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HomeMy WebLinkAbout025-160-04425-16-4 %34RRELL & NANCY KISTER SE Power House'Hill Rd, app 5/10 mi E of H 70, Oroville ,Permit#34O2 8OP,E(util, MH-) ELEC _ e6b GAS 42 - SUPPORT STRUCTURE REQ_ COMPACTION TEST REQ 25--= Cbntr z Hutch imson & Hv svl Permit#$ `5-80MH Is { F. v J �r� � cfli c, PERMIT N0. 3402-80P,E s PERMIT EXPIRES `7 OWNER DARRELL & NANCY KISTER CONTR. owner LOCATION (A.P. 25=16-44 $E cor.Power House Hill Rd, app 5/10 mi E of Hwy 70, Oroville 1 Lt T 11j / 1 Temp. Power Pole 01c, led PG&E Elec. Servled PG&E Temp. Gas Serv. ,i Called PG&E JOB e. ' FINALED B " (Date) (Signal e) PERMIT N0. 3402-80P,E s PERMIT EXPIRES `7 OWNER DARRELL & NANCY KISTER CONTR. owner LOCATION (A.P. 25=16-44 $E cor.Power House Hill Rd, app 5/10 mi E of Hwy 70, Oroville 1 Lt T 11j / 1 Temp. Power Pole 01c, led PG&E Elec. Servled PG&E Temp. Gas Serv. ,i Called PG&E JOB e. ' FINALED B " (Date) (Signal e) PAV )• r. Mesh MECHANICAL Grd. Fault Prot. Scratc HeatAa Service Browd Co Ing Temp. Pole Fin h QIcts Underground .Inter or Lath entilation Permanent Doifr Closer Final Final ' MOBILEHOME UTILITI S - - - - - - - - - - - - - - - Elec. ServiceElec. Pedestal Water Piping 0 Sewer r_0 Gas Piping .WQ13l6EIjOMEANVA1ATI - - - - - - - - - - - - - Support Elec. Continuity Water Piping Drainage Gas Piping DATE REM4RKS OR CORRECTIONS (NOTE: An entry must be made on this form each time you visit the job site.) /'' COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS BUILDING INSPECTIOIW RECORD ' BUILDING BUILDING (Cont'd) PLUMBING . Setbac Fir all Soil Piping Forms Para is 1st Floor Main B g. Restro Finish 2nd Floor Footi s Windows 3rd Floor Stemwa Siding To out a Slab Roof Sheatkng Water Piping Piers Roofing Sewer Garage Fdn. Vents N Fixtures Footing s Stemwa l l Garage Vents Insulation Water Htr. Heaters Slab Carport p Footings Prov. for ph sicall handicaped Conformance of ex. V structure y Appliances Gas Piping & Test Temp. Gas Slab A Final Sanitation Patio IREP ACE Final Footings Footinq ELECTRICAL Masonry Walls Throat Rou h Reinf. Steel Final Fixtures Mesh MECHANICAL Grd. Fault Prot. Scratc HeatAa Service Browd Co Ing Temp. Pole Fin h QIcts Underground .Inter or Lath entilation Permanent Doifr Closer Final Final ' MOBILEHOME UTILITI S - - - - - - - - - - - - - - - Elec. ServiceElec. Pedestal Water Piping 0 Sewer r_0 Gas Piping .WQ13l6EIjOMEANVA1ATI - - - - - - - - - - - - - Support Elec. Continuity Water Piping Drainage Gas Piping DATE REM4RKS OR CORRECTIONS (NOTE: An entry must be made on this form each time you visit the job site.) /'' 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: 11_�..: 70 OwnerJG+?i�Y Owner's Address /Y 7-v-` Z Yj Mobilehome Mfg. %<���'• Model2111 -r Year 7 Insignia No. 4� Serial No. 2 `1 f '� ' It is hereby certified for occupancy at the above described location and may be occupied. Director of Public Works Date G� j) Bye,, THIS CERTIFICATE IS VOID WHEN MOBILEHOME IS RELOCATED White - Owner, Yellow - Installer, Pink - D.P.W. 9. .Electrical A. Is service large enough to provi e adequate amperage. to mobile1iome�(must equal rating -19 mobilehome with 'a minimum of ani )' andyother facilities on lot,t i.e., water pumps, garage, cabana, etc.? -Yes P" No B. Is there proper clearances around panels? .Yes_ No_ j C. Is power supply cord or feeder assembly properly fused? Yes— No D. Is continuity test satisfactory as per the following 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 i 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 5-6 Width Vehicle Serial No. State Identification No. Additional Information or Comments: t 'MOB ILEHOME.JNSTALLAXON INSPECTION CHECK LIST ' 1.•. Is the mobilehome locate& wit required separation-from.lot lines and buildings and generally conform to plot plan? Yes. No— -, / �T 2. •Does,the mobilehome;hav4e,required clearances above ground? (Sec. 5085) Yes v 1Vo ♦ 3. Are footing's and supports'properly sized;,spaced, and braced as per pproved plans? (Note possible'variation at'"spr"ing`-shackles.) (Sec. 5b82 & 5083) Yes_ No 1? 5088 Yes 4. Is the mobilehome leve ( Sec ), — 5. -If more an a single,unit, are crossover connections properly installed? -(Sec. 5088) . Yes No 6. Water A. Is flex' e -connector of adequate size and properly installed (1/2" ID min.)?`(Sec. 5566)' Yes No ^ B. Test -,Does water piping withstand working pressure or 50 lbs. air test? Yes ✓iso 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 - A. Is connection. made with Schedule,.40,,DWV,and have flex connectors at each end?,.Yes-L 40 B. Does it have minimum " per foot slope and is it properly supported? Yes—r 0 C. Are any leaks detected in drainage system after running 3-Llons of water through each fixture including washing machine standpipe? Yes No—� If coach is not,State of California approved, does station have required trap and vent? Yes No , r 8. Gas Piping and Gas Vents ; A. Connector - Is mobilehome connected to the gas supply with an,approv,ed 3/4".minimum m 1"h� nnector not more than 6 ft. long? Note: All piping is to be'2at.least as ar e mobilehome gas line inlet without reductions other than the mobilehome con or es— No, B.• T st 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"-1.4" 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 x t COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 CoU'nty Ce:gter Drive - Oroville, California 95965 - Telephone 916/534-4541 APPLICATION AND PERMIT PERMIT N '. ASSESSOR PARCNUM ER _ Zr ZON 15 ijij�l��,, BUILDING PERMINtfl OWNER�.-; 4J/ EZ TELEPHONE S0. FT. OCC. BUILDING V LUATION ,/�f o S �JI"-i�/ //J`. ' ,T `- D� �NyR AC TOR'S N,4J ME JE�+T/ELEPHONE CONTRACTOR'S Mr/A(IILLIIN'G ADDRESSf/ CONSTRUCTION ENDER UNKNOWN Fireplace Total Valuation $ LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Penalty $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Permit fee $ BUIL p DEJE,5 6F rC w/ �s�, /�l(_L S� PLUMBING PERMIT Filing Fee 3.00 �" �-TLv APP, �/O �; .� Q� ,; y ��• Each Trap 2.00 Repair drainage or vent piping 2.00 Water piping LOT NO. SUBDIVISION NAMEPARCEL MAP Each qas water heater or vent 2.00 Gas piping system 1 - 5 outlets USE OF STRUCTURE SF ❑ Duplex❑ Mobilehome Other SPECIFY Building sewer Lawn sprinkler system 2.00 TYPE OF WORK New F1Addition [:1Remodel ❑ UtitilitinstallationL�!/ Other ❑ Describe work: R � 61774 -/JE -944— 3 -W Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 3.00 Main service i$o AMP OROR LESS5.00 Main service EA. ADD'L too AMP 2.50 NEW CONST DWELING OR ADONIS. ACCLBLOGS.CCUP.&) 20 sq ft CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): I am licensed under provisions of Chapt. 9, Div. 3 of the Business Professions Code and my license is in full forc and effect. pJ License No. S �` a 5- Classification G� / ❑ I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONSTR. MULTI -OUTLET NON-RESID, BRANCH CIRCUITS) 2.50 ea NEW NON-CONSTR RESID. SINGLE OUTLET CIRPOWER APPARATUS.&) fi . Occu Ex50 @ 25Cand p�OUTLETS OR FIXTURES 13AL01W FIXED APPLNS. OR EX, Occup.(OUTLETS (RESID,) EA,) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 6.25 Permit Fee $ Contractor WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. ❑ I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. MECHANICAL PERMIT FiIingFee 3.00 Heating Cooling Hood 2.00 Ventilation permit Fee $ Contractor 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 Countyot Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against Id C u y In n/e ranting of this permit. %(���� V ' `evF�L•!�� Date 7n j, Signature of Applicant — Owner ❑ Contractor Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories/in/height. Mobile Home Installation Fee $ SOU Land Development Fee $ TOTAL PERMIT FEE $ , 00 OCCUP. GROUP I TYPE OF CONST. PARCEL PD ND I ISSUE This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which PUBLIC By i:�w PERMIT EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS D �� Receipt No. ( /? WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT BUTTE COUNTY DEPARTMENT OF PUBLIC. WORKS 7 County Center -,Drive, Oroville. CA. PHONE: 534-4541 MOBILEHOME INSTALLATION SHEET' 1. Owner's name: Gz4,11 2. Installer's name; / Q S S �^ e Of i iU c wt. �D 64 .3. Is the site currently under permit? Yeh %�7 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 5. What is the mobilehome electrical rating?----------------------- ��%y Amps .6. What is the mobilehome site service rating?--------------------- (� �- - Amps 7.. What is the mobilehome site circuit breaker rating?-------- -8. ------8. Is there any other electric load to be served by the mobilehome site service? ------------------------------------------------- Yes No 77 7 (If yes, identify the load and size: (Load) Amps 9. What is the mobilehome site gas pipe size? -------------------- 10. What is the type of gas service? ------------------------ Natural %-7 - LPG 11. What is the gas pipe.length eter or tank to the mobilehome? .) 12. What is.the mob ome gas demand?--------------------------- -- (BT(J) is information not required if pipe length less than 6 ft. on natural gas . or less than 50 ft. on LPG.) jPD 41,,i `�_ BUTTE CC)U; U) BUILDING DEPARTMbNT MOBILEHOME SUPPORT DATA If other -than single wide, Mobilehome Mfr. f/ (.P,� �?.y� ofurnish Setup Model No. S b --3 /'t- Year D Width a I (ft.) Box Length b (ft.) Tagalong or Expando Size ft. k" 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: ' Foot ina$ (check one) Single 1. Wood' either O` pressure treated or fouhdhtion grade. 2, Other' (specify) (ft.)(in:) Cin.) Cin.) Center support Center support locations* footing sizes Supports (check one) 36 3 1: Concrete block:. 2: Others (specify) <--tagalong or Expando,' 3 (,4TOshow support: details. (in.) (in.) ,'l x -- Typical Support (in. (in.) Footing Size (in.) (in.) Max. Pier Spacing, : (ft.)(in.) AIM C Max. Overhang (in.) (in.) (ft.)(in.) *if center piers are other.than.drawn above, a ac i _ raw_jn. locatigns,.._...p...-n,g,�and dimensions, COUNTY OF BUTTE - DEPARTMtNT OF PUBLIC WORKS .7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541 APPLICATION'AND PERMIT PERMIT NO. -31-1,0.,-2-90 .A 1. n ASSESSORPARCJL NUMBEyi ,1 Z e, `T `t ZON1 BUILDING PERMIT �, ILti /S�.233'N VZ13V SO. FT. OCC. BUILDI G V ATION O �1/RiS`MAILING Or\IESS �I� D(Z�Jouc CONTRACTOR'S NAME TELEPHONE CONTRACTOR'S MAILING ADDRESS CONSTRUCTION LEND R UNKNOWN Fireplace Total Valuation $ LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Penalty $ ARCHITECT OR E GINEER'S MAILING ADDRESS Permit fee $ BUILDI G ADDRESS Co VEe poet% ASE 14-ItL- PLUMBING PERMIT Filing Fee 3.00 tillL� �• pF Each Trap 2.00 Repair drainage or vent piping 2.00 71r�. ®4b(Ilul-C, Water piping .00 LOT NO. SUBDIVISION NAME PARCEL MAP Each qas water heater or vent 2.00 Gas piping system 1 - 5 outlets USEOF ST SF ❑ Duplex❑ Mobilehome Other SPECIFY Building sewer p Lawn sprinkler system 2.00 IT TYPE OF WORK New❑ Addition Remodel❑ Utilities Installation❑ Other❑ Describe work: Permit Fee $ Z3e00 Contractor ELECTRICAL PERMIT Filing Fee 3.00 Main service 101V OR 000 AMP ORLESS5.00 Main service EA. ADD'L 100 AMP S� 2.50NEW CONST. OR ADONS. ( ACCLBLDGS.LING CCUP.&\ - 20 sq ft / CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): F-1 I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. License No. Classification I I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONSTP ULTI.OUTLET NON.R ESID BRANCH CIRC ITS 2,50 ea NEw •CONSTR. POWER APPARATUS & NONRESID. SINGLE OUTLET CIR. ( ExOccup(ourLETs OR FIXTURES . URES 50 _'25C BAL�tOa FIXED APPLNS. OR Ex. Occup.(OUTLETS (RESID.) EA,) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 /S-.00 Misc. Wiring 6.25 Td lop .®O Permit Fee $ 2('�-50 Contractor WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. V1 I shall not employ any person in any manner so as to become subject 14N to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. MECHANICAL PERMIT FiIingFee 3.00 Heating Cooling Hood 2.00 Ventilation permit Fee $ Contractor 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 authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against said County in consequence of th granting of thiZper it. A ` X t )aJ All" �) Date d Signature of Applicant — Ownetf Contractor ❑ Agen An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ Land Development Fee $ '25,00 TOTAL PERMIT FEE $ OCCUP. GROUP I TYPE OF CONST. JP:7LJISSUEHD ✓ This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which DIR OR OF PUBLIC BY P MIT EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS Date 7—F—b�J Receipt NO. �S3/ WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT r , 10 ki It i A setback of 5 ft. from the property lines and a setback of 50ft. from the road centerline shall be clear of structures or equipment except for a 2 ft. eave overhang. J44,01 0 0 wo6L iv( kF Utility connections shall be within 4 ft. of the mobilehome, either A01directly behind or within the re r 11 ge half of the roadside (left) of the Li 44 mobilehome. \Ne 0 -0 -A e" P NOTE:—All Materials & WorliansIlip Shall Be in Accordance with Recognized Good Practices and of a quality prescribed for the Specified use in the Uniform - Building. Plumbing & achanical Codes and +he National Electrical Code. . k 3iQ D Z .SBC, BUTTE COUNTY BUILDING DEPARTMENT This set of plans and specifications MUST be kept on the job of all times and it is unlawful to APPROVED make any changes or alterations on some without written permission from the Department of Public Works, County of Butte.