HomeMy WebLinkAbout026-174-0032 174-3
Billy Bl n !na 1 Zerlins SIS Wil lams Rd.,app.250'W.o
Paler o
Permit #7341-78P,E(util:5.,MH)
ELEC 9= ra
GAS q- f 3 -i t, vq-r
SUPPORT STRUCTURE REQ. �r�p
CON ACTION TEST REQ. 'vim
26-174-3
ntr- Tom's Mobile &Motor, Oroville
qMHI
issuenned ��4762 /At/ p
Issued F /V /7q
N
7341-78P,E
PERMIT NO.
i�
PERMIT EXPIRES
OWNER Billy Blain
i
owner
7 CONTR.
LOCATION (A.P. 26-174-3 )
S/S Williams Rd., app.250'W.of Perkins,
Palermo
r
Temp. Power Pole
Calle G&E
Temp. -lec. Serv.
g'Iled PG&E
Te P. Gas Serv. S ZO
Called PG&E
JOB
FINALED
(Date) �C1
(Sign ture)
or Closer anal -$I Anal
Elec. Service a--
•MOBILEHOME T3 TIES ------------------ lS Elec. Pedestal
Water Piping Sewer ��, 2. Gas Piping
1 EE INSTALLATION Support 245-7 Elec. Continuity 7 -T 77 7
Water Piping 2--0 Drainage S F -2-0 ? -Z Gas Piping Q 7G
r
DATE REMARKS OR CORRECTIONS
D' (NOTE: An entry must be made on this form each time you visit the job site.)
COUNTY OF BUTTE — DEPARTMENT' OF PUBLIC WORKS
BUILDING INSPECTION RECORD
BUILDING BUILDING .(Cont'd)
PLUMBING
S tback
F ewall
Ski Piping
FoXns
Par ets
i t Floor
M n Bldg.
Rest om Finish
2nk Floor
otin s
WindowN
3rd Noor
StLArwall
Siding
To out
Slab
t Roof Shealking
Water Pi pNg
Piers
Roofing
Sewer
:.Garage
Fdn. Vents
Fixtures
• Footings
Stemwal l
Garage Vents
Insulation
Water Htr.
Heaters
Slab
Carport
Footings
Prov. for phsicall
f handicappel
Conformance of ex.
Y structure
Appliances
Gas PI Ing & Test
Temp. Gas
Slab
Final
Sanitation
Patio
F EPL CE
Final
Footings
Footin
ECTRIC L _
Masonry Walls
Throat
Rough
Reinf. Stee
Final
Fixtures
Bond Bealf
ARE SPRINKLEF&
Motors
Framing
Test
Water Htr.
Stucco
Final
Sub anel
Mesh
zMECHANICAL
I Grd. Fah Prot.
Scratch
U-41.,
_
or Closer anal -$I Anal
Elec. Service a--
•MOBILEHOME T3 TIES ------------------ lS Elec. Pedestal
Water Piping Sewer ��, 2. Gas Piping
1 EE INSTALLATION Support 245-7 Elec. Continuity 7 -T 77 7
Water Piping 2--0 Drainage S F -2-0 ? -Z Gas Piping Q 7G
r
DATE REMARKS OR CORRECTIONS
D' (NOTE: An entry must be made on this form each time you visit the job site.)
MOBILEHOME INSTALLATION INSPECTION CHECKLIST'
1. Is the mobilehome located with required separation from lot lines and buildings and generally
conform to plot plan? Yes-I.-�o_
2. Does the mobilehome have required clearances above.ground? (Sec.5085) Yes.
3. Are footings and supports properly sized, spaced, and braced as per approved plans? (Note
possible variation at spring shackles.) (Sec. 5082 & 5083) Yes_L,:,,-lQc
4. Is,the mobilehome level? (Sec.'5088) Yes &40_
If more than a single unit, are crossover connections properly installed? (Sec. 5088)
Yes 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 f/ No
C. 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. Is connection made with Schedule 40 DWV and have flex connectors at each end? Yeso
B. Does it have minimum 4" per foot slope and is .it.properly supported? Yes L' o
C. Are any leaks detected in drainage system after runn ng 3 -gallons of water through each
fixture including washing machine standpipe? Yeso_
If coach is not State of California approved, does 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 mobile me gas line inlet without reductions other than the mobilehome
connector. Yes -No—
B. Test OK as per following procedure? Yes G� No
1. Openall 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 of 1;A0 amp) and other facilities on•lot, i.e., water pumps,
garage, cabana, etc.? Yes 6 No
i
B. Is there proper clearances` around panels? Yes_vf�o_
C. Is power supply cord or feeder assembly properly fused? Yes ✓No
D. Is continuity test satisfactory as per the following procedure? Yes_LlAYo
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
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
Length • S(L Width /2—
Vehicle
Z
Vehicle Serial No. -%
State Identification No. / •5 / /,�
Additional Information or Comments:
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:
Owner
Owner's Address —4--
Mobilehome Mfg. �f's-*-� -a Model ;' Year
Insignia No. I `'� 7r Serial No. % r
It is hereby certified for occupancy at the above described location and
may be occupied.
Date
Director of Public Works
By
THIS CERTIFICATE IS VOID WHEN MOBILEHOME IS RELOCATED
White - Owner, Yellow - Installer, Pink - D.P.W.
or
COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS
7 County Center Drive - Oroville, California 95965
• Telephone: 534-4541
APPLICATION AND PERMIT
authorize representatives of the County of Butte to enter upon the
above-mentioned property for inspection purposes.
X DateJ,21-2-2
SignaturW Permitee or Agent
41
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-OFzPMLIC WORKS
By Date
B ilding permit expires Date _ �y'��_?%
BUILDING
Owner
SQ. FT. OCC. BUILDING VALUATIO
Mai I ing Address
9
Te�g hon Ng.�
Contractor
Mailing Address
Fireplace
Total Valuation
Telephone No.
Permit Fee
Building Address5V.5' 44 y'
�5�0 d/
Plan Checking Fee&/or Penalty
Permit Fee
PLUMBING No. @ FEE
PERMIT FILING FEE $3.00 .00
Each Trap 1.50
Repair drainage or vent piping 1.50
A. P. No.
/' L
oning lonning
Water piping 1.50 0.00
Each gas water heater or vent 1.50
W
S ion
Fire Dept.
Fire Zone
Use Permit
Gas piping system 1 - 5 outlets 1.50 0.00
EQA
Parking
Plans
Parcel
Declaration
Parcel Map
60' R/W
Improv nts
Each additional outlet .30
Building sewer 5.00 0.0
Bldg. Plansc d
Parc royal
Plans pproval
Lawn sprinkler system 2.00
NEW ❑ ADDITION ❑ UTILITIES OTHER ❑
Permit Fee $ 3,pd
33 08
ELECTRICAL No.1 @ FEE
PERMIT FILING FEE $3.00 .00
100 AMP OR LESS 5.00
Main service eoov OR LESS .00
Single Family ❑ Duplex ❑ Mobil Home Others ❑
Main service EA. ADD'L 100 AMP 2.50
Main service OVER soov 25.00
100 AMP OR LESS
Main service EA. ADD•L 100 AMP 1.00
OR ADDNS. ACCNEW CONST.DWELBLDGS.LING CCUP. !i� 2¢sgft
L /
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:
%�
T
NEW CONSTRRANCH CIRCUITS
NON.RESID (MULTI BRANCH CIRCUITS 2.50ea
NEW CONSTR. (POWER APPARATUS 9
NON-RESID, SINGLE OUTLET CIR,
Ex. Occuv(OUTLETS OR FIXTIIRES 5 L259a
Ex. Occup. FIXED TS (RESAPPLNS. OR
P• OUTLETS (RESID,) EA) 2•00
Temporary service 10.00
Mobile Home Facilities 15.00 /5:00
License No. Classification
Misc. Wiring 6.25
- ,o 0
®,I am exempt from the Contractors License Laws of the State of California.
Permit Fee $ d
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.
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.
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
MECHANICAL No. @ FEE
PERMIT FILING FEE $3.00
Heating
Cooling
Ventilation
Hood 1 2.00
Permit Fee $
Land Development Fee
$
$ ,Od
TOTAL PERMIT FEE
$
authorize representatives of the County of Butte to enter upon the
above-mentioned property for inspection purposes.
X DateJ,21-2-2
SignaturW Permitee or Agent
41
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-OFzPMLIC WORKS
By Date
B ilding permit expires Date _ �y'��_?%
,COUNTY OF BUTTE D.EFARTMENT OF PUBLIC WORKS
7 County Center Drive - Orovi Ile, California 95965
" Telephone: 534-4541
APPLICATION AND PERMIT
authorize representatives of the County of Butte to enter upon the
above- entioned property for inspection purposes.
o r ^
Date Cd
Signature of Pe ee 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 B to County Code and/or resolutions to do work indicated
abo f r which fees have been paid.
RE OF P BLIC WORKS
I D+ at —/
(11
Building permit expires Date Q ""��u
BUILDING
Owner u ( t
SQ. FT. ,. OCC: BUILDING VALUATION
Mailing Address
,elephgne o.
Contractor �rn �� ,/[mss Q�L�.
Mailing Address (o Ice �Alcawt��_
Fireplace
Total Valuation
Tele one
Permit Fee
Building Address �S' l�IJ�� �� �D Q„/,
�X
Plan Checking Fee&/or Penalty
Permit Fee
-2-5o f W ar 12jeP94 S
PLUMBING No.1 @ FEE
PERMIT FILING FEE $3.00
Each Trap 1.50
lY)tJ
Repair drainage or vent piping 1,50
�/
A. P. No. `-� 7'Y'
Zoning & Planning
Water piping 1.50
Each gas water heater or vent 1.50
Fs
W.C.
cS r0AW
Fire Dept.
.Fire Zone
Use Permit
Gas piping system 1 - 5 outlets 1.50
EQA
Parking
Pons
Parcel
Declaration
Parcel Ma :-R/W
P
Im rovements
P
Each additional outlet .30
Building sewer 5.00
po-
Bldg. Plans Rec'd
Parc royal
Pla s Approval
Lawn sprinkler system 2.00
NEW ❑ ADDITION ❑ UTILITIES E] OTHER
Permit Fee $
$
Ir-ok P -7 Cf —79'
ELECTRICAL No. @ FEE
PERMIT FILING FEE $3.00
Main service 600V OR LESS
100 AMP OR LESS 5.00
Single Family ❑ Duplex ❑ Mobil Home Others ❑
Main service EA. ADD'L 100 AMP 2.50
Main service OVER 25.00
100 AMPP OR LESS O
Main service/ EA. ADD'L 100 AMP 1.00
OR ADDNS. \ ACCNEW CONST. DWELBLDGSCCUP. 4) 20Sgft
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
Sty of: i �"
NEW CONSTR BRANCH CIRCUITS)
NON-RESID � BRANCH CIRCUITS/ 2.50ea
NEW CONSTR (POWER APPARATUS 5
NON-RESID, `SINGLE OUTLET CIR.
Ex. OCCUD(OUTLETS OR FIXTIIRES) 5B L2;
FIXED APPLNS. OR
EX. Occup. (OUT LETS (RESID,) EA) 2•00
Temporary service 10.00
Mobile Home Facilities 15.00
License No.2--/70 Classification '
Misc. Wiring 6.25
❑ I am exempt from the Contractors License Laws of the State of California.
Permit Fee $
$
@
MECHANICAL No. FEEPERMIT
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.
E] 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.
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
-
$
TOTAL PERMIT FEE
$ 30 loc
authorize representatives of the County of Butte to enter upon the
above- entioned property for inspection purposes.
o r ^
Date Cd
Signature of Pe ee 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 B to County Code and/or resolutions to do work indicated
abo f r which fees have been paid.
RE OF P BLIC WORKS
I D+ at —/
(11
Building permit expires Date Q ""��u
BUTTE COTJWY DEPARTMENT OF PUBLIC WORKS.._
7 County Center Drive, Oroville; CA.
PHONE: 534-4541
h
MOBILEHOME INSTALLATION SHEET
1. Owner's name: 4< ZZ ZL--
2. Installer's name:
3. Is the site currently under permit? 'Yes / )(/ No
(If yes, furnish permit number ) OR
Is the site an existing site?, Yes i/ No
(If yes, furnish two (2) plot plans.)
4. Will tae 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?---- --------------- Amps
��
J _
6. What is the mobilehome site service rating? ----- ZSR Amps
7. What is the mobilehome site circuit breaker rating? -------.'. �. APs
8. Is there any other electric load to be served by the mobilehome .
site service? =
-----'-------------------------------- ------ Yes / / Nob/ ../
(If yes, identify, the load and size: (Load) (Amps)
9. What is the mobilehome site gas pipe size? ---------------------- /—(in.)
10. What is the type of gas service? -------------------------- '-- Natural ti/.:/ LPG
11. What is the gas pipe length from meter or .tank to the mobilehome? ft.)
12. :What is the mobilehome gas demand- ______________________________ (BTU)
(This information not required if pipe length less than 6 ft, on natural gas
or less than 50 ft. on LPG.)
r.
cl �' MOBILEHOME SUPPORT DATA
�� If. other than single wide,
Mobilehome Mfr�.'iti furnish' Setup Model No. Year
Width(ft.), Box Length(ft.) Tagalong or Expando Size ft. 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
mobileh&ne.unless otherwise specified.
Single
x
z(ft )(in:) (in.) (i .)
Center su port Cente support
locatio .e foot' g sizes
t in.)
x I
(in.) (in.)
(ft.)(in.) ( n.) (in.)
(ft.) in.) I (in.) (in'
(ft.)I (in.) (in.)I (in.) .
*if center piers are other than drawn above,
draw in -locations, spacing,.and dimensions.
Footings (check one)
1. Wood either
pressure treated or
foundation grade.
E] 2. Other (specify)
Supports (check one)
1: Concrete block.
2. Other (specify)
Tagalong or Expando,
show support.details.
X x.3507 -- Typical Support
(in.) (in.) Footing Size
-- Max. Pier Spacing
Max. Overhang
t
BUTTE COON fY
'3UILDING pEPARTMEfY1
APPROV
eD 900000,
-7
L
7 1*
Z
IPP'
. ZS 0 0 j
L
wk/
CP .,C>C?
n* p if rh1i �et lc�l
NOTE—All :Materials I WoAm6 shi : ;Shall plans and sp catlqns MU T bo'
I
t on; 0 kep
Accordance 1with Recognized'- Good - Practices and :the i b at all ti n 11
' : , . . 1. . it is Unlawtliout
Ul to -
.quality !preicribed'f6r!, the 'S�e'cifi&d, use :in the in66 'any* ch
I I . . I - any changes or. alterati'
of a quar . I I ns,on Sarne hanical' . I I
uniformo Building, Plumbing A Mac Codes. and - 1 written permi on, ftoin the. I hh [department of. public
al Ilectrical &4e. -i
I the NiAlon. _U
k
All utility connections 'Sh.01 be
lo6ted within -4 ft. outside th'
e fear . . . . . .
third section of the mobile. bome . . . . . .
d
the left (r(m side -of thelmobfic-
qq home.
ij
Septic sj stem and location of bww j
to. be as per
Buttei ' County Health Dept. Re --
O
quirements.
The SWg. Setback shall Ee 5 ft. from the,
side property line and 50 ft. from the
it
centerline. of the road, permiff ing a maxi- %111 A '116iiji'm Ored for I the -
mum of a 2 ft. eave overhang but entire y. I
Q�. instlafien 0' rnobilelwr�e.
easements. the
out of all, easem*
BUTTF. COUNTY- j
Sao.
'S U I L D IN G'D E PA PIT H_ _E-14 I
too,
APPROVED..