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HomeMy WebLinkAbout022-240-114u 22-24-114 11 . Aaron Jun Rd., app.400' W.of Grace Rd. , idley ''Permit'©44-.79P,E(util. , i ELEC. /%-- l4 --Z9. GAS 1,t _ I I.— SUPPORT STRUCTURE �Q. O'A I''!' COMPACTION TEST REQ. 22-2. I� Permit 7x5.38—. 9 I 1 Iss� /_-q//p�9q. �a 22-24-114 11 . Aaron Jun Rd., app.400' W.of Grace Rd. , idley ''Permit'©44-.79P,E(util. , i ELEC. /%-- l4 --Z9. GAS 1,t _ I I.— SUPPORT STRUCTURE �Q. O'A I''!' COMPACTION TEST REQ. 22-2. I� Permit 7x5.38—. 9 I 1 Iss� /_-q//p�9q. -WAR, Grc7.... iJ, r. �.. 1 1( 11 (J n 1 rJ�/JJ_syl r 1 _ All Materials & Workm�iship Shall Be in NOTE.. AcZotJante with Recognized Go".dfFe&use in the = = S; YY, llnit~orrrr E3uilding, Piu:�'aing & Mecl ical Cods and �W,Of F- � p�fo in $`, a Plationdl Electrical Code.— t` � (fie' Septic system and location &F -b �'� tjk,6 V� �� ° be as derE �. R c Butte County Health Dept. e- �, p quirements. W ° • a The DW. Setback shall 6e S 4. from th side property line and 50 ft. from th centerl*,ne of the road, parmitting a marI Z mutn of a 2 ft. eave overhang Abut entire n� _ out of all easements. -�/v;t `, eln$ � o deb° ., This oo of Ions al�� 3pec;ficat;nns MUST Ise 60 on the iob a} all times and i} is unlawful to .``be�o —C ira�:e any c�tangei or al}erat�oils on same withoe4 writ�eri per'mlision from the i)epcA4mW of public .\,\ o� �. �, • Vd'Isrlti, ..rlh' : � 7i,1�. Q,� odd` "A v %� , [Y W 4-7 �Wl !NG DE? _ _ le . -Z, 12� - ,<./3 . O ALMwj -trot A tf:r, 753e -15P 13 PERMIT NO. o PERMIT EXPIRES Aaron Brown —1 -OWNER CONTR. owner 1 22-24-114 LOCATION (A.P. SIS Justeson Rd., app.400'W.of Grace Rd., Gridley Temp. Power Pool, Called PA&E Temp. Elec./ Se'rv. Call d PG&E Lo -7 Temp. GasServ.- 11 ed PG&E .B FINALED (Date (Signature7 'i COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS BUILDING INSPECTION RECORD Reinf. Steel Final N I Fixtures Bond Beam IRE SPRINKLERS I Motors anal Mesh / \ I J MECHANICAL \ I Grd. FAult Prot. \ Pole FI fish Du is /underground In rior Lath ntilation 11 Permanent or Closer Inal Final MOBILEHOME UTILITIES ------------------ Elec. Service rj�/�%, ci Elec. Pedestal Water Piping 0—Sewer —� Cj Gas Piping I EaMLLUITALLAT12N - - - - Y - - - - - - - - - Support Elec. Continuity R-0 C__ Water Piping %. _m*Q1.. 4-p C.� Drainage Gas Piping 16—) am DATE REMARKS OR CORRECTIONS 8"0 -CZ 449.� V`� © / �Chi. a � �s�- (NOTE: An entry must be made on this form each time you visit the job site.) BUILDING BUILDING (Cont'd) PLUMBING tback firewall Ail Piping F ms P a ets t Floor In Bldg. Re room Finish 2n Floor ,00tin s Wind ws 3rd loor S mwaII Sidin To out f Sia Roof S athin Water PI 'n Pier Roofing Sewer Garage Fdn. Ventk Fixtures Footinch, Stemwa I I Garage Venh Insulation Water Htr. Heaters Slab Carport Footings Prov. for ph s ally handicaped Conformance of structure N Appliances Gas Piping & Test Temp. Gas Slab Final V Sanitation Patio *PLACE Final i Footings Footing f \ LECTR CAL Reinf. Steel Final N I Fixtures Bond Beam IRE SPRINKLERS I Motors anal Mesh / \ I J MECHANICAL \ I Grd. FAult Prot. \ Pole FI fish Du is /underground In rior Lath ntilation 11 Permanent or Closer Inal Final MOBILEHOME UTILITIES ------------------ Elec. Service rj�/�%, ci Elec. Pedestal Water Piping 0—Sewer —� Cj Gas Piping I EaMLLUITALLAT12N - - - - Y - - - - - - - - - Support Elec. Continuity R-0 C__ Water Piping %. _m*Q1.. 4-p C.� Drainage Gas Piping 16—) am DATE REMARKS OR CORRECTIONS 8"0 -CZ 449.� V`� © / �Chi. a � �s�- (NOTE: An entry must be made on this form each time you visit the job site.) 9.{ ElEttrical A. Is service large enough to prov' a adequate amperage -to mobilehome (must equal ruing of mobilehome with a'minimum-of O'amp) and other facilities on lot, i.e., water pumps, garage, cabana, etc.? Yes_ No_ B. Is there proper clearances around panels? Yes (/ No C. Is power supply cord or feeder assembly properly fused? Yes_ N D. Is continuity test satisfactory as per the following procedure? Yes_ o 11! e -energize electrical wiring system of the mobilehome at he pedestal. 24-'�'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. '16. 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 Vehicle Serial No.` (y State Identification No. Additional Information or Comments: U MOBILEHOME INSTALLATION INSPECTION CHECKLIST 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 3. Are footings and supports properly sized, spaced, and braced as per approved plans? (Note possible variation at spring shackles.) (Sec. 5082 & 5083) Yes No 4. Is the mobilehome lev ? (Sec. 5088) Yes`,a Nyo_ 5. If more than a i le* it, are crossover connections properly installed? (Sec. 5088) Yes No 6. Water , A. Is fle le connector of adequate size and properly installed (1/2" ID min.)? (Sec. 5566) Yes I No B. Test - Does water piping withstand working pressure or 50 lbs. air test? Yee_L/-'No C. Backflow - If coach is not Sta a California approved, does station have backflow device and pressure -relief valve? Yes o 7. Wastes and Drains A. Is connection made with Schedule 40 DWV and have flex connectors at each end? Yes No B. Does it have minimum 'k" per foot slope and is it pro supported? Yes ZNo_ C. Are any leaks detected in drainage system er running 3 s of water through each fixture including washing machine standp' e? Yes No D. If coach s o State of California appro d, does st have required trap and vent? Yes N 8. Gas Piping and Gas Vents A. Connector - Is mobilehome connected to the gas supply with an approved 3/4" minkma mobilehome connector not more than 6 ft. long? Note: All piping is to bi.at last as. large as the mobil%� -dome gas line inlet without, reductions other than the Mabildme `e connector. Yes (/ No B. Test OK as per following procedure? Yes 1. Open all appliance connector alves. 2. Shut off appliance burner and pilot valyas? 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 installe No , 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 Administrative Code, Title 25, Chapter _5, under permit number for the following location Owner Owner's Address ' Mobilehome Mfg. Model Year Insignia No. Serial No.. It is hereby certified for occupancy at the above described location and may be occupied. Director of Public Works Date 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, CALIF. - 534-4541 CERTIFICATE OF OCCUPANCY This mobilehome has been installed in accordance with the requirements of the California Administrative Code, Title 25, Chapter 5, under permit number for the following location: 'Owner Owner's, Address } Mobilehome Mfg. Model Year Insignia No. Serial No. It is hereby certified for occupancy at the above described location and may be occupied. Director of Public Works Date By THIS CERTIFICATE IS VOID WHEN MOBILEHOME IS RELOCATED White - Owner, Yellow - Installer, Pink - D.P.W. COUNTY OF BUTTE — DEPARTM14NT OF PUBLIC'WORKS 7 County Center Drive — 'Oroville, California 95965 r Telephone: 534-4541 ` APPLICATION AND PERMIT aumorize representatives or me county o1 tsuite io enier upon me above-mentio ed propert f 'nspection purposes. Dat Slgnature of Permi or Agent Receipt No. White-D.P.W. — Yellbw-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 By //ice[ Date ,l — —L --a— 7 1J 134d/ding/permit expires Date BUILDING Owner A&A/ &—bW ) SQ. FT. OCC. BUILDING VALUATION v Mailing Address �� 'L, RO ^ Sqf —D one N�� Contractor Mailing Address Fireplace Total Valuation Telephone No. Permit Fee Building Address5 Is -To37-AE30)J R0 Planng Fee&/or Penalty Permit ee Permit Fee fi-f p x QO w - Q il, C. PLUMBING No. @ FEE PERMIT FILING FEE $3.00 ,00 Each Trap 1.50 ft CFL,Qas, Repair drainage or vent piping 1.50 A. P. No.2,?r ZW'Zoning 2- Zoning & Planning Water piping 1.50 0,00 Each gas water heater or vent 1.50 F es C. S on Fire Dept. Fire Zone Use Permit Gas piping system 1 - 5 outlets 1.50 EOA Par ' P ns Parcel Declaration Parcel a p 60' R/W Im roveme p Each additional outlet .30 Building sewer 5.00 Q, Bldg. Plans Recd Parce A royal Plans pproval Lawn sprinkler system 2.00 NEW ❑ ADDITION ❑ UTILITIES OTHER ❑ Permit Fee . $ 33.00 ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 3,00 Main service 100 AMP O00V OR LE RSLESS 5.00 .00 Single Family ❑ Duplex ❑ Mobil Home Others ❑ Main service EA. ADD'L 100 AMP 2.50 Main service OVER600v 25.00 100 AMP OR LESS Main service EA. ADD'L 100 AMP 1.00 NEW CONST ING OR ADDNS. ACC DWELL. CUP. B) 20sq 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 le of: style NEW CONSTR (MULTCH CI T NON.R ESID ` BRANCH CIRCUITS 12.50ea NEW CONSTR. POWER APPARATUS k NON -R ESID. SINGLE OUTLET CIR. Ex. OCCUD(OUTLETS OR FIXTURES B L@; Ex. QCCU FIXED APPLNS. OR p•(OUTLETS (RESID.) EA) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 SOO License No. Classification Misc. Wiring 6.25 I am exempt from the Contractors License Laws of the State of California. Permit Fee $ 2& OO $ zsr Cc 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. z❑ I 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 s to become subject to the Workmen's Compensation Laws of California. MECHANICAL No. @ FEE PERMIT FILING FEE $3.00 Heating Cooling Ventilation Hood 2.00 Permit Fee $ $ Is 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 Land Development Fee ;2S 4,(X TOTAL PERMIT FEE $ �f aumorize representatives or me county o1 tsuite io enier upon me above-mentio ed propert f 'nspection purposes. Dat Slgnature of Permi or Agent Receipt No. White-D.P.W. — Yellbw-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 By //ice[ Date ,l — —L --a— 7 1J 134d/ding/permit expires Date COUNTY OF BUTTE .— DEPARTMENT OF PUBLIC WORKS a County Center Drive - Oroville, California 95965 �7 Telephone: 534-4541 ���—/ APPLICATION AND PERMIT UUU l authorize repr ntatives of the County of Butte to enter upon the above -menti d property for ' e tion purposes. f X ��� ' to 1'-4Signature of Per mif' ee or Agent �-q Receipt No. 33040 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 r which fees have been paid. r DIREC/T;6h OF PUBLIC WORKS Date —` pr Building permit expires Date �a BUILDING Owner A'OCV S11;OWA) SQ. FT. OCC. BUILDING10kAfIb Mailing Addressy� R1 2 BOX5G'R D G P-1 I)L —1 CA _l G ` N9 �lphon� e�Z Contractor W OER, Mailing Address Fireplace Total Valuation Telephone No. Permit Fee Building Address SIS qO STt✓So►&) Q,�_ 'Plan Checking Fee &/orPenalty Permit Fee PRo%X Q00' (.MST Of GRCG Q -Q PLUMBING No. @ FEE PERMIT FILING FEE $3.00 Each Trap 1.50 Repair drainage or vent piping 1.50 A. P. o. ��-- �� Z Zoning & Planning Water piping 1.50 Each gas water heater or vent 1.50 Fes FireDept. I FireZone Use Permit Gas piping system 1 - 5 outlets 1.50 EQA Parking Plans Parcel Declaration Parcel Map 60' R/W Improve is Each additional outlet .30 Building sewer 5.00 Bldg. Plans d Parcel A al PI s Approval Lawn sprinkler system 2.00 NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER Permit Fee $ $ ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 Main service 100 AMP OR00V OR SL=SS 5.00 Single Family ❑ Duplex ❑ Mobil Home ot 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 CONS. DWELINGOR ADDNST ( ACCLBLDG OCCUP. 4\ 20 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 style of: ±� NEW RESID,CONSTMULTI-OUTLET CII T NON.R ESI D, � BRANCH CIRCUITS 2.50ea NEW CONSTR (POWER APPARATUS 9 NON-RESID. (SINGLE OUTLET CIR. EX. OCCUD(OUTLETS OR FIXTIIRES 1 50 L� EOFIXED APPLNS. OR Ex. CCUp• 2.00 OUTLETS (RESID.) EAJ 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 $ $ 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 Ipermit is issued I shall not employ any person inX any manner •:so as to become subject to the Workmen's Compensation Laws of California. MECHANICAL N04 @ FEEPERMIT FILING FEE $3.00 Heating Cooling Ventilation Hood 2.00 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 Lawge relating to building construction, and hereby yy�� F e rh4:z $ 40'ep TOTAL PERMIT FEE $ go — authorize repr ntatives of the County of Butte to enter upon the above -menti d property for ' e tion purposes. f X ��� ' to 1'-4Signature of Per mif' ee or Agent �-q Receipt No. 33040 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 r which fees have been paid. r DIREC/T;6h OF PUBLIC WORKS Date —` pr Building permit expires Date �a MOBILEHOME SUPPORT DATA If other than single wide, Mobilehome Mfr. ;furnish :Setup .Model.No. Year ' Width (ft.) Box Length_(ft.) Tagalong or Expando Site ft. 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 Bute). All center supports measured from front of mobilehome unless otherwise specified. - (t •. i� I� / Footings (check one) Single 1 W d ith _ x t.)(in:) (in.) (in.) Center upport Center supp rt locati,ns* footing si es (in.) (ft.)(in. (in.) ( n.) . (ft.)(in.) in.) (in.) in L� (ft.)(in.) 0o a er pressure treated or foundation grade. E],2. Other (specify) Supports (check one) 1. Concrete block. 2: Other (specify) *—Tagalong or Expando,' show support details. -- Typical Support .) Footing'Size Max. Pier Spacing x j - . Max. Overhang (in.) MIL (ft.)( BUTTE COON Ti f�(� C,' 3UILDING DEPARTMENI APPROVED *If center piers are other than drawn above,753 / A'raci in lnnatinna anarrina anri• `iimancinna BUTTE COUNTY DEPARTMENT -OF PUBLIC WORKS 7 County Center Drive, Oroville, CA. PHONE: 534-4541 4aiwn �unC LLSi•ocGil. MOBILEHOME INSTALLATION SHEET phone 916846-4002 783 Justeson Road 1. Owner's name: T o (� Formerly Rt. 2 Box 598 D ri iey, CA x'594$ . 2. Installer's name: Q 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 ) mobilehome site gas pipe size? ---------------------- (in.) ( ) 5. What is the mobilehome electrical rating? ----------------------- Amps the type of gas service? ----------------------------- Natural / LPG 11. What 6. What is the.mobilehome site service rating? --------------------- f�CJ Amps What is the mobilehome gas demand? ------------------------------ (BTU) 7.. What is the mobilehome site circuit breaker rating? ------------- Amps 8. Is there any other electric load to be served by the mobilehome siteservice? , --------------------------------------------------- (If yes, identify the load and size: (Load) Yes No. (Amps) (This information not required if pipe length less than 6 ft. on natural gas or less than 50 ft. on LPG.) 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.)