The URL can be used to link to this page

Home My WebLink About021-200-00121-20-1 �� Vere G dner N/S an Re' er Rd., 660' o Dewsnup G dley 9�� ermit X472 78PCALO,E(U-ti1.,MH) n cum F ELEC. . 7�0 GA S / d r SUPPO T S RUCTURE REQ. itJ > COMPACTION TEST REQ. /Y0 I p, 2'1-20-1 Pe it #5485-78MHI I �ssu 4726-78P,E PERMIT NO. PERMIT EXPIRES #—Myy / Vere Gardner OWNER owner ,CONTR. LOCATION (A.P. • 21-20-1 NIS Evans Reimer Rd., 660'E.of Dewsnup,Gri& Temp. Power Pole Called PG&E Elec. Serv. z PG&E CAPA as Serv. '2 Mas Called PG&E JOB �] FINALED L 0 / In rior Lath Dfior�..�r MOBILEHOME Water Piping HOBNOB I�� Water Piping r� DATE C offing ucts Ventilation Final - - - - Elec. Servi e Sewer N - - - --------Support .7f Q,p Drainage n 5K REMARKS OR CORRECTIONS Grd. §Fault Prot. Ser e emp. Pole /—Underground Permanent Final IElec. Pedestal Gas Piping Elec. Continuit Gas Piping 9 (NOTE: An entry must be made on this form each time you visit the job site.) COUNTY OF 6UTTE — DEPARTMENT OF PUBLIC WORKS BUILDING INSPECTION! RECORD BUILDING A BUILDING (Cont'd) PLUMBING tback Xlrewall S Piping FdXms P a ets At Floor A& Bldg. Re room Finish 2n loor otin s Wind ws 3rd or St wall Siding To out Slak Roof Shjathlng Water Pi in Piers Roofing Sewer Garage Fdn. Ven Fixtures Footin Stemwa I I Garage Vent Insulation Water Htr. Heaters Slab Carport Footings Prov. for ph sl Ily handicapped Conformance of e structure Appliances Gas Piping &Test Temp. Gas Slab Final A Sanitation Patio AIRLACE Final Footings Footing ECTRI L Masonry Walls Throat Rou h Reinf. Stee Final Fixtures Bond BeastFIRE SPRINKL Motors Framing Test Water Htrf In rior Lath Dfior�..�r MOBILEHOME Water Piping HOBNOB I�� Water Piping r� DATE C offing ucts Ventilation Final - - - - Elec. Servi e Sewer N - - - --------Support .7f Q,p Drainage n 5K REMARKS OR CORRECTIONS Grd. §Fault Prot. Ser e emp. Pole /—Underground Permanent Final IElec. Pedestal Gas Piping Elec. Continuit Gas Piping 9 (NOTE: An entry must be made on this form each time you visit the job site.) '112-6 -_7 9. Electrical A. Is service large enough to provide adequate `amperage to mobilehome (must equal rati.nglrf mobilehome with a minimum of- 1Q0 amp), and other facilities on lot, i.e., water pumps, garage, cabana, etc.? Yes_ No_ B. Is there proper clearances around panels? Yes 1/No C. Is power supply cord or feeder assembly properly fused? Yes P -140— D. NoD. Is continuity test satisfactory as per the following procedure? Yes0 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 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 Manufacturer and/or Namestyle, Length - Width 1 �,,l!O Vehicle Serial No. T ' ` State Identification No. (D / Additional Information or Comments: r MOBILEHOME,INSTALLATION INSPECTION CHECK LIST 1. Is the mobilehome located with required separation from -lot lines and buildings and generally conform to plot plan? Yeso 2. Does the mobilehome have required clearances above ground? (Sec.5085) Yes �i1V�o 3. Are footings and supports properly sized, spaced, and braced as per approved plans? (Note possible variation at spring shackles.) (Sec. 5082 & 5083) Yes i'No 4. Is the mobilehome level? (Sec. 5088) Yes tl-"' No - 5. If mPor�than a single unit, are crossover connections properly installed? (Sec. 5088) Yes v No 6. Water A. Is fle ible connector of adequate size and properly installed (1/2" ID min.)? (Sec. 5566) YesNo B. Test - Does water piping withstand working pressure or 50 lbs. air test? Yes ' No C. Backflow - If coach is not Stale% ),California approved, does station have backflow device and pressure -relief valve? Ye�-�/ "'�— 7. Wastes and Drains A. Is connection made with Schedule 40 DWV and have flex connectors at each endd?► Yes, No A. Does it have minimum " per foot slope and is it properly supported? Yes V No C. Are any leaks detected in drainage system after running 3 -gallons of water through each fixture including washing machine standpipe7,Yes ' No D. If coach is no .tate of California approved, does station have required trap and vent? Yes No 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 mobi ome gas line inlet without reductions other than the mobilehome connector. Yes ✓ No B. Test OK as per following procedure? Yes t-1140 t 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. COUNTY OF BUTTE DEPARTMENT Or 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 Cali ornia A ministrative Code, Title 25, ha ter 5, under rmit numb "7 for the following location: /"�� tJ�vl Owner K 2 Owner's Address Mobilehome Mfg. �K "- Model Q l ea% Insignia No. Serial No. --7(---7 y' It is hereby certified for occupancy at the above described location and may be occupied. Director of bl� c Wo k Date 7 _ By / \ THIS CERTIFICATE IS VOID WHEN MOBILEHOME IS ELOCATED White - Owner, Yellow - Installer, Pink - D.P.W. ., 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 withthe requirements of the California Administrative Code, Title 25, Chapter 5, under permit number ,<-&'i '-7 V for the nfoll^owwing location:..A�S P l tip A 1 \aii IT Owner �7� -�-f h r. -J, V - T - - Owner's Address — Lp -7 ,,Mobilehome Mfg. Model `> 4 -7ear Insignia No. Serial No. i It is hereby certified for occupancy at the above described location and may be occupied. {J Director off Public Works' Date �/� (.i/ 7/f 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 — Oroville, California 95965 Telephone: 534-4541 APPLICATION AND PERMIT M authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. X � � �� 1 DateWj�,717 Signature of Pe4itteeee or Agent Receipt No. Z 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. DIRECTOR O BLIC WORKS BY Date, Iding permit expires Date 7�7 BUILDING Owner SO. FT. OCC. BUILDING VALUATION Mailing Address 1B 9 I one rI -- Contractor Mailing Address Fireplace Total Valuation Telephone No. Permit Fee Building Address �� ' Plan Checking Fee&/or Penalty Permit Fee QAA PLUMBING No.1 @ FEE PERMIT FILING FEE $3.00 at Each TraD 1.50 ,Z§yl%eg Yorification Only Repair drainage or vent piping 1.50 A. P. No.s� �1 .G 2 � ^Zoning & P Wing Water piping 1.50 D Each gas water heater or vent 1.50 F S43 Ion Fire Dept. Fire Zone Use Permit Gas piping system 1 - 5 outlets 1.50 EQA Parking Plans Parcel Declaration Parcel ap 60' R/W Improv nts Each additional outlet .30 Building sewer 5.00 10,fM Bldg. PI ns Recd Parcel roval Plans Approval Lawn sprinkler system 2.00 NEW ❑ ADDITION ❑ UTILITIES OTHER ❑ Permit Fee $ —0 .$ _ ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 Main service 100 AMP OR00V OR SLESS 5.00 Single Family ❑ Duplex ❑ Mobil Home Others ❑ Main service EA. ADD'L 100 AMP 2.50 Main service OVER eooV 25.00 100 AMP OR LESS Main service EA. ADD'L 100 AMP 1.00 NEW CONST*( DWELING OR ADDNS. ACCLBLDGS.CCUP. S) 20sgft CONTRACTORS LICENSE LAW State of California Business & Professions Code under the name style of: NEW CONSTRES,., -OUTLET NON.RESID BRANCH CIRCUITS) 2.50ea NEW CONSTR (POWER APPARATUS S), . Ex. Occup{OUTLETS OR FIXTIIRES) g L 1Cq 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 $ , $ 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. I certify that in the performance of the work for which this J� 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. PERMIT FILING FEE $3.00 Heatigg Cooling Ventilation Hood 1 1 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 $ TOTAL PERMIT FEE $ authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. X � � �� 1 DateWj�,717 Signature of Pe4itteeee or Agent Receipt No. Z 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. DIRECTOR O BLIC WORKS BY Date, Iding permit expires Date 7�7 erials & Workmanship S�;all Be in NOTE—All Mat Accordance %vit!.� Rccogni-I" ze '0jP -actives andof a auulily prEscri �e for T" - he Specified use i the $ui:din Q{;;,;};,ing & t�1echanicol Codes and Uniform S j the National Electrical Code. ;j A/ �1 1 ,'a _ This set of plans an .. s^^c =" ' "'s -MUST 15e t,n .,4, ,.} <_a is ::ni jwful +o kept ; or:..:a--e vriihaut ' written perr�iss;or from ...e Department of Public Works, County of Butto. 14, n • The BWt;!�. Setback shall be 5 ft. from the : ide property line and 510 ft. from the ;;ented'-ne of the road, permitting a maxi- mum of a 2 f',. eave overhang but entirely out of all easements, /Z�Q1x tvt location- inc�oi�rre to �-e is Per Butte County Health Dept. Re- quxcir:cnts. All utility connections shall be Iccated wi;l1in 4 ft. outside the rea third scci-:1on o the mcbile hom(-: on the left (road) side of the mobile home. z6'">S- BUTTE COUNTY •J�t� 4.Jii T.., 1 - S APPROVED . C GOUNTY OF B TE — DEPARTMENT O� PUBLIC WORKS County Center Drive - Oroville, California 95965 Telephone: 534-4541 APPLICATION AND PERMIT oUU IVI—V 1VPIOAU[ILUL VCJ OI UIC I,VUIIIy UI OULLU lU CIRUI UfJUII LIM! aboUVI't"- ve-mentioned property for inspection purposes. X Date Signature of ermitee or A ent Receipt No. O9 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. DIRECTO AF UBLICWORKS BY -� ") Date 7--/ i - I r ilding permit expires Date - BUILDING Owner �� R�A�ZC� SQ. FT. OCC. BUILDING VALUA ION Mai I i ng Address )e% 2 BOX ` 7 21 A� q. � Teleph flo. (� Contractor Mailing Address Fireplace Total Valuation Telephone No. Permit Fee Building Address S r0 Plan Checking Fee&/or Penalty Permit Fee o 1 4ff. Oic::- PLUMBING No. @ FEE be s l�l/ PERMIT FILING FEE $3.00 Each Trap 1.50 7� Repair drainage or vent piping 1.50 A. P. No. 21- Z�"' Zoning & Planning Water piping 1.50 Each gas water heater or vent 1.50 Fe661 4-Gli Saa"a4eft 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. P ons Recd Parcel royal Pla proval Lawn sprinkler system 2.00 NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER permit Fee $ ELECTRICAL No. @ FEE Is M14T FUP— utlL noM,-7&" PERMIT FILING FEE $3.00 Main service 8000 V OR S 5.00 AMP OR LESS Single Family ❑ Duplex ❑ Mobil Home Others ❑ Main service EA. ADD•L 100 AMP 2.50 Main service OVER 600V 25.00 100 AMP OR LESS Main service EA. ADD'L 100 AMP 1.00 NEW OR ADDNST ( ACCLBLDGS.LING CCUP. 4) 22 sq ft 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 St le of: Y NEW CONREST MULTI -OUTLET T NON.ESI D, BRANCH CIRCUITS) 12.50ea NEW CONSTR (POWER APPARATUS 9 NON-RESID. SINGLE OUTLET CIR. Ex. OCCUD(OUTLETS OR FIXTURES) 50@, Ex. Occu FIXED APPLNS. OR p•�OUTLETS (RESID.) EA) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 License No. Classification Mise. 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. Elhave 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. @ FEEPERMIT 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 �1•' e /w $30 L TOTAL PERMIT FEE $ O oC oUU IVI—V 1VPIOAU[ILUL VCJ OI UIC I,VUIIIy UI OULLU lU CIRUI UfJUII LIM! aboUVI't"- ve-mentioned property for inspection purposes. X Date Signature of ermitee or A ent Receipt No. O9 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. DIRECTO AF UBLICWORKS BY -� ") Date 7--/ i - I r ilding permit expires Date - MOBILEHOME SUPPORT DATA If other than single wide, Mobilehome Mfr.( Jilll�/A/�� furnish Setup Model No. Year Width /_(ft.) Box Length_�(ft.). Tagalong or Expando Sizeft. 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 mobilehome unless otherwise specified. 1'oot'n s (check one) � DSingle )!?lWood either AV - pressure treated c lilt, foundation grade. (in.) (in.) 2. Other (specify) Center suppo locations* u (ft.)(in.) (ft.)(in.) ` (ft.) (yin.) (ft.)j (in.) ja!'x�tf ' -- Typical Support in.) (in.) Footing Size 4( 6 ! u it (in.) ("'n.) -- Max. Pier Spacing (ft.)(in.) o < <� --.Max. Overhang (in.) (in.) (ft.)'(in.) 13UTTE COUt-iF Y BUILDING DEPARTM€N i APPROVED *If center piers are other than drawn above, draw in. -locations, spacing, and dimensions. Center �6 sup .ort \ footing s' es Supports (check one) (in.) d1: Concrete block. �, ❑. 2. Other (specify) (in.) (in.) 4 ---Tagalong or Expando= show support details. ja!'x�tf ' -- Typical Support in.) (in.) Footing Size 4( 6 ! u it (in.) ("'n.) -- Max. Pier Spacing (ft.)(in.) o < <� --.Max. Overhang (in.) (in.) (ft.)'(in.) 13UTTE COUt-iF Y BUILDING DEPARTM€N i APPROVED *If center piers are other than drawn above, draw in. -locations, spacing, and dimensions. BUTTE COUNTY DEPARTMENT SOF PUBLIC WORKS 7 County Center Drive, Oroville, CA. PHONE: 534-4541 MOBILEHOME INSTALLATION SHEET 1. Owner's name: Vel1 C 2. Installer's name: 3. Is the site currently under permit? Yes -/7/- No / ( If yes, furnish permit number '-/ 7 Z (, - 7Y ) 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 X-7 No (If no, clarify ) 5. What is the mobilehome electrical rating? ------------------- - Amps 6. What is the mobilehome site service rating? ------ - --- -- - F -)F) 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 VT No (If yes, identify the load and size:% 7 2Q:. (Load) (Amps) 9. What is the mobilehome site gas pipe size? ---------------------- 3! (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? / S- (ft.) 12. :What is the mobilehome gas demand? ------------------------------ 000, (BTU) (This information not required if pipe length less than 6 ft. on natural gas or less than 50 ft. on LPG.)