HomeMy WebLinkAbout022-210-025AP 22-21-25
CHESTER MARTIN
e/s W. Biggs -Gridley Rd., 1 mi. ------------
N. of Gridley Colusa Hwy, Gridle
Pe mit# 455-75 ,Etlt�. , MH)
ELEC .
n GAS -7.!;-
LOT
7S
`SUPPORT STRUTUR ERE QKz
LOT BLOCK SUBDIV. WCOMPACTION
I _T TEST REQ. M_
TYPE OF PERMIT NO. PLAN NO. DATE ISSU ����
PERMIT Permit# 601-75 HI
Issued
REMARKS
PERMIT DESIGNATION: B -BUILDING
DEPARTMENT OF P -PLUMBING
T -TRAILER
BUILDING AND SAFETY
E - ELECTRICAL U -USE PERMIT HM -HOUSE MOVING
TV - RADIO -TV ANTENNA V - VARIANCE EP -ENCROACHMENT
S/W-SIDEWALK NOTICE S_ SIGN PERMIT' D - DEMOLITION 600.1
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MMA
INSPECTION RECORD
BUILDING APPROVALS
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PERMIT NUMBERS
SIG. DATE SIG. DATE SIG. DATE SIG. DATE SIG. DATE
ROUGH -IN
GAS PRESSURE TEST
WATER PIPING
SEWER LINE
APPLIANCES 3 VENTS
FINAL
ELECTRICAL APPROVALS
PERMIT NUMBERt
SIG. DATE SIG. DATE SIG. DATE SIG. DATE SIG. DATE
ROUGH -IN
FIXTURES @ APPLIANCES
METERS
FINAL
HISCELLANEOU APPROVALS
. �MH Util.
tiPERMIT NO. ��-7 P,E
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OMH UTIL.
(PERMIT NO.
PERMIT EXPIRES C:;?�� /
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OWNER Chester Martin
ICON TR.
A tLOCATION (A.P. 22-21-25
31
1 e/s W. Biggs -Gridley Rd., 1 mi. N.'of
1. -Gridley Colusa Hwy, Gridley
'y
I
.or
t Temp; Power Pole
Called PG&E
Temp. Elec. Serv.
Called PG&E
e)rp: Gas Serv. I-)c�
F. Called PG&E _ _ 7.:i-
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FINALED
(Date) �
C=/✓J
(Signature
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COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS
BUILDING INSPECTION RECORD
BUILD,I-NG I BUILDING (Cont'd) I PLUMBING
Setbac _2
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 Pi in
Piers
Roofing
Sewer
Garage
Fdn. Vents
Fixtures
Footings
Garage Vents
Water Htr.
StemwaII
Slab
Prov. for physically
handicapped
Heaters
Appliances
Carport
Footings
Conformance of ex.
structure
Gas Piping &Test z7S
Temp. Gas
Slab
Final
Sanitation
Patio
FIREPLACE
Final
Footings
Footing
ELECTRICAL
Masonry Walls
Throat
Rough
Reinf. Steel
Final
Fixtures
Bond Beam
FIRE SPRINKLERS
Motors
Framing
Test
Water Htr.
Stucco
Final
Suboanels
Mesh
MECHANICAL
Grd. Fault Prot.
Scratch
Heating
Service
Brown
Cooling
Temp.-Pol
Finish
Ducts
Underground
Interior Lath
Ventilation
Permanent
Door Closer
Final
Final
DATE , �REM,A/RKS OR CORRECTIONS
174 �j (,;� /��
-7A 5
9.. Electrical
A. Is service large enough to provide adequate amperage -to mobilehome (must equal rating of
mobilehome with a minimum of 100 amp) and other facilities on lot, i.e., water pumps,
garage, cabana, etc.? Yes No
B. Is there proper clearances around panels? Yesy No
C.. Is power supply cord.or feeder assembly properly fused? Yes�No
D. Is continuity test satisfactory as per the follotaing procedure? Yes 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 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.
1
MOB ILEHOME INSTALLATION INSPECTION CHECK LIST
y
1. Is the mobilehome located 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 i/ No
3. Are footings and supports properly sized, spaced, and braced as per approved plans? (Note
possible variation at spring shackles.) (,Sees. 5082 &►5083) Yes .No
y ►
4. Is the mobilehome level? (Sec. 5088) Yds No
5. If more than a ingl unit, are crossover connections properly installed? (Sec. 5088)
Yes No %S I
6. Water
A. Is fle ible connector of adequate size and properly installed (I/2" ID_ min.)? (Sec. 5566)
Yes iNo
B. Test -Does water piping withstand working pressure or 50 lbs, air test? Yes ,-,"NO
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? Yes4�/R'o
B. Does it have�mi.nimum '" per foot s16pe and is it properly supported? Yes No
C. Are any leaks detected in drainage system after running 3-ga ons of water through each
fixture including washing machine standpipe?. Yes No
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 mobil home gas line inlet without reductions other than the mobilehome
connector. .Yes No
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 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
• r•" COUNTY OF BUTTE, -- DEPARTMENT OF PUBLIC WO 1
7 County Center Drive - Oroville, California 95965 r� } `%
Telephone: 534-4541
• APPLICATION AND PERMIT
-. icN�cocniauvco V� l lc lwunly VI DUUc lu V11MI uNun ule
above-mentioned property for inspection purposes.
A_X�r
Date
Signature of PerQQmitee or Agent
l
Receipt
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.
DIRECT OF PUBLIC WORKS
By Date
_13440ng-permit expires Date......., 9,/ Com........
BUILDING
Owner
SQ. FT. OCC. BUILDING VALUATION
Mailing Address Ae A 16.
Cple Tele one�s�
Fireplace
Contractor �,(J
Total Valuation
Mailing Address
Permit Fee
Plan Checking Fee&/or Penalty
Telephone No.
Permit Fee
$
$
Building Address ��'J ~RI
/ • 01el 6F-
PLUMBING
No.
@ FEE
PERMIT FILING FEE $2.00
Each Trap 1.50
ogl 1) /-/C-7 O & S 4 tt/
Repair drainage or vent piping
1.50
Water piping 1.50
/ L
Each gas water heater or vent 1.50
A. P. No. —�1��, s
Z
Zoning & Planning
Gas piping system 1 - 5 outlets
1.50
Each additional outlet .30
F
S&4fttM7rf
Fire Dept.
Fire Zone
Use Permit
Building sewer 5.00
EQA
Parking
Plans
I Parcel
Declaration
Parcel Ma P
60' R/W
Im r
p ovements
Lawn sprinkler system 2.00
Bldg. Planst ec'd I
Parcel 40provol
Plan proval
Permit Fee
$
$
NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER ,®.
ELECTRICAL
No.
@ FEE
PERMIT FILING FEE $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 bal 2 U oin
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
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.
❑ I have placed on file with the County of Butte a certificate of
Workmen's Compensation Insurance.
t%6 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 1 2.00
Permit Fee $
$
40
TOTAL PERMIT FEE
$3 Q• (��
-. icN�cocniauvco V� l lc lwunly VI DUUc lu V11MI uNun ule
above-mentioned property for inspection purposes.
A_X�r
Date
Signature of PerQQmitee or Agent
l
Receipt
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.
DIRECT OF PUBLIC WORKS
By Date
_13440ng-permit expires Date......., 9,/ Com........
COUNTY OF BUTTE- DEPARTMENT OF PUBLIC W KS -j
7 County Center Drive — Oroville, California 95965.
Telephone: 534-4541
APPLICATION AND PERMIT
of
BUILDING
Owner
SQ. FT. OCC. BUILDING VALUATION
Mailing Address
ele hone No.
Fireplace
Contractor .r
Total Valuation
Mai I ing Address
Permit Fee
Plan Checking Fee &/or Penalty
Telephone No.
Permit Fee
p
Building Address / /�/ •
PLUMBING
No.
@
FEE
PERMIT FILING FEE $2.88
3e(5C)
Each Trap 1.50
'
Repair drainage or vent piping
1.50
Water piping 1.50
,e/�?Q
lD /Q G
Each gas water heater or vent 1.50
A. P. No.�Z:3
Z
P
Gas piping system 1 - 5 outlets
1.50
Qct!i
Each additional outlet .30
FplaSan'
eDept.
Fire Zone
Use Permit
Building sewer 5.00
O
EQA
Pns
PPnee��
BhRiUT
Parcel ap
60' R/W
I Improve ents
Lawn sprinkler system 2.00
0
dg. Par Approval
Plan pproval
Permit Fee
$
NEW ❑ ADDITION ❑ UTILITIESEJ OTHER ❑
ELECTRICAL
No.
@
FEE
PERMIT FILING FEE $3.00
3i0
Main service incl. 1 meter
3
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 bal i0
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
�j Q
Temp. Power Pole • 5.00
License No. Classification
Misc. wiring
)<"%I am exempt from the Contractors License Laws of the State of California.
Permit Fee
$
/r,
$ (/
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.
❑ W 1 have placed on file with the County of Butte a certificate of
orkmen'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.
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
MECHANICAL
No.
@
FEEPERMIT
FILING FEE $3.00
Heating
Cooling
Ventilation
Hood 2.00
Permit Fee $
$
TOTAL PERMIT FEE
ours lul — icNiwcntau ves ui uie wunty of esuue to enter upon ne
above-mentioned property for inspection purposes.
�X ,,� a Date,L `
Signature of Permitee 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 paid.
DIRECTOR OF PUBLIC WORKS
Be
-�
ilding permit expires Date ........................ �...............
t 0,srr
Inter -Depart o� , emorandum
T O.
FROM:
SUBJECT: I yAdap" A., 2�jac/� &�rj/0f /
DATE: ;2 `/
WQf� s2w�' olC Cts a.3dvA ofa
,/ 1A A'\
No�c -to 1rse�,to�a,.
3-3-�5
t
*�Q
this, set of,"plans Mh P9M9MkftMUST be
kept on the job at all times and it is. unlawful to
make any changes or alterations'on same without
written permisson from the Department of: Public_
Works, 'County of Butte.
All utility connections shall be k.
located within 4 ft. outside the rear ...........
third section of the mobile home s
4 Permit win Soe wquiirea for
i
on the left (road) side of the mobile - insfallafton-of the M'Obileherne.
'home.
071
Setback shall be 5 f rom
,-The-Olft- '? ,6 50,,ft. from
rty
tt�elside prope1ind permitting
the centerline of the road,
maximum' 2 ft. eave overhand
Septic jystemi. d locatPon AMOW
sit dowimb, Ao- 6i, as, per
l3LTtt-e---Cy. Health Dept. Re-
quirements.
041
?A, AV
4t
i
BUTTE COUNTY
BUILDING DEPARTMENT
APPPOVFD.
Ln
COUNTY OF BUTTE - Department of Public Works
7 County Center Drive, ,Oroville, California
PHONE: 534-4541
i
Utility
a
�00't ry
fq
K.
The dg. Setback shall be 5 ft, from
t/
side property line and 50 ft. from
e centerline of the road, permitting a
a maximum:of a 2 ft, eave overhang.
LanQth =
MOBILEHOME INSTALLATION INFORMATION
Lot Facilities Mobilehome Data
1. Plot plan dimensioned, location of mobile
andu,t''lity connections?
Yesy No '
2. Electrical. service equipment ampacity1pd
Circuit breaker ampacity S o
Permanent Wiring Connection
Ampacity
Receptacle. Ampacity D
3. Gas: Natural LPG
Gas riser size
4. Drain inlet size
5. Water -riser size
6. Are utility connections located outside
the rear. 1/3 of the mobilehome within
4 feet of the left wall? Yes_ No
If not, show dimensions. above.
7,'Is the mobilehome clear of_septic tank,
leach fields and located outside public
utility.easements? Yes_ No
8. Do you propose to do other work on the
property other than the mobilehome
installation hich will require a permit!
Yes No
If so, specif
20'
Length i idth '
Z
_ min
rn
rt
Vehicle Serial No: a
y
K
M
2.
Feeder assembly ampacity.
r
Conduit size
4. O
Power supply cord (amps) ki
`
3.
K
Mobilehome connector size
cs
Capacity
K
Drain connector: describe on reverse side
5.
fP C
N
6.
Designed loads:
�.
f)
O
•
(only for nobilehomes manufactured after
C.S
H
-
October 7, 1973)
r
r�
Marufacturer.'s installation instructions?
x
0
8.
Will the mobile home be installed on a
separate support structure?
Yes No li
9
.1
1.
Length i idth '
Z
Manufacturer G,..J
Vehicle Serial No: a
y
Insignia Control No.
2.
Feeder assembly ampacity.
Conduit size
Power supply cord (amps) ki
3.
Gas inlet size
Mobilehome connector size
Capacity
4.
Drain connector: describe on reverse side
5.
-Water- connectort describe on reverse side
6.
Designed loads:
Roof live load ---- — psf.
Wind load --, psf .
(only for nobilehomes manufactured after
October 7, 1973)
7.
Marufacturer.'s installation instructions?
Yes No
8.
Will the mobile home be installed on a
separate support structure?
Yes No li
*For plans and specifications of support system, see other side.
ADDITIONAL COHM.7";TS
Drain Connector, Describes r
n 1,,Y7 _< , - - f) / . -g 1
Water Connector, Describe
LOAD BEARING SUPPORT AND VOOTING INFOR IATION
Pier Spacing Used 0
Maximum Pier Load
Maximum Column Load (multi -units only)
Soil Bearing Capacity. ,
Footing Dimension Used i�
TYPE OF PIER. USL/D�
Steel Concrete Concrete Block
Other
TYPE OF FOOTING MATERIAL USED
Pressure Treated Wood
Concrete
Redwood (Grade)
Other Approved Type
T.OAT) RFART\C3
SUPPORTS
�0
BUTTE COUNW
BUILDING DEPARTMENT
APPROVED
e
DECLARATION RMMRIG LOTS O:? PARCELS
I certify that as owner of the property acquired by deed in
Volume , Page,Official Records of Butte County, (AP.
•� C _ ,,°.:%.r. ), I am requesting permission to build or install -
an additional living unit on this property. I will no- divide the alorL-
mentioned property for sale, lease, rent, or financing unless all
-appli cable' -land -division -la-,•rs:-arid-•map -requirements-are-com'Dlied -with..
I am conversant with the present zoning regulations affecting the
nfnrPmantinned nronerty- and ceclare that I shall not violate same. I
represent that the proposed use of the additional living unit is NV
and -that further I -shall not --change -this proposed- use -of -the--additional
:+ livin- unit unless and until I receive written approval therefor from
I .
the. -County, : of.:,Butt ei
'; •. I fully understand that pursuant to Chapter 20 of the Butte County
Code and §11535 et seq of the Business and Professions Code that if I,
'! in the future, sell, 'lease, or finance the area on or adi acent to said
:...improvement without fully complying with the applicable laws and
ordinances, that I shall be guilty of a misdemeanor and therefore, suUj eco
to the aforesaid penalties and imprisonment pursuant to law, Further,
-this statement • shall -be--properly -acknowledged and -recorded at the request
of -..the -county --of. -Butte
tits
EB
FEE �1. 2
21062'0,
Address :
f y�:
�, ie+see.lnesuessinnunnnnnntnriusennnupa.,, . %f
'PATSY L: CARTER-
NOTARY. PUBLIC -- CALIFORNIA.
PRINCIPAL OFFICE. IN
COUNTY F'eYirua-r 10, 1975
: .
My Commission Expires June 19, 1977 ate
�wemaneaumnunnnunuussnuiuuueuoun� .
SI AT o ' tA' ' IF' -0 UNTiA�
R1ttp
O:n this 10th day oz February 197--5-, before. me,
Patsy L. Carter.
14ary ug! is in and for o.L
a o - R
Butte
_,
S -a -_ of California, residing tllnerein,
duly
co,z:,�issid an sl, rn �
,
personally appeared
P� Y z ,vin Martin
and Della Martin
known to me to be the persons
re ::,t:0scrzoe to tie
, ichir. AnsLrwneat an i actcnowledgea to :ae
tna �
;, executed tli` same.
_i
TY---.,^,-c. 111T ,-'?7�
:y �.iie1L.,7J hs.f..-,...L.O�
IN
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I �1o�i('_ hc..L�_lll�0 ,�'` lII� fI�iS1C e7lld �'li... 1. _`d
scat in C_l1t' co�ICILY
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