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HomeMy WebLinkAbout058-220-009r J JtS/ Oscar Gregory ��d! 9//�,% W/S Concow Rd, lot , Lae oncow Ac Sub#l, newt to Jade Shop, Concow PeumL t #84-77P,E(uti:j. ,MH) ELEC . 'z 5 - GA s GAS SUPP RT R CTURE REQ. ly o COMPACTION TEST REQ. /IJYj 58-22-9 Permit #2816-77MHI, Issued���� (�) I (:) - v�) Y-�� � 1 r J JtS/ Oscar Gregory ��d! 9//�,% W/S Concow Rd, lot , Lae oncow Ac Sub#l, newt to Jade Shop, Concow PeumL t #84-77P,E(uti:j. ,MH) ELEC . 'z 5 - GA s GAS SUPP RT R CTURE REQ. ly o COMPACTION TEST REQ. /IJYj 58-22-9 Permit #2816-77MHI, Issued���� (�) I (:) - v�) Y-�� � Complainant: Address: Phone Number: Other Comments: BUTTE COUNTY DEVELOPMENT SERVICES KA. e:."above,.-In ormatron::s::irot�avid"le::trx:�Iee= ,;.>...:,,..,.,;.::...... Inspector must draw a plot plan with all building locations: Additional comments from Inspector: 2- COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS t••• —•a. 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 pwrmit number � � ' �jj for the following�r� %1 •^�location: Ar Owner Owner's Address.40r % Ay Mobilehome Mfg. ~ "?"'•- —Model J 2 V60Y Year Insignia No. 177/71 Serial No. ?y 3 It is hereby certified for occupancy at the above described location and may be occupied. Director of Public works A �-' Date � 5 � By % ' •.-s?"G..� THIS CERTIFICATE IS VOID WHEN MOBILEHOME IS RELOCATED i' PERMIT NO. 1849-77P,E PERMIT EXPIRES jt; OWNER Oscar Gregory ! CONTR. owner } LOCATION (A.P. 58-22-9 W/S Consow Rd.,lot #1, Lake Concow Ac.Sub#l, next to Jade Shop, Concow 1 0 I Temp. Power Pole Called PG&E Temp. EIec. Serv. Called PG&E ` Temp. Gas Serv. ,L /Called PG&E -az JOB FINALED (Date) _,y (Signa COUNTY OF BUTTE — DEPARTMENT OF PUBLIC.WORKS BUILDING INSPECTION RECORD BUILDING BUILDING (Cont'd) PLUMBING Selpack ewall Sdtl Piping For4 PaNpets 1 t Floor Mahl Bldg. Rest om Finish 2n Floor Fo tins Windo 3rd Noor Stem vall Sidino To out Slab Roof Shehing Water PI 1 Piers Roofing Sewer Garage Fdn. Vents Fixtures Footings Stemwa I I Garage Vents Insulation Water Htr. Heaters Slab 4 Carport Footin s V handicapped physical Conformance of ex. structure V Appliances Gas Piping & Test Temp. Gas Slab A Final Sanitation Patio 4 N RE ACE Final Footings Footing E ECTRIC L Relnf. SteeV I Final 4 N I Fixtures Bond Bea FIRE SPRINKLEFU I Motors est Mesh MECHANICAL Grd. Falit Prot. Scr ch Heati Servl B n Coo ng T p. Pole nish Dis nder round I erior Lath entilation Lina ermanent oor Closer Final I MOBILEHOME UTILITIES ------------------ Elec. Servictip 6 _ Elec. Pedestall�� Water Piping Sewer Gas Piping© 9 BI E ME INSTALLATION --------------Support — 'Ste_. Elec.Continuity - -- Water Piping �l Drainage 7 Gas Piping "' i J % J DATE ZP ^� ?' REMARKS OR CORRECTIONS OO 7b 7p. D ,p >-,-L, �e C 1`1 (NOTE: An entry must be made on this form each time you visit the job site.) o tiUBI ,t" IiU:l.l� D4n.1ALLA`l ER4 INSPECTION CHECK LIST 1. Is the rirobilehomt� locateilr.equired separation from lot lines and buildings and generally conform to plot plan? - y(!:3l/ `i..�No '. Does the mobilehome have require -d clearances above ground? (Sec.5085) Yes No 3. Are footin-s and supports properly sized, spaced, and braced as er approved plans? (Note possible varication at spring shackles.) (Sec, 5 82 & 5083) Yes_ _ No 4. Is the mobilehome level.? (Sec. 5088) Yes_ Nom 5. If more than a sing e r Are crossover connections properly installed? (Sec, 5088) Yes No- 5. o `a, Water. A. Is fl,px,fi4 erconnector 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 L ---'-No C. Backflow - If coach is not State of C i - a 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 C;"/No B. - Does it have minimum ," per foot slope and is it properly supported? Ye -42 No C. Are any leaks detected in drainage system after running 3- lions of water through each fixture including washing machine standpipe? Yes ' No D. If coach is not _S'atf f 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 connector not more than 6 ft, long? Note: All piping is to be at least as large as the mobil ome gas line inlet without reductions other than the mobilehome connector. Yes No B. Test OK as per following procedure? Yes_ No 1. Open all appliance connector valves. 2. Shut off appliance burner and pilot valves. 3. Air 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, turn. on gas, test connections with soapy water. C. Are all appliance vents properly installed? Yes/ No 6. Upon completion of: t --lie above procedure, the power supply cord or feeder assembly conductors shall be connected to the site service equipment. A further continuity to<;t shall then be made between the grounding electrode and the chassis of the rlobilehome.. UnOIi satisfactory completion of the electrical tests, the lot or site service equipment mai- be approved for energizing. Ts job card si-ned by Health Department for water and sanitation? 1.,_ If everything okay, sign off card and to services. MOBTLZi'!OI^,.L•'. DATA Manufacturer and/or Namest:yle "Length lS/ Width�� vehicle Serial No. �V State Identification No. ..R,Ltional Infoi-ration or Comments: ' ca 9. Electrical A. Is service large enoitgl. to provide adequate amparage to mobilehome. (must equal rating of mobilehome (aitk a. ::;ini.::um ofamp) and other facilities on lot, i.e., water pumps, gar"aoe, cawina, c:t�.: Yes No_ 1i. is them proper clearances around parcels? Ye`s' No C. Is power supply cord or feeder assembly properly fused? Yes, 1\1 D. Is continuity test satisfactory as per the following procedure? Yes/ No+ 1. De -energize electrical wiring, system of the mobilehome at the pedestal. 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 one 1:7 -ad of a test instrument to the mobilehome grounding conductor and ,. •,_,._..._ pp"y �. , apply tile othor lead to eac:il ri- 1)11ClWlltt7 Sii it CUnuuCto'Y, liti iic111tg Y1e�1LYat. 5. All nor,-ciirrent, carrying metal parts of the mobilehome (aluminum siding, gas line, water line), including fixtures and appliances, shall be tested for continuity from such equipment and the grounding conductor. 6. Upon completion of: t --lie above procedure, the power supply cord or feeder assembly conductors shall be connected to the site service equipment. A further continuity to<;t shall then be made between the grounding electrode and the chassis of the rlobilehome.. UnOIi satisfactory completion of the electrical tests, the lot or site service equipment mai- be approved for energizing. Ts job card si-ned by Health Department for water and sanitation? 1.,_ If everything okay, sign off card and to services. MOBTLZi'!OI^,.L•'. DATA Manufacturer and/or Namest:yle "Length lS/ Width�� vehicle Serial No. �V State Identification No. ..R,Ltional Infoi-ration or Comments: 4 K, COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS 7 County Center Drive — Orovil le, California 95965 / Telephone: 534-4541— APPLICATION AND PERMIT ► C(�L�7 Xabove' -'mentioned property for inspection purposes. X / e Signature of Permitee orAgent re Receipt No. ! 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. EC 0 OF PUBLIC WORKS a By. Dat a v B 4dittg'permit.expires Date BUILDING Owner &fax r SO. FT. OCC. BUILDING VALUATION Mai I i ng Address -.- O &// ! Tele hon e o Fireplace Contractor Total Valuation Mailing Address Permit Fee Plan Checking Fee &/or Penalty Telephone No. Permit Fee Building AddressPLUMBING No.1 @ FEE PERMIT FILING FEE $3.00 Each Trap 1.50 C Repair drainage or vent piping 1.50 Water piping 1.50 GC/ �G� f11141 Each gas water heater or vent 1.50 P/c. A.P o. ,� zoning & Planning. Gas piping system 1 - 5 outlets 1.50 Each additional outlet .30 Fes I V'P-Cl Sani� Fire Dept. Fire Zone Use Permit Building sewer 5.00 EOA Parking Plans Parcel Declaration Parcel Ma P 60' R/W Im provements Lawn sprinkler system 2.00 Bldg. P Recd Parcel 'pproval Plan pproval Permit Fee $ $ NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 90f,_ 7 /v / Main service 1000V OR 0 AMP ORSLESS 5.00 Main service EA. ADD•L 100 AMP 2.50 Single Family ❑ Duplex ❑ Mobil Home ® Others ❑ OVER 60 Main service 00 AMP OR LESS 25.00 Main service EA. ADD•L 100 AMP 1.00 NEW CONTT DWELLING OCCUP. &\ ( / / 20 sq ft OR A.D.S. ACC. BLDGS. NEW CONSTR. MULTI -OUTLET NON-RESID. ( BRANCH CIRCUITS) 2.50ea NEW CONSTP- 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 @250 SAL @1 Ex. Occup.(/ FIXED APPLNS. OR 0UTLETS (RESID.) EA) 2.00 Temporary service 10.00 Mobile Home Facilities. 15.00 License No. Classification Misc. Wiring .25 6 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 $ $ I certify that I have read this application and state that the above information is correct. I agree to comply to all County OrdinancesTOTAL and State Laws relating to building construction, and hereby - / �v oC PERMIT FEE 7 $ 3Q AC Xabove' -'mentioned property for inspection purposes. X / e Signature of Permitee orAgent re Receipt No. ! 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. EC 0 OF PUBLIC WORKS a By. Dat a v B 4dittg'permit.expires Date permit will be rep �tCliL"tl�rt C'F ' s D'r� 1 All utility connections shall be located Within 4 ft. third section of e mobile hoe outside the rear on the left (road) side of he mobile home. Sept�em ate.¢ e�is i ButteCount alth be as per quirements. Dept• Re - C BUTTE COUNTY BUILDING DEPARTI 1ENR APPROVED {}, �rarre the E�-'Sgsr_ck Sliall ft. from iie dePer'iy line and P. rii'ring a wax's - cavo over �an9 but rentirely : road, Centerline o' .f "e ,�um of a 2 ; t. `� Cu --t o?, aril easenrier►#s, FAUST be cifications of plans an wful to kept on the�'a'll times and it is unlap same without make any cangr.a rat�oes rtment of Public ermisson from tRe_D P written p cf gutte Works, County a . F..,.w. tj 1 i f.VA permit will be rep �tCliL"tl�rt C'F ' s D'r� 1 All utility connections shall be located Within 4 ft. third section of e mobile hoe outside the rear on the left (road) side of he mobile home. Sept�em ate.¢ e�is i ButteCount alth be as per quirements. Dept• Re - C BUTTE COUNTY BUILDING DEPARTI 1ENR APPROVED {}, �rarre the E�-'Sgsr_ck Sliall ft. from iie dePer'iy line and P. rii'ring a wax's - cavo over �an9 but rentirely : road, Centerline o' .f "e ,�um of a 2 ; t. `� Cu --t o?, aril easenrier►#s, FAUST be cifications of plans an wful to kept on the�'a'll times and it is unlap same without make any cangr.a rat�oes rtment of Public ermisson from tRe_D P written p cf gutte Works, County a . F..,.w. tj y COUNTY OF BUTTEDEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Orovi4le, Calbfornia 95965 Telephone: 534-4541 APPLICATION AND PERMIT authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. EX �1,e f . Date Signature of Permit a or Agent/ Q Receipt No. /4 1) - -771' 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. DIRECTO 0 PUBLIC WORKS By Date q- 2-4 - 7 7 Tiding permit expires Date C(- -2�G-7 d BUILDING Owner S /2 e C SO. FT. OCC. BUILDING VALUATION Mailing Address r V � �/ ✓ Telephon�No. '33� �9 Fireplace Contractor MLAJ fes/ 0?2-, Total Valuation Mai I i ng Address Permit Fee P I an Checking Fee &/or Penalty If Telephone No. Permit Fee Building Address( S, (/1Y Oo W ,Q PLUMBING No. @ FEE PERMIT FILING FEE $3.00 /J _,4 o 7- / ,1Af (_ p/V (' O t�y 9C- �� 6 -W /, Each Trap 1.50 JI -9 J rle 6 j� W� (�Q Repair drainage or vent piping 1.50 Water piping /Q oning Verification Only Coff C 0 LA./ ' Each gas water heater or vent 1.50 A. P. No -S, -- �` Zo Gas piping system 1 - 5 outlets / Each additional outlet .30 Fiefs 1 411G5 Fire Dept. FireZone' Use Permit Building sewer / EOA Parking Plans Parcel Declaration Parcel Ma P 60' R/W Im rovements P Lawn sprinkler system 2.00 B& e) s fFec'd (P-a-,c'el Approval PI s Approval Permit Fee $ $ NEW ❑ ADDITION ❑ UTILITIES OTHER ELECTRICAL No. @ FEE❑ PERMIT FILING FEE $3.00.3.__ Main service 100 AMP ORV OR LE LESS5.00 Main service EA. ADD'L 100 AMP 2.50 Single Family ❑ Duplex ❑ Mobil Home Others ❑ Main service VER 600V 10 0 AMP OR LESS 25.00 Main service EA. ADD'L 100 AMP 1.00 NEW CONS. DWEL GOR ADDNST ( ACCLBLDGOCCUP. &) 20sgft NEW CONSTR. MULTI -OUTLET NON-RESID. ( BRANCH CIRCUITS) 2.50ea NEW CONSTR. /POWER APPARATUS &) NON-RESID. I 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 le of: y f 2 N Ex. Occup(OUTLETS OR FIXTURES) BAL E 109 Ex. OCCU FIXED APPLNS. OR P. OUTLETS (RESID.) EA) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 License No. Classification Misc. Wiring 6.25 14 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 $ $ 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 1, V f06 o�.S TOTAL PERMIT FEE $ authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. EX �1,e f . Date Signature of Permit a or Agent/ Q Receipt No. /4 1) - -771' 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. DIRECTO 0 PUBLIC WORKS By Date q- 2-4 - 7 7 Tiding permit expires Date C(- -2�G-7 d 2 BUTTE COUNTY DEPARTMENT OF PUBLIC•WORKS 7 County Center Drive, Oroville, CA. PHONE: 53.4-4541 MOBILEHOME INSTALLATION SHEET 1. Owner's name: S : 2• ( 0 2. Installer's name: xoewy �51 3. Is the site currently under permit? Yes. No (If yes, furnish permit number 1A 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? ----------------------- /6 O Amps / S✓ 6. What is the mobilehome site service rating? --------------------- L 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 (If yes, identify the load and size:/ /r� /� (Load) %5 (fps). 9. What is the mobilehome site gas pipe size? ---------------------- (in.) 10. What is the type of gas service? ----------------------------- Natural / / LPG ZZ 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.) r - - lofy,'&- - SCPV <76'-,c 12 Z �� MOBILEHOME SUPPORT DATA Mobilehome Mfr. ���G✓OD� Setup Model No. Year7� 0 Width �1�(ft.) Length .(p (ft.) Exp Size _ft.x ,/7j 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). — Sin le - GL",i(/L`F tin s- (check. one) / / 1. Wood -either . pressure treated or Center Center Support I fdn. grade. Support Footing Sizes Locations (in.) ( 2. Concrete pad. X n. in.1in. _ x ft5 in. x-- ( n.) (in.) U (in.) (in.) I *If center piers are other than drawn above, draw in locations, spacing, and dimensions. 3. Other,:specify IS orts (check one) / 1. Concrete block 2. Concrete piers 3. Steel piers 4. Other, specify (� Typical Support Footing Size Max. Pier Spac ing j (ft J- i Max. Overhang 0