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HomeMy WebLinkAbout030-230-049L 30-23-49 Theresa Lander 2180 Tres Vias R Oro,�.ille GAq V,69T'/STRfJCTURE REQ. COMPACTION TEST REQ.' Permit #445�-77MHI ` / ` � / � y ` ` ^ t, PERMIT NO. - PERMIT EXPIRES OWNER Theresa Landers CONTR. owner LOCATION (A.P. 30-23-49 2180 Tres Vias Rd., Oroville I Temp. Power Pole Called PG&E Temp. Elec. Serv.�� Called PG&E Temp. Gas Serv. Called PG&E JOB FINALED (Date) (Signature) MOBTLEMME DATA 041 1" Manufacturer and/or Namestyle, r. g t h— W i d t 11Z —/;P/— Vehicle Serial No. lyoy�C�l7y—k. State Identification No. "&;Ltional Information or Cormnents: 9. Electrical A. Is sel-vice large enoilgh to provide adeqLIZAe amperage to mobilehome (must equal rating of Mobilehome ivitli a f 100 amp) anal other faciliti�!s on lot, i.e., water pumps, Clara -e, cabana, etc..", YcS B. ls.them proper clearances afoikid panels? Yes No C. Is power supply cord or feeder assembly properly fused? Yes No_ D. Is concin I test satisfactory as per the following procedure? Yes No continuity -e? estal. 1. De -energize electrical wiring, system of the mobilehome at the pe 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 I one lead of a test instrument to the mobilehome grounding conductor ' and L) 'UL;I-1 OUD.L.', — - yl -Le slipply Cori 'Licto-r, ilicluding neuLral. apply the oilier I vza-d V e- -1 T- L�-LIO t.1 5. All non-current, carrying metal parts of the mobilehome (aluminum siding, gas line, w.ater line) , including fixtures andtiappliances, 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 the grounding electrode and the chassis of the 10bilellome. Upon san-S J Lfactorcompletion of the electrical tests, the lot or site .y service equipment ma-, be approved for energizing. "-0, Is job card signed by Health betpartment for water and sanitation? 1.1. if everything ol<ay, sign off card and ta--sc-Irvices. MOBTLEMME DATA 041 1" Manufacturer and/or Namestyle, r. g t h— W i d t 11Z —/;P/— Vehicle Serial No. lyoy�C�l7y—k. State Identification No. "&;Ltional Information or Cormnents: t•IOBfilf.liO.tl? INS`'ALLATION INSPECTION CHECK LIST 1. Is the mobilehome: loc itcd IJ i".li required separation from lot lines and buildings and general].\ conform to plot plan? Ye �' No ?. DOe; the mobil. -home have required clearances above ground? (Sec.5085) YeX No 3. Are footin,s 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) Yes u/ Noi �� 5. If e than a single unit, are crossover connections properly installed? (Sec. 5088) Yes No 5, 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--)( No C•acoac 1 f 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 i.t have minimum per foot slope and is it properly supported? YNo C. Are any leaks detected in drainage system after runnin gallons of water through each fixture including washing machine standpipe? Yes No D. i p oved, 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 ch"dut reductions other than the mobilehome connector. Yes N No B. Test OK as per follo inIg procedur Yes_ No 1. Open all applianc connector valves. 2. Shut off appliance b rner and pilot valves. 3. Air test with manomete to 10"-14" water column, or test with slope gauge (minimum 6oz.-maximum 8 oz.) c rated in tenth pound increments. Test for 10 min, without drop. 4. Connect: gas meZnts m0bileh ne soapy water. C. Are all appliance properly ins with connector, turn. on gas., test connections with ed? Yes No COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS y BUILDING INSPECTION RECORD BUILDING BUILDING (Cont'd) PLUMBING SNIback FI wall SON Piping Folilos Para ets 1 Floor MaV Bldg. Restr m Finish 2nd loor F tins Windowk 3rd F or SteNwall Siding To out Slab Roof SheathNpg Water Pi In Piers Roofing Sewer Garage Fdn. Vents Fixtures Footin s StemwaII Garage Vents Insulation Water Htr. Heaters Slab Carport Po Footings V Prov, for phsicall handica ed Conformance of ex. X structure Appliances Gas PI Ing & Test Temp. Gas Slab A Final Sanitation Patio IREP CE Final Footin s Footing j ELECTRIC L Masonry Walls Throat Rou h` Reinf. Steel Final - Fixtures Bond Bea FIRE SPRINKLEA Motors Framing Test Water Ht . Stucco t Final Sub an s Mesh MECHANICAL Grd. F/ault Prot. ScratA Heati Sery ce Bron Coo ng emp. Pole Fillish D is /underground In rior Lath Antilation Permanent Lor Closer anal Final MOBILEHOME UT LIT ES 4*1 of - - - - - - - - - - - • - - - - Elec. Service a- Water Piping ,71Y Sewer Elec. Pedestal Gas Piping �----- E MEI STAL ATI N - - - - - - - -0-f: - - - Support 04.0.Z,- WGas Elec. Continuity Water Piping7 Drainage Pi ping P DATE REMARKS OR CORRECTIONS (NOTE: An entry must be made on this form each time you visit the job site.) 0 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 requirements of the California Administrative Code, Title 25, Chapter 5, under permit number 0 .! ''=/, Z for the following location., Owner Owner Owner's Address Mobilehome Mfg. Model Year/ Insignia No. Serial No. It is hereby certified for occupancy at the above described location and may be occupied. Director of�Public Works Date � �/ O 7 B �tv THIS CERTIFICATE IS VOID WHEN MOBILEHOME IS RELOCAF''D COUNTY OF 15UTTE — DEPARTMENT OF PUBLIC WORKS + 7 County Center Drive — OroviIle, California 95965 ���_ " Telephone: 534-4541 17 APPLICATION AND PERMIT M I cFncac I" - UI I. IV l�UU111y UI OUIIC LU CIItCI UPUII tilt: above-mentioned property for inspection purposes. Date — •- Signatureeof Permitee 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 above for which fees have been paid. DIRECTOR OF BLIC WORKS e BY Date / g permit expires Date 9--9 BUILDING Owner SO. FT. OCC. BUILDING VALUATION Mailing Address e s Oza /p ( Telephon ,filo. Fireplace Contractor Total Valuation Mailing Address Permit Fee Plan Checking Fee &/or Penalty Telephone No. Permit Fee $ Building Address PLUMBING No.1 @ FEE PERMIT FILING FEE $3.00 ljo Each Trap 1.50 Repair drainage or vent piping 5 Water piping d 0 Each gas water heater or vent 1.50 Zoning Verification Only A. P. No. J —�3 — Z°ni Gas piping system 1 - 5 outlets 1.50 " Each additional outlet 30 St ion ire Dept. FireZone Use Permit Building sewer EQA Parcel PPlans Parcel Map 0' R/W Improvem s Lawn sprinkler system 2.00 Bldg. Plans Rd/ Appr _vol i Plans Approval Permit Fee $ $ NEW ❑ ADDITION ❑ UTILITIES OTHER ❑ ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 LE011 ORSS Main service 100 AMP 5.00 Main service EA. ADD•L 100 AMP 2.50 Single Family ❑ Duplex ❑ Mobil Home Others ❑ ER Main service 10 0 AMP oR LESS 25.00 Main service EA. ADD'L 100 AMP 1.00 NEW OR ACDNS. (ACCLBLDGOCCUP. &) 22sgft NEW CONSTR. 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: Ex. Occup(OUTLETS OR FIXTURES)50 @25a BAL@109 FIXED APLNS. Ex. Occup.(OUTLETSP(RESID,)REA) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 License No. Classification Misc. Wiring 6.25 am exempt from the Contractors License Laws of the State of California. Permit Fee $ $ 14k;n 5L 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 rkmen's Compensation Insurance. certify that in the performance of the work for which this eermit 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. @ I FEEPERMIT 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 E $ I cFncac I" - UI I. IV l�UU111y UI OUIIC LU CIItCI UPUII tilt: above-mentioned property for inspection purposes. Date — •- Signatureeof Permitee 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 above for which fees have been paid. DIRECTOR OF BLIC WORKS e BY Date / g permit expires Date 9--9 i reg bias �'rJ i� o �--, A permit will be required for ` /3 installation of- the mobilehom . 4J a e This set of plans and specifications MUST be kept on the job at all times and it is unlawful to The Mk. Setback shall be 5 ft. from the make anv changes or alterations on some without : ide property lire and 50 ft. from the written permission from the beeartment of Public centerline of the road, permitting a ry axi- Works, County of Butte. mum of a 2 ft. eave overhang but ent rely out of all easements. G 6� O Septic system and location off_ to be i Butte County Health Dept• Re- quirements. NOTE:—All Materials & Wor!:manship Shall Be in Accordance wN h Recognized Food Practices and. PG.ti .'T� 373 gr 7� of a quality prescribed for the Specified use in the Uniform Building, Plum6ing & Mechanical Codes and All utility connections shall b the National Electrical Code. located wi'$In 4 ft. outside the real third section of the mobile home, on the left (road) side of the mobile's home. BUTTE COUNTY BUILDING DEPARTMENT APPR®�`a 0-ry u,//ti CJiUNTY QF BUTTE — DEPARTMENT OF PUBLIC WORKS 0. 7 County Center Drive — Oroville, California 95965 Tel ephohe: 534-4541 APPLICATION AND PERMIT Ax "56`1_77 � q 1: _�X BUILDING Owner l!T A • / e aIC CAA/�Q /G S C/L SQ. FT. OCC. BUILDING VALUATION Mai I i ng Address Telephone No. Fireplace Contractor ARCS �GvG Total Valuation Mailing Address © /�� Permit Fee Plan Checking Fee &/or Penalty Telephone No. �G S 3 3 —Z17 Permit Fee $ Building Address 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 A. P. No. *� �- Zoning & Planning Gas piping system 1 - 5 outlets . 1.50 Each additional outlet .30 F Le <W Fire Dept. Fire Zone Use Permit Building sewer 5.00 EQA g I PPlan Des�acaiiefi Parr�cel��Map 60' R/W Improvements Lawn sprinkler system 2.00 Bldg. PI ns Rec' Parcel p'F-proval Pla pproval Permit Fee $ $ NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 Main service 6001 OR LESS 5.00 100 AMP OP. LESS Main service EA. ADD'L 100 AMP 2.50 Single Family ❑ Duplex ❑ Mobil Home Others ❑ OVER 600V Main service 00 AMP OR LESS 25.00 Main service EA. ADD'L 100 AMP 1.00 A t NEW LING O OR ADDNST ( ACCLBLDGS.CCUP. &) 22sgft NEW CONSTR. (MULTI -OUTLET NON.RESID, BRANCH CIRCUITS) 2.50ea NEW CONSTPOWER 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 st leo : Y Q/A/eS Ex. Occup(OUTLETS OR FIXTURES) 109 Ex. Occu FIXED APP LNS, OR p• OUTLETS (REST D,) EA) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 33/5/92 License No. jS Classification 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. �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 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 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 fylO G A ,��R7I��✓ TOTAL PERMIT FEE $ authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. X Date Signature of Permitee or Agent Receipt No. , 16 W�/ 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 !r--- / w� Z Iding permit expires Date MOBILEHOME SUPPORT DATA Mobilehome Mfr. �� �e-�/�.�J 1�= � Setup Model No. I -V-57%3 7%3 Year % 7 Width'(ft,) Length (ft.) Expando Size ft.x ft. - (Draw support details below) On all mobilehomes manufactured after October 7, 1973, furnish manufacturer's installation manug,1 and structural setup sheets, if not on file with the County of Butte)'. Single Footings (check one) r .�.:A Center Center Support Support Footing Sizes Locations (in.) 91ii X�vl,(fts:� (in.) (iri' (ft) (in) in.)(in.) V7-yi ft'.-) 1n.j 1 (ftn.) (in.)(in.) �j Pit 2 60-0 *If center piers are other than drawn above, draw in locations, spacing, and dimensions. /17�1. Wood either pressure treated or fdn. grade. 2. Concrete pad. 3. Other, specify Supports (check one) 1. Concrete block 2. Concrete piers 3. Steel piers 4. Other, specify d X - Typical Support Footing Size -irl' (gin. > — Mapx. Pier �ft.) �( _....._.. Max. Overhang :ft (in..) BUTTE COUNTY BUILDING DEPARTMENT APPROVED BUTTE COUNTY DEPARTMENT OF PUBLIC WORKS 7 County Center Drive, Orovihr-, CA. PHONE: 534-4541 MOBILEHOME INSTALLATION SHEET 1 Owner's name: t - �AA le.5 � //De!/L 2. Installer's name: % //e 3. Is the site currently under permit? Yes / t-1 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 / Vi No ( If no, clarify ) 5. What is the mobilehome electrical rating? ----------------------- Z D d Amps 6. What is the mobilehome site service rating? --------------------- p p Amps 7. What is the mobilehome site circuit breaker rating? ------------- O c9 Amps 8.. Is there any other electric load to be served by the mobilehome site service? --------------------------------------------------- Yes / / (If yes, identify the load and size: (Load) No _(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.) .$^iif l ��•�'i I� DECLARATION.REGARDING LOTS OR PARCELS I certify that as owner of the property acquired by deed in•Volume _c�2_/ to 9 , Page Q Official Records of Butte County, (AP# D. 3 - L) ), I am requesting permission to build or install an additional living unit on this property. I will not divide the aforementioned property for sale, lease, rent, or financing unless all applicable land division laws and map requirements are com- plied with. I am conversant with the present zoning regulations affecting the aforementioned property, and declare that I shall not violate QQs,n,ame. I represent that the`proposed use of.the additional living unit is / I I �.L��Lf��. "DLI X and that further I shall not change this proposed use of the additional living unit ''t 1 unless and until I receive ~'written approval`th6refor from the County of Butte. I fully understand that pursuantl.to'.;Chapter 20 of the Butte County Code and §1153S et seq of the Business and Professions Code that if I, in the future, sell, lease or finance the area on or adjacent to said improvement without fully complying with the applicable laws and ordinances, that I shall be guilty of a misdemeanor and therefore, subject to the aforesaid penalties and imprisonment pursuant to law. Further, this statement shall be properly acknowledged and recorded at the request of the County of Butte. , 7I OFFICIAL RECORDs 9UTTE COUtIT�'-� AL�fPv �CC1Rt15 RED`°;f LOUIsE 14L�1:NUER � Owner C/Address orb I ILe CA662 S �SG�6 COUNTY RECORDER E� NOT COMPARED Date ORIGINAL DOCUMENT STATE OF CALIFORNIA COUNTY OF Butte ss On this 12th day of September ','197 7,.before me, Walter D. Summers , a Notary Public in and for the County of Rlltte , State of California, residing therein, duly commis- sioned and sworn, personally appeared Teresa Landers known to me to be the person whose name is subscribed to the within instrument and acknowledged to me that she executed the.same. IN WITNESS WHEREOF I have hereunto set my hand and affixed my, official seal in the County of Butte the day and year in this certificate first above written.. S96-1275 OFFICIAL SEAL WALTER.D. SUMMERS NOTARY PUBLIC - CALIFORNIA PRINCIPAL OFFICE IN BUTTE COUNTY MY COMMISSION EXPIRES OCT. 1, 1979 Notary Public Cp�N� DF/p�T pF PU pp BDn.E l� � �� ' SEP 1., 197�Ir� .D �s8,9110�11��i1r2 PIS . �; 13i4asi� el- INTER-DEPARTMENT YINTER-DEPARTMENT ROUTE SLID IF RUSH, OR SPECIAL- 50 INDICATE BELOW ,? TitJ0� =T US Min isF .31 tfwYT � oaj