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HomeMy WebLinkAbout027-270-018r _ 27-27-1840 tit Of+ 'Leonard Rood ,`. `„',�'�;'+ �c '.�p�"".{\ �. `: 3Fi4N/S-of-Ontario Ave: ,app.800'E.of `'st•s1`k;.-'°�' ��w:z• ''. .. Grie• Avd. , Palermo STORM°DAMAGEREPORT:"�s: Permit 3925-76 x,' L�}..iii�{*d'r ELEC . "\` y��r] A`iR]1�\E GAS . �,���;�.w f! �dLs!'J'i`M:,..�=.�'�c-7:#'l'ii',t �+'_p^�•�'Se.,•. _'�{, �;v�— t. "�'rT` SUPPORT STRUC t COMPACTION TEST REQ. ! 27-2 8 - ; con.tr: Erni.es Mnlyiti, Tran. G. �P4ary�ville � � t� Permit 4,,4313 = r...•.,� s Issued y - - ! - 4.53h—.76;iu 1 unit, .2 ELEC .ofn ell GAS D--' SUPPORT STRUCTURE REQ. COMPACTION TEST REQ.- 40 ; i 27-27=:18" - contr: S.O.S. MofiPb._ Home. Serv,.., -Para. Permit #5134-76MHI _ 7qt Is ued �% /�"-7(o t 1 -5caY1 Y7 ; riaAv e a 1 � � s t • t \ • - . .. _.ate PERMIT NO. 1-45-36-76P,E->'Tutil, -MH) PERMIT EXPIRES OWNER LEONARD ROOD CONTR.owner " LOCATION (A.P. 2-7-27-18 3,280 Ontario .Ave., Palermo it Temp. Power Pole Called PG&E Of Temp. Elec. Serv- Call dPG&E Temp Gas Serv. ;711/;7z�19W ;1K lled Ca j B Fol N AL E D (Date) 1.x,2 (Signature) 'COUNTY OF BUTTE — DEPARfMENTOF PUBLIC WORKS BUILDING INSPECTION RECORD BUILDING BUILDING (Cont'd) Motors PLUMBING Setback Firewall Soil Piping Final Forms Parapets 1st Floor Grd. Fault Pro Main Bldg. Restroom Finish 2nd Floor Brown Footings Windows 3rd Floor ' Stemwall Sidina To out Permanen Slab :, Roof Sheathing Water Piping_ Piers Roofing Sewer Garage ' Fdn. Vents Fixtures Footin s StemwaI l Garage Vents Insulation Water Htr. Heaters Slab Carport Footings Prov. for physically handicap Confforored Conformance of ex. C structure Appliances Gas Piping.& Temp. Gas Te15t Slab Final Sanitation % 7 Patio FIREPLACE Final <2 a Footings' Footing ELECTRICAL Fixtures • Bond Beam FIRE SPRINKLERS Motors Framing Test Water Htr. Stucco Final Subpanels Mesh MECHANICAL Grd. Fault Pro Scratch Heating Service Brown Cooling Temp. Pole Finish Ducts Underground Interior Lath Ventilation Permanen Door Closer Final Final /% %e DATE REMARKS OR CORRECTIONS �e�-- 01 a/x- (NOTE: An entry must be made on this form each time you visit the job site.) 7 TO: BuildingDepartment i FROM: Environmental Health � RE: Sewage and/or; a ter Clearance Or NER LOCATIOiV"A .P, I Has been approved for S;!AGS DISPOSAL TATER SUP'LY Sanitaria n Date S95-775 'NO BI!,l?IiOME' INS7'ALLATJ'(R4 INSPECTION CHECK LIST' 1. Is. the mobilehome loc;�itcd w -i i -h required :separation from lot lines and buildings and generally conform to plot plan? Yes No^ 2, Do Cls thEl mobilehome have requireA clearances above ground? (Sec.5085) Yes No 3. Are footin;s and supports properly sized, spaced, and braced a�,per approved plans? (Note possible variation at spring shackles.) (Sec. 5082 & 5083) Yes No 4. Is the mobilehome level.? (Sec. 5088) Yes No� 5. If more than a single unit, are crossover connections properly installed? (Sec. 5088) YesNo 5. Water A. Is fexible 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 A, No C. B roved, 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 i_t,have minimum per foot slope and is it properly supported? Yes No C. Are any leaks detected in drainage system after running���j-gallons of water through each fixture including washing machine standpipe? Yes_ No Yl D. I. no a -e o a roved, 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 mob' ehome 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 faith connector, turn. on gas, test connections with soapy water. C. Are all appliance vents properly installed? Yes No 9. Electrical Is service large eno�tglt to provide adequate amperage to mobilcliome. (must equal rating; of mobi.leltome with 1aaTll7'aJlll 0 100 amp) and other facilities on lot, i.e., water pumps, garate, cabana, etc.:f Yes No h. Is then, proper clearances Around panels? YesX No C. Is power supply cord or feeder assembly properly fused? Yes No_ D.- Is continuity test satisfactory as per the following procedure? Yes4 No+ 1. De -energize electrical wiring system of the mobilehome at the pedestal. 2. i 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 1c,.ad of: a tryst instrument to the mobilehome grounding conductor and apply the o"thief Lead to each CI oblLellollLe slipply coedac Lor, ilicluding nee Lra1. 5. All nor. -current, carrying metal parts of the mobilehome (aluminum siding, gas line, water line), inr_litding 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;;L shall then be made between -he grounding electrode and the chassis of the mobilehome. Upon sati-sfactory completion of the electrical tests, the lot or site service oqui.pment ukay be approved for energizing. ;.0, Is job card si-ned by Health Department for water and sanitation? 1.1.. If everything okay, sign off card and t.a services. MOBTLEi?OME DATA Manufacturer and/or Namest:yle Length— -�� Width � Vehicle Serial No. State Identif.ication No. 4- K" 4--Q? 4 &; t ional Infoz-na t: i on or Comments: F COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 7 COUNTY CENTER DRIVE;�- OROVILLS, CALIF: 534-4541 CERTIFICATE OF -OCCUPANCY-, This mobilehome has been installed in accordance with the of the California Administrative Code, Title 25, Chapter 5, under permit,� number for the following location: Owner aop, Owner's Address 4r --76r Mobilehome Mfg.Mode Insignia No. 14 (,e-� -7- 3 � 16 Serial N o. a -76 0 F. _t �3 It is hereby certified for occupancy at the above described location .and may be occupied. .5t Director of Public Works By. -7 Date THIS CERTIFICATVkS'VOID WHEN MOBILEHOME IS RELOCATED a COUNTY OF BUTTE _,- . DEPARTMENT OF PUBLIC WORKS 7 County Center Drive C--1 0roviIle, California 95965 Telephone: 534-4541 APPLICATION AND PERMIT �` 36 -> j(:, W autHOrILe representatives of the bounty of Butte to enter upon the above-mentioned property for ins tion purposes. Dat$ 76 ,[ J ` Signature o�fPermitee or Agent Receipt No. ?OV741-311 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 OITPUBLIC WORKS By B tZding permit BUILDING Owner©N D r SQ. FT. OCC. BUILDINOVALUATION / Mailing Address /03(08- ` NC L IJ �L ✓ T it) A -C 9- ( r ✓ (�e Telephone No. o Fireplace Contractor guzI? Total Valuation Mailing Address Permit Fee Plan Checking Fee &/or Penalty Telephone No. Permit Fee Building Address ��21 �� PLUMBING No. @ FEE PERMIT FILING FEE $3.00 3.'90 nn /"A'�%1 A4-6. Each Trap 1.50 S ,O! OAJ Mo (0 4VE Qat Repair drainage or vent piping 1.50 Water piping 4;60-�a e4 z / z Each gas water heater or vent 1.50 A. P. No. — �� -� Zsi,iP ning Gas piping system 1 - 5 outlets �. Each additional outlet .30 Fes W.C. t ire Dept. Fire Zone Use Permit Building sewer 5.00 (�, ct) EQA Parking Plans Parcel Declaration Parcel Ma P 60' R/W Im rovements P Lawn sprinkler system 2.00 Bldg. Plans Recd Parce pproval Plans pproval Permit Fee $ NEW ❑ ADDITION ❑ UTILITIES OTHER ❑ ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 Main service 80000 AMP V OR ORSLESS 5.00 Main service EA. ADD'L 100 AMP 2.50 a-6 Single Family ❑ Duplex ❑ Mobil Home Others ❑ OVER 600V Main service 1100 AMP OR LESS 25.00 Main service EA. ADD'L 100 AMP 1.00 VV NEW CONST. DWELLING OCCUP. & OR ADDNS. ACC. BLDGS. ) 2�sq ft (MULTI-OUTLET NEW CONSTR. MULTI.OUTLET NON.BRANCH CIRCUITS) 12.50ea NEW CONST R. (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: c uM0 I WP 1,60 Ex. Occup(OUTLETS OR FIXTURES)@2SQ BALImi FIXED APPL (FIXED. Ex. Occu NSOR (RESID.) EA) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 1 ,�ov License No. Classification Misc. Wiring 6.25 I am exempt from the Contractors License Laws of the State of California. Permit Fee $ 6 S -Z) $ 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. 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 MECHANICAL No. @ FEE PERMIT FILING FEE $3.00 Heating Cooling Ventilation Hood 2.00 Permit Fee $ $ TOTAL PERMIT FEE $ autHOrILe representatives of the bounty of Butte to enter upon the above-mentioned property for ins tion purposes. Dat$ 76 ,[ J ` Signature o�fPermitee or Agent Receipt No. ?OV741-311 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 OITPUBLIC WORKS By B tZding permit COUNTY OF BUTTE — DEFARF ENT OF PUBLIC WORKS 7 County Center Drive — Uroville, California 95965 Telephone: 534-4541 APPLICATION AND PERMIT "Lit V ice iep eaeiUauves Ur ure uuumy of tsuiie to enter upon the above-4nt' ned property for inspection purposes. �y X Date $ gVreIn or Agent Receipt Ns 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. DIRECT F PUBLIC WORKS BY Date 7 L ui Iding permit expires Date 7 T BUILDING Owner SQ. FT. OCC. BUILDING VALUATION Mai I i ng Address Telephone No. Fireplace Contractor .� S (M�Me S�4 �iC& Total Valuation Mailing Address A r Permit Fee Plan Checking Fee&/or Penalty f/a•� t �, ( T—•' Telephone%N' q./ _/ I� Permit Fee $ Building Address � (��%/�2! ' . PLUMBING No. @ FEE PERMIT FILING FEE $3.00 /tel p Each Trap 1.50 Repair drainage or vent piping 1.50 Water piping 1.50 Each gas water heater or vent 1.50 J° A. No. -1�,� 7� v� ` Zoning &Planning Gas piping system 1 - 5 outlets 1.50 Each additional outlet .30 , Fees W C. I 98444400 I Fire Dept. Fire Zone Use Permit Building sewer 5.00 EOA ParkinDeclare Plans IL ion Parcel Map 60' R/W Improv ents Lawn sprinkler system 2.00 --a-189. Plans Rec'd I Parcel A,proval Plan Approval Permit Fee $ NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER a ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 Cit Ai — Main service 100 AMP ORSLESS 5.00 Main service EA. ADO'L 100 AMP 2.50 Single Family ❑ Duplex ❑ Mobil Home R1 Others ❑ OVER Main service 100 AMP oR LESS 25.00 Main service EA. ADD'L 100 AMP 1.00 NEW CONST. DWELLING CCUP. & OR A.D.S. ACC, BLDGS. ) 20sgft NEW CONSTFL MULTI.OUTLET NON.RESID, 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: / ` y� I , 4112 —� 'f' 'P �Rt-��rL° -� Ex. Occup(OUTLETS OR FIXTURES)50 @25�! 109 Ex. Occu FIXED APPLNS, OR LETS (RESI D,) EA) 2.00 Temporary service 10.00 p y cervi Mobile Home Facilities 15.00 License Nor3192 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 orkmen'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 r %s/ 6�/r✓ti TOTAL PERMIT FEE $,3d "Lit V ice iep eaeiUauves Ur ure uuumy of tsuiie to enter upon the above-4nt' ned property for inspection purposes. �y X Date $ gVreIn or Agent Receipt Ns 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. DIRECT F PUBLIC WORKS BY Date 7 L ui Iding permit expires Date 7 T 1 V MOBILEHOMESUPPORT DATA Mobilehome Mfr.f� -e Setup Model No,#0 Lid Year �S Width .(ft.) Length (ft.) Expand6 Size ft.x 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) . i - Sin le . _—a t Footings---(check.-one) .� 1: Wood. either pressure treated or Center Center Support fdn-. grade. Support Footing Sizes Locations ( in. J,L 2..Concrete pad. 3. Other,:. specify • ln. 4in. Supports (check one) 1. Concrete. block 2. Concrete piers (fes in� (in.)(in.) 3. Steel piers 4. Other, specify Typical Sizeort Footing in.: (in.) d ' Max. Pier Ut. �-A Spacing t.) (in.) (in.) (in.) Max. v-� Overhang (tt1 1 �! *If center piers are other than drawn above, draw in locations, spacing, and dimensions. DUTTE COUNTY' BUILDING DEPARTMENT APPROVED BUTTE COUNTY DEPARTMENT OF PUBLIC.WORKS 7 County Center Drive, Oroville, CA. PHONE: 534-4541 MOBILEHOME INSTALLATION SHEET 1. Owner's name: 2. Installer's name: J, 1!� 3. Is the site currently under permit?. Yes / / No ( If yes, furnish permit number 76 ) 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 No ( If no, clarify ) 5. What is the mobilehome electrical rating? ----------------------- 100 Amps 6. What is the mobilehome site service rating? --------------------- C7, pQ Amps 7. What is the mobilehome site circuit breaker rating? ------------- %© (7 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.) t r• i site service? --------------------------------------------------- Yes / / No (If yes, identify the load and size: (,P, (Load) . n (Amps) 9. What is the mobilehome site gas pipe size? ---------------------- (in.) 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) (This information not required if pipe length less than 6 ft. on natural gas or less than 50 ft. on LPG.) t r• i NOM , All Materials & Workmanship Shall Re in ' Accordance with RP. ce iin;7IR-4 rood Practices and of a quality prescrIied for the Specified use in the Uniform Building, Plumbing & Machanical Codes and the National Electrical Code. chis set of plans 499=903MMMus MUST be kept on the job at all times and it is unlawful to make any changes -or alterations on samewithout writter permisson from the Department of Public Works County of Butte. �I~M1 �kATIA11 t'l 's &etback shall be 5 ff. from the side p operty line and 50 ft. from the centerline of the road ti a maximu � of a 2 f#. eave o rmihtang . _.................... _ _._ Aft utility con, ections�shall- be located within 4 ft. outside the rear third section of the mobile home on the left (road) side of the mobile home. �ept;c ystem and location of build - in g dr iin stub. -out to be as .per l butte ounty Health Dept. Re- qu-lre% nts. no y ' i R11V #q3/3-76 peImit will lie requit'red for•the. tnsta lation of the mobilehome; a p� 1 BUTTE COUNTY BUILDING DEPARTMENT APPROVED COUNT Y OF' BUTTE DEPARTMENT OF PUBLIC WORKS 7 COUNTY CENTER DRIVE OROVILLS, 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 3925-76 for the following location: NIS Ontario 'Ave, 800' E of Grier Ave.. Palermo Owner LEONARD ROOD Owner's Address 6368 Lincoln Blvd. ##11, Oroville Mobilehome Mfg: Sahara Model 24 X 60 Year 76 Insignia No. 512271 V & X Serial No. 210375 & 6 It is hereby certified for occupancy at the above described location and may be occupied. Director of.P,ublic Worksn Date /Z_—;?_ -7 —ice By THIS CERTIFICATE IS VOID WHE$KMOBILEHOME IS RELOCATED PERMIT NO. 3925-76P,E PERMIT EXPIRES t7 IR 7 OWNER Leonard Rood �CONTR. owner LOCATION (A.P. 27-27-18 3280 Ontario Ave., N/S Ontario Ave., 800'E.of Grier Ave., Palermo y 1 1 ;J er Pole yirG&E :.. Serv._�a/ /LE l'G&E J Serv. ,el � i OB _ Date) (Signature) COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS BUILDING INSPECTION RECORD Footings Footing ELECTRICAL Masonry Walls Throat Rou h BUILDING BUILDING (Cont'd) Bond Beam FIRE SPRINKLERS PLUMBING Setback Firewall Soil Piping Subpanels Forms Parapets 1st Floor Service Main Bldg. Restroom Finish 2nd Floor Underground Footings Windows 3rd Floor Final Stemwall Sidino To out Slab Roof Sheathing Water Pi in Piers Roofing Sewer Garage Fdn. Vents Fixtures Footings Garage Vents Water Htr. Stemwal I Insulation Heaters Slab Carport Footings Prov. for physically handica ped Conformance of ex. structure Appliances Gas PI in Gas &Test Slab Final eSanitatio3y Patio FIREPLACE 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 Pr t. Scratch Heating Service Brown Cooling Temp. Pole Finish Ducts Underground Interior Lath Ventilation Permane Door Closer Final Final DAT OR CORRECTIONS ' �Rr-EMARKS F.� cam- (NOTE: An entry must be made on this form each time you visit the job site.) MOBIL EHOME INSTALLATION INSPECTION CHECK LIST 1: Is the mobilehome locatedh required separation from lot lines and buildings and generally conform to.plot plan? YesZviNo 2. Does the mobilehome have required clearances above ground? (Sec.5085) Yes11 No 3. Are footings and supports properly sized, spaced, and braced aer approved plans? (Note possible variation at spring shackles.) (Sec, 5082 & 5083) Yes No 4. Is the mobilehome level? (Sec. 5088) Yes( No .5. I,f mo a than a single unit, are crossover connections properly installed? (Sec. 5088) Yes No 6. Water A. Is fl xible connector of adequate size and properly installed (1/2" ID min.)? (Sec. 5566) YesX No B: Test - Does water piping withstand working pressure or.50 lbs. air test? YeS74 No C. ow - 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? YeskA. No B. Does it have minimum 4' per foot slope and is it properly supported? Yes_1i%No 7 -r - C. Are any leaks detected in drainage system after runnin -gallons of water through each fixture including washing machine standpipe? Yes_ No D. If nia 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 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'adequat_e amperage -to mobilehome (must equal rating of mobilehome with a minimum f 100 amp) and other facilities on lot, i.e., water pumps, garage, cabana, etc.? Yes - _No B. Is there proper clearances around panels? Yes No C. Is power supply cord or feeder assembly properly fused? YesNo_ D. Is continuity test satisfactory as per the .following procedure? Yes No 1. De -energize electrical wiring system of the mobilehome at the p destal. 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 r0obileitome 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•.s,hall 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. MOBII.EHOME DATA Manufacturer and/or Namestyle Length l/ Width_ Vehicle Serial No. State Identification No, /�� a �� 0 � Additional.Informati"on or Comments: . r COUNTY OF BUTTE ' DEPARTMENT OF PUBLIC WORKS 7 County Center Drive — jUroville, California 95965 Telephone: 534-4541 APPLICATION AND PERMIT auurvrlce representatives UI the County of Butte 1 0 enter upon the above-mentioned property for inspection purposes. Date Signature offFlermitee or gent Receipt No. L:z V 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 OF/PUBLIC WORKS BY - — Date �%— y�— 7 � iI Ina permit expires Date BUILDING Owner �Q� (7� SQ. FT. OCC. BUILDING VALUATION Mailing Address �� �� w CUL %t_U 1� -1—Telephone No. NQN Fireplace Contractor Total Valuation Mailing Address Permit Fee Plan Checking Fee &/or Penalty Telephone No. Permit Fee Building Address OFA. AJJA_�.y 3,cf.9 dr n,?RRla PLUMBING No.1 @ FEE PERMIT FILING FEE $3.00'3.4 — ®CD , E;* 5. -7— 0,z�' J E& 19 LIE_ Each Trap 1.50 BA / - Repair drainage or vent piping 1.50 Zgning .Yerificatica Unty, Water piping 1.50 Each gas water heater or vent 1.50 A. P. No — 7 _ f �ZO Gas piping system 1 - 5 outlets 1.50 Each additional outlet 30 Fees W.C. SaPJ tion Fire Dept. Fire Zone Use Permit Building sewer 5.00 Q. EQA Parking arcelsfcel Plans Declaration a 60' R/W Improvements Lawn sprinkler system 2.00 Bldg. Plans ec'd der P reel pproval Plan Approval Permit Fee t Qv z NEW ❑ ADDITION ❑ UTILITIES N OTHER ❑ ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 dD Main service io00V OR o AMP ORLESS5.00S�dy Main service EA. ADD'L 100 AMP Z." 2.50 (�r Single Family ❑ Duplex ❑ Mobil Home Others ❑ Main service OVER 600V 25.00 too AMP OR Main service EA. ADD'L +oAMP 1.00 0 AM 400 SQ. FT. MINIMUM NEW CONST. OR ADDNS. ( ACCLBLDGLING OCCUP. &) 2¢Sgft NEW CONSTR ( BRANCH CIRCUITS) 2.50ea NON.RESI D. �( PORMOBILES 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: i! -wed/ &HIQ BAL@2J¢1 Ex. Occup(OUTLETS OR FIXTURES)@ 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 Cali fomia. Permit Fee $ 19Lt Q Qb 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 1 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 TOTAL PERMIT FEE S� auurvrlce representatives UI the County of Butte 1 0 enter upon the above-mentioned property for inspection purposes. Date Signature offFlermitee or gent Receipt No. L:z V 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 OF/PUBLIC WORKS BY - — Date �%— y�— 7 � iI Ina permit expires Date `- �'. � ... �� S • �� ��� � ate' . NOTE:—All Materials Accorcinnce & Workmanship Shall Be in with Recogn;zed Good Pro'a" and of a qual;t�• hrescrii,Pd for the Scf Uniform Builcl;na p(„mhin Specified use in the the Nof;onial Electrical Code Machanica! Codes ,and - I his set of planstiaas MUST be ,sept on the job at all times and it is unlawful to make any changes or alterations on same without written permisson from the Department of Public Works, County of Butte. A permit will be required for the installation of the mobilehome., 'W ;3D .� e o N A i'ol 'Po ed AP. `z7-27— I S' Septie system and location 'wg*ck,e nastub--Ao,ai�. to' be Butte County 'a Ieolth Di quirements. 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. . w. The Mft Setback shall be 5 ft, from the side property line and 50 ft. from the centerline of the road, permitting a maximum of a 2 ft. eave overhang. BUTTE COUNTY BUILDING DEPART�. ”-IT APPRO'VED 4 F - COUNTY OF BUTTE — � EP ITMENT OF PUBLIC WORKS 7 County Center Drivfr - tUroville, California 95965 "%� Telephone: 534-4541 v"S // APPLICATION AND PERMIT authorize rep eseritaUVeS UI the County Of Butte to enter upon the above- ntioned property for inspection purposes. te - DaS'2i� a r Signe of Per.i_t a or Agent Da Receipt No. j /_0 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 OF HUBLIC WORKS BY --' Datee-J_ ? B llding permit expires Date — CF— S --7 % BUILDING Owner L L oA1 2D R aao SQ. FT. OCC. BUILDING VALUATION Mailing Address Telephone No. Fireplace Contractor �� �C S �'yi Dg��c ��� ? �? Total Valuation Mailing Address s��67 y� 6 CAT eZZ ,L,1F9 V 4 Permit Fee Plan Checking Fee&/or Penalty n �%� $ �✓%LLr 9.5 -0 15-3V- Telephone No. 7;P741 Permit Fee Building Address PLUMBING No.1 @ FEE PERMIT FILING FEE J$3.00 T % 6 iv%Q/Z10 /01/L /4%10_ S vO Each Trap 1.50 �1 rYL�ler✓1 Repair drainage or vent piping 1.50 Water piping 1.50 Each gas water heater or vent 1.50 A. P. No. 7 - 7 g Zoning a Planning Gas piping system 1 - 5 outlets 1.50 Each additional outlet .30 FeVI VV ierr Fire Dept. Fire Zone Use Permit Building sewer 5.00 EQA Parking Plans I Parcel Declaration Parcel Ma P 60' R/W Im provements Lawn sprinkler system 2.00 Bldg. Plans Recd Parcel A val I Plan pproval Permit Fee $ $ NEW ❑ ADDITION ❑ UTILITIES ElOTHER S ELECTRICAL No.1 @ FEE PERMIT FILING FEE $3.00 A15-rL. T! DN %=� m ' 3 ZS -76 00V OR Main service 10000 AMP ORSLESS 5.00 Main service EA. ADD'L too AMP 2.50 Single Family ❑ Duplex ❑ Mobil Home Others ❑ Main service R 600V 1100EAMP OR LESS 25.00 Main service EA. ADD'L 100 AMP 1.00 NEW OCCUP. &) 2¢Sgft OR ADDNS. ( DWEACCLBLDGLING S. 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 L �� 1—/ 7%�c��ELG� y &4-7 Ex. Occup(OUTLETS OR FIXTURES) @@1 BAL N�1 FIXED APPLES. OR Ex. Occu P•(OUT LETS (RESID.) EA) 2.00 Temporary service 110.00 License No. Classification Mobile Home Facilities 15.00 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. NI 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 El 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 is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby /ASSTi4L-l-�4T oA/30. 00information TOTAL PERMIT FEE $ jz;00 authorize rep eseritaUVeS UI the County Of Butte to enter upon the above- ntioned property for inspection purposes. te - DaS'2i� a r Signe of Per.i_t a or Agent Da Receipt No. j /_0 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 OF HUBLIC WORKS BY --' Datee-J_ ? B llding permit expires Date — CF— S --7 % �M2n�M In BUTTE COUNTY DEPARTMENT OF PUBLIC WORKS 7 County Center Drive, Oroville,.CA. PHONE: 534-4541 MOBILEHOME INSTALLATION SHEET 1152, IL -I 1. Owner's name: W71k.,✓7-A16 /V 2.. Installer's name: 3. Is the site currently under permit? Yes No (If yes, furnish permit number A OR Is the site an existing. site? Y es No/4 (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 (This information not required if pipe length less than 6 ft, on natural gas or less thaii'.5.0': ft,. on, LPG.) Amps 5.' What is the mobilehome electrical rating? ---------------- AVT 6. What is the mobilehome site service rating? ------------- I -------- Amps 7. What is the mobilehom4-'�site circuit breaker rating? -------------- Am s .8.� Is there any other electric load to be served by the mobilehome site service? ----------- 7 --------------------------------------- Yes 6mc/ No (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 as service? ----------------------------- Natural 'LPG 11. What is the gas pipe length from meter or tank to the mobilehome? l 'Aft.) 12. What is the mobilehome gas demand? ------------------------------ (BTU) (This information not required if pipe length less than 6 ft, on natural gas or less thaii'.5.0': ft,. on, LPG.) MOBILEHOI,F_ SUPPORT DATA a MobiAehome Mfr. f �i�� Setup Model No. Fear Width (ft.) Length C'�._ M.) -Expando Size t.x wt ft. % ` a (Draw support details below) On all mobilehomes manufactured after October 7, 1973, furnish manufacturer's instaltion manual and structural setup sheets (if not on file with the County of Butte). Sin le — Footings-(check.one) F, I/ 1. Wood either .� A pressure treated or Center Center Support ... fdn.`grade.:' Support Footing Sizes Locations (in.) / 2..Concrete pad. �//►► / / 3. Other, -specify -- .— — — — — — — Supports check on ( e ) :. 77-1. Concrete block 2. Concrete piers` .. . ...... . / f 3. Steel piers 4. Other, specify .. ...... .. . .... ...... Typical Support (� ... Fx Footing Size n. ) in. (in ) (in ) Ell 1, 4 Max. Pier. .. ... Spacing ft. in.) in. in.) (in.) (in.) g_AMax, Overhang *If center piers are other than drawn above, draw in locations, spacing, and dimensions. "BUTTE CbUW1 'BUILDING DEPARTM"141' APPROVED BUTTE COUNTY BUILDING OFFICIALS JURISDICTION Block Parcel No. a 7-2 f L_ r—_" ` pfiM � &OM Rapid Evaluation Safety Assessment Form BUa,DNG' DESCRIPTION: Name: No. of stories: — Basement: Yes ❑ NoV Unknown ❑ Primary Occupancy: Dwellin g . . Other Residential ❑ Commercial ❑ Office ❑ Industrial Public -Assembly ❑ School ❑ Government ❑ Emer. Serv. ❑ Historic ❑ Other OVERALL RATING: (Cheek 0 'el) INSPECTED (Green) _ Exterior only . Exterior and Interior LIMITED ENTRY (Yellow) ❑ UNSAFE (Red) ❑ INi SPECTOR.: Inspector ID Affiliation INSPECTIOND 1 :. Mo/day/year Time Instructions: Review structure for the conditions listed below. A "yes" answer to i, 2, 3, or 5 is grounds for posting entire structure UNSAFE. If more review is needed, post I,T f,D i?.N"I`RY. A "yes" answer to 4 requires posting AREA UNSAFE and/or barricading around the hazard. Hazards such as a toxic spill or an asbestos release are covered by 6 and are to be posted and/or barricaded to indicate AREA UNSAFE. More Review Condition Yes No Needed 1. Collapse, partial collapse, or building off foundation ❑' ❑ 2: Building or story noticeably leaning ❑ ❑ 3. Severe racking of walls, obvious severe damage and distress ❑ ❑ 4. Chimney, parapet or other falling hazard ❑ ❑ 5. Severe ground or slope movement present ❑ ❑ 6. Other hazard present ❑ ❑ ❑ Recommendations: ❑ No further action required ❑ Detailed Evaluation required (circle one) ❑ Barricades needed in the following areas: ,7�nilier. Posted at this Assessment: ❑Yes Comments: Alip AL Structural Geotechnical Other 0 S, 940,t=' • -�s 6f=.58 6�F7-a7o � 000 PUBLIC INFORMATION �FICEit 538-6953 DAMAGE REPORT FOR INITIAL ASSESSMENT FLOOD JANUARY 1995 Name Reporting Party � A4Z LU F- fZoo h Address/Location 3 Z6 to d N rA et o A %IF- - OR -6 y r I'L f Telephone Number. 53 3 -9 V8) Why Calling? Roof- `bAmAG E /VLH . G4 (L/l•GE-49-6, 2— (Note: Medical Emergencies Refer to 911) Building Description Commercial/Usage Residential Type and # Units %oUQ Lf- w ('Ks M Currently ccu ie Use Abandoned Sanitation Plumbing working Running water Well Flooded Obvious Problems Structure On/Off Foundation Flooding above/below floor Obvious leaning, tilting Severe Damage/Collapse Debris Hazard Gas t�• ' `�`,�.-�':".� � ,. f �'. , , ` 1 •� Natural/Propane Obvious problems (odor, leaks, leaks, propane tank floating/submerged) Electric Any electrical submerged Obvious damage (failure, downed wires, arcing) Chemical/Fuel Wet, flooded, lost chemicals Type pesticide, fertilizer, other chemicals Amount Fuel tanks (above or below ground) Obvious hazards Agriculture Loss Crop Damage Livestock Lost Building Damage Roads (Public) Road Name Obvious Damage/Hazards Location/Landmarks Traversable (Sedan, 4 wheel) _ Involved Utilities (downed wires) Levees Waterway Name Location of damage/problem Obvious hazards Nearest Landmarks Overflow/freeboard Copies: 1. OES 2. Health 3. Building 4. Agriculture 5. Fire 6. Sheriff