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HomeMy WebLinkAbout058-220-010.58-22-10 � hop, Lake Concow ucmw' `5Permit YMMN-7P E(util. IM) ` 471017 ` \ , ` ACTION TEST P e r Is mi m- ° ' ' /��� � Ji7�� _Uda . 4 � ` . 0 • ;PERMIT N0. -77P,E 9 .1 f PERMIT EXPIRES / a OWNER Loren McNeil J CONTR. owner LOCATION (A.P. 58-22-10- W JS 8-22-10W#S Comow Rd.,app.150'N.of Jade Shop, Lake Concow Acres Sub#l, lot #2, Concow s r � I - 4L i a' 1 f Temp. Po—er Pole ,. Callee.dIPG&E Temp .`Elec. Serv. K is CaII -- Ii Teffip. Gas Serv. Called PG&E JOB FINALED • tpfj (Signature F i 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 Ax, y , /K for the following location: 1�/ /�� r�- .r>� n 1,� �ii�-Ott-•�� �pPYt�ryLf�'. Owner `` P vsv ,C 1 Owner's Address Mobilehome Mfg. '�_ Model F%` �'� Year 7 Insignia No. •91L X Serial No. G P It is hereby certified for occupancy at the above described locationfi and may be occupied. . , Director of Public Works Date / ��� �� /�a`Q By f' f THIS CERTIFICATE IS VOID WHEN MOBILEHOME IS RELOCATED White - Owner, Yellow - Installer, Pink - D.P.W. Reinf. Steel/ \ I Final / \ I Fixtures / Stucco / \ I Final / .\ ISubDanell \ Scra ch I HeatIqd I Servl BVwn I CooLlng I T mp. Pole I erlor Lath ntllation N 14 Permanent oor Closer anal VFinal MOBILEHOME UTILITIES ------------------ Elec-Service Elec. Pedestal Water Piping Sewer Gas Piping 7 E O E INSTALLATI N - - - - - - - - - - - - - - Support Elec. Continui Water Piping `Z C "NAC.) Drainage -''Gas Piping DATE rt<EMARKS O CORRECTIONS c Ina. 9/ a,,r / TE: An entry must be ma a on this form a ch time you vi t the job site.) e � COUNTY OF BUTTE —� DEPARTMENT OF PUBLIC WORKS BUILDING INSPECTION RECORD BUILDING A BUILDING (Cont'd) PLUMBING Seth@ck Newall S I Piping Form Pa pets 1 Floor Main Idg. Rest om Finish 2n Floor FooN gs Windo 3rdNoor Stemw I Sldin To out Slab Roof Shea In Water Plphtg Piers Roofing Sewer Garage Fdn. Vents Fixtures Footin s Garage Vents Water Htr. Stemwal I Insulation Heaters Slab Carport Footings Prov. for ph sicall NAppliances n mance of ex. ed V C Conformance structure y Gas P'-'-- & Test Temp. Gas Slab Final Sanitation Patio I REP CE Final Footings I Footinq EJEECTRICAI Reinf. Steel/ \ I Final / \ I Fixtures / Stucco / \ I Final / .\ ISubDanell \ Scra ch I HeatIqd I Servl BVwn I CooLlng I T mp. Pole I erlor Lath ntllation N 14 Permanent oor Closer anal VFinal MOBILEHOME UTILITIES ------------------ Elec-Service Elec. Pedestal Water Piping Sewer Gas Piping 7 E O E INSTALLATI N - - - - - - - - - - - - - - Support Elec. Continui Water Piping `Z C "NAC.) Drainage -''Gas Piping DATE rt<EMARKS O CORRECTIONS c Ina. 9/ a,,r / TE: An entry must be ma a on this form a ch time you vi t the job site.) MOBTi.,E.HOME, `INS''ALLA'1'IOU INSPFCTION CHECK LIST 1. Is the. mobilehomE 1oc.�itcd required separation from lot lines and buildings and general].\ conform to plot plan? YeNo— ?. Does t11E' mobilehome have required clearances above ground? (Sec.5085) Yes No 3. Are foot.in,;s 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 No S. Ifmo than a single unit, are crossover connections properly installed? (Sec. 5088) Ye .No 5, Water. A. Is flex' nnector of adequate size and properly installed (1/2" ID min.)? (Sec. 5566) Yes 7 i B est - 'Does water piping withstand working pressure or 50 lbs, air test? Yes No C. Back -flaw Tf-evzTMTis not State of California 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 N B. Does it have minimum ,11 per foot slope and is it properly supported? Yes�d No_ &JAre any leaks detected in drainage system after running 3 -gallons of water through each re including washing machine standpipe? Yes— No `aye e-f—Ga- is aoPrroved, d s--s-t-dt'ion have required trap and vent? Yes No 8:e Piping and Gas Vents 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 mo i home gas line inlet without reductions other than the mobilehome connector. Yes No r 0 4�es k as per following procedure? Yes_ No 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? Yesx No r `+ 9. Electrical A. Is service Large en..ough to provide adequate amperage to mobilehome (must equal rating of mobilehome iiith a :::inijr:um100 amp) and other facilities on lot, i.e., water pumps, g gage, Cabina, etc.'? Yes No_ B. Is them proper clearances around panels? Yes X No C. Is power supply cord or feeder assembly properly fused? Yes/ No_ D. Is continuity test satisfactory as per the following procedure? Yes)a No 1. De -energize electrical wiring syste:a 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 lead of a test instrument to the mobilehome grounding conductor and �L}` the Otu.@Y a•uau %G cai;ii iAGU1.LCLLUIILC Sii�7ply CGnuuCtG'i, 11iC1'uG1Tlg i1e�lLrdi. 5. All nor. -current, carrying metal parts of the mobilehome (aluminum siding, gas line). waiter line), including fixtures and appliances, shall be tested for continuity from such equipment- and the grounding conductor. b. Upon completion of the above procedure, the power supply cord or feeder assembly conductors shall be connected to the site service. equipment. 'A further continuity te:=;t 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. Is jab card signed by health Departmeat for water and sanitation? 1.1. If evarything okay, sign off card and La services. MOBILEiJOML DATA Manufacturer and/or Namestyle ,ength� �,'idth vehicle Serial No. ;tate Identification No. Flo vz3 1) ..derttional Infol-;nation or Comments: .COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS a UNTY County Center Drive — Uroville, California 95965 / Telephone: 534-4541 / 6 -717 APPLICATION AND PERMIT G —aiv — 1UFI 0V11Lauv6J UI UIC %IUUIIty UI OULLU LU CIILCI UPUII trIC above- ned property for inspection purposes. /C X Date 017 % Signature of Permitee or Agent Receipt No. 401!�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. DIREC OF PUBLIC WORKS. BY Date --i %-7T_ Building permit expires Date BUILDING Owner ' SQ. FT. OCC. BUILDING VALUATION Mai I i ng Address Q 40 41;11 a � Telephone Nei` `l Fireplace Contractor on Total Valuation Mailing Address Permit Fee Plan Checking Fee &/or Penalty Telephone No. Permit Fee Building Address v �v �, PLUMBING No. @ FEE PERMIT FILING FEE $3.00 Q2� D/C Each Trap 1.50 Repair drainage or vent piping 1.50 Water piping i -5e 0� (> / / (%GJ S 541 #1 LO $ rificafi nl & Each gas water heater or vent 1.50 A. P. o. �� A Zo Gas piping system 1 - 5 outlets —a16,00 —"aEach additional outlet .30 es I e."C. Sa I n Fire Dept.Fire Zone Use Permit Building sewer •b-60 EQA Parking Parcel Parcel Ma Plans Declaration p 60' R/W ImprovementsLawn sprinkler system 2.00 Pans Rec'd arcel Approval Plan proval Permit Fee $ n?"00 e NEW ❑ ADDITION ❑ UTILITIES [J OTHER ❑ ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 Main service 600V OR 100 AMP LESS RSLESS 5.00 Bp Main service EA. ADD'L 100 AMP 2.50 Single Family ❑ Duplex ❑ Mobil Home Others ❑ OE Main service, 1100 AMP OR LESS 25.00 Main service EA. ADD'L 100 AMP 1.00 NEW CONST. OR LING ADDNS. ( ACCLBLDGOCCUP. &) 20sgft NEW CONSTR. MULTI.OUTLET NON.RESID. (BRANCH CIRCUITS) 2.50ea NEW CONSTR. POWER APPARATUS & NON. ESID. INGLE OUTLET CIR. CONTRACTORS LICENSE LAW 1 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 D Ex. Occup(OUTLETS OR FIXTURES) BAL101 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 m 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. have placed on file with the County of Butte a certificate of F-1 '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 aboveZ,*! information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby li L TOTAL PERMIT FEE —aiv — 1UFI 0V11Lauv6J UI UIC %IUUIIty UI OULLU LU CIILCI UPUII trIC above- ned property for inspection purposes. /C X Date 017 % Signature of Permitee or Agent Receipt No. 401!�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. DIREC OF PUBLIC WORKS. BY Date --i %-7T_ Building permit expires Date -�- -- - -- q _ fE i i I � f i - i I I I I I c CLS.Ci= DATE t1cf!�7'�317i.'9'.. � � lY3tt�Y's.:::1.{a:l AP -x.=^.�,.�.—:::reo:^w^-'�;a.��Y� Inst .foo cI r s x J COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS 7 County Center Drive — Oroville, California 95965 Telephone: 534-4541 APPLICATION AND PERMIT ,( X /U 44411<< YLLZ—y Date V I y CTO OF PUBLI WORKS Signature of Permitee or Agent �//3 / By ate Receipt No. White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant Building permit aares Date '`/r— BUILDING Owner 11 C SQ. FT. OCC. BUILDING VALUATION Mailing Address AaAt, 4, r D 6 /� Telephone No. _ S Fireplace Contractor Total Valuation Mailing Address Permit Fee Plan Checking Fee&/or Penalty Telephone No. Permit Fee $ Building Address E. Q/ PLUMBING No. @ FEE PERMIT FILING FEE $3.00 p Each Trap 1.50 Repair drainage or vent piping 1.50 Water piping 1.50 f Each gas water heater or vent 1.50 A. P. i 2,Z —le Zoning & Planning Gas piping system 1 - 5 outlets 1.50 Each additional outlet .30 Vs S --W; ierr Fire Dept. Fire Zone Use Permit Building sewer 5.00 EQA Parking Plans I Parcel Declaration Parcel Ma 60' R/W P Im rove nts P Lawn sprinkler system 2.00 Bldg. ans Recd Parcel Ap val ns Approval Permit Fee $ $ NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 Main service 600V OR LESS 100 AMP OR LESS 5.00 Main service EA. ADD'L 100 AMP 2.50 OVER 600V Main service 100 AMP OR LESS 25.00 Single Family ❑ Duplex ❑ Mobil Home J'N Others ❑ Main service// EA. ADD'L 100 AMP 1.00 NEW CONST. ODWELING R ADDNS. l ACCLBLDGS.CCUP. &) 2¢sgft NEW CONSTR. MULTI -OUTLET NON-RESID. ( BRANCH CIRCUITS) 2.50ea NEW CONST. (POWER APPARATUS &) NON- R 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 st le of: y Ex. Occup(OUTLETS OR FIXTURES) 50 BAL21 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 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. ❑ 1 have placed on file with the County of Butte a certificate of Workmen's Compensation Insurance. i 1 certify that in the performance of the work for which this permit is issued I shall not employ any person in any manner 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 authorizer nt ves of the County of Butte to enter upon the above -me oneo ert or inspection purposes. Ce N tn r QI TOTAL PERMIT FEE $ This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above !"ich fees have been paid. ,( X /U 44411<< YLLZ—y Date V I y CTO OF PUBLI WORKS Signature of Permitee or Agent �//3 / By ate Receipt No. White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant Building permit aares Date '`/r— MOBILEHOME SUPPORT DATA %p7� ��A• �/1 °� 77 ✓ Mobilehome Mfr.' /`"(a U (S o /J Setup Model No. Year F - Width — 4—(ft.) Length '6 (ft:)' Expando'Size ft.x ft. (Draw support details below) On all mobilehomes manufactured after October 7, 1973, furnish manufacturer's installation manual and s ructural setup sheets (if not on .fil�ith Weounty of Butte). Single XFootings (check one) 1. Wood either ' pressure treated or Cen er Center Support fdn. grade. Sup ort Footing Sizes Loca ions (in.) 2. Concrete pad. 3. Other, specify tin )n•) b - -, - - - Supports (check one) % 1. Concrete block 2. Concrete piers (ft nl (1 .)(in.) r 3. Steel piers i 4. Other, specify Typical Support Footing Size (in.)(in.) s - Max. Pier l i W3. �Spacing ft in:) -Er-i (in.)(in•) c; --- �r� Max. Overhang *If cen er piers are other than drawn above, draw in locations, spacing, and dimensions. Bl1iFE COUNTY BUILDING DEPARTMENT APPROVED t BUTTE COUNTY DEPARTMENT OF PUBLIC WORKS 7 County Center Drive, Oroville, CA. PHONE: 534-4541 MOBILEHOME INSTALLATION SHEET 1. Owner's name: 4—` `�� w` C ly� 2. Installer's name: U ixe L C- `1 3. Is the site currently under permit? Yes / y 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 7-77 No ( If no, clarify ) 5. What is the mobilehome electrical rating? ----------------------- �� 0 Amps 6. What is the mobilehome site service rating? --------------------- �-® © 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?--------------------------PCJ MA ----------------- Yes No / / (If yes, identify the load and size: (Load) (Amps) 9. What is the mobilehome site gas pipe size?-----fU A-'�=--- (in.) 10. What is the type of gas service? ----------------------------- Natural / / LPG J/ 11. What is'the gas pipe length from meter or tank to the mobilehome? 12. What is the mobilehome gas demand? ------------------------------ (This information not required if pipe length less than 6 ft. on natural gas or less than 50 ft. on LPG.) N (ft.) (BTU) Col. No. LR1,1: FTS CPT CPT No. DOM �G Insp. Fee $ Z -- Insig.-Fee $ C/NA Alt. Fee $ j # Camp. PROGRAM HOURS M/H. Mfr. E M . P M/H Dlr. Insignia M/H Other No. Voided R/V Mfr. )r,/ R/V Dlr. .3 R/V Other FBH Mfr. .��i FBH Other 'DEPARTMENT OF HOUSING' AND COMMUNITY DEVELOPMENT DIVISION OF CODES AND STANDARDS ACTIVITIES REPORT 7�, NORTH AREA OFFICE ❑ SOUTH AREA OFFICE 700 L, ROOM 300 28 CIVIC CENTER PLAZA SACRAMENTO, CA ROOM 639 95814 SANTA ANA, CA 92701 Date ' ' ;L L Inspected'by Firm/Person A- 0 Location Owner and Address if other than above 'yw r -J i9 C -a-- NOTICE: .t Page one of PSN No. ID No. PI LR1,1: FTS CPT CPT No. DOM �G DOP Legal C/NA /f Insp. j # Camp. Violations S E M . P Insignia No. Issued No. Voided NOTICE: Items indicating corrections are violations of the California Administrative Code, Title 25, Chapter O 3 fid, Sections indicated. Copies of these regulations may be obtained from the State of California, Documents Section, P.O. Boz 20191, Sacramento, CA 95820. It is unlawful to sell, offer for sale, rent, or lease any noncomplying mobilehome, recreational vehicle, or commercial coach, or to sell or offer for sale any noncomplying factory -built housing unit or component system thereof. Upon receipt of a notice of violations, the person served shall notify the department in writing within 10 days of the action taken to correct the violations. A person so served shall not move or cause to be moved said vehicle, unit, or component system until the department has been notified of its destination and disposition. A person served with the notice of violation contained in this activities report has the right to request, and shall be granted, a hearing on the matter before she Director of the Department or his authorized representative. A request for such hearing shall be in writing and shall set forth -a brief. statement as to the grounds jerefor. Requests for such hearing must be presented to the Department by mail or in person at 1807 13th Street, Sacramento, CA 95814. .GIOLATIONS INDICATED SHALL BE CORRECTED AND A REQUEST FOR FURTHER INSPECTION FILED WITH THE AREA OFFICE INDICATED ABOVE ON OR BEFORE THE REQUEST FOR INSPECTION SHALL BE ACCOMPANIED BY MINIMUM FEES OF $ P/A No. Manufacturer—Model—Location Type of Occupancy Insignia No. Serial No. /,%/ 9 r.i .'o�� x 6 d%J> %`�> 2/j--� Z3 y )r,/ .3 Z --,v Received(by CC: ❑ Mfr. ❑, Dlr., ❑ Plant CSI ❑ CC's Mailed ❑ Other I HCD 412 (REV. 5.75) TRIP (DT OSP Permit M i3TIi, o G?a AiCE DATEssZ6 a.o t i®rl