HomeMy WebLinkAbout027-080-064Michael J. Harris
WWI
VY6 Baldwin Ave., tot 15, Palermo
Permit � 766-77P,E(t il.,MH) r
ELEC . 00,,,,0
GAS
SUPP R STRUCTURE REQ.
COMPACTION TIE REQ. N-
27-08—ift
Permit #3929-77MHI .
Issued �' 1-7
27-08-64
HAIRY BILLINGTON 7 (/
2586 Baldwin Ave, Palermo
ContR: Executive Homes 4 0 p
PErmit#3401-88MHI (existAng site
>Issued D
I. foom%
Q (�
R
PERMIT NO. 2766-77P,E
PERMIT EXPIRES
,.J
OWNER Michael Harris
CONTR. o4mr
27-08-41
LJO �Q $$JJ+ BI,41dwin Ave., lot 15, Palermo
Temp. Power Pole
Called PG&E
Temp. Elec. Serv.
Called PG&E
emp. Gas Serv. � .2417 17
Called PG&EOB
HALED k7Y .
inatai 7TlT ��
COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS
BUILDING INSPECTION RECdRD
\ BUILDING /I\ BUILDING (Cont'd) / \ PLUMBING /
selVaCk
F ewall
SoV Piping
For
Par ets
f Floor
Mai Bldg.
Restr om Finish
2noNFloor
Fo ins
Window
3rd koor
Stem all
Siding
To out
Slab
Roof Sheallaina
Water Pi i
Piers
Roofing
Sewer
Garage
Fdn. Vents
Fixtures
Footings
Stemwa I I
Garage Vents
Insulation
: Water Htr.
Heaters
Slab
Carport
Footings
Prov. for physlcall
handica ed
Conformance of ex.
structure V
Appliances
Gas PI in & Test
Temp. Gas
Slab
Final
Sanitation
Patio
REP CE
Final
Footings
Footing
E ECTR ICA L
Heint. steel
Final X
Fixtures
Bond Bea
FIRE SPRINKLE
Motors
Framing
Test
Water Htr.
Stucco
Final
Subanel
Mesh
MECHANICAL
Grd. Fa t Prot.
Scra h
Heati
Servic
B n
Coo ng
T p. Pole
nish
D is
Aderaround
Iriferior Lath
ntilation/Permanent
oor Closer
Inal
^
final
MOBILEHOME UTILITIES ------------
Elec_ Servicee./
/"Elec. Pedestal
Water Piping
Sewer
Gas Piping r
MORILEHOME IN TA ATI N - - - - - - - - - - - - -
Support
/
Elec. Continuity
Water Piping I I 7 y
Drainage
"]
Gas Piping /'I
DATE �" REMARKS OR CORRECTIONS
}
(NOTE: An entry must be made on this form each time you visit the job site.)
ii0}3I!,i?Ii0ttl3 Il�S'I'ALLA'1�1:ON lnsprCTION CHECK LIST
1. Is the mobileh.omc -located wi.i_h required separation from lot lines and buildings and generally
conform to plot plan? Yes No�
?,
Doe; the ,nr?bil.chome have required clearances above ground? (•Sec.5085) Yes X No
r
3. Are footin,s and supports properly sized, spaced, and braced as per approved plans? (Note
possible variation at spring shackles.) (Sec. 5082 & 5083) Yes X No
4. Is the mobilehome level.? (Sec. 5088) Yesy Noi
r
5. If mote–than""a single–tini-t—are–cro.s.sove.r co`ections properly installed? (Sec. 5088)
Yes No
5. Water
A. is Plexi e connector of adequate size and properly installed (1/2" ID min.)? (Sec. 5566)
Yes Nc
B. Test - Does water piping with tand working pressure or 50 lbs. air test? Yes !/No
C. Backflow - If coach is o ate of California approved,.does station have backflow device
and pressure -relief v ? s No
7. Wastes and Drains
A. Is connection made with Schedule 40 DWV and have flex connectors at each end? Yes
B. Does it have minimum per foot slope and is it properly supported? Yes
C. Are any leaks detected in drainage system after running 3 -melons of water through each
fixture inclufling washing machine standpipe? Yes No
D. If coach tate of California approved, does station have required trap and vent?
Yes o
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. `!'est OK as per following procedure? Yes0
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
a. Electrical
A. Is service large en.oiigl. to provide adequate amperage to mobileliome (must equal rating of
mobilehorie witii a ::;in.u::um of 100 amp) and other faciliti.E!:; on lot, i.e., writer pumps,
arage, Cabana, CCc.: Yes NO
B Is there. proper clearances around panels? Yes No
f
C. Is power supply cord or feeder assembly properly fused? Yes No�
D . Is continuity test satisfactory as per the following procedure? YesNo__
1. De -energize electrical wiring, syste:ir of the mobilehome at the pec se tat.
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 1-�:-id of a test insr.rument to•the mobilehome grounding conductor and
• . ,. ,
apply ti -.e other lead to e.aun rclo, Lcuiiriie supply Cor,' ictor, iliclig rieui.ral.
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
test ;shall then be Piade between ;:.he 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.
T,; job card! signed by Health Departmeat for 'water and sanitation?
17.. If everything ol<ay, sign off card and tag, services.
OBJ'LEilU.ME DATA / - S
Manufacturer and/or Namestyle
Lengthy 4,'icith
Vehicle Serial No.
State Identification No.
,.deiLtional Information or Conm+ents:
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 S, under permit
number ��-1 % 77 for the following location:
If
Owner /,!.~, �••�J r'�—Ji t 1'�.
Owner's Address 3 n Ir -
Mobilehome Mfg. Model Year
Insignia No. 1 1 Serial No.
It is hereby certified for occupancy at the above described location and
may be occupied.
Director of Public Works
o
Date 2 1 — By
THIS CERTIFICATE IS VOID WHEN MOBILEHOME IS RELOCATED
White- Owner, Yellow- Installer, Pink - D.P.W.
COUNTY OF BUTTE — DEPARTMENT -OF PUBLIC WORKS
7 County Center•Drive — OroviIle, Cal ifornia95965
F Telephone: 134-4541.,
k6-77
APPLICATION AND PERMIT v
OUMUll�U ICVIUacntatrvca UI tilt; %,Uunty UI outtc to enter UPUII U1C
above-mentioned property for inspection purposes.
X Xate-7-77
ignature of Perb' ee or Agent
Receipt No. � ld7 Y3!�
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 OFA'171BLIC WORKS
By Date_!
Bu ding permit expires Date—�6—��'
BUILDING
OwnerSQ.
FT. OCC. BUILDING VALUATION
Mailing Address �f% Q
Telephone No.
N�4✓g
Fireplace
Contractor
Total Valuation
Mai I i ng Address
Permit Fee
Plan Checking Fee &/or Penalty
Telephone No.
Permit Fee $
Building Address
PLUMBING No.1 @ FEE
PERMIT FILING FEE $3.00 Q0
Each Trap 1.50
Repair drainage or vent piping 1.50
Water piping •1-W
&41V ii8cation OnIJ
Each gas water heater or vent 1.50
A. P/N o. r ,., A ZZ
Gas piping system 1 - 5 outlets 4—W
Each additional outlet .30
es
talion FireDept .
10
FireZone Use Permit
Building sewer
EQA
Parking
PLus
ParcelLawn
I Declaration
I Parcel Map
60' R/W
Improvements
sprinkler system 2.00
B I d . Plans Recd
Porc royal
Plans Approval
Permit Fee $ U60
LTT fog
NEW ❑ ADDITION UTILITIES rw OTHER ❑
ELECTRICAL No. @ FEE
PERMIT FILING FEE $3.00 CIO
Main service sooV OR LESSy1
100 AMP OR LESS 5.00 0V
Main service EA. ADD'L 100 AMP 2.50
OVER 600V
Main service 100 AMP OR LESS 25.00
Single Family ❑ Duplex ❑ Mobil Home Others ❑
Main service/ EA. ADD'L 100 AMP 1.00
NEW CONST. OR ADDNS. ( DACCLBLDGS.LING CCUP. &) 2¢sgft
NEW CONSTRMULTI.OUTLET
NON•RESID. ( BRANCH CIRCUITS) 2.50ea
NEW CONSTRPOWER 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:
° O 40 0
Ex. Occup(OUTLETS OR FIXTURES) BAL@1
FIXED APP LNS. 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
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.
C 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
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
0C
TOTAL PER IT FEE
$ Oc
OUMUll�U ICVIUacntatrvca UI tilt; %,Uunty UI outtc to enter UPUII U1C
above-mentioned property for inspection purposes.
X Xate-7-77
ignature of Perb' ee or Agent
Receipt No. � ld7 Y3!�
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 OFA'171BLIC WORKS
By Date_!
Bu ding permit expires Date—�6—��'
This set of plans and ,iificaf4 v,;, MUST be
kept on Ae job at all +;roes 'arid it is unlawful to .
make onv c.%nnges or alterations on same wi+howf
written permission from the Department of Public
i Works, County of Butte.
NOTE—All Materials & Workmanship Shall Be in
Accordance wiih Recognized Good Practices and
of a quality prescribed for the, Specified use in the
Uniform Building, Plumbing & Mechanical Codes and
the National Electrical Code.
i�c
Septic system
-9�e to. �e hs per
Butte County Health Dept. Re=
quirements.
�-
AcG44.r` xT 11,-, e/s
41,4 ,2 D�� 41
heJ3Wg. Setbock shall be 5 ft. from -the
ide property line and 50 ft. from the
::enterline of the road,' permitting a maxi.
mum of a 2 ft. eave overhang but entirely
out of all easements.
n
�Ae- N
1'
All utility c nnections shall be
located within .
third section of the mobile home
on the left (road) side of the mobile
home.
,n. A /\! F Al 0 31 '
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o
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,,. COUNTY OF BUTTE- — DEPARTMENT OF PUBLIC WORKS
7 County Cer%ter_Drive _, Oroville, California 95965
T eY 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 Permtee or
Agent
Receipt No. & L erO itYO
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 XJ -t --'PUBLIC WORKS
BY Dated=� i
B ding permit expires Date ��
BUILDING
Owner
SQ. FT. OCC. BUILDING VALUATION
Mai Iing Address o Y611.
..
Telephone No.
r�
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
a
Repair drainage or vent piping 1.50
Water piping 1.50
Each gas water heater or vent 1.50
A. P. No. 7—
�()
Zoning & Planning
Gas piping system 1 - 5 outlets 1.50
Each additional outlet .30
Fees
W.C.
9e»4e44e41
Fire Dept.
Fire Zone
Use Permit
Building sewer 5.00
EQA
Parking
Plans
Parcel
Declaration
Parcel Ma P
60' R/W
Im provements
Lawn sprinkler system 2.00
dg. Plans Rec'd I
Parcel A rovol
Plan s4joporoovol
Permit Fee $
$
NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER ❑
ELECTRICAL No. @ FEE
PERMIT FILING FEE $3.00
Main service 100 AMP OR11V .11 LESS5.00
Y 7
Main service EA. ADD'L 100 AMP 2.50
Single Family ❑ uplex ❑ Mobil Home Others ❑
OVER 600V
Main service 100 AMP OR LESS 25.00
Main service EA. ADD'L 100 AMP 1.00
NEW CONST. LING
OR ADDNS. ( DWEACCLBLDGS. OCCUP. &) 22sgft
NEW CONSTR. MULTI -OUTLET
NON-RESID. BRANCH CIRCUITS) 2.50ea
NEW CONSTR. (POWER APPARATUS &
NON -RES,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
St le of:
Y
Ex. Occup(OUTLETS OR FIXTURES) B250
AL@1
FIXED APP LNS, OR
Ex. Occup. OUTLETS (RESID,) EA) 2.00
Temporary service 10.00
Mobile Home Facilities 15.00
License No. Classification
Misc. Wiring 6.25
CRI 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.
'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 $
$
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
?v do
TOTAL PERMIT FEE
$ p�
authorize representatives of the County of Butte to enter upon the
above-mentioned property for inspection purposes.
X
_Date — %
Signature of Permtee or
Agent
Receipt No. & L erO itYO
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 XJ -t --'PUBLIC WORKS
BY Dated=� i
B ding permit expires Date ��
MOBILEHOME SUPPORT DATA Y
Mobilehome Mfr. 1� (� y�l o I Setup Model No. Year
Width . / D (ft.) Length (ft.) Expand6 Size ft.x r ---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).
ter Support
ting Sizes
(in.)
Cin.) n.)
�- S ingle P
*If center piers are o er than drawn above,
draw in locations, sp cing, and dimensions.
��Footings- (check. one)
/7/ 1. Wood , either .
pressure treated or
fdn. grade.
2. Concrete pad.
3. Other,:specify
Supports (check one)
/7Ki"' Concrete block
2. Concrete piers
3. Steel piers
4. Other, specify
Typical Support
Z x�Footing Size
in. in.
i
i
Max. Pier
Spacing
�f-t.� ln•)
Max. Overhang
BUTTE COUNTY
BUILDING DE?ARTN FNT
APPROVED
BUTTE COUNTY DEPARTMENT OF PUBLIC WORKS
7 County Center Drive, Oroville, CA.
PHONE: 534-4541
MOBILEHOME INSTALLATION SHEET
1. Owner's name: P��i�o V=:::� /
2. Installer's name:�,�:U71y/�
3. Is the site currently under permit? Yes. /r// No
(If yes, furnish permit number ) 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 /I// No
(If no, clarify )
5. What is the mobilehome electrical rating? ----------------------- 30 Amps
6. What is the mobilehome site service rating? --------------------- / efa Amps
7. What is the mobilehome site circuit breaker rating? ------------ -30 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: trljt Pu";t (Load) (Amps)
9. What is the mobilehome site gas pipe size? ---------------------
10. What is the type of gas service? ----------------------------- Natural / ✓/ LPG
11. What is the gas pipe length from meter or tank to the mobilehome? (ft.)
12. What is the mobilehome gas demand? ------=----------------------- (BTU)
ITTI 1
(This informationot required if pipe length less than 6 ft. on natural gas
'' n orlless-tlian•=50'jft.1on LPG.)
#• i , ,� �M i• A
b '? I l9 o I e"L A—`I-3
PERMIT NO
PERMIT EXPIRES 10/20/89
OWNER HENRY BILLINGTON
CONTR.
3401-88MHI ex site
ASSESSOR PARCEL ' 27-08-64
LOCATION 2586 Baldwin Ave, Palermo
Temp. Power Pole
I
Called PG&E_
Temp. Elec. Service
Called PG&E
Temp. Gas Service
Called PG&E _
JOB FINALED (Date)
Signature
= OK
0 = Not OK
= Not Readyable MOBILE HOMES
Date MOBILE HOME UTILITIES (Plans) OK except #'s
1. Zoning Requirements -Setbacks -Easements
2. Soils; Special MH Support -Sketch
3. Sewer; Location -Test -Fall -C/O -Concrete
4. Water; Location -Test -Easement Needed (Sketch)
5. Electricity; Location-Clearances-Grnd.-/ / Amp -Concrete
6. Gas; Location -Test -Wrap: / /"L"ft.
/ /"Nat. or/ P'L"ft./ /"LPG
7. Utilitv Clearance
Card -131 Date Card -131 Date
Card -131 Date Card -61 Date
Date MOB HOME INSTALLATION (Plans) OK except #'s
Z ing Requirements -Setbacks -Easements
Footings; Size -Spacing -Marriage Line
C3a<MH Test -Demand -Valve -Connector
c ricity; MH Test -Crossovers -Breakers -Clearances
ain; MH Test -Fall -Flex Connector
ter; MH Test -Regulator -Connector
" ter and Sewer Connected -00 to Grade -HD Approval
Gas and Electricitv Taqqed
Exits; Insp.-Sketch
Cert. of Occupanc
Card -B1 Dat Q• and -B1 Date
Card -131 Date Card -61 Date
MISCELLANEOUS
Date DECKS,COVERS,CARPORTS,GARAGES, (Plans)QK except #'s
1. Zoning Requirements -Setbacks -Easements
2. Footings; Soils -Size -Depth -Spacing -Connectors -Steel
3. Decks; Girders and/or Joists -Decking -Bracing -Stairs -Rails
4. Wood Awn.; Posts- Bea ms-Rftrg.-Connec.-
Shthg.-Rfg.-Bracing
_ 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures
6. Carports; Windows -Doors
7. Elec.
8. Frmg; Sills-Anchors-Studs-Rftrs-Trusses
9. Siding; Nailing -Veneer -Stucco -Mesh
.10. Roof; Shthg-Roofing
11. Ext.; Steps -Doors -Landings
Card -81 Date Card -B1 Date
Card -B1 Date Card -81 Date
Date POOLS (Plans) OK except #'s
1. Setbacks -Easements
2. Soils; Compaction -Structure Stability
3. Pool Structure; Steel -Connections -Thickness -
Dead Men -Lining
4. Elec.; Receptacles and Lighting, Distances-GFI
5. Elec.; Pool Lighting; 15 volts-GFI
6. Elec.; Enclosures; Conduit Entries -Terminals -Listed
7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater
8. Elec.;Grounding; Equip. w/5' -circulating Equip. -Pool Lghtg.
Boxes-Enclosures-Panel boards- Ins. to Main in Conduit
9. Health Department Approval
10. Plumb.; Cir. Test -Water Supply Test
Card -B1 Date Card -B1 Date
Card -B1 Date Card -B1 Date
= OK
0 = NotOK
RESIDENTIAL (Single and Duplex)
- =Not Applicable
= Not Ready '
Date UNDERFLOOR (Plans) OK except #'s
1. Zoning -Setbacks; -Easements -Flood -Slope
2. Ftg., Main; Soils-Steel-Elec. Grnd.-/ /" Ftg. Depth
_ 3. Fig., Garage; Soils -Steel-/ /" Ftg. Depth
4. Ftg., Porches & Decks; Soils -Steel-/ /"Ftg. Depth
5. Stemwalls, Main; Steel-Blockouts-Wrapped
6. Stemwalls, Garage; Steel- Bloc kouts-Wrapped
7. Slab; Steel -Wrapped
8. Piers -Fireplace Ftg.-Steel
9. D.W.V.; Fall -Fittings -Test -2 way C/O -Sewer Test
10. Gas Pipe; Size -Anchors
11. Water Pipe; Test -Anchors -Regulator -Service Test
12. Electric; Underground
13. Plenums & Ducts; Clearance- Material -Su pprt-Ins.
14. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples
15. Insulation
Card -131 Date Card -131 Date
Card -B1 Date Card -B1 Date
Date PLUMBING (Permit) OK except #'s
16. Water Ht. Vent -Access -Combustion Air -Baffle
17. Water Pipe; Test & Anchors -Nail Protection
18. D.W.V.; Test-Fttngs & Anchors -Nail Protection
19. Shower Pan; Test, First Floor -Tub Access
20. Test Tub & Shower, 2nd Floor -Tub Access
21. Gas Pipe; Size & Anchors
Card -B1 Date Card -81 Date
Card -81 Date Card -B1 Date
Date ELECTRICAL (Permit) OK except #'s
22. Fixture & Transformer Clearance -Ins. Protection
23. Elec. Receptacles Spacing -Lights & Switches at Doors
24. Size Boxes & No. of Conductors -Stapled
25. Romex Installed Close to Edge of Studs & C.J.
26. Equip. Ground made up w/Mech. Fasteners -Bond Gas & Water
27. 2 Appliance Circuts in Kitchen & Conductor Size/G.F.I.
28. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / /ga.
Cu or AI
29. Range Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or Al.
Insulated Neutral Yes No
30. Service -Riser Conductors & Ground -Main Disconnect
31. Equip. Clearances Panels-Motors-Mech. Equip.
32. Clothes Closet Light -Shower Light -Spa Light
33. Smoke Detector
Card -81 Date Card -B1 Date
Card -B1 Date Card -B1 Date
Date MECHANICAL (Permit) OK except #'s
34. A.C. Ducts Insulation & Support
35. Vent Fan; Exhaust above insulation
36. Condensate Drain & Overflow; Size & Grade
37. Furnace -Vent; Access -Comb. Air -Return Air Vent -115 outlet
38. Attic Access & Platform if Furnace in Attic
Card -61 Date Card -131 Date
Card -131 Date Card -B1 Date
Date FRAMING (Plans) OK except #'s
39. Sills, Proper Material & Anchors
40. Walls Studs -Nailing, Spacing & Bracing -Plates -Sound
41. Bearing Walls over Girders & Floor Nailing
42. Draft Stop in Walls (rat proof)
43. Fire Stops; Furred Ceilings -Stairs -Chases -Tub
44. Header & Beam -Size & Bearing
Date FRAMING (Continued)
45. Hangers -Post Caps -Anchors -Connectors
46. Cing. Joist-Rftr. Ties-Purlin-Roof Brac.-Truss-Shthng.-Rfng.
47. Fireplace Ties or Type A Flue -Fireplace Throat Clearance
48. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles
49. Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions
50. Garage Fire Protection Framing
51. Property Line Firewall & Openings
52. Ext. Doors -One 3' -Check Garage -3rd story, 2 exits
53. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection
54. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers
55. Siding -Nailing Veneer
56. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access
57. Glazing Area -Glass Protection -Skylights -Plastic
58. Shear Walls; Nailing -Bolts
59. Insulation-Walls-Clg.
60. Infiltration -Wal Is-Wndws
Card -131 Date Card -81 Date
Card -61 Date Card -131 Date
Date FINAL (Plans) OK except #'s
61. Ext. Steps -Door & Sidelight Protection -Landings
62. Smoke Detector
63. Furnace; Vents -Clearance -Comb. Air -Connector -
In Garage; Above Floor-Ducts-Mech. Protection
64. Bedroom Exiting
65. G.F.I. & Bath Fixtures & Tub Access -Spa
66. Elec. Trim & Subpanel; Breaker Sizes -Labels
67. Stairs & Rails
68. Fireplace or Stove; Clearances -Hearth
69. Elec. Outlets at Wood Panel; Int. & Ext.
70. Kit. Fixt. & Appliance; Grnd. -Air Gap -Cooking Clearance
71. Elec. Outlets & Receptacles at Kit. Counter
72. Garage Fire Door; Swing -Landing -Closer
73. A.C. Duct in Garage -Damper
74. Wtr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V.-
In Garage; Above Floor-Mech. Protection
75. Plb., Elec. & Mech. Equip. Listed for Location
76. Elec. Receptacles in Garage; (G.F.I.)-Romex Protec.
77. Insulation -Foam -Looked in Attic ❑ Yes
78. Guard Rails & Deck Construction -Post Caps
79. Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth
Clearance Looked under Floor ❑ Yes
80. Following instld.; Drive ❑ Yes ❑ No; Walks ❑ Yes ❑ No;
Planters ❑ Yes ❑ No
81. Stucco; Brown -Finish
82. A.C. Unit; Disconnect, Electrical, Plumbing
83. Vents Above Roof; Plbg.-Appliance-Firepl.-Clearance to
Openings.
84. Water Well; Disconnect, Electrical, Plumbing
85. Exterior Elec. Trim; G.F.I. Receptacle -Underground
86. Ventilation throughout House
87, Glass Protection
88. Corrections from Previous Inpections
89. Gas Test -Meters Tagged; Gas -Electric
90. Water & Sewer Connected -C/O to Grade -HD Approval
91. Energy Compliance Certificate -Other Certificates
92. Roofing Certificate
Card -B1 Date Card -131 Date
Card -131 Date Card -B1 Date
Card -131 Date Card -131 Date
Comments at Final:
(NOTE: An entry must be made each time you visit job site)
COUNTY OF BUTTE
DEPARTMENT OF PUBLIC WORKS
196 Memorial Way, Chico — Phone: 891-2751
7 County Center Drive, Oroville — Phone: 53$-7541
747 Elliott Road, Paradise— Phone: 872-6307
CORRECTION NOTICE
OWNER ]- PERMIT NO.
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
matter, or need additional explanation, please contact (this office immediately.
n
Inspector
Date V � 7 (\ e
MOBILEHOME INSTALLATION ACCEPTANCE
COUNTY OF BUTTE
DEPARTMENT OF PUBLIC WORKS — 7 COUNTY CENTER DRIVE
OROVILLE, CALIFORNIA — 534-4541
PERMIT NO_
Address or location of mobilehome�-�.�
Owner's name N 00 A— r t ,1 � � y � . +.. t1 � >•. i.�
Owner's address - ,-*% "! -4 Al 0 Vvt I i
�t
-Insignia or hud number—�''1�,�j (I -� i�L,�� 'tt ._
Manufacturer's name ► r r� d"Y1�1to Sz
Serial number of-V:I}.N. m R � A. zzi P" Year of manufacture
a 1 It � a �.... _
(Official Approving Installati
1,IL/-
Date)
IF THE MOBILEHOME IS MOVED OR RELOCATED, THE MOBILEHOME INSTALLATION
ACCEPTANCE SHALL BECOME INVALID. THIS FORM SHALL NOT BE USED WHEN THE
MOBILEHOME IS INSTALLED ON A FOUNDATION SYSTEM.
513B White - Owner, Yellow - Installer, Pink - D.P.W.
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS
7 County CeniA.r Drive - Oroville. California 95965 - Telephone: 916/538-7541
APPLICATION AND PERMIT
ASSESSOR PARCEL NUMBER
ZONI G
"::;;�
BUILDING PERMIT
$;
own1��R��� TELEPHONE SO. FT. OCC. BUILDING VALUATION
/7/ y
OWNER'S MAILING ADDRrLSS
CONTRACTOR'S NAME TELEP NE
CONTRACTOR'S MAILING ADDRESS
Fireplace
CONSTRUCTION LENDER UNKNOWN
Total Valuation $
LENDER'S MAILING ADDRESS
Filing Fee
$ 10.00
Permit Fee
$
ARCHITECT OR ENGINEER LICENSE No.
Plan Checking Fee
,$
ARCHITECTON EER'S MAILING ADDRESS _
Energy Plan Checking Fee
$
Penalty
$
BUILDING ADDRESS
Permit fee
$
PLUMBING PERMIT
Filing Fee 10.00
/
Each Trap
2.00
Solar or heat pump water heater
20.00
LOT NO.
SUBDIVISION NAMEPARCEL
MAP
Water piping
5.00
Each qas water heater or vent
5.00
USE OF STRUCTURE
Gas piping system 1 - 5 outlets
5.00
SF [I Duplex[] Mobilehomek] Other
Building sewer
SPECIFY
Mobile Home S G W
*5.00
00 ea
TYPE OF WORK
New ❑ Addition ❑ Remodel ❑ Utirlities ❑ Installations Other ❑
Permit Fee
$
Describe work: e97"'5,= Tim
Contractor
4
ELECTRICAL PERMIT
Filing Fee 10.00
Main service SS
100 AMP OR LESS
10.00
Main service EA. ADD'L 100 AMP
2.50
CONTRACTORS LICENSE LAW
NEW CONST. DWELLING OCCUP.ai
' ADDNS.
, /20sgft
I declare under penalty of perjury (check one):
OR ACC. BLDGS.
NEW CONSTR. MULTI -OUTLET
2,50
I am licensed under provisions of Chapt. 9, Div. 3 of the Business
NON.RESID BRANCH CIRC ITS
POWER APPARATUS &)
ea
and Professions Code and my license is in full force and effect.
SINGLE OUTLET CIR.
License No. a2Q-9��-Classification �'�(l
EO20@590
X. CCUp�OUTLET3 OR FIXTURES .ALO 30
❑ I, as the owner, or my employees with wages as their sole compen-
FIXED ALNS
' Ex. Occup. OUTLETS PIRESID.IREA.)
1 2.00
sation, will do the work,and the structure is not intended or offered
Temporary service
10.00
for sale. (Sec. 7044)
❑ I, the licensed
Mobile Home Facilities
15.00
as owner, am exclusively contracting with ontract-
contract-
Misc. Wiring
IY
15.00
ors.
ors.(Sec. 7044)
g
❑ I am exempt under Sec. , Business and Professions Code
1
for this reason
Permit Fee
$
Contractor
WORKMEN'S COMPENSATION INSURANCE
I declare under penalty of perjury (check one):
I MECHANICAL PERMIT
Filing Fee 10.00
❑ The permit is for $100.00 (valuation) or less.
1 Heating
p� I have placed on file with the County of Butte Building Department
!� a Certificate of Workmen's Compensation Insurance or a Certificate
of Consent to Self -Insure.
Cooling
g
❑ I shall not employ any person in any manner so as to become subject
Hood
3.00
to the W. C. laws of California.
Ventilation
Notice to Applicant: If after making this statement, -should you become subject
to the W. C. provisions of the Labor Code, you must forthwith comply with such
Permit Fee
$
provisions or this permit shal I be deemed revoked.
Contractor
I certify that I have read this application and state that the above information
Mobile Home Installation Fee
$
Energy Inspection Fee
$
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.
TOTAL PERMIT FEE
$ ^
I also agree to save, indemnify and keep harmless the County of Butte against
occUP.
CON3T*TYPEJ
SCHOOL
FLOOD
PARCEL
PO
No
1390
all liabil' ' judg s costs d rises which may in any way accrue
again Co c qu nc he granting of this permit.
This permit is hereby issued under the applicable provi-
p
%� �2 0
Date
sions of the Butte County Code and/or resolutions to do
Signature o Appl�C_ Owner ❑ Contractor ❑ Agent ❑
work indicated above for which
fees have been paid.
An OSHA permitired for excavations over 5'0" deep and demolition or construct-
D TO OF UBLIC WORKS
ion of structures stories in height.
By
Date
Receipt No. X29
WNITL-D.P. W., YELLOW-A7el370R, PINE-IN9PCCTOR, GOLDENROD -APPLICANT
PERMIT EXPIRES Date
C
J_
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS - BUILDING DIVISION
7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE: 916/538-7541
PERMIT APPLICATION DATA SHEETJ/
n Permit No. F
OWNER 164-1105_ 7' " A. P. No..a %' 9 — &V
Proposed Building Use /%%i�-Z Building Inspectore<�Z�Z•At - Date
i
At time of permit application, I was advised the following data must be submitted prior to permit processing
andJor issuance:
DATE RECEIVED APPROVED
1,
All items.have been submitted. . . . . . . . .
2.
Plot plans in duplicate/triplicate, signed by preparer of plans. ,
3.
Complete plans in duplicate./triplicate, signed by preparer of plans.
4.
Complete engineered plans and calcs, with wet signature on plans.
5.
Plans with Energy Design Compliance Statement. . . . . .
6.
School District "Fees Paid" Stamp on Floor Plan.
7
Statement of Intent for Non -Heated and AC Buildings.
8.
Fees of $ , , , , , , , ,
9.
Letter of signature authorization. . •
� 10.
Sanitation approval from 1-F'�Q Health Dept. " ,
,/ 0 �✓'%g�
11.
Planning approval for (A) Use: (B) Parking: .
12.
Certificate of Workmen's Compensation Insurance. . . . . .
13.
Contractor's License Information (no., name style, classif.)
14.
Owner -Builder Verification (Given to owner❑, Mail to owner ❑ )
_5.
Improvements may be required. . . . . . . . . . . .
Mobilehome Installation Data. . . . . . .G�
17.
Pre -Inspection for Required. Pre-Inspec.
q Building Inspector
request to (Date)
Recorded copy of Agricultural Acknowledgment Statement.
19.
Driveway Permit.
20.
Plot plan approval from city of
21.
Engineered trusses in duplicate (required prior to plan check).
22.
When you issue the permit, process as follows: Mail to owner,
Mail to contractor.
Telephone and hold for pickup at office,
Deliver w/inspector.
Other
Applica t
�� "�"l'�O
e
Copy of plans sent Health Dept., Fire Dept., Other
Date
The following data must be submitted pr(or to m.A i uance: (Circle new item not checked above).
1.
Index permit for above items No.
2.
Additional items required:
a
Contract designer, owner, was advised of above required data byv phone_lnail_counter
47ate�
Contractor,
designer, owner, was advised of above required data by—phone —ma ll—counter
by date
Plans checked by Date Plans approved by
ate to -« '1) 6
Sets of plans on hold in File cabinet AP folder
f
Copy—DPW
TO Buildinq Department
FROM: Environmental Health
SUBJECT: Sanitation Clearance
,
ner
zS-A4 ���
Location
Plan Approved for: Sewaqe Disposal _
Hold final for:
Final clearance O.K. for:
Clearance for 3 bedroom mobile home. Other
NOTE * * *
Sanitari n
zI --ty
w AP#
Water Supply
Water Supply
Water Supply
\ Date
8�-035811 f Rec Fee 5.00
Cash.. 5.00
Recorded
Official Records
Count y of
Lev SONCounty
Butte
Candace J. Grubbs
Recorder
2:36pm 20 -Oct -88 RB 1
It.1,Cu1:i1 Lo vew/tlltl(:lil;l'lllUll. i'1'i�'I:I:;i11;NT Ul' .l(:1�i�VWI.t;1�Ul:;til'.Pyl:
FOR RESIDENTIAL DEVELOPM-NT
Section 26-8.1 of the Butte County Code requires this acknowledgement
be recorded prior to issuance of a building permit.
The property described herein is adjacent to land or included
within an area zoned for agricultural purposes, and residents of this
property may be subject to inconveniences or discomfort arising from
the use of agricultural chemicals, including, but not limited to herbicides, pesticides,
and fertilizers; and from the -pursuit of agricultural operations including, but not limited
to cultivation, plowing, spraying, pruning, and harvesting which occasionally generate dust,
smoke, noise, and odor. Butte County has established agricultural zones..which have as a
priority use for productive agricultural purposes, and residents within said zones and on
adjacent property should be prepared to accept such inconvenience or discon£orm from normal,
necessary farm -operations.
All that real property situate in the County bf Butte, State of California, described
as follows: .' 1
The South half of Liot-15, in Block 43,' as` shown on that certain Map entitled, "Map1
of Subdivision No.•J of the Palermo Citrus Tract, Buttd,County, Cal.;", which Map was
filed in the office of the Recorder of the County of Butte, State of California, on
February.28, 1888. 1.
APN 27-8-64
Date; October 19, 1988 PROPERTY OWNERS:
"V
State of California ) On this the 19th day of October 1938 before
County of
Butte ) SS. me, the undersigned Notary Public, personally appeared
11enry L. Billington and Barbara H. Billington
/ / Personally known to me. �� Proved to roe on the basis
of satisfactory evidence.
to be the person(s) whose name(s) are subscribed to
the within instrument and acknowledged that they
executed the same for the purposes therein contained.
IN WITNESS WHEREOF,.1 hereunto set my hand and official seal.
Notary Public
fhis set .of plans and specifications MUST be
cept on the job at all times and it is unlawful to
rake any changes or alterations on same without
written permisson from the Department of Public
Works, County of Butte.
NOTE:—ATI Materials & Workmanship Shall Be in
Accordance with Rccogniaed Good Practices and
of a qu,Al y prescril�ed for the Specified use in the
Uniform Eui'ding, Plumbing & Mechanical Codes and
Ae National. Eleetridcd Code:
• v� � � ws ® ��. ® O d. W b �
EXIST/NC? gr .
Utility connections shall be within
4 ft. of the mobilehome, either
directly behi,id or within the rear
half ef-+Ite•"'QacWiW@ (1,141) of the ,
mobilehome.
property lines and a setback /-ro
of 50ft. from the road
centerline shall be clear of
structures or equipment except
for a 2 ft. eave overhang. _
�S �ia �03G�acJeso✓
tlUTfE COUNTY
3U�f.DING DEPARTMENT
E D
Vz,
3yoi- s �
BUTTE COUNTY DEPARTMENT OF PUBLIC WORKS
7 County Center Drive, Oroville, CA
PHONE: 538-7541.
MOBILEHOME INSTALLATION SHEET
1. Owner's Name:
2. Installer's Name:�`�C�
3. Is the site currently under permit?
CIA=
Yes F-1
No 11
(If yes, furnish permit number ) OR
Is the site an existing site? . Yes No F1
(If yes, furnish two 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
1
5. What is the mobilehome electrical rating?---------------�e Amps
6. What is the mobilehome site service rating? ------------- Amps
7. What is the mobilehome site circuit breaker rating? ----- Amps
8. Is there any other electric load to be served by
mobilehome site service? -------------------------------- Yes No
(If yes'," dentify th4i-load .and. size:; ° � . 4(Load)
(Amps)
9.
What
is the
mobilehome site gas pipe size? -------------- —
(in.)
?------------------- Natural �j' LPG
F
10.
What
is the
type of as service.
YP g
ll.
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.)
MOBILEHOME SUPPORT DATA
ff
If other than single wide, w ,
Mobilehome Mfr. 11"59/j1 --*7/C9 OL -0/ furnish setup Model No. Year
/� �C/ Year
Width (ft.) Box Length_j:�O (ft.) Tagalong or Expando Size ft. x ft.
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).
FOOTINGS (check one)I - 2�_upWood-pressure treated or foundation grade . 2. Other (specify)
SUPPORTS (check one) Concrete block.a 2. Other (specify)
Pier Footing 'Sizes and Locations
SINGLE -WIDE MULTI -WIDE
t
Main Beams
2 Line
L i-
_ — — — — Main Beams
�Line 2
Line 1
----------- fLine
Tag or Triple
.Line -1
Line 1 Piers: Line 1 Openings:
Size -Min. ------------ Size -Min. ------------------
Spacing -Max. --------- „ Each Side of Openings
From Ends -Max. ------- '_ With Width Over --------- "
Line 2 Piers:
Size -Min .------------,,
�7
'_Vj
Spacing -Max .---------
s
From Ends -Max .-------
Line 3 Roof Loads:
Size -Min. ------------
Location (From Front)
Line 3 Piers: (Under Bearing Wall Only)
Size -Min ------------------- x
Spacing -Max.--------------- „
From Ends -Max .-------------
"x "x 'x 1.'k 11"x
Line 4 Piers:
Size -Min .------------ ,k „
Spacing -Max.---------
From Ends -Max. -------
e 5 Piers: (Under
Size -Mia ---------
Spacing-Max ------
From
--------Spacing-Max.-----
From Enda-Max.---
Size-Min.------------L „
"x "x 'k
Location (From Front)
BUILDING -DEPARTMENT
APPROVED ?�