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HomeMy WebLinkAbout025-240-044i i 25-24-44 Shirley Dow -� to -7i W/S Access Rl ,800'N.of Palermo Rd;, : 1000'E.of Powerhouse Hill Rd., Palaermo Permit #6474-76P,E(util MH-exis.site) E Imo. -- ---------. GAS _�"� SUPPORT STRUCTURE REQ. 40 COMPACTION TEST REQ. y,p 25-24-44�'�,, 4-76P as i Permit #683 (g p p ing 6474-76 25-24-44 > ontr: McCart's Mobile �Home Serv. ,Rose-' ville Permit. #9-77M1v ���� Issued / n � �f Ln {k, COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 7 COUNTY CENTER DRIVE .5 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 51 under permit number: A— 7 7 for the following location: Owner /Z, Owner's Address Mobilehome Mfg. Model Year Insignia No. 64Z /'I SSS- Serial No. It is hereby certified for occupancy at the above described location and may be occupied. Directory of Public Works Date—/ By THIS CERTIFICATE IS VOID WHEN MOBILEHOME IS RELOCATED COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS BUILDING INSPECTION RECORD BUILDING BUILDING (Cont'd) PLUMBING Setback Firewall Soil Piping Forms Parapets 1st Floor Main Bldg.. Restroom Finish 2nd Floor Footings Windows 3rd Floor Stemwall Sidina To out Slab Roof Sheathing Water Piping Piers Roofing Sewer - /..-- z Garage Fdn. Vents Fixtures Footings StemwaI I Garage Vents Insulation Water Htr. Heaters Slab Carport p Footings Slab Prov. for physically handica ed Conformance of ex. structure Final Appliances Gas Piping &Test Temp. Gas Sanitation .. " Patio FIREPLACE Final % Footings Footing ELECTRICAL Masonry Walls Throat Rough Reinf. Steel Final Fixtures Bond Beam FIRE SPRINKLERS Motors Framing Test Water Htr. Stucco Final Subpanels Mesh MECHANICAL Grd. Fault Prot. Scratch Heating Service Brown Cooling Temp. Ao1e- j Finish Ducts Underground Interior Lath Ventilation Permanent Door Closer Final Final DATE REMARKS OR CORRECTIONS i 10 eW41 t r• r P I (NOTE: An entry must be made on this form each time you visit the job site.) t PERMIT NO..,. R 6474-76P,E PERMIT EXPIRESWF OWNER Shirley Dow CONTR. owner SLOCATION (A.P. .25-24-44 W/S of Access Rd.,800'N.of Palermo Rd., 1000'E. e Power House Hill Hd.&M Palermo t , I: Temp. Power Pole Called PG&E ! Temp. Elea Serv. Called PG&E T mp. Gas Serv. Called ,los • ► FINALED f (Date (Signature) i f ! 9. Electrical A. Is service large er..ollgl. to provide ::idcqu:rt_e amperage to mobilehome (must equal rating of Mobi.leliome with J-E!iiniwlJlll of 100 amp) and other faciliti.E!s on lot, i.e., water pumps, .ara ,e, cabana, ctc.:. Ye sX No� 1;. is thea'. proper clearances around panels? Yes No C. Is power supply cord or feeder assembly properly fused': YesX, Nc,_ D. Is continuity, test satisfactory as per the following procedure? Yes No 1. De -energize electrical wiring, system of the mobilehome at the pefestal. 2. Make sure that the power supply cord or feeder assembly conductors, including neutral co'iid,,ctor, have+ been disconnected, 3. Switch all breakers and switches in`the mobilehome to the "on" position. 4. Connect one ls,.ad of a test instrument to the mobilehome grounding conductor and the outer le ail to eacin riiob'11—len uLe siip�,ly CGfi.iuCtGr , llli liiiilklg YLC�1lYal. apply 5. All nor. -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 te::;t shall then be made between the grounding electrode and the chassis of the i'l.obilehome.. Upon sat'i_Isfactory completion of the electrical tests, the lot or site service equi:pinent- may be approved for energizing. ;ob card signed by Health Departmeat for water. and sanitation? :.1.. If everything okay, sign off card and t.a; services. 'MOBTLEMt4E DATA Manufacturer and/or Namest:yle Length Width A Vehicle Serial No. –6Ak—Q/7-5- State Identif. icat i..on No. Adel,t t Tonal Inf orma t: i on or C orrnrent s : J 11, iii. D4S'.1'ALLA;F10H INSPECTION 'CRECK LIST 1. Is the. mobilehome located wi.i.h required separation from lot lines and buildings and generally conform to plot plan? Yec� No� 2. Doe;; thE! mobilehome have required clearances above ground? (Sec.5085) Yes/1/ No 3. Are foot n,;s 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 level.? (Sec. 5088) Yes4 No 5. Ifras vs� e onnections properly installed? (Sec. 5088) Yes No 5. Water A. Is flexible 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 No C. Bac�f---�f—c��C1"i is not State of California approved, does station have backflow device and pressure -relief valve? Yes No 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 1;" per foot slope and is it properly supported? Yes No C. Are anv leaks detected in drainage system after running, -gallons of water through each fixture including washing machine standpipe? Yes_ No & D. If roach ; a49t �-� artfornix a rove 7� pp s station have required trap and vent. Yes No 8. Gas Piping and Gas Vents A. Connector - Is mobilehome connected to the gas supply with an approved 3/4" minimum mobilehome connector not more than 6 ft. long? Note: All piping is to be at least as large as the mol:Q,ehome gas line inlet without reductions other than the mobilehome connector. Yes No B. Test OK as per following procedure? YesNo 1. Open all appliance connector valves. 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 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 N oK % COUNTY OF BUTTE — DER`!JRTMENT OF PUBLIC WORKS 7 County Center Drive — Oroville, California 95965 Telephone: 534-4541 APPLICATION AND PERMIT4. t`Y � Fig 9vTt� /�T%ycfic /� ` Date ✓� a /,� 5' ature of Peermite/eee or Agent Receipt No. White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRE OF PUBLIC WORKS ByDate z-- 5 Building permit expires Date BUILDING Owner C3'L� SQ. FT. OCC. BUILDING VALUATION Mailing Address S.1" S S " T�ep�lon N� s`+C� Fireplace Contractor Total Valuation Mailing Address Permit Fee Plan Checking Fee&/or Penalty Telephone No. ` Permit Fee `p" Building Address 0 PLUMBING No. @ FEE PERMIT FILING FEE $3.00 3, d ��, Each Trap 1.50 v Repair drainage or vent piping 1.50 yr4nl S- U /� Water piping 1.50 Each gas water heater or vent 1.50 2Lb A. P. No.7-VI 1 Zoning & Planning Gas piping system 1 - 5 outlets 1.50 Each additional outlet .30 s W. C. ti Fire Dept. Fire Zone Use Permit Building sewer -586 %OrOO EQA Parking Parcel Pllans// Declaration Parcel Ma P 60' R/W Imp Provements Lawn sprinkler system 2.00 BI �ladk'f�&OQ� Parcel Ap val Plans royal Permit Fee $ �V $ 0d NEW ❑ ADDITION ❑ UTILITIES® OTHER ❑ ELECTRICAL No. @ FEE PERMIT FILING FEE $3.0 3,00 -aAe Main service 600v ORLESSESS 5•Q0 dd 100 AMP OR L TT Main service EA. ADD'L 100 AMP 2.50 V Single Family ❑ Duplex ❑ Mobil Home ® Others ❑ OVR Main service 10 EAMP oR LESS 25.00 Main service EA. ADD'L 100 AMP 1.00 NEW CON S T. DWELING OR ADDNS. ( ACCLBLDGSCCUP. &) 2�sgft NEW CONSTR. (MULTI -OUTLET NON.RESID. l BRANCH CIRCUITS) 2.50ea NEW CONSTPOWER APPARATUS & NON.RESI R. D. (SINGLE OUTLET CIR. 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: Ex. Occup(OUTLETS OR FIXTURES)@ -C 101 Ex. Occup. (OUTLETS ((RESID )REA) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 License No. Classification Misc. Wiring 6.25 EAI am exempt from the Contractors License Laws of the State of California. Permit Fee $C1$ �Z5_ sC 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 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.1 @ FEE PERMIT FILING FEE J$3.00 Heating Cooling Ventilation Hood 2.00 Permit Fee $ $ 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 I authorize representatives of the County of Butte to enter upon the above-mentionefl nrnnprty fnr incnontinn n—none Q Q 10, L 0G TOTAL PERMIk FEE $ C This permit is hereby issued under the applicable provisions of � Fig 9vTt� /�T%ycfic /� ` Date ✓� a /,� 5' ature of Peermite/eee or Agent Receipt No. White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRE OF PUBLIC WORKS ByDate z-- 5 Building permit expires Date ti �AeOwner• '1Z Address: Tenant: Building Location: cS Type of Inspection requested: BUTTE COUNTY DEPARTMENT OF PUBLIC WORKS SPECIAL INSPECTION REPORT 1. Housing / / 2. Financing / 4. Other (specify)_ Present use of building: A. P. # Date of Inspeeection al9 7 Inspector 3. Change of Occupancy to 040 �1� A. Sanitation (Housing) 1. Water closet: 2. Lavatory: 3. Bathtub or shower: 4. Kitchen sink: 5. Hot and cold water to fixtures: 6. Heating facilities: 7. Natural light and. ventilation: 8. Room and space requirements: 9. Bedroom window or door for second exit: 10. Infestation of insects, vermin, r rodents: 11. Connection to sewage disposal: • 12. Connection to water supply: 13. Rubbish and garbage facilities: 14. Con ents: B. Structural 1. Piers and footings: 2. Floor construction: 3. Wall construction: 4. Ceiling and roof construction: 5. Fireplaces: 6. Comments: C. Electrical 1. Service and ground: 2. Receptacles: .3. Fusing: 4. Count ents• D. Plumb in 1. Fixtures connected and vented: 2. Gas water heater: 3. Gas heating vents: 4. Comments:�O �� �� (continued on back) E. Other 1. Maintenance and repair: 2. Fire hazards: 3. Safety hazards: 4. Weather protection: 5. Underfloor and attic ventilation: 6. Comments• F. Commercial Buildings 1. Roof covering: 2. Distance to property lines: _ 3. Physically handicapped: 4. Restroom floors and walls: 5. Exits: 6. Improvements: 7. Zoning: 8. Comments: G. Field Problems or Violations 1. Problem or violation (give complete description): 2. What action taken (give comple a description): 3. What action recommended: / / A. Information only - file. B. Hold *for ten (10) days, then write letter. C. Write letter. / / D. Other: fhis set of plans and specifications MUST bt kept on the job at all timxs and it is unlawful to make any changes or alterations on same without written permisson from the Department of Publirrn Works, County of Butte. c{� The INvy. Setback shall be 5 ft, from the side property line and 50 ft, from the centerline of the road, permifiing a maxi- n;u;., of a ? i,. ec;�-e overhang but entirely cut of ull easements. R- All utility connections shall be located within 4 ft. outside the rea third section of the mobile home A` on the left (road) side of the mbbilAtj ome, z - Septic system and Fe44�to be as pe Butte COUn y H --)K, f) -rt 001 11 5)- NOTE:—All Materials & Workmanship Shall Be in Accerda;ice wiih Recovni_ed Good Practices and of a cu':d:;,, " rES'f1 :7 for t;.e Spoz;ified use in the Un'sfc I':u:.i'_.in,- & Mechanical Codes and BUTTE M7NTY BUILDING DEPARTPI OPROVEV -2- �Y. COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS r 7 County Center Drive — UroviIle, California 95965 Tetephone:.534-4541 APPLICATION AND PERMIT BUILDING Owner Q zLo Q SQ. FT. OCC. BUILDING VALUATION Mailing Address Telephone No. Fireplace Contractor C 14-9-2 A41d 5:�L S Total Valuation Mailing Address I It 1 d C� Permit Fee Plan Checking Fee&/or Penalty — �s�j Tee hone No. _ Q Permit Fee $ Building Address CCE'S,$ • O O�� PLUMBING No. @ FEE PERMIT FILING FEE $3.00 e LZ Q .p U�U Each Trap 1.50 _ S Repair drainage or vent piping 1.50 Water piping 1.50 Each gas water heater or vent 1.50 A. P. No.�j —� Zoning & Planning Gas piping system 1 - 5 outlets 1.50 Each additional outlet .30 F eksiW. Fire Dept. Fire Zone Use Permit Building sewer 5.00 EQA Parking Plans Parcel Declaration Parcel Ma P 60' R/W Improvements provements Lawn sprinkler system 2.00 Bldg. Plans Recd Parcel Aroval Plan praval Permit Fee $ $ NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER R 1 ELECTRICAL No.1 @ I FEE PERMIT FILING FEE J$3.00 III ;IksCom/ x Y Main service 10O00 S AMP OR LESS 5.00 Main service EA. ADD'L 100 AMP 2.50 Single Family Duplex Mobil Home Others g Y ❑ P ❑ ❑ Main service OVER 600V 100 AMP OR LESS 25.00 Main service EA. ADD'L 100 AMP 1.00 NEW CONST DWELING OR A.D.S. ( ACCLBLDGS.CCUP. &) 21tsgft NEW CONSTR. MULTI -OUTLET NON-RESID. (BRANCH CIRCUITS) 2.50ea NEW CONSTR. POWER APPARATUS Ik NON.RESID. (SINGLE OUTLET CIR. 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: A'14 ic � Al., /� N�' .P -c Ex. Occup(OUTLETS OR FIXTURES)@L29C BAL�1 Ex. Occu FIXED APPLNS. OR P•(OUTLETS (RESID.) EA) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 License No. x�'-7 tol Classificatio( �( - %/ 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 z)rkmen's Compensation Insurance. certify that in the performance of the work for which thisVentilation mit 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. @ FEE PERMIT FILING FEE $3.00 Heating Cooling 12.00 Hood 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 TOTAL PERMIT FEE $ �Jd u IcNIcaol fl QU VVQ UI UIQ I�UUIILY UI OULLU tU UrItUl UNUn Ine above-mentioned property for inspection purposes. t/ a, , ,I, l'. J Date Signature of Per/ermitee or Agent Receipt No. 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 for which fees have been paid. DIRECTOR OF PUBLIC WORKS g permit expires DateT�,Z MOBILEHOME SUPPORT DATA Mobilehome Mfr. ,5 (r/ c,, i n/ w Setup Model No. Year i C Width (ft.) Length 10 (ft.) ' Expando Size ft.x 6,, ft. - (Draw 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). Center Support Footing Sizes (in.)/ X I in.) (in./ a �. X (In. )(in.) t.�jt�n. in.. L S *If center piers are other than drawn above, draw in locations, spacing, and dimensions. Footings (check one) 1. Wood either R \;� pressure treated or Q fdn. grade. 2. Concrete pad. 3. Other, specify Supports (check one) 1 1. Concrete block - % / 2. Concrete piers 3. Steel piers i 4. Other, specify i ----- -Typical Support Footing Size 3.n.) (lIl.) i i Max. Pier (' Spacing A'- _.. ` Max. Over hang �ft (iri.) .e. BUTTE COUNTY DEPARTMENT OF PUBI C WORKS 7 County Center Drive, Orovil1%.,;., CA. PHONE: 534-4541 MOBILEHOME INSTALLATION SHEET 1. Owner's name: 2. Installer's name: In 7:t /L, „ L, ; ll A/0 e 3. Is the site currently under permit? Yes No ( If yes, furnish permit number OR Is the site an existing site? Yes,./ / No 777 (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? ----------------------- /p 0 Amps 6. What is the mobilehome site service rating? --------------------- Amps 7. What is the mobilehome site circuit breaker rating? ------------- /p O Amps 8. Is there any other electric load to be served by the mobilehome site service? --------------------------------------------------- Yes /y / No (If yes, identify the load and size: t_l ,p �/ (Load) J p (Amps) 9. What is the mobilehome site gas pipe size? ------------=--------- (in.) 10. What is the type of gas service? ----------------------------- Natural / / LPG / K/ 11. What is the gas pipe length from meter or tank to the mobilehome? 12. What is the mobilehome gas demand? ------------------------------ .... (BTU) (This information not required if pipe length less than b ft. on natural gas or less than''S0 ft. on LPG.) �� ��� �..�. m,�.� -ze.�. COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS 7 County Center Drive — 5 le, California 95965 Telephone: 534-434-4541 APPLICATION AND PERMIT f Date e�/'� N44gff of Permiitee or Agent / Receipt No. White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant the butte county uoae anaior resolutions to do work indicated above for which fees have been paid. DIRr R OF ELIC WORKS By Date permit expires Date — BUILDING Owner SQ. FT. OCC. BUILDING VALUATION Mailing Address ( Tel epho=e Fireplace Contractor Total Valuation Mailing Address Permit Fee Plan Checking Fee Telephone No. &/orPenalty Permit Fee Building Address �jY� PLUMBING No.1 @ I FEE PERMIT FILING FEE $3.00'.Be47 Q Each Trap 1.50 Repair drainage or vent piping 1.50 11 �2121-d! 4Ey Water piping 1.50 Each gas water heater or vent 1.50 A. P. No. -- Zoning 8 Planning Gas piping system 1 - 5 outlets 610 Each additional outlet .30 FA -s- smtt4lFireDept. Fire Zone Use Permit Building sewer 5,00 EQA PPlans arkin Declaration Parcel Map 60' R/W Improvements Lawn sprinkler system 2.00 Btd . ans ec'd Parc 4Approval Plans Approval Permit Fee $ NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER ELECTRICAL No.1 @ FEE PERMIT FILING FEE J$3.00 wee 00V OR Main service 600 AMP LOR ESSLESS 5.00 �7 Main service EA. ADD'L 100 AMP 2.50 Single Family ❑ Duplex ❑ Mobil Home JZ Others ❑ Main service 00 AMR OR LESS 25.00 Main service EA. ADD•L 100 AMP 1.00 NEW CONST. ING OR ADONS. ( DWELL -ACC. BLDGS.CCUP. &) 22sgft NEW CONSTR MULTLOUT LEI' NON-RESID, BRANCH CIRCUITS) 2.50ea NEW CONSTR (POWER APPARATUS & NON.RESID. SINGLE OUTLET CIR. 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: Ex. Occup(OUTLETS OR FIXTURES)P2- BAL01 FIXED ALNS. Ex. Occup. ( OUTLETS P(RESID.)REA) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 License No. Classification Misc. Wiring 6.25 kh I am exempt from the Contractors License Laws of the State of California. Permit Fee $ $ WORKMEN'S COMPENSATION INSURANCE I am aware of the provisions of Section 3700 of the California Labor Code which requires every employer to be insured against liability for Workmen's Compensation. '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 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. @ FEE PERMIT FILING FEE $3.00Heating 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 Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the abnve-tnPntannari nrnnarty fnr inenanrinn n..r.,n TOTAL PERMIT FEE $ dG This permit is hereby issued under the applicable provisions of Date e�/'� N44gff of Permiitee or Agent / Receipt No. White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant the butte county uoae anaior resolutions to do work indicated above for which fees have been paid. DIRr R OF ELIC WORKS By Date permit expires Date —