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HomeMy WebLinkAbout056-170-056Bruce McLaughlin ``7 �" l e /0 ^/S Cohasset Rd., app, a g�i.S.of Green- e ood Store, Cohasset °ermit #k q 1-8P,E(util. ) t' LEC.+ P AS UPPOR ST UCTUREREQ.-� PACTION TEST RE:Q. �Il� 56 Contr: Clemons Davis MH Sales Permit ##3302-78I f ssued 4 i I. . 4 1 L i f No �P_.;.RMIT NO. 2931-78P , E PERMIT EXPIRES 4/-/ OWNER Bruce W. McLaughlin F, o CONTR. owner LOCATION (A.P. 56-17-36 E/S Cohasset 'Rd. , app. 4 mi.S.of, Greenwood Store, Cohasset s4 .M1 f t a` p Temp. Power Pole Called PG&E Temp. Elea Serv. Called PG&E Temp. Gas .Serv. Called PG&E V J013 - FINAL ED (Da (Signature) nish In erior Lath oor Closer MOBILEHON Water Piping �s OBILEHON Water Piping DATE .., _.sCOUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS o_ BUILDING INSPECTION•RECO.RD BUILDING BUILDING (Cont'd) PLUMBING firewall Ski Piping P a ets 1 t Floor Res room Finish 2n Floor. Wlnd ., s 3rd Noor Sidin w To out Roof Sh thing Water Pi i Roofing Sewer Fdn. Vents Fixtures Garage Vents Insulation Water Htr. Heaters Prov. for physic ly handica ed Conformance of ex . structure \ Appliances Gas Piping & Test Temp. Gas Final 4 Sanitation IR LACE I Final ------------------ ION ------------- Footing Throat Rough Final Fixtures FIRE SPRINKLE , Motors Test Water Htr. Final Sub anel MECHANICAL Gird. F It Prot. Heatin Servicif Cool g Te p. Pole Du s der round V ntllation ermanent anal inal Elec- Servic Elec. Pedestal Sewer Gas Piping Support Elec. Continuity Drainage Gas Piping ' • RFMARsekAOR CC�TI�O-QNS 4 iXN �r (NOTE: An entry must be made on this form each time you v sit 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--" 7r 7-t?for the following location: �r ► �/ ��•� ' Owner �"a/iCl`' r�(/� �11:'S�'�..C.//✓ Owner's Address Mobilehome Mfg. Model Model Year r I C-44 sNo. C.<*141'� S ��-'No. It is hereby certified for occupancy at the above described location and may be occupied. Director of Public Works Date /� " �/ $y...-� THIS CERTIFICATE IS VOID WHEN MOBILEHOME IS RELOCATED White - Owner, Yellow - Installer, Pink - D.P.W. S 7G n/-) c 9. Electrical A.. Is service large enough to provide dequate amperage-to mobilehome (must equal rating of mobilehome with a minimum of 10 amp) and,other,facilities on lot, i.e., water pumps, garage, cabana, etc,.? Yes` No B. Is there proper clearance's around panels? Yes t/ - C. Is power supply cord,or feeder'.assembly�oroperly fused? Ye o D. Is continuity test satisfactory as per the•following procedure? Yes u_ro 1.. De-energize electrical wiring•.system'of the mobilehome'at the pedestal. Make sure that the power supply cord or feeder,ass,embly conductors, including neutral conduc or, have been disconnected. witc 11 breakers and switches in the mobilehome to the "on" position. 4. Connect one lead of a test instrument to the mobilehome grounding.conductor and appl a other lead to. each mobilehome supply conductor, including neutral. All non -current, carrying metal partsE.of the mobilehome (aluminum, siding, gas line, water line), .including.fixtures and appliances, shall be tested or continuity from such equipment and the grounding conductor. 1 '6. Upon completion of the above procedure,-the power'supply eord or feeder assembly conductors shall be connected to the site service-equi.pment.• A further continuity test shall then be made between the grounding electrode and the chassis of the -.._� mobilehome. Upon satisfactory completion of`theelectrical tests; the -lot or site . service equipment maybe 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. •, ... MOBILEHOMEDATA Manufacturer and/or Namestyle. Length Width Vehicle Serial No. C/ State Identification No. 0 T Additional-Information or Comments: t S ,fir MOBILEHOME INSTALLATION INSPECTION CHECK LIST 1. Is the mobilehome located withuired separation from lot lines and buildings and generally conform to plot plan? Yes_ o_ 2. Does the mobilehome have required clearances above ground? (Sec.5085) Yes "—No 3. Are footings and supports properly sized, spaced, and braced as perms' roved plans? (Note possible variation at spring shackles.) (Sec. 5082 & 5083) Yes &---N8` 4. Is the mobilehome level? (Sec. 5088) YesL_1 No_ 5. If more an a single unit, are crossover connections properly installed? (Sec. 5088) Yes No 6. Water A. Is flexib onnector of adequate size and properly installed (1/2" ID mjin.)? (Sec. 5566) Yes o B. Test - Does water piping withstand working pressure or 50 lbs. air test? Yes No C. Backflow - If coal e of California approved, does station have backflow device and pressure-'reli f vOYes 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" per foot slope and is it properly supported? Yes_ No— C. Are any leaks detected in drainage system after running 3-gallo of water through each fixture includin washing machine standpipe? Yes No D. If coach S 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 connectornot ore 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 per following procedure? Yes L_No 1. Open jaXl appliance connector valves. Shut off appliance burner and pilot valves. 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 onnect gas meter to mobilehome with connector, turn on gas, test connections with soapy water. C. Are all appliance vents properly installed? Yes L_ �o COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS • 7 County Center Drive — Oroville, California 95965 Telephone: •534-4541 APPLICATION AND PERMIT �GFr,GaclllallVCJ UI 1110 %,UU1ILy UI OUlla' LV CALCI UPUII 1110 above -m tioned property for inspec ' n purposes. ate Signature of Perm itee- or gent / Receipt No. 177" z' 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 U LIC WORKS By Date .9—/ Z — %, B ding permit expires Date BUILDING Owner GuL U SO. FT. OCC. BUILDING VALUATION Mailing Address ,�Cl� Zi { Ti Tel ephane_Na. Z"S Q Contractor Mailing Address Fireplace ' Total Valuation Telephone No. Permit Fee Building Address �%£ Plan Checking Fee&/or Penalty Permit Fee / rp PLUMBING No. @ FEE PERMIT FILING FEE $3.00 4,52-9 Each Trap 1.50 Repair drainage or vent piping 1.50 A. P. �7r 6 Zo iwA Water piping OC) Each gas water heater or vent 1.50 F s Sar n Fire Dept. Fire Zone Use Permit Gas piping system 1 - 5 outlets .1_56 EQA Parking Parcel ,Plans Declaration Parcel p 60' R/W Improve nts Each additional outlet .30 Building sewer 141�9 9ns(4 d Po royal Plans Approval 1/0,00 Lawn sprinkler system 2.00 NEW ❑ ADDITION ❑ UTILITIES ' OTHER ❑ permit Fee $ Op $10 _ ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 goo Main service 600V OR LESS 100 AMP OR LESS 5.00 Single Family ❑ Duplex Mobil Home M Others ❑ Main service EA. ADD -L 100 AMP 2.50 0 - Main service OVER soov 100 AMP OR LESS 25.00 Main service EA. ADD•L 100 AMP 1.00 NEW CONST. ( DWELING OR ADDNS. ACCLBLDGS.CCUP. Y) 20sgft 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 le of: y NEW CONSTR MULTI-OUTL T NON-RESID BRANCH CIRCUITS) 2.50ea NEW CONSTR./POWER APPARATUS 6 NON RES D. SINGLE -OUTLET CIR. Ex. Occuo(OUTLETS OR FIXTURES 5 L , Ex. Occu // FIXED APP LNS. OR p•(OUTLETS (RESID.) EA� 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 .iOv License No. Classification Misc. Wiring 6.25 r I am exempt from the Contractors License Laws of the State of California. Permit Fee $ j $ S i 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. ❑ 1 have placed on file with the County of Butte a certificate of Workmen's Compensation Insurance. i -[Z I certify that in the performance of the work for which this lel 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. I certify that I have read this application and state that the above information is correct. kagree to comply to all County Ordinances and State Laws relating to building construction, and hereby MECHANICAL No @ FEEPERMIT FILING FEE $3.00 Heating Cooling Ventilation Hood 2.00 Permit Fee $ Land Development Fee $ Is TOTAL PERMIT FEE $ �GFr,GaclllallVCJ UI 1110 %,UU1ILy UI OUlla' LV CALCI UPUII 1110 above -m tioned property for inspec ' n purposes. ate Signature of Perm itee- or gent / Receipt No. 177" z' 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 U LIC WORKS By Date .9—/ Z — %, B ding permit expires Date and $psel�lca¢i ,�. P!4 «IIS ons MUSS' be Make nft §� �$ a�*� ft is unlawful to - NOTE:—All Materials & WorkmonsHp Shall Be in +� �s �r..gl4evaabon� on Same wifhout arnt� Accordance with Recognized Good Practices and i'�pera pere l4E3c�®f fr��4®. im tthe Dopcp4,.merrtof Public of a quality proscribed for the Specified use in the ®res, Uniform Building, Plumbing A Mechanical Codes and the National Electrical, Code,'. sS E- / 4�E_ �olq-,D 70' 5 The Xokr, Setback shall be 5 ft. from IIde Property line and 5o ft. from eofltorlin@ of the road, permitf ing a r> Fn r of a 2 ft. eav6 overhang but en41 out of all easements. 2 6:1O x epic sy� Fill. to 6e as per 'Butte County Health Dept. Re. `warrents. Y6� �4eBilF ISO I_ Home- y ko� �0� ®w�� aro �� -0 c F k o o 0 o 0 H cn Z rel) utility Connections shall, be locates! within 4 fr. outside. the rear third section of the mobile home on the left (road) side of the mobile home. < O O Nj 0 Vj P ��� A 9 7 8 BUTTE COUNTY BUILDING DFP.ARTMr-NT APPROVED � 1: ~. OUNTY OF BUTTE - 'DEPARTMENT OF PUBLIC WO KS 7 County Center Drive — Oroville, 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. Date 1, —r 8 Signature of Permitee or Agent 6�= Receipt No. 177633 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. ` PIR R _OF�P�U^BLIC WORKS / &14 MIA— r r r . . BUILDING Owner SO. FT. OCC. BUILDING VALUATION Mailing Address Telephone No.. Contractor ,} v, 4 17 ,( Mailing Address �9 $ L q �J J Fireplace Total Valuation C 1Telephone o. 3 J eg Permit Fee Building AddressPlan O Checking Fee &/or Penalty Permit Fee $ ✓oAl, L e. PLUMBING No.1 @ FEE �. ,� De J /Bre_ PERMIT FILING FEE $3.00 Each Trap 1.50 Repair drainage or vent piping 1.50 A. P. No. - Zoning & Planning' Water piping 1.50 Each gas water heater or vent 1.50 F el sa� FireDept. Fire Zone Use Permit Gas piping system 1 -5 outlets 1.50 EOA Parking Plans Parcel Declaration Parcel Map 60' R/W , Improveme is Each additional outlet .30 Building sewer 5.00 Bldg. P ns Recd Parcel A r al Plans A royal Lawn sprinkler system 2.00 NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER Permit Fee $'01 $ r IAJ • Kt I r a9v 3 / 2`e ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 Main service eoov OR LESS 100 AMP OR LESS _ 5.00 Single Family ❑ Duplex ❑ Mobil Home, Others ❑ Main service EA. ADD'L 100 AMP 2.50 Main service OVER e O 100 AMP OR LESS 25,00 Main service EA. ADD'L 100 AMP 1.00 NEW OR ADDNST ( ADWECCLBLDGS.LING CCUP, Y) 2¢sgft 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: ei kmauS — OA Q IS Kt� 9l IL& . .t( -OAA E &W LE.S NEW RESID, I BRAN[MULTCH CII T NON-RESID. ` BRANCH CIRCUITS) 2.50ea NEW CONSTR NON.RESID. SINGLE OUTLET CIR. Ex. OCCUD(OUTLETS OR FIXTI1RES1 g L1@ C FIXED APPLNS. OR Ex. Occup.(OUTLETS (RESID.) EA) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 License No. 3-" 3 c ' Classification C'.-- (6 ( 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 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 $ $ 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 a ,o4 $ 30 • ®d TOTAL PERMIT FEE $ a AC authorize representatives of the county of Butte to enter upon the above-mentioned property for inspection purposes. Date 1, —r 8 Signature of Permitee or Agent 6�= Receipt No. 177633 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. ` PIR R _OF�P�U^BLIC WORKS / &14 MIA— r r r . . 11-7 BUTTE COUNTY ,DEPARTMENT OF PUBLIC WORKS 7 County Center'Drive, Oroville, CA: PHONE: 534=4541 MOBILEHOME INSTALLATION SHEET i.Owner.';s name: ��GLCC C.L/�Gl G L. %ll( 2. Installer's name: GLEM.VOA DA(l►S M,o (31Lc ' 1FvM t SAC -CS 3. Is the site currently under permit? Yes No (If yes, furnish permit number a q 3 OR o Is the site an existing site? Yes / / No /. f (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../k/ No (If no, clarify 5: What is the mobilehome electrical rating? ------------- ------ - ( Amps 6: What is the mobilehome site service rating?. --------- - , Amps 7. What the mobilehome site circuit breaker rating? - ---- O U fps 8. Is there any otherelectric load to'be served by the mobilehome site service? --------------------------------------------------- Yes / / No / (If yes, identify the -load and size: - (Load) (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 mobileho0r� 1�— ' a/ (ft.) 12, :What is the'mobilehome gas demand? ------------------------------(BTO) This information not required if pipe len%th-less than 6'ft. on .natural gas or less than 50 ft.' on LPG.) BUTTE COUNTY BUILDING DEPARTMENT APPROV D MOBILEHOME SUPPORT DATA If otli rthan single wide, Mobilehome Mfr.}.} &/ / TA 66 X -,j pkul-,, 6Y furnish Setup Model No. A_ 8 Year � 9 -7 � Width oLj (ft.) Box Length .5 2 (ft.) Tagalong or Expando Size - ft. x ft. (SHOW SUPPORT DETAILS BELOW) On all mobilehomes manufactured after October 7, 1973; furnish manufacturer's installation -manual and structural setup sheets ( if not` on 'f'ile with the County of Butte) . 'All center supports measured from front of mobilehome unless otherwise specified*.,, 4 -Tagalong or.Expando, show support details. ��/ 0 3G 3U • Footings (check one) r Typical Support Single 1. Wood either 3� • 3 �, A. • pressure treated or O� a 36 foundation grade. (ft.) (in.) o2�/x (ft.)(in:) in. in. 0 2. Other (specify) Center support locations* Center support footing sizes Supports (check one) (in.) V�- 1; Concrete block. F77 3U �2. Other (specify) O�3� x y EFS/EPS (ft.)(in.) (in.) (in.) 4 -Tagalong or.Expando, show support details. ��/ 0 3G 3U • (in.) (in.) Typical Support (in.) (in.) Footing Size 3� • 3 �, 3C� x 3u • (in.) (in.) zj �� -- Max. Pier Spacing (ft.) (in.) Max. Overhang (ft. (in.) (in.) (in.) (ft.)(in.) *If center piers are other than drawn above, ,'draw in .locations, spacing, and dimensions. ec � 3ati3� vs. � 3o