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
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PERMIT N0. 3402-80P,E
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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
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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.