HomeMy WebLinkAbout026-230-03426-23-34
Rayed
19`5' Railroad "Ave . , alermo
Permit #195-79P,E(util. MH)
ELEC . = 7-7 9 a ¢s0 `�
SUPPORT STRUCTURE REQ. yp
COMPACTION TEST HQ. /Up
Xsued
rmit #k5 6-79MH
�-
I
• I .
J
�y
IV- -
FCJm'NT"tel
#PERMIT NO. 195-79Pr,E
l
f
PERMIT EXPIRES L�`
V 6
I
• - "OWNER Ray Reed \
owner
"t LOCATION (A.P. 26-23-34
1925 Railroad Ave., Palermo
i
1
5 '
,d
, 7�1
x
' T
t
j ..
f
T ' Temp. Power Pole
Called PG&E
p Temp. Elec/Serv.
i( Cal,lled PG&E SS
TempAas Serv.
Called PG&E
JOB
I �j Crf�
FINALED 0
2 (Date)
(Si lure)
t
•
COUNTY OF BUTTE
DEPARTMENT OF PUBLIC' WORKS 7 COUNTY CENTER DRIVE
OROVI6U,.CMJF. - 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 for he following location:
Owner OC.Gts._ X -I -At:.' ff
�ry
Owner's Address r j%t 1%9 z ' ,v �.� `A -�-�--d•-'.�`�' C %'
Mobilehome Mfg. Moder/�:•-uYear ��
Insignia No. Z 25-621, -7 Serial No.��-
It is hereby certified for occupancy at the above described location and
may be occupied.
Date
Director of Public Works
r'
THIS CERTIFICATE IS VOID WHEN MOBILEHOME IS RELOCATED
White - Owner, Yellow - Installer, Pink - D.P.W
COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS
BUILDING INSPECTION RECORD
BUILDING BUILDING (Cont'd)
Letback I Airewai-i-
PLUMBING
r rms
Falepets
At Floor
in Bldg.
Rest om Finish
2n Floor
ootin s
Windoh
3rd Noor
S mwaII
Siding
To out
SI
Roof Shea Ing
Water PI i
Pier
Roofing
Sewer
Garage
Fdn. Vents
Fixtures
Footinax
Garage Vents
Water Htr.
Stemwa I 1
Insulation
Heaters
Slab
Carport
Footings
Prov. for ph
handica edy
Conformance of ex. slcal
structure X
Appliances
Gas Pip ng 8 Test
Temp. Gas
Slab
Final
Sanitation
Patio
FIRE ACE
Final
Footin s
Footing
ECTRIC L
Masonry Walls
Throat
Rou h
Reinf. Steel
Final
Fixtures
t-raming I Test I Water Htr.
Stucco I Final I Suboanel
Scralth Heatfnq Servigli
B n Coiling T p. Pole
F nish D cts t1inderaround
In rior Lath entilation ennanent
or Closer Final anal
MOBILEHOME UTILITIES ------------------ Elec. Service 2®? Elec. Pedestal LO 7J
Water Piping S' LC Sewer 2-6 2- Gas Piping' Q�
M0016EHOME INSTALLATION - - - - - - - - - - - upport Elec. Continuity
Water Piping 4j za 79 ,>Drainage Gas Piping 7S
DATE REMARKS OR CORRECTIONS
-A,.e�j z 7l
0
(NOTE: An entry must be made on this form each time you visit the job site.)
MOBILEHOMEINSTALLATION INSPECTION CHECK LIST
1. Is the mobilehome located with required separation from lot lines and buildings and generally
conform to plot plan? Yes 1��-%No
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, _,,ilo_
4. Is the mobilehome level? (Sec. 5088) Yes�o_
5. If more han a single unit, are crossover connections properly installed? (Sec. 5088)
Yes -
6. Water
A. Is flex'b-le connectdr of adequate size and properly installed (1/2" ID min.)? (Sec. 5566)
Yeso_
B. Test —Does water piping withstand working pressure or 50 lbs, air test? Yes_e,::�-/No
ZX. Backflow - If coach is not State o /California approved, does station have backflow device
and pressure -relief valve? Yeoo_
7. Wastes and Drains
A. Is connection made with Schedule 40 DWV and have flex connectors at each end? Yes3ZNo
B. Does it have minimum 4" per foot slope and is it properly supported? Yes
C. Are any leaks detected in drainage system after runni 3 -gallons of water through each
fixture including washing machine standpipe? Yes o
If coach is not State of California approved, does station have required trap and vent?
Yes No
a j
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 mobilel me gas line inlet without reductions other than the mobilehome
connector. Yes No
B. Test OK as per following procedure? Yes4�1Qo_
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 of /100 amp) and other facilities on lot, i.e., water pumps,
garage, cabana, etc.? Yes Z/ No_
B. Is there proper clearances around panels?I Yes .6" No
C. Is power supply cord or feeder assembly properly fused? Yes_ZNo
D. Is continuity test satisfactory as per the following procedure? Yes_,�C
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 G�
Length1�0 _ Width 24
Vehicle Serial No.
State Identification No.
Additional Information or Comments:
COUNTY�OF BUTTE = IDEPARTMENT OF PUBLIC WORKS
7 County Center Drive - Oroville, California 95965
Telephone: 534-4541
APPLICATION AND PERMIT
S3/6 7�
authorize representatives of the County of Butte to enter upon the
above-mentioned property for inspectio purposes.
XQDate
gnoture of Permitee or Agent
Receipt No. 530
White-D.P.W. - Yellow -Assessor - Pink -Inspector - Goldenrod -Applicant
This permit is hereby issued under the applicable provisions of
the Bu County Code and/or resolutions to do work indicated
abo to) which fees have been paid.
&�F*PULLIC WORKS
///27 A4 1111:111 111 1,
Date
Building permit expires Date
BUILDING 191 -111
Owner120"
SO. FT. OCC. I BUILDING VALUAYIbN
Mailing Address 9.o R0,-� L10 -S
PRLE,Wo CA 92A
TelephoneONo.
o.
Contractor
Mailing Address
Fireplace
Total Valuation
Telephone No.
Permit Fee
Building Address (Ln
Plan Checking Fee&/or Penalty
Permit Fee
PLUMBING No. @ FEE
PERMIT FILING FEE $3.00
Each Trap 1.50
tTL�-Ni v
Repair drainage or vent piping 1.50
/p
A. P. N0. tO ��" ��I
L
Zoning & Planning
Water piping 1.50
Each gas water heater or vent 1.50
F es I
C.
I -SarrFtattorf
Fire Dept.
Fire Zone
Use Permit
Gas piping system 1 - 5 outlets 1.50
EOA
Parking
Plans
Parcel
Declaration
Parcel Map
60' R/W
I Improvements
Each additional outlet .30
Building sewer 5.00
fd I r1s-R Parcel Approval I Plans Approval
NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER
Lawn sprinkler system 2.00
Permit Fee $
$
M tJT, (0 e. 4f # 1(3 5e---73
ELECTRICAL No. @ FEE
�r L. ?GV_M
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 600V 25.00
100 AMP OR LESS
Main service EA. ADD'L 100 AMP1.00
OR AODNSNEW T // %ACCDWELBLDGS.LING Ccup- Y) 22sgft
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:
NEW CONSTRESID, MULTI.OUTL T
NON-RESID BRANCH CIRCUITS) 12.50ea
NEW CONSTR. (POWER APPARATUS &
NON-RESID. ,SINGLE OUTLET CIR.
Ex. Occup{OUTLETS OR FIXTIIRES 50@
BAL@1
FIXED APPLNS. OR
Ex. Occup. 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
ermit is issued I shall not employ any person in any manner
so s 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 $
$
I certify that I have read this application and state that the aboveee
information is correct. I agree to comply to all County Ordinances
and State Laws relating to building construction, and hereby ,
$ ® a
TOTAL PERMIT FEE
$ -?I) OC
authorize representatives of the County of Butte to enter upon the
above-mentioned property for inspectio purposes.
XQDate
gnoture of Permitee or Agent
Receipt No. 530
White-D.P.W. - Yellow -Assessor - Pink -Inspector - Goldenrod -Applicant
This permit is hereby issued under the applicable provisions of
the Bu County Code and/or resolutions to do work indicated
abo to) which fees have been paid.
&�F*PULLIC WORKS
///27 A4 1111:111 111 1,
Date
Building permit expires Date
MOBILEHOME SUPPORT DATA
jIf other than single wide,
Mob ilehome Mfr. bi4A�I ��C-r furnish Setup Model No. + I 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
mobilehome unless otherwise specified.
Footings (check one)
Single 1. Wood either
x� b.
(ft.)(in.) '(in.) (in.)
(in.) (in.) (in.)
*If center piers are other than drawn above,
draw in locations, spacing, and dimensions.
2-x_-3'0 -- Typical Support
(in.) (in.) Footing Size
Max. Pier Spacing
(ft.)(in.) D. .
' 11 -- Max. Overhang
(ft.)(in.)
BU.TTE COUNTY
BUILDING DEPARTMEN 1
APPROVED
pressure treated or
foundat ion. grade .
t
X,3
(ft.)(in:)
(in.) (in.)
..0, 2. Other (specify)
Center support
Center support
locations*
footing sizes
Supports (check one)
(in.)
Concrete block.
�j(o�C?
X
❑ 2. Other (specify)
(ft.)(in.)
(in.) (in.)
!r—Tagalong or, Expando,
show support details.
(ft.)(in.)
(in.) (in.)
x� b.
(ft.)(in.) '(in.) (in.)
(in.) (in.) (in.)
*If center piers are other than drawn above,
draw in locations, spacing, and dimensions.
2-x_-3'0 -- Typical Support
(in.) (in.) Footing Size
Max. Pier Spacing
(ft.)(in.) D. .
' 11 -- Max. Overhang
(ft.)(in.)
BU.TTE COUNTY
BUILDING DEPARTMEN 1
APPROVED
1. Owner's name
2. Installer's
I
BUTTE COUNTY DEPARTMENT OF PUBLIC WORKS
7 County Center Drive, Oroville, CA.
PHONE: 534-4541
MOBILEHOME INSTALLATION SHEET
3. Is the site currently under permit? Yes /L-4— No / /
( If yes, furnish permit number %(,, --Z — ) 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. 14./ No
( If no, clarify )
5. What is the mobilehome electrical rating?-----------------------�� Amps
6. What is the mobilehome site service rating? --=------------------ Q Q Amps
7. What is the mobilehome site circuit breaker rating? ------------- Amps
8. Is there any other electric load to be served by the mobilehome
(This information not required if pipe length less than 6 ft-. on natural gas
or less than 50 ft, on LPG.)
site
service? ---------------------------------------------------
Yes' / / No
(If yes, identify the load and size:
(Load) 27 (Amps)
9.
What
is the mobilehome site gas pipe size? ----------------------
(in.)
10.
What
is the type of gas service? =----------------------------
-
Natural ;► LPG
X
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.)
COUNTY OF BUTTE —. DEPARTMENT OF PUBLIC WORKS
7 County Center Drive — Oroville, California 95965
Telephone: 534-4541
APPLICATION AND PERMIT
BUILDING III
Owner
SQ. FT. OCC. BUILDING VALUATION
b't
OF
Mailing Address
h
COUNTY OF BUTTE —. DEPARTMENT OF PUBLIC WORKS
7 County Center Drive — Oroville, California 95965
Telephone: 534-4541
APPLICATION AND PERMIT
`Sign ture of Permitee or Agent \
1 �,/� � � ,� BY Date .%' v — 7 �
Receipt No. S
White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant B ding permit expires Date
BUILDING III
Owner
SQ. FT. OCC. BUILDING VALUATION
OF
Mailing Address
Telephone No.
Contractor
Mailing Address
Fireplace
Total Valuation
Telephone No.
Permit Fee
Building Address'�
Plan Checking Fee&/or Penalty
Permit Fee
PLUMBING No.1 @ FEE
PERMIT FILING FEE $3.00
Each TraD 1.50
Repair drainage or vent piping 1.50
A. P. No. V. It. —L3 Zoning &nning
Water piping 1.50
Each gas water heater or vent 1.50
'
fres
i1<. Sa on
Fire Dept.
Fire Zone Use P nnit
Gas piping system 1 - 5 outlets 1.50
EQA
Parking ParcelEach
I Plans Declaration
I Parcel Zap
60' R/W
Improvements
additional outlet .30
Building sewer 5.00 ,
Bldg. PI ns Rec'd
Pa A royal
Pla pproval
Lawn sprinkler system 2.00
NEW ❑ ADDITION ❑ UTILITIES& OTHER ❑
permit Fee $
$
ELECTRICAL No. @ FEE
PERMIT FILING FEE $3.00 ,(
Main service 600V OR LESS
100 AMP OR LESS 5.00 00O
Single Family ❑ Duplex ❑ Mobil Home Others ❑
Main service EA. ADD`L 100 AMP 2.50 p
Main service OVER 25.00
100 AMPP OR LESS O
Main service EA. ADD`L 100 AMP 1.00
NEW CONST OR ADDNS. ACCLLING BL GS.CCUP 'I)22Sgft
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
st %� le of:
NEW cDNSTR MULT I.OUTL T
NO N.R ESI D. BRANCH CIRCUITS) 12.50ea
NEW CONSTR. POWER APPARATUS &)
NON.RESID. SINGLE OUTLET CIR.
250
Ex. OCCUD(OUTLETS OR FIXTIIRES B @L 1
E x. OCCU FIXED APPLNS. OR
p•�OUTLETS (RESID.) EA) 2.00
Temporary service 10.00
Mobile Home Facilities 15.00
License No. Classification
Misc. Wiring 6.25
m exempt from the Contractors License Laws of the State of California.
Permit Fee $
$ j
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.
ertify 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 $
$
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 �1 f�11 y � Date ' �'� —7
Land Development Fee
TOTAL PERMIT FEE
$
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/,- 7 WORKS
`Sign ture of Permitee or Agent \
1 �,/� � � ,� BY Date .%' v — 7 �
Receipt No. S
White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant B ding permit expires Date
A No
I
Ie�l{ M«ter'ea{s & Workmanship chnll Ro ih
d Good Practices
the
i
dnce with Red forqnizethe Sp@ if ed in
•prescribe
-
quality & Machanica� Codes and
° ,a �' Plumbing
Building,
Uniform
National Electrical Code.
the
- - i All utility- connections shall
located within 4 ft. outside the rear
third section of the
mobile home
on the left (road),side
of the mobile
home.
'
Phis set of plans and specifications MUST be
it is unlawful to
job at all times and
kept on the j
on same withoul
o ,
-7y
-�
make any changes or alterations
from the Department of Pu61i�
o
I
E
written p ermisson
BUTTE COON
-
Works, County of
BUILDING DEPARTMEN
—
I
Septic system and location,"-
to be as
',
APPROVED
pper
Butte County Health Dept. Re-
v
quirements.
The . Setback shall be 5 ft. from the
- ;•� ��;_` J /;i side property line and 50 ft. from the
��
centerline of the road, permitting a maxi-
' mum of a 2 ft. eave overhang but entirely
out of all easements.
A permit will be required for the
installation of the mobilehome.