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HomeMy WebLinkAbout055-340-0211 I I AP 55-34-21 Michael Dorsey off s/s Honeyrun Rd, approx.•2 mi. above. Covered Bridge, Chico Permit 3875- 5 ­ELEC. GAS e- Ip' SUPP RT STRUC.. ✓I/O ' COMPACTION TEST REQ. 55=34-21� CONTR: Carrell Bros.Mobile Home,C c Permit 92044-7Wi Issued Ati�p- D a I •387-75- 11H UT IL . PERMIT NO. 3$75=75 P,E S 7— p. P r /,A0/.-2(,&) u o t M (1 PP/L 4v� 9 TIq 'MH UTIL. .PERMIT NO. PERMIT-EXPIRES— '�WNER Michael Dorsey i ONTR. owner LOCATION (A.P. -55-34-21 ) off s/s Honeyru Rd. approx. 2 mi. above Covered Bridge, Chico ,? :i I ±. Temp. Power Pol Called PG&E Temp. Elec. Ser Called P E Temp. Ga Serv. ,Cal d PG&E JO F ALED (Date) (Signature) r. COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS BUILDING INSPECTION RECORD k BUILDING BUILDING (Cont'd) Water Htr. PLUMBING Setback cs Firewall Soil Piping M ANI NL Forms Parapets 1st Floor Service Main Bldg. Restroom Finish 2nd Floor Finish Footings Windows 3rd Floor Ventilation Stemwall Siding To out Final '�/ 0-- '7 Slab Roof Sheathing Water Pi in Piers Roofing Sewer Garage Fdn. Vents Fixtures Footings Garage Vents Water Htr. Stemwall Slab Prov. for physically handicapped Heaters Appliances Carport Footings Conformance of ex. structure Gas Piping Temp. Gas & Test % Slab Final t% v Sanitation Patio FIREPLACE Final —/0--7 Footings Footing ELECTRICAL Masonry Walls Throat Rou h Reinf. Steel Final Fixtures Bond Beam I FIRE SPRINK RS I Motors Framing Test Water Htr. Stucco Final Subpanels Mesh M ANI NL Grd. Fault Prot. Scratch Heating Service Brown Cooling Temp. Pole Finish Ducts Underground Interior Lath Ventilation Permanent Door Closer Final Final '�/ 0-- '7 DATES `='/ REMARKS OR CORRECTIONS 11,E � l;% O 1�'EXlOcl,S j CL17T 8 000 '/0,000 B Tu COUNTY OF BUTTE DEP."&TMENT OF PUBLIC WORKS 7 COUNTY CENTER DRIVE OROVILLE, CALIF. - 534-4541 CERTIFICATE OF OCCUPANCY This rr.obilehome has been installed in accordance with the requirements of the Ca l'fo i Ad}}inistrative Code, Title 25, Chapter �/ and ermit n/�ummbet--2 %C- for the following location:df S S 1/E� Cd /\/ .0 o / &/v- o X .7 tZCJ C Coo C- -e E /-�, . Owner Owner's Address Mobiiel ome Mfg. �E,e,e/ JS/©`y Insignia No. i" — ;J Z5 " S(-7 Serial No. -2 3 Y,9Z It is hereby cert ifi d for occupancy at the above described locat may be occuoied. Model -4Year Director of Public Works Date `P —%16 i � 6' By THIS CERTIFICATE IS VOID,WHEN MOBILEHOME IS RELOCATED and 4 9. Electrical A. Is service large enough to provide adequate amperage to mobilehome (must equal rating of mobilehome with a minimum of 1.00 -amp) and other facilit.ip, 0 l t Le w2a�er pumps, garage, cabana, etc.? Yes �No L B. Is there proper clearances around panels? Yesr/No " C I ower supply cord or feeder assembly properly fused? Yes' �No'� C. I's sPPY YP P Y D. Is continuity test satisfactory as per the following procedure? Yes No 1. :,-ensrgize electrical wiring system, -of the mobilehome at the pedestal. 1e e that the power supply cord or feeder assembly conductors, including neutral con •ctor, have been disconnected. 3. Switch a breakers and switches in the mobilehome to the "on" position. 4. Con ct ne lead of a test Anstrument to the mobilehome grounding conductor and ly he other 'Lead to each ro.obileliorme supply conductor, including neuLral. 5. non-current., carrying metal parts of the mobilehome (aluminum siding, gas line, ywater), including fixtures and appliances, shall be tested for continuity from ment and the grounding conductor. 6.etion of the above procedure, the power supply cord or feeder.assembly . 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 eX C 7/0 12_�S Length W idth_..'�'� Vehicle Serial No. State Identification No. Additional, Inform tion or Comments: 13 MOBILEHOME INSTALLATION' INSPECTION CHECK LIST 1. Is the mobilehome locatedcvit required separation from lot lines and buildings and generally conform to plot Elan? Yes - No 2. Does the mobilehome have required clearances above ground? (Sec.5085) Yes VNo 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) Yes 1-- �No 5. I.f more han a single unit, are crossover connections properly installed? (Sec. 5088) Yes No 6. Water A. Is flexr 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? Yeses C. BackfI - -h is not State of California approved, does station have backflow device and p e s r lief valve? Yes No 7. Wastes and Drains A. Is connection made with Schedule 40 DWV and have flex connectors at each end? Yes B. Does it have minimum k" per foot slope and is it properly supported? Yes Leo C. Are any leaks detected in drainage system after running 3 -gallon of water through each fixture including washing machine standpipe? Yes No D. If c t State of California approved, does station have required trap and vent? Ye 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 mobile a gas line inlet without reductions other than the mobilehome connector. Yes No -' B. Test OK as er following procedure? Yes Ll �No 1. Open 11 appliance connector valves. 2, ut ff appliance burner and pilot valves. 3. it 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,tur On gas, test connections with soapy water. C. Are all appliance vents properly installed? Yes No V 1 COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS 7 County Center Drive — Oroville, California 95965 O , /, / 76 Telephone: 534-4541 APPLICATION' AND PERMIT - •-ter .. 1. - — vvu,,.y vuuc av —1-1 uNvn uiC above-mentioried pro erty for inspection purposes. Date �� e Signature of Pe J �r/ 'tee or Agent Receipt No. "7. 6 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 B;�.I permit expires Date _ BUILDING Owner mACL O is e— SQ. FT. OCC. BUILDING VALUATION Mailing Address Telephone No. Fireplace Contractor YY e Z_4, 9L ►'o S. 0,0 Ai2e lylok4e Total Valuation Mailing Address ES 4AdG Permit Fee Plan Checking Fee&/or Penalty CA GQ Telephone No. Z _ Permit Fee $ Building Address �F� s s p,vy p.0 Al PLUMBING No. @ FEE PERMIT FILING FEE $3.00 j11 -AX . Mt 4 bout--COtlQ�P Qi r e_ 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. S �%•- 2-� Zoning 8 Planning Gas piping system 1 - 5 outlets 1.50 Each additional outlet .30 F 9arr+eA+en I Fire Dept. Fire Zone Use Permit Building sewer 5.00 EQA I Parking Plans Parcel Declaration Parcel Ma P 60' R/W Im rovements P Lawn sprinkler system 2.00 13149-44mry Pec'd ParcelAp al Planeroyal Permit Fee $ $ NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER ® ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 M N d�L L p%, o ✓o r �Q� �+ + T -t Main service soov oR LEss ' 5.00 100 AMP OR LESS :P9 O VV Main service EA. ADD'L 100 AMP 2.50 OVER 600V Main service 100 AMP OR LESS 25.00 Single Family ❑ Duplex ❑ Mobil Home Others ❑ Main service EA. ADD'L 100 AMP 1.00 ' NEW CONST. LING OR ADDNS. ( DACCLBLDGS.OCCUP. &) 20sgft 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) -O LL2 Q 109 Ex. OccUP•(FXED ,APPLNS, OR OUITLETS (RESID.) EA) 2.OQ Temporary service 10.00 Mobile Home Facilities 15.00 f Licen3 I se No -Aa 0 Classification C " 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. EzI 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&ZZ2�O information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby ♦L ef?O f TOTAL PERMIT FEE $ - •-ter .. 1. - — vvu,,.y vuuc av —1-1 uNvn uiC above-mentioried pro erty for inspection purposes. Date �� e Signature of Pe J �r/ 'tee or Agent Receipt No. "7. 6 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 B;�.I permit expires Date _ /7 Co &L L46Ys��s COUNTY OF BUTTE — DEPARTMENT„ OF PW11i 7 County Center Drive Oroville, California 95965�/t� / �J Tel e1.hone: 534-4541 APPLICATION AND PERMIT r/ authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. X�!!��/��ii.u,/' pate I Signature of Permitee or Agent Receipt No. Z���5 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 PUBLIC WORKS By Date / ilding permit expires Date 8 BUILDING Owner SQ. FT. OCC. BUILDING VALUATION Mailing Address Telephone No. ` Fireplace - - Contractor Total Valuation Mailing Address Permit Fee Plan Checking Fee&/or Penalty s' Telephone No. _ Permit Fee Buildindr ss 1z M S PLUMBING No. @ FEE PERMIT FILING FEE $3.00 .60. Each Trap 1.50 Repair drainage or vent piping 1.50 Water piping /000 Each gas water heater or vent 1.50 S..S _ 3y— ^ / A. P. No. �y �Zoni g Gas piping system 1 -5 outlets.�e- (.8� Each additional outlet .30 F 1 Sa Fire Dept. Fire Zone Use Permit Building sewer EQA Parking Plans Parcel Declaration Parcel Ma p 60' R/W Improvements p Lawn sprinkler system 2.00 PI Recd Parcel Approval PI Lep Permit Fee $8-4—UFEE �3 NEW ❑ ADDITION ❑ UTILITIES OTHER ❑ ELECTRICAL No. @PERMIT FILING FEE $3.00 Main service incl. 1 meter .Additional meters, each 1.00 Sub -panel (12or.less) (morethan12) - Single Family ❑ Duplex ❑ Mobil Home! Others ❑ Range, Cook -top or Oven 1.00 Water Heater or Space Heater 1.00 p2 Light fixtures bal 1@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 /,(4)0 Mobil Home Facilities .Q� Temp. Power, Pole --5.69- License No. Classification Misc. wiring ® I am exempt from the Contractors License Laws of the State of California. Permit Fee $ WORKMEN'S COMPENSATION INSURANCE I 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 N0.1 @ I FEE PERMIT FILING FEE J$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 TOTAL PERMIT FEE authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. X�!!��/��ii.u,/' pate I Signature of Permitee or Agent Receipt No. Z���5 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 PUBLIC WORKS By Date / ilding permit expires Date 8 NOTE--. .-All Ma+F�iFI�-& W-04Manshin Shr+4F Be Jr of nor .L►;�e finer F..l l�Sa In FF -Vnifor-_' Pr„ C04s. an .-- fhis--set - of -p+ans--aTrd-9pOGW&aA&" MUST - bti r` (ept pn jhe jam} at all tirnas and it is unlzifavr'ul -to p;•,r a»y �Ih:- ng.rs, or alterations an safe vrCtf►out wrNt--n. pRrrnisson •from the-De-pa-rtment of- PAHO B�+tte: U rhe '..Setback shall be. 5 .ft. froerl e-siderop�rfy -line--- --ire--centcrl-rr;e- af- -a;—per rrt�tt�n6 ----------:-----=- �� — - --- ---- ---- — !:i mXimtIm f—a-2f�sav�..�[ .. ---- — .- —=-- — = — - -- — -- to mss_- ,.. _ Butte County Heal ~h _Dept.. Re- - -- _.-- -- _--- _-. - ;�- - ---V`--Ovrrement�- -- - -. utilit y : connections? shall 'be i 4-¢t-;-oUfSfde_ie rear i third section ofhe feFt (ro s-.iL ad side of the _� _ permitwill ' ' t uir }�>� -- E — — '— ihsto'llation 'of the mobilehor . r ly t 1 r 1 V' , COl1.I�TY o- .mac. RT PIEW 3111 LDl' /.7 �k _L _ � _� •AGS.' . 7 F- i Z�7, 1. Owner's name: 2. Installer's na BUTTE COUNTY DEPARTMENT OF PUBLIC WORKS 7 County Center Drive, Oroville, CA. PHONE: 534-4541 MOBILEHOME INSTALLATION SHEET 3. Is the site currently under permit? Yes /, No ( If yes, furnish permit number 36 7S—"7 5 ) 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? ----------------------- % 00 Amps f �-a 6. What is the mobilehome site service rating? --------------------- Fly Amps 7. What is the mobilehome site circuit breaker rating? ------------- Amps 8. Is there any other electric load to be served by the mobilehome site service? --------------------------------------------------- Yes No (IRy ,�Tidntifhe'�'d�'si"� (Load) � (Amps) G' 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? SS t � �"� (ft.) 12. What is the mobilehome gas demand? -----------------; = /`71Z (BTU) (This information not required if pipe length less than 6 ft. on natural gas or less than 50 ft. on LPG.) t i 41 MOBILEHOME SUPPORT DATA V, testi. Setup Model No. 3 �`IY ar Mobilehome Mfr. V� r � - - Width _(ft.) Length .4P v (ft.) -Expando Size 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). SFootings-- (check . one) A.i i / / 1. Wood "either pressure treated or Center Center Suppo fdn.•grade.." Support Footing Sizes Locations 2. Concrete pad. (I�/_ *'•" �. / / 3. Other, `specify Ft.(in.) in. in. ' Supports (check one) /�(' 1. Concrete block 2. Concrete piers �S t � (fInt-(in.)-(in.) 3. Steel piers ;;.. Ll Other, specify .1 - •4 ........ ...... Typical Supp ort 7� �.�ooting Size in.in. , • ..(in.) (in.) .. .. . Max. Pier. 7'� Spacing • in. t" gin. in. in. (in.) (in.) I _ Max. Overhang in. ^If center piers are other than drawn above, draw in locations, spacing, and dimensions. BUTTE COUNTY BUILDING DEPARTMENT APPROVED BUTTE COUNTY DEPARTMENT OF PUBLIC WORKS SPECIAL INSPECTION REPORT Owner: {�dI/G/�i1�,C, �OR.�S 'c Address: -r (P/F eM/7/1--- 3 R- 76--2 Tenant: Building Location: Type of Inspection requested: A. P. # 5-,5- :�• --.2. Date of Inspection " o� Inspector 1. Housing / / 2. Financing 3. Change of Occupancy to C, _ 4. Other (specify) 5.F5,ta&2REy /?�!/��'/�c/G 4AIV1 El /I,R Present use of building: A. Sanitation (Housing) 1. Water closet: 2. Lavatory: 3. Bathtub or shower: 4. Kitchen sink: --5. Hot and cold water to fixtures: 6. Heating facilities: 7. Natural light and ventilation: .8. Room and space requirements: 9.- Bed'room•window or door for second exit: 10. .Infestation of insects, vermin, or rodents: 11. Connection to sewage disposal: 12. Connection to water supply: 13. Rubbish and garbage facilities: 14. Comments: B. Structural 1. Piers and footings: 2. Floor construction: 3. Wall construction: 4. Ceiling and roof construction: 5. Fireplaces: 6. Comments: . C. Electrical 1. Service and ground: 2. Receptacles: 3. Fusing: 4. Comments: D. Plumb in 1. Fixtures connected and vented: 2. Gas water heater: 3. Gas heating vents: 4. Comments: a (continued on back) E. Other 1. Maintenance and repair: _ 2. Fire hazards: 3. Safety hazards: 4. Weather protection: 5. Underfloor and attic ventilation: 6. Comments: F. Commercial Buildings 1. Roof covering: 2. Distance to property lines: _ 3. Physically handicapped: 4. Restroom floors and walls: 5. Exits: 6. Improvements: 7. Zoning: 8. Comments: G. Field Problems or Violations 1. Problem or violation (give complete description) :_J�[//�//��r `--.�A121/TS 2. What action taken (give complete descript 3. What action recommended: A. Information only - file. 10 B. Hold for ten (10) days, then write fetter. C. Write letter. D. Other: