI wall Soil iping
For s Para ets 1st loor
Ma Bldg. Restro m Finish 2nd Anor
Windows
3rd Flo r
Siding
To out
Roof SheathIRg
Water Pi in
Roofing
Sewer
Fdn. Vents
Fixtures
Garage Vents
---\
Water Htr.
Insulation
Heaters
Prov. for physically
handicappedy
Conformance of ex.
structure X
Appliances
Gas Piping & Test
Temp. Gas
Final
I Sanitation
F EPLA,CE
I Final
rootings I 1 Footing X I EJEECTRICAb
FIRE SPRINKLERS X Motors 1
Test Water Htr.
Final Sub aneI
MECHANICAL Grd. Fe6lt Prot.
HeatIA Servi
Coo ng T mp. Pole
Finish D is oder round
erlor Lath entilation Permanent
oor Closer Final Final
MOBILEHOME UTILITIES ------------------ Elec_ Service 77 Elec. Pedestal
Water Piping `/9 Sewer Gas Piping
ZB:16EHOMEJN ALLATION - - - - - - - - - - - - - - Support 22 Elec. Continuity
Water Piping Drainage 2�f Gas Piping
DATE REMARKS OR CORRECTIONS_
�?r7C7�
(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 with required separation from lot lines and buildings and generally
conform to plot plan? Yes 9--
2.,_
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) YeskzNo_
4. Is the mobilehome level? (Sec. 5088) YesZNo_
5. If more than a single unit, are crossover connections properly installed? (Sec. 5088)
Yes�oo_
.6. Water
A. Is flex' le connector of adequate size and properly installed (1/2" ID min.)? (Sec. 5566)
Yes_
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 � No
B. Does it have.minimum 4" per foot slope and is it properly supported? Yes_iZNo
C. Are any leaks detected .in drainage system after runn' g 3 -gallons of water through each
fixture including washing machine standpipe? Yes No
If coach is not State of California approved, does station have required trap and vent?
Yes No
8. G 94iping and Gas Vents
17Fonnector - 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 'r
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"-14" 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
9. Electrical
A. Is service large enough to provide adequate amperage-to mobilehome (must equal rating of
mobilehome with a minimum of 1 amp) and other facilities on lot, i.e., water pump
garage, cabana, etc.? Yes No_ `
B. Is there proper clearances around panels? Yes
C. Is power supply cord or feeder assembly properly fused? Yes Ll-o
D. Is continuity test satisfactory as per the following procedure? Yes
::�_,�
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.
S. 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 tGO�
Manufact�urreerr and/or Namestyle T
Length `r d Width
Vehicle Serial No.
State Identification No.`'i
Additional Information or Comments:
iw .
CIOUHT-V 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: __-' �'� •' ' �*_
;� 7 /All
Owner _
Owner's Address r' �� •' - '`'- M �" -
Mobilehome Mfg. j fi -', "Model Year
Insignia No. T I Serial No.
It is hereby certify A for occupancy at the above described location and
may be occupied.
Director of Public Works
i
Data
By
THIS CERTIFICATE IS VOID "EN MOBILEHOME IS RELOCATED
White - Owner, Yellow - Installer, Pink - D.P.W.
C #UNTY Or BUT"TE — DEPARTMENT OF PUBLIC WORKS
7 County Center Drive - Oroville, California'95965
Telephone: 534-4541
APPLICATION AND PERMIT
authorize representatives of the County of Butte to enter upon the
abov -mentioned property for inspection purposes.
%L Date
Signature of Permit or gent
Receipt No.
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
abovP111r which fees have been paid.
IT R OF PUBLIC WORKS a
Date
Building perms xpires Date
BUILDING
Owner
SO. FT. OCC. BUILDING VALUATION
Mailing Address
.7 / ,L�f
A ZQ / (O Tel�ephone��7rT /
CA �7
Contracto
Mailing Address
Fireplace
Total Valuation
Telephone No.
Permit Fee
Building Address
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. No. 0. r -�,
oning & Planning
Water piping 1.50
Each gas heater or vent 1.50
Fees
C.
-&aR448 =
Fire Dept.
Fire Zone
Use Permit
-water
Gas piping system 1 -5 outlets 1.50
EOA
Parking
Pans
Parcel
Declaration
Parcel Map
F60' R/W
Improvements
Each additional outlet .3060
Building sewer 5.00
Bldg. Kons Recd
Parcel roval
ns Approval
Lawn sprinkler system 2.00
NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER
Permit Fee $
$
f P 4 G 55 y% R
ELECTRICAL No. @ FEE
PERMIT FILING FEE $3.00
00V OR L
Main service 1000 AMP ORSLESS 5.00
Single Family ❑ Duplex ❑ Mobil Home 0_/'
Others ❑
Main service EA. ADD'L 100 AMP 2.50
Main service OVER e00v 25.00
100 AMP OR LESS
Main service EA. ADD'L 100 AMP 1.00
NEW
OR ADDNST ( ADWECCLBLDGS.LING CCUP. B� 20Sgft
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 RESID,CONST// BRANCH CIR T
NON-RESID (.BRANCH CIRCUITS/ 2.50ea
NEW CONSTR (POWER APPARATUS 8
NON-RESID. SINGLE OUTLET CIR,
Ex. OCCUp(OUTLETS OR FIXTURES BAL:;
FIXED APPLNS. OR
Ex. Occup.(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
Cal'fornia.
MECHANICAL No. @ FEE
PERMIT FILING FEE J$3.00
Heating
Cooling
[Ventilation,
`
Hood 2.00
RQUaLLEee $
$
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
e
$
TOTAL PERMIT FEE
$ Q
� C�
authorize representatives of the County of Butte to enter upon the
abov -mentioned property for inspection purposes.
%L Date
Signature of Permit or gent
Receipt No.
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
abovP111r which fees have been paid.
IT R OF PUBLIC WORKS a
Date
Building perms xpires Date
% 1
.. e
COUNTY OF BUTTE
Department of Public Works .
7 County Center Drive
Oroville--= 534-4541
ELECTRICAL INFORMATION FOR DE -RATING MOBILEHOMES
Owner fy c
Location
Mobilehome Installation Permit No.
FILL IN INFORMATION FOR ITEMS 1 THRU 10
Watts/
1. Width �T x Box Length x 3
2. 2 Kitchen Appliance.Circuits ................. = 3,000
3. -1 Laundry Circuit = 1,500
4. Ovens
5. Cook Stove Top ............................ _
6. Hot Water Heater ..............................
7: Dishwasher & Disposal =
8. Clothes Dryer ........ = 51
9. Other (specify, i.e., motors, exhaust fans,
etc.)
Sub -total - Watts ..... )--S
First 10,000 watts @ 100% ................................ = 110,000
Remaining watts @ 40% .......................
10, Air Conditioner watts @100%.. = )
' Largest Demand = �7
Central Heat System / `f�� watts @ 65%.. _ )
TOTAL DEMAND WATTS REQUIRED .............. ,7
"Demand Watts Required" 230 ............ _ / AMPS
De -rate Mobilehome to......AMPS
BUTTE COUNT'S
BUILDING DEPARTMENT
APPROVED 3
7- 3-7
MOBILEHOME SUPPORT DATA
If other than single wide,
Mobilehome Mfr rfurnish Setup Model No. Year 7
Width %
��_-t—(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).
All center supports measured from front.of•, f
mobilehome unless otherwise specified.
Footings (check one)
Single �
l!Wood either
32-d C ��
(ft.)(in.) (in.) (in.)
pressure treated or
foundation grade.
E] 2. Other (specify)
Supports (check one)
��.;Concrete block.
2w Other (specify)
Tagalong or Expando,'
show support details.
xj0 -- Typical Support
in.) (in.) Footing Size
K
;o C2i x30
(ft.)(in.) (in.) (in.) �� 6 � -- Max. Pier Spacing
(ft.)(in.)
�� -- Max. Overhang
(in.) (in.)
(ft.)(in.)
au TfiE COIF N 1'y
OUIL.DING DEPARTMGNj
APPROVeD
*Tf Fenter piers are other than drawn above, J
,draw im lnnatinns. anacinv_ and dimancinna_
14 x3
(ft.)(in.)
(in.) (in.)
Center support
Center support
locations*
footing sizes
,
(in.)//
'
(ft.)(in.)
(in.) (in.)
32-d C ��
(ft.)(in.) (in.) (in.)
pressure treated or
foundation grade.
E] 2. Other (specify)
Supports (check one)
��.;Concrete block.
2w Other (specify)
Tagalong or Expando,'
show support details.
xj0 -- Typical Support
in.) (in.) Footing Size
K
;o C2i x30
(ft.)(in.) (in.) (in.) �� 6 � -- Max. Pier Spacing
(ft.)(in.)
�� -- Max. Overhang
(in.) (in.)
(ft.)(in.)
au TfiE COIF N 1'y
OUIL.DING DEPARTMGNj
APPROVeD
*Tf Fenter piers are other than drawn above, J
,draw im lnnatinns. anacinv_ and dimancinna_
BUTTE COUNTY DEPARTMENT OF PUBLIC WORKS `
7 County Center Drive, Oroville, CA.
PHONE: 534-4541
MOBILEHOME INSTALLATION SHEET
1. Owner's name: D (3 0 (a t A T A . 51/14 /
2. Installer's name:Vsw' ,,_M&V-,-1�t1/"�Q
3. Is the site currently under permit? Yes / / No
(If yes, furnish permit number ) 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? -----------------------
s
6. What is the mobilehome site service rating? --------------------- Amps
7. What is the mobilehome site circuit breaker rating? --- --- Amps
8.
Is there any other electric load to
be served by the mobilehome
siteservice?
---------------------------------------------------
Yes No
(If yes, identify the load and
size: [A1C"41, FOAL P (Load)
�+
O -(Amps)
9.
What
is the mobilehome site gas pipe
size?------V-�----------
(in.)
10.
What
is the type of gas service?---------------40-4ft'q
------ Natural / / LPG / /
11.
What
is the gas pipe length from meter
or tank to the mobilehome?
DA114 (ft.)
).2.
:What
is the mobilehome gas demand?
------D AZ A-----------------
(BTU)
(This information not required if pipe length less than 6 ft. on natural gas
or less than 50 ft. on LPG.)
I_
- COUNTY OF BUTTE — DEPARTMENT OF PUBLIC V
7 County Center Drive — 5 le, California 95965
Telephone: 534-434-4541
APPLICATION AND PERMIT ,F
authorize representatives of the County of Butte to enter upon the
above -me tioned property for inspection purposes.
X Date
Signature of P itee or Agent
Receipt No.�y
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.
DIR OR 0 UBLIC WORKS
By JDate
permit expires Date
BUILDING
I
Owner Yf All 4- 4zuyk
SQ. FT. OCC. BUILDING VALU T1 N
Mailing Address Z41N
(IA.
Telephone No.
1 5 -S -0q,
Contrac �- 9 va
&orFireplace
Mailing Address
Total Valuation
Telephone No.
Permit Fee
Building Address
Ll I
Plan Checking Fee&/or Penalty
Permit Fee
(p f
PLUMBING No.1 @ I FEE
PERMIT FILING FEE $3.00 ,Q
Each Trap 1.50
Repair drainage or vent piping 1.50
A. P.No. ;;2 7 7 1 -3
Doing & Planning
Water piping 1.50 /Or -00
Each gas water heater or vent 1.50
Heys
on
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. PI RecdParcel
A royal
Plans Approval
Lawn sprinkler system 2.00
NEW ❑ ADDITION ❑ UTILITIES OTHER ❑
permit Fee $
ELECTRICAL No. @ FEE
PERMIT FILING FEE $3.00 3-4740
Main service 600V OR LESS
100 AMP OR LESS 5.00 <�
Single Family ❑ Duplex ❑ Mobil Home Others ❑
Main service EA. ADD•L 100 AMP 2.50
Main service OVER 25.00
100 AMPP OR LESS O
Main service EA.. ADD'L 100 AMP 1.00
NEW
OR ADDNST ( ACCLBLDGSCCUP. S) 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
le of:
style
TLET
NEW CONSTR BRANCHMULTI-OCIRCUITS)
NON-RESID `BRANCH CIRCUITS) 2.50ea
NEW CONSTR. (POWER APPARATUS &
NON-RESID. SINGLE OUTLET CIR.
Ex. Occup{OUTLETS OR FIXTtIRES g L
Ex. OCCU FIXED APPLNS. OR
p• OUTLETS (RESID.) EA) 2.00
Temporary service 10.00
Mobile Home Facilities 15.00 S
License No. Classification
Misc. Wiring 6.25
04
� .
19 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.
'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 -J @ FEEPERMIT
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
Land Development Fee
$ "�
TOTAL PERMIT FEE S'
$
authorize representatives of the County of Butte to enter upon the
above -me tioned property for inspection purposes.
X Date
Signature of P itee or Agent
Receipt No.�y
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.
DIR OR 0 UBLIC WORKS
By JDate
permit expires Date
•
946, P%L
M.► Its
The 4WIa Setback shall be 5 ft. fro
side property line and 50 ft. froi
centerline of the road, permitting a
'• All utility connecti ns shall be®� mum of a 2 ft. eave overhang but e
located within 4 ft. o tside the rear out of a
• third section of the mobile home
-• on the left (road),sid of the mobile
• home.
• /00/D�y� S�j� 500 SQ. FT. MINIMUM
• Wer AY2( .5 2, EOR MOBILES N" 0.1
• 41 L ELEcr/Z 7 �. ceo• °`c
s Septic system n location ef-baft.a o`o
• r be as per
r -Butte County M alth Dept. Re-
i quirements.
'•
•
This set of plans a d specifications MUST be
kept on the .job at al times and it is unlawful to
• make any changes or Iteration -s on same without
• written .permission fro . the Department of Public
Works, County of Butte. r
• ,I� o SCALE-
NOTE:—All Materials & W
Accordance with Recognize
of a quality prescribed for i
Uniform Building, Plumbing 6
the National Electrical Code
the
kmanship Shall Be in
Good Practices Wd
Specified use in the
4or-hanical Codes cna
BUTTE COUNTY
BUILDING DEPARTMENT
• APPROVED
N6
t
_
•r =� .�. •_: }fifty=•
i
4