HomeMy WebLinkAbout026-122-010•y61212
+ Fred. Morgan 0!�/.S�q?/�
4 2239 'North Villa. Ave. , Palermo '
Permit W4016-77P;E(relocate"utilities-
v - -on exis.sire/MH)
_.� _
ELE'C . S `wale
GASI o
SUPPORTTRUCTURE REQ,
COMPACTION TEST REQ,
t.
2'6"4121-10
Perm It. ##44'18=77MHI_.
Issued ZZ
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1
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r— �� I. �s
A .
PERMIT NO. 4016 -73P -,E.:
w
PERMIT EXPIRES
bWNER FRED MORGAN
coNTR. owner
LOCATION (A.P. 26-122-10' ) '
2239 North Villa Ave, Palermo
4,1-7
d
rt •
i •
C
Temp Power Pole
/Called PG&E
T41). Elec. Serv. ,
Called PG&E
emp. Gas Serv.
j:
Called PG&E
JOB
i FINALED
(Date)
(Signature)
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
Siding
To out
Slab
Roof Sheathing
Water Piping
Piers
Roofing
Sewer
Garage
Fdn. Vents
Fixtures
Footings
Stemwa l l
Garage Vents
Insulation
Water Htr.
Heaters
Slab
Carport
Footings
Prov. for ph sically
handicaped
Conformance of ex.
structure
Appliances
Gas Piping &Test
Temp. Gas
Slab
Final
Sanitation
Patio
FIREPLACE
Final
Footings
Footing
ELECTRICAL
Reinf. Steel I Final I Fixtures
Framing
Test
Water Htr.
Stucco
Final
Subpanels
Mesh
MECHANICAL
Grd. Fault Prot.
Scratch
Heating
Service
Brown
Cooling
Temp. Pole
Finish
Ducts
Underground
Interior Lath
Ventilation
Permanent
Door Closer
Final
Final
MOBILEHOME UTILITIES -----------
Elec. Service f -i
Elec. Pedestal
Water Piping oZ 3
Sewer3 7
Gas Piping
MAR11 FMAMF INCTAI I ATInPJ . . . . . . . . . ......
.,.....t
moi.... �,..,.:... ...
Water Piping Drainage Gas Piping
DATE REMARKS OR • •
/•
(NOTE: An entry must be made on this form each time you visit the job site.)
9. Electrical
A. Is service large e-nonglt to provide adequar_e amperage to mobilcliome. (must equal rating of
mobilehome. with a. ::;inu-:um o 100 amp) and other facilities on lot, i.e., water pumps,
gara-e, cabana, etc. `l Yes No
B. Is ther--� proper clearances Around panels? Yes No
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 -,•7i.rin s stem, of the mobilehome at the pedestal.
r? Y ,
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 instru^ent to the mobilehome grounding conductor and
al,p1}' the Giii.i?' �.Ca1 %G each Tl1UU1.LC1lUlllt supply CUCiuLiCtU'r, including nGUL'rdi.'
5. All nor. -current, carrying metal parts of the mobilehome (aluminum siding, gas line,
cater 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
mobilehome. Upon satisfactory completion of theelectrical tests, the lot or site
service equi.pment may be approved for energizing.
-Ts job card si-ned by i1ealth Department for water and sanitation?
T.;.. If eve_xything (A<ay, sign off card and t.a services.
MUT3TLi✓;l0t^.L_UATA
Manufacturer and/or Namestyle
Ler.gthWidth.__
Vehicle Serial No.
State Identification No. S• "rZ/,%%e� -
..dditional Infoi-nataon or Comments:
ti0}37i,]?,liU:i.G I14STALLATION INSPECTION CHECK LIST
1. Is the mobilehomE located wi.(_li 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) Ye> No
3. Are foot:in�;s and supports properly sized, spaced, and braced a per appro7v`edd plans? (Note
possible variation at spring shackles.) (Sec. 5082 & 5083) Yes/ No
4. Is the mobilehome level.? (Sec. 5088) Yes No
5. I 1`ngle unit, are crossover connections properly installed? (Sec. 5088)
eS_ No -
5. Water
A. Is f xi_ble connector of adequate size and properly installed (1/2" ID min.)? (Sec. 5566)
Yes 41
No
B. Test - Does water piping withstand working pressure or 50 lbs, air test? Ye /.No
C. Ba �-_- Tf coach is not State of C_ali_fo_rnia approved, does station hav, bac low device
and pressure -relief valve? Yes No
7. Wastes and Drains
A. Is connection made with Schedule.40'•�I,DWV and have flex connectors at each end? YesX No
B. Does it have minimum ;" per foot slope and is it properly supported? Yes__ TO
C:. Are any leaks detected in drainage system after runnin 3 -gallons of water through each
fixture including washing machine standpipe? Yes No
D. F_`ach is not State of r^i'� d-oes 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 mob'lehome gas line inlet without reductions other than the mobilehome
connector. YesNo
B. Test OK as per following procedure? Yes tdo
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
COUNTY OF -BUTTE — DEPARTMENT OF PUBLIC WORKS
7 County Center Drive — Drovi lie, California 95965
Telephone:534-4541
APPLICATION. AND PERMIT
above-mentioned property for inspection purpose;.'_
,,X ate
Signature of Permitee o ent %
Receipt No. ,V Z 1` 0
White-D.P.W. —Yell s pink -Inspector G dp� plicant
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 DUBLIC WORKS
BY t_N — j7t:;rz4YA Date
permit expires Date R-1 ��
BUILDING
Owner or a ct-m
SQ. FT. OCC. BUILDING VALUATION
Mailing Address S
��
Telephone No.
Fireplace
Contractor
Total Valuation
Mailing Address
Permit Fee
Plan Checking Fee&/orPenalty
Telephone No.
Permit Fee
Building Address
PLUMBING No. @ FEE
PERMIT FILING FEE $3.00
Each Trap 1.50
Repair drainage or vent piping 1.50
Water piping 1.50 X00
Each gas water heater or vent 1.50
A. P. N Z �— d
Zoning & Planning
Gas piping system 1 - 5 outlets 1.5U Q
Each additional outlet 30
Fen I
W.C.
i _
Fire Dept.
FireZone
Use Permit
Building sewer 5.00
EQA
Parking
Plans
I Parcel
Declaratio
Parcel
60' R/W
I Improvepents
Lawn sprinkler system 2.00
Bldg. Plans Rec'd ParceluA roval
Plane pproval
Permit Fee $ 33,E
$ a+'(
NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER ®
ELECTRICAL N0.1 @ FEE
PERMIT FILING FEE 1 $3.00 3 d).Z
Main service 600V OR LESS
100 AMP OR LESS 5.00/B•O
Main service EA. ADD•L 100 AMP 2.50
Single Family ❑ Duplex ❑ Mobil Home Others ❑
OVER Main service 1100 AMP oR LESS 25.00
Main service EA. ADD'L 100 AMP 1.00
NEW CONS. DWELINGOR ADDNST ( ACCLBLDGS. OCCUP. &) 2¢sgft
NEW CONSTR. MULTI.OUTLET
NON-RE51D, ( 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)@251
BAL@1
Ex. Occup. (OUTLETS (PRESID )REA) 2.00
Temporary service 10.00
Mobile Home Facilities 15.00 1100
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
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.
xl�l I certify that in the performance of the work for which this
1� 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 @ FEEPERMIT
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
PERMIT TOTAL EE
$ Inn
above-mentioned property for inspection purpose;.'_
,,X ate
Signature of Permitee o ent %
Receipt No. ,V Z 1` 0
White-D.P.W. —Yell s pink -Inspector G dp� plicant
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 DUBLIC WORKS
BY t_N — j7t:;rz4YA Date
permit expires Date R-1 ��
NOTE. ---At Materials & �,y
AccordaFc® with orktranship Shall Be in
Of p qualityRecogni_ed Good Practices and
Unifori» suit rescri6dor the S
the National !:lectrical
Code.peri al use in the Q 4
Plumbing � Mechanical �
This sot of plans aad-spe4ifIcajj aas-M T be
kept on the job at all times and if is u
n wful to
make any ch--ing s or alterations on samwithout
wriffen perr;icsion from the Departmen of Pub.
lic Works, County of Butte.
D 00
a Oft. Setback shall be 5 ft. from the °; 3
ide property line and 50 ft, from the
centerline of the road, permitting a maxi- o = 42`
:nuns of a 2 ft. eave overhang but entirely t � —
ut of all easements.Co
3 c -
tr
co a"
0 0
Sepfie system Qmd !am! f" '� m
u to be as per
Butte County Health Dept. Re.
quiremen+s.
YA
r
Il uti i tonne- ions s a be
sated within 4 ft. outside the rear
-rd section of the mobile home BUTTE COUNTY
I the left (road) side of the mobile
Mme.
13U1EDING DEPARTMENT
APPROVED
i
I
CCUNTYAOF BUTTE — DEPARTMENT OF PUBLIC WORKS
7 County tenter Drive — Uroville, California 95965
Tel ephon-e: 534-4541
APPLICATION AND PERMIT
authorize representatives of the County of Butte to enter upon the
above-mentioned property for inspection purposes.
X Date,��/
Signature of Permite, o gent
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 ��aid.
DIRECTOR (OF IPUBLIC WORKS
li?lin�gpe'rm�itexp�ires
Date Date o !3° " 7,
BUILDING
Owner KV -e &4 a
SQ. FT. OCC. BUILDING VALUATION
Mailing Address J)4i4 re
Telephone No.
Fireplace
Contractor
Total Valuation
Mailing Address
Permit Fee
Plan Checking Fee &/or Penalty
Telephone No.
Permit Fee $
Building Address ��
PLUMBING No. @ FEE
\`
PERMIT FILING FEE $3.00
Each Trap 1.50
XD I
Repair drainage or vent piping 1.50
Water piping 1.50
Each gas water heater or vent 1.50
A. P. No. 2 �� ,. / b
Z
Zoning & Planning
Gas piping system 1 - 5 outlets 1.50
Each additional outlet .30
Fes I
W.C. Senrtat=
FireDept.
Fire Zone
Use Permit
Building sewer 5.00
EQA
Parking
Plans
Parcel
Declar ion
Parcel Ma P
60' R/W
Im rovements
P
Lawn sprinkler system 2.00
L—Mhja s^ a 'd Parcel Ap roval
Pla pproval
Permit Fee $
$
NEW ADDITION ❑ UTILITIES ❑ OTHER K
ELECTRICAL No. @ FEE
PERMIT FILING FEE $3.00
'V
A _/Ze a -u tror &411a A11-4— /�_
OR L
Main service 100 AMP ORSLESS 5.00
Main service EA. ADD'L 100 AMP 2.50
Single Family ❑ Duplex ❑ Mobil Home Others ❑
Main service OVER 600V
00 AMP OR LESS 25.00
Main service EA. ADD'L 100 AMP 1.00
NEW LING
OR ADDNST ( ACCLBLDGS. OCCUP. &) 20sgft
NEW CONSTR. MULTI.OUTLET
NON•RESID. ( BRANCH CIRCUITS) 2.50ea
NEW CONSTR. (POWER APPARATUS &
NON•RESI 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)50 @25t
101
Ex. Occup. ( OFUT ETS P(RESI0 )RE A) 2.00
Temporary service 10.00
Mobile Home Facilities 15.00
License No. Classification
Misc. Wiring 6.25
Nk 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 @ FEEPERMIT
FILING FEE J$3.00
Heating
Cooling
Ventilation
Hood 2.00
Permi 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
is
30
I TOTAL PERMIT FEE
$ .�� ^—
authorize representatives of the County of Butte to enter upon the
above-mentioned property for inspection purposes.
X Date,��/
Signature of Permite, o gent
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 ��aid.
DIRECTOR (OF IPUBLIC WORKS
li?lin�gpe'rm�itexp�ires
Date Date o !3° " 7,
MOBILEHOME SUPPORT DATA
Mobilehome Mfr. Setup Model No. Year'
Width / (ft.) Length (.ft.) ..-Expando .Size ft.x t.
(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.)
Y
X�
in:jZ
-
Sin
le
Footings-(check._one)
1. Wood. either
pressure treated or
fdn. grade.
2.. Concrete pad.
`
i
Other,: specify
i
Supports (check one)
IL
1�. " Concrete block
2. Concrete piers
3. Steel piers
4. Other, specify
- _ a ,i
x0
Typical Support
Footing Size
in.
Max. Pier
Spacing
(ft- in.)
IP
1P
�
Maxe.
O
Ovrhang
*If center piers are other than drawn above,
draw in locations, spacing, and dimensions.
gUTfE COUNT'l
BUILDING DEPARTMEt�I�
APPROVED
BUTTE COUNTY DEPARTMENT OF PUBLIC WORKS
7 County Center Drive, Oroville, CA.
PHONE: 534-4541
MOBILEHOME INSTALLATION SHEET
1. Owner's name: .Q Y
2. Installer's name:
3. Is the site currently under permit? Yes /n No /'-7
( If yes, furnish permit number yr% m / � ) OR
Is the site an existing site? Yes / `1�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? ----------------------- �j� U Amps
..
6. What is the mobilehome site .service rating? --------------------- Amps
7. What is the mobilehome site circuit breaker rating? ------------- o Ams
P
8. Is there any other electric load to be served by the mobilehome
site service. --------------------------------------------------- Yes
/ /*
(If yes, identify the load and size: (Load)
9. What is the mobilehome site gas pipe size? --------
--------------
10. What is the type of gas service? -----------------------------/ Natural
11. What is.the gas pipe length from meter or tank to the mobil
12. What is the mobilehome gas demand? -----------------------
~� t, (This information not required if pipe length less th
or -less than 50 ft. on LPG.)
No /C/ /
(Amps)
(in.)
dome? / a O (ft )
6 ft. a ral gas