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Home My WebLink About027-310-013f i 27-4 6=sc. Bi Dunnagan F r'x Palermo ,i ELEC . f I SUPPO T STRUCTURE 182.AN li �I !i .7-20— 0I� Permit, i f s - - i 27-4 6=sc. Bi Dunnagan F 8003 road Ave., @ Lewis, Palermo ,i - - 27-4 6=sc. Bi Dunnagan 8003 road Ave., @ Lewis, Palermo Permit #2 -8 Op ELEC . GAS SUPPO T STRUCTURE 182.AN COMPACTION TEST REQ. .7-20— 0I� Permit, -90MH Issui - 1 3 �C� I_^ j HiQ ter---� i ti PERMIT NO. PERMIT EXPIRES Bill KKKKW Dunnagan t t Temp. Po er Pole Calle PG&E Temp. lec. Serv. LC i Cal ed PG&E Temp. Gas Serv. C Iled PG&E C(/ JOB FINALED ` i c nature COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS j= BUILDING INSPECTION RECORD BUILDING BUILDING .(Cont'd) A PLUMBING Setback FXrewall So Piping F?krms PAppets 11J Floor in Bldg. Resloom Finish 2n Floor ootin s Windo s 3rd oor St wall Sidln * To out Slak Roof SheN hing Water Pip1\9 Piers Roofing Sewer Garage Fdn. Vents Fixtures Footin s Stemwal I Garage Vents Insulation Water Htr. Heaters Slab Carport Footings Prov. for physics y handicapped Conformance of ex.'Gas structure Appliances Piping &Test Temp. Gas Slab Final Sanitation Patio FI E ACE Final Footings 7 Footino LECTRI L Relnf. Steel f Final Fixtures Bond Beaml IRE SPRINKLE Motors Framing Test Water Htr Stucco Final Sub an s Mesh 4 MECHANICAL Grd. F ult Prot. Scratc Heatin Servl e Brow CooliT g mp. Pole FI sh Duc s nderereund Intellor Lath V tilation N I I Permanent D r Closer nal 11&inal MOBILEHOME UTILITIES - - - - - - - - - - - - - - - - - - Elec. Service Elec. Pedestal Water Piping � v Sewer d Gas Piping Z E ME INSTALLATION - - - - - - - - - - - - Support Elec. Continuit Water Piping 71 Drainage Gas Piping DATE REMARKS OR CORRECTIONS Zc) oll 3�r%4 2/2 - (NOTE: An entry must be made on this form each time you visit the job site.) COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 695 Oleander Avenue, Chico — Phone 343-4211, Ext. 70 7 County Center Drive, Oroville — Phone 534-4541 Skyway and Elliott Road, Paradise — Phone 877-3435 CORRECTION NOTICE i BUILDING OR PROPERTY ADDRESS 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. Date" 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 rquirements of the California Administrative Code, Title 25, Chapter 5, under permit number 7-7 for �the following location: Owner=�`�'i�ss..,rr-�-ir Owner's Address / L.10, v Mobilehome Mfg-`' �� — ?a- -iModel Year jnsignia No. '07 -f S A� Serial No..tlZ1?4 K 1;4 It is hereby certified for occupancy at the above described location and �pway be occupied. Directorrof Public Works Date .�/ lia ' By THIS CERTIFICATE IS VOID WHEN MOBILEHOME IS RELOCATED White - Owner, Yellow - Installer, Pink - D.P.W. COUNTY OF BUTTE �. DEPARTMENT OF PUBLIC WORKS 695 Oleander Avenue, Chico — Phone 343-4211, Ext. 70 7 County Center Drive, Oroville — Phone 534-4541 Skyway and Elliott Road, Paradise — Phone 871-3435 CORRECTION NOTICE BUILDING OR PR ZQ: --, Y ADDRESS 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 nee ditional explanation, please contact this office immediately. �Il I Inspec 6.r / Dater ��' �'-- MOBILEHOME INSTALLATION INSPECTION CHECK LIST 1.-. Is the mobilehome located wit equired separation from lot lines and buildings and generally conform to plot plan? Yes. No 2. Does the mobilehome have required clearances above ground? (Sec.5O85) YesNo 3. Are footings and supports properly sized, spaced, and braced as per approved plans? (Note possible variation at spring shackles.) (Sec. 5.082 & 5083) Yeses/ No 4. Is the mobilehome level? (Sec. 5088) Yes INo_ 5. If more than a single unit, are crossover connections properly installed? (Sec. 5088) . Yes -4 No 6.' Water A. ,Is fle ble 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 ,/ No C. Backflow - If coach is not Stated of California approved', does station have backflow device and pressure -relief valve? Ye No 7. Wastes and Drains A. Is connection -made with Schedule 40 DWV and have flex connectors at each end? Yes N o B. Does -It have minimum k" per foot slope and is it properly supported? Yes_ No C. Are any leaks detected in drainage system after running 3-'allons of water.through•each fixture including washing machine standpipe? .Yes_ No D. If c ch is not State of California approved, does station have required trap and vent? Ye 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 b -e at least as . large as the mo ilehome gas line,ihlet�without'reductions.other than the mobilehome connector, 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? YesNo_ 9. -Elect-:ica-1A ; " A. Is service large enough to provide adequate amperage -to mobile�iome (must equal rating of ri;` mobilehome with a minimum of 19.0 amp) and other facilities on lot, i.e., water pumps -y �i garage, cabana, etc.? Yes I No B. Is there proper clearances around panels? Yes o_ C. Is power supply cord or feeder assembly properly fused? Yes No_ D. Is continuity test satisfactory as per the following/procedure? es o 1. De -energize electrical wiring system of the mobilehome at•the p e a . 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 theelectrical tests, the lot or site service equipment may be approved for energizing. 10. Is job card signed by Health Department for water and sanitation?3/_3 11. If everything okay, sign off card and tag services. MOBILEHOME DATA Manufacturer and/or Namestyle i Length Width Vehicle Serial No. State Identification No. Additional Information or Comments: I 4 •'tA _ " COUNTY,OF Bt,TTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, -California 95965 - Telephone 916/534-4541 APPLICATION .AND PERMIT 1!0 ASSES OR PARCEL NUMBER _7 ING �Z BUILDING PE o R TELEPHONE SQ. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS Q I P 7 3 No - O CONTRACTOR'S NAME U JTE&E5AONE CONTRACTOR'S MAILING ADDRESS `� CONSTRUCTION LENDER UNKNOWN Fireplace Total Valuation $ LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Penalty $ ARCHITECT OR ENGINEER'S MAILING AD SS Permit fee $ BUIL NG ADDRESS PLUMBING PERMIT Filing Fee 3.00 IS O Each Trap 2.00 Repair drainage or vent piping 2.00 Water piping LOT NO. SUBDIVISION NAME PARCEL MAP Each qas water heater or vent 2.00 Gas piping system 1 - 5 outlets USEOF SJRUCTURE SF ❑ Duplex❑ Mobilehome Other SPECIFY Building sewer Lawn sprinkler system 2.00 TYPE OF WORK New ❑ Addition ❑ emode ❑ Utilities ❑ Installation Other ❑ Describe work: SrC---%Z) Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 3.00 Main service 8000V OR LE 0 AMP ORLESS5.00 Main service EA. ADD'L 100 AMP 2.50 NEW CONST. DWELING OR ADDNS. ( ACCLBLDGS.CCUP.&) 20 sq ft CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): ElNON-RESID, I am licensed under provisions of Chapt. 9, Div. 3 of the Business Professions Code and my license is in full force and effect. License No. Classification I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEWNON.RESID R BRANCH CIRCTITS 2.50 ea NEW CONSTR. POWER APPARATUS a (SINGLE OUTLET CIR. 50 @ 250and OR FIXTURES BAL@1 Ex. Occup(o XED A FIXED APP LNS, OR Ex. Occup.(OUTLETS (RESID.) EA. 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 6.25 Permit Fee $ Contractor MECHANICAL PERMIT Filing Fee 3.00 WORKMEN'S COMPENSATION INSURANCE 1 declare under penalty of perjury (check one): F-] The permit is for $100.00 (valuation) or less. ❑ 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. I shall not employ any person in any manner so as to become subject to the W. C. laws of California. 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 provisions or this permit shall be deemed revoked. Heating Cooling Hood 2.00 Ventilation permit Fee $ Contractor 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. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against said County in consequence of the granting of this permit. l' 6 - `i 9,0 X r,E Date 7 _6 Signature of Applicant — Ownergj Contractor ❑ Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ Land Development Fee $ TOTAL PERMIT FEE $ OCCUP. GROUP I TYPE OF CONST. PARCEL PD HD eeuE This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which F PUBLIC DIREC9AI // By. PERMIT EXPIRES, Date the applicable provi- resolutions to do fees have been paid. WORKS Date Receipt No. 5- �% Y/ WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT C C CD m rt N CD n tD H COO. O :3 O--0 c (DD °: 3 O _ O 0, Q � N 00 N ia n O 2 n Cu 3 N O C 01 :s N CD < C. -4, -�-� Cr Co D7 Ck- L�C _d- •I ap7 =: n D ? ®ra��'off?N�SCD • 0 Q a 5 CD o, 3 CD 3 90 N /0-77 14-6on ca �- o Cl CD Q- 77 m 90 cn 3 Cu CD 0 N _ OSi CD �-0 0- flJ Cn n C a m Cn CA _ O) Co C Utility connections shad be within N o 4 ft. of the mobilehome, either 2 directly behind or within the rear half of the roadside (left) of the mobilehome. Rfvvy-- rn��e �l A setback of 5 ft. f roaf the A permit will be required fof the ._n_� __ _r �1- _ , . 0090 �2 5 r g -o ��`00,3 �R��vE. �P# `��?fEiOL��!TY - L rR1� � �A . BUDEPARTMENT' � BUILDING APPROVED %i property lines and a s of 50ft. from the road hn� centerline shalt be -clear of structures or equipment excelz for a 2 ft.'eave overhang.- A 0090 �2 5 r g -o ��`00,3 �R��vE. �P# `��?fEiOL��!TY - L rR1� � �A . BUDEPARTMENT' � BUILDING APPROVED %i hK f S 1 • BUTTE COUNTY DEPARTMENT OF�PUBLIC WORKS 7 County Center Drive,, O'roville, 'CA. ,PHONE: 534-4541 MOBILEHOME INSTALLATION SHEET 1. Owner's name: 2. Instal:ler's name:. 3. Is the site currently under permit? Yet No (If yes, furnish permit number OR Is the site an existing site? Yes (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? ----------- Amps -6. What is the mobilehome site service rating? --------------------- Amps 7.. What is the mobilehome site circuit breaker rating? ------------- Amps ' S. Is there any other electric load to be' served by the mobilehome siteservice? --------------------------------------------------- Yes 7-r' Irt No (If yes, identify the load and size: (Load) (Amps) 9. What is the mobilehome site gas pipe size? ---------------------- i 10. What is the type of gas service?---�j--------------------------- Natural -� LPG /q7 ll. What is the gas pipe length from meter or tank to the mobilehome? 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.) BUTTE COUNTY BUILDING DEPARTMENI APPROVED A MOB ILEHOME. SUPPbRT DATA If other than single wide, Ie ft�Cf��°! J7. `J7""'"' Mfr. a7�P�/Vri- furnish Setup Model No. fear Width t (ft.) Box Length..' —4 eft.) 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. Footing$ (check one) Single 1. Wood either. pressure treated or foundation grade. (in.) (in.) • 2. Other (specify) Center support Center support Supports (check one) locations* footing sizes Concrete block: 2: Other (specify) *-—Tagalong or Expando,' show support details. (in.) (in.) 'Xx --'Typical Support (in.) (in.) Footing Size L—"---� (in.) (in.) -- Max. Pier Spacing Max. Overhang (ft.)l(in.) f, *If center piers are other than drawn above, ._.-draw in -locations,- spacing, and dimensions. COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO. 7 Count; Centerrive - Oroville,_California 95965 - Telephone 916/534-4541 APPLICATION AND PERMIT fi ASSES OR PARCEL NUMBER ZO iNG BUILDING PERMI/11 OWN TELEPHONE S0. FT. OCC. BUILDING V LUATIO OWNER'S MAILING ADDRESS �e r r CONTRACTOR'S NAME TELEPHONE CONTRACTOR'S MAILING ADDRESS CONSTRUCTION LENDER UN o Fireplace Total Valuation $ LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Penalty $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Permit fee $ BUILDIN DDRESS xa)bnaJ Ave PLUMBING PERMIT Filing Fee 3.00 Each Trap 2.00 Repair drainage or vent piping 2.00 Water piping LOT NO. SUBDIVISION NAMEPARCEL MAP Each qas water heater or vent 2.00 Gas piping system 1 - 5 outlets USE OF STRUCTURE SF ❑ Duplex❑' Mobilehome Other SPECIFY Building sewer Lawn sprinkler system 2.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Uti lities Instal lation ❑ Other ❑ Describe work: Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 3.00 Main service 100 AMP ORV OR LESS5.00 • Main service EA. ADD'L 100 AMP 2.50 NEW CONS. DWELING O OR ADDNST ( ACCLBL GS.CCUP.&) 20 sq ft CONTRACTORS LICENSE LAW I declare under penalty of perjury (Check one): F -1I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. License No. Classification ❑ I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ® I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONSTR MULTI -CUTLET 2,50 ea NON-RESID BRANCH CIRC ITS NEW CONSTF POWER APPARATUS &) NON.RESID. (ANGLE OUTLET CIR. 50@250 Ex. Occup TS OR FIXTURES gAL@101 (FXDOULE XEED APP LNS. OR EOccup. F x. _ IOUTLETS (RESID.) EA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 6.25 ` Permit Fee $ Contractor MECHANICAL PERMIT FiIingFee 3.00 WORKMEN'S COMPENSATION INSURANCE 1 declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ 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. I shall not employ any person in any manner so as to become subject to the W. C. laws of California. 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 provisions or this permit shall be deemed revoked. Heating Cooling Hood 2.00 Ventilation Permit Fee $ Contractor 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 Countyot Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against said County in consequence of the granting of this permit. 1� at- X gt.y�G�r.. Date Signature of Applicant — Ow er (y Contractor ❑ Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ Land Development Fee $ )I TOTAL PERMIT FEE $ 1 Z41,Sb OCCUP. GROUP I TYPE OF CONST. I PAR L PD HD SSU This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which DIRECTOR OF BLIC By. PERMIT EXPIRES Date ---,— the applicable provi- resolutions to do fees have been paid. WORKS Date -r T� ��d Receipt No. — - �i 1( f� WHITE-D.P.W.. YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT