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
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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
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Home-
y
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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. <
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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