HomeMy WebLinkAbout017-100-046OMarie a ..
=e/s Humb Rd. 2,,- mi. from :Covered
b� V
s Bridge, ' co _ i . jk,✓ ..
•CONTR:'Shasta ailer Sales, Ch'a
Permit 4416-76MH
i. ISSUED— - o2
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-5071
.Y PERMIT NO.
4544-76P,E
1
PERMIT EXPIRES
OWNER Marie Hale
CONTR. owner
i
LOCATION (A.P. 51-36-46
E/S'Humbug.Rd:,app.22 mi.N.of Covered Bridge,
Chico
=J
Temp. Power ole
Called P &E �-2 _
Temp. Ele . Sery —�5—�'
Call PG&E
Temp. as Sery.
Iled PG&E °
B �
FINALED 7— �' 71
(Date)
(Signature)
c
pC Setback
Forms
Main Bldg.
Footings
StemwaI I
Slab
Piers
Garage
Footings
Stemwa I I
Slab
Carport
Footings
Slab
Patio
Footings
Masonry Walls
Reinf. Steel
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COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS
BUILDING INSPECTION RECORD
BUILDING BUILDING (Cont'd) PLUMBING
Firewall
Soil Piping
Parapets
1st Floor
Restroom Finish
2nd Floor
Windows
3rd Floor
Siding
To out
Roof Sheathing
Water Piping
Roofing
Sewer
Fdn. Vents
Fixtures
Garage Vents
Insulation
Water Htr.
Heaters
Prov. for ph sically
handica ed
Conformance of ex.
structure
Appliances
Gas Piping &
Temp. Gas
Final
Sanitation
FIREPLACE
Final
Footinq t i .
Final
FI
ELECTRICAL
— 17 P%-- 1,7
Bond Beam
FIRE SPRINKLERS
Motors
Framing
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 0 x—ceU —/ io REMARKS OR CORRECTIONS
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PDZI-C
(NOTE: An entry must be made on this form each time you visit the job site.)
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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 Ad inistrative Code, Title 25, Chapter ��5,��under permit
number-,c'�9'� for the following locationft /j G.
AOwner's Address 6
t c- C -'"e -C,
.Plx�q
Mobilehome Mfg. 12411V 6U10 6" Model Year 297
Insignia No?� �-�' Serial No. -
It is hereby certified for occupancy at the above described location and
may be occupied.
DirectorofPublic Works
Date/49-.20- 76 By /11eaJ IG-�f � • .� i.tS�'
THIS CERTIFICATE IS VOID WHEN MOBILEHOME IS RELOCATED
TO: ^'Building Department
FROM: Environmental Health '4
RE: Sewage and/or Water Clearance
A,
OWNER LOCATION A.P.
Has been approved for
. r
..GE 7PY L
1r i R
9. Electrical
A. Is service large enough to provide adequate amperage to mobilehome (must equal rating of
mobilehome with a minimum of 1 0 amp) andother facilities on lot, i.e., water pumps,
garage, cabana, etc.?. Yes ✓ No
B/ Is there proper clearances around panels? Yes 'I- No
C. Is power supply cord or feeder assembly properly fused? Yes 61114'0
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.- Zke sure that the power supply cord or feeder assembly conductors, including neutral
co uctor, have been disconnected.
3. wi h all breakers and switches 'in the mobilehome to the "on" position.
4. onnect one lead of a test.instrument to the mobilehome grounding conductor and
app y the other lead to each mobilehome supply conductor, including neutral.
5. 1 non-current., carrying metal parts of the mobilehome (aluminum siding, gas line,
water line),. including fixtures and appliances, shall be tested for continuity from
su equipment and the grounding conductor.
6. pon completion of the above procedure, the power supply cord or feeder.assembly
conduc,tors.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.
IO,XIs 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 �i„g-4
Length Width_
Vehicle Serial No. 5:;,t7i 7 5-471 -9
State identification No. .2N9 70 q — .147705
Additional.Informati.on or Comments:
r
MOBILEHOME INSTALLATION INSPECTION CHECK LIST
1: Is the mobilehome iodated with required separation from lot lines and buildings and generally
conform to plot plan? Yes �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 per, approved plans? (Note
possible variation at spring shackles.) (Secy. 5082 & 5083) Yes ✓No
4. Is the mobilehome level? (Sec. 5088) Yes No
5. If more//than a single unit, are crossover connections properly installed? (Sec. 5088)
Yes 1/No
6. Water
A. Is flexible connector of adequate size and properly installed (1/2" ID min.)? (Sec. 5566)
Yes,,/�c
B: Test - Does water piping withstand working pressure or.50 lbs. air test? Yes 1, No
ov#,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? Yesy No_
B. Does it have minimum k" per foot slope and is it properly supported? Yesy No
C. Are any leaks detected in drainage system after runn ng 3- lops of water through each
fixture including washing machine standpipe? Yes -o
D. 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 , Al -0 WG -
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 w'i'th'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-ZNo.
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS
7 County Center Drive" — UYUville, California 95965
Tel ephone: 534-4541 l �(
APPLICATION AND PERMIT�YI17
aUL11011Le ivpresenLx+uves or ine Lounty of butte to enter upon the
above-mentioned property for inspectio purposes. rte/
X Date
Sig ature of,+P�erjmitee or Agent
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
above for which fees have been aid.
DIRECTOR OF ELIC WORKS
By Date
?flt—
ng permit expires Date _
BUILDING
Owner ��`C
z%AMailing
SQ. FT. OCC. BUILDING VALUATION
Address z �, W '1-3.
' Telephone No.
C � 3
Fireplace
Contractor C
Total Valuation
Mailing Address
Permit Fee
Plan Checking Fee Vor Penalty
oe
Telephone No.
Permit Fee
Build'ng Address U
PLUMBING No. @ FEE
PERMIT FILING FEE $3.00
Each Trap 1.50
Repair drainage or vent piping 1.50
Water piping 1.50 40,
Zoning Verificdfl= �( C
Each gas water heater or vent 1.50
A. P. No. `
M
�oning
Gas piping system 1 - 5 outlets 1.50
Each additional outlet .30
F tW.S
t ion Fire Dept.
Fire Zone
ZF
Use Permit
Building sewer 5.00
EQA
Parking I Parcel
Plans Declaration
Parcel Ma P
60' R/W
ImprovementsLawn
sprinkler system 2.00
d : Plan IPar pp
Plans pproval
Permit Fee ,('0
$ ` lux
NEW ❑ ADDITION ❑ UTILITIESE OTHER ❑
ELECTRICAL No. @ FEE
PERMIT FILING FEE $3.00 Q
Main service 100 AMP ORV OR LESS5.00 (�
Main service EA. ADD'L loo AMP 2.50
Single Family ❑ Duplex ❑ Mobil Home,K Others ❑
Main service OVER soov
+oo AMP OR LESS 25.00
Main service EA. ADD'L 100 AMP 1,00
NEW OR ADDNST ( ACCLLING OCCUP. &
BLDG ) 22sgft
NEW CONSTR. MULTI.OUTLET
NON•RESID. ( BRANCH CIRCUITS) 12.50ea
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:
I Y d U
Ex. Occup(OUTLETS OR FIXTURES) BAL@�+
01
Ex. Occu FIXED APP LNS. OR
P•(OUT LETS (RESID.) EA) 2,00
Temporary service 10.00
Mobile Home Facilities 15.00 (�
License No. Classification
Misc. Wiring 6.25
=1 am 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
a, Workmen's Compensation Insurance.
1071 I certify that in the performance of the work for which this
��III 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.1 @ FEEPERMIT
FILING FEE J$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
aUL11011Le ivpresenLx+uves or ine Lounty of butte to enter upon the
above-mentioned property for inspectio purposes. rte/
X Date
Sig ature of,+P�erjmitee or Agent
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
above for which fees have been aid.
DIRECTOR OF ELIC WORKS
By Date
?flt—
ng permit expires Date _
COUNTY OF BUTTE' = DEP'AAT'MiEcNT OF PUBLIC WORKS
7 County Center Drive — Oroville, California 95965
Tel ephone:. 534-4541
APPLICATION AND PERMIT
**/6-7(a
1�
autnorlce representatives of the County of Butte to enter upon the
above-
mentioned property for inspection purposes.
X CL /�c'� �� Date 6-5-76
! — Signature of//Pjjermitee or Agent /
Receipt No. %`iq-72
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.
DIRECTORUBLIC WORKS
® -11 ,
uilding permit expires Date t✓ ��-
BUILDING
_
Ownerz% ZXA, z
SQ. FT. OCC. BUILDING VALUATION
Mailing Address
Telephone No.
Fireplace
Contractor
Total Valuation
Mailing Address p p
Permit Fee
Plan Checking Fee&/or Penalty
Telephone No.
3 _Z
Permit Fee $
/,
Building Address �2 �7/C o 1�1 6 v6W C -D 4908V1.
PLUMBING No. @ FEE
PERMIT FILING FEE $3.00
G & X
Each Trap 1.50
C-141 Cc?
Repair drainage or vent piping 1.50
Water piping 1.50
Each gas water heater or vent 1.50
A. P. No. ,,Gas
(o
Zoning &Planning
piping system 1 - 5 outlets 1.50
Each additional outlet .30
Aeeg,t
C4
6enitat
FireDept.
Fire Zone
Use Permit
Building sewer 5.00
EQA
I Parking
Plans
Parcel
Declaration
Parcel Ma 60' R/W
P
Im rovements
P
Lawn sprinkler system 2.00
L/tildg. Plans Recd
Parcel Aroval I
Plans Aproval
Permit Fee $
$
NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER ❑
ELECTRICAL No. @ FEE
PERMIT FILING FEE $3.00
—,A LL100ATl L� ,jam
OR LE
Main service 600 AMP ORSLESS 5.00
Main service EA. ADD•L too AMP 2.50
Single Family ❑ Duplex ❑ Mobil Home ® Others ❑
Main service 1100EAMP oR LESS 25.00
Main service EA. ADD•L 100 AMP 1.00
NEW CONS. DWELING
OR ADONST ( ACCLBL GS.CCUP. &) 20sgft
NEW CONSTR. MULTI -OUTLET
NON-RESID. BRANCH CIRCUITS) 2.50ea
NEWCONSTR. (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:
�7� G
L7.0/[! L-�/2 )�/g S
5Q
Ex. Occup(OUTLETS OR FIXTURES)@2
BAL C�1
Ex. OCCU FIXED APPLNS. OR
P'(OUTLETS (RESID.) EA) 2.00
Temporary service 10.00
Mobile Home Facilities 15.00
License No. 2 8 9 2 G Classification C
Misc. Wiring 6.25
❑ 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.
0 1 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
MECHANICAL No. @ FEE
PERMIT FILING FEE $3.00
Heating
Cooling
Ventilation
Hood 2.00
Permit Fee $
A(_L_A710 N4
$
d cc
TOTAL PERMIT FEE
$ -z�
-51� 10C
autnorlce representatives of the County of Butte to enter upon the
above-
mentioned property for inspection purposes.
X CL /�c'� �� Date 6-5-76
! — Signature of//Pjjermitee or Agent /
Receipt No. %`iq-72
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.
DIRECTORUBLIC WORKS
® -11 ,
uilding permit expires Date t✓ ��-
MOBILEHOM& SUPPORT DATA
Mobilehome Mfr.U,/�L -� Setup Model No. Z0 ear
Width �� (ft.) Length .- (ft.) Expando 'Size tt.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 .fife with .the.County of Butte).,
- S
*If center piers are other than drawn above,
draw in locations, spacing, and dimensions.
i
Footin&s- (check: one)
1. Wood either
pressure treated or
fdn. grade.
Ll 2. Concrete pad.
3. Other,: specify
Supports (check one)
Center
Center Support d
Support
Footing Sizes
Locations
(in.)
-
Concrete piers
X
in.
in.jt'in.
ri!
A
Other, specify
Wxin�
(in.)(in.) .
Typical Support
3
*If center piers are other than drawn above,
draw in locations, spacing, and dimensions.
i
Footin&s- (check: one)
1. Wood either
pressure treated or
fdn. grade.
Ll 2. Concrete pad.
3. Other,: specify
BUILDING DEPARTM
APPROVED,
Supports (check one)
/ 1.
Concrete block
2.
Concrete piers
3.
Steel piers
7/ 4..
Other, specify
Typical Support
Footing Size
in. (( in. )
{
Max. Pier
•
�ff. ln.)
Spacing
I1
Max.
f
ink
Overhang
•
BUILDING DEPARTM
APPROVED,
BUTTE COUNTY DEPARTMENT OF PUBLIC WORKS
7 County Center Drive, Oroville�. CA.
PHONE: 534-4541
MOBILEHOME INSTALLATION SHEET
1. Owner's name: (/!
2. Installer's name: S " 44�S
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 )
Yr. ,
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5. What is the mobilehome electrical- rating? ----------------------- �,�� 'Amps
6. What is the mobilehome site service rating? --------------------- c3�'O Z) Amps
7. What is the mobilehome site circuit breaker rating? -------------- Amps
8. Is there any other electric load to be served by the mobilehome
site service? --------------------------------------------------- Yes / / No
(If yes, identify the load and size: (Load) (Amps)
9. What is the mobilehome site gas .pipe size? ---------------------- (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? ` (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.)
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