Loading...
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",