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Home My WebLink About028-260-051' , AP 28-26-51 Ws Oro -Bangor -Hwy., 300' W. of LaPort' Bangor .Permit 4499-75 P,E (util./MH GAS �n a P o jrr- ` COMPACTION TEST A` 28-26-51 Permit . H |IoonedU . , U | Y / \ ' ^~ "^y ' f � � 1 N , N ; Ctrl �.■■ � �� .t •i "ZI Util. "4 i PERMIT NO. 4499-75 P,E P E � M MH UTIL. ;PERMIT NO. M ri i j�� • t PERMIT EXPIRES�� / 4 OWNER Ernest Petersen CONTR. owner CrOCATION (A.P. 28-26-51 ) Y. n/s Oro -Bangor Hwy., 300' W. of LaPorte Rd., Bangor ,iV . - tr � Temp. Power 13eie— Called PG&E ' Temp. Elec. Sery-Z'4 4 j Called PG&E t Temp. Gas Serv. Called PG&E r O B FINALED�� ' (Datej_,,�12 (Signature) f rical 9. Elect = A.' Is service large enough to provide adequate amperage -to mobilehome (must equal rating of mobilehome with.a minimum ofj Damp) ,jnd other facilities on lot, i.e., water pumps, garage, cabaria,_etc.? Yes l/ No B. Is there proper clearances around panels? Yes No 4� C. Is power.supply cord or feeder assembly properly fused? Yes No D. Is continuity test satisfactory as per the following procedure? YesG' 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 acid 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 -sig ed.by Health Department for water and sanitation? 11. If everything okay, sign -off card and tag services. MOBILEHOME DATA - Manufacturer and/or Namestyle Length D Width l � Vehicle Serial No. State Identification No. Additional Information or Comments: W, MOBILEHOME.INSTALLATION INSPECTION CHECK LIST 1. Is.th e mobilehome locatedwi required separation from lot lines and buildings and generally conform to plot plan? YesZ No �+ 2. Does the mobilehome have required clearances above ground? (Sec.5085) Yes — No 3. Are footings and supports properly sized, spaced, and braced as eeapproved plans? (Note possible variation at spring shackles.) (Sec 082 & 5083) YesGGll No 4. Is the mobilehome level? (Sec. 5088) Yes No 5. If more an a single unit, are crossover connections properly installed? (Sec. 5088) 'Yes No Water A. Is =le ble connector of adequate size and properly installed (1/2" N mien.)? (Sec. 5566) Yest' 'v 0._ B. Test - Does water piping withstand working pressure or 50 lbs. air test? Yeses No C. Backflow - If coach is nState of lifornia_approved, does station have backflow.device and pressure -relief valv�i9 s o 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" per foot slope and is it properly supported? Yes No C. Are any leaks detected in drainage system after running 3-ga s of water through each fixture including washing machine standpipe?. Yes No D. If c ac snot State of California approved, does station have required trap and vent? Yes 8. Gas Piping and Gas Vents A. Connector - Is mobilehome connected to the gas supply with an approved 3/4" minimum mobilehome connector of more than ft, long? Note: All piping is to be at least as large as the mome gas line ifiliet without reductions other than the mobilehome connector. Yeo i No B. Test OK as per following procedure? YesyNo 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 o, gas, test connections with - soapy water. C. Are all appliance vents properly installed? Yes No. COUNTY OF BUTTE — DEPARTMENT'OF PUBLIC WORKS BUILDING INSPECTION RECORD BUILDING BUILDING (Cont'd) PLUMBING Setback Firewall Soil Piping Forms Parapets 1st Floor Main Bldg. Restroom Finish 2nd Floor _ Footings Windows 3rd Floor Stemwall Siding To out Slab Roof Sheathing Water Piping 4 Piers Roofing Sewer Garage Fdn. Vents Fixtures Footings Garage Vents Water Htr. StemwaII Slab Prov. for physically Heaters handicapped Appliances Carport Footings Conformance of ex. Gas Pi ir ng & Test structure Temp. Gas Slab Final Sanitation Patio FIREPLACE Final Footings Footing "Z ELECTRICAL Masonry Walls Throat Rough Reinf. Steel Final Fixture ,Bea FIRE SPRINKLERS Motors ` y� Test Water Htr. Stucco Final Subpanels Mesh MECHANICAL Grd. Fault Prot. Scratch Heating Service Brown Cooling Temp. Pole Finish Ducts Underground Interior Lath Ventilation Permanent Door, Closer Final Final DATE REMARKS OR CORRECTIONS v / � y . Y 1 1I COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 7 County Center Drive — Orovi Ile, California 95965 Telephone: 534-4541 APPLICATION AND PERMIT e_1 Z_/99 v authorize representatives of the County of Butte to enter upon theI This permit is hereby issued under the applicable provisions of above-mentioned property for inspection purposes. the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. ' X C Date - %� 'P% DIRECTOR OnPUBLIC WORKS oture of Permitee or Agent ( " Re�eiSi. /- 1 --7 (d White-D.P.W. — Yellow -Assessor — rink -Inspector — Goldenrod -Applicant Ilrin' permit expires Date 7 7 BUILDING Owner SQ. FT. OCC. BUILDING VALUATION Mai I Ing Address 7 Telephone No. Fireplace Contractor Total Valuation Mailing Address Permit Fee Plan Checking Fee&/or Penalty Telephone No. Permit Fee Building AddressPLUMBING No. @ FEE PERMIT FILING FEE $3.00 , pp Each Trap 1.50 Repair drainage or vent piping 1.50 Water piping 1.50 COQ Each gas water heater or vent 1.50 A. P. No. - _� �Zol Gas piping system 1 - 5 outlets 1.50 p -d Each additional outlet .30 F s �Son Fire Dept. Fire Zone se Permit Building sewer 5.00 ,e -U EQA Parking Plans Parcel Declaration Parcel Ma p 60' R/W Improvements Lawn sprinkler system 2.00 rV Bldg. PI ns Recd Parcel App oval P Plans Approval Permit Fee $ 33:4-0 .$ 33 16e NEW ❑ ADDITION ❑ UTILITIES IV OTHER ❑ ELECTRICAL No.1 @ FEE PERMIT FILING FEE $3.00 00 Main service incl. 1 meter lev Additional meters, each 1.00 Sub -panel 02 or less) (more than 12) _ Single Family ❑ Duplex ❑ Mobil Home Others ❑ Range, Cook -top or Oven 1.00 Water Heater or Space Heater 1.00 Light fixtures ba11@10 Receps., switches &: fix outlets 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: Hood, Ex. Fan or F.A. Furn. Motor 1.00 Evap. cooler, gar, disp. or D.W. 1.00 Air conditioner or Keat pump Water pump Mobil Home Facilities 5.00 GO Temp. Power Pole 5.00 ' License No. Classification Misc. wiring )rrV I am exempt from the Contractors License Laws of the State of California. Permit Fee $ 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. YXI certify that in the performance of the work for which this permit ,is issued I shall not employ -any person in any manner soas 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 relating to building construction, and hereby TOTAL PERMIT FEE $ OG authorize representatives of the County of Butte to enter upon theI This permit is hereby issued under the applicable provisions of above-mentioned property for inspection purposes. the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. ' X C Date - %� 'P% DIRECTOR OnPUBLIC WORKS oture of Permitee or Agent ( " Re�eiSi. /- 1 --7 (d White-D.P.W. — Yellow -Assessor — rink -Inspector — Goldenrod -Applicant Ilrin' permit expires Date 7 7 This set of plans and specifications MUST be_. kniat an the iob at all +i -res and it is unlawful to any'ch,innes or alternt+ons on some without written permission from the Department of Public ,Works', County of Butte. NOTE:—All Materials & Workmanship Shall Be in Accordance with Reuonniaed Gond Proc Vc-es and of a quality -prescribed for the Spec;fied us$ in the Uniform Building, Plumbing & Machanical Codes and the National Electrical Code. All utility connections shall be located within 4 ft. outside the renr. third section of the mobile home on the left (road) side of the mobile " home. BUTTE COUNTY r Septic system and location to -' ' be as per 7-1BUILDING DEP.. P,Tk,.,f7 IT t I �,11 41i�P u+tr eCounty Health Dept. Re- �® �' '�►� . gwrements. APPROVED The K49-Get6ack shall be 5 ft. front the side property line and 50 ft, from the centerline of the road, permitting �a a maximum'of a 2 ff,4e a overhang. 1 COUNTY OF„BUTTE — DEPARTMENT OF PUBLIC WORKS /)O.= �� 7 County Center Drive — Oroville, California 95965 V Telephone: 534-4541 APPLICATION AND PERMIT CUMU114c It!P[tYJe11tC1L1VCJ UI URI i.ounty of t5utta to enter upon me above-mentrioonned/property for inspection,purposes. xzj:��, 7 V Date nature of Permitee or Agent I Rdeft"o. / 31� � � -.— White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant C 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 By ti°.�� Date �' v Soft t,tg permit expires Date 3° � BUILDING Owner SQ. FT. OCC. BUILDING VALUATION Mailing Address 0. 7.41 T I epho n e No.,L� T Fireplace Contractor Total Valuation Mai I i ng Address Permit Fee Plan Checking Fee &/or Penalty Telephone No. Permit Fee Building Addresss PLUMBING No. @ FEE PERMIT FILING FEE $3.00 Z� fi1/ Each Trap 1.50 Repair drainage or vent piping 1.50 Water piping 1.50 Each gas water heater or vent 1.50 A. P. No. —� Cp ” �� Zoning 8 Planning Gas piping system 1 - 5 outlets 1.50 Each additional outlet .30 F Mien I Fire Dept. Fire Zone Use Permit Building sewer 5.00 EQA I Parking Plans I Parcel De aration Parcel Ma P 60' R/W Im ro ents P Lawn sprinkler system 2.00 Id . Plans Fd Parcel royal Pans Approval Permit Fee $ $ NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER ELECTRICAL No. @ I FEE PERMIT FILING FEE J$3.00 Main service incl. 1 meter Additional meters, each 1.00 Sub -panel (12 or less) (more than 12) Single Family ❑ Duplex ❑ Mobil Home Others ❑ Range, Cook -top or Oven 1.00 Water Heater or Space Heater 1.00 Light fixtures X20 %2 10 Receps., switches & fix outlets 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: Hood, Ex. Fan or F.A. Furn. Motor 1.00 Evap. cooler, gar. disp. or D.W. 1.00 Air conditioner or heat pump Water pump Mobil Home Facilities 5.00 Temp. Power Pole 5.00 License No. Classification Misc. wiring yz I 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 K 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 State Laws relating to building construction, and hereby TOTAL PERMIT FEE $ Cie CUMU114c It!P[tYJe11tC1L1VCJ UI URI i.ounty of t5utta to enter upon me above-mentrioonned/property for inspection,purposes. xzj:��, 7 V Date nature of Permitee or Agent I Rdeft"o. / 31� � � -.— White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant C 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 By ti°.�� Date �' v Soft t,tg permit expires Date 3° � 9 uuuvix ur buiin vepiarLmenL ui ruuL_Lu wuL& 7 County Center Drive, Oroville, California " PHONE: 534-4541 a .y e CL MOBILEHOME INSTALLATION INFORMATION Lot Facilities 1. Plot plan dimensioned, location of mobile and utility connections? Yes No ' ' • 2. Electrical.service.equipment ampacity/00 Circuit breaker ampacity _SO ' Permanent Wiring Connection Ampacity Receptacle "' Ampaeity 3. Gas:. Natural. LPG u � C Gas riser size 4. Drain inlet size 5. I -later riser size 6. Are utility connections located outside the rear 1/3 of the mobilehome ithin 4 feet of the left wall. Yes No If not, shod dimensions.abov. 7. Is the mobilehome clear of septic tank, leach fields and located t No side public utility easements? Yes 8. Do you propose to do of er work on the property other than the mobilehome installationw 2ch will require a permit? Yes No If so, spec y Mobilehome Data ,87 5 In rt n M 0 r► 0 H u rt W H 9 r 5 H . H O z H z O 51 M 1. Length D Width /a2 Manufacturer x Vehicle Serial No! qy 3 g y Insignia Control No. 2. Feeder assembly ampacity Conduit size -� Power supply cord (amps) Ginv,ca . 3. _j0 Gas inlet size -01JP` Mobilehome connector size Capacity 4_60} 66 a 4 A • 4. Drain connector: describe on reverse side' 5. Water connector: describe on'reverse side 6. Designed loads: Roof live load ,.1,0 psf. Wind load . �L�_psf (only for mobilehomes manufactured after October 7, 19173) 7. Manufacturer's installation instructions? Yes__X No 8. Will the mobile home be installed on --a separate support structure? Yes No < *For plans and specifications of support system, see other side. LOAD BEARING SUPPORTS ADDITIONAL COM!1!.7';TS Drain Connecor; Describe Water Connector, Describe M LOAD BEARING SUPPORT AND 1�00TING INFORiIATION Pier Spacing Used ors�c,� Maximum Pier Load Maximum Column Load (multi -units only) Soil Bearing Capacity Footing Dimension Used TYPE OF PIER. USED Steel Concrete Concrete Block Other TYPE OF FOOTING MATE'tIAL USED Pressure Treated Wood Concrete Redwood (Grade) Other Approved Type - CLI, _rvow, BUTTE COUNTY BUILDING DEPARTMENT APPROVED