HomeMy WebLinkAbout028-063-023A.P. 28-063-23
ON- C7U----_----------
012) ..1R%P
E/S Palermo--,-Honc,x Rd,
, k
1� mi. N.
of School, Hon6ut 7 5-
j M _4.
Permit 1580-74P,E (util. for -H--,.
28-063-23
8.affane, Senn
wo .of
E/S Paleromo"Tf*oncut Hwy,app.750'S
Middle Hncut Rd., Honcut
Contr: oroville Trailer Sales, Oro.
Dermit #885-77MHI (Existing site)
Issued
U
rn 0
PERMIT N6. 885-77MHI
PERMIT EXPIRES 2/25/78
. OWNER DAFFANE SENN
CONTR. Oroyi 1 1 e Trailer Sales InC .
LOCATION (A.P. 28-063-23 )
E/S of Palermo Honcut Hwy, app 750'
S of Middle Honcut Rd., Honbut
COUNTY OF BUiTTE
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 885-77 for the following location: E Palermo
i Honcut Hwy, app 750' S of Middle Honcut Rd
Owner DAFFANE SENN
Owner's Address Rt. 1, Box 2682, Oroville
Mobilehome Mfg. Fleetwood Model Sandpoint EYear 197
Insignia No. CAL009954 Serial No.CAFLIX63867030
It is hereby certified for occupancy at the above described location and
may be occupied.
Director of Public Worl s
Date 3/14/77
By
THIS CERTIFICATE IS VOID W4 MOBILEHOME IS RELOCATED
1
Temp. Power Pole
Called PG&E
p
Temp.jElec. Serv.
Called PG&E
Temp. Gas Serv.
Called PG&E
108 �7
FINALED
(Date�
J
(Signa re)
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.<;t shall then be Wade between t.he_grounding electrode and the chassis of the
1110bilehome. Upon satisfactory completion of the electrical tests, the lot or site
service equipment may be approved for energizing.
;.0" Ips job card signed by Health Department forewater and sanitation?
1;.. If everything okay, sign/off card and tag, services.
MUBILi:ilUML DATA
Manufacturer and/or Namestyle
Length Width_
Vehicle Serial No.
A��J .638Goq
State Identification No.CAL- Q 0
.iitional Infoz-ma.tion or Comments:
9. 'Electrical
A.
Is
sei-vice large enollgl. to provide r:ulequ<it_C amperage to mubilchome (must equal rating of
mobilehome. c-jitll a. ::;irtil::um of 100 amp) and other facilities on lot, i.e., water pumps,
garage, cabana, ctc.: Yes IVNo
.B.
Is
ther,-� ;groper clearances around panels? Yes Li No
✓
C.
Is
power supply cord or feeder assembly properly fused? Yes No_
D.
Is
continuity test satisfactory as per the following procedure? Yes ✓ No
1.
De -energize electrical wiring systeri of the mobilehome at the pedestal.
2.
Make sure that the poiaer 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
a 1 the o+_l,.er lead t.o each ClIVbllCl file supply conductor, iuclLiding neui.ral.
pp }
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
te.<;t shall then be Wade between t.he_grounding electrode and the chassis of the
1110bilehome. Upon satisfactory completion of the electrical tests, the lot or site
service equipment may be approved for energizing.
;.0" Ips job card signed by Health Department forewater and sanitation?
1;.. If everything okay, sign/off card and tag, services.
MUBILi:ilUML DATA
Manufacturer and/or Namestyle
Length Width_
Vehicle Serial No.
A��J .638Goq
State Identification No.CAL- Q 0
.iitional Infoz-ma.tion or Comments:
1,10BIk' ROME' INSTALLATION INSPECTION CHECK LIST
1. Is the mobilehome located wi.t_li 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) YesV' No
3. Are footings and supports properly sized, spaced, and braced as per approved plans? (Note
possible variation at spring shackles.) (Sec. 5082 & 5083) Yes i� No_
4. Is the mobilehome level.? (Sec. 5088) Yes V No�
5. If more than a single unit, are crossover connections properly installed? (Sec. 5088)
Yes_ No
6. Water /
A. Is flexible 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 l( No
C. Backflow - If coach is not State of California approved, does station have backflow device
and pressure -relief valve? Yes Y/No
7. [tastes and Drains
A. Is connection made with. Schedule 40 DWV and have flex connectors at each end? Yes VNo
B. Does i.t have minimum per foot slope and is it properly supported? Yes
C. Are any leaks detected in drainage system after running 3 -gallons of water through each
fixture including washing machine standpipe? Yes No
D. If coach is not State of California 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
COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS '
BUILDING INSPECTION RECORD
BUILDING BUILDING (Cont'd) PLUMBING
Setback
Firewall
Soil Piping
Forms
Parapets
1st Floor
Main Bldg.
Restroom Finish
2nd Floor
Footings
Windows
3rd Floor
StemwaII
Sidinq
To out
Slab
Roof Sheathing
Water Piping
Piers
Roofing
Sewer
Garage
Fdn. Vents
Fixtures
Footings
Stemwa I I
Garage'Vents
Insulation
Water Htr.
Heaters
Slab
Carport
Footings
Prov. for ph sically
handicaped
Conformance of ex.
structure
Appliances
Gas PI in &Test
Temp. as
Slab
Final
Sanitation
Patio
FIREPLACE
Final
Footings
Footing
ELE
Masonry Walls
Throat
Rough
Reinf. Steel
Final
Fixtures
Bond Beam
FIRE SPRINKLERS
Motors
Framing
Test
Water Htr.
Stucco
Final
Subpanels
Mesh
MECHANICAL
Grd. Fault Prot.
Scratch
Heating
Service
Brown
Cooling
Temp. Pole
Finish
Ducts
Underground
Interier Lath
Ventilation
Permanent
Door Closer
Final
Final
MOBILEH WE UTILITIES ------------------
Elec. Service
Elec. Pedestal
Water Piping
Sewer
Gas Piping
E ME INSTALLATI N - - - - - - - - - - - - - -
Support
Elec. Continuity
Water Piping
Drainage
Gas Piping
DATE
REMARKS OR CORRECTIONS
(NOTE: An entry must be made on this form each time you visit the job site.)
L
1bCOUOF BUTTE -f DEPARTMENT OF PUBLIC WORKS
7 County Center Drive - Orovi Ile. California 95965
Telephone: 534-4541
APPLICATION AND PERMIT
authon�p esentatives otfthe ounty of Butte to enter upon the
above-mentio d roper y for ' pection purposes.
X X e(_ L L- Date, --2,--v -7/7
Signoture of Permitee or Agent
Receipt No. ZbdaM 7
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 aid.
DIRECTOR 0 P BLIC WORKS
By Date y- 2S 7)
i (d`� Z-� '
ing permit expires Date
BUILDING
Owner VA
SO. FT. OCC. BUILDING VALUATION
Mailing Address
Telephone No.
Fireplace
Contractor'
Total Valuation
Mai I i ng Address
Permit Fee
Plan Checking Fee &/or Penalty
v'/
Telephone No.
Permit Fee $
Building Address 2 �- it/
PLUMBING No. @ FEE
PERMIT FILING FEE $3.00
% D /
O'
Each Trap 1.50
Repair drainage or vent piping 1.50
Water piping 1.50
$/1 yr
Each gas water heater or vent 1.50
/IC'
A. P. No. A7 00 -� 0�J -- 3
Zoning & Planning
Gas piping system 1 - 5 outlets 1.50
Each additional outlet .30
Vs I
Wt2/
Sion Fire Dept.
FireZone
Use Permit
Building sewer 5.00
EQA
Parking
Plans
Parcel
Declaration
Parcel Map 60' R/W
Improve nts
Lawn sprinkler system 2.00
Bldg. P ens Recd
Parcel A royal
Plans Approval
Permit Fee $
NEW ❑ ADDITION [:]UTILITIES ❑ OTHER
ELECTRICAL No. @ FEE
PERMIT FILING FEE $3.00
/ / -/
/"/1/H/%
600V OR LESS
Main service 100 AMP OR LESS 5.00
Main service EA. ADD'L too AMP 2.50 .
Single Family ❑ Duplex ❑ Mobil Home Others ❑
Main service OVER 600V
100 AMP OR LESS 25.00
Main service EA. ADD•L 100 AMP 1.00
NEW CONS. DWELING OR ADDNST ( ACCLBLDGS�CUP. &) 20sgft
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
s t *Of: �--,
l
Ex. Occup(OUTLETS OR FIXTURES) BAL@1
Ex. Occup (OUT FIXED APPLNS. OR
LETS (RESID.) EA) 2.00
Temporary service 10.00
�/ t i/✓��',l/S
Mobile Home Facilities 15.00
License No�� a Classification
Misc. Wiring6.25
❑ 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 Woyk�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. @ FEE
PERMIT FILING FEE $3.00
Heating
Cooling
Ventilation
Hood 2.00
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_bujlding construction, and hereby
,Permit
0
TOTAL PERMIT FEE
$ 0
authon�p esentatives otfthe ounty of Butte to enter upon the
above-mentio d roper y for ' pection purposes.
X X e(_ L L- Date, --2,--v -7/7
Signoture of Permitee or Agent
Receipt No. ZbdaM 7
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 aid.
DIRECTOR 0 P BLIC WORKS
By Date y- 2S 7)
i (d`� Z-� '
ing permit expires Date
This set' of plans ands !c,, / K
610f on the ins at all tim and it snunlawful MUST to
�n" nh7ryes nr c�lterr.+
nS on some wit hout
writfen permission from the Department f PublicWorks, County of Butte.
!C All Materials & Workmanship Shall Be in
cce d nce wi•ih Recognized Goad Practices and
f a lily prescribed F r the Specified. use in the
,ut�'/ nifo m Fuil .ing, I�lumbing & Mechanical Codes and
t e N t nal-lectrical Code.
� F
POP,
II
1
a Setback shall be 5 ft. fro the
: i e pro erty line and rom the
ae tcline of a , permitting a maxi-
m m of o art, eave overhang but entirely X
0 fall easements, i ��Q4avv0
Ze,�e- BUTTE
PP
/v, w &9evv,�,e -
DIX Ir- '45-1,VA-J
PARTM NT
)BOE
1. Owner's name:
2. Installer's name: ,
BUTTE COUNTY DEPARTMENT OF PUBLIC WORKS
7 County Center Drive, Oroville,.CA.
PHONE: 534-4541
)ME INSTALLATION SHEET
3. Is the site currently under permit? Yes / / 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 / / No
( If no, clarify )
5. What is the mobilehome electrical rating? ---=---- -- 7.��� Amps
6. What is the mobilehome site service rating? ----------- ----- Ar%0Amps
7. What is the mobilehome site circuit breaker rat' ?,w==----------- �e'� Amps
8. Is there any other electric load to be s edd by the mobilehome
siteservice? --------------------------------------------------- Yes / 7. No
(If yes, identify the load and size:. QLoad) U (Amps)
9. What is the mobilehome site gas pipe size? ----------------------
10. What is the type of gas service? --------------------- ------
Natural / / LPG / 44-
11. What is the gas pipe length from mete\ortank to themobilehome? (ft.)
12.:What is the mobilehome gas demand? --------------------- (BTU)
(This .information not required if pipe 1
or less
N1 Hs"� de ✓a�"�
less than 6 ft. on natural gas
0
MOBILEHOME SUPPORT DATA
l
Mobilehome Mfr. Setup Model No'. j ear
Width (ft.) Length _(ft.) -ExpandoSize �
� 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) .
..... , . .. Fo .tin s- (check.one)
Wood 'either .'
pressure treated or
fdn.'grade.::
LL 2.:Concrete pad.
3.. -:Other, -'-specify
Su orts (check one)
Concrete block
2. Concrete piers
3. Steel piers
7_7 . 4. Other, specify.I
>upport /
i ize
%',If center piers are other than drawn above,
draw in locations, spacing, and dimensions.
BUTTE COUNTY
P "kn'Nr DEPARTMENT
APPROVE®
;aNn0o 311nO
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VPEAMIT NO.
P
E
M
tMH UTIL. 1580-74P, E
PERMIT NO.
PERMIT EXPIRES
Don Current.
OWNER
i
CONTR. Owner
I- -
LOCATION (A.P. 28-063="23
E/S PaIerino-Honcut Rd., 14 mi. N.
of School, Honcut
Temp. Power Pole
Called PG&E
Temp. Elec. Serv.
Called PG&E
Temp. Gas Serv.
Called PG&E
tt JJOB
\f INALED /Fr
(Signaturej
Setback
Forms
Main Bldg.
Footings
StemwaI I
Slab
Piers
Garage
Footings
Stemwa I I
Slab
Carport
Footings
Slab
Patio
Footings
Masonry Walls
Reinf. Steel
Bond Beam
Framing
Stucco
Mesh
Scratch
Brown
Finish
Interior Lath
Door Closer
DATE
COUNTY OF BUTTE — DEPARTMENT.OF'PUBLIC WORKS
•a ..
BUILDING INSPECTION.RECORD
Water Htr.
BUILDING BUILDING (Cont'd)
Subpanels
PLUMBING
[� Firewall
Soil Piping
Service
Parapets
1st Floor
Ducts
Restroom Finish
2nd Floor
Permanent
Windows
3rd Floor
Siding
To out
Roof Sheathing
Water Piping
Roofing
Sewer
='
Fdn. Vents
Fixtures
Garage Vents
Water Htr.
Prov. for physically
handicapped
Heaters
Appliances
Conformance of ex.
structure
Gas Piping & Test z5—
Temp. Gas
Final
Sanitation
FIREPLACE
Final
z —
Footinq
ELECTRICAL
Fixtures
Test
Water Htr.
Final
Subpanels
MECHANICAL
Grd. Fault Prot.
Heating
Service
Cooling
Temp. Pole
Ducts
Underground
Ventilation
Permanent
Final
Final J ti z_
REMARKS OR CORRECTIONS
COUNTY OF BUTTE "'DEPARTMENT OF PUBLIC WORKS
7 County Center Drive — Oroville, California 95965
Telephone: 534-4541 /
APPLICATION AND PtRMIT
authorize representatives of the County of Butte to enter upon the
above-mentioned property for inspection purposes.
j% r
X Y . ` 2 6J-AAXM)/DatesC— -p—
Signature of Permitee or Agent
Receipt No. ��7 16
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 P BLIC WORKS
/W V Date S / /By
iidin
g permit expires Date.........................�1�...7J
BUILDING
Owner
U�cI vv'
-SQ. FT. I OCC. BUILDING VALUATION
Mailing Address
/
Telephone No.
Fireplace
Contractor
Total Valuation
Mailing Address
Permit Fee
Plan Checking Fee&/or Penalty
Telephone No.
Permit Fee
$
$
�1
Building Address !✓ c�' U/V �'�
PLUMBING
No.
@
FEE
PERMIT FILING FEE $2.00
�(}�
d
Each Trap 1.50
Repair drainage or vent piping
1.50
Water piping 1.50
—6
H01V iC/T
Each gas water heater or vent 1.50
A. P. No.
g
Gas piping system 1 - 5 outlets
1.50
Each additional outlet .30
s
W.
S tion
I Fire Dept.
Fire Zone
Use Permit
Building sewer 5.00
S,06
EQA Parking
Plans
ParcelParcel
Declaration
Ma P
60' R/W
ImprovementsLawn
sprinkler system 2.00
Bldg. Plans Recd
0cel pproval
P n pproval
Permit Fee
$
Q cto
$ G a�
NEW ❑ ADDITION ❑ UTILITIES W OTHER ❑
ELECTRICAL
No.
@
FEE
PERMIT FILING FEE $3.00
Q�
Main service incl. 1 meter
0
Additional meters, each
1.00
Single Family ❑ Duplex ❑ Mobil Home Others ❑
Sub -panel (12 or less) (more than 12)
Range, Cook -top or Oven 1.00
Water Heater or Space Heater
1.00
Light fixtures 20025p
Receps., switches & fix outlets 2�Td25
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:
Hood, Ex. Fan or F.A. Furn. Motor
1.00
Evap, cooler, gar. lisp. or D.W. 1.00
Air conditioner or heat pump
Water pump
Mobil Home Facilities 5.00
(Jv
Temp. Power Pole 5.00
License No. Classification
Misc. wiring
I am exempt from the Contractors License Laws of the State of California.
Permit Fee
$
10.0
$ d
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 I shall not employ any person in any manner
o as to become subject to the Workmen's Compensation Laws of
California.
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
MECHANICAL
No.
@
FEE
PERMIT FILING FEE $3.00
Heating
Cooling
Ventilation
Hood 2.00
Permit Fee $
$
TOTAL PERMIT FEE
$ �/ r�(
authorize representatives of the County of Butte to enter upon the
above-mentioned property for inspection purposes.
j% r
X Y . ` 2 6J-AAXM)/DatesC— -p—
Signature of Permitee or Agent
Receipt No. ��7 16
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 P BLIC WORKS
/W V Date S / /By
iidin
g permit expires Date.........................�1�...7J