HomeMy WebLinkAbout024-080-06924-08-69
J * ames H. Crye
SIS Keefer Rd., 14 mi.E-of Larkin Rd.,
Gridley 40�c�oup—t &-le,17f
Permit #2341-78P,E(uti
NH)
ELEC.,
Tjj-7 18� Iryp
GAS --5'/ L -j)? j p6- -A/
A
SUPPOkT STRUCTURE REQ. Ato
COMPACTION TEST REQ. 0
24-08-69
rPermit #284�-i8MHY'
Issued
CRYE, J��mes H.
429-45-6B,--'—,
347-66Pe
319-66&
IsIs Kiefer Rd. 14001 a t of Larkin .,Gri
,(new single family)
rp.1 1
2331-78P,E
.jPERMIT NO.
j
PERMIT EXPIRES
�OWNER James H. Crye
CONTR. 6wner
24-08-69
LOCATION (A.P.
- mi.E.of kmmlik! Larkin Rd.,
SIS Keefer Rd., �4
Gridley
Temp. Power Pole
Called PG&E
Temp. Elec. Serv- 6 Ae!!�2�
Called PG&E
Temp. Gas Serv.
Called RG —
&F
01c
JOB
FINALED— f/dI
(Date)'
(Signature)
F.-om: Enviro=ental Health
Regard"L, Sewage and/or Water and/or Addition Clearance(s)
Igo, -Van 0 vl, 4rp
C.-
0 W ILI I ER LO Ad, ION A. F. Uo.
are appro7ed f or: Sewage Dispozall Water S up ly
P
.Hold u*c. Fir -11 fol7l. Water SUPPI'v
Fir -al Clearance OK for:' -Water Supply
Clearance is for'.a bed.-6om.(home or mobi]�Vhome). Other
Th� adc-34Ltion(s) will be
q-1u.t n no
Saa aia Date
MOBILEHOME INSTALLATION INSPECTION CHECK LIST
Is the mobilehome located *th requ ired separation from lot iines and buildings and generally
conform to plot, plan? Ye S�y No
2. Does the mobilehome have.required clearances above ground? (Sec.5085) Ye S -Y No
3. Are footings and supports properly sized, spaced, and braced asyer approved plans? (Note
possible variation at spring shackles.) (Sec. 5082 & 5083) Ye No.
4. Is the mobilehome level? (Sec. 5088) Yes 7�- No -
5. Ye's No -LL -_947a����ver connections properly installed? (Sec. 5088)
6. Water
A. Is ible connector of adequate size and properly installed (1/2" ID min.)? (Sec. .5566)
Ye s No�__
B. Test Does water piping withstand wbrking pressure or 50 lbs. air test? Ye No
r S4
C. BaGkfZew---IT-c-o-a-cfi-i-s-n-o-t-S-t-at-e--o-�California approved, does station have backflow device
and pressure -relief valve? Yes— No -
7. Wastes and Drains
A. Is connection mad6 with Schedule 40 DWV and have flex connectors at each end? Yes No
7
B. Does it have minimum k" per foot slope and is it properly supported? Ye No
S4,
C. Are any'leaks detected in drainage system after running 3 -gallons of water.through each
fixture'inc luding washing.machine standpipe?.Yes No(X_
D. If,E`O-Athi-�������..oes_s tat ion have required trap and vent?
P pp
Yes— No
8. Gas Piping and Gas Vents
A. Connector - Is mobilehome connected to the gas supply with an.approved 3/4" minimum
mobilehome connector1not more than 6 ft. long? Note: All piping is to be at least as
large as the mysbirehome gas line itilet without reductions other than the mobilehome
connector. Ye No
B. Test OK as per following procedure? Yes V No
e-
1. Open all appliance connector valv 7
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 l0min. 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? Ye S-4 No.
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_X No
B'. Is there proper clearance� around panels? Yes4NO
C. Is power supply cord,or feeder assembly properly fused? Ye S' No
74
D. Is continuity test satisfactory as per the following procedure? Yes
,)ago
1. De -energize electrical wiring system of the mobilehome at the p6destal.
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 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
Length
Ap __ Width 42 -
Vehicle Serial No.
State Identification No.
Additional Information or Comments:
COUNTY OF BUTTE
DEPARTMENT OF PUBLIC WORKS 7 COUNTY CENTER DRIVE
OROVILLE, CALIF. - 534-4541
CERTIFICATE OF OCCUPANCY
This mobilebome has been installed in accordance with the requirements
of the California Administrative Code, Title 25, Chapter u er permit
number—,, -."'�"_for the following location:
Own e r
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
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS
BUILDING INSPECTION RECOR D
DATE —REMARKS OR CORRECTIONS
leo,j� tle o
Z
6K- Ll/fz
(NOTE: An entry must be made on this form each time you visit the job site.)
COUNTY OF BUTTE — 'DE-PARTMENT OF PUBLIC WORKS
7 County Center Dri�ve - IDroville, California 95965
Telephone: 534-4541 109 _9�� x2f
APPLICATION AND PERMIT
0U1IIUI11.V IVJJF"_bt:IILC1t1VWb Ul trit! uuutity ui mut: tu unter upun ine
above- entioned property for inspection purposes.
X_ a 4=., Date 06 e__
bAnature of Per/itee or Agent
rn
Receipt No. / -? v �-, C 4
White-D.P.W. - Yellow-�ssessor - �inkdnspector - 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.
DIRECTO5�07UBLIC WORKS _Z
BY— /kn&z Date -S
Building permit expires Date
BUILDING 71
Owner C t2 r --
SQ. FT. OCC. I BUILDING A.L06ATION
Mailing Address 97
G
Telephone No.
Contractor
Mai I ing Address
Fireplace
Total Valuation
Telephone No.
Permit Fee
Building Address iQA A M.,L,5
Plan Checking Fee &/or Penalty
Permit Fee $
PLUMBING No. @ FEE
PERMIT FILING FEE $3.00
Each Trao 1.50
Zon Yotit flon Unly
Repair drainage or vent piping 1.50
A. P. No. -Ing SL-P-Lanning
Water Piping 1.50
Each gas water heater or vent 1.50
FLes-j
4-(.'�J
SaaVfion
FireDept.
i t
Gas piping system 1 - 5 outlets 1.50 00
EQA
IParking
Plans
4rc-oK
I DepclbMtion
Parcel M ay
60' R/W
Improvements
Each additional outlet .30
Building sewer 5.00 /0,00
Bldg. PifflsfRec'd P a r c I4--Ap'p0ra`v a I
Pion
Lawn sprinkler system 2.00
NEW ADDITION UTILITIES f4 OTHER EJ
Permit Fee $ 32,021
i$ -3 16,C
ELECTRICAL No. @ FEE
PERMIT FILING FEE $3.00
Main service 600V OR LESS
=SS 5.00 5r; OC3
100 AMP OR L r
KA
Single Family E] Duplex Mobil Home Others
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
NEW CONST. DWELLING OCCUP.
OR ADDNS. ( ACC.BLDGS. :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
style of:
NEW.CONSTR MULTI -OUTLET ea
NON RESID, (BRANCH CIRCUITS) 12.50
NEW CONSTR. PO ER APPARATUS &I
NON . RES I D. (SINGWLE OUTLET CIR. J
50 @ 250
Ex. Occuv(OUTLETS OR FIXTIIRES
FIXED APPLNS OR
Ex. Occup.(OUTLETS (RESI'D.) EA) 2.001
Temporary service 10.00
Mobile Home Facilities 15.00
License No. Classification
Misc. Wiring 6.25
—
1 am exempt from the Contractors License Laws of the State of California.
Permit Fee $ 95,00
$931
WORKMEN'S COMPENSATION INSURANCE
I am aware of the provisions ot Section3700 of the California Labor
Code which requires every employer to be insured against liability
for Workmen's Compensati ' on.
I have placed on file with the County of Butte a certificate of
Workmen's Compensation Insurance.
I certify that in the performance of the work for which this
LA4 permit is issued I shall not employ any person in. any manner
so as to become subject to the Workmen's Compensation Laws of
California.
MECHANICAL NO -J 0 FEE
1$
PERMIT FILING FEE $3.00
Heating
Cooling
Ven tilation
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 Laws relating to building construction, and hereby
Land Development Fee
$
TOTAL PERMIT FEE
$
0U1IIUI11.V IVJJF"_bt:IILC1t1VWb Ul trit! uuutity ui mut: tu unter upun ine
above- entioned property for inspection purposes.
X_ a 4=., Date 06 e__
bAnature of Per/itee or Agent
rn
Receipt No. / -? v �-, C 4
White-D.P.W. - Yellow-�ssessor - �inkdnspector - 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.
DIRECTO5�07UBLIC WORKS _Z
BY— /kn&z Date -S
Building permit expires Date
pr4b PI-Vt
e-
fhis, set of plans and specifications MUST be
Opt on the job at all times and it is unlawful to
7r
a any changes or allerations on same without
� wri ten permisson from the Department of Public
,.J ks, County *of Butte.
I V 10
L
UP 3
F Selfl3acli shall 615 If from the
)perty line and 50 ft, from. the
L
ci nyvK jneOT T e road, per 1TT11 g a maxi-
m j,m o f a 2 ft. eave overhang 6 it entirely
i aq it of all easements,...
permit will be required 6? he
installation of the mob;leh M
sift
All '.util ty connections
loicat' sha I
ed Wthii 14 ft. outside the' ret.
-*third sec tion of . the m6bile''hom0%
on the le "t (rc ad) side of the miobile-
I hom6 ..
,�-j
NOTE-- —All Mate . rials & Workmanship Shall Be
AccorJ ince with Recognized - Good Practices a.
of a qi ality prescribed for the . Specified use in i
Uniforry Building, Plumbing & Machanicall Codes a
the Nalional Electrica.1 Code.
BuTTF= co6NTY
BUILDING DEPA�TM
ENY
APPROVED...
Septic Sys tem a-IdAftimis
'to- be as per
Butte -Cou t Ith.. Derit. Ro,-.
P. y
quirements.
A (7
rn
Ac
PV6 P,4-Vt!3 3-00
a
COUNTY OF BQTTE DEPARTMENT OF PUBLIC WORKS
I.C-�Onlventer Dri,ve- — broville, California 95965 7f
Telephone: 534-4541
APPLICATION AND PERMIT
Owner
Mai I ing Address VT1
Telephone Wo.
CXle I - '4 C -J
Contractor
Mailing Address
Building Address
elephone No.
A. P. No. 1V I/ — 6 91 — C 5; 1 Zoning & Planning
Ke<s I *e-. I _S&_"4aU= I Fire Dept. I Fi re Zone Use Permit
EQA I Parking I Parcel
Plans Declaration I Parcel Map_J 60' R/W Improvements
Bldg. P14-s-r.ed P 1:3�n s p p �ro
NEW [:] ADDITION UTILITIES OTHER
A,of JJ -F- /0 AF7 A07 -A4V_ e? — -7 C?
Single Family EJ Duplex Mobil Home 0 OthersEl
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:
License No. Classification
IM I am exempt from the Contractors License Laws of the State of Cal ifornia.
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.
rlt* I certify that in the performance of the work for which this
11�2kpermit 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
authorize representatives of the County of Butte to enter upon the
above-mentioned property for inspection purposes.
7
X Date :1 1-241
�/Signoture of Permitee or Agerlt e / -
Receipt No.
White-D.P.W. - Yellow-Asses3or - Pink -Inspector - Goldenrod-Appli cant
BUILDING "
SQ. FT7 OCC. I BUILDING VALUATION
Fireplace I I
Total Valuation
Permit Fee
Plan Checking Fee &/or Penalty
Permit Fee
PLUMBING
PERMIT FILING FEE
Each TraD
Repair drainage or vent piping
Water piping
Each gas water heater or vent
Gas piping system 1-- 5 outlets
Each additional outlet
Building sewer
Lawn sprinkler system
Permit Fee
ELECTRICAL
PERMIT FILING FEE
Main service 600V OR LE SS
100 AMP OR LESS
Main service EA. ADD -L 100 AMP
Main service OVER 600V
100 AMP OR LESS
Main service EA. ADD -L 100 AMP
NEW CONST. I DWELLING OE -CUP. Si
$3.00
1.50
1.50
1.50
1.50
1.50
.30
5.00
2.00
$3.00
5.00
2.50
25.00
1.00
50ea
PEE
FEE
Ex. OCCUI)[OUTLETS OR FIXTtIRESI
I "
BAL@1
FIXEDAPPLNS OR %
Ex. Occup. (OUTLETS (RES(D.) EA)
2.00
Temporary service
10.00
Mobile Home Facilities
15.00
Misc. Wiring
6.25
Permit Fee $
MECHANICAL Nol 0
PERMIT FILING FEE MI $3.00
Heatinq
Cooling
Ventilation I I
Hood 1 2.001
Permit Fee $ $
L.Md 9e.dupunwit re*6 $
TOTAL PERMIT FEE $
This permit is hereby issued under the applicable provisions of
the Butte County Code and/or resolutions to do work indicated
above for 'hich ees have been paid.
D ECTORk_Z!kB RKS
13%,
2ef
Building permit expires Date
MOBILEHOME SUPPORT DATA
If other than single wide,
Mobilehome Mf r. �Sr' V -'_J Pd) yl + til furnish Setup Model No. Year- 7
Width /.2- (ft.) Box Length S' 2- (ft.) Tagal6ng or.txpando Siz ft. ft.
(SHOW SUPPORT DETAILS BELOW)
On all mobilehomes manufactured after October 7, 1973,, furni'sh manufacture�r's installation
manual and structural setup sheets (if not on file with the County of Butte).
r
All centerwsupports measured from front of
mobilehome unless otherwise specified.
x
(ft.)(in.) (in.) (in.)
Center support Center support
locations* footing sizes
. (in.)
I- x
(ft.)(in.) (in.) (in.)
(ft�)(in.) (in.) (in.)
(in.) (in.)
(ft.)l (in-) (in.Win.)
Single
Footings (check one)
1. Wood either
pressure treated or
foundation grade.
2. Other (specify)
Supports (check one)
71, Concrete block.
2� Other (specify)
o(---m—Tagalong or Expando,
show support details.
/2 x-36 Typical Support
in. ) ( in. Footing Size.
-- Max. Pier Spacing
(ft.) (in.)
-- Max. Overhang
(f t.) (in.)
BUTTE COUNTY
OUILDING DEPARTM6NI
APPROVED
*If center piers are other than drawn above,
'draw in -locations, spacing, and dimensions.
BUTTE COUNTY DEPARTMENT OF PUBLIC WORKS
7 County Center Drive, Oroville, CA.
PHONE: 534-4541
MOBILEHOME INSTALLATION SHEET
1. owner's name: 4 VIA es X-C
2. Installer's name: J4)m e S cy_�r
—V 3. Is the site currently under permit? Yes 7 No
(If yes, furnish permit number -13 7 OR
Is the site an existing site? Yes No LV
(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
5. What is the mobilehome electrical rating? ----------------------- Amps
r, T -m— is the mobilehome site service rating? --------------------- Amps
7. What is the mobilehome site circuit breaker rating? -------------
8. Is there any other electric load to be served by the mobilehome
site service? ---------------------------------------------------
(If yes, identify the load and size: (Load)
16 0 Amps
Yes / / No Ar—
(Amps)
9.
What
is the
mobilehome site gas pipf! size? ----------------------
Ze kin.)
10.
What
is the
type of gas service? --------------------------
-- atural LPG
11.
What
is the
gas pipe length from meter or tank to
the mobilehome? Q —(ft.)
12.
What
is the
mobilehome gas demand? ------------------------------
�Ff 6�-.A _ 6 (BTU)
(This information not required if pipe length less than 6 ft. on natural gas
or less than 50 ft. on LPG.)
DECLARATION REGARDING LOTS OR PARCELS
I cert ify- that as owner of the property acquired by deed in Volume
Page Official Records of Butte County, (AP# _�2 0�?
I am requesting permission to build or install an additional living unit on this
property. I will not divide tifie aforementioned property for sale, iease, rent, or
financing unless All applicibie"' land division laws and map requirements are com-
plied with.
I am conversant with the present zoning regulations affecting the aforementioned
-property, and declare that I shall not violate same. I.Tepresent that the proposed
use of tfie,additional living unit is A
V
and that further I shall not change this proposed use of the additional living unit
unless and until I receive written approval therefor from the County of Butte.
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 adjacent to'said improvement without fully complying with
the applicable laws and ordinances, that I shall be guilty of a misdemeanor and
therefore, subject to the aforesaid penalties and imprisonment pursuant to law.
Further, this stif-e-ment shall be properly acknowledged and recorded at the request
of the County of Butte.
OFFICIAL RECORDS
BUTTE cmj!qTy_*
E r: I R n -
L
L
C
LOUISE N-L�4,,,. '
COUNTY RE
FEE
wner
Address
36095'.
Date
STATE OF CALIFORNIA ss
COUNTY OF Butte
On this 3_7th ay of 6pril 197-_a, before me, Mnrin-rie I 'Rakgr- I
-a--Notary---Public - in - and--for-the-County -of.,
State of California, residing therein, duly commis-
sioned and sworn, personally appeared Jamp-A H. cl-up known
to me to be the person whose name - i.,, subscribed to the within instrumentand
acknowledged to me thaTt he- exec�_ted the same.
IN WITNESS WHEREOF I have hereunto set.my hand and affixed my official seal in the
County of Butte the day and year in this certificate first above CM
written. C=
OFFICIAL Sz.-NL
MARJORIE J. BAKER
NOTARY PUBLIC - CALIFORNIA
BUTTG COUNTY
My COM*Ssion Gxpires JUN19i 15,1981
S96-1275
Notary Pu�
Mar,T'i'.'r'1e J. 40;�er F7
CA
L*Jlf) OF DOCUM",