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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 .. , \ _ r+—;-.>�-^`'a,:.---•,...-•�.--. .. :� � �/!.$ .ear:, ',n.. ..F. � ® � . �t�� r.1. ` Pem3t 44=76P. &J iMH) ' GAS } 'SUPP Ta UCTURE-HQ• it/O j tLEC COMPAC.TION-IES.T;REQ: �/ +r I 4�..' r. YS . - •r' � r„-'i"t � � . pro. P. c I qo kow A iN w 1, e s -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 r 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 % � � y LJ r� Ti>✓t�,. . L, t lt/l� � d � 6� � tiL(.... . Pt)l DAO F1,6 r A4 t -J C t. GA-Ab Cly' ` ®M S E "J-Eooe� 7-0 V711% j YOold,� l'reALTh �cA1 G1.eq►'n..rJG� 66°b r� PDZI-C (NOTE: An entry must be made on this form each time you visit the job site.) Pw�rt_ S7t�4E� 1v/ter �s ..� J --w f ,aa�ii�? tatMtis "jL� j f2w;t�` �' 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. , f - 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.) M • t 11z V C6RcN n 5% 7 N J rl) r T 6.VAri v e In a 55i IZIN r 3 � o � 4 pj(506 !"', " T-4,6 FowER 6(,A)C-A J i �® 136 II YvNIBuG ��