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HomeMy WebLinkAbout028-200-071- JULIU S KU , 1 00' off w 0�'''o—B n or d1,77mi4 /s ag RS. { of Swedes Flat Rd., Bangor '`- Permit# 3056-75P E(util. ) i ELEC. GAS - --- SUPPORT STRUCTURE REQ. G CEPACTION TEST REQ._ AP' Orr �O-� 7 ;; CONTR. Ernie s KL Transport, Marysville ' _ Permit# 3667-75WHI M� n _Issued.--- �%_.L 7 �!7.' S..�t ��_�•. f 21 f � � t �3 /a Ad Ljtil. , MEI) <� ,,,,PERMIT PERMIT NO.X 3056-75P,E P E M M TMH UTIL. j PERMIT NO. [, PERMIT EXPIRES ! / OWNER Julius Kuehn CON TR. LOCATION (A.P. 39 28-20-6 ) 001 off w/ s Oro -Bangor Hi ry, l ` iAi..- S. of " Swedes Flat Rd., Bangor r '4 tt Temp. Power Pole j Called PG&E Temp. Elec. Serv. �7-'.j� Call;€d PG&E Temp! Gas Serv. Called �1 i' fr JOB FINALED (Date)' (Signature) } COUNTY OF BUTTE - DEPARTMENT OF PUBLID WORKS BUILDING INSPECTION RECORD BUILDING BU I LD INj G (Cont'd) I PLUMBING Setback Firewall Soil Piping Forms A Parapets 1st Floor Main Bldg. Restroom Finish 2nd Floor Footings Windows 3rd Floor SiemwaII Siding To out Slab Roof Sheathing Water Piping — /6 7 Piers Roofing Sewer Garage Fdn. Vents Fixtures Footings Gara a Vents Water Htr. StemwaII Slab Prov. for physically handicapped Heaters Appliances Carport Footings Conformance of ex. structure - Gas Piping & Test Temp. Gas Slab Final Sanitation 171-7,17 7 Patio FIRE L CE Final Footings Footing ELECTRICAL Masonry Walls Throat Rou h % y' Reinf. Steel Final Fixtures Bond Beam FIRE SPRI LE RS Motors Framing Test Water Htr. Stucco Final Subpanels Mesh MECH NIC*L Grd. Fault Prot. Scratch Heating Service Brown Cooling Temp. Pole Finish, Ducts Underground Interior Lath Ventilation Permanen Door Closer Final Final / 7 DATE REMARKS OR CORRECTIONS 4' 4 �- L2 -7J— _ le I Ila 01 CV_ t /L ^c -t7-7 SJ a �e1,2�r = /TIr ��e f 4. h n- � ��G�,�er/per_ �l�c•✓�.I��'-�j�; .�..�.e_ .moo �.'��yti�" � ��r� ��C �� MOBILEHOME INSTALLATION INSPECTION CHECK LIST 1. Is the mobilehome located with required separation from lot lines and buildings and generally conform to plot plan? Yes -4 No 2, Does the mobilehome have required clearances above ground? (Sec.5085) Yesj 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 No 4. Is the mobilehome level? (Sec,. 5088) Ye.s7� No 5. If mo e than a single unit, are crossover connections properly installed? (Sec. 5088) Yes. No '6. Water A. Is flexible connector of'ade'quate 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 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? Yes No 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? Ye's . No. r 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. T st OK as per following procedure? Yes_ No Open all appliance connector valves. <. Shut off appliance burner and pilot valves. C_ 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. Are all appliance.vents properly installed? Yes_k-`Nc_ ' r 9. Electrical 4 A. Is service large enough to provide adequate amperage -to mobile'home'(must equal rating of mobilehome with a minimum of 1Q0 amp) and other facilities on lot, i.e., water pumps, garage, cabana, etc.? Yes No B. Is there proper clearances around panels? Yes -.440 C. Is power supply cord or feeder assembly properly fused? Yes No s continuity test satisfactory as per the following procedure? Yes 11"'No De -energize electrical wiring system of the mobilehome at the pedestal. �. .Make sure that the power supply cord or feeder assembly conductors, including neutral conductor, have been disconnected. 1/3. 'Switch all breakers and switches in the mobilehome to the "on" position ve"'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. L1/5. 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. �. 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 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. MOBILEHOME DATA Manufacturer and/or Namestyle �°fn 0 014,1 Length dO Width Vehicle Serial No. '2. "1_(J 2- 2-,4 State Identification No. -2-0 4�d0-]—2p0!2O09, Additional Information or Comments: J's 9 COUNTY OF BUTTE — DEPARTMENT OF PUBLIC 0B4S 7 County Center Drive - Orovi Ile, California 95965 Telephone: 5�4-4541 APPLICATION AND PERMIT WeiptNo. AJ,.'`2-4 U \�—� White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant wilding permit expires Date d— ✓ BUILDING Owner SQ. FT. OCC. BUILDING VALUATION Mailing Address Telephone No. -� Fireplace Contractor Total Valuation Mai I i ng Address Permit Fee Plan Checking Fee &/or Penalty Telephone No. Permit Fee Building Address SPLUMBING No.1 @ FEE PERMIT FILING FEE $3.00 -•1 t all Each Trap 1.50 r Repair drainage or vent piping 1.50 Water piping Each gas water heater or vent L-A _14911 A. P. No. „� iYon� P Gas piping system 1 - 5 outlets Each additional outlet Fees V�rSa ion Fire Dept. FirZone e se Permit Building sewer EQA Parking Plans Parcel Declaration Parcel 60' R/W Improvements Lawn sprinkler system 2.00 Bldg. Pla ec'd Parc' pproval PI pproval Permit Fee $ $ NEW ❑ ADDITION ❑ UTILITIES , OTHER ❑ ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 ::e -,n Main service incl. 1 meter Additional meters, each 1.00 Sub -panel (12 or less) (more than 12) Single Family ❑ Duplex ❑ Mobil Home Ix Others ❑ Range, Cook -top or Oven 1.00 Water Heater or Space Heater 2100 Light fixtures 25 b a 10 Receps., switches & fix outlets 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. disp. or D.W. 1.00 Air conditioner or heat pump Water pump Mobil Home Facilities Temp. Power Pole 5.00 License No. Classification Misc. wiring 4:01 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. 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 authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. X Date a Z�/-?� Signature of Permitee or Xgent -„ -7-.9 //---) TOTAL PERMIT FEE $ 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 BLIC WORKS I BV� Date WeiptNo. AJ,.'`2-4 U \�—� White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant wilding permit expires Date d— ✓ f 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 TQbile home. r A permit will be required for the installation of the mobilehome. '-JQ 10 Septic system and location of Intrrl.6-- to be as per Butte County Health Dept. Re- quirements. I his set of plans and !1pe@AkaLianS, 4,A,US7 ,bd kept on the job at all times and it is unlawful to -he Setback shall be 5 tt. truti make any Changes or alterations on same without the side property line and 50 ft. from written permimon from the Department of Public the centerline of the road, permitting %" Iz O'my of Butte I maximum -.of a 2 ft. eave overharvo' BUTTE COUN f Y >' k� BUILDING DEPARTMENT APPROVED COUNTY OF BUTTE - Deportment of Public Works ,7,County Center Drive, Oroville, California --\� / K.:..._.....'PHONE:-534-4541 rV u Lam, T.Pngtb UtilityCnnni I +. 20' t� d ci m ' cn m 0 M • N rt K M �. n m µ 5 n x . �)rt n vmin °' o K n — ~----------cFA ~s-------- �. o a (DE Length = 0 Z MOBILEIiOME INSTALLATION INFORMATION 2� Lot Facilities Data o 1. Plot plan dimensioned, location of mobile 1. LLM��obilehome Length 4't Width and -utility connections? Manufacturer ) Ulf; yo'y 2. Yes NoVehicle Electrical service equipment ampacityy —L6Ankv Serial No. O&Z Insignia hti�h Control No.k H� U o7 oe� / Circuit breaker ampacity Z 2. Feeder assembly ampacity Q }9i2f1� Permanent Wiring Connection Conduit size Ampacity Power supply cord (amps) Receptacle Ampaeity 3. Gas inlet -size 3. Gas:. Natural LPG Mobilehome connector size Gas `riser size '� Capacity. - 4. _ Drain inlet size ii 4. Drain connector: describe on reverse side 5. Water. fiser.size o3/i/ 5. Water connector: describe on reverse side 6. Are utility connections located outside 6. Designed loads: the rear 1/3 of the mobilehom within Roof live load psf. 4 feet of the left wall? Yes No Wind load ��_psf . If not, show di.mensions. above. only for mobilehomes manufactured after 7. Is the mobilehome clear of septic tank, October 7, 1973) leach fields and located outside public 7. Manufacturer's installation instructions? utility easements? Yes_ No Yes No 8. Do you propose to do other work on the 8. �— - -- Will the mobild home be installed on a property other than the mobilehome separate sup o t structure? installation which will require a permit.1 Yes No� Yes NO *For If so; specify plans and specifications of support system, see other side. ADDITIONAL CO.D:'7 ,;TS Drain Connector, Describe / , �r p t/■/�/�� \"Water Connector, Describe l.� in ,rts i r 1 l/ -6 ma LOAD BEARING SUPPORT AND 20OTING INFORMATION i /r Pier Spacing Used C5 Ma:,imum Pier Load _ V , Maximum Column Load (multi -units only) Soil Bearing Capacity. / �E Footing Dimension TYPE OF PIER USED Steel Concrete Concrete Block Other TYPE OF FOOTING MATERIAL U ED Pressure Treated Wood Concrete Redwood (Grade) Other Approved Type �/�N�F�►fit V LOAD BEARI\TG SUPPORTS • COUNTY OF BUTTE — DEPARTMENT OF PUBLIC Wry RK �--- ' 7 County Center Drive -. Oroville, California 95965 ` Tel ephone: 1534-4541 r APPLICATION AND PERMIT authorize representatives of the County of Butte to enter upon the above-me,ritioned property for inspection purposes. Date Signaturif of Permitee or Agent , Receipt No.' White-D.P.W. — Yello4ssessar — 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 F PUBLIC WORKS By - Date,?-/ 7�,r ilding permit expires DateC BUILDING Owner r SQ. FT. OCC. BUILDING VALUATION Mailing 4ress • Telephone No. Fireplace Contractor t2kTotal Valuation Mailing Address` U Permit Fee Plan Checking Fee &/or Penalty Telephone No. _ Permit Fee Building Add ss d� S PLUMBING No. @ FEE PERMIT FILING FEE $3.00 _ Each Trap 1.50 Repair drainage or vent piping 1.50 Water piping 1.50 Each gas water heater or vent 1.50 p A. P. No. Zoning &Planning Gas piping system 1 - 5 outlets 1.50 Each additional outlet .30 4e Saffi•tMt'an I Fire Dept. I Fire Zone Use Permit Building,sewer 5.00 EQA Parking Plans I Parcel Declaration Parcel Ma P 60' R/W Im rove ents P Lawn sprinkler system 2.00 Parcel A roval Plans pproval Permit Fee $ $ NEV ❑ ADDITION ❑ UTILITIES ❑ OTHER ELECTRICAL No.1 @ FEE PERMIT FILING FEE $3.00 Main service incl. 1 meter Additional meters, each 1.00 Sub -panel (12 or less) (more than 12) - Single Family ❑ Duplex ❑ Mobil Hom!V Others❑ Range, Cook -top or Oven 1.00 Water Heater or Space Heater 1.00 Light fixtures b (d2 Receps„ switches & fix outlets 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: - I %j �]�hl� �1 �T L�,kNICS I'1� k : /% �'�7�-/ Hood, Ex. Fan or F. A. Furn. Motor 1.00 Evap. cooler, gar. disp. or D.W. 1.00 Air conditioner or heat pump Water pump Mobil Home Facilities 5.00 Temp. Power Pole 5.00 D/� License No. l / 0 Classification Misc. wiring ❑ 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. j�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. 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 $ C authorize representatives of the County of Butte to enter upon the above-me,ritioned property for inspection purposes. Date Signaturif of Permitee or Agent , Receipt No.' White-D.P.W. — Yello4ssessar — 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 F PUBLIC WORKS By - Date,?-/ 7�,r ilding permit expires DateC