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HomeMy WebLinkAbout056-170-00356-17-3 �a�7� Keith Chamiey�� 10 i.SW of Green- NW/S Cohasset Rd.app. / ood Stroe, Cohasset Permit k4 45-77P,E(us 1 • ,MR) ELEC. GAS S SUPPO T TRUCTURE IEQ• :f� — COMCTION TEST REQ• f2 56-17-3 permit #4779'-77 Issued VOS-77 PERMIT NO. 4445-77P,E PERMIT EXPIRES OWNER Keith Charmley CONTR. owner LOCATION (A.P. 56-17-3 N/W side Cohasset Rd.,app.2/10 mi.SW of Green- eeod Store, Cohasset Temp. Power Pole A, Called PG&E Temp. Elec. Ser Called PG&E �71 Temp. Gas Serv. Called PG&E ✓JOB ��1✓ FINALED '(Date) (Signature COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS BUILDING INSPECTION RECORD BUILDING BUILDING (Cont'd) A PLUMBING back FI wall SoNJ Piping S Para ets A Floor MaNV Bldg. Restro Finish 2n loor FNotinas Window 3rd Apor Ste wall Sidin To out Slab Roof Sheat n Water Pi i Piers Roofing Sewer Garage Fdn. Vents Fixtures Footings Stemwal I Garage Vents Insulation Water Htr. Heaters Slab Carport Footings Prov. for ph sicall handicapped Conformance of ex. structure Appliances Gas Piping & Test Temp. Gas Slab Final Sanitation Patio FI P ACE Final Footings Footing FECTR AL Reinf. Stefil _\ I Final / \ I Fixtures / \ r-raming F Test Water Htr. J Stucco Final Sub ane Mesh MECHANICAL Grd. F ult Prot. Scr ch Heatin Servi e B wn CooXg CooT mp. Pole nish D is nder round Iriterlor Lath ntilation Permanent r oor Closer 1, Final MOBILEHOME UTILITIES ------------------ Eleip. Servic Elec. Pedestal _ Water Piping .— Sewer Gas Piping Elec. ContinuiE — Water Piping Drainage Cj.i7 Gas Piping DATE REMARKS OR CORRECTIONS 7)5 te t-. eAc ii 4e .u) ,f �11 41 (3ffeir (groujiJ Cavj 4-- A— & -T\ 1 .r$�e ©A&Id. s,- alj a A— s�9M1 &-T\ kt I N- I s co j., t%ec� (NOTE: An entry must be made on this form each time you visit the job site.) COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 7 COUNTY CENTER DRIVE OROVILLE, 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 �'� % 7 7 for the following location:,'d/r/ ' -`• r r t j. r-�1�c7�.�.- i`�/• �! i .��f�./ � �T` (!1 �'t i :•C �. �t i% ? /t']/� r Owner! Owner's Address o x L c / 1-)#,q <; e- s z, -,f r Mobilehome Mfg. Y',qA% D.,14- Model Year VV Insignia No. Z '3 %l - Serial No. s � '�( It is hereby certified for occupancy at the above described location and may be occupied. /` �— Director ofPublicWork Date r/1�f t B �C C .� y-(-�.-r THIS CERTIFICATE IS VOID WHEN MOBILEHOME IS RELOCATED White- Owner, Yellow- Installer, Pink - D.P.W. -. - . . . i , . /' - zr 9. Electrical 1+.. Is sei-Vice laLge encl!!gl. to provide dequate amperage to mobilehome. (must equal rating of mobilehome (Atli a ::iinh-um of I amp) and other facilities on lot, i.e., water pumps, gara-e, caJani*I, etu..'` Yes' No 2.(>/e sure that tiie power supply cord or feeder assembly conductors, including neutral conductor, have been disconnected. 3.�tch llbreakers and switches in the mobilehome to the "on" position. 4. C ect one load of a test instrument to the mobilehome grounding conductor and cDYly iiie G�t�.3i a.eau %v tact Riuui.LCiiiiiiie supply CuliuuCtU'i , llicliiulitg �teutrdi. 5. -A non-current, carrying metal parts of the mobilehome (aluminum siding, gas line, water gine), including fixtures and appliances, shall be tested for continuity from /suchquipment and the grounding conductor. 6. ompletion of: the above procedure, the power supply cord or feeder assembly tors shall be connected to the site service equipment. A further continuity te:;i_ shall then be made between the grounding electrode and the chassis of the rlobilehome. UDOTl sa i_sz"actory completion of the electrical tests, the lot or site service equipment• may be approved for energizing. Isjob card signed by health Departme�lt for water and sanitation? 11..If eve_xything okay, sign off card and ta, st.rvices. MOBIi,>JifUMice DATA Manufacturer and/or Namest:yle Length Width } e Serial No. �( S`� dentifi at1_on No. J B Is ther--� proper clearances around panels? Yes_ No �Io C. Is power supply cord or feeder assembly properly fused? Yes Is continuity test satisfactory as per the following procedure? Yes No 1. De -energize electrical wiring systc:i of the mobilehome at the pedestal. 2.(>/e sure that tiie power supply cord or feeder assembly conductors, including neutral conductor, have been disconnected. 3.�tch llbreakers and switches in the mobilehome to the "on" position. 4. C ect one load of a test instrument to the mobilehome grounding conductor and cDYly iiie G�t�.3i a.eau %v tact Riuui.LCiiiiiiie supply CuliuuCtU'i , llicliiulitg �teutrdi. 5. -A non-current, carrying metal parts of the mobilehome (aluminum siding, gas line, water gine), including fixtures and appliances, shall be tested for continuity from /suchquipment and the grounding conductor. 6. ompletion of: the above procedure, the power supply cord or feeder assembly tors shall be connected to the site service equipment. A further continuity te:;i_ shall then be made between the grounding electrode and the chassis of the rlobilehome. UDOTl sa i_sz"actory completion of the electrical tests, the lot or site service equipment• may be approved for energizing. Isjob card signed by health Departme�lt for water and sanitation? 11..If eve_xything okay, sign off card and ta, st.rvices. MOBIi,>JifUMice DATA Manufacturer and/or Namest:yle Length Width } e Serial No. �( S`� dentifi at1_on No. J i•QBTi,I'H0 ii.E INS'T'ALLATION INSPECTION CHECK LIST 1 . Is the.. rnobilehom,:� 1;ocat' CJ wi Lh . quired separation from lot lines and buildings and generally conform to plot Ilan? Yes No ?, Does the mnbil.ehome have required clearances above ground? (Sec.5085) Yes'— No 3. Are footin�,s and supports properly sized, spaced, and braced as per approved plans? (Note possible varication at spring shackles.) (Sec. 5082 & 5083) Yes o 4. Is the mobilehome level.? (Sec. 5088) Yes`' No 5. If more th e unit, are crossover connections properly installed? (Sec. 5088) Yes No 5. Water A. Is flex' e connector of adequate size and properly installed (1/2" ID min.)? (Sec. 5566) Yes No B. Test - Does water /-e? withstand working pressure or 50 lbs, air test? Yes �No C. Backflow - If cotate of California approved, does station have backflow device and pressure -re Yes No 7. Wastes and Drains A. Is connection made with Schedule 40 DWV and have flex connectors at each end? Yes 14 --No B. Does it have minimum z;" per foot slope and is it properly supported? Ye No C. Are any leaks detected in drainage system after running 3- ons of water through each fixture including washing machine standpipe? Yes No D. If coach i -e of California approved, does station have required trap and vent? Yes N 8. Gas Piping and Gas Vents A. Connect . - Is mobilehome connected to the gas su y with an approved 3/4" minimum mobilehom connector not mo a than 6 ft, long? ote: All piping is to be at least as large as th mobilehome ga e inlet witho reductions other than the mobilehome connector, s No B. Test OK as per fo wi rocedure? es_ No 1. Open all applia ce connector alves. 2. Shut off appliance�burper' and pilot valves. 3. Air test with man et to 10"-14" water column, or test with slope gauge (minimum 6oz.-maximum 8 z.) cal- rated in tenth pound increments. Test for 10 min. without drop. 4. Connect: as meter to mc�bileh.o e with connector, turn. on gas, test connections with soapy nater. C. Are a14 appliance vents properly instaNkd? Yes_ No COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WOR;.4z •7 County Center Drive — Uroville, 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. xX DateA Signature 7fC� or AgentReceiptNo.91 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. DIREC/TJW OF PUBLIC WORKS B Dat_Z/7 A? Building permit expires Date BUILDING Owner �� C SQ. FT. OCC. BUILDING VALUATION Mailing Addressof a Telephone No. r Fireplace Contractor Total Valuation Mailing Address Permit Fee Plan Checking Fee &/or Penalty Telephone No. Permit Fee �' ! Building Address tet/ £ 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. ,j�jE� ��� Zoning 8 Planning Gas piping system 1 - 5 outlets 1.50 Each additional outlet .30 Fees S Fire Dept. FireZone Use Permit Building sewer 5.00 EQA Parking Plans Parcel Declaration Parcel Ma P 60' R/W Improvements P Lawn sprinkler system 2.00 Bldg. Plans Recd I Parcel Approval Plans Approval Permit Fee $ $ NEW ADDITION ❑ UTILITIES ❑ OTHER ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 7 Main service 100V OR LESS 100 AMP OR LESS 5.00 Main service EA. ADD•L 100 AMP 2.50 ` Main service OVER 600V 100 AMP OR LESS 25.00 Single Family ❑ Duplex ❑ Mobil Home ® Others ❑ Main service EA. ADO'L 100 AMP 1.00 NEW OR ADDNST ( ACCLLING OCCUP. & BLDG ) 22sgft NEW CONSTR. MULTI -OUTLET NON.RESID. (BRANCH CIRCUITS) 2.50ea NEW CONSTR. POWER APPARATUS IN 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)I8 S¢ BAL@1 FIXED APPLNS. OR Ex. Occup. OUTLETS (RESID.) EA) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 License No. Classification Misc. Wiring 6.25 ! ❑ I am exempt fromtheContractors'L'icens_e 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 tobe insured against liability for Workmen's Compensation. ' `- E]I have placed on file with the County %NV. Butte a certificate of Workmen's£.Compensat ion Insurance. i :K ., Sit ,(+t�'r'• I certify thAt;in the,per`formance of the work for which this permit is issued I shall not.empRloy any person in any manner so as to become subject to the'•WoYkmen's Compensation Laws of California. MECHANICAL No.1 @ I FEE PERMIT FILING FEE J$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 TOTALPERMIT FEE $ Q authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. xX DateA Signature 7fC� or AgentReceiptNo.91 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. DIREC/TJW OF PUBLIC WORKS B Dat_Z/7 A? Building permit expires Date MOBILEHOME SUPPORT DATA Mobilehome Mfr. Setup Model No. Year Width //� (ft.) Length '(ft.) Expand6-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).. *If center piers are other than drawn above, BUTTE COUNTY in locations, spacing, and dimensions. BUILDING DEPARTMENT APPROVE® �L A_\ Sin le E.. Footings' (check one) Tu 1. Wood either pressure treated or t Center Center Support fdn. grade. Support Footing Sizes Locations (in.) 2. Concrete pad. i _..._..X_.__._ i 4 / / 3. Other, specify (ff:)unj Supports (check one) 1. Concrete block x / / 2. Concrete piers -- i 3. Steel piers 4. Other, specify x Typical Support . & x X44; Footing Size j i � � Max. Pier ___ _ -------- ---, ,�• I - ..� Spacing (ft.)(in.) (in.) (in.) i G- ... ;�; Max. Overhang (ft.�j *If center piers are other than drawn above, BUTTE COUNTY in locations, spacing, and dimensions. BUILDING DEPARTMENT APPROVE® �L BUTTE COUNTY DEPARTMENT OF PUBLIC WORKS 7 County Center Drive, Oroville, CA. PHONE: 534-4541 MOBILEHOME INSTALLATION SHEET 1. Owner's name: Q epi✓2. Installer's name: �.-,�KnS`� �_-" ` __- 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 LZL No ( If no, clarify ) 5. What is the mobilehome electrical rating? ----------------------- �6 �-�- Amps 6. What is the mobilehome site service rating? --------------------- Amps 7. What is the mobilehome site circuit breaker rating? ------------- S'U- Amps 8. Is there any other electric load -to be served by the mobilehome site service? --------------------------------------------------- Yes./ No (If yes, identify the load and size: 52,11 (Load) (Amps) 9. What is the mobilehome site gas pipe size? ---------------------- (in.) 10. What is the type of gas service? ----------------------------- atural / / LPG 11. What is the gas pipe length from meter or tank to the mobilehom ? 4-- (ft.) 12. What is the mobilehome gas demand? ----------------------------- (BTU) (This information not required if pipe length less than 6 ft \n al or less than 50 ft. on LPG.) 4;22 0 /, CCUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS 7 County Center Drive — Urovilie, California 95965 Telephone: 534-4541 APPLICATION AND PERMIT Receipt No f 69071 ©/ 1 V tsyDate 7 uf White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant Bding permit expires Date — Z-0 — 7 BUILDING Owner SQ. FT. OCC. BUILDING VALUATION Mailing Address Q Telephone No. —S� Fireplace Contractor Total Valuation Mai I i ng Address Permit Fee Plan Checking Fee &/or Penalty Telephone No. Permit Fee $ Building Address /�j s/ " PLUMBING No. @ FEE PERMIT FILING FEE $3.00 Q Each Trap 1.50 el,Lf K/� Repair drainage or vent piping 1.50 Water piping ,ea Loning Verification OnlIt Each gas water heater or vent 1.50 A. P. No. �^ _i ons 9 G a s piping system 1 - 5 outlets 1.50 Each additional outlet .30 es C. i ion Fire Dept. Fire Zone Use Permit Building sewer S. EQA Parking Parcel Declaration Parcel Ma p 60' R/W Im rove ents p Lawn sprinkler system 2.00 �Pla�ns anF'I s RecdParc pproval Plans Approval Permit Fee $ z OQ $ e NEW ❑ ADDITION ❑ UTILITIES OTHER E] ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 Q Main service e00V OR LESS 5.00 Q 100 AMP OR LESS Main service EA. ADD'L 100 AMP 2.50 Main service OVER 600V 25,00 100 AMP OR LESS Single Family ❑ Duplex ❑ Mobil Home Others ❑ Main service EA. ADD'L 100 AMP 1.00 - NEW CONST. OR ADDNS. ( ACCLBLDGLING 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) BALM1 FIXED APPLNS. OR EX. Occup. OUTLETS (RESID.) EA)% 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 pp License No. Classification Misc. Wiring 6.25 ® I am exempt from the Contractors License Laws of the State of California. Permit Fee $ p $ 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 No. @ 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 authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. X �ir� .wf �Date e-;2 —77 S' oture of Permitee or Aaent (F l TOTAL PER IT 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 p DIRECTOR OF U LIC WORKS 4-1 n Receipt No f 69071 ©/ 1 V tsyDate 7 uf White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant Bding permit expires Date — Z-0 — 7 Septic system and i Butte County H quirements. cation cdA= ld' to be as per alth Dept. ; Re- pt `1 ✓h `' ,> .yea?+ owe. All utility located withii fhird section on the left (rc home. ys = 77 nections shall -;;,e ft. outside the rear the mobile home.-y"� side of the mobile i his set of plans and specificat%ons mus .7 . kept on the job at all times and itis unlawful makeany changes or alterations on same withou! written permission from the Department of .Pub lic Works, County of Butte. NOTE:—All Materials & Workmans:iip Shall Be in Accordance with Recognized Good Practices and of a quality prescribed for the Specified use'in the Uniform Building, Plumbing & Mechanical Codes"`rtnd the National Electrical Code. \ The 01 k Setback shall be 5 ft. from the side operty line and 50 ft. from the cen r ine of the road, permitting a maxi - mu a 2. -ft. eave overhang but entirely out of, all easements. BUTTE COUNTY BUILDING DEPARTMEN APPROVED