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HomeMy WebLinkAbout026-010-062Mayne s , 4A Baggett.Palermo Rd.,app.2 ml. N. of Messi ve.," alermo -PWj 9,77 , (util.,MH) , E GSUCTURE REQ. CTEST REQ. 000 ; O-01-62 P mi k61 0- �i4-0 i �"dd � Gfll7 O j � 11 a PERMIT NO. 6099-77P,E PERMIT EXPIRES OWNER Mel Haynes CONTR.- owner LOCAT ON (A.P. 26-01-X 62 S Baggett Palermo Rd.,app.Z mi.N.of Messina Ave., Palermo 4 CT 4 A Y k r 'r{ 0 3 I u. Temp. Power Pole Called PG&E (d Temp. Elec. Serv. ,1 Called PG&E i Temp. Gas Serv. r j Called PG&E JOB FINALED (Date) (Signature) i i f i h MOBILEHOME INSTALLATION INSPECTION CHECK LIST 1. Is the mobilehome locatedwi.h required separation from lot lines and buildings and generally conform to plot plan? Yes' No 2. Does the mobilehome have.required clearances above ground? (Sec.5085) Yes; No 3. Are footings and supports properly sized, spaced, and braced as per approved plans? (Note possible variation at spring shackles.) (X Sec. 5082 & 5083) Yes No 4. Is the mobilehome level? (Sec. 5088) Yes No 5. If :Ze than a single unit, are crossover connections properly installed? (Sec. 5088) Yes-/Y� No 6. 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. - coach is not 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 k" per foot slope and is it properly supported? Yes No C. Are -any leaks detected in drainage system after running 3 -gallons of water through each fixture including washing machine standpipe? Yes_ No_ D, pp ove oes station have•required trap and vent? Yes_ No 8. 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 mobilehome gas line inlet without reductions.other than the mobilehome connector. Yes No B. Test 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"-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 No 9. Electrical A. Is service large enough to provide adequate amperage -to mobilehome (must equal rating of mobilehome with a minimum �f/' 100 amp) and other facilities on lot, i.e., Vater pumps, garage, cabana, etc.? Yes R No B. Is there proper clearances around panels? Yes X No C. Is power suppJyYco,rd;-or=Beeder assembly properly fused? Yes_ o D. Is continuity test satisfactory as per the following procedure? i Ps U)� 1. De -energize electrical wiring system of the mobilehome at the pedest 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 the electrical 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 GY�� Length Width Vehicle Serial No. �2L`77 State Identification No.Xo�-3V/9/ Additional Information or Comments: 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 StemwaII Siding To out Slab Roof Sheathing Water Piping Piers' Roofing Sewer Garage Fdn. Vents Fixtures Footings Stemwa I I Garage Vents Insulation Water Htr. Heaters Slab Carport Po Footings Prov. for physically handica ed Conformance of ex. structure Appliances Gas PipingTest Temp. Gas Slab Final Sanitation Patio FIREPLACE Final Footings Footing ELECTRICAL Masonry Walls Throat Rou h Reinf. Steel Final Fixtures Bond Beam FIRE SPRINKLERS Motors Framing Test Water Htr. Stucco Final Subpanels Mesh MECHANICAL Grd. Fault Prot. Scratch Heatino Service Brown Cooling Temp. Pole Finish Ducts Underground Interior Lath Ventilation Permanent Door Closer Final Final MOBILEHOME UTI ITI S - - - - - - - - - - - - Elec_ Service Elec . Pedestal Water Piping---7—Sewer Gas Piping 02 B E OME,4NSIAL6AIM - - - - - - - - - - - - - - Support y- Elec. Continuity Water Piping Drainage Gas Piping /-7 2 77 DATE `` REMARKS OR -CORRECTIONS p� ,yo ioa (NOTE: An entry must be mad on this form each time you visit the job si e.) COUNTY OF BUTTE `— DEPARTMENT OFPUBLICWORKS �y 7 County Center Drive — Qroville, California -95965 609Y7 Telephone: 534-4541 / APPLICATION AND PERMIT BUILDING Owner SQ. FT. OCC. BUILDING VALUATION Mailing Address 94 41ee t,Telr S FrR C,� hone NoLS � Fireplace Contractor Total Valuation Mailing Address Permit Fee Plan Checking Fee &/or Penalty Telephone No. Permit Fee $ Building AddressS PLUMBING No. @ FEE PERMIT FILING FEE $3.00 ,OD Q Q_y Al O 74 f jvV4f Each Trap 1.50 t Repair drainage or vent piping 1.50 Water piping 1.50 �. Each gas water heater or vent 1.50 Zone V r�fi af'o0 Oplx %� yr 1-Y A. P. N . 1z6 — Q / — ' Loning & Planning Gas piping system 1 - 5 outlets 1.5U Each additional outlet .30 Fees W. . i n Fire Dept. FireZi_m_ Building sewer 5.00 (J. EQA Parking Plans Parcel Declarati Parcel Ma P ImprovementsLawn sprinkler system 2.00 Bldg. Plans Rec'd Parce ApprovalPermit Fee $ $ o NEW ADDITION ❑ ❑ UTILITIES OTHER ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 3,dD Main service 1000V OR 0 AMP ORLESS5.00 Main service EA. ADO'L 100 AMP 2.50 U Single Family ❑ Duplex ❑ Mobil Home Others ❑ Main service 1100EAMP oR LESS 25.00 Main service EA. ADD'L 100 AMP 1.00 500 SQ. FT. MINIMUM NEW CONST. DWELING OCcup- &) 2¢sgft OR ADDNS. ( ACCLBLDGS. NEW CONSTR. MULTI -OUTLET NON.RESID. ( BRANCH CIRCUITS) '2.50ea NEW CONSTR. /POWER APPARATUS & NON.RESID. (SINGLE OUTLET CIR. CONTRACTORS LICENSE LAW 1 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) BAL@1 Ex. Occu FIXED APP LNS. OR P•(OUTLETS (RESID.).EA) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 , D0 License No. Classification Misc. Wiring 6.25 I am exempt from the Contractors License Laws of the State of California. Permit Fee $ , (� $ ,2 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. @ FEE PERMIT FILING FEE $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 -eiz_ ` TOTAL PERMIT FEE ...r...��,,....�„�� vi anc vUU11 Y vi ouuc .0 CIIICI UPUII uIC above-mentioned property for inspection purposes. s XIF= Zc2 Date Signature of Permitee ent Receipt No. / Ad fj�z 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 be 'd. DIRECTOR F PU LIC WORKS BY Date /1 -2-0 — 77 (ding permit expires Date I ZZ NOTE: --All Materials & Workmanshi,pQ Shall Be in Accordance with Recognized GoodPr�+kea� e nd of a quality prescribed for the S Ws Uniform Building, Plumbing & Mec antral "a and tlie''National Electrical Code. ::,is set of plans and specifications MUST- be kepf on the job at all times and in is unlawful to make any changes or alterations on sam wftoui wrif,ton peemission from the DepartnwO of Fvll�- lic Works, County of Butte. The 444 Setback shall be S fR fmas the side property line and 50 f1. fom * centerline of the road, pernt9MRS. rhum of a 2 ft. eave overhang out of all easements. 3x6,13. 1 C, 1 Wfe-tn �yhe-s. .. u r l Septic system Ho" OOIW — +g--d+-�eest-1� be es per Butte County Hearth Deft. Re. quirements. A per'. -"j will be required for °*allation of the mobi6h.. �v 0 All utility connections shall be located within 4 ft. outside the rear third section of the mobile home on the left (road) side of the mobile home. \ t3UTTE COUN-11r. BUILDING DEPARTMEN T APPR1QVED COUNTY OF BUTTE- — "DEPARTMENT OF PUBLIC WORKS 7 County Center Drive — Qroville, California 95965 Telephone: 534-4541 APPLICATION AND PERMIT ol+ caa „ar VeS VI me %,uumy ul tsurne to enter upon ine above-mentioned property for inspection purposes. XDate Signature of Permitee'ort Receipt No. VT ",:2 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. DIREC OAF P IC WORKS 7� D By—Date, permit expires Date S o'KJ BUILDING Owner IIAV SQ. FT. OCC. BUILDING VALUATION Mailing Address 's ti S r e. q Teleph�� No. T0,3Fireplace Contractor Total Valuation Mailing Address Permit Fee Plan Checking Fee&/or Penalty Telephone No. Permit Fee Building Address XCL .1 PLUMBING No. @ FEE PERMIT FILING FEE $3.00 2 f Each Trap 1.50 Repair drainage or vent piping 1.50 p Water piping 1.50 Each gas water heater or vent 1.50 A. P. No.Gas — Z Zoning & Planning piping system 1 - 5 outlets 1.50 Each additional outlet .30 Fe W. Sanisatierr Fire Dept. Fire Zone Use Permit Building sewer 5.00 EQA Parking Plans Parcel Declaration Parcel Ma p 60' R/W Improveme Lawn sprinkler system 2.00 Bldg. Plans Recd Parcel Approval Plans pproval Permit Fee $ $ NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER ❑Y- ELECTRICAL No.1 @ FEE PERMIT FILING FEE $3.00 Y1 Ict ( -CO r Q 10, Main service 600V OR 100 AMP ORLESS5.00 Main service EA. ADD'L 100 AMP 2,50 Single Family ❑ Duplex ❑ Mobil Home 93 Others ❑ Main service 100EAMP oR LESS 25.00 Main service EA. ADD•L 100 AMP 1.00 NEW CONST. / DWELLING OCCUP. & OR ADDNS. \ ACC. BLDGS. ) 20 sq ft NEW CONSTR. MULTI -OUTLET NON-RESID. BRANCH CIRCUITS) 2.50ea NEW CONST. POWER APPARATUS &) NON- R 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) BAL@..21 Ex. OCCU p•(FIXED APPLNS, OR OUTLETS (RESID.) EA) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 License No.Classification Misc. Wiring 6.25 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 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 @ I FEEPERMIT FILING FEE J$3.00 Heating 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 Ik State Laws relating to building construction, and hereby (o TOTAL PERMIT FEE $ 3o ol+ caa „ar VeS VI me %,uumy ul tsurne to enter upon ine above-mentioned property for inspection purposes. XDate Signature of Permitee'ort Receipt No. VT ",:2 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. DIREC OAF P IC WORKS 7� D By—Date, permit expires Date S o'KJ 1. Owner's name: 2. Installer's name: Is the site currently under permit? Yes L No (If yes, furnish permit . number ) Is the site an existing site? Yes / / No (If yes, furnish two (2) plot plans.) 3. BUTTE.COUNTY DEPARTMENT OF PUBLIC WORKS 7 County Center Drive, Oroville, CA. PHONE: 534-4541 MOBILEHOME INSTALLATION SHEET OR 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? --=------- ------------- � APs 6. What is the mobilehome site service rating? --------------------- ate-== Amps 7. What is the mobilehome site circuit breaker rating? ------------- L Amps 8. Is there any other electric load to be served by the mobilehome siteservice? --- ------------------------------------ -.------------- Yes No /r (If -yes, identify the load and size: (Load) (Amps) 9.. What is the mobilehome site gas .P Pe size? ----------------------—(in.)� 10. What is the type of gas service? --=-------------------------- Natural,/ / LPG IL4- 11. What is the gas pipe length from meter or tank to the mobilehome? L -,5— (f t.) 12. What is the mobilehome gas demand? ------------------------------ 2,5e) O � (BTU) (This information not required if pipe length less than 6 ft. on natural gas or less than 50 ft. on I i MOB ILEHOME SUPPORT DATA If other than single. wide, Mobilehome Mfr. furnish Setup Model No. Year Width -,(ft.) Box Length Y_Z(ft.) Tagalong or Expando Size €t: x- -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 otherwiseecified. eV OV � �� Footings (check one) -14 W a Al Single El -T. Wood either N. A pressure treated or foundation grade. (ft.)(in:) (in.) (in.) T 1. '1Ej 2. Other (specify) Center support Center support locations* footing sizes Supports (check one) (in.) [�]}- Concrete block. 2. Other (specify) (ft.)(in.) ---"'='L (in.) (in.) m Tagalong or Expando, show support details. (ft.)(in.) (in.) (in.) (ft.)(in.) (in.) (In. (ft. (in.) (in.) I (inf.) *If center piers are other than drawn above; draw in. -locations, spacing, and dimensions. '-xEL'�j -- Typical .Support T. (in.). Footing Size �� -- Max. Pier Spacing (ft.)(in.) -- Max. Overhang (ft.)(in.) 8UTT•E COUNTY BUILDING DEPARTMENT G AUNTY OF BUTTE. — DEPARTMENT OF PUBLIC WORKS i lI 7 County Center Drive — Orgville, California 95965 //O/` -%'% Telephone: 534-4541 ((� / / APPLICATION AND PERMIT BUILDING Owner J SQ, FT. OCC. BJJILDING VALUATION O q QCk ,0-0 Mailing Address S f7 sk4/ o Cl �,rel-p�?e o./c30 Fireplace Contractor 6d 14 Total Valuation Ili iP Mailing Address Permit Fee Plan Checking Fee&/or Penalty Telephone No. Permit Fee $ Building Address s PLUMBING No.1 @ FEE PERMIT FILING FEE $3.00 Each Trap 1.50 )00 Ic U2 JJ —ss I drainage or vent piping Water piping 1.50 1.50 Each gas water heater or vent Gas piping system 1 - 5 outlets 1.50 1.50 A. P. No. � — �/ -� t7 Zoning & Planning Each additional outlet .30 Fes W. Sanitation Fire Dept. Fire Zone Use Permit Building sewer Lawn sprinkler system Permit Fee ELECTRICAL No. 5.00 2.00. $ @ z EQA PlansParkin Declaration Parcel Map 60' R/W Improvements Parcel Approval Plans Approval Bldg. Plans Rec'd NEW ® ADDITION ❑ UTILITIES ❑ OTHER ❑ PERMIT FILING FEE J$3.001 .6 Main service 1000V OR 0 AMP ORLESS5.00 ,fit Main service EA. ADD'L 100 AMP 600V Main service 00 AMP OR LESS 2.50OVER 25.00 a. co x Single Family ❑ Duplex ❑ Mobil Home Others ❑ Main service EA. ADD•L 100 AMP 1.00 NEW CONST. DWELLING OCCUP. & OR ADDNS. ( ACC. BLDGS. ) 22syft • GV O U NEW CONSTR. MULTI -OUTLET NON.RESID. ( BRANCH CIRCUITS) 110- -2.50ea 1 H a) o f.a 10 NEW CONSTR. POWER APPARATUS & NON-RESI D. (SINGLE OUTLET CIR. � 1 N Is a) 3 ),I r --I CJ ctt a) 1-4 p+ v CONTRACTORS LICENSE LAW I am licensed under the provisions of Chapter 9, Div. 3, of the 04 ^ pq State of California Business & Professions Code under the name Ex. Occup(OUTLETS OR FIXTURES) BA@@T al style of:Ex. Occup. FIXED ALNS. OR P•(OUTLETS IPPRESID.) EA) 2.00 Temporary service Mobile Home Facilities Misc. Wiring 10.00 15.00 6.25 >, 4J M a! C:bo ❑ Cd rA 4J W •g License No. Classification _ N I am exempt from the Contractors License Laws of the State of California. Permit Fee MECHANICAL No. $ @ f v .w � w o a – WORKMEN'S COMPENSATION INSURANCE PERMIT FILING FEE $3.00 I am aware of the provisions of Section3700 of the California Labor Code which requires every employer to be insured a aint st Iab' Heating i for Workmen's Compensation. g y ❑ 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 ermit 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. X Date 7 Signature of Permitee or A nt / Receipt No. White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant Cooling Ventilation Hood 2.00 Permit Fee $ TOTAL PERMIT FEE 1$ /�"I — 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 By Building permit.expires Date Date ��'' • MESSAGE • r TO s?� DATE ----3 -------Y- - j - - -- TIME. - -=-------- • WHILE YOU. WERE OUT • .M R ------------J�`�` 9 -------------------------------------------------- Q. F ------------------------------------------------------------------------------------- PH O N E NO - ----- - - - . _:7 _ - ------------------- Telephoned - - - - C7 Please Call - - - - ❑ Called to See You - - ❑ Will Call Again - - ❑ MESSAGE: & Z----CAI._L-----;�i/4C,,< -- --------------- o ----------- --- COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 695 Oleander Avenue, Chico — Phone 343-4211, Ext. 70 7 County Center Drive, Oroville — Phone 534-4541 Skyway and Elliott Road, Paradise — Phone 877-3435 CORRECTION NOTICE BUILDING OR PROPERT"Y ADDRESS A routine inspection indicates that the following violations of County Ordinance exist at the above address and should be corrected. Please notify this office when correction of work Is completed. If you have any question pertaining to this y matter, or need additional explanation, please contact this office immediately. Inspector Date APPI PERMIT APPLICATION WORK SHEET OWNER Zoning Use Proposed Permit fee based upon: 1. Complete contract price. 2. Partial contract price (explain). 3.- DPW Valuation (show): Permit No. A.P. Approved Not approved At time of permit application, the applicant was advised the following.data or information must be submitted prior to permit processing and/or issuance: By Date Received .1. All items have been submitted. ------------------------------ 2. lot plans in duplicate/triplicate.----------- Complete plans in duplicate/triplicate. --------------------- 4. Complete engineered plans and calcs. ------------------------ 5. Fees of $ ------------------------ 6. Letter of signature authorization. -------------------------- �/�. Sanitation approval. ---------------------------------------- 8. Planning approval for 9. Workmen's Compensation Insurance Certificate. --------------- 10. Contractors license information. ---------------------------- 11. Parcel declaration, recorded copy. -------------------------- 12. Access declaration. ---------------------------------_____--_- 13. Aunt Minnie information. ------------------------------------ 14. Deed of access, recorded copy. ------------------------------ 15. Deed of parcel creation, recorded copy. --------------------- 16. Parcel map, recording data. ---------------=----------------- 17. Pre -inspection request for 18. Improvements - plans required & DPW approval. --------------- a 9•*�r Bldg. Ins During plan checking process, the or information must be submitted issuance: 1. Index permit for items following data prior to permit above and in addition the following: 2. Applicant advised by Telephone Mail Other 3. Plans checked by Date 4. Plans approved by Date When permit is issued, process as follows: 1. Mail to owner. 2. Mail to contractor. Deliver with inspection. 4. Telephone ���3��Z� and hold for pickup. 5. Other Date /// a //-7 -) Before permit issuance, all of the following items must be signed or marked NA: 1. Zoning use 2. Legal parcel 3. Envir. Health Plans Sett A. Sanitation B. Restaurant C. Other 4. Public Works Plans Sent A. Street Imp. B. Drainage C. Permits & Fees D. Other 5. Planning A. Use Permit B. Variance C. Other 6. Other Agencies Plans Sent A. Fire Dept. B. Other