HomeMy WebLinkAbout021-160-093Jerry� Henry
W/S wis Oak
_4e p .700'N.of eter-
s Ave., Gridley
P46F m i t #7482-79P,E(util.
ELEC;;9
GAS
L__,SUPPORT STRUCTURE REQ.
COMPACTIONILESI�RE9.
16
T
Paradise Z'
wne
Earle To
oontr:
i&w.
1-80i4HI
J Permit#60
>D
Issued
h o
��
jr �_ _---- - ,
AA
PERM I k T NO. 7482-79P,E-
PERMIT EXPIRES.
Jerry Henry
OWNER
CON T R. owner
21-16-3,gmm,
LOCATION (A.P.
W/S Lewis Oak Rd., app.700'N.of Peterson
Ave., Gridley
4
A
Temp. Power Pole
Called PG&E
a
Temp. Elec. Serv.
Call,ed PG&E (A)
T p
em A/Gas Serv.
Called PG&E
VFONALED
(Da te)
(Signature)
COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS
BUILDING INSPECTION RECORD
0C 'd
BUILDING /I \ BUILDING (Cont'd) PLUMBING
i-orms%
Paraftts
lsl%Floor
—MaInNIdg.
Restro, Finish
2nd Xoor
FooNgs
Windows
3rd FI'Ngr
StemAil
Siding
Topout X I
Slab
Roof Sheatkng
Water Piping\
Piers
Roofing
Sewer
Garage
Fdn. Vents
Flvturp-q
Footings
Stemwa I I
Garage Vents
Insulation
Water Htr-
Heaters N
Slab
Carport X
Footings
Prov. for physlcall\
handicapped
Conformance of ex.
structure X
Appliances X
Gas Piping & Test
Temp. Gas
Slab
Final / X
Sanitation
Patio N
&IREPVACE
Final
Footings
Footing
/ r-Lr-CTRICAl
ReInf. StVI
Final
Fixtures
Bond Beim
I FIRE SPRINKLEA
Motors
Framinq
Test
Water H
Stucco /
Final
Subpaks
Mesif
MECHANICAL
Grd. fault Prot.
S Itch
HeatIA9
Ser e
Coo ng
femp. Pole
Duits
-raround
116terlor Lath ntilation N I I Permanent
oor Closer Ina[ YFInal
I bf
TMOBILEHOME UTILITIES ------------------ Elec- Service Elec. Pedestal
Water Piping Sewer I- Gas Piping
.2- -ag< -Zb
XQLLLUQ,ME INSTALLATIQN. ....... Support Elec. Continuity
Water Piping Drainage Gas Piping
DATE REMARKS OR CORRECTIONS
CA
CJ'V Qey"
Cf ";
V
a�7
C/) QC/1�
C"A
(NOTE: An entry must be made on this form each time you visit the job site.)
9. Electrical o pro`v id e 1omd*(must equal ratlni'of-
A. Is service large enough t equate c�mperage,to mobile
mobilehome with a minimum of and other facilities on lot, i.e., water
amp
garage, cabana, etc.? Yes No
Yes
B. Is there proper clearances around panels?
C. Is power supply cord or feeder assembl . y properly fus'eA? -Yes— No—
as per the following procedure? Yes No
D. Is continuity test satisfactory the pedestal.-
I.- De�energize-electrical wiring systeml,of the mobilehome at
including neutral
2'. Make sure'that the power supply cord6r feeder assembly conductors,
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 co ' nductor and
apply the other lead to each mobi-lehome supply conductor, ificludin&,,neu I tral.
n -current, carrying metal parts of the mobilehome (alum . inum. siding, gas line,
5. All no ppliances, shall be tested for continuity from
water line), including fixtures and'a
such equipment and the grounding conductor.
6. Upon completi . on 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 theelectrical 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
-;L
Length_��O Width
— 0% _-V / %AA,
Vehicle Serial No.
State Identification No.
Additional Information or Comments:
MOBILEHOME INSTAVLATION INSPECTiON CIMCK LIST
I.- Is the mobilehome located *th q ired separation from -lot lines and build*ings and generally
Ye SZ�Kke u
conform to plot plan?
2. Does the mobilehome have required clearances above.ground? (Sec.5085) Yes ' No -
3. Ate footings and supports properly sized, spaced, and braced a e roved plans? (Note
�_p
possible variation at spring shackles.) (Sec. 5082 & 5083) Yes No
4. Is the mobilehome level? (Sec. 5088) Yes
5. If morett'a'n a single unit, are crossover connections properly installed? (Sec. 5088)
Yes 3 No -
6. Water
A. Is fl conn tor of adequate size and properly installed (1/2" ID min.)? (Sec. .5566)
Yes N
B. Test oes Owate piping withstand working pressure or 50 lbs. air test? Yes
C. Backflow - If coach is not State,,
.�oalifornia 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? Yesl-�No
B. Does it have minimum �4" per foot slope and is it properly supported? Yes_L_Ilro�_
'''�Jjp
C.. Are any leaks detected in drainage systei I : E , t '' er 'r,mi!Lng 3-g 11 ns of water through each
fixture including washing machine stan ipe? Yes - No --
D. If station have required trap and vent?
Ye s:#Nh k*s pot State of Californiaapprt es statio - n have
8. Gas Piping and Gas Vents 3/4" minimum
A. Connector - Is mobilehome connected to the gas supply with an approved
mobilehome connecto;rXnmore than 6 ft.,long? Note: All piping is to be atleast as
m *thout reductions other than the mobilehome
large as the mobile me gas line inlet wi
connector. Yes__L/No_
B'. Test OK as per following procedure? Yes VNo
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.) calibthted in tenth pound increments. Test for 10 min, iqithout
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.
COUNTfY OF BUTTE
DEPARTMENT OF PUBLIC WORKS
695 Oleander Avenue, �hico — Phone 343-4211, Ext. 70
7 County Center Drive, Oroville Phone 534-4541
Skyway and Elliott Road, Paradise Phone 877-3435
CORRECTION NOTICE
BUILD"-ING OR PROPERTY ADDRESS
A routine inspection indicates that the following violations of County Ordinance
exist at the above address and should be corrected. Please notify this office
when correction of work is completed. If you have any question pertaining to this
Inspector CL -A Date
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 reiluirement.s
pf the California Administrative Code, Title 25, Chapter 5 un er-permit
,number/L711 Sl'fl —for the following location: 1* )14, 1 ;;-t C 1
'Q J . ' -)A^ '�/ T*�' ",-. �J-' ,, �_ I
I t r % -
Owner r, A r -A
Owner;s Address P 4* 1 a IL
Mobilebome Mfg..,, Year
Model
Insignia No. 1-71 qDV -1--) Q Serial No. -7
It is hereby certified for occupancy at the above described -location and
may be occupied.
Director of Public Works
Date' -2- By
THIS CERTIFICATE IS VOID WHEN MOBILEHOME IS RELOCATED
White - Owner, Yellow - Installer, Pink - D.P.W.
COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS
7 County Center Drive -,- Or.oville, California 95965
Telephone: 534-4541
APPLICATION AND PERMIT
AA
ciumurite repre 5entatives oT ine uounxy ot tiutie io enier upon ine
above-mentioned property for inspection purposes.
X �� A I , —1 Date 90&-, /1 � /f 71P
rSignatu,; of fermitee or A Vt
Receipt No. 3,3/3�7-5
White-D.P.W. — Yellow -Assessor — Pink -inspector — Goldenrod-Appli cant
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 OFJPUBLIC WORKS
By _,ev-- Date- /_A/_ F3
Buii;&g permit expires Date
I
BUILDING
Owner
SQ. FT. OCC. BUILDING VALUATION
Mailing Address RT 13o)( & 3
c4 ctl5q4s
Contractor 0 GU ti 15— 12—
Mailing Address
Fireplace
Total Valuation
lephone No.
Permit Fee
Building Address L -C -W IS 0 A-V-- P -P,
I
PlanChecking Fee&/orPenalty
Permit Fee $
$
Af(2.- 704911 N. oic PETEP-50A] 'AVE,
PLUMBING No. @ FEE
PERMIT FILING FEE $3.00 _T _00
Eac TraD 1.50
602)L -Ey
Repair drainage or vent piping 1.50
A. P. No.
�oo�
Z c � n ho 72� F 'lo n k 'in"a
Water piping j rag /0,00
Each gas water heater or vent 1.50
Fq�
W-I<f TQ Ution
FireDept.
Fire Zone
I
Use Permit
Gas piping system 1 - 5 outlets 4.ra@ /0 90
.11;
EQA
J
Parking
_Pigins
Parcel
I Deciaration
Parce I Map
R/W
Improvements
Each additional outlet .30
sewer 5.68 /0, 00
Bldg. U&JAW Parcel Approvi/
P Ions Approval
Lawn sprinkler system 2.00
NEW ADDITION UTILITIES OTHER
Permit Fee $ 33. 00
10
ELECTRICAL No. @ FEE
PERMIT FILING FEE $3.00'a 00
600V OR LE
Main service 100 AMR ORSI!ESS 5.00 5.00
Single Family Duplex 1:1 Mobil Home OthersEl
Main service EA. ADD -L 100 AMP 2.50 5-0
Main service OVER 600V
100 AMP OR LESS 25.00
Main service EA. ADD -L 100 AMP 1.00
NEW CONST. ( DWELLING OC cup- 20 sq ft
OR ADDNS. ACC.BLDGS.
CONTRACTORS LICENSE LAW
I am licensed under the provisions of Chapter 9, Div. 3, of the
State of California Business & Professions Code under the name
style of:
NEW CONSTFL MULTI -OUTLET
NON-RESID, (BRANCH CI 211.50ea
RCUITs)
NEW.CONSTR. (POWER APPARATUS &
NON RESID. SINGLE OUTLET CIR.
Ex. Occui)(OUTLETS OR FIXTIIRES) 50 @ 259�
BAL 0 100
FIXED APPLNT._ 0 )R
Ex. Occup.(OUTLETS (RESID. EA) 2.00
Temporary service 10.00
Mobile Home Facilities 15.00 /5,00
License No. Classification
Misc. Wiring 6.25
1$
UJI514— 119d"to 2, 00
I am exempt from the Contractors License Laws of the State of Cal ifornia.
Permit Fee $ 2,7.50
2-7 16t
WORKMEN'S COMPENSATION INSURANCE
I am aware of the provisions ot Section3700 of the California Labor
Code which requires every employer to be insured against liability
for Workmen's Compensation.
EJI 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. q 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. I agree to comply to all County Ordinances
and State Laws relating to building construction, and hereby
Land Development Fee
J$ 9_4:;7"CV7
TOTAL PERMIT FEE
Is 3's T -C
ciumurite repre 5entatives oT ine uounxy ot tiutie io enier upon ine
above-mentioned property for inspection purposes.
X �� A I , —1 Date 90&-, /1 � /f 71P
rSignatu,; of fermitee or A Vt
Receipt No. 3,3/3�7-5
White-D.P.W. — Yellow -Assessor — Pink -inspector — Goldenrod-Appli cant
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 OFJPUBLIC WORKS
By _,ev-- Date- /_A/_ F3
Buii;&g permit expires Date
I
XOUNTY OF BUTTE - DEPARTMEN'T OF PUBLIC WORKS - BUILDING DIVISION
7 County Cen let- Drive — 0 roville, GaLifo�rwja 95965 Telephone 534-4541
.41
PERMIT APPLICATION DATA SHEET
OWNER 'JF-P--V-Y
Proposed Building Use
Permit fee based up
1-/
lete Contract Price
Permit No.
A. P. N o. 'Z I - I b - 3
DPW Valuation
Building Inspector Date 1?- -12---71
At time of permit application, I was advised the following data must be submitted prior to permit processing and/or
issuance:
DATE RECEIVED APPROVED
1
2.
All items have been submitted * ...... 6,:� ........... . ...... . .........
Plot plans in duplicate/triplicate....
3.
Complete plans in duplicate/triplicate ...................................................
4.
Complete engineered plans and calcs . ....................................................
5.
Plans with Energy Design Compliance Statement . ...........................
6.
State Energy Forms No. ....................
7.
Statement of Intent for Non -Heated & AC Buildings . ..................
8.
Fees of $
9,-
Letter of signature authorization ...................................................
V-S/Ovd
Sanitation approval from_0/2�O —Health Dept..*.*.
11.
Planning approval for .............
12.
Certificate of Workmen's Compensation Insurance . .......................
13.
Contractors License Information (no., name style,
classification) . ..............................
14.
Improvements fnay be required. Contact Land
Development Section of Dept. Public Works (see
addressbelow) . .......................... .....................................................................
15.
Pre -inspection for required. Pre-inspec. request to
bidg.inspector (date)
16.
Other
Whe you issue the permit, process as follow!.o Mail to owner
—Mail to contractor.
Telephone- k�Al and hold for pickup at
—office. —Deliver w/inspection.
Other
Applicant
Date
c)py of plans sent —Health Dept., - 61 Fire
uring the plan checking process, the following data must
(For required items not checked above at time of
Index permit for above Ite
11*"-nW dditional items required:_
" A 1 !6 j
(Contractor, Desigrif,10-wnTer) was advised of above' re-qu-
Plans approved by
OTHER:
r.nnOnPW
apt., t Other
submitted prior to permit issuance:
cation, ckr
,�e item.)
14
,:F'elephone
Mail
r%+k-
Date—
"'Oveevj
Date "- -- - / 4 - - ,- 4
To:- Buil ding Department
From: Environmental Health
Subject Sanitation Clearanc-.,--.,
02
Plans approved fo Sewage Disposal
Hold final for:
Water Supply
Watbr Sapply
Final Clearance 0,.... Wc.ter Shapply
Clearance for-" beda7oom mobile home. Other
Cleo- -,�e or addition of
Lvote**
It
COUNTY OF BUTTE — DEPARTIVIE�T OF PUBLIC WORKS
-7,09,* Center Drive - , Orovi I I e, Cali torn ia-95965
Telephone: 534-4541 —Po
APPLICATION AND PERMIT /
Receipt No. �2 SLG -1 19 _1.1�
White-D.P.W. - Y;11.w-Assessor - Pink -inspector - Golden rod-Appli cant Building permit expires Dati4/
BUILDING
Owner TER (Z y U) A Y vC ir it) tZ 1v
SQ. FT. OCC. BUILDING VALUA'TION
Mailing Address
Telephone No.
Contractor EARLE TOWA)E
Mai I i ng Address 5-0-Z�- ea elc I_4A)c
Fireplace
Total Valuation
.7
1VW
Permit Fee
Building Address IA)i6L Lewts 00,
Plan Checking Fee Vor Penalty
Permit Fee $
/J/0 e6rEr'�S-,,J ke
PLUMBING No. @ FEE
PERMIT FILING FEE $3.00
Each TraD
Repair drainage or vent piping 1.50
A. P. No.
ZonA PTonning
Water piping 1.50
Each gas water heater or vent 1.50
Ftep I
*-e.+&api4aUon
FireDept.
FireZone
Use Permit
Gas piping system 1 - 5 outlets 1.50
EQA
Parking
I Pians
I Parcel
I Declaration
Parcel Map
1
60 R/W
I Improvements
Each additional outlet .30
Building sewer 5.00
Bldg. Pla��Rec'd I
00-
Parcel AOirrooval
1. e-.,
Plans Xpproval
Lawn sprinkler system 2.00
NEW ADDITION UTILITIES 0 OTHER Q
Permit Fee $
ELECTRICAL No. @ FEE
PERMIT FILING FEE $3.00
600V OR -LESS
Main service 100 AMP OR LESS �.00
Single Family El Duplex Mobi I Home Others El
Main service EA. ADD -L 100 AMP 2.50
OVER 600V
Main service 100 AMP OR LESS .25.00
Main service EA. ADD -L 100 AMP 1.00 A
NEW CONST. ( DWELLING OCCuP, 20sq ft
OR A ... S. ACC. BLDGS. -
CONTRACTORS LICENSE LAW
I am licensed under the provisions, of Chapter 9, Div. 3, of the
State of alifornill a usiness & Professions Code under the name
style o -
A X, 6 g4
NEW.CONSTFL MULTI -OUTLET 12.50ea
NON RESID. (BRANCH CIRCUITS)—
NEW.CONSTR. (POWER APPARATUS &
NON RESID. SINGLE OUTLET CIR.
Ex. OCCUD(OUTLETS OR FIXTI1RES;1 50 @ 25'
(FIXED APPLNS. OR
Occup. OUTLETS (RESID.) EA) 2.00
-Ex.
Temporary service 10.00
Mobile Home Facilities 15.00
License No. Z —Classification if -10,(
Misc. Wiring
__P.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 ot Section3700 of the California Labor
Code which requires every employer to be insured against liability
for Workmen's Compensation.
F] I have placed on tile with the County of Butte a certificate of
Workmen's Compensation Insurance.
11 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.
t MECHANICAL No. @ FEE
PERMIT FILING FEE $3.00
Heating
Cooling
Ventilation
Hood 1 1 2.001
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
authorize representatives of the County of Butte to enter upon the
above -men 'oned property for inspection purposes.
5;�f
X f Date
SiqVo;�: of Permitee or Agent
e-.1
Laad-PIKeloprine Db Fee
TOTAL PERMIT FEE
This permit is hereby issued under the applicable provisions of
the But County Code and/or resolutions to do work indicated
abov I which fees have been paid.
WORKS
DI V C
Z M_ Date �1—a,64
Receipt No. �2 SLG -1 19 _1.1�
White-D.P.W. - Y;11.w-Assessor - Pink -inspector - Golden rod-Appli cant Building permit expires Dati4/
-BUTTE COUNTY DEPARTMENT OF.PUBLIC WOFA(S
7 County Center Drive, Oroville, CA.
PHONE:'534-4541
MOBILEHONE INSTALLAT-ION SHEET
Y A)f
1.
owner's name:
ins*tal--ler's
2.
-'.name:
3.
Is the site currently under permit? YeP. No
.(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'mAilehome 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 M'obilehome electr'ical rating? ------ 7 ---------- ------
Amps
.6.
-What.*is the'm obilehome site service rating? --I -------------------
A�np s
7..
What is'the mobilehome site circuit*breaker rating? --------------
Amps
8.
Is there.any other electric load e served by the mobilehome
ro
site ser-v'ice? ----------------- - --- -------------- No
Yes
(If yes, identify the load and size: (Load)
(Amps)
o
9.
What is the mobilehome site gas pipq'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?
12.
:.What is the mobileh6me gas demand? ------- -------------------------
r v
(BTU)
.(This information not required:if pipe length less than 6 ft.
on natural gas.
.or less than 50 ft. on LPG.)
MOBILEHOM . E SUPPORT DATA .. _ RP 17R6
If ot her than single wide,
Mobilehome Mfr.— IFAIOjK, � -f u r nish Setup -M odel No. X CIF7 Year. 7
Width -16 (ft.) Box Lengih'69e� - (ft'j 'Tagalong or Expando Size ft. x ft.
(SHOW SUPPORT DETAILS BELOW)
On all mobilehomes manufactured after October 7, _1973j 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
mobilehome unless otherwise -specified.
I -o _�
(f t. ) (in;)
Center support
locations*
IM -1-1
(ft.) (in.)
llq--L I
(f t.) (in.)
ME
11,4 --
(ft.) (in.)
(ft.)l (in.)
(in.) (in.)
Center support
footing sizes
. (in.)
0
(in.) (in.)
(in.) (in.)
121 x3o I
(in.) .(in.).
Footings (check one)
Single 1. Wood either
Apressure treated or
foundation grade.
2. Other (specify)
Supports,(cheek one)
PTl.; C I oncre'te block.
2� Other (specify)
*If center piers are other than drawn above,
draw in. -locations. SDacine. and dimensions.
�—Tagalong or Expando,'
. show support'details.
x3� d Typ ical Support
(in.) (in.) Footing Size
Max. Pier Spacing
(f t. )'(in.)
Max. Overhang
(ft.)(in.)
i3U-ffP- COUNTY
SUILDING DEPARTMEN"'
APPROVED
6 6 ws;,� -
from the
A setback of 5 ft
property lines and a setback
A-0
pr -
I t"t
of 50ft. from the road;
L
clear of
terline shal) be- ,
wcen 7 "1
u i pmeht except
-ifr6ctures or 6.q
--4
for,a 2:ft'., eave overhang.,
NOTE.—All Materials & WorViricinship. 'Shall Be 'Irl"'I"
Good P�a ri'd
coarii�ed' ctices a
AccQance wit h Re on,
of a qualitv prescribed -�or 1 f6 Specified,us;e in the N o$!
X"
Uniform Building, Plum6ing & Macho nicall -C O*des and % ,\\e
. I : . i,-- .
the National Electrical Code.
-41 - & "IC4
a
e
vmus
M, a Ion
an'd T,�ecl," �ul to� Utility coAAe`c'fidn'i,,ihdIl, be,within
111is set -Ot--Plqr� - 1-1�lavd i
OS at ajjj,,
Wand.if -'eit
the' i cl�np wit OU 4 ft. of the mobilohorh,el " her
Itept on on sq
di-rectly behin� b 'v'�jtfiin 4he-rear
�-ny chanqes, or clitc ��kment,�j Pu0i rt
moe 1
. . tv froin 11110,�
written permiss,C) half of thd� roadside',(I�ft)-'Of the
Butte.' --
.-W ty
orks"Coull 01 ff Dwe L,-homi.
D, cl,
L
4
QTTIE �c
OUNTY
'BUILDING. DEPARTMENT
..40PROVED
("0
-4,
L
D, cl,
L
4
QTTIE �c
OUNTY
'BUILDING. DEPARTMENT
..40PROVED