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Home My WebLink About028-063-00628/-063-6 14 41 MARY CONLEYjI?;;jg* 43 71 W/S Ahart Rd, app 3001 N of School St, Honcut Permit #833-78MHI (existing site) 77 i ^ ' "I BUTTE COUNTY DEPARTMENT OF PUBLIC WORKS 7 County Center Drive, Oroville, CA. PHONE: 534-4541 MOBILEHOME INSTALLATION SHEET 1. Owner's name: � Qfy /�e 2. Installer's name: 3. Is the.site currently under permit? Yes / / No (If yes, furnish permit number ) OR Is the site an existing site? Yes /77 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? ----------------------- ��.C� 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 the mobilehome i site service? --------------------------------------------------- Yes / / No /S77 (If yes, identify the load and size: (Load) (Amps) 9. What is the mobilehome site gas pipe size? ---------------------- �� (in.) 10. What is the -type of gas service? ----------------------------- Natural / / LPG 11. What is the gas pipe length from meter or tank to the mobilehome? (ft.) / 12. What is the mobilehome gas demand? ------------------------------ a S (BTU) (This information not required if pipe length less than 6 ft. on natural gas or less than 50 ft. on LPG.) i .Z_ r , i MOBILEHdME SUPPORT DATA If other than single wide, Mobilehome Mfr. furnish Setup Model No. Year. Width (ft.) Box Length I (ft.) Tagalong or Expando Size ft. x ft. (SHOW,SUPPORT DETAILS BELOW) On all mobilehomes manufactured after October 7, 1973; furnish manufacturer's installation manual and structural setup sheets (if not on file with the County of Butte). All center supports measured from front of mobilehome unless otherwise specified. Footings (check one) Single 1. Wood either Aam A pressure treated o: 5-9-7-71 foundation grade. ✓ � x (ft.)(in.) (in.) (in.) 2. father (�specL fy� Center support Center support locations* footing sizes Supports (check one) (in.) D 1: Concrete block. KI FT !7F a- 2. Other (speci x (in.) (in.) 4 -Tagalong or Expando, show support details. (ft.)(in.) (in.) (in.) Li lkx O -- Typical Support (in.) (in.) Footing Size ( in. in. t.)(in.) ( ) ( ) � -- Max. Pier Spacing _O -- Max. Overhang (ft.)I (in.) (in.) (in.) (ft.)(in.) BUTTE COUNTY BUILDING DEPARTMENT � APPROVED *If center piers are other than drawn above, draw in locations, spacing, and dimensions. This set of plans and ,p@6 MUST b! 6pt on the joh 64 g rimes itnd it isunlawful to Mao e any chcingt's or alterations on sante witho writien permission from the Departme o Pub Pic WoFks; County of Butte. O . O All utilit connections shall be located w4hin 4 ft. outside the rear third sec ion of the mobile home on the le (road) side of. the mobile home. A/N The W Setback shall be 5 ft. from the side property line and 50 ft. from the centerline of the road, permitting a maxi- mum of a 2 ft. eave overhang but entirely out of all easements. BUTTE COUNTY BUILDING DEPARTMENT APPROVED • COUNTY OF BUTTE DLPARTMENT OF PUBLIC WORKS - 7 County Center Drive — Oroville, California 95965 Telephone: 534-4541 APPLICATION AND PERMIT authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. 0 X Date Signatu of P mitee or Agent Receipt No. White-D.P.W. - Yellow -Assessor - Pink -Inspector - Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated abov or which fees have been paid. IJ r)RE T9P OF P IC WORKS B Date Building permit expires Date BUILDING Owner SQ. FT. OCC. BUILDING VALUATION Mailing Address 7B I J ele ho e V Contractor Mailing Address Fireplace Total Valuation Telephone No. Permit Fee Building Address W S �. Plan Checking Fee&/or Penalty Permit Fee O S S I <S PLUMBING No. @ FEE PERMIT FILING FEE $3.00 Each Trap 1.50 Repair drainage or vent piping 1.50 A. P. No. 2 ._ 1� �3` Zoning &Planning Water piping 1.50 Each gas water heater or vent 1.50 Fe W. . S ion Fire Dept. Fire Zone Use Permit Gas piping system 1 - 5 outlets 1.50 EQA Parking Plans I Parcel Declaration Parcel ap 60' R/W I Impr vements Each additional outlet .30 Building sewer 5.00 Bldg. Plan ec'd Parcel A royal PlcrvApproval Lawn sprinkler system 2.00 NEW ❑ ADDITION ❑ UTILITIES OTHER Permit Fee $ $ ELECTRICAL No.1 @ FEE PERMIT FILING FEE $3.00 0OR Main service 100 AMP ORSLESS 5.00 Single Family ❑ Duplex ❑ Mobil Home Others ❑ Main service EA. AOD•L too AMP 2.50 Main service OVER 600 25.00 100 AMP OR LESS Main service EA. ADD'L 100 AMP 1.00 NEW CONSDWELING OR ADDNST ( ACCLBLDGS.CCUP. B) 22sgft CONTRACTORS LICENSE LAW I am licensed under the provisions of Chapter 9, Div. 3, of the State of California Business & Professions Code under the name st le of: %r NEW RESID.z /BRANCH CIRCUITS) NON.CONST \ BRANCH CIRCUITS) 2.50ea NEW CONSTR (POWER APPARATUS 8 NON.RESID. SINGLE OUTLET CIR. Ex. Occuo(OUTLETS OR FIXTURES g L2; Ex. OCCU FIXED APPLNS. OR p• OUTLETS (RESID.I EA) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 License No. Classification Misc. Wiring 6.25 IN 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. ❑1 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. FEPERMIT 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. 1 agree to comply to all County Ordinances and State Laws relating to building construction, and hereby Land Development Fee 9 _ $ sotot TOTAL PERMIT FEE $� authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. 0 X Date Signatu of P mitee or Agent Receipt No. White-D.P.W. - Yellow -Assessor - Pink -Inspector - Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated abov or which fees have been paid. IJ r)RE T9P OF P IC WORKS B Date Building permit expires Date COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS . BUILDING INSPECTION RECORD -- BUILDING I BUILDING (Cont'd) PLUMBING Setback Firewall Soil Piping Forms - Parapets 1st Floor Main Bldg. Restroom Finish 2nd Floor Footings Windows 3rd Floor StemwalI Sidina To out Slab Roof Sheathing Water Piping Piers ' Roofing Sewer Garage Fdn. Vents Fixtures Footings Stemwal I Garage Vents Insulation Water Htr. Heaters Slab Carport Footings Prov. for physically handicap ed Conformance of ex. structure Appliances Gas Piping & Test Tem . Gas Slab Final Sanitation Patio FIREPLACE Final Footings Footing ELECTRICAL . 1-1.11M Stucco i est Final Water Htr. Subpanels Mesh MECHANICAL Gird. Fault Prot. Scratch Heating Service Brown Cooling Temp. Pole Finish Ducts Underground Interior Lath Ventilation Permanent Door Closer Final Final MOBILEHOME UTILITIES ------------------ Elec_ Service Elec. Pedestal Water Piping _ Sewer Gas Piping =E ME INSTALLATION - - - - - - - - - - - - - - Water Piping�.�A/77 7/V Support :F—Elec. Drainage � �� ' Continuity 'ail as GPiping '� DAT REMARKS OR COR ECTIONS 61 /0 (NOTE: An entry must be made on this form each time you visit the job site.) MOBILEHOME INSTALLATION INSPECTION CHECK LIST 6 1. Is the mobilehome located Nith required separation from lot lines and buildings and generally conform to plot plan? Yes No 2. Does the mobilehome have required clearances above ground? (Sec.5085) Ye-N?"" es No 3. Are footings and supports properly sized, spaced, and braced a r approved plans? (Note possible variation at spring shackles.) (Sec. 5082 & 5083) YesNo 4. Is the mobilehome level? (Sec. 5088) Yes No 5. If re 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) YesNo B. Tes - Does water piping withstand working pressure or 50.lbs. air test? YesX No C. RaZkfloac 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? Yes No B. Does it have minimum '" per foot slope and is it properly supported? Ye S4 No C. Are any leaks detected in drainage system after runnin-gallons of water through each fixture including washing machine standpipe? Yes No D. If oach is a ifornia 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 of least as large as the mob'1 home gas line itilet without reductions other than the mobilehome connector. YesNo_ B. Test OK as per following procedureT YesNo 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? Ye SX No 9. Electrical • A. Is service large enough to provide adequate amperage -to mobilehome (must equal rating of mobilehome with a minimum of 100 amp) and other facilities on lot, i.e., water pumps, garage, cabana, etc.? Yes -K No B. Is there proper clearances around panels? Yes No C. Is power supply cord,or feeder assembly properly fused? Yes)(— TNo_ D. Is continuity test satisfactory as per the following procedure? YesNo 1, De -energize electrical wiring system of the mobilehome at the pe estal 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? 11. If everything okay, sign off card and tag services. MOBILEHOME DATA el g�� Manufacturer and/or Namestyle Length Width, Vehicle Serial No. LIX ee�v/7(;71 State Identification No. Additional Information or Comments: To: Building Department ` From: Envirorm.,ental Health ' Re arding: Sewage and/or Water and/or'Addition Clearance(s) �' - - OMNER GAT 10It AQP v0 c Plans are approved for: SeV;a.8e Disposal, �. Water Si1pply Hold up Final for: Sewage Dispozal .�Water Supply a. .,.r - Final. Clearance OX for: Seviage. Disposal. _ _ !;rater. Supply Clearance s for a. � bedroom (Home ii r;cibia.e�iHano) The additi.6.n(E) will, be Sartita�°iax� � naL�o PERMIT NO. 833-78MHI existing site PERMIT EXPIRES OWNER MARY CO=Y CONTR. owner t LOCATION (A.P. 28-063-6 jW/S Ahart Rd, app 300' N of School St Honcut t1 i r - r1 �f I I #' 1). is. S ial�� Temp. Power Pole Called PG&E _ Temp. Elec. Serv. Called PG&E Temp. Gas Serv. Ca I I ed-RG&E XFINALED e- - ��